| Abd paracentesis w/imaging (49083) |
— |
$1,010.40 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$854.90 |
— |
| Abortion (59841) |
— |
$1,279.85 |
— |
| Acetabuloplasty (27120) |
— |
$3,133.30 |
— |
| Acetabuloplasty Resection Femoral Head (27122) |
— |
$1,861.20 |
— |
| Acne Surgery (10040) |
— |
$233.90 |
— |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
— |
$991.90 |
— |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
— |
$1,363.70 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$1,674.80 |
— |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
— |
$1,563.50 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$1,489.40 |
— |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
— |
$1,861.20 |
— |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
— |
$806.50 |
— |
| Amniocentesis diagnostic (59000) |
— |
$430 |
— |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
— |
$2,455.50 |
— |
| Amp thigh thru femur sec closure/scar revision (27594) |
— |
$931.10 |
— |
| Amputate lower leg at knee (27598) |
— |
$1,613 |
— |
| Amputate metacarpal bone (26910) |
— |
$991.90 |
— |
| Amputate Thigh,Re-Amputatn (27596) |
— |
$883.75 |
— |
| Amputation Finger/Thumb (26951) |
— |
$743.70 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$1,178.30 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$1,287 |
— |
| Amputation of finger/thumb (26952) |
— |
$651.45 |
— |
| Amputation thigh through femur any level (27590) |
— |
$1,613 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$1,071.20 |
— |
| Amputation Toe Metatarsophalangeal Joint (28820) |
— |
$651 |
— |
| Amputation, foot; transmetatarsal (28805) |
— |
$2,140.90 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$1,613 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$931.15 |
— |
| Analyze infusn pump+reprogram (62368) |
— |
$165.35 |
— |
| Analyze spine infus pump (62367) |
— |
$93.70 |
— |
| Ankle arthroscopy (29899) |
— |
$2,110.50 |
— |
| Ankle arthroscopy/surgery (29894) |
— |
$402.70 |
— |
| Ankle Scope,Excis Osteochon Defct (29891) |
— |
$2,822.20 |
— |
| Ankle scope,part synovectomy (29895) |
— |
$521.20 |
— |
| Anoscopy (46611) |
— |
$311.10 |
— |
| Anoscopy diagnostic (46600) |
— |
$96.80 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$189.50 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$521.20 |
— |
| Anrct xm surg req anes general spi/edrl dx (45990) |
— |
$372.90 |
— |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
— |
$2,486.05 |
— |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
— |
$1,224 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$589.20 |
— |
| Appendectomy (44950) |
— |
$2,015.05 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$333.20 |
— |
| Application cast elbow finger short arm (29075) |
— |
$110.20 |
— |
| Application Cast Finger (29086) |
— |
$210.10 |
— |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
— |
$118.50 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$120.50 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$74.20 |
— |
| Application finger splint static (29130) |
— |
$61.80 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$129.80 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$264.20 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$106.10 |
— |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
— |
$1,241.20 |
— |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
— |
$682.90 |
— |
| Application of body cast, shoulder to hips; Other Surgical Services (29035) |
— |
$496.50 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$89.65 |
— |
| Application of long leg cast (29345) |
— |
$354.85 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$698.35 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$116.40 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$96.80 |
— |
| Application short leg splint calf foot (29515) |
— |
$103.55 |
— |
| Apply of clubfoot cast (29450) |
— |
$171 |
— |
| Apply short leg cast (29405) |
— |
$123.10 |
— |
| Apply short leg cast (29425) |
— |
$534.05 |
— |
| Arterial puncture (36600) |
— |
$80.30 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$2,909.80 |
— |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
— |
$1,737.60 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$300 |
$328.60 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$350 |
$545.90 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$400 |
$303.85 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$450 |
$527.35 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$150 |
$108.20 |
0.5× |
| Arthrodesis ankle open (27870) |
— |
$2,295.90 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$682.90 |
— |
| Arthrodesis knee any technique (27580) |
— |
$2,481.30 |
— |
| Arthrodesis tibiofibular joint proximal or distal (27871) |
— |
$1,551.20 |
— |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
— |
$869.30 |
— |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737) |
— |
$1,303 |
— |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810) |
— |
$1,674.80 |
— |
| Arthrodesis; subtalar (28725) |
— |
$1,364.80 |
— |
| Arthroplasty Ankle W/Implant (27702) |
— |
$2,481.30 |
— |
| Arthroplasty elbow w/membrane (24360) |
— |
$1,737.60 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$465.60 |
— |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
— |
$2,581.20 |
— |
| Arthroplasty knee fc/tp (27442) |
— |
$1,023.80 |
— |
| Arthroplasty radial head w/implant (24366) |
— |
$2,141.40 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services (27441) |
— |
$2,110.50 |
— |
| Arthroplasty, patella; with prosthesis (27438) |
— |
$1,034.15 |
— |
| Arthroplasty, patella; without prosthesis (27437) |
— |
$1,551.20 |
— |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
— |
$3,722.40 |
— |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
— |
$2,835.60 |
— |
| Arthroscopy ankle; ext debridem (29898) |
— |
$1,613 |
— |
| Arthroscopy Hip Surgical W/Synovectomy (29863) |
— |
$1,936.40 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$1,799.40 |
— |
| Arthroscopy of joint (29999) |
— |
$2,110.50 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
— |
$3,476.30 |
— |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
— |
$1,489.40 |
— |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) High Cost/Complex Surgery (29860) |
— |
$1,545 |
— |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
— |
$1,203 |
— |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
— |
$869.30 |
— |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
— |
$2,110.50 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$2,047.60 |
— |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
— |
$1,364.80 |
— |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
— |
$2,078.50 |
— |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
— |
$3,102.40 |
— |
| Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) |
— |
$2,110.50 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$1,737.60 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$3,476.30 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$1,166 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$2,245.40 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$931.10 |
— |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
— |
$1,861.25 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$2,047.60 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$1,396.15 |
— |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
— |
$948.65 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$1,675.85 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
— |
$1,600.60 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
— |
$2,110.50 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$1,365.25 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$515 |
— |
| Arthrotomy hip w/drainage (27030) |
— |
$1,172.15 |
— |
| Arthrotomy Knee W/Synovial Biopsy Only (27330) |
— |
$1,117.60 |
— |
| Arthrotomy W/Biopsy Hip Joint (27052) |
— |
$1,161.85 |
— |
| Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Other Surgical Services (28050) |
— |
$496.50 |
— |
| Arthrotomy with biopsy; metatarsophalangeal joint Other Surgical Services (28052) |
— |
$967.70 |
— |
| Arthrotomy Wrist Joint With Biopsy (25100) |
— |
$931.10 |
— |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
— |
$806.50 |
— |
| Arthrotomy, elbow; with synovectomy (24102) |
— |
$991.90 |
— |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
— |
$1,241.20 |
— |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
— |
$1,117.60 |
— |
| Arthrotomy, with synovectomy, ankle; (27625) |
— |
$1,303 |
— |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
— |
$1,613 |
— |
| Arthrs hip debridement/shaving articular crtlg (29862) |
— |
$1,795.80 |
— |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
— |
$527.40 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$558.30 |
— |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
— |
$621.10 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$75.20 |
— |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
— |
$407.90 |
— |
| Av fistula revision (36833) |
— |
$3,052.90 |
— |
| Av Fuse Uppr Arm Basilic (36819) |
— |
$3,227 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
$150 |
$161.70 |
0.7× |
| Axillary lymphadenectomy; complete (38745) |
— |
$1,985.80 |
— |
| Biopsy Bone Open Deep (20245) |
— |
$743.70 |
— |
| Biopsy bone open superficial (20240) |
— |
$2,480 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$383.65 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$248.20 |
— |
| Biopsy Breast Open Incisional (19101) |
— |
$499.60 |
— |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
— |
$510.10 |
— |
| Biopsy external ear (69100) |
— |
$135.95 |
— |
| Biopsy muscle deep (20205) |
— |
$669.50 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$531.50 |
— |
| Biopsy of lip (40490) |
— |
$155 |
— |
| Biopsy of mouth lesion (40808) |
— |
$465.60 |
— |
| Biopsy of nail unit (11755) |
— |
$1,327.65 |
— |
| Biopsy of ovary(s) (58900) |
— |
$1,248.90 |
— |
| Biopsy of palate, uvula (42100) |
— |
$199.80 |
— |
| Biopsy of tongue (41100) |
— |
$227.15 |
— |
| Biopsy of urethra (53200) |
— |
$631.05 |
— |
| Biopsy of uterus lining (58100) |
$200 |
$296.30 |
1.0× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) |
— |
$1,054.70 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$1,135.10 |
— |
| Biopsy Oropharynx (42800) |
— |
$797.20 |
— |
| Biopsy Salivary Gland,Needle (42400) |
— |
$507.80 |
— |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
— |
$621.10 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$311.10 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$319.30 |
— |
| Biopsy soft tissue of back (21920) |
— |
$469.70 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$1,136.10 |
— |
| Biopsy Soft Tissue Shoulder Deep (23066) |
— |
$621.10 |
— |
| Biopsy soft tissue shoulder superficial (23065) |
— |
$248.20 |
— |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
— |
$558.30 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$372.90 |
— |
| Biopsy tongue posterior one-third (41105) |
— |
$281.20 |
— |
| Biopsy Vaginal Mucosa Extensive (57105) |
— |
$776.85 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$447.10 |
— |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
— |
$297.70 |
— |
| Biopsy/removal lymph nodes (38525) |
— |
$1,117.60 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$1,160.80 |
— |
| Bladder Instillation Anticarcinogenic Agent (51720) |
— |
$124.60 |
— |
| Bladder Irrigation Simple (51700) |
— |
$554.30 |
— |
| Bladder Scan (51798) |
— |
$195.70 |
— |
| Blood patch (62273) |
— |
$422.30 |
— |
| Blood transfusion service (36430) |
— |
$948.60 |
— |
| Bone graft for nonunion, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170) |
— |
$2,450.40 |
— |
| Bone graft, any donor area; major or large (20902) |
— |
$185.40 |
— |
| Bone marrow aspiration only (38220) |
— |
$185.40 |
— |
| Bone Marrow Biopsy (38221) |
— |
$351.75 |
— |
| Brain Shunt Tube/Reserv Injectn (61070) |
— |
$510.40 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$832.20 |
— |
| Bronchial Valve Init Insert (31647) |
— |
$629.30 |
— |
| Bronchosc dx w/w/o fluor&wash (31622) |
— |
$713.80 |
— |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
— |
$1,372 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$769.40 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$806.50 |
— |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
— |
$1,932.80 |
— |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
— |
$632.40 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$927 |
— |
| Bronchoscopy,Diagnostic W Lavage (31624) |
— |
$780.70 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$372.90 |
— |
| Bx anorectal wall anal approach (45100) |
— |
$695.30 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$3,136.35 |
— |
| Bx breast 1st lesion us imag (19083) |
$550 |
$950.20 |
0.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$349.20 |
— |
| Bx vulva/perineum 1 lesion (56605) |
— |
$295.70 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$212.20 |
— |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
— |
$980.60 |
— |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
— |
$2,047.60 |
— |
| Capsulorrhaphy anterior w/labral repair (23455) |
— |
$3,102.40 |
— |
| Capsulotomy, midfoot; medial release only (separate procedure) Other Surgical Services (28260) |
— |
$869.30 |
— |
| Carpectomy All Bones Proximal Row (25215) |
— |
$1,507.90 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$80.30 |
— |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
— |
$232.80 |
— |
| Cautery Cervix Electro/Thermal (57510) |
— |
$831.75 |
— |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$696.10 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$379.60 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$167.90 |
— |
| Change g-tube to g-j perc (49446) |
— |
$2,110.50 |
— |
| Change gastric port open (43888) |
— |
$1,275.10 |
— |
| Chemical Cautery Tissue (17250) |
— |
$228.15 |
— |
| Chemodenerv Musc Migraine (64615) |
$1,600 |
$286.85 |
5.2× |
| Chest tube placement (32551) |
— |
$1,323.60 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$67 |
— |
| Chromotubation of oviduct, including materials (58350) |
— |
$372.95 |
— |
| Circum 28 days or older (54161) |
— |
$550 |
— |
| Circumcision (54150) |
— |
$305 |
— |
| Circumcision Neonate (54160) |
— |
$624.95 |
— |
| Claviculectomy; partial (23120) |
— |
$931.10 |
— |
| Claviculectomy; total (23125) |
— |
$1,054.70 |
— |
| Close Rx Fingr Articular Fx,Manip (26742) |
— |
$496.50 |
— |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
— |
$1,426.60 |
— |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
— |
$520.20 |
— |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
— |
$621.10 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$695.30 |
— |
| Closed Rx Med Malleolus Fx (27760) |
— |
$688 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$621.10 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$682.90 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$991.90 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$521.20 |
— |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
— |
$1,117.60 |
— |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
— |
$1,489.40 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$621.10 |
— |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$718.90 |
— |
| Closed Rx Tibial Plateau Fx (27530) |
— |
$845.60 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$1,786 |
— |
| Closed Rx Trimalleolar Fx (27816) |
— |
$645.80 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$402.70 |
— |
| Closed treat wrist dislocation (25660) |
— |
$869.30 |
— |
| Closed Treatment Coccygeal Fracture (27200) |
— |
$381.10 |
— |
| Closed treatment of broken top of shin bone at knee (27538) |
— |
$1,016.60 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$869.30 |
— |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
— |
$645.80 |
— |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
— |
$621.10 |
— |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
— |
$931.10 |
— |
| Closed treatment of talus fracture; without manipulation (28430) |
— |
$499.60 |
— |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
— |
$280.20 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$558.30 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$297.70 |
— |
| Closed Treatment Sternum Fracture (21820) |
— |
$274 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$621.10 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$834.30 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$1,046.50 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$675.70 |
— |
| Closed tx calcaneal fracture w/o manipulation (28400) |
— |
$530.50 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$621.10 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$991.90 |
— |
| Closed tx knee dislocation w/anesthesia (27552) |
— |
$775.60 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,069.10 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$713.80 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$403.80 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$1,117.60 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$621.10 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$794.10 |
— |
| Closed tx patellar fracture w/o manipulation (27520) |
— |
$662.30 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$570.60 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$484.10 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$621.10 |
— |
| Closed tx scapular fracture w/o manipulation (23570) |
— |
$334.80 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$311.10 |
— |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
— |
$496.50 |
— |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
— |
$402.70 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$306.50 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$558.30 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$606.70 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$484.10 |
— |
| Closure cystostomy separate procedure (51880) |
— |
$1,575 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$372.90 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$311.10 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$402.70 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$492.30 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$990.90 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$635.50 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$651 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$589.20 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$477.90 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$682.90 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$682.90 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$1,080.50 |
— |
| Cltx dstl fem epiphysl sep w/manj w/wo skin/skel (27517) |
— |
$961 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$895.10 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$645.80 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$372.90 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$402.70 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$774.60 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,086.70 |
— |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
— |
$1,589.30 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$1,141.20 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$1,045.50 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$1,812.80 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$365.70 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$279.15 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$248.20 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$869.30 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$659.20 |
— |
| Cltx greater trochanteric fx w/o manj (27246) |
— |
$858 |
— |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
— |
$496.50 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$651 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$1,006.30 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$273.50 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$225.60 |
— |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
— |
$931.15 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$567.50 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$660.20 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$620.10 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$938 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$621.10 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$325.50 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$185.40 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$372.90 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$397.05 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$931.10 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$916.70 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$558.30 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$621.10 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$1,043.40 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$621.10 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$757.10 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$194.70 |
— |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
— |
$651 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$1,124.80 |
— |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
— |
$372.90 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$396.05 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$1,200 |
— |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
— |
$806.50 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,078.40 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$743.70 |
— |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
— |
$1,013.50 |
— |
| Colonoscopy stoma w/biopsy (44389) |
— |
$533.50 |
— |
| Colonoscopy stoma w/snare (44394) |
— |
$695.30 |
— |
| Colonoscopy thru stoma (44388) |
— |
$806.50 |
— |
| Colonoscopy w/ablation (45388) |
— |
$1,197.90 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$604.60 |
— |
| Colpocentesis (57020) |
— |
$460.85 |
— |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
— |
$982.15 |
— |
| Colporrhaphy suture injury vagina (57200) |
— |
$935.90 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$450 |
$373.05 |
1.5× |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$274.40 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$1,374.35 |
— |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
— |
$1,158.95 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$374.95 |
— |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
— |
$617.35 |
— |
| Colposcopy vulva (56820) |
— |
$257.10 |
— |
| Colposcopy vulva w/biopsy (56821) |
— |
$507.05 |
— |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
— |
$584.30 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$512.65 |
— |
| Colpotomy; with exploration (57000) |
— |
$709.80 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
— |
$1,426.60 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
— |
$1,364.80 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$788 |
— |
| Comp multiplane ext fixation (20696) |
— |
$931.10 |
— |
| Complete replacement picc rs&i (36584) |
— |
$3,560.70 |
— |
| Complex Cystometrogram (51726) |
— |
$1,206.70 |
— |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
— |
$1,019.05 |
— |
| Complex Drainage, Wound (10180) |
— |
$757.10 |
— |
| Complex Uroflowmetry (51741) |
$20 |
$305 |
0.1× |
| Conization of cervix (57520) |
— |
$1,350.50 |
— |
| Conization of cervix (57522) |
$800 |
$1,173.70 |
0.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$154.50 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$141.10 |
— |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy);simple, with posterior nasal packs,… (42970) |
— |
$1,559.40 |
— |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
— |
$4,405.30 |
— |
| Coracoacromial ligament release, with or without acromioplasty (23415) |
— |
$1,054.70 |
— |
| Correction hammertoe (28285) |
— |
$651 |
— |
| Create eardrum opening (69436) |
$2,500 |
$559.30 |
1.6× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
— |
$2,928.30 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$261.60 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$367.75 |
— |
| Curettage postpartum (59160) |
— |
$853.60 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$372.90 |
— |
| Cysto inc fulg/rescj urtl valves/folds (52400) |
— |
$1,205.10 |
— |
| Cysto w fulg of minor lesions <0.5cm (52224) |
— |
$577.80 |
— |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
— |
$1,106.20 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$496.50 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$694.20 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$112.30 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$715.90 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$1,163.90 |
— |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
— |
$1,098 |
— |
| Cystometrogram w/vp (51728) |
— |
$980.60 |
— |
| Cystometrogram W/Vp&Up (51729) |
$485 |
$1,221 |
0.7× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) |
— |
$2,604.45 |
— |
| Cystoscopy w/biopsy (52204) |
— |
$396.60 |
— |
| Cystoscopy w/complex removal stone & stent (52315) |
— |
$631.95 |
— |
| Cystoscopy,Dil Urethral Stricture (52281) |
— |
$422.30 |
— |
| Cystoscopy,insert ureteral stent (52332) |
— |
$436.70 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$2,166.60 |
— |
| Cystotomy/cystostomy fulg&/insj radact matrl (51020) |
— |
$1,311 |
— |
| Cystourethroscopy (52000) |
— |
$713.85 |
— |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
— |
$1,113.45 |
— |
| Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg (52250) |
— |
$675.70 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$801.30 |
— |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
— |
$780.70 |
— |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
— |
$812.70 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$87.60 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$2,864.40 |
— |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
— |
$621.10 |
— |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
— |
$781 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$621.10 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$1,171.10 |
— |
| Debride nail 1-5 (11720) |
— |
$55.60 |
— |
| Debride nail 6 or more (11721) |
— |
$93.70 |
— |
| Debride skin musc at fx site (11011) |
— |
$1,269 |
— |
| Debridement Mastoidectomy Cavity Simple (69220) |
— |
$112.25 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$402.70 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$621.10 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$988.80 |
— |
| Declot vascular device (36593) |
— |
$414.10 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
— |
$743.70 |
— |
| Decompress fingers/hand (26037) |
— |
$1,054.70 |
— |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
— |
$1,098 |
— |
| Decompression of leg (27894) |
— |
$2,038.40 |
— |
| Decompression of leg (27892) |
— |
$806.50 |
— |
| Decompression of tibia nerve (28035) |
— |
$743.70 |
— |
| Decompression; unspecified nerve(s) (specify) (64722) |
— |
$991.90 |
— |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
— |
$621.10 |
— |
| Delivery placenta separate procedure (59414) |
— |
$434.70 |
— |
| Destr penis lesn,simpl,laser surg (54057) |
— |
$340.90 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$712.25 |
— |
| Destroy internal hemorrhoids (46930) |
— |
$533.50 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$615.45 |
— |
| Destruc Benign/Premal,15+ Lesions (17004) |
— |
$372.90 |
— |
| Destruction anal lesion(s) (46924) |
— |
$1,766.10 |
— |
| Destruction benign lesions 15 or more (17111) |
— |
$133.90 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$232.20 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$626.75 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$1,417.80 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$933.85 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$228.15 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$217.30 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$274 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$249.60 |
— |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
— |
$279.10 |
— |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
— |
$161.70 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$2,078.55 |
— |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
— |
$255.40 |
— |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
— |
$285.30 |
— |
| Destruction of multiple growths of penis (54065) |
— |
$372.90 |
— |
| Destruction of skin lesions (17106) |
— |
$434.65 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$175.65 |
— |
| Destruction Vaginal Lesions Extensive (57065) |
— |
$1,579.65 |
— |
| Destruction vaginal lesions simple (57061) |
— |
$716 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$397.60 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$275 |
— |
| Dil urethra,female,subsequent (53661) |
— |
$263.20 |
— |
| Dilat rct strix spx under anes oth/thn local (45910) |
— |
$521.20 |
— |
| Dilate urethra stricture (53620) |
— |
$325.45 |
— |
| Dilate Urethra Stricture (53600) |
— |
$219.90 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$1,157.40 |
— |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
— |
$221.50 |
— |
| Dilation of cervical canal (57800) |
— |
$207.80 |
— |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
— |
$183.30 |
— |
| Dilation of urethra (53665) |
— |
$137.20 |
— |
| Disarticulation Of Hip (27295) |
— |
$621.10 |
— |
| Division of fallopian tube (58600) |
— |
$1,231.60 |
— |
| Drain hand tendon sheath (26020) |
— |
$434.65 |
— |
| Drain lower leg bursa (27604) |
— |
$558.30 |
— |
| Drain shoulder lesion (23030) |
— |
$465.60 |
— |
| Drain/inj small joint/bursa w/us (20604) |
$200 |
$242.05 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$486.20 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$433.60 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$314.20 |
— |
| Drainage of bone lesion (26992) |
— |
$1,426.60 |
— |
| Drainage of bone lesion (27303) |
— |
$1,178.30 |
— |
| Drainage of deep rectal abscess (45020) |
— |
$1,327.70 |
— |
| Drainage of eyelid abscess (67700) |
— |
$201.90 |
— |
| Drainage of gum lesion (41800) |
— |
$354.30 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$400 |
— |
| Drainage of hydrocele (55000) |
— |
$803.40 |
— |
| Drainage of infected fluid-filled sac near pelvis or hip joint (26991) |
— |
$886.30 |
— |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
— |
$658.20 |
— |
| Drainage of ovarian cyst(s) (58800) |
— |
$1,020.25 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$496.50 |
— |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
— |
$1,290.05 |
— |
| Drainage skenes gland abscess (53060) |
— |
$343.50 |
— |
| Draw blood off venous device (36591) |
— |
$208.10 |
— |
| Dressing change under anesthesia (15852) |
— |
$166.85 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$341.45 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$340.90 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$248.20 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$354.30 |
— |
| Dstl revsc&interval lig uxtr hemo access (36838) |
— |
$3,722.40 |
— |
| Dstrj lesion anus simple chemical (46900) |
— |
$823.30 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$396.60 |
— |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
— |
$664.10 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
— |
$735.40 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$743.70 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$496.50 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
— |
$533.50 |
— |
| Egd flexible foreign body removal (43247) |
— |
$621.10 |
— |
| Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) |
— |
$440.80 |
— |
| Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) |
— |
$388.30 |
— |
| Egd guide wire insertion (43248) |
— |
$869.30 |
— |
| Egd injection varices (43243) |
— |
$726.20 |
— |
| Egd place gastrostomy tube (43246) |
— |
$658.20 |
— |
| Egd rem tumr/polyp forcep (43250) |
— |
$545.90 |
— |
| Egd remove lesion snare (43251) |
— |
$623.20 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$636.50 |
— |
| Elbow arthroscopy (29830) |
— |
$869.30 |
— |
| Elbow arthroscopy/surgery (29838) |
— |
$2,110.50 |
— |
| Elbow arthroscopy/surgery (29837) |
— |
$5,335.40 |
— |
| Elbow arthroscopy/surgery (29835) |
— |
$1,463.60 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$297.70 |
— |
| Electrical stimulation bone healing noninvasive (20974) |
— |
$465.60 |
— |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$85 |
$684 |
0.7× |
| Endocervical Curettage (57505) |
— |
$368.60 |
— |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
— |
$1,156.40 |
— |
| Endoscopic Injection/Implant (51715) |
— |
$431.40 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$3,227 |
— |
| Epidural lysis on single day (62264) |
— |
$999.60 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$663.05 |
— |
| Esophagogastroduodenoscopy submucosal injection (43236) |
— |
$869.30 |
— |
| Esophagoscopy flex biopsy (43202) |
— |
$385.20 |
— |
| Esophagoscopy flexible removal foreign body (43215) |
— |
$454.20 |
— |
| Esophagoscopy flexible transoral diagnostic (43200) |
— |
$391.40 |
— |
| Esophagoscopy lesion ablate (43229) |
— |
$457.30 |
— |
| Evacuate mole of uterus (59870) |
— |
$1,530.85 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$62.80 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$1,724.20 |
— |
| Exc abd les sc 3 cm/> (22903) |
— |
$942.50 |
— |
| Exc arm/elbow les sc 3 cm/> (24071) |
— |
$894 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$682.90 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$403.80 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$551 |
— |
| Exc back les sc < 3 cm (21930) |
— |
$743.70 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$1,489.40 |
— |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
— |
$1,109.30 |
— |
| Exc coccygeal pressure ulcer (15920) |
— |
$1,210.30 |
— |
| Exc face les sbq 2 cm/> (21012) |
— |
$889.90 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$300.80 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$478.95 |
— |
| Exc foot/toe tum sc < 1.5 cm (28043) |
— |
$496.50 |
— |
| Exc forearm les sc 3 cm/> (25071) |
— |
$931.10 |
— |
| Exc forearm les sc < 3 cm (25075) |
— |
$781.80 |
— |
| Exc hand les sc < 1.5 cm (26115) |
— |
$496.50 |
— |
| Exc ischial pressure ulcer w/primary suture (15940) |
— |
$1,757.20 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$433.60 |
— |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
— |
$2,493.60 |
— |
| Exc neck tum deep < 5 cm (21556) |
— |
$961 |
— |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
— |
$2,010.60 |
— |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
— |
$2,003.40 |
— |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
— |
$3,387.70 |
— |
| Exc rect tum transanal part (45171) |
— |
$2,507 |
— |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
— |
$1,806.60 |
— |
| Exc shoulder les sc 3 cm/> (23071) |
— |
$869.30 |
— |
| Exc shoulder tum deep 5 cm/> (23073) |
— |
$1,637.70 |
— |
| Exc skin abd (15830) |
— |
$2,371.10 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$460.40 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$253.40 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$516.60 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$328.60 |
— |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
— |
$682.90 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$286.30 |
— |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
— |
$813.70 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$693.60 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$662.70 |
— |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
— |
$413 |
— |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
— |
$847.20 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$636.05 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$642.70 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$1,035.20 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$1,837.50 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$372.90 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$287.55 |
— |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
— |
$806.50 |
— |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
— |
$1,803.50 |
— |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
— |
$743.70 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$806.50 |
— |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
— |
$621.10 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$931.10 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$754 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$621.10 |
— |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
— |
$931.10 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$713.80 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$1,737.60 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
— |
$931.15 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$961 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$768.40 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$941.40 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$682.90 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$496.50 |
— |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
— |
$651 |
— |
| Excise cutaneous neurofibroma (64788) |
— |
$929.05 |
— |
| Excise excess skin & tissue (15839) |
— |
$2,608.50 |
— |
| Excise excessive skin buttck (15835) |
— |
$2,401 |
— |
| Excise Inferior Turbinate (30130) |
— |
$1,526.50 |
— |
| Excise pharynx lesion (42808) |
— |
$5,716.50 |
— |
| Excise tendon forearm/wrist (25109) |
— |
$931.10 |
— |
| Excision Breast Lesion (19125) |
— |
$1,215.40 |
— |
| Excision Distal Ulna Partial/Complete (25240) |
— |
$775.60 |
— |
| Excision h/p/p/u simple/intermediate repair (11470) |
— |
$658.20 |
— |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
— |
$271.90 |
— |
| Excision lesion mouth roof (42104) |
— |
$375.95 |
— |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
— |
$325.50 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$328.60 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$384.70 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$485.10 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$386.30 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$285.30 |
— |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
— |
$391.40 |
— |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
— |
$558.30 |
— |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
— |
$511.90 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$274 |
— |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
— |
$322.40 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$372.90 |
— |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
— |
$433.60 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$487.20 |
— |
| Excision malignant tumor mandible (21044) |
— |
$2,353.60 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$658.20 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$984.70 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
— |
$372.65 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$254.40 |
— |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
— |
$743.70 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$931.10 |
— |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
— |
$352.30 |
— |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
— |
$682.90 |
— |
| Excision of lesion of tongue without closure (41110) |
— |
$558.30 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$185 |
$557.25 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$287.55 |
— |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
— |
$607.70 |
— |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
— |
$1,067.10 |
— |
| Excision of local lesion of epididymis (54830) |
— |
$869.30 |
— |
| Excision of nail fold toe (11765) |
— |
$220.40 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$363.60 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$297.70 |
— |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
— |
$743.70 |
— |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
— |
$487.20 |
— |
| Excision of spermatocele, with or without epididymectomy (54840) |
— |
$894 |
— |
| Excision of sublingual salivary cyst (ranula) (42408) |
— |
$942.50 |
— |
| Excision of submandibular (submaxillary) gland (42440) |
— |
$1,320.50 |
— |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
— |
$589.20 |
— |
| Excision of tongue lesion (41112) |
— |
$839.45 |
— |
| Excision of Umbilicus (49250) |
— |
$2,185.70 |
— |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
— |
$1,241.20 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$999.70 |
— |
| Excision of vaginal septum (57130) |
— |
$1,367.75 |
— |
| Excision olecranon bursa (24105) |
— |
$621.10 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
— |
$1,178.30 |
— |
| Excision or fulguration; Skene's glands (53270) |
— |
$409 |
— |
| Excision or fulguration; urethral caruncle (53265) |
— |
$800.25 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
— |
$1,235.50 |
— |
| Excision Prepatellar Bursa (27340) |
— |
$621.10 |
— |
| Excision Synovial Cyst Popliteal Space (27345) |
— |
$900.20 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$743.70 |
— |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
— |
$631.40 |
— |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
— |
$558.30 |
— |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
— |
$682.90 |
— |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
— |
$1,360.60 |
— |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
— |
$1,691.30 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$1,117.60 |
— |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
— |
$1,241.20 |
— |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
— |
$622.10 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$1,169.10 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$1,154.60 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$757.05 |
— |
| Excision/curettage cyst/tumor carpal bones (25130) |
— |
$1,048 |
— |
| Excision/curettage cyst/tumor radius/ulna (25120) |
— |
$869.30 |
— |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
— |
$806.50 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
— |
$1,444.55 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$595.30 |
— |
| Expl retroperitoneum w/wo bx spx (49010) |
— |
$2,676.10 |
— |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
— |
$651 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$1,042.40 |
— |
| Explor ankle jt+tenosynovectomy (27626) |
— |
$1,364.80 |
— |
| Exploration of ankle joint (27612) |
— |
$991.90 |
— |
| Exploration Of Foot Joint (28020) |
— |
$743.70 |
— |
| Exploration of hip joint (27033) |
— |
$1,491.40 |
— |
| Exploration of knee joint (27310) |
— |
$1,426.60 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$726.20 |
— |
| Exploratory shoulder surgery (23044) |
— |
$869.30 |
— |
| Explore & Treat Metacarpo-Phal Jt (26075) |
— |
$527.40 |
— |
| Explore limb vessels (35860) |
— |
$1,054.70 |
— |
| Explore parathyroid glands (60500) |
— |
$2,786.15 |
— |
| Explore treat shoulder joint (23107) |
— |
$1,520.30 |
— |
| Explore/treat ankle joint (27620) |
— |
$974.40 |
— |
| Explore/treat ankle joint (27610) |
— |
$931.10 |
— |
| Explore/treat elbow joint (24101) |
— |
$621.10 |
— |
| Explore/treat hand joint (26070) |
— |
$589.20 |
— |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
— |
$682.90 |
— |
| External Cephalic Version (59412) |
— |
$482.65 |
— |
| Fasciotomy foot and/or toe (28008) |
— |
$558.30 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$1,178.30 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$806.50 |
— |
| Fasciotomy palmar percutaneous (26040) |
— |
$450.10 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$1,364.80 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$261.80 |
— |
| Fetal non-stress test (59025) |
— |
$231.75 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$659.20 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$248.20 |
— |
| Fitting of diaphragm/cap (57170) |
— |
$339 |
— |
| Fixation of knee joint (27570) |
— |
$421.25 |
— |
| Fixation of shoulder (23700) |
— |
$496.50 |
— |
| Flap; neurovascular pedicle (15750) |
— |
$1,426.60 |
— |
| Fluid pressure muscle (20950) |
— |
$621.10 |
— |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
— |
$558.30 |
— |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
— |
$1,117.60 |
— |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
— |
$1,351.40 |
— |
| Fuse hand bones with graft (25825) |
— |
$1,364.80 |
— |
| Fusion Finger Joint (26860) |
— |
$775.60 |
— |
| Fusion of foot bones (28715) |
— |
$1,737.60 |
— |
| Fusion of foot bones (28730) |
— |
$1,241.20 |
— |
| Fusion of foot bones (28740) |
— |
$931.10 |
— |
| Fusion of hand bones (25820) |
— |
$991.90 |
— |
| Fusion of knuckle (26850) |
— |
$1,782.90 |
— |
| Fusion of knuckle joint (26516) |
— |
$1,054.70 |
— |
| Fusion of wrist joint (25800) |
— |
$1,457.50 |
— |
| Fusion radioulnar jnt/ulna (25830) |
— |
$1,923 |
— |
| Fusion/graft of wrist joint (25805) |
— |
$1,520.30 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$351.75 |
— |
| Gastric restrictive procedure, open; revision of subcutaneous port component only (43886) |
— |
$1,054.70 |
— |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
— |
$2,996.30 |
— |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
— |
$1,637.70 |
— |
| Hand tendon pulley reconstruction (26500) |
— |
$869.30 |
— |
| Hemiarthroplasty Hip Partial (27125) |
— |
$511.90 |
— |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
— |
$496.50 |
— |
| Hemorrhoidectomy (46255) |
— |
$1,123.70 |
— |
| Hemorrhoidectomy external complete (46250) |
— |
$780.70 |
— |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
— |
$899.20 |
— |
| Hip arthro acetabuloplasty (29915) |
— |
$2,513.20 |
— |
| Hip arthro w/fb removal (29861) |
— |
$2,307.20 |
— |
| Hip arthro w/labral repair (29916) |
— |
$4,281.70 |
— |
| Hysteroscopy ablation (58563) |
$7,500 |
$3,689.25 |
1.5× |
| Hysteroscopy biopsy (58558) |
$3,500 |
$962.85 |
1.1× |
| Hysteroscopy dx sep proc (58555) |
— |
$930 |
— |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
— |
$1,130.50 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$1,020.25 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$1,990.20 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$418.15 |
— |
| I&d abscess simple (10060) |
$250 |
$367.15 |
1.2× |
| I&d below fascia foot 1 bursal space (28002) |
— |
$496.50 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$838.40 |
— |
| I&d epididymis tstis&/scrotal space (54700) |
— |
$607.70 |
— |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
— |
$991.90 |
— |
| I&d perianal abscess superficial (46050) |
— |
$243.10 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$298.70 |
— |
| I&D Rectal Abscess + Fistulectomy (46060) |
— |
$1,021.25 |
— |
| I&d submucosal abscess rectum (45005) |
— |
$634.50 |
— |
| I&D Upper Arm/Elbow Bursa (23931) |
— |
$433.60 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$558.30 |
— |
| I&d vaginal hematoma, non-ob (57023) |
— |
$907.95 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
— |
$280.20 |
— |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
— |
$2,838.70 |
— |
| Implant neuroelectrodes (63650) |
— |
$1,005.30 |
— |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
— |
$1,018.15 |
— |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
— |
$1,023.85 |
— |
| Incise finger tendon sheath (26055) |
— |
$961 |
— |
| Incise wrist/forearm tendon (25290) |
— |
$1,013.50 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$597.40 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$682.90 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$1,383.30 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$586.10 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$454.25 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$330.15 |
— |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
— |
$538 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$573.70 |
— |
| Incision bone cortex foot (28005) |
— |
$806.50 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$527.40 |
— |
| Incision labial frenum frenotomy (40806) |
— |
$348.15 |
— |
| Incision of achilles tendon (27605) |
— |
$433.60 |
— |
| Incision of lingual frenum (41010) |
— |
$713.80 |
— |
| Incision of metatarsal (28308) |
— |
$248.20 |
— |
| Incision of rectal abscess (46045) |
— |
$956.90 |
— |
| Incision of rectal abscess (46040) |
— |
$1,141.20 |
— |
| Incision of tibia (27705) |
— |
$1,489.40 |
— |
| Incision of tibia & fibula (27709) |
— |
$1,799.40 |
— |
| Incision of wrist capsule (25085) |
— |
$806.50 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$349.65 |
— |
| Incision&drainage bursa foot (28001) |
— |
$372.90 |
— |
| Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) |
— |
$2,555.40 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$248.20 |
— |
| Inj dupuytren cord w/enzyme (20527) |
— |
$80.30 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$912.60 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$146.30 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$328.60 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$119.50 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$428.50 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$827.10 |
— |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
— |
$117.45 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
— |
$161.70 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$341.45 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$433.60 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$415.10 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$511.90 |
— |
| Inject Nerv Blck,Pudendal (64430) |
— |
$330 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$170.50 |
— |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
— |
$119.50 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$240 |
— |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
— |
$119.50 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$208.10 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$142.10 |
— |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
— |
$119.50 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$372.90 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$354.30 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$221.95 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$429.55 |
— |
| Injection for identification of sentinel node (38792) |
— |
$551.55 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$165 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$533 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$88.10 |
— |
| Injection(s) spider veins (36468) |
— |
$311.10 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$266.80 |
— |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
— |
$345.75 |
— |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
— |
$198.80 |
— |
| Injection, anesthetic agent; vagus nerve (64408) |
— |
$119.50 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$119.50 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$130.30 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$849.80 |
— |
| Insert and remove bone pin (20650) |
— |
$311.10 |
— |
| Insert cervical dilator (59200) |
— |
$422.60 |
— |
| Insert Drug Implant Device (11981) |
$800 |
$200.35 |
6.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$2,418.40 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$676.70 |
— |
| Insert pessary/other device (57160) |
— |
$319.60 |
— |
| Insert picc cath (36569) |
— |
$1,442.50 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$2,637.80 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$246.95 |
— |
| Insert tunneled cv cath (36561) |
— |
$1,443.55 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$66 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$646.80 |
— |
| Insertion of tube into middle small bowel using an endoscope (44372) |
— |
$743.70 |
— |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
— |
$912.60 |
— |
| Insj multi-component inflatable penile prosth (54405) |
— |
$2,270.10 |
— |
| Insj penile prosthesis non-inflatable semi-rigid (54400) |
— |
$1,483.20 |
— |
| Insj penile prosthesos inflatable self-contained (54401) |
— |
$1,822.10 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$2,606.90 |
— |
| Insj stablj dev w/o dcmprn lumbar single level (22869) |
— |
$1,270 |
— |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
— |
$870.40 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$1,600.60 |
— |
| Insrt/redo spine n generator (63685) |
— |
$774.05 |
— |
| Intraoral i&d tongue/floor lingual (41000) |
— |
$393.95 |
— |
| Intraoral i&d tongue/floor submental space (41007) |
— |
$975.40 |
— |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
— |
$632.40 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$943.50 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$280.20 |
— |
| Irrigate corpora cavernosa for priapism (54220) |
— |
$392.95 |
— |
| Knee arthroscopy/surgery (29887) |
— |
$1,861.20 |
— |
| Knee arthroscopy/surgery (29883) |
— |
$1,654.15 |
— |
| Knee arthroscopy/surgery (29885) |
— |
$1,861.20 |
— |
| Knee arthroscopy/surgery (29876) |
— |
$2,078.50 |
— |
| Knee arthroscopy/surgery (29851) |
— |
$2,110.50 |
— |
| Knee arthroscopy/surgery (29886) |
— |
$1,613 |
— |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
— |
$3,102.40 |
— |
| Lap ing hernia repair init (49650) |
— |
$1,054.75 |
— |
| Laparo sling operation (51992) |
— |
$2,331.90 |
— |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553) |
— |
$3,590 |
— |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
— |
$794.10 |
— |
| Laparoscopy appendectomy (44970) |
$7,500 |
$1,489.40 |
1.2× |
| Laparoscopy biopsy (49321) |
— |
$998.20 |
— |
| Laparoscopy orchiopexy (54692) |
— |
$2,131.10 |
— |
| Laparoscopy Remove Adnexa (58661) |
— |
$1,228.80 |
— |
| Laparoscopy salpingostomy (58673) |
— |
$3,414 |
— |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
— |
$2,449.30 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$1,418.35 |
— |
| Laparoscopy tubal block (58671) |
— |
$1,340.35 |
— |
| Laparoscopy Tubal Cautery (58670) |
— |
$1,339.80 |
— |
| Laparoscopy w/lysis of adhesions (58660) |
— |
$2,302.65 |
— |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
— |
$827.55 |
— |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
— |
$2,561.60 |
— |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
— |
$2,620 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$1,738.10 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$1,936.40 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
— |
$2,978.25 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
— |
$2,326.75 |
— |
| Laparoscopy, surgical, splenectomy (38120) |
— |
$3,208.95 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$1,083.05 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) |
— |
$1,250.45 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$2,481.30 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$1,923 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$1,861.20 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$1,507.15 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$991.90 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$1,796.30 |
— |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
— |
$1,173 |
— |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
— |
$1,144.05 |
— |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
— |
$2,623.75 |
— |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
— |
$2,127.10 |
— |
| Laps W/Revision Intraperitoneal Catheter (49325) |
— |
$1,117.60 |
— |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
— |
$806.50 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$254.40 |
— |
| Laryngoscopy w/bx op scope (31536) |
— |
$899.20 |
— |
| Laryngoscopy,Direct,Diagnostic (31525) |
— |
$2,465.80 |
— |
| Late closure of wound (13160) |
— |
$2,458.65 |
— |
| Lateral retinacular release open (27425) |
— |
$1,674.80 |
— |
| Lengthening of hand tendon (26478) |
— |
$991.90 |
— |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
— |
$991.90 |
— |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
— |
$1,241.20 |
— |
| Ligate/strip short leg vein (37718) |
— |
$931.10 |
— |
| Ligation of a-v fistula (37607) |
— |
$1,395.70 |
— |
| Ligation of hemorrhoid(s) (46221) |
— |
$297.70 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$875.50 |
— |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
— |
$954.80 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$982.60 |
— |
| Lithotripsy (50590) |
— |
$1,576.90 |
— |
| Liver Biopsy (47000) |
— |
$973.85 |
— |
| Lsh uterus 250 g or less (58541) |
— |
$1,500.40 |
— |
| Lsh uterus above 250 g (58543) |
— |
$1,663.50 |
— |
| Lsh w/t/o uterus above 250 g (58544) |
— |
$1,782.85 |
— |
| Lyse Chest Fibrin Init Day (32561) |
— |
$284.80 |
— |
| Lysis of labial adhesions (56441) |
— |
$548.75 |
— |
| Manipulation Ankle Under General Anesthesia (27860) |
— |
$433.60 |
— |
| Manipulation, elbow, under anesthesia (24300) |
— |
$506.80 |
— |
| Manipulation, hip joint, requiring general anesthesia (27275) |
— |
$433.60 |
— |
| Manipulation, wrist, under anesthesia (25259) |
— |
$991.90 |
— |
| Marsup Bartholin Gland Cyst (56440) |
— |
$527.70 |
— |
| Mast mod rad (19307) |
— |
$1,939 |
— |
| Mastectomy gynecomastia (19300) |
— |
$1,364.80 |
— |
| Mastectomy partial (19301) |
— |
$1,117.60 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$2,009.50 |
— |
| Mastectomy simple complete (19303) |
— |
$1,600.65 |
— |
| Metatarsectomy (28140) |
— |
$1,204.10 |
— |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
— |
$2,572.90 |
— |
| Muscle-skin graft trunk (15734) |
— |
$2,925.75 |
— |
| Musculoskeletal surgery (20999) |
— |
$1,489.40 |
— |
| Myelography Lumbar Injection (62305) |
— |
$2,174.30 |
— |
| Myelography Lumbar Injection (62304) |
— |
$1,862.20 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$1,862.20 |
— |
| Myelography via lumbar injection rs&i thoracic (62303) |
— |
$1,862.20 |
— |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
— |
$1,772.70 |
— |
| Myringoplasty (69620) |
— |
$1,433.80 |
— |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
— |
$191.60 |
— |
| Nasal surgery procedure (30999) |
— |
$1,591.40 |
— |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
— |
$348.10 |
— |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
— |
$2,150.60 |
— |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
— |
$1,349.30 |
— |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
— |
$1,023.80 |
— |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
— |
$838.40 |
— |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
— |
$562.40 |
— |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
— |
$620.10 |
— |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
— |
$1,159.80 |
— |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
— |
$1,702.60 |
— |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
— |
$1,097 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
— |
$422.85 |
— |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
— |
$1,301.90 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$213.20 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$1,054.70 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$354.30 |
— |
| Neuroplasty; nerve of hand or foot (64704) |
— |
$991.90 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$472.50 |
— |
| Nipple exploration (19110) |
— |
$991.90 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$421.80 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$664.35 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$527.35 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
— |
$568.05 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
— |
$620.05 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$900 |
$216.85 |
1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
— |
$713.80 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$299.75 |
— |
| Occlude fallopian tube(s) (58615) |
— |
$970.95 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$1,212.30 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$1,861.20 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$1,054.75 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$1,349.30 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$1,364.80 |
— |
| Open treatment interphalangeal joint dislocation (28675) |
— |
$527.40 |
— |
| Open Treatment Lunate Dislocation (25695) |
— |
$991.90 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$682.90 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$1,637.70 |
— |
| Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) |
— |
$3,102.40 |
— |
| Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) |
— |
$3,939.80 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
— |
$1,167 |
— |
| Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420) |
— |
$1,861.20 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$563.95 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed (27519) |
— |
$1,737.60 |
— |
| Open treatment of distal radioulnar dislocation, acute or chronic (25676) |
— |
$806.50 |
— |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
— |
$1,923 |
— |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
— |
$2,455.50 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
— |
$2,450.40 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) |
— |
$1,582.60 |
— |
| Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) |
— |
$1,904.50 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$2,682.65 |
— |
| Open treatment of hip dislocation, traumatic, without internal fixation (27253) |
— |
$2,442.10 |
— |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
— |
$1,766.95 |
— |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
— |
$1,364.80 |
— |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
— |
$970.60 |
— |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
— |
$991.90 |
— |
| Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones (25670) |
— |
$1,117.60 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Other Surgical Services (27178) |
— |
$2,295.90 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) (27177) |
— |
$2,418.40 |
— |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
— |
$1,054.70 |
— |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
— |
$1,303.45 |
— |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
— |
$1,551.20 |
— |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
— |
$1,799.40 |
— |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
— |
$864.20 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$1,054.70 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$1,241.20 |
— |
| Open treatment talus fracture (28445) |
— |
$992.95 |
— |
| Open Treatment Tarsal Bone Dislocation (28555) |
— |
$806.50 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$217.30 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$1,167 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$527.40 |
— |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
— |
$1,054.75 |
— |
| Open Tx Femoral Fracture Proximal End He (27269) |
— |
$2,984.90 |
— |
| Open tx fracture great toe/phalanx/phalanges (28505) |
— |
$592.30 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$1,178.30 |
— |
| Open tx interphalangeal joint dislocation (26785) |
— |
$651 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$744.70 |
— |
| Open tx metatarsophalangeal joint dislocation (28645) |
— |
$558.30 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$785.90 |
— |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
— |
$1,241.20 |
— |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
— |
$1,175.75 |
— |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
— |
$1,116.55 |
— |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
— |
$869.30 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$1,985.80 |
— |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
— |
$2,729.50 |
— |
| Optx hum fx w/ntrcndylr xtn (24546) |
— |
$1,799.40 |
— |
| Optx hum fx wo ntrcndylr xtn (24545) |
— |
$1,674.80 |
— |
| Optx post ankle fx (27769) |
— |
$1,694.40 |
— |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) |
— |
$1,613 |
— |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) (54650) |
— |
$1,990 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$1,433.80 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$589.20 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$806.50 |
— |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
— |
$558.30 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$453.20 |
— |
| Osteochondral allograft, knee, open (27415) |
— |
$2,171.20 |
— |
| Osteochondral knee autograft (27416) |
— |
$584 |
— |
| Osteotomy and transfer of greater trochanter of femur(separate procedure) (27140) |
— |
$1,705.70 |
— |
| Osteotomy Clavicle W Bone Graft (23485) |
— |
$1,489.40 |
— |
| Osteotomy Fibula (27707) |
— |
$1,272.10 |
— |
| Osteotomy Metacarpal Each (26565) |
— |
$931.10 |
— |
| Osteotomy, femur, shaft or supracondylar; without fixation (27448) |
— |
$1,303 |
— |
| Osteotomy, iliac, acetabular or innominate bone; (27146) |
— |
$2,171.20 |
— |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast (27165) |
— |
$2,854.10 |
— |
| Ovarian cystectomy (58925) |
— |
$2,148 |
— |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
— |
$1,861.20 |
— |
| Partial excision bone clavicle (23180) |
— |
$1,054.70 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$1,054.70 |
— |
| Partial excision bone metacarpal (26230) |
— |
$869.30 |
— |
| Partial excision bone talus/calcaneus (28120) |
— |
$743.70 |
— |
| Partial Excision Deep Pelvis (27071) |
— |
$1,241.20 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$621.10 |
— |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
— |
$1,040.30 |
— |
| Partial excision of lip (40520) |
— |
$1,076.40 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$931.10 |
— |
| Partial excision, wing of ilium, symphysis pubis, or greater tro chanter of femur, (craterization, saucerization) (eg,… (27070) |
— |
$1,551.20 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$622.90 |
— |
| Partial Removal Foot Fascia (28060) |
— |
$651 |
— |
| Partial removal of thyroid (60220) |
— |
$1,075.35 |
— |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
— |
$1,837 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$558.30 |
— |
| Pelvic exam under anesthesia (57410) |
— |
$544.65 |
— |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
— |
$2,420.50 |
— |
| Perc sk fix metatarsal fx w manip (28476) |
— |
$1,033.10 |
— |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
— |
$1,839.60 |
— |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
— |
$511.90 |
— |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
— |
$1,241.20 |
— |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
— |
$806.50 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$696.30 |
— |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
— |
$891.20 |
— |
| Peritoneal Lavage (49084) |
— |
$283.95 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$340.90 |
— |
| Perq device breast 1st imag (19281) |
— |
$1,147.40 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$237.45 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$1,181.40 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$334.80 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$1,613 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
— |
$6,175.40 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$8,284.80 |
— |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
— |
$7,072.50 |
— |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
— |
$4,171.50 |
— |
| Phalangectomy toe each toe (28150) |
— |
$496.50 |
— |
| Pin finger fracture each (26756) |
— |
$926.50 |
— |
| Pin knuckle dislocation (26706) |
— |
$589.20 |
— |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
— |
$3,123 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$457.30 |
— |
| Placement of seton (46020) |
— |
$682.90 |
— |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
— |
$1,589.30 |
— |
| Plmt expandable cath brst following prtl mast (19296) |
— |
$912.60 |
— |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
— |
$1,483.20 |
— |
| PR Amputation Thigh Through Femur Any Level Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE (27592) |
— |
$1,668.60 |
— |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
— |
$621.10 |
— |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
— |
$743.70 |
— |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
— |
$2,481.30 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$340.90 |
— |
| Proctosigmoidoscopy w/bx (45305) |
— |
$185.40 |
— |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
— |
$297.70 |
— |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187) |
— |
$1,861.20 |
— |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femur (27495) |
— |
$2,644 |
— |
| Prostate Saturation Sampling (55706) |
— |
$1,039.30 |
— |
| Prostatectomy (turp) (52601) |
— |
$2,047.60 |
— |
| Prosthesis removal humeral and glenoid component (23335) |
— |
$3,908.90 |
— |
| Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj (28636) |
— |
$627.30 |
— |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
— |
$1,303 |
— |
| Prq Skel Fixj Tarsl Dislc Xcp Talotarsal W/Manj (28546) |
— |
$527.40 |
— |
| Punch biopsy skin single lesion (11104) |
$265 |
$496.50 |
0.7× |
| Puncture Aspiration (10160) |
— |
$283 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$233.55 |
— |
| Pvb thoracic single inj site (64461) |
— |
$434.15 |
— |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
— |
$1,113.40 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
— |
$1,209.20 |
— |
| Radical resection of tumor; ischial tuberosity and greater troch anter of femur (27078) |
— |
$1,861.20 |
— |
| Radical resection of tumor; tibia Other Surgical Services (27645) |
— |
$1,861.20 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$5,210.80 |
— |
| Radical resection tumor scapula (23210) |
— |
$806.50 |
— |
| Realignment extensor tendon hand each tendon (26437) |
— |
$1,178.30 |
— |
| Realignment of knee (27457) |
— |
$2,513.20 |
— |
| Realignment of knee (27455) |
— |
$1,861.20 |
— |
| Reconstr disloc patella w mscl adv (27422) |
— |
$1,489.40 |
— |
| Reconstruc toe deform,soft tissue (28313) |
— |
$621.10 |
— |
| Reconstruct extra finger (26587) |
— |
$2,866.50 |
— |
| Reconstruct head of radius (24365) |
— |
$1,740.70 |
— |
| Reconstruct Shoulder Joint (23470) |
— |
$2,450.40 |
— |
| Reconstruct wrist joint (25444) |
— |
$1,457.50 |
— |
| Reconstruct wrist joint (25443) |
— |
$1,364.80 |
— |
| Reconstruct wrist joint (25445) |
— |
$311.10 |
— |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
— |
$1,364.80 |
— |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
— |
$402.70 |
— |
| Reconstruction of nail bed with graft (11762) |
— |
$372.90 |
— |
| Reconstruction tongue fold (41520) |
— |
$930.10 |
— |
| Reduce testis torsion (54600) |
— |
$1,263.80 |
— |
| Reinforce tibia (27745) |
— |
$1,178.30 |
— |
| Reinforce ulna (25491) |
— |
$1,861.20 |
— |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
— |
$869.30 |
— |
| Release hip flexion contracture (27036) |
— |
$2,352.50 |
— |
| Release i-p jt contracture (26525) |
— |
$991.90 |
— |
| Release palm contracture (26121) |
— |
$1,487.30 |
— |
| Release wrist/forearm tendon (25295) |
— |
$931.10 |
— |
| Rem endovas vena cava filter (37193) |
— |
$1,073.30 |
— |
| Removal fb intranasal (30300) |
— |
$261.10 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$621.10 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$651 |
— |
| Removal foreign body foot deep (28192) |
— |
$621.10 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$315.20 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$316.75 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$918.80 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$25 |
$80.30 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$75 |
$70.05 |
1.3× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$322.15 |
— |
| Removal Implant Deep (20680) |
— |
$1,746.85 |
— |
| Removal Implant From Finger/Hand (26320) |
— |
$1,014.60 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$296.60 |
— |
| Removal Implantable Contraceptive Capsules (11976) |
— |
$506 |
— |
| Removal of adenoids (42831) |
— |
$932.20 |
— |
| Removal of adenoids (42830) |
— |
$862.10 |
— |
| Removal of anal fissure (46200) |
— |
$894 |
— |
| Removal of ankle implant (27704) |
— |
$1,570.80 |
— |
| Removal of arm foreign body (24200) |
— |
$621.10 |
— |
| Removal of bone lesion (23140) |
— |
$931.10 |
— |
| Removal of cervix (57530) |
— |
$1,009 |
— |
| Removal of finger lesion (26210) |
— |
$1,241.20 |
— |
| Removal of Head of Radius (24130) |
— |
$929.10 |
— |
| Removal of heel bone (28118) |
— |
$806.50 |
— |
| Removal of heel spur (28119) |
— |
$651 |
— |
| Removal of hip prosthesis (27090) |
— |
$1,303 |
— |
| Removal of humerus lesion (23150) |
— |
$991.90 |
— |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
— |
$259.60 |
— |
| Removal of intrauterine device (iud) (58301) |
$285 |
$280.20 |
0.9× |
| Removal of kidney stone (50081) |
— |
$3,566.90 |
— |
| Removal of knee cartilage (27333) |
— |
$1,489.40 |
— |
| Removal of knee cartilage (27332) |
— |
$1,848.90 |
— |
| Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) |
— |
$2,233 |
— |
| Removal of kneecap (27350) |
— |
$1,364.80 |
— |
| Removal of nail bed (11750) |
— |
$385.20 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$189.50 |
— |
| Removal of sperm cord lesion (55520) |
— |
$1,012.50 |
— |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
— |
$1,692.80 |
— |
| Removal of testis (54520) |
— |
$931.10 |
— |
| Removal of tonsils (42826) |
$3,200 |
$1,054.70 |
1.0× |
| Removal of vein clot (34490) |
— |
$1,905.50 |
— |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
— |
$2,357 |
— |
| Removal subq cardiac rhythm monitor (33286) |
— |
$793.60 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$127.25 |
— |
| Removal Tunneled Intraperitoneal Catheter (49422) |
— |
$1,152.55 |
— |
| Removal/bivalving full arm/full leg cast (29705) |
— |
$97.90 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$130.30 |
— |
| Remove & graft wrist lesion (25136) |
— |
$1,023.80 |
— |
| Remove & graft wrist lesion (25135) |
— |
$931.10 |
— |
| Remove anal fist subq (46270) |
— |
$1,035.20 |
— |
| Remove bladder stone (52318) |
— |
$1,341.10 |
— |
| Remove by ligat int hem grp (46945) |
— |
$629.30 |
— |
| Remove by ligat int hem grps (46946) |
— |
$576.80 |
— |
| Remove digit nerve lesion (64776) |
— |
$621.10 |
— |
| Remove drug implant device (11982) |
$250 |
$340.90 |
0.6× |
| Remove femur lesion (27355) |
— |
$1,364.80 |
— |
| Remove femur lesion/bursa (27062) |
— |
$1,241.20 |
— |
| Remove hip pressure sore (15941) |
— |
$1,898.25 |
— |
| Remove humerus lesion (24110) |
— |
$869.30 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$1,072.20 |
— |
| Remove knee cyst (27347) |
— |
$862.50 |
— |
| Remove knee joint lining (27335) |
— |
$1,517.70 |
— |
| Remove Peritoneal Foreign Body (49402) |
— |
$2,190.05 |
— |
| Remove Pilonidal Cyst Exten (11771) |
— |
$996.50 |
— |
| Remove prostate regrowth (52630) |
— |
$1,115.50 |
— |
| Remove shoulder foreign body (23330) |
— |
$248.20 |
— |
| Remove shoulder joint lining (23105) |
— |
$1,054.70 |
— |
| Remove skin nerve lesion (64774) |
— |
$961 |
— |
| Remove spinal canal catheter (62355) |
— |
$943.50 |
— |
| Remove spine infusion device (62365) |
— |
$780.70 |
— |
| Remove wrist tendon lesion (25111) |
— |
$466.10 |
— |
| Remove/graft bone lesion (24126) |
— |
$1,241.20 |
— |
| Remove/graft bone lesion (24116) |
— |
$1,489.40 |
— |
| Remove/graft foot lesion (28102) |
— |
$991.90 |
— |
| Remove/graft foot lesion (28103) |
— |
$869.30 |
— |
| Remove/graft forearm lesion (25125) |
— |
$1,241.20 |
— |
| Remove/graft leg bone lesion (27637) |
— |
$1,520.30 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
— |
$3,861.50 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$214.75 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$179.50 |
— |
| Repair achilles tendon (27650) |
— |
$713.80 |
— |
| Repair anal fistula (46288) |
— |
$2,295.90 |
— |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
— |
$1,241.20 |
— |
| Repair anorectal fistula w/plug (46707) |
— |
$943.50 |
— |
| Repair arm tendon/muscle (24341) |
— |
$1,238.05 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$968.20 |
— |
| Repair collat ankle ligmnt,secondary (27698) |
— |
$2,760.45 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$373.90 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$811.60 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$328.60 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$651 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$448.55 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$558.30 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$248.20 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$586.10 |
— |
| Repair defect of artery (35011) |
— |
$8,190.60 |
— |
| Repair elbow deb/attch open (24359) |
— |
$1,076.85 |
— |
| Repair elbow perc (24357) |
— |
$1,154.60 |
— |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
— |
$961 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$931.10 |
— |
| Repair finger tendon (26432) |
— |
$956.90 |
— |
| Repair finger tendon (26433) |
— |
$743.70 |
— |
| Repair finger/hand tendon (26350) |
— |
$991.90 |
— |
| Repair finger/hand tendon (26373) |
— |
$1,364.80 |
— |
| Repair foot dislocation (28585) |
— |
$280.20 |
— |
| Repair forearm tendon/muscle (25270) |
— |
$1,466.70 |
— |
| Repair forearm tendon/muscle (25260) |
— |
$1,023.80 |
— |
| Repair hand tendon (26410) |
— |
$838.40 |
— |
| Repair humerus with graft (24435) |
— |
$2,171.20 |
— |
| Repair incomplete circumcision (54163) |
— |
$684.40 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$1,209.20 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$1,391.50 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$1,265.90 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$1,409 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$844.10 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$340.90 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$544.90 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$302.80 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$455.80 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$433.60 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$348.10 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$402.70 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$311.10 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$506.25 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$269.90 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$454.20 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,050.50 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$453.70 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$4,173 |
— |
| Repair kneecap tendon (27380) |
— |
$744.20 |
— |
| Repair lower leg tendons (27676) |
— |
$1,117.60 |
— |
| Repair nonunion radius/ulna w autogrft (25405) |
— |
$1,420.40 |
— |
| Repair of ankle ligament (27695) |
— |
$520.65 |
— |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
— |
$1,270.25 |
— |
| Repair of eardrum structures (69631) |
— |
$3,350.60 |
— |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
— |
$1,508 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$428.50 |
— |
| Repair Of Foot Tendon (28208) |
— |
$496.50 |
— |
| Repair of humerus (24430) |
— |
$1,178.30 |
— |
| Repair of hydrocele (55060) |
— |
$1,058.80 |
— |
| Repair of knee cartilage (27403) |
— |
$1,241.20 |
— |
| Repair of knee ligament (27407) |
— |
$1,396.15 |
— |
| Repair of knee ligaments (27409) |
— |
$2,233 |
— |
| Repair of leg tendon each (27664) |
— |
$420.20 |
— |
| Repair of leg tendon each (27658) |
— |
$899.20 |
— |
| Repair of nail bed (11760) |
— |
$330.65 |
— |
| Repair of nasal septum (30520) |
— |
$2,535.90 |
— |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
— |
$1,582.60 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft (27722) |
— |
$1,768.50 |
— |
| Repair of rectocele (45560) |
— |
$558.30 |
— |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
— |
$1,799.40 |
— |
| Repair of shoulder (23420) |
— |
$1,582.60 |
— |
| Repair of thigh musc (27385) |
— |
$1,295.70 |
— |
| Repair of tibia (27720) |
— |
$1,613 |
— |
| Repair of vagina (57260) |
— |
$1,150.10 |
— |
| Repair of vagina (56800) |
— |
$765 |
— |
| Repair paravag defect lap (57423) |
— |
$2,885 |
— |
| Repair radius & ulna (25415) |
— |
$1,551.20 |
— |
| Repair rectum & vagina (57250) |
— |
$1,136 |
— |
| Repair rotator cuff acute (23410) |
— |
$1,674.80 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$1,551.20 |
— |
| Repair shldr capsu,ant,coracoid xfer (23462) |
— |
$2,326.80 |
— |
| Repair shoulder capsule (23466) |
— |
$1,737.60 |
— |
| Repair shoulder capsule (23465) |
— |
$1,985.80 |
— |
| Repair shoulder capsule (23450) |
— |
$2,047.60 |
— |
| Repair Tongue Laceration (41250) |
— |
$357.95 |
— |
| Repair tympanic membrane (69610) |
— |
$426.40 |
— |
| Repair vagina/perineum (57210) |
— |
$1,184.35 |
— |
| Repair wrist joints (25447) |
— |
$1,303 |
— |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
— |
$869.30 |
— |
| Repair, fascial defect of leg (27656) |
— |
$991.90 |
— |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
— |
$2,481.30 |
— |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique, etc) (27470) |
— |
$2,358.70 |
— |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
— |
$1,659.35 |
— |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
— |
$743.70 |
— |
| Repair/graft achilles tendon (27652) |
— |
$1,489.40 |
— |
| Repair/graft flex foot tendon (28202) |
— |
$991.90 |
— |
| Repair/graft hand tendon (26352) |
— |
$1,364.80 |
— |
| Repair/graft radius & ulna (25420) |
— |
$1,799.40 |
— |
| Repair/revise wrist joint (25320) |
— |
$1,551.20 |
— |
| Replace duod/jej tube perc (49451) |
— |
$2,171.20 |
— |
| Replace elbow joint (24363) |
— |
$2,606.90 |
— |
| Replace g/c tube perc (49450) |
— |
$1,265.90 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$1,496.60 |
— |
| Rerepair ing hernia blocked (49521) |
— |
$1,303.45 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$1,007.85 |
— |
| Resect Inferior Turbinate (30140) |
— |
$1,756.20 |
— |
| Resection or transplantation of long tendon of biceps (23440) |
— |
$1,117.60 |
— |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
— |
$1,104.20 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$496.50 |
— |
| Revis reconst shoulder joint (23473) |
— |
$2,612 |
— |
| Revise arm/leg nerve (64708) |
— |
$913.55 |
— |
| Revise finger joint (26535) |
— |
$1,086.70 |
— |
| Revise knuckle with implant (26531) |
— |
$1,241.20 |
— |
| Revise low back nerve(s) (64714) |
— |
$1,364.80 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$1,054.70 |
— |
| Revise thumb tendon (26490) |
— |
$1,241.20 |
— |
| Revise ulnar nerve at elbow (64718) |
— |
$496.50 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$931.10 |
— |
| Revise vag graft via vagina (57295) |
— |
$1,657.90 |
— |
| Revision of ankle joint (27700) |
— |
$402.70 |
— |
| Revision of arm tendon (24310) |
— |
$1,401.80 |
— |
| Revision of cervix (57720) |
— |
$967.90 |
— |
| Revision of colostomy simple (44340) |
— |
$1,248.40 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
— |
$2,606.90 |
— |
| Revision of foot (28116) |
— |
$869.30 |
— |
| Revision of humerus (24400) |
— |
$1,241.20 |
— |
| Revision of lower leg tendon (27685) |
— |
$1,178.30 |
— |
| Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) |
— |
$1,861.20 |
— |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
— |
$3,721.90 |
— |
| Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) |
— |
$1,861.20 |
— |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
— |
$3,663.20 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$3,256.90 |
— |
| Revision of urethra (57220) |
— |
$914 |
— |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
— |
$992.40 |
— |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
— |
$1,923 |
— |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
— |
$3,319.70 |
— |
| Rhinp Prim Complete Xtrnl Parts (30410) |
— |
$3,356.80 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$1,168.50 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$502.65 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$190.55 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$801.30 |
— |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
— |
$1,042.40 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$372.90 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$682.90 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$372.90 |
— |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
— |
$415.10 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$875.50 |
— |
| Rplcmt compl prph ctr vad w/subq port (36585) |
— |
$1,733.50 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$784.90 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$615.95 |
— |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
— |
$943.50 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$1,843.70 |
— |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
— |
$1,416.30 |
— |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
— |
$1,174.20 |
— |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
— |
$844.60 |
— |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
— |
$1,579 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$1,412.10 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$1,039.30 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$1,060.90 |
— |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
— |
$1,054.70 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$884.80 |
— |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
— |
$844.60 |
— |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
— |
$957.35 |
— |
| Rpr tendon xtnsr foot sec w/free graft ea tendon (28210) |
— |
$651 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$1,376.10 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$1,241.20 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$239 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$558.30 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$378 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$248.20 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$115.85 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$128.20 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$161.70 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$315.15 |
— |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
— |
$64.90 |
— |
| Shldr arthroscop,lyse adhesns (29825) |
— |
$474.80 |
— |
| Shoulder arthroscopy (29805) |
— |
$1,737.60 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$167.90 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$235.90 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$185.45 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$98.90 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$113.30 |
— |
| Sigmoidoscopy & decompress (45337) |
— |
$447 |
— |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
— |
$1,303 |
— |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
— |
$341.45 |
— |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
— |
$388.30 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$931.10 |
— |
| Simple destruction of growth of penis using electric current (54055) |
— |
$328.60 |
— |
| Simple drainage of abscess of saliva gland (42300) |
— |
$385.20 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$524.80 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$90 |
$111.20 |
0.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$146.30 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$253.35 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$294.60 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$252.85 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$248.20 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$208.10 |
— |
| Skin pinch graft (15050) |
— |
$1,741.70 |
— |
| Skin splt grft trnk/arm/leg (15100) |
— |
$1,657.80 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$447 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$361.50 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$10,079.60 |
— |
| Skin Tissue Procedure (17999) |
— |
$750.85 |
— |
| Skin tissue rearrangement (14040) |
— |
$1,613 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$1,838.05 |
— |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
— |
$1,283.40 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$2,369 |
— |
| Small Bowel Endoscopy (44373) |
— |
$621.10 |
— |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
— |
$1,054.70 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$175 |
$372.90 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$418.20 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$515.55 |
— |
| Sphincterotomy (46080) |
— |
$437.20 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$378.50 |
— |
| Strapping unna boot (29580) |
— |
$183.30 |
— |
| Subcutaneous Hormone Pellet Implantation (11980) |
— |
$335.50 |
— |
| Suspension of testis (54640) |
— |
$1,331.80 |
— |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
— |
$1,613 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$119.50 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$621.10 |
— |
| Tenodesis proximal interphalangeal joint each (26471) |
— |
$1,178.30 |
— |
| Tenolysis ext tendon,hand/finger,ea (26445) |
— |
$931.10 |
— |
| Tenolysis Extensor Foot Multiple Tendon (28226) |
— |
$651 |
— |
| Tenolysis extensor foot single tendon (28225) |
— |
$496.50 |
— |
| Tenolysis flexor foot multiple tendons (28222) |
— |
$775.60 |
— |
| Tenolysis flexor foot single tendon (28220) |
— |
$651 |
— |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
— |
$1,178.30 |
— |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
— |
$961 |
— |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
— |
$869.30 |
— |
| Tenotomy abductors&/extensor hip open spx (27006) |
— |
$1,737.60 |
— |
| Tenotomy elbow lateral/medial debride open (24358) |
— |
$1,425.50 |
— |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
— |
$743.70 |
— |
| Tenotomy percutaneous single each digit (26060) |
— |
$372.90 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$433.60 |
— |
| Tenotomy shoulder area single tendon (23405) |
— |
$1,241.20 |
— |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
— |
$743.70 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$589.20 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$770.40 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$1,018.70 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$1,737.60 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$1,027.90 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$2,196 |
— |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
— |
$2,459.10 |
— |
| Tibial arthroscopy/surgery (29855) |
— |
$2,110.50 |
— |
| Tis trnfr trunk 10 sq cm/< (14000) |
— |
$1,241.20 |
— |
| Tis trnfr trunk 10.1-30sqcm (14001) |
— |
$1,489.40 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$1,270 |
— |
| Total hip arthroplasty (27130) |
— |
$1,241.20 |
— |
| Total knee arthroplasty (27447) |
— |
$1,069.10 |
— |
| Total thyroid lobectomy unilateral (60225) |
— |
$2,684.15 |
— |
| Trach Tube Change (31502) |
— |
$103 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$381.10 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$720 |
— |
| Tracheostomy planned (31600) |
— |
$779.70 |
— |
| Transection or avulsion of other spinal nerve, extradural (64772) |
— |
$1,362.70 |
— |
| Transfer or transplant tendon-palmar; w/o free tendon graft 26485 (26485) |
— |
$651.45 |
— |
| Transfer Tendon/Muscle Hamstrings Femur (27400) |
— |
$2,056.90 |
— |
| Transplant forearm tendon (25312) |
— |
$422.30 |
— |
| Transplant/graft hand tendon (26483) |
— |
$1,489.40 |
— |
| Treat ankle dislocation (27848) |
— |
$1,551.20 |
— |
| Treat ankle dislocation (27846) |
— |
$1,457.50 |
— |
| Treat clavicle dislocation (23552) |
— |
$1,861.20 |
— |
| Treat ectopic pregnancy (59151) |
— |
$2,602.40 |
— |
| Treat elbow fracture (24586) |
— |
$1,238.10 |
— |
| Treat finger dislocation (26775) |
— |
$402.70 |
— |
| Treat Finger Fracture Each (26727) |
— |
$743.70 |
— |
| Treat fracture of radius (25526) |
— |
$1,737.60 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$521.20 |
— |
| Treat fracture radius/ulna (25575) |
— |
$2,019.80 |
— |
| Treat fx distal radial (25606) |
— |
$1,117.60 |
— |
| Treat fx rad extra-articul (25607) |
— |
$510.90 |
— |
| Treat heel fracture (28415) |
— |
$217.30 |
— |
| Treat humerus fracture (23630) |
— |
$1,272.10 |
— |
| Treat humerus fracture (24500) |
— |
$835.85 |
— |
| Treat humerus fracture (24577) |
— |
$621.10 |
— |
| Treat humerus fracture (23616) |
— |
$3,598.80 |
— |
| Treat humerus fracture (23600) |
— |
$621.10 |
— |
| Treat knee fracture (27532) |
— |
$743.70 |
— |
| Treat kneecap dislocation (27566) |
— |
$1,457.50 |
— |
| Treat knuckle dislocation (26715) |
— |
$1,711.90 |
— |
| Treat lower leg fracture (27826) |
— |
$894 |
— |
| Treat lower leg fracture (27828) |
— |
$2,171.20 |
— |
| Treat Lower Leg Fracture (27827) |
— |
$434.15 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$390 |
— |
| Treat midfoot fracture (28456) |
— |
$621.10 |
— |
| Treat penis lesion graft (54111) |
— |
$2,248.50 |
— |
| Treat penis lesion graft (54112) |
— |
$2,635.80 |
— |
| Treat pleurodesis w/agent (32560) |
— |
$682.90 |
— |
| Treat radius fracture (24665) |
— |
$1,117.60 |
— |
| Treat scapula fracture (23585) |
— |
$1,295.70 |
— |
| Treat thumb fracture (26650) |
— |
$806.50 |
— |
| Treat thumb fracture (26665) |
— |
$1,489.40 |
— |
| Treat Thumb Fx/Disloc,Manip (26645) |
— |
$880.70 |
— |
| Treat ulnar fracture (24685) |
— |
$1,023.85 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$624.95 |
— |
| Treat wrist bone fracture (25635) |
— |
$558.30 |
— |
| Treat wrist bone fracture (25622) |
— |
$584 |
— |
| Treat Wrist Bone Fracture (25630) |
— |
$372.90 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$1,161.80 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$496.50 |
— |
| Treatment of anal fissure (46940) |
— |
$496.50 |
— |
| Treatment of ankle fracture (27822) |
— |
$1,143.30 |
— |
| Treatment of ankle fracture (28436) |
— |
$806.50 |
— |
| Treatment of ankle fracture (27792) |
— |
$743.70 |
— |
| Treatment of fibula fracture (27784) |
— |
$1,054.70 |
— |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
— |
$2,729.50 |
— |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$2,450.40 |
— |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
— |
$1,247.30 |
— |
| Treatment of penis lesion (54110) |
— |
$1,748.90 |
— |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
— |
$2,171.20 |
— |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
— |
$764.30 |
— |
| Treatment of thigh fracture (27513) |
— |
$2,606.90 |
— |
| Treatment of tibia fracture (27759) |
— |
$3,164.70 |
— |
| Treatment of tibia fracture (27756) |
— |
$1,426.60 |
— |
| Trim skin lesion (11055) |
— |
$185.40 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$173.55 |
— |
| Trim skin lesions over 4 (11057) |
— |
$160.70 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$29.40 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$1,256.60 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$961.80 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,500 |
$1,204.65 |
1.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$788 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$415.10 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$145.20 |
— |
| Tympanostomy (69433) |
— |
$236.35 |
— |
| Unlisted hysteroscopy procedure, uterus (58579) |
— |
$412 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$744.20 |
— |
| Unlisted laparoscopy procedure, appendix (44979) |
— |
$1,861.20 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$911.60 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$2,110.50 |
— |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
— |
$377 |
— |
| Unlisted laparoscopy procedure, stomach (43659) |
— |
$2,481.30 |
— |
| Unlisted laparoscopy procedure, uterus (58578) |
— |
$480.65 |
— |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
— |
$1,545 |
— |
| Unlisted procedure anus (46999) |
— |
$806.50 |
— |
| Unlisted Procedure Breast (19499) |
— |
$294.60 |
— |
| Unlisted procedure colon (45399) |
— |
$1,241.20 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$1,334.40 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$743.70 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$2,481.30 |
— |
| Unlisted procedure leg/ankle (27899) |
— |
$806.50 |
— |
| Unlisted procedure maternity care & delivery (59899) |
— |
$497.05 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$343 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$743.70 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$496.50 |
— |
| Unlisted procedure shoulder (23929) |
— |
$844.60 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$621.10 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$1,133.55 |
— |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
— |
$621.10 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$1,135.60 |
— |
| Unlisted procedure, forearm or wrist (25999) |
— |
$621.10 |
— |
| Unlisted procedure, hands or fingers (26989) |
— |
$621.10 |
— |
| Unlisted procedure, male genital system (55899) |
— |
$248.20 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$1,328.70 |
— |
| Uvulectomy excision uvula (42140) |
— |
$386.30 |
— |
| Vag hyst complex (58290) |
— |
$3,907.70 |
— |
| Vag hyst w/enterocele repair (58270) |
— |
$2,150.55 |
— |
| Vaginal delivery only (59409) |
— |
$3,158 |
— |
| Vaginal hysterectomy (58260) |
— |
$1,195.85 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$1,816.30 |
— |
| Vasectomy (55250) |
$850 |
$1,161.35 |
0.4× |
| Vbac delivery only (59612) |
— |
$2,848 |
— |
| Venipuncture (36415) |
— |
$38.10 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$259.60 |
— |
| Vulvectomy simple partial (56620) |
— |
$1,689.90 |
— |
| Windowing of cast (29730) |
— |
$86.50 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,024.85 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
— |
$794.10 |
— |
| Wrist arthroscop,excis triang cart (29846) |
— |
$1,489.40 |
— |
| Wrist arthroscop,part synovect (29844) |
— |
$1,407 |
— |
| Xfer single deep low leg tendon (27691) |
— |
$1,303 |
— |