[Federal Register Volume 73, Number 10 (Tuesday, January 15, 2008)]
[Rules and Regulations]
[Pages 2568-2710]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 07-6308]
[[Page 2567]]
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Part II
Department of Health and Human Services
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Centers for Medicare & Medicaid Services
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42 CFR Parts 409, 410, 411 et al.
Medicare Program; Revisions to Payment Policies Under the Physician Fee
Schedule, and Other Part B Payment Policies for CY 2008; Revisions to
the Payment Policies of Ambulance Services Under the Ambulance Fee
Schedule for CY 2008; and the Amendment of the E-Prescribing Exemption
for Computer-Generated Facsimile Transmissions; Corrections; Final Rule
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 /
Rules and Regulations
[[Page 2568]]
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Department of Health and Human Services
Centers for Medicare & Medicaid Services
42 CFR Parts 409, 410, 411, 413, 414, 415, 418, 423, 424, 482, 484,
and 485
[CMS-1385-CN2]
RIN 0938-A065
Medicare Program; Revisions to Payment Policies Under the
Physician Fee Schedule, and Other Part B Payment Policies for CY 2008;
Revisions to the Payment Policies of Ambulance Services Under the
Ambulance Fee Schedule for CY 2008; and the Amendment of the E-
Prescribing Exemption for Computer-Generated Facsimile Transmissions;
Corrections
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Correction Notice of Final Rule with Comment Period.
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SUMMARY: This correction notice corrects several technical and
typographical errors in the final rule with comment period that
appeared in the November 27, 2007 Federal Register (72 FR 66222). The
final rule with comment period addressed Medicare Part B payment
policy, including the physician fee schedule (PFS) that is applicable
for calendar year (CY) 2008; the competitive acquisition program (CAP);
clinical lab fee schedule issues; performance standards for diagnostic
testing facilities; conforming and clarifying changes for comprehensive
outpatient rehabilitation facilities (CORFs); physician self-referral
issues; and standards and requirements related to therapy services
under Medicare Parts A and B. The final rule with comment period also
updated the list of services subject to the physician self-referral
prohibitions.
Effective Date: This correction notice is effective January 1, 2008.
FOR FURTHER INFORMATION CONTACT: Diane Milstead, (410) 786-3355.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 07-5506 of November 27, 2007 (72 FR 66222) (hereinafter
referred to as the CY 2008 PFS final rule with comment period), there
were a number of technical and typographical errors that are identified
and corrected in the Correction of Errors section of this notice. The
provisions of this notice are effective as if they had been included in
the CY 2008 PFS final rule with comment period. Accordingly, the
corrections are effective January 1, 2008.
II. Summary of Errors
A. Errors in the Preamble
On page 66276, the third column, the third paragraph, lines are 10
through 13, the sentence ``It is not unusual for us to provide for
discretionary reopening or reconsideration of final agency action'' is
deleted because the sentence was inadvertently repeated.
On page 66392, Table 40, Impact of Final Rule with Comment Period
and Estimated Physician Update on 2008 Payment for Selected Procedures,
the columns for 2008 payment amount and the percent change for both
facility and non-facility are corrected due to a methodological error.
B. Errors in the Addenda
On pages 66410 through 66543, Addendum B, Relative Value Units and
Related Information Used in Determining Medicare Payments for 2008,
incorrect PE RVUs were listed for many CPT codes due to a
methodological error. Therefore, for the convenience of health care
providers and the public, we are republishing Addendum B in its
entirety. In addition, the work RVUs are corrected for CPT code 67113
and the status indicator, work RVUs, and malpractice RVUs are corrected
for CPT code 93503 in this revised addendum.
On pages 66543 through 66545, Addendum C, Codes with Interim RVUs,
incorrect PE RVUs were listed for many CPT codes due to a
methodological error. Therefore, for the convenience of health care
providers and the public, we are republishing Addendum C in its
entirety.
On pages 66545 through 66546, Addendum D, 2008 Geographic
Adjustment Factors (GAFs), we identified errors in the data used to
calculate the GAFs, and therefore, we are republishing Addendum D in
its entirety.
On pages 66546 through 66547, Addendum E, 2008 * * * Geographic
Practice Cost Indices by State and Medicare Locality, we identified
errors in the data used to calculate the Geographic Practice Cost
Indices (GPCIs), and therefore, we are republishing Addendum E in its
entirety.
On pages 66575 through 66578, Addendum I, List of CPT \1\/HCPCS
Codes Used to Describe Certain Designated Health Service Categories \2\
Under Section 1877 of the Social Security Act, Correction to Addendum
I, we incorrectly included CPT code 0147T and its short descriptor
within the short descriptor for CPT code 0146T, and CPT code 71015 and
its short descriptor within the short descriptor for CPT code 71010.
Therefore, we are republishing the entries for CPT 0146T, 0147T, 71010,
and 71015 on separate lines. We are removing CPT codes 75558, 75560,
75562, and 75564 because these codes are considered non-covered
services and were incorrectly included on the Code List. We are
removing HCPCS code C2637 because it is paid for as part of an ASC
service and should not have been included on the Code List. (We note
that when provided in an inpatient or outpatient hospital setting, this
source is considered to be a Designated Health Service.) In addition,
the short descriptor for the HCPCS code G0103 was incorrect, and
therefore, we are revising. Also, we omitted CPT code 76801 and we are
adding it to Addendum I.
III. Correction of Errors
A. Corrections to the Preamble
1. On page 66226, 3rd column, 4th paragraph, lines 5 through 7, the
phrase ``we are applying a separate budget neutrality (BN) adjustor''
is corrected to read ``we applied a separate budget neutrality (BN)
adjustor''.
2. On page 66227, at the top of the 1st column, the formula
``Payment = [(RVU work x budget neutrality adjustor x work GPCI) + (RVU
PE x PE GPCI) + (MP RVU x MP GPCI)] x CF'' is corrected to read
``Payment = [(RVU work x budget neutrality adjustor (round product to
two decimal places) x GPCI work) + (RVU PE x GPCI PE) + (RVU
malpractice x GPCI malpractice)] x CF''.
3. On page 66241, in Table 4, Practice Expense Supply Item
Additions for CY 2008, the 8th row, with the supply description ``fee,
image analysis'' is corrected by deleting this row.
4. On page 66242, in Table 5, Practice Expense Equipment Item
Additions for CY 2008,
a. In the 2nd row, in the 5th column, CPT codes ``7557'' and
``7558'' are corrected to read ``75557'' and ``75558''.
b. In the 5th row, the equipment description ``Camera, ocular
photoscreening, w-laptop and software'' is corrected by deleting this
row.
5. On page 66253, in the 2nd column, following the 2nd full
paragraph, 2nd bullet, line 1, the term ``angioscopy'' is corrected to
read ``angiography''.
6. On page 66254,
a. First column, after the 1st full paragraph, the title of item 2,
lines 3 and 4, the phrase ``(CPT codes 17311 Through 17315)'' is
corrected to read ``(CPT codes 17311 and 17313)''.
[[Page 2569]]
b. Second column, the 2nd full paragraph,
(1) Line 6, the phrase ``17311 through 17315'' is corrected to read
``17311 and 17313''.
(2) Line 11, following the phrase ``created in 2007.'' insert the
sentence ``(Note: CPT codes 17312, 17314, and 17315 are not subject to
the multiple surgery payment reduction because they are add-on
codes.)''
7. On page 66262, 3rd column, 3rd full paragraph, lines 32 through
35, the Web site reference to ``http://www.cmsm.hhs.gov/
CompetitiveAcquisforBios/15--------Approved--------
Vendor.asp#TopOfPage'' is corrected to read ``http://www.cms.hhs.gov/CompetitiveAcquisforBios/15____Approved____Vendor.asp#TopOfPage.''
8. On page 66263, 1st column, 1st partial paragraph, lines 20 and
21, the Web site reference to ``http://www.cms.hhs.gov/manuals/downloads/pim83co2pdf'' is corrected to read ``http://www.cms.hhs.gov/Manuals/01_Overview.asp.''
9. On page 66268, 1st column, the last paragraph, line 1, the
phrase ``section 1847B((b)(4)(E)'' is corrected to read ``section
1847B(b)(4)(E)''.
10. On page 66270, 2nd column, 1st full paragraph, line 1, the
phrase ``commercially-available'' is corrected to read ``commercially
available''.
11. On page 66273, 3rd column, 1st full paragraph, lines 14 and 15,
the Web site reference to ``http://www.grants.nih.gov/grants/guide/rfa-files/FRA-HS-06-001.html'' is corrected to read ``http://www.grants.nih.gov/grants/guide/rfa-files/RFA-HS-06-001.html.''
12. On page 66276, 3rd column, 3rd full paragraph, lines 10 through
13, the sentence ``It is not unusual for us to provide for
discretionary reopening or reconsideration of final agency action'' is
corrected by deleting the sentence.
13. On page 66285, 3rd column, 1st partial paragraph, line 3, the
term ``Administrator'' is corrected to ``Administrative''.
14. On page 66287, 1st column, 5th full paragraph, line 6, the
phrase ``by noting that term'' is corrected to read ``by noting that
the term''.
15. On page 66291, 1st column, 2nd paragraph, line 14, the phrase
``procedure to another Medicare-enrolled'' is corrected to read
``procedure from another Medicare-enrolled''.
16. On page 66292, 3rd column, 2nd paragraph,
a. Line 6, the phrase ``a fixed-base IDTF does not-'' is corrected
to read ``a fixed-base IDTF is prohibited from--''.
b. Line 7 (1st bullet), the term ``Share'' is corrected to read
``Sharing.''
c. Line 10 (2nd bullet), the phrase ``Lease or sublease'' is
corrected to read ``Leasing or subleasing.''
d. Line 14 (3rd bullet), the term ``Share'' is corrected to read
``Sharing.''
17. On page 66301, 3rd column, 1st partial paragraph, lines 3 and
4, the phrase ``and should not be referring'' is corrected to read
``and should not be understood to refer''.
18. In Table 16, ``AMA RUC and HCPAC Recommendations and CMS'
Decisions for New and Revised 2008 CPT Codes'', in the second column
labeled ``Mod'', the ``26'' following CPT code 93503 is removed.
19. On page 66372, 3rd column, 1st partial paragraph, line 1, the
reference to ``Addendum x'' is corrected to read ``Addendum I.''
20. On pages 66372 and 66373, Table 19, Additions to the Physician
Self-Referral List of CPT/HCPCS Codes, the table is corrected by--
a. Deleting the following entries:
(1) Under the heading ``Radiology and Certain Other Imaging
Services'',
------------------------------------------------------------------------
------------------------------------------------------------------------
Radiology and Certain Other Imaging Services
------------------------------------------------------------------------
75558............................... Cardiac mri flow/velocity.
75560............................... Cardiac mri flow/vel/stress.
75562............................... Card mri flow/vel w/dye.
75564............................... Ht mri w/flow/vel/strs & dye.
------------------------------------------------------------------------
(2). Under the heading ``Radiation Therapy Services and Supplies'',
------------------------------------------------------------------------
------------------------------------------------------------------------
Radiation Therapy Services and Supplies
------------------------------------------------------------------------
C2637............................... Brachytx, Ytterbium-169
------------------------------------------------------------------------
b. Correcting the following entries:
------------------------------------------------------------------------
------------------------------------------------------------------------
C1716............................... Brachytx, non-str, Gold-198.
C1717............................... Brachytx, non-str, HDR Ir-192.
C1719............................... Brachytx, NS, Non-HDRIr-192.
C2616............................... Brachytx, non-str, Yttrium-90.
C2634............................... Brachytx, non-str, HA, I-125.
C2635............................... Brachytx, non-str, HA, P-103.
C2636............................... Brachy linear, non-str, P-103.
C2640............................... Brachytx, stranded, P-103.
C2641............................... Brachytx, non-stranded, P-103.
------------------------------------------------------------------------
21. On page 66383, Table 35, Calculation for the 2008 Anesthesia
Conversion Factor,
a. Third row (2007 Combined Adjustment for PE and BN), 2nd column,
the figure ``0.9089'' is corrected to read ``0.911''.
b. Fourth row (CY 2007 Pre-TRHCA Anesthesia Conversion Factor), 2nd
column, the figure ``$15.3328'' is corrected to read ``$15.3682''.
c. Seventh row (CY 2008 Anesthesia CF after MEI and 2008 Adjustment
Factor), 2nd column, the figure ``$14.5162'' is corrected to read
``$14.5497''.
d. Eighth row (2008 Combined Adjustment for PE and BN), 2nd column,
the figure ``1.1250'' is corrected to read ``1.2277''.
e. Ninth row (CY 2008 Anesthesia Conversion Factor), 2nd column,
the figure ``16.3307'' is corrected to read ``$17.8627''.
22. On page 66391, Table 39, Combined CY 2008 Total Allowed Charge
Impact for the Remaining 5-Year Review of Work RVUs and Practice
Expense Changes, OPPS Imagining Cap, and the CY 2008 Update, the 1st
footnote ``*PE changes are CY 2008 second year transition changes. For
fully implemented CY 2010 PE changes see Table 1.'' is corrected to
read ``*PE changes are CY 2008 second year transition changes. For
fully implemented CY 2010 PE changes see Table 38.''
23. On page 66392, Table 40, Impact of Final Rule with Comment
Period and Estimated Physician Update on 2008 Payment for Selected
Procedures, the columns for 2008 payment amount and the percent change
are corrected to read as follows:
Table 40.--Impact of Final Rule With Comment Period and Physician Update on 2008 Payment for Selected Procedures
----------------------------------------------------------------------------------------------------------------
Facility Non-facility
-----------------------------------------------------------------
CPT/HCPCS MOD Description Percent Percent
2007 2008 change 2007 2008 change
----------------------------------------------------------------------------------------------------------------
11721............. ....... Debride nail, 6 $28.80 $24.53 -15 $39.03 $35.43 -9
or more.
17000............. ....... Destruct premalg 44.72 41.56 -7 63.29 60.30 -5
lesion.
27130............. ....... Total hip 1,360.52 1,195.11 -12 na na na
arthroplasty.
27244............. ....... Treat thigh 1,100.92 963.45 -12 na na na
fracture.
[[Page 2570]]
27447............. ....... Total knee 1,464.74 1,283.69 -12 na na na
arthroplasty.
33533............. ....... CABG, arterial, 1,908.52 1,659.12 -13 na na na
single.
35301............. ....... Rechanneling of 1,071.74 934.83 -13 na na na
artery.
43239............. ....... Upper GI 155.00 140.36 -9 325.16 294.35 -9
endoscopy,
biopsy.
66821............. ....... After cataract 253.53 223.15 -12 270.97 238.14 -12
laser surgery.
66984............. ....... Cataract surg w/ 641.98 560.08 -13 na na na
iol, 1 stage.
67210............. ....... Treatment of 556.34 488.20 -12 580.59 507.96 -13
retinal lesion.
71010............. ....... Chest x-ray...... na na na 26.15 22.83 -13
71010............. 26 Chest x-ray...... 8.72 7.84 -10 8.72 7.84 -10
77056............. ....... Mammogram, both na na na 97.40 93.69 -4
breasts.
77056............. 26 Mammogram, both 41.31 37.48 -9 41.31 37.48 -9
breasts.
77057............. ....... Mammogram, na na na 81.86 73.93 -10
screening.
77057............. 26 Mammogram, 33.35 30.32 -9 33.35 30.32 -9
screening.
77427............. ....... Radiation tx 176.22 158.42 -10 176.22 158.42 -10
management, x5.
78465............. 26 Heart image (3d), 73.14 66.43 -9 73.14 66.43 -9
multiple.
88305............. 26 Tissue exam by 37.90 32.36 -15 37.90 32.36 -15
pathologist.
90801............. ....... Psy dx interview. 129.99 112.08 -14 145.15 131.50 -9
90862............. ....... Medication 44.72 39.18 -12 50.40 46.67 -7
management.
90935............. ....... Hemodialysis, one 67.46 58.26 -14 na na na
evaluation.
92012............. ....... Eye exam 34.11 38.50 13 61.77 62.69 1
established pat.
92014............. ....... Eye exam & 55.71 59.28 6 91.33 90.96 0
treatment.
92980............. ....... Insert 795.85 721.22 -9 na na na
intracoronary
stent.
93000............. ....... Electrocardiogram 24.63 20.78 -16 24.63 20.78 -16
, complete.
93010............. ....... Electrocardiogram 8.34 7.50 -10 8.34 7.50 -10
report.
93015............. ....... Cardiovascular 104.22 93.01 -11 104.22 93.01 -11
stress test.
93307............. 26 Echo exam of 46.99 42.24 -10 46.99 42.24 -10
heart.
93510............. 26 Left heart 242.92 215.65 -11 242.92 215.65 -11
catheterization.
98941............. ....... Chiropractic 28.80 25.55 -11 33.35 29.64 -11
manipulation.
99203............. ....... Office/outpatient 67.08 58.60 -13 91.71 81.42 -11
visit, new.
99213............. ....... Office/outpatient 42.07 37.48 -11 59.50 53.49 -10
visit, est.
99214............. ....... Office/outpatient 66.32 58.60 -12 90.20 80.40 -11
visit, est.
99222............. ....... Initial hospital 119.00 104.59 -12 na na na
care.
99223............. ....... Initial hospital 173.57 153.65 -11 na na na
care.
99231............. ....... Subsequent 35.62 31.68 -11 na na na
hospital care.
99232............. ....... Subsequent 63.67 56.55 -11 na na na
hospital care.
99233............. ....... Subsequent 90.95 81.08 -11 na na na
hospital care.
99236............. ....... Observ/hosp same 205.40 179.20 -13 na na na
date.
99239............. ....... Hospital 94.74 83.13 -12 na na na
discharge day.
99243............. ....... Office 93.23 83.13 -11 122.41 109.36 -11
consultation.
99244............. ....... Office 145.91 130.14 -11 179.26 160.12 -11
consultation.
99253............. ....... Inpatient 108.77 97.09 -11 na na na
consultation.
99254............. ....... Inpatient 156.52 140.02 -11 na na na
consultation.
99283............. ....... Emergency dept 60.64 52.81 -13 na na na
visit.
99284............. ....... Emergency dept 110.28 97.44 -12 na na na
visit.
99291............. ....... Critical care, 208.82 182.61 -13 256.19 224.51 -12
first hour.
99292............. ....... Critical care, 104.60 91.64 -12 114.45 100.16 -12
add'l 30 min.
99348............. ....... Home visit, est na na na 66.32 68.14 3
patient.
99350............. ....... Home visit, est na na na 150.83 139.34 -8
patient.
G0008............. ....... Admin influenza na na na 18.95 18.40 -3
virus vac.
G0317............. ....... ESRD related svs 283.09 245.63 -13 283.09 245.63 -13
4+mo 20+yrs.
----------------------------------------------------------------------------------------------------------------
23. On page 66393,
a. First column, after the 2nd full paragraph, the following
paragraph is inserted as a result of corrections to Addendum D noted
below in this notice. The insertion reads as follows:
``In 2008, the counties with the three highest GAFs were in
California. Thirty-one payment localities had increases in the GAF of
less than one percent. Thirty-eight payment localities had decreases of
less than 1 percent. Fifteen payment localities had decreases of over 1
percent and eight payment localities had increases of over 1 percent.''
b. First column, the 3rd full paragraph and 4th partial paragraph
are deleted as a result of corrections to Addendum D noted below in
this notice.
c. Second column, the 1st partial paragraph is deleted as a result
of corrections to Addendum D noted below in this notice.
B. Corrections to the Addenda
The corrections to Addenda B, C, D, E, F, and I will not appear in
the Code of Federal Regulations.
1. On pages 66410 through 66543, Addendum B, Relative Value Units
and Related Information Used in Determining Medicare Payments for 2008,
the table is corrected to read as follows:
[[Page 2571]]
--------------------
\1\ CPT codes and descriptions only are copyright 2007 American Medical
Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ If values are reflected for codes not payable by Medicare, please
note that these values have been established as a courtesy to the
general public and are not used for Medicare payment.
Addendum B.--Relative Value Units and Related Information Used in Determining Medicare Payments for 2008; Corrected
--------------------------------------------------------------------------------------------------------------------------------------------------------
Fully
Physician Implemented Year 2008 Fully Year 2008 Mal-
CPT\1\/ HCPCS Mod Status Description work non- transitional implemented transitional practice Global
RVUs\2\ facility PE non-facility facility PE facility PE RVUs\2\
RVUs\2\ PE RVUs\2\ RVUs\2\ RVUs\2\
--------------------------------------------------------------------------------------------------------------------------------------------------------
0016T......... ............ C........... Thermotx choroid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vasc lesion.
0017T......... ............ C........... Photocoagulat 0.00 0.00 0.00 0.00 0.00 0.00 XXX
macular drusen.
0019T......... ............ C........... Extracorp shock wv 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx,ms nos.
0026T......... ............ C........... Measure remnant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipoproteins.
0027T......... ............ C........... Endoscopic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
epidural lysis.
0028T......... ............ C........... Dexa body 0.00 0.00 0.00 0.00 0.00 0.00 XXX
composition study.
0029T......... ............ C........... Magnetic tx for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
incontinence.
0030T......... ............ C........... Antiprothrombin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
0031T......... ............ C........... Speculoscopy...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0032T......... ............ C........... Speculoscopy w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
direct sample.
0041T......... ............ C........... Detect ur infect 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agnt w/cpas.
0042T......... ............ C........... Ct perfusion w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contrast, cbf.
0043T......... ............ C........... Co expired gas 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis.
0046T......... ............ C........... Cath lavage, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mammary duct(s).
0047T......... ............ C........... Cath lavage, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mammary duct(s).
0048T......... ............ C........... Implant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ventricular
device.
0049T......... ............ C........... External 0.00 0.00 0.00 0.00 0.00 0.00 XXX
circulation
assist.
0050T......... ............ C........... Removal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
circulation
assist.
0051T......... ............ C........... Implant total 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart system.
0052T......... ............ C........... Replace component 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart syst.
0053T......... ............ C........... Replace component 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart syst.
0058T......... ............ C........... Cryopreservation, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ovary tiss.
0059T......... ............ C........... Cryopreservation, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oocyte.
0060T......... ............ C........... Electrical 0.00 0.00 0.00 0.00 0.00 0.00 XXX
impedance scan.
0061T......... ............ C........... Destruction of 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tumor, breast.
0062T......... ............ C........... Rep intradisc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
annulus;1 lev.
0063T......... ............ C........... Rep intradisc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
annulus;>1lev.
0064T......... ............ C........... Spectroscop eval 0.00 0.00 0.00 0.00 0.00 0.00 XXX
expired gas.
0066T......... ............ N........... Ct 0.00 0.00 0.00 NA NA 0.00 XXX
colonography;scre
en.
0066T......... TC.......... N........... Ct 0.00 0.00 0.00 NA NA 0.00 XXX
colonography;scre
en.
0066T......... 26.......... N........... Ct 0.00 0.00 0.00 0.00 0.00 0.00 XXX
colonography;scre
en.
0067T......... ............ C........... Ct colonography;dx 0.00 0.00 0.00 NA NA 0.00 XXX
0067T......... TC.......... C........... Ct colonography;dx 0.00 0.00 0.00 NA NA 0.00 XXX
0067T......... 26.......... C........... Ct colonography;dx 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0068T......... ............ C........... Interp/rept heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sound.
0069T......... ............ C........... Analysis only 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart sound.
0070T......... ............ C........... Interp only heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sound.
0071T......... ............ C........... U/s leiomyomata 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ablate <200.
0072T......... ............ C........... U/s leiomyomata 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ablate >200.
0073T......... ............ A........... Delivery, comp 0.00 13.17 15.60 NA NA 0.13 XXX
imrt.
0075T......... ............ C........... Perq stent/chest 0.00 0.00 0.00 NA NA 0.00 XXX
vert art.
0075T......... TC.......... C........... Perq stent/chest 0.00 0.00 0.00 NA NA 0.00 XXX
vert art.
0075T......... 26.......... C........... Perq stent/chest 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vert art.
0076T......... ............ C........... S&i stent/chest 0.00 0.00 0.00 NA NA 0.00 XXX
vert art.
0076T......... TC.......... C........... S&i stent/chest 0.00 0.00 0.00 NA NA 0.00 XXX
vert art.
0076T......... 26.......... C........... S&i stent/chest 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vert art.
0077T......... ............ C........... Cereb therm 0.00 0.00 0.00 0.00 0.00 0.00 XXX
perfusion probe.
0078T......... ............ C........... Endovasc aort repr 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/device.
0079T......... ............ C........... Endovasc visc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extnsn repr.
0080T......... ............ C........... Endovasc aort repr 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rad s&i.
0081T......... ............ C........... Endovasc visc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extnsn s&i.
0084T......... ............ C........... Temp prostate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urethral stent.
0085T......... ............ C........... Breath test heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reject.
0086T......... ............ C........... L ventricle fill 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pressure.
0087T......... ............ C........... Sperm eval 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hyaluronan.
0088T......... ............ C........... Rf tongue base vol 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reduxn.
0089T......... ............ C........... Actigraphy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
testing, 3-day.
0090T......... ............ C........... Cervical artific 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disc.
0092T......... ............ C........... Artific disc addl. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0093T......... ............ C........... Cervical artific 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diskectomy.
0095T......... ............ C........... Artific diskectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
addl.
0096T......... ............ C........... Rev cervical 0.00 0.00 0.00 0.00 0.00 0.00 XXX
artific disc.
0098T......... ............ C........... Rev artific disc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
addl.
0099T......... ............ C........... Implant corneal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ring.
0100T......... ............ C........... Prosth retina 0.00 0.00 0.00 0.00 0.00 0.00 XXX
receive&gen.
0101T......... ............ C........... Extracorp shockwv 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx,hi enrg.
0102T......... ............ C........... Extracorp shockwv 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx,anesth.
0103T......... ............ C........... Holotranscobalamin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0104T......... ............ C........... At rest cardio gas 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rebreathe.
0105T......... ............ C........... Exerc cardio gas 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rebreathe.
0106T......... ............ C........... Touch quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensory test.
0107T......... ............ C........... Vibrate quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensory test.
0108T......... ............ C........... Cool quant sensory 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
[[Page 2572]]
0109T......... ............ C........... Heat quant sensory 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
0110T......... ............ C........... Nos quant sensory 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
0111T......... ............ C........... Rbc membranes 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fatty acids.
0123T......... ............ C........... Scleral 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fistulization.
0124T......... ............ C........... Conjunctival drug 0.00 0.00 0.00 0.00 0.00 0.00 XXX
placement.
0126T......... ............ C........... Chd risk imt study 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0130T......... ............ C........... Chron care drug 0.00 0.00 0.00 0.00 0.00 0.00 XXX
investigatn.
0137T......... ............ C........... Prostate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
saturation
sampling.
0140T......... ............ C........... Exhaled breath 0.00 0.00 0.00 0.00 0.00 0.00 XXX
condensate ph.
0141T......... ............ I........... Perq islet 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplant.
0142T......... ............ I........... Open islet 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplant.
0143T......... ............ I........... Laparoscopic islet 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplnt.
0144T......... ............ C........... CT heart wo dye; 0.00 0.00 0.00 NA NA 0.00 XXX
qual calc.
0144T......... TC.......... C........... CT heart wo dye; 0.00 0.00 0.00 NA NA 0.00 XXX
qual calc.
0144T......... 26.......... C........... CT heart wo dye; 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual calc.
0145T......... ............ C........... CT heart w/wo dye 0.00 0.00 0.00 NA NA 0.00 XXX
funct.
0145T......... TC.......... C........... CT heart w/wo dye 0.00 0.00 0.00 NA NA 0.00 XXX
funct.
0145T......... 26.......... C........... CT heart w/wo dye 0.00 0.00 0.00 0.00 0.00 0.00 XXX
funct.
0146T......... ............ C........... CCTA w/wo dye..... 0.00 0.00 0.00 NA NA 0.00 XXX
0146T......... TC.......... C........... CCTA w/wo dye..... 0.00 0.00 0.00 NA NA 0.00 XXX
0146T......... 26.......... C........... CCTA w/wo dye..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0147T......... ............ C........... CCTA w/wo, quan 0.00 0.00 0.00 NA NA 0.00 XXX
calcium.
0147T......... TC.......... C........... CCTA w/wo, quan 0.00 0.00 0.00 NA NA 0.00 XXX
calcium.
0147T......... 26.......... C........... CCTA w/wo, quan 0.00 0.00 0.00 0.00 0.00 0.00 XXX
calcium.
0148T......... ............ C........... CCTA w/wo, strxr.. 0.00 0.00 0.00 NA NA 0.00 XXX
0148T......... TC.......... C........... CCTA w/wo, strxr.. 0.00 0.00 0.00 NA NA 0.00 XXX
0148T......... 26.......... C........... CCTA w/wo, strxr.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0149T......... ............ C........... CCTA w/wo, strxr 0.00 0.00 0.00 NA NA 0.00 XXX
quan calc.
0149T......... TC.......... C........... CCTA w/wo, strxr 0.00 0.00 0.00 NA NA 0.00 XXX
quan calc.
0149T......... 26.......... C........... CCTA w/wo, strxr 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quan calc.
0150T......... ............ C........... CCTA w/wo, disease 0.00 0.00 0.00 NA NA 0.00 XXX
strxr.
0150T......... TC.......... C........... CCTA w/wo, disease 0.00 0.00 0.00 NA NA 0.00 XXX
strxr.
0150T......... 26.......... C........... CCTA w/wo, disease 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strxr.
0151T......... ............ C........... CT heart funct add- 0.00 0.00 0.00 NA NA 0.00 XXX
on.
0151T......... TC.......... C........... CT heart funct add- 0.00 0.00 0.00 NA NA 0.00 XXX
on.
0151T......... 26.......... C........... CT heart funct add- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
on.
0155T......... ............ C........... Lap impl gast 0.00 0.00 0.00 0.00 0.00 0.00 XXX
curve electrd.
0156T......... ............ C........... Lap remv gast 0.00 0.00 0.00 0.00 0.00 0.00 XXX
curve electrd.
0157T......... ............ C........... Open impl gast 0.00 0.00 0.00 0.00 0.00 0.00 XXX
curve electrd.
0158T......... ............ C........... Open remv gast 0.00 0.00 0.00 0.00 0.00 0.00 XXX
curve electrd.
0159T......... ............ C........... Cad breast mri.... 0.00 0.00 0.00 NA NA 0.00 ZZZ
0159T......... TC.......... C........... Cad breast mri.... 0.00 0.00 0.00 NA NA 0.00 ZZZ
0159T......... 26.......... C........... Cad breast mri.... 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
0160T......... ............ C........... Tcranial magn stim 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx plan.
0161T......... ............ C........... Tcranial magn stim 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx deliv.
0162T......... ............ C........... Anal program gast 0.00 0.00 0.00 0.00 0.00 0.00 XXX
neurostim.
0163T......... ............ C........... Lumb artif 0.00 0.00 0.00 0.00 0.00 0.00 YYY
diskectomy addl.
0164T......... ............ C........... Remove lumb artif 0.00 0.00 0.00 0.00 0.00 0.00 YYY
disc addl.
0165T......... ............ C........... Revise lumb artif 0.00 0.00 0.00 0.00 0.00 0.00 YYY
disc addl.
0166T......... ............ C........... Tcath vsd close w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
o bypass.
0167T......... ............ C........... Tcath vsd close w 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bypass.
0168T......... ............ C........... Rhinophototx light 0.00 0.00 0.00 0.00 0.00 0.00 XXX
app bilat.
0169T......... ............ C........... Place stereo cath 0.00 0.00 0.00 0.00 0.00 0.00 XXX
brain.
0170T......... ............ C........... Anorectal fistula 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plug rpr.
0171T......... ............ C........... Lumbar spine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proces distract.
0172T......... ............ C........... Lumbar spine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
process addl.
0173T......... ............ C........... Iop monit io 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pressure.
0174T......... ............ C........... Cad cxr with 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interp.
0175T......... ............ C........... Cad cxr remote.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0176T......... ............ C........... Aqu canal dilat w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
o retent.
0177T......... ............ C........... Aqu canal dilat w 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retent.
0178T......... ............ C........... 64 lead ecg w i&r. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0179T......... ............ C........... 64 lead ecg w 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tracing.
0180T......... ............ C........... 64 lead ecg w i&r 0.00 0.00 0.00 0.00 0.00 0.00 XXX
only.
0181T......... ............ C........... Corneal hysteresis 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0182T......... ............ C........... Hdr elect 0.00 0.00 0.00 0.00 0.00 0.00 XXX
brachytherapy.
0183T......... ............ C........... Wound ultrasound.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0184T......... ............ C........... Exc rectal tumor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
endoscopic.
0185T......... ............ C........... Comptr probability 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis.
0186T......... ............ C........... Suprachoroidal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
drug delivery.
0187T......... ............ C........... Ophthalmic dx 0.00 0.00 0.00 0.00 0.00 0.00 XXX
image anterior.
10021......... ............ A........... Fna w/o image..... 1.27 2.18 2.17 0.37 0.46 0.10 XXX
[[Page 2573]]
10022......... ............ A........... Fna w/image....... 1.27 2.15 2.35 0.41 0.41 0.08 XXX
10040......... ............ A........... Acne surgery...... 1.19 1.33 1.17 0.98 0.88 0.05 010
10060......... ............ A........... Drainage of skin 1.19 1.51 1.36 1.08 1.01 0.12 010
abscess.
10061......... ............ A........... Drainage of skin 2.42 2.07 1.95 1.51 1.50 0.26 010
abscess.
10080......... ............ A........... Drainage of 1.19 2.68 2.89 1.10 1.11 0.11 010
pilonidal cyst.
10081......... ............ A........... Drainage of 2.47 3.49 3.78 1.45 1.47 0.24 010
pilonidal cyst.
10120......... ............ A........... Remove foreign 1.23 1.95 2.06 0.94 0.96 0.12 010
body.
10121......... ............ A........... Remove foreign 2.71 3.51 3.51 1.65 1.72 0.33 010
body.
10140......... ............ A........... Drainage of 1.55 2.26 2.02 1.29 1.29 0.19 010
hematoma/fluid.
10160......... ............ A........... Puncture drainage 1.22 1.85 1.72 1.08 1.08 0.14 010
of lesion.
10180......... ............ A........... Complex drainage, 2.27 3.25 3.12 1.80 1.89 0.35 010
wound.
11000......... ............ A........... Debride infected 0.60 0.72 0.65 0.16 0.19 0.07 000
skin.
11001......... ............ A........... Debride infected 0.30 0.23 0.23 0.08 0.10 0.04 ZZZ
skin add-on.
11004......... ............ A........... Debride genitalia 10.80 NA NA 3.21 3.55 0.67 000
& perineum.
11005......... ............ A........... Debride abdom wall 14.24 NA NA 3.78 4.67 0.96 000
11006......... ............ A........... Debride genit/per/ 13.10 NA NA 3.96 4.40 1.28 000
abdom wall.
11008......... ............ A........... Remove mesh from 5.00 NA NA 1.29 1.66 0.61 ZZZ
abd wall.
11010......... ............ A........... Debride skin, fx.. 4.19 6.81 6.84 2.34 2.48 0.66 010
11011......... ............ A........... Debride skin/ 4.94 7.04 7.60 2.01 2.18 0.74 000
muscle, fx.
11012......... ............ A........... Debride skin/ 6.87 9.01 10.56 3.11 3.47 1.16 000
muscle/bone, fx.
11040......... ............ A........... Debride skin, 0.50 0.68 0.60 0.16 0.18 0.06 000
partial.
11041......... ............ A........... Debride skin, full 0.60 0.72 0.69 0.19 0.26 0.10 000
11042......... ............ A........... Debride skin/ 0.80 0.95 0.96 0.24 0.34 0.13 000
tissue.
11043......... ............ A........... Debride tissue/ 3.04 3.51 3.44 2.60 2.60 0.32 010
muscle.
11044......... ............ A........... Debride tissue/ 4.11 4.84 4.65 3.58 3.67 0.43 010
muscle/bone.
11055......... ............ R........... Trim skin lesion.. 0.43 0.81 0.68 0.11 0.14 0.05 000
11056......... ............ R........... Trim skin lesions, 0.61 0.88 0.76 0.16 0.19 0.07 000
2 to 4.
11057......... ............ R........... Trim skin lesions, 0.79 0.99 0.86 0.20 0.25 0.10 000
over 4.
11100......... ............ A........... Biopsy, skin 0.81 1.88 1.56 0.38 0.38 0.03 000
lesion.
11101......... ............ A........... Biopsy, skin add- 0.41 0.41 0.37 0.20 0.19 0.02 ZZZ
on.
11200......... ............ A........... Removal of skin 0.79 1.23 1.13 0.90 0.83 0.04 010
tags.
11201......... ............ A........... Remove skin tags 0.29 0.16 0.16 0.11 0.12 0.02 ZZZ
add-on.
11300......... ............ A........... Shave skin lesion. 0.51 1.19 1.09 0.21 0.21 0.03 000
11301......... ............ A........... Shave skin lesion. 0.85 1.51 1.31 0.38 0.38 0.04 000
11302......... ............ A........... Shave skin lesion. 1.05 1.76 1.53 0.48 0.47 0.05 000
11303......... ............ A........... Shave skin lesion. 1.24 2.03 1.81 0.55 0.54 0.07 000
11305......... ............ A........... Shave skin lesion. 0.67 1.07 0.96 0.20 0.24 0.07 000
11306......... ............ A........... Shave skin lesion. 0.99 1.43 1.26 0.38 0.40 0.07 000
11307......... ............ A........... Shave skin lesion. 1.14 1.70 1.49 0.47 0.48 0.07 000
11308......... ............ A........... Shave skin lesion. 1.41 1.71 1.58 0.49 0.54 0.13 000
11310......... ............ A........... Shave skin lesion. 0.73 1.38 1.25 0.31 0.32 0.04 000
11311......... ............ A........... Shave skin lesion. 1.05 1.64 1.43 0.48 0.48 0.05 000
11312......... ............ A........... Shave skin lesion. 1.20 1.92 1.67 0.56 0.55 0.06 000
11313......... ............ A........... Shave skin lesion. 1.62 2.19 2.00 0.73 0.72 0.10 000
11400......... ............ A........... Exc tr-ext b9+marg 0.87 1.88 1.94 0.93 0.91 0.06 010
0.5 < cm.
11401......... ............ A........... Exc tr-ext b9+marg 1.25 2.19 2.12 1.15 1.09 0.10 010
0.6-1 cm.
11402......... ............ A........... Exc tr-ext b9+marg 1.42 2.40 2.31 1.21 1.14 0.13 010
1.1-2 cm.
11403......... ............ A........... Exc tr-ext b9+marg 1.81 2.56 2.48 1.57 1.44 0.17 010
2.1-3 cm.
11404......... ............ A........... Exc tr-ext b9+marg 2.08 2.86 2.78 1.63 1.51 0.21 010
3.1-4 cm.
11406......... ............ A........... Exc tr-ext b9+marg 3.47 3.54 3.30 2.10 1.87 0.32 010
> 4.0 cm.
11420......... ............ A........... Exc h-f-nk-sp 1.00 1.83 1.80 0.93 0.93 0.09 010
b9+marg 0.5 <.
11421......... ............ A........... Exc h-f-nk-sp 1.44 2.22 2.14 1.16 1.14 0.13 010
b9+marg 0.6-1.
11422......... ............ A........... Exc h-f-nk-sp 1.65 2.44 2.35 1.53 1.43 0.16 010
b9+marg 1.1-2.
11423......... ............ A........... Exc h-f-nk-sp 2.03 2.67 2.63 1.66 1.55 0.20 010
b9+marg 2.1-3.
11424......... ............ A........... Exc h-f-nk-sp 2.45 2.97 2.89 1.77 1.69 0.25 010
b9+marg 3.1-4.
11426......... ............ A........... Exc h-f-nk-sp 4.04 3.59 3.54 2.31 2.21 0.44 010
b9+marg > 4 cm.
11440......... ............ A........... Exc face-mm 1.02 2.00 2.10 1.31 1.31 0.08 010
b9+marg 0.5 < cm.
11441......... ............ A........... Exc face-mm 1.50 2.38 2.36 1.55 1.52 0.13 010
b9+marg 0.6-1 cm.
11442......... ............ A........... Exc face-mm 1.74 2.65 2.59 1.66 1.61 0.16 010
b9+marg 1.1-2 cm.
11443......... ............ A........... Exc face-mm 2.31 2.89 2.90 1.84 1.83 0.22 010
b9+marg 2.1-3 cm.
11444......... ............ A........... Exc face-mm 3.16 3.32 3.40 2.10 2.14 0.30 010
b9+marg 3.1-4 cm.
11446......... ............ A........... Exc face-mm 4.75 4.10 4.07 2.68 2.73 0.43 010
b9+marg > 4 cm.
11450......... ............ A........... Removal, sweat 3.14 5.13 5.08 2.41 2.22 0.34 090
gland lesion.
11451......... ............ A........... Removal, sweat 4.35 6.38 6.49 2.91 2.73 0.53 090
gland lesion.
11462......... ............ A........... Removal, sweat 2.92 5.33 5.22 2.47 2.24 0.32 090
gland lesion.
11463......... ............ A........... Removal, sweat 4.35 6.53 6.68 2.94 2.81 0.54 090
gland lesion.
11470......... ............ A........... Removal, sweat 3.66 5.47 5.27 2.63 2.45 0.40 090
gland lesion.
11471......... ............ A........... Removal, sweat 4.81 6.51 6.61 3.01 2.89 0.58 090
gland lesion.
11600......... ............ A........... Exc tr-ext 1.58 2.74 2.69 1.14 1.05 0.10 010
mlg+marg 0.5 < cm.
11601......... ............ A........... Exc tr-ext 2.02 3.44 3.07 1.51 1.36 0.12 010
mlg+marg 0.6-1 cm.
11602......... ............ A........... Exc tr-ext 2.22 3.85 3.34 1.69 1.47 0.12 010
mlg+marg 1.1-2 cm.
11603......... ............ A........... Exc tr-ext 2.77 4.05 3.56 1.87 1.60 0.16 010
mlg+marg 2.1-3 cm.
[[Page 2574]]
11604......... ............ A........... Exc tr-ext 3.12 4.34 3.86 1.93 1.66 0.20 010
mlg+marg 3.1-4 cm.
11606......... ............ A........... Exc tr-ext 4.97 5.50 4.78 2.46 2.10 0.36 010
mlg+marg > 4 cm.
11620......... ............ A........... Exc h-f-nk-sp 1.59 2.85 2.72 1.19 1.07 0.09 010
mlg+marg 0.5 <.
11621......... ............ A........... Exc h-f-nk-sp 2.03 3.51 3.10 1.54 1.39 0.12 010
mlg+marg 0.6-1.
11622......... ............ A........... Exc h-f-nk-sp 2.36 3.90 3.43 1.75 1.57 0.14 010
mlg+marg 1.1-2.
11623......... ............ A........... Exc h-f-nk-sp 3.06 4.12 3.73 1.95 1.77 0.20 010
mlg+marg 2.1-3.
11624......... ............ A........... Exc h-f-nk-sp 3.57 4.43 4.09 2.08 1.93 0.27 010
mlg+marg 3.1-4.
11626......... ............ A........... Exc h-f-nk-sp 4.56 4.96 4.80 2.33 2.36 0.45 010
mlg+mar > 4 cm.
11640......... ............ A........... Exc face-mm 1.62 3.06 2.86 1.29 1.20 0.11 010
malig+marg 0.5 <.
11641......... ............ A........... Exc face-mm 2.12 3.64 3.33 1.61 1.57 0.16 010
malig+marg 0.6-1.
11642......... ............ A........... Exc face-mm 2.57 4.04 3.72 1.84 1.78 0.19 010
malig+marg 1.1-2.
11643......... ............ A........... Exc face-mm 3.37 4.28 4.04 2.11 2.04 0.26 010
malig+marg 2.1-3.
11644......... ............ A........... Exc face-mm 4.29 5.07 4.88 2.47 2.46 0.37 010
malig+marg 3.1-4.
11646......... ............ A........... Exc face-mm 6.21 5.91 5.83 3.14 3.30 0.61 010
mlg+marg > 4 cm.
11719......... ............ R........... Trim nail(s)...... 0.17 0.38 0.31 0.04 0.06 0.02 000
11720......... ............ A........... Debride nail, 1-5. 0.32 0.47 0.40 0.08 0.10 0.04 000
11721......... ............ A........... Debride nail, 6 or 0.54 0.55 0.49 0.14 0.17 0.07 000
more.
11730......... ............ A........... Removal of nail 1.10 1.33 1.18 0.28 0.36 0.14 000
plate.
11732......... ............ A........... Remove nail plate, 0.57 0.55 0.49 0.15 0.18 0.07 ZZZ
add-on.
11740......... ............ A........... Drain blood from 0.37 0.80 0.67 0.43 0.39 0.04 000
under nail.
11750......... ............ A........... Removal of nail 2.40 2.96 2.56 1.88 1.82 0.22 010
bed.
11752......... ............ A........... Remove nail bed/ 3.48 4.06 3.53 2.78 2.88 0.35 010
finger tip.
11755......... ............ A........... Biopsy, nail unit. 1.31 2.03 1.80 0.76 0.76 0.14 000
11760......... ............ A........... Repair of nail bed 1.60 3.40 3.01 1.43 1.61 0.21 010
11762......... ............ A........... Reconstruction of 2.91 3.70 3.29 1.68 2.01 0.36 010
nail bed.
11765......... ............ A........... Excision of nail 0.71 2.67 2.23 1.01 0.88 0.08 010
fold, toe.
11770......... ............ A........... Removal of 2.63 3.46 3.47 1.52 1.51 0.33 010
pilonidal lesion.
11771......... ............ A........... Removal of 5.98 6.64 6.14 3.69 3.50 0.74 090
pilonidal lesion.
11772......... ............ A........... Removal of 7.23 8.04 7.77 5.56 5.31 0.89 090
pilonidal lesion.
11900......... ............ A........... Injection into 0.52 0.92 0.78 0.25 0.23 0.02 000
skin lesions.
11901......... ............ A........... Added skin lesions 0.80 1.01 0.83 0.39 0.37 0.03 000
injection.
11920......... ............ R........... Correct skin color 1.61 2.35 3.02 1.09 1.09 0.24 000
defects.
11921......... ............ R........... Correct skin color 1.93 2.66 3.31 1.26 1.26 0.29 000
defects.
11922......... ............ R........... Correct skin color 0.49 0.92 1.03 0.22 0.24 0.07 ZZZ
defects.
11950......... ............ R........... Therapy for 0.84 0.88 1.01 0.36 0.37 0.06 000
contour defects.
11951......... ............ R........... Therapy for 1.19 0.90 1.20 0.36 0.43 0.11 000
contour defects.
11952......... ............ R........... Therapy for 1.69 1.63 1.74 0.77 0.72 0.16 000
contour defects.
11954......... ............ R........... Therapy for 1.85 1.79 2.12 0.77 0.83 0.25 000
contour defects.
11960......... ............ A........... Insert tissue 11.01 NA NA 10.58 10.49 1.31 090
expander(s).
11970......... ............ A........... Replace tissue 7.86 NA NA 6.17 6.15 1.05 090
expander.
11971......... ............ A........... Remove tissue 3.21 7.40 8.26 4.02 3.91 0.32 090
expander(s).
11975......... ............ N........... Insert 1.48 1.54 1.48 0.34 0.45 0.17 XXX
contraceptive cap.
11976......... ............ R........... Removal of 1.78 1.73 1.72 0.48 0.58 0.21 000
contraceptive cap.
11977......... ............ N........... Removal/reinsert 3.30 1.98 2.13 0.76 1.01 0.37 XXX
contra cap.
11980......... ............ A........... Implant hormone 1.48 1.07 1.08 0.49 0.51 0.13 000
pellet(s).
11981......... ............ A........... Insert drug 1.48 1.90 1.80 0.58 0.63 0.12 XXX
implant device.
11982......... ............ A........... Remove drug 1.78 2.02 1.98 0.70 0.76 0.17 XXX
implant device.
11983......... ............ A........... Remove/insert drug 3.30 2.64 2.46 1.32 1.39 0.23 XXX
implant.
12001......... ............ A........... Repair superficial 1.72 1.73 1.86 0.73 0.75 0.15 010
wound(s).
12002......... ............ A........... Repair superficial 1.88 1.80 1.92 0.84 0.87 0.17 010
wound(s).
12004......... ............ A........... Repair superficial 2.26 2.08 2.20 0.92 0.97 0.21 010
wound(s).
12005......... ............ A........... Repair superficial 2.88 2.52 2.67 1.06 1.13 0.27 010
wound(s).
12006......... ............ A........... Repair superficial 3.68 3.06 3.23 1.30 1.40 0.35 010
wound(s).
12007......... ............ A........... Repair superficial 4.13 3.36 3.59 1.46 1.64 0.45 010
wound(s).
12011......... ............ A........... Repair superficial 1.78 1.91 2.02 0.76 0.77 0.16 010
wound(s).
12013......... ............ A........... Repair superficial 2.01 2.07 2.17 0.89 0.91 0.18 010
wound(s).
12014......... ............ A........... Repair superficial 2.48 2.29 2.43 0.98 1.02 0.23 010
wound(s).
12015......... ............ A........... Repair superficial 3.21 2.79 2.96 1.12 1.18 0.29 010
wound(s).
12016......... ............ A........... Repair superficial 3.94 3.17 3.36 1.28 1.40 0.37 010
wound(s).
12017......... ............ A........... Repair superficial 4.72 NA NA 1.52 1.71 0.47 010
wound(s).
12018......... ............ A........... Repair superficial 5.54 NA NA 1.92 2.09 0.64 010
wound(s).
12020......... ............ A........... Closure of split 2.64 3.69 3.76 1.75 1.84 0.30 010
wound.
12021......... ............ A........... Closure of split 1.86 1.85 1.84 1.33 1.37 0.24 010
wound.
12031......... ............ A........... Layer closure of 2.17 3.90 3.09 1.77 1.37 0.17 010
wound(s).
12032......... ............ A........... Layer closure of 2.49 5.22 4.53 2.28 2.04 0.16 010
wound(s).
12034......... ............ A........... Layer closure of 2.94 4.61 3.90 2.00 1.72 0.25 010
wound(s).
12035......... ............ A........... Layer closure of 3.44 5.30 5.25 2.11 2.13 0.39 010
wound(s).
12036......... ............ A........... Layer closure of 4.06 5.41 5.48 2.23 2.39 0.55 010
wound(s).
12037......... ............ A........... Layer closure of 4.68 5.99 6.04 2.63 2.80 0.66 010
wound(s).
12041......... ............ A........... Layer closure of 2.39 3.87 3.21 1.78 1.45 0.19 010
wound(s).
12042......... ............ A........... Layer closure of 2.76 4.50 3.88 2.13 1.79 0.17 010
wound(s).
12044......... ............ A........... Layer closure of 3.16 5.41 4.31 1.95 1.77 0.27 010
wound(s).
[[Page 2575]]
12045......... ............ A........... Layer closure of 3.65 5.03 5.15 2.06 2.17 0.41 010
wound(s).
12046......... ............ A........... Layer closure of 4.26 5.66 6.08 2.29 2.52 0.54 010
wound(s).
12047......... ............ A........... Layer closure of 4.66 6.50 6.42 2.66 2.87 0.58 010
wound(s).
12051......... ............ A........... Layer closure of 2.49 4.11 3.69 1.92 1.69 0.20 010
wound(s).
12052......... ............ A........... Layer closure of 2.81 4.87 4.04 2.56 2.00 0.17 010
wound(s).
12053......... ............ A........... Layer closure of 3.14 5.39 4.32 2.13 1.83 0.23 010
wound(s).
12054......... ............ A........... Layer closure of 3.47 5.43 4.50 2.06 1.84 0.30 010
wound(s).
12055......... ............ A........... Layer closure of 4.44 6.01 5.25 2.09 2.11 0.45 010
wound(s).
12056......... ............ A........... Layer closure of 5.25 6.57 6.66 2.58 2.82 0.59 010
wound(s).
12057......... ............ A........... Layer closure of 5.97 7.76 6.95 2.93 3.34 0.56 010
wound(s).
13100......... ............ A........... Repair of wound or 3.14 4.42 4.24 2.47 2.39 0.26 010
lesion.
13101......... ............ A........... Repair of wound or 3.93 5.95 5.30 2.97 2.83 0.26 010
lesion.
13102......... ............ A........... Repair wound/ 1.24 1.35 1.26 0.53 0.55 0.13 ZZZ
lesion add-on.
13120......... ............ A........... Repair of wound or 3.32 4.58 4.36 2.58 2.46 0.26 010
lesion.
13121......... ............ A........... Repair of wound or 4.36 6.72 5.78 3.64 3.22 0.25 010
lesion.
13122......... ............ A........... Repair wound/ 1.44 1.37 1.44 0.58 0.60 0.15 ZZZ
lesion add-on.
13131......... ............ A........... Repair of wound or 3.80 5.01 4.69 2.88 2.78 0.26 010
lesion.
13132......... ............ A........... Repair of wound or 6.48 7.89 6.90 4.96 4.56 0.32 010
lesion.
13133......... ............ A........... Repair wound/ 2.19 1.88 1.77 0.98 1.00 0.18 ZZZ
lesion add-on.
13150......... ............ A........... Repair of wound or 3.82 4.72 4.80 2.72 2.74 0.34 010
lesion.
13151......... ............ A........... Repair of wound or 4.46 5.52 5.16 3.22 3.18 0.31 010
lesion.
13152......... ............ A........... Repair of wound or 6.34 7.54 6.79 3.92 3.98 0.40 010
lesion.
13153......... ............ A........... Repair wound/ 2.38 2.05 1.99 1.03 1.08 0.24 ZZZ
lesion add-on.
13160......... ............ A........... Late closure of 11.84 NA NA 7.02 7.09 1.54 090
wound.
14000......... ............ A........... Skin tissue 6.83 8.95 8.40 6.04 5.76 0.59 090
rearrangement.
14001......... ............ A........... Skin tissue 9.60 11.02 10.22 7.49 7.28 0.82 090
rearrangement.
14020......... ............ A........... Skin tissue 7.66 10.04 9.32 6.89 6.71 0.64 090
rearrangement.
14021......... ............ A........... Skin tissue 11.18 12.47 11.23 8.66 8.47 0.81 090
rearrangement.
14040......... ............ A........... Skin tissue 8.44 10.20 9.50 6.99 7.10 0.62 090
rearrangement.
14041......... ............ A........... Skin tissue 12.67 13.58 12.09 9.35 9.01 0.73 090
rearrangement.
14060......... ............ A........... Skin tissue 9.07 9.69 9.24 7.18 7.31 0.68 090
rearrangement.
14061......... ............ A........... Skin tissue 13.67 14.84 13.22 10.18 9.84 0.76 090
rearrangement.
14300......... ............ A........... Skin tissue 13.26 13.53 12.33 9.45 9.31 1.16 090
rearrangement.
14350......... ............ A........... Skin tissue 10.82 NA NA 6.90 7.02 1.34 090
rearrangement.
15002......... ............ A........... Wnd prep, ch/inf, 3.65 4.22 4.22 1.69 1.69 0.49 000
trk/arm/lg.
15003......... ............ A........... Wnd prep, ch/inf 0.80 0.90 0.90 0.26 0.26 0.11 ZZZ
addl 100 cm.
15004......... ............ A........... Wnd prep ch/inf, f/ 4.58 4.88 4.88 2.02 2.02 0.62 000
n/hf/g.
15005......... ............ A........... Wnd prep, f/n/hf/ 1.60 1.24 1.24 0.53 0.53 0.22 ZZZ
g, addl cm.
15040......... ............ A........... Harvest cultured 2.00 3.94 4.25 1.05 1.09 0.24 000
skin graft.
15050......... ............ A........... Skin pinch graft.. 5.37 7.63 7.27 5.01 5.06 0.57 090
15100......... ............ A........... Skin splt grft, 9.74 9.77 11.18 6.68 7.25 1.28 090
trnk/arm/leg.
15101......... ............ A........... Skin splt grft t/a/ 1.72 2.47 3.10 0.85 1.01 0.24 ZZZ
l, add-on.
15110......... ............ A........... Epidrm autogrft 10.88 8.75 9.71 6.36 6.68 1.31 090
trnk/arm/leg.
15111......... ............ A........... Epidrm autogrft t/ 1.85 0.87 1.08 0.62 0.70 0.26 ZZZ
a/l add-on.
15115......... ............ A........... Epidrm a-grft face/ 11.19 9.23 9.23 6.74 7.05 1.15 090
nck/hf/g.
15116......... ............ A........... Epidrm a-grft f/n/ 2.50 1.19 1.39 0.86 0.99 0.33 ZZZ
hf/g addl.
15120......... ............ A........... Skn splt a-grft 10.96 11.35 11.04 7.45 7.62 1.16 090
fac/nck/hf/g.
15121......... ............ A........... Skn splt a-grft f/ 2.67 3.44 3.97 1.29 1.57 0.36 ZZZ
n/hf/g add.
15130......... ............ A........... Derm autograft, 7.41 7.96 8.91 5.58 5.96 0.97 090
trnk/arm/leg.
15131......... ............ A........... Derm autograft t/a/ 1.50 0.66 0.86 0.48 0.56 0.21 ZZZ
l add-on.
15135......... ............ A........... Derm autograft 10.91 9.49 9.68 7.05 7.59 1.23 090
face/nck/hf/g.
15136......... ............ A........... Derm autograft, f/ 1.50 0.66 0.77 0.51 0.59 0.20 ZZZ
n/hf/g add.
15150......... ............ A........... Cult epiderm grft 9.30 7.05 7.75 5.76 6.10 1.14 090
t/arm/leg.
15151......... ............ A........... Cult epiderm grft 2.00 0.88 1.09 0.67 0.76 0.28 ZZZ
t/a/l addl.
15152......... ............ A........... Cult epiderm graft 2.50 1.05 1.30 0.84 0.95 0.35 ZZZ
t/a/l +%.
15155......... ............ A........... Cult epiderm 10.05 7.66 7.74 6.31 6.64 1.05 090
graft, f/n/hf/g.
15156......... ............ A........... Cult epidrm grft f/ 2.75 1.15 1.35 0.94 1.09 0.36 ZZZ
n/hfg add.
15157......... ............ A........... Cult epiderm grft 3.00 1.34 1.56 1.03 1.19 0.39 ZZZ
f/n/hfg +%.
15170......... ............ A........... Acell graft trunk/ 5.99 4.01 3.92 2.60 2.48 0.55 090
arms/legs.
15171......... ............ A........... Acell graft t/arm/ 1.55 0.60 0.64 0.46 0.54 0.19 ZZZ
leg add-on.
15175......... ............ A........... Acellular graft, f/ 7.99 4.47 4.95 3.15 3.57 0.82 090
n/hf/g.
15176......... ............ A........... Acell graft, f/n/ 2.45 1.04 1.07 0.79 0.89 0.29 ZZZ
hf/g add-on.
15200......... ............ A........... Skin full graft, 8.97 9.91 9.66 6.35 6.28 0.98 090
trunk.
15201......... ............ A........... Skin full graft 1.32 2.02 2.29 0.47 0.54 0.19 ZZZ
trunk add-on.
15220......... ............ A........... Skin full graft 7.95 10.47 9.83 6.70 6.69 0.84 090
sclp/arm/leg.
15221......... ............ A........... Skin full graft 1.19 2.00 2.16 0.50 0.53 0.16 ZZZ
add-on.
15240......... ............ A........... Skin full grft 10.15 12.04 11.12 8.90 8.43 0.92 090
face/genit/hf.
15241......... ............ A........... Skin full graft 1.86 2.54 2.49 0.81 0.86 0.23 ZZZ
add-on.
15260......... ............ A........... Skin full graft 11.39 13.02 11.62 9.34 8.96 0.69 090
een & lips.
15261......... ............ A........... Skin full graft 2.23 2.98 2.84 1.16 1.28 0.21 ZZZ
add-on.
15300......... ............ A........... Apply 4.65 3.44 3.32 2.15 2.19 0.49 090
skinallogrft, t/
arm/lg.
15301......... ............ A........... Apply sknallogrft 1.00 0.46 0.46 0.32 0.36 0.14 ZZZ
t/a/l addl.
[[Page 2576]]
15320......... ............ A........... Apply skin 5.36 3.78 3.70 2.36 2.45 0.58 090
allogrft f/n/hf/g.
15321......... ............ A........... Aply sknallogrft f/ 1.50 0.69 0.69 0.51 0.55 0.21 ZZZ
n/hfg add.
15330......... ............ A........... Aply acell alogrft 3.99 3.50 3.34 2.14 2.18 0.49 090
t/arm/leg.
15331......... ............ A........... Aply acell grft t/ 1.00 0.49 0.47 0.36 0.38 0.14 ZZZ
a/l add-on.
15335......... ............ A........... Apply acell graft, 4.50 3.32 3.40 2.01 2.23 0.55 090
f/n/hf/g.
15336......... ............ A........... Aply acell grft f/ 1.43 0.74 0.71 0.51 0.54 0.20 ZZZ
n/hf/g add.
15340......... ............ A........... Apply cult skin 3.76 3.69 3.84 2.64 2.70 0.41 010
substitute.
15341......... ............ A........... Apply cult skin 0.50 0.64 0.62 0.13 0.17 0.06 ZZZ
sub add-on.
15360......... ............ A........... Apply cult derm 3.93 4.85 4.66 3.54 3.31 0.43 090
sub, t/a/l.
15361......... ............ A........... Aply cult derm sub 1.15 0.50 0.54 0.32 0.39 0.14 ZZZ
t/a/l add.
15365......... ............ A........... Apply cult derm 4.21 4.22 4.38 3.10 3.15 0.46 090
sub f/n/hf/g.
15366......... ............ A........... Apply cult derm f/ 1.45 0.67 0.68 0.47 0.53 0.17 ZZZ
hf/g add.
15400......... ............ A........... Apply skin 4.38 5.00 4.50 3.76 3.89 0.47 090
xenograft, t/a/l.
15401......... ............ A........... Apply skn xenogrft 1.00 1.01 1.45 0.33 0.39 0.14 ZZZ
t/a/l add.
15420......... ............ A........... Apply skin xgraft, 4.89 5.43 5.11 4.18 3.98 0.52 090
f/n/hf/g.
15421......... ............ A........... Apply skn xgrft f/ 1.50 1.16 1.24 0.48 0.55 0.21 ZZZ
n/hf/g add.
15430......... ............ A........... Apply acellular 5.93 6.61 6.76 6.06 6.34 0.66 090
xenograft.
15431......... ............ C........... Apply acellular 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
xgraft add.
15570......... ............ A........... Form skin pedicle 10.00 10.09 10.70 6.27 6.52 1.34 090
flap.
15572......... ............ A........... Form skin pedicle 9.94 9.79 9.64 6.66 6.56 1.20 090
flap.
15574......... ............ A........... Form skin pedicle 10.52 10.55 10.62 7.04 7.42 1.20 090
flap.
15576......... ............ A........... Form skin pedicle 9.24 9.67 9.72 6.52 6.70 0.87 090
flap.
15600......... ............ A........... Skin graft........ 1.95 5.32 6.46 2.75 2.91 0.27 090
15610......... ............ A........... Skin graft........ 2.46 5.57 5.13 3.05 3.24 0.35 090
15620......... ............ A........... Skin graft........ 3.62 6.47 7.13 3.90 3.89 0.35 090
15630......... ............ A........... Skin graft........ 3.95 7.08 7.06 4.32 4.23 0.34 090
15650......... ............ A........... Transfer skin 4.64 7.28 7.21 4.39 4.30 0.42 090
pedicle flap.
15731......... ............ A........... Forehead flap w/ 14.12 11.90 11.90 9.34 9.34 1.28 090
vasc pedicle.
15732......... ............ A........... Muscle-skin graft, 19.70 14.66 16.36 11.10 11.66 2.00 090
head/neck.
15734......... ............ A........... Muscle-skin graft, 19.62 15.70 16.91 11.85 12.12 2.62 090
trunk.
15736......... ............ A........... Muscle-skin graft, 16.92 13.40 15.82 9.60 10.41 2.46 090
arm.
15738......... ............ A........... Muscle-skin graft, 18.92 13.78 15.88 10.20 10.96 2.66 090
leg.
15740......... ............ A........... Island pedicle 11.57 13.58 11.86 9.43 8.84 0.63 090
flap graft.
15750......... ............ A........... Neurovascular 12.73 NA NA 8.86 8.95 1.42 090
pedicle graft.
15756......... ............ A........... Free myo/skin flap 36.74 NA NA 18.57 19.57 4.62 090
microvasc.
15757......... ............ A........... Free skin flap, 36.95 NA NA 17.87 19.74 3.90 090
microvasc.
15758......... ............ A........... Free fascial flap, 36.70 NA NA 17.58 19.58 4.24 090
microvasc.
15760......... ............ A........... Composite skin 9.68 10.42 10.23 7.06 7.16 0.85 090
graft.
15770......... ............ A........... Derma-fat-fascia 8.73 NA NA 6.64 6.66 1.05 090
graft.
15775......... ............ R........... Hair transplant 3.95 2.88 3.56 1.23 1.26 0.52 000
punch grafts.
15776......... ............ R........... Hair transplant 5.53 4.85 5.11 2.14 2.47 0.72 000
punch grafts.
15780......... ............ A........... Abrasion treatment 8.50 11.24 11.38 6.53 7.39 0.67 090
of skin.
15781......... ............ A........... Abrasion treatment 4.91 8.68 7.80 5.64 5.51 0.34 090
of skin.
15782......... ............ A........... Abrasion treatment 4.36 8.72 9.29 4.97 5.76 0.34 090
of skin.
15783......... ............ A........... Abrasion treatment 4.33 7.92 7.40 4.97 4.58 0.28 090
of skin.
15786......... ............ A........... Abrasion, lesion, 2.05 3.90 3.63 1.25 1.28 0.11 010
single.
15787......... ............ A........... Abrasion, lesions, 0.33 0.83 0.96 0.08 0.12 0.04 ZZZ
add-on.
15788......... ............ R........... Chemical peel, 2.09 9.47 8.09 4.13 3.60 0.11 090
face, epiderm.
15789......... ............ R........... Chemical peel, 4.91 9.43 8.76 5.83 5.32 0.20 090
face, dermal.
15792......... ............ R........... Chemical peel, 1.86 8.98 8.04 4.58 4.52 0.13 090
nonfacial.
15793......... ............ A........... Chemical peel, 3.82 8.10 7.20 4.90 4.64 0.19 090
nonfacial.
15819......... ............ A........... Plastic surgery, 10.45 NA NA 6.68 6.93 0.97 090
neck.
15820......... ............ A........... Revision of lower 6.09 6.39 6.68 5.20 5.38 0.40 090
eyelid.
15821......... ............ A........... Revision of lower 6.66 6.57 6.96 5.28 5.50 0.45 090
eyelid.
15822......... ............ A........... Revision of upper 4.51 5.23 5.53 4.09 4.29 0.37 090
eyelid.
15823......... ............ A........... Revision of upper 8.12 7.39 7.62 6.11 6.27 0.50 090
eyelid.
15824......... ............ R........... Removal of 0.00 0.00 0.00 0.00 0.00 0.00 000
forehead wrinkles.
15825......... ............ R........... Removal of neck 0.00 0.00 0.00 0.00 0.00 0.00 000
wrinkles.
15826......... ............ R........... Removal of brow 0.00 0.00 0.00 0.00 0.00 0.00 000
wrinkles.
15828......... ............ R........... Removal of face 0.00 0.00 0.00 0.00 0.00 0.00 000
wrinkles.
15829......... ............ R........... Removal of skin 0.00 0.00 0.00 0.00 0.00 0.00 000
wrinkles.
15830......... ............ R........... Exc skin abd...... 16.90 NA NA 9.82 9.82 2.93 090
15832......... ............ A........... Excise excessive 12.65 NA NA 8.28 8.31 1.66 090
skin tissue.
15833......... ............ A........... Excise excessive 11.70 NA NA 7.50 7.86 1.49 090
skin tissue.
15834......... ............ A........... Excise excessive 11.97 NA NA 8.16 7.93 1.61 090
skin tissue.
15835......... ............ A........... Excise excessive 12.79 NA NA 7.86 7.70 1.60 090
skin tissue.
15836......... ............ A........... Excise excessive 10.41 NA NA 6.83 6.81 1.34 090
skin tissue.
15837......... ............ A........... Excise excessive 9.37 8.68 8.62 5.79 6.58 1.18 090
skin tissue.
15838......... ............ A........... Excise excessive 8.07 NA NA 5.45 5.76 0.58 090
skin tissue.
15839......... ............ A........... Excise excessive 10.32 9.76 9.30 6.47 6.43 1.22 090
skin tissue.
15840......... ............ A........... Graft for face 14.76 NA NA 8.93 9.45 1.32 090
nerve palsy.
15841......... ............ A........... Graft for face 25.69 NA NA 13.54 14.27 2.55 090
nerve palsy.
[[Page 2577]]
15842......... ............ A........... Flap for face 40.68 NA NA 20.89 21.91 4.94 090
nerve palsy.
15845......... ............ A........... Skin and muscle 14.04 NA NA 8.36 8.84 0.81 090
repair, face.
15847......... ............ C........... Exc skin abd add- 0.00 0.00 0.00 0.00 0.00 0.00 YYY
on.
15850......... ............ B........... Removal of sutures 0.78 1.20 1.38 0.18 0.24 0.05 XXX
15851......... ............ A........... Removal of sutures 0.86 1.33 1.51 0.24 0.27 0.06 000
15852......... ............ A........... Dressing change 0.86 NA NA 0.25 0.29 0.09 000
not for burn.
15860......... ............ A........... Test for blood 1.95 NA NA 0.64 0.71 0.27 000
flow in graft.
15876......... ............ R........... Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 000
lipectomy.
15877......... ............ R........... Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 000
lipectomy.
15878......... ............ R........... Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 000
lipectomy.
15879......... ............ R........... Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 000
lipectomy.
15920......... ............ A........... Removal of tail 8.15 NA NA 5.35 5.45 1.04 090
bone ulcer.
15922......... ............ A........... Removal of tail 10.23 NA NA 7.17 7.19 1.42 090
bone ulcer.
15931......... ............ A........... Remove sacrum 9.96 NA NA 5.56 5.63 1.25 090
pressure sore.
15933......... ............ A........... Remove sacrum 11.60 NA NA 7.31 7.58 1.52 090
pressure sore.
15934......... ............ A........... Remove sacrum 13.54 NA NA 7.73 7.88 1.79 090
pressure sore.
15935......... ............ A........... Remove sacrum 15.58 NA NA 9.18 9.75 2.10 090
pressure sore.
15936......... ............ A........... Remove sacrum 13.04 NA NA 7.42 7.82 1.77 090
pressure sore.
15937......... ............ A........... Remove sacrum 15.00 NA NA 8.94 9.38 2.07 090
pressure sore.
15940......... ............ A........... Remove hip 10.11 NA NA 5.81 5.99 1.31 090
pressure sore.
15941......... ............ A........... Remove hip 12.24 NA NA 8.43 8.94 1.66 090
pressure sore.
15944......... ............ A........... Remove hip 12.27 NA NA 8.14 8.37 1.65 090
pressure sore.
15945......... ............ A........... Remove hip 13.57 NA NA 8.81 9.23 1.85 090
pressure sore.
15946......... ............ A........... Remove hip 23.80 NA NA 13.71 14.04 3.17 090
pressure sore.
15950......... ............ A........... Remove thigh 7.91 NA NA 5.40 5.41 1.04 090
pressure sore.
15951......... ............ A........... Remove thigh 11.41 NA NA 7.34 7.60 1.49 090
pressure sore.
15952......... ............ A........... Remove thigh 12.14 NA NA 7.46 7.61 1.60 090
pressure sore.
15953......... ............ A........... Remove thigh 13.39 NA NA 8.23 8.62 1.80 090
pressure sore.
15956......... ............ A........... Remove thigh 16.59 NA NA 9.55 10.16 2.22 090
pressure sore.
15958......... ............ A........... Remove thigh 16.55 NA NA 10.43 10.74 2.26 090
pressure sore.
15999......... ............ C........... Removal of 0.00 0.00 0.00 0.00 0.00 0.00 YYY
pressure sore.
16000......... ............ A........... Initial treatment 0.89 0.72 0.79 0.23 0.25 0.08 000
of burn(s).
16020......... ............ A........... Dress/debrid p- 0.80 1.11 1.20 0.56 0.57 0.08 000
thick burn, s.
16025......... ............ A........... Dress/debrid p- 1.85 1.57 1.67 0.86 0.91 0.19 000
thick burn, m.
16030......... ............ A........... Dress/debrid p- 2.08 2.08 2.13 1.02 1.07 0.24 000
thick burn, l.
16035......... ............ A........... Incision of burn 3.74 NA NA 1.22 1.40 0.46 000
scab, initi.
16036......... ............ A........... Escharotomy; 1.50 NA NA 0.46 0.53 0.20 ZZZ
add[AElig]l
incision.
17000......... ............ A........... Destruct premalg 0.62 1.41 1.19 0.74 0.64 0.03 010
lesion.
17003......... ............ A........... Destruct premalg 0.07 0.10 0.11 0.03 0.05 0.01 ZZZ
les, 2-14.
17004......... ............ A........... Destroy premlg 1.82 2.44 2.37 1.38 1.48 0.11 010
lesions 15+.
17106......... ............ A........... Destruction of 4.62 4.69 4.65 3.28 3.31 0.35 090
skin lesions.
17107......... ............ A........... Destruction of 9.19 6.98 7.09 4.95 5.20 0.63 090
skin lesions.
17108......... ............ A........... Destruction of 13.22 8.87 9.07 6.39 7.03 0.54 090
skin lesions.
17110......... ............ A........... Destruct b9 0.67 1.79 1.70 0.88 0.79 0.05 010
lesion, 1-14.
17111......... ............ A........... Destruct lesion, 0.94 2.25 1.96 1.11 0.96 0.05 010
15 or more.
17250......... ............ A........... Chemical cautery, 0.50 1.32 1.27 0.38 0.36 0.06 000
tissue.
17260......... ............ A........... Destruction of 0.93 1.41 1.34 0.71 0.69 0.04 010
skin lesions.
17261......... ............ A........... Destruction of 1.19 2.49 2.05 1.07 0.95 0.05 010
skin lesions.
17262......... ............ A........... Destruction of 1.60 2.84 2.36 1.27 1.15 0.06 010
skin lesions.
17263......... ............ A........... Destruction of 1.81 3.07 2.56 1.37 1.23 0.07 010
skin lesions.
17264......... ............ A........... Destruction of 1.96 3.27 2.75 1.44 1.28 0.08 010
skin lesions.
17266......... ............ A........... Destruction of 2.36 3.50 3.00 1.59 1.40 0.09 010
skin lesions.
17270......... ............ A........... Destruction of 1.34 2.44 2.07 1.10 0.98 0.05 010
skin lesions.
17271......... ............ A........... Destruction of 1.51 2.66 2.22 1.22 1.10 0.06 010
skin lesions.
17272......... ............ A........... Destruction of 1.79 2.97 2.49 1.37 1.24 0.07 010
skin lesions.
17273......... ............ A........... Destruction of 2.07 3.21 2.71 1.49 1.35 0.08 010
skin lesions.
17274......... ............ A........... Destruction of 2.61 3.61 3.09 1.74 1.59 0.10 010
skin lesions.
17276......... ............ A........... Destruction of 3.22 3.89 3.42 1.97 1.82 0.16 010
skin lesions.
17280......... ............ A........... Destruction of 1.19 2.36 1.99 1.03 0.92 0.05 010
skin lesions.
17281......... ............ A........... Destruction of 1.74 2.74 2.32 1.33 1.21 0.07 010
skin lesions.
17282......... ............ A........... Destruction of 2.06 3.14 2.65 1.49 1.36 0.08 010
skin lesions.
17283......... ............ A........... Destruction of 2.66 3.56 3.05 1.77 1.63 0.11 010
skin lesions.
17284......... ............ A........... Destruction of 3.23 3.97 3.45 2.03 1.89 0.13 010
skin lesions.
17286......... ............ A........... Destruction of 4.45 4.45 4.06 2.49 2.47 0.23 010
skin lesions.
17311......... ............ A........... Mohs, 1 stage, h/n/ 6.20 10.71 10.71 3.05 3.05 0.24 000
hf/g.
17312......... ............ A........... Mohs addl stage... 3.30 6.89 6.89 1.62 1.62 0.13 ZZZ
17313......... ............ A........... Mohs, 1 stage, t/a/ 5.56 9.88 9.88 2.74 2.74 0.22 000
l.
17314......... ............ A........... Mohs, addl stage, 3.06 6.37 6.37 1.50 1.50 0.12 ZZZ
t/a/l.
17315......... ............ A........... Mohs surg, addl 0.87 1.14 1.14 0.43 0.43 0.03 ZZZ
block.
17340......... ............ A........... Cryotherapy of 0.76 0.35 0.36 0.38 0.37 0.05 010
skin.
17360......... ............ A........... Skin peel therapy. 1.44 1.86 1.65 1.01 0.94 0.06 010
17380......... ............ R........... Hair removal by 0.00 0.00 0.00 0.00 0.00 0.00 000
electrolysis.
[[Page 2578]]
17999......... ............ C........... Skin tissue 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
19000......... ............ A........... Drainage of breast 0.84 1.91 1.95 0.26 0.29 0.08 000
lesion.
19001......... ............ A........... Drain breast 0.42 0.26 0.25 0.14 0.14 0.04 ZZZ
lesion add-on.
19020......... ............ A........... Incision of breast 3.74 6.63 6.48 3.04 2.86 0.45 090
lesion.
19030......... ............ A........... Injection for 1.53 2.67 2.77 0.54 0.52 0.09 000
breast x-ray.
19100......... ............ A........... Bx breast percut w/ 1.27 2.08 2.08 0.33 0.37 0.16 000
o image.
19101......... ............ A........... Biopsy of breast, 3.20 4.37 4.44 1.78 1.85 0.39 010
open.
19102......... ............ A........... Bx breast percut w/ 2.00 3.47 3.65 0.68 0.67 0.14 000
image.
19103......... ............ A........... Bx breast percut w/ 3.69 10.10 10.80 1.19 1.21 0.30 000
device.
19105......... ............ A........... Cryosurg ablate 3.69 46.51 46.51 1.00 1.00 0.30 000
fa, each.
19110......... ............ A........... Nipple exploration 4.35 6.07 5.93 3.10 2.98 0.57 090
19112......... ............ A........... Excise breast duct 3.72 6.23 6.15 3.13 2.91 0.48 090
fistula.
19120......... ............ A........... Removal of breast 5.84 5.09 4.81 3.37 3.21 0.73 090
lesion.
19125......... ............ A........... Excision, breast 6.59 5.56 5.17 3.65 3.47 0.80 090
lesion.
19126......... ............ A........... Excision, addl 2.93 NA NA 0.75 0.87 0.38 ZZZ
breast lesion.
19260......... ............ A........... Removal of chest 17.60 NA NA 10.15 10.65 2.14 090
wall lesion.
19271......... ............ A........... Revision of chest 21.86 NA NA 15.83 16.90 2.63 090
wall.
19272......... ............ A........... Extensive chest 24.82 NA NA 16.97 17.95 3.00 090
wall surgery.
19290......... ............ A........... Place needle wire, 1.27 2.89 2.87 0.45 0.43 0.07 000
breast.
19291......... ............ A........... Place needle wire, 0.63 1.14 1.17 0.22 0.21 0.04 ZZZ
breast.
19295......... ............ A........... Place breast clip, 0.00 2.28 2.49 NA NA 0.01 ZZZ
percut.
19296......... ............ A........... Place po breast 3.63 86.03 105.75 1.19 1.36 0.36 000
cath for rad.
19297......... ............ A........... Place breast cath 1.72 NA NA 0.44 0.54 0.17 ZZZ
for rad.
19298......... ............ A........... Place breast rad 6.00 22.02 32.10 2.11 2.26 0.43 000
tube/caths.
19300......... ............ A........... Removal of breast 5.20 8.06 7.60 3.86 3.63 0.69 090
tissue.
19301......... ............ A........... Partical 10.00 NA NA 4.63 4.02 0.79 090
mastectomy.
19302......... ............ A........... P-mastectomy w/ln 13.88 NA NA 6.14 6.24 1.80 090
removal.
19303......... ............ A........... Mast, simple, 15.67 NA NA 7.00 6.01 1.18 090
complete.
19304......... ............ A........... Mast, subq........ 7.81 NA NA 4.94 4.85 1.04 090
19305......... ............ A........... Mast, radical..... 17.23 NA NA 8.12 8.04 1.93 090
19306......... ............ A........... Mast, rad, urban 17.85 NA NA 8.72 8.48 2.08 090
type.
19307......... ............ A........... Mast, mod rad..... 17.95 NA NA 8.77 8.49 2.13 090
19316......... ............ A........... Suspension of 10.98 NA NA 6.95 7.23 1.64 090
breast.
19318......... ............ A........... Reduction of large 15.91 NA NA 9.91 10.54 2.93 090
breast.
19324......... ............ A........... Enlarge breast.... 6.65 NA NA 4.47 4.68 0.84 090
19325......... ............ A........... Enlarge breast 8.52 NA NA 6.41 6.47 1.33 090
with implant.
19328......... ............ A........... Removal of breast 6.35 NA NA 4.99 5.01 0.91 090
implant.
19330......... ............ A........... Removal of implant 8.39 NA NA 5.95 6.00 1.26 090
material.
19340......... ............ A........... Immediate breast 6.32 NA NA 2.81 2.96 1.06 ZZZ
prosthesis.
19342......... ............ A........... Delayed breast 12.40 NA NA 8.93 8.93 1.84 090
prosthesis.
19350......... ............ A........... Breast 8.99 9.89 11.87 6.59 6.88 1.41 090
reconstruction.
19355......... ............ A........... Correct inverted 8.37 7.41 8.83 4.68 4.69 0.92 090
nipple(s).
19357......... ............ A........... Breast 20.57 NA NA 15.39 15.51 2.94 090
reconstruction.
19361......... ............ A........... Breast reconstr w/ 23.17 NA NA 16.80 14.62 2.93 090
lat flap.
19364......... ............ A........... Breast 42.40 NA NA 22.17 22.87 6.24 090
reconstruction.
19366......... ............ A........... Breast 21.70 NA NA 9.91 10.75 3.25 090
reconstruction.
19367......... ............ A........... Breast 26.59 NA NA 15.19 15.95 4.04 090
reconstruction.
19368......... ............ A........... Breast 33.61 NA NA 18.04 18.48 5.54 090
reconstruction.
19369......... ............ A........... Breast 31.02 NA NA 16.33 17.37 4.51 090
reconstruction.
19370......... ............ A........... Surgery of breast 8.99 NA NA 6.79 6.85 1.29 090
capsule.
19371......... ............ A........... Removal of breast 10.42 NA NA 7.69 7.76 1.62 090
capsule.
19380......... ............ A........... Revise breast 10.21 NA NA 7.61 7.66 1.44 090
reconstruction.
19396......... ............ A........... Design custom 2.17 4.53 2.81 1.28 1.14 0.30 000
breast implant.
19499......... ............ C........... Breast surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
20000......... ............ A........... Incision of 2.14 2.78 2.74 1.53 1.63 0.25 010
abscess.
20005......... ............ A........... Incision of deep 3.55 3.67 3.58 2.01 2.13 0.46 010
abscess.
20100......... ............ A........... Explore wound, 10.33 NA NA 3.58 4.02 1.21 010
neck.
20101......... ............ A........... Explore wound, 3.22 6.60 6.26 1.53 1.57 0.44 010
chest.
20102......... ............ A........... Explore wound, 3.95 6.95 7.21 1.84 1.87 0.49 010
abdomen.
20103......... ............ A........... Explore wound, 5.31 7.81 8.20 2.79 3.09 0.75 010
extremity.
20150......... ............ A........... Excise epiphyseal 14.60 NA NA 7.65 7.34 2.04 090
bar.
20200......... ............ A........... Muscle biopsy..... 1.46 3.09 3.06 0.69 0.72 0.23 000
20205......... ............ A........... Deep muscle biopsy 2.35 3.83 3.86 1.10 1.14 0.33 000
20206......... ............ A........... Needle biopsy, 0.99 5.22 5.86 0.57 0.60 0.07 000
muscle.
20220......... ............ A........... Bone biopsy, 1.27 2.71 3.63 0.68 0.73 0.08 000
trocar/needle.
20225......... ............ A........... Bone biopsy, 1.87 12.00 18.23 1.02 1.08 0.22 000
trocar/needle.
20240......... ............ A........... Bone biopsy, 3.25 NA NA 2.02 2.29 0.44 010
excisional.
20245......... ............ A........... Bone biopsy, 8.77 NA NA 5.75 6.16 1.31 010
excisional.
20250......... ............ A........... Open bone biopsy.. 5.16 NA NA 3.63 3.57 1.02 010
20251......... ............ A........... Open bone biopsy.. 5.69 NA NA 3.85 4.00 1.15 010
20500......... ............ A........... Injection of sinus 1.25 1.34 1.80 0.88 1.20 0.12 010
tract.
20501......... ............ A........... Inject sinus tract 0.76 2.37 2.64 0.27 0.26 0.04 000
for x-ray.
[[Page 2579]]
20520......... ............ A........... Removal of foreign 1.87 2.61 2.76 1.45 1.61 0.21 010
body.
20525......... ............ A........... Removal of foreign 3.51 7.11 8.13 2.21 2.42 0.51 010
body.
20526......... ............ A........... Ther injection, 0.94 0.81 0.89 0.41 0.46 0.13 000
carp tunnel.
20550......... ............ A........... Inj tendon sheath/ 0.75 0.63 0.67 0.28 0.26 0.09 000
ligament.
20551......... ............ A........... Inj tendon origin/ 0.75 0.64 0.66 0.29 0.31 0.08 000
insertion.
20552......... ............ A........... Inj trigger point, 0.66 0.58 0.65 0.24 0.22 0.05 000
1/2 muscl.
20553......... ............ A........... Inject trigger 0.75 0.64 0.73 0.26 0.24 0.04 000
points, =/> 3.
20555......... ............ A........... Place ndl musc/tis 6.00 NA NA 2.18 2.18 0.43 000
for rt.
20600......... ............ A........... Drain/inject, 0.66 0.66 0.66 0.31 0.33 0.08 000
joint/bursa.
20605......... ............ A........... Drain/inject, 0.68 0.74 0.75 0.32 0.34 0.08 000
joint/bursa.
20610......... ............ A........... Drain/inject, 0.79 1.07 1.01 0.40 0.41 0.11 000
joint/bursa.
20612......... ............ A........... Aspirate/inj 0.70 0.70 0.70 0.32 0.34 0.10 000
ganglion cyst.
20615......... ............ A........... Treatment of bone 2.30 2.71 3.11 1.42 1.63 0.20 010
cyst.
20650......... ............ A........... Insert and remove 2.25 2.46 2.41 1.45 1.50 0.31 010
bone pin.
20660......... ............ A........... Apply, rem 4.00 1.50 2.28 1.50 1.55 0.59 000
fixation device.
20661......... ............ A........... Application of 5.14 NA NA 6.05 5.48 1.14 090
head brace.
20662......... ............ A........... Application of 6.26 NA NA 4.81 5.17 0.56 090
pelvis brace.
20663......... ............ A........... Application of 5.62 NA NA 4.86 4.84 0.94 090
thigh brace.
20664......... ............ A........... Halo brace 9.86 NA NA 7.81 7.43 1.75 090
application.
20665......... ............ A........... Removal of 1.33 1.37 1.76 0.98 1.16 0.19 010
fixation device.
20670......... ............ A........... Removal of support 1.76 6.63 9.08 1.67 1.89 0.28 010
implant.
20680......... ............ A........... Removal of support 5.90 8.14 8.47 4.07 3.89 0.56 090
implant.
20690......... ............ A........... Apply bone 8.65 NA NA 4.91 3.71 0.59 090
fixation device.
20692......... ............ A........... Apply bone 16.00 NA NA 9.81 6.79 1.05 090
fixation device.
20693......... ............ A........... Adjust bone 5.97 NA NA 4.49 4.97 0.98 090
fixation device.
20694......... ............ A........... Remove bone 4.20 5.31 6.23 3.53 3.78 0.71 090
fixation device.
20802......... ............ A........... Replantation, arm, 42.30 NA NA 13.23 17.10 3.82 090
complete.
20805......... ............ A........... Replant forearm, 51.14 NA NA 17.99 26.16 4.85 090
complete.
20808......... ............ A........... Replantation hand, 62.77 NA NA 30.34 36.29 6.88 090
complete.
20816......... ............ A........... Replantation 31.74 NA NA 16.37 27.09 4.53 090
digit, complete.
20822......... ............ A........... Replantation 26.42 NA NA 15.07 24.84 4.19 090
digit, complete.
20824......... ............ A........... Replantation 31.74 NA NA 16.21 26.39 4.62 090
thumb, complete.
20827......... ............ A........... Replantation 27.24 NA NA 14.75 25.62 3.67 090
thumb, complete.
20838......... ............ A........... Replantation foot, 42.56 NA NA 14.03 18.16 1.12 090
complete.
20900......... ............ A........... Removal of bone 5.77 9.23 8.83 4.90 5.29 0.94 090
for graft.
20902......... ............ A........... Removal of bone 7.98 NA NA 5.98 6.43 1.30 090
for graft.
20910......... ............ A........... Remove cartilage 5.41 NA NA 4.57 4.88 0.71 090
for graft.
20912......... ............ A........... Remove cartilage 6.42 NA NA 4.95 5.37 0.69 090
for graft.
20920......... ............ A........... Removal of fascia 5.42 NA NA 4.34 4.28 0.66 090
for graft.
20922......... ............ A........... Removal of fascia 6.84 7.56 7.55 5.00 4.93 0.70 090
for graft.
20924......... ............ A........... Removal of tendon 6.59 NA NA 4.97 5.43 1.04 090
for graft.
20926......... ............ A........... Removal of tissue 5.70 NA NA 4.50 4.62 0.87 090
for graft.
20930......... ............ B........... Sp bone algrft 0.00 0.00 0.00 0.00 0.00 0.00 XXX
morsel add-on.
20931......... ............ A........... Sp bone algrft 1.81 NA NA 0.68 0.80 0.43 ZZZ
struct add-on.
20936......... ............ B........... Sp bone agrft 0.00 0.00 0.00 0.00 0.00 0.00 XXX
local add-on.
20937......... ............ A........... Sp bone agrft 2.79 NA NA 1.08 1.26 0.54 ZZZ
morsel add-on.
20938......... ............ A........... Sp bone agrft 3.02 NA NA 1.15 1.35 0.64 ZZZ
struct add-on.
20950......... ............ A........... Fluid pressure, 1.26 4.23 5.54 0.88 0.94 0.20 000
muscle.
20955......... ............ A........... Fibula bone graft, 40.02 NA NA 18.55 21.42 4.90 090
microvasc.
20956......... ............ A........... Iliac bone graft, 40.93 NA NA 20.34 22.55 7.03 090
microvasc.
20957......... ............ A........... Mt bone graft, 42.33 NA NA 15.89 17.42 7.07 090
microvasc.
20962......... ............ A........... Other bone graft, 39.21 NA NA 21.32 23.93 6.57 090
microvasc.
20969......... ............ A........... Bone/skin graft, 45.11 NA NA 21.12 23.88 4.80 090
microvasc.
20970......... ............ A........... Bone/skin graft, 44.26 NA NA 20.92 23.16 6.62 090
iliac crest.
20972......... ............ A........... Bone/skin graft, 44.19 NA NA 14.93 17.76 5.32 090
metatarsal.
20973......... ............ A........... Bone/skin graft, 46.95 NA NA 14.16 19.67 5.56 090
great toe.
20974......... ............ A........... Electrical bone 0.62 0.98 0.83 0.48 0.51 0.11 000
stimulation.
20975......... ............ A........... Electrical bone 2.60 NA NA 1.46 1.58 0.51 000
stimulation.
20979......... ............ A........... Us bone 0.62 0.61 0.71 0.20 0.27 0.09 000
stimulation.
20982......... ............ A........... Ablate, bone 7.27 80.09 94.85 2.69 2.83 0.69 000
tumor(s) perq.
20985......... ............ A........... Cptr-asst dir ms 2.50 0.99 0.99 0.99 0.99 0.48 ZZZ
px.
20986......... ............ C........... Cptr-asst dir ms 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
px io img.
20987......... ............ C........... Cptr-asst dir ms 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
px pre img.
20999......... ............ C........... Musculoskeletal 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
21010......... ............ A........... Incision of jaw 10.90 NA NA 6.29 6.69 1.11 090
joint.
21015......... ............ A........... Resection of 5.59 NA NA 4.31 4.66 0.70 090
facial tumor.
21025......... ............ A........... Excision of bone, 11.07 12.55 12.40 8.75 9.05 1.32 090
lower jaw.
21026......... ............ A........... Excision of facial 5.54 8.83 8.35 5.94 6.13 0.60 090
bone(s).
21029......... ............ A........... Contour of face 8.26 9.56 9.47 6.52 6.77 0.94 090
bone lesion.
21030......... ............ A........... Excise max/zygoma 4.80 7.19 6.76 4.69 4.86 0.54 090
b9 tumor.
21031......... ............ A........... Remove exostosis, 3.26 5.92 5.54 3.47 3.55 0.48 090
mandible.
21032......... ............ A........... Remove exostosis, 3.28 6.04 5.70 3.37 3.44 0.47 090
maxilla.
[[Page 2580]]
21034......... ............ A........... Excise max/zygoma 17.17 13.94 14.94 10.12 11.40 1.72 090
mlg tumor.
21040......... ............ A........... Excise mandible 4.80 7.20 6.80 4.64 4.68 0.54 090
lesion.
21044......... ............ A........... Removal of jaw 12.61 NA NA 8.11 8.74 1.12 090
bone lesion.
21045......... ............ A........... Extensive jaw 18.13 NA NA 10.79 11.58 1.52 090
surgery.
21046......... ............ A........... Remove mandible 13.97 NA NA 11.50 11.70 1.86 090
cyst complex.
21047......... ............ A........... Excise lwr jaw 19.83 NA NA 10.22 11.83 2.13 090
cyst w/repair.
21048......... ............ A........... Remove maxilla 14.47 NA NA 11.39 11.77 1.77 090
cyst complex.
21049......... ............ A........... Excis uppr jaw 19.08 NA NA 10.29 11.66 1.59 090
cyst w/repair.
21050......... ............ A........... Removal of jaw 11.54 NA NA 8.21 8.83 1.47 090
joint.
21060......... ............ A........... Remove jaw joint 10.91 NA NA 7.20 7.90 1.38 090
cartilage.
21070......... ............ A........... Remove coronoid 8.50 NA NA 6.27 6.69 1.27 090
process.
21073......... ............ A........... Mnpj of tmj w/ 3.33 5.50 5.50 2.31 2.31 0.43 090
anesth.
21076......... ............ A........... Prepare face/oral 13.40 8.02 10.19 4.69 7.35 2.00 010
prosthesis.
21077......... ............ A........... Prepare face/oral 33.70 18.44 24.89 11.83 18.93 4.56 090
prosthesis.
21079......... ............ A........... Prepare face/oral 22.31 13.97 17.74 8.10 12.63 3.16 090
prosthesis.
21080......... ............ A........... Prepare face/oral 25.06 16.16 20.33 9.02 14.20 3.75 090
prosthesis.
21081......... ............ A........... Prepare face/oral 22.85 15.02 18.67 8.41 12.95 3.21 090
prosthesis.
21082......... ............ A........... Prepare face/oral 20.84 14.91 17.13 8.27 12.01 3.12 090
prosthesis.
21083......... ............ A........... Prepare face/oral 19.27 14.91 16.86 7.78 11.11 2.89 090
prosthesis.
21084......... ............ A........... Prepare face/oral 22.48 16.85 19.65 8.95 13.33 2.19 090
prosthesis.
21085......... ............ A........... Prepare face/oral 8.99 6.93 7.61 3.52 5.15 1.27 010
prosthesis.
21086......... ............ A........... Prepare face/oral 24.88 12.91 18.34 8.45 13.95 3.72 090
prosthesis.
21087......... ............ A........... Prepare face/oral 24.88 13.05 18.17 8.55 13.88 3.45 090
prosthesis.
21088......... ............ C........... Prepare face/oral 0.00 0.00 0.00 0.00 0.00 0.00 090
prosthesis.
21089......... ............ C........... Prepare face/oral 0.00 0.00 0.00 0.00 0.00 0.00 090
prosthesis.
21100......... ............ A........... Maxillofacial 4.56 14.87 13.20 5.53 5.14 0.34 090
fixation.
21110......... ............ A........... Interdental 5.80 13.06 11.31 9.74 9.05 0.72 090
fixation.
21116......... ............ A........... Injection, jaw 0.81 2.52 3.42 0.23 0.28 0.06 000
joint x-ray.
21120......... ............ A........... Reconstruction of 4.99 9.65 10.12 6.65 7.07 0.60 090
chin.
21121......... ............ A........... Reconstruction of 7.70 10.65 10.19 7.59 7.71 0.90 090
chin.
21122......... ............ A........... Reconstruction of 8.59 NA NA 8.46 8.54 1.07 090
chin.
21123......... ............ A........... Reconstruction of 11.22 NA NA 7.03 8.92 1.40 090
chin.
21125......... ............ A........... Augmentation, 10.68 64.01 59.63 6.43 7.38 0.79 090
lower jaw bone.
21127......... ............ A........... Augmentation, 12.24 85.03 63.93 7.50 8.48 1.52 090
lower jaw bone.
21137......... ............ A........... Reduction of 10.12 NA NA 7.44 7.59 1.32 090
forehead.
21138......... ............ A........... Reduction of 12.73 NA NA 7.79 8.66 1.75 090
forehead.
21139......... ............ A........... Reduction of 14.90 NA NA 6.99 9.03 1.18 090
forehead.
21141......... ............ A........... Reconstruct 19.27 NA NA 11.87 12.76 2.36 090
midface, lefort.
21142......... ............ A........... Reconstruct 19.98 NA NA 10.08 11.46 2.39 090
midface, lefort.
21143......... ............ A........... Reconstruct 20.75 NA NA 11.81 13.06 1.66 090
midface, lefort.
21145......... ............ A........... Reconstruct 23.64 NA NA 12.98 13.44 2.85 090
midface, lefort.
21146......... ............ A........... Reconstruct 24.54 NA NA 9.18 12.26 3.10 090
midface, lefort.
21147......... ............ A........... Reconstruct 26.14 NA NA 14.31 14.68 1.85 090
midface, lefort.
21150......... ............ A........... Reconstruct 25.78 NA NA 16.93 16.85 2.56 090
midface, lefort.
21151......... ............ A........... Reconstruct 28.84 NA NA 11.61 17.29 2.31 090
midface, lefort.
21154......... ............ A........... Reconstruct 31.05 NA NA 17.89 20.52 2.49 090
midface, lefort.
21155......... ............ A........... Reconstruct 34.98 NA NA 18.17 21.04 6.66 090
midface, lefort.
21159......... ............ A........... Reconstruct 42.90 NA NA 15.13 22.12 8.20 090
midface, lefort.
21160......... ............ A........... Reconstruct 46.95 NA NA 23.24 25.37 4.14 090
midface, lefort.
21172......... ............ A........... Reconstruct orbit/ 28.07 NA NA 13.75 13.75 3.56 090
forehead.
21175......... ............ A........... Reconstruct orbit/ 33.43 NA NA 13.53 15.67 4.84 090
forehead.
21179......... ............ A........... Reconstruct entire 22.53 NA NA 11.22 12.68 2.81 090
forehead.
21180......... ............ A........... Reconstruct entire 25.46 NA NA 13.00 14.19 3.49 090
forehead.
21181......... ............ A........... Contour cranial 10.18 NA NA 6.83 7.15 1.32 090
bone lesion.
21182......... ............ A........... Reconstruct 32.45 NA NA 15.27 17.20 2.81 090
cranial bone.
21183......... ............ A........... Reconstruct 35.57 NA NA 19.23 20.03 4.48 090
cranial bone.
21184......... ............ A........... Reconstruct 38.49 NA NA 15.63 18.79 5.72 090
cranial bone.
21188......... ............ A........... Reconstruction of 22.97 NA NA 15.65 17.27 1.70 090
midface.
21193......... ............ A........... Reconst lwr jaw w/ 18.65 NA NA 9.82 11.24 2.24 090
o graft.
21194......... ............ A........... Reconst lwr jaw w/ 21.54 NA NA 12.13 12.95 2.03 090
graft.
21195......... ............ A........... Reconst lwr jaw w/ 18.88 NA NA 13.08 13.95 1.64 090
o fixation.
21196......... ............ A........... Reconst lwr jaw w/ 20.55 NA NA 13.95 14.83 2.08 090
fixation.
21198......... ............ A........... Reconstr lwr jaw 15.48 NA NA 11.89 12.30 1.44 090
segment.
21199......... ............ A........... Reconstr lwr jaw w/ 16.62 NA NA 7.57 8.35 1.39 090
advance.
21206......... ............ A........... Reconstruct upper 15.36 NA NA 10.89 11.77 1.33 090
jaw bone.
21208......... ............ A........... Augmentation of 11.15 33.18 27.76 8.01 8.80 1.09 090
facial bones.
21209......... ............ A........... Reduction of 7.58 12.20 11.50 7.40 7.73 0.90 090
facial bones.
21210......... ............ A........... Face bone graft... 11.40 43.50 34.19 7.64 8.50 1.30 090
21215......... ............ A........... Lower jaw bone 11.94 86.14 64.02 7.97 8.67 1.53 090
graft.
21230......... ............ A........... Rib cartilage 11.06 NA NA 7.02 7.53 1.29 090
graft.
21235......... ............ A........... Ear cartilage 7.31 10.12 9.98 6.19 6.30 0.61 090
graft.
21240......... ............ A........... Reconstruction of 15.77 NA NA 9.44 10.75 2.25 090
jaw joint.
[[Page 2581]]
21242......... ............ A........... Reconstruction of 14.32 NA NA 9.02 10.27 1.79 090
jaw joint.
21243......... ............ A........... Reconstruction of 24.03 NA NA 14.16 15.80 3.26 090
jaw joint.
21244......... ............ A........... Reconstruction of 13.35 NA NA 11.53 11.81 1.25 090
lower jaw.
21245......... ............ A........... Reconstruction of 12.88 14.22 14.31 8.62 9.24 1.19 090
jaw.
21246......... ............ A........... Reconstruction of 12.78 NA NA 7.43 8.24 1.35 090
jaw.
21247......... ............ A........... Reconstruct lower 24.05 NA NA 12.70 15.03 2.84 090
jaw bone.
21248......... ............ A........... Reconstruction of 12.54 12.61 12.38 7.52 8.46 1.55 090
jaw.
21249......... ............ A........... Reconstruction of 18.57 15.74 16.24 9.62 11.16 2.49 090
jaw.
21255......... ............ A........... Reconstruct lower 18.14 NA NA 14.05 15.10 2.39 090
jaw bone.
21256......... ............ A........... Reconstruction of 17.42 NA NA 9.59 10.70 1.50 090
orbit.
21260......... ............ A........... Revise eye sockets 17.74 NA NA 12.96 12.87 0.97 090
21261......... ............ A........... Revise eye sockets 33.78 NA NA 14.75 19.50 3.43 090
21263......... ............ A........... Revise eye sockets 30.72 NA NA 14.05 16.57 2.63 090
21267......... ............ A........... Revise eye sockets 20.45 NA NA 16.05 17.92 1.71 090
21268......... ............ A........... Revise eye sockets 26.78 NA NA 13.14 16.68 3.66 090
21270......... ............ A........... Augmentation, 10.52 11.16 11.41 5.90 6.58 0.72 090
cheek bone.
21275......... ............ A........... Revision, 11.65 NA NA 7.16 7.66 1.29 090
orbitofacial
bones.
21280......... ............ A........... Revision of eyelid 6.92 NA NA 5.66 5.79 0.42 090
21282......... ............ A........... Revision of eyelid 4.11 NA NA 4.16 4.32 0.26 090
21295......... ............ A........... Revision of jaw 1.82 NA NA 2.23 2.38 0.16 090
muscle/bone.
21296......... ............ A........... Revision of jaw 4.67 NA NA 5.43 5.17 0.34 090
muscle/bone.
21299......... ............ C........... Cranio/ 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maxillofacial
surgery.
21310......... ............ A........... Treatment of nose 0.58 2.00 2.14 0.11 0.13 0.05 000
fracture.
21315......... ............ A........... Treatment of nose 1.78 4.72 4.48 1.78 1.83 0.14 010
fracture.
21320......... ............ A........... Treatment of nose 1.86 4.30 4.11 1.36 1.49 0.18 010
fracture.
21325......... ............ A........... Treatment of nose 4.07 NA NA 6.98 7.80 0.31 090
fracture.
21330......... ............ A........... Treatment of nose 5.68 NA NA 7.63 8.67 0.56 090
fracture.
21335......... ............ A........... Treatment of nose 8.91 NA NA 8.48 9.05 0.74 090
fracture.
21336......... ............ A........... Treat nasal septal 6.56 NA NA 8.67 9.14 0.55 090
fracture.
21337......... ............ A........... Treat nasal septal 3.26 6.15 6.14 3.56 3.57 0.28 090
fracture.
21338......... ............ A........... Treat nasoethmoid 6.76 NA NA 9.93 11.98 0.82 090
fracture.
21339......... ............ A........... Treat nasoethmoid 8.39 NA NA 9.84 11.87 0.96 090
fracture.
21340......... ............ A........... Treatment of nose 11.33 NA NA 7.25 7.83 1.15 090
fracture.
21343......... ............ A........... Treatment of sinus 14.11 NA NA 12.80 14.14 1.47 090
fracture.
21344......... ............ A........... Treatment of sinus 21.36 NA NA 13.06 14.79 2.44 090
fracture.
21345......... ............ A........... Treat nose/jaw 8.87 10.50 10.17 6.56 6.87 0.92 090
fracture.
21346......... ............ A........... Treat nose/jaw 11.29 NA NA 10.83 11.52 1.21 090
fracture.
21347......... ............ A........... Treat nose/jaw 13.37 NA NA 11.74 13.97 1.47 090
fracture.
21348......... ............ A........... Treat nose/jaw 17.36 NA NA 11.00 11.06 2.49 090
fracture.
21355......... ............ A........... Treat cheek bone 4.32 5.91 6.07 3.25 3.37 0.34 010
fracture.
21356......... ............ A........... Treat cheek bone 4.70 6.98 7.05 4.06 4.30 0.46 010
fracture.
21360......... ............ A........... Treat cheek bone 7.03 NA NA 5.40 5.67 0.74 090
fracture.
21365......... ............ A........... Treat cheek bone 16.52 NA NA 9.10 9.97 1.70 090
fracture.
21366......... ............ A........... Treat cheek bone 18.44 NA NA 10.51 10.92 2.50 090
fracture.
21385......... ............ A........... Treat eye socket 9.46 NA NA 7.14 7.71 0.97 090
fracture.
21386......... ............ A........... Treat eye socket 9.46 NA NA 6.01 6.54 0.97 090
fracture.
21387......... ............ A........... Treat eye socket 10.00 NA NA 7.45 8.21 1.08 090
fracture.
21390......... ............ A........... Treat eye socket 11.07 NA NA 7.01 7.41 0.90 090
fracture.
21395......... ............ A........... Treat eye socket 14.62 NA NA 8.34 8.69 1.44 090
fracture.
21400......... ............ A........... Treat eye socket 1.44 2.71 2.66 1.96 1.92 0.15 090
fracture.
21401......... ............ A........... Treat eye socket 3.57 7.04 7.52 3.05 3.27 0.38 090
fracture.
21406......... ............ A........... Treat eye socket 7.31 NA NA 5.29 5.69 0.73 090
fracture.
21407......... ............ A........... Treat eye socket 8.91 NA NA 5.92 6.39 0.94 090
fracture.
21408......... ............ A........... Treat eye socket 12.67 NA NA 7.45 8.17 1.44 090
fracture.
21421......... ............ A........... Treat mouth roof 5.80 12.47 10.90 9.22 8.76 0.73 090
fracture.
21422......... ............ A........... Treat mouth roof 8.62 NA NA 7.05 7.56 0.99 090
fracture.
21423......... ............ A........... Treat mouth roof 10.71 NA NA 7.40 8.37 1.27 090
fracture.
21431......... ............ A........... Treat craniofacial 7.74 NA NA 10.85 10.19 0.70 090
fracture.
21432......... ............ A........... Treat craniofacial 8.76 NA NA 6.81 7.44 0.81 090
fracture.
21433......... ............ A........... Treat craniofacial 26.13 NA NA 12.14 14.28 2.79 090
fracture.
21435......... ............ A........... Treat craniofacial 20.02 NA NA 11.08 11.90 1.99 090
fracture.
21436......... ............ A........... Treat craniofacial 30.01 NA NA 13.15 15.69 3.10 090
fracture.
21440......... ............ A........... Treat dental ridge 3.28 10.07 8.59 7.46 6.81 0.38 090
fracture.
21445......... ............ A........... Treat dental ridge 6.04 12.29 11.02 8.47 8.42 0.78 090
fracture.
21450......... ............ A........... Treat lower jaw 3.55 10.51 8.95 7.72 7.30 0.33 090
fracture.
21451......... ............ A........... Treat lower jaw 5.46 12.99 11.17 9.68 9.04 0.63 090
fracture.
21452......... ............ A........... Treat lower jaw 2.29 12.04 12.54 6.06 5.34 0.27 090
fracture.
21453......... ............ A........... Treat lower jaw 6.40 14.81 12.78 11.66 11.20 0.74 090
fracture.
21454......... ............ A........... Treat lower jaw 7.17 NA NA 5.72 6.00 0.82 090
fracture.
21461......... ............ A........... Treat lower jaw 9.07 41.73 33.10 12.82 12.74 0.98 090
fracture.
21462......... ............ A........... Treat lower jaw 10.77 43.02 35.32 13.41 13.07 1.27 090
fracture.
21465......... ............ A........... Treat lower jaw 12.88 NA NA 8.12 8.97 1.50 090
fracture.
[[Page 2582]]
21470......... ............ A........... Treat lower jaw 17.24 NA NA 10.18 11.10 1.97 090
fracture.
21480......... ............ A........... Reset dislocated 0.61 1.52 1.65 0.18 0.18 0.06 000
jaw.
21485......... ............ A........... Reset dislocated 4.58 12.10 10.16 9.11 8.39 0.51 090
jaw.
21490......... ............ A........... Repair dislocated 12.71 NA NA 8.13 8.91 1.97 090
jaw.
21495......... ............ A........... Treat hyoid bone 6.55 NA NA 10.48 9.45 0.46 090
fracture.
21497......... ............ A........... Interdental wiring 4.45 12.23 10.34 9.35 8.50 0.50 090
21499......... ............ C........... Head surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
21501......... ............ A........... Drain neck/chest 3.87 6.56 6.49 3.52 3.67 0.43 090
lesion.
21502......... ............ A........... Drain chest lesion 7.43 NA NA 4.56 5.10 0.97 090
21510......... ............ A........... Drainage of bone 6.06 NA NA 4.81 5.24 0.80 090
lesion.
21550......... ............ A........... Biopsy of neck/ 2.08 4.36 3.97 1.79 1.75 0.16 010
chest.
21555......... ............ A........... Remove lesion, 4.40 5.79 5.65 3.43 3.31 0.56 090
neck/chest.
21556......... ............ A........... Remove lesion, 5.63 NA NA 4.14 4.12 0.65 090
neck/chest.
21557......... ............ A........... Remove tumor, neck/ 8.91 NA NA 4.51 4.94 1.08 090
chest.
21600......... ............ A........... Partial removal of 7.14 NA NA 5.97 5.85 0.99 090
rib.
21610......... ............ A........... Partial removal of 15.76 NA NA 8.90 8.89 3.08 090
rib.
21615......... ............ A........... Removal of rib.... 10.31 NA NA 5.17 5.93 1.45 090
21616......... ............ A........... Removal of rib and 12.54 NA NA 6.52 7.27 1.87 090
nerves.
21620......... ............ A........... Partial removal of 7.16 NA NA 4.76 5.37 0.98 090
sternum.
21627......... ............ A........... Sternal 7.18 NA NA 5.55 5.93 1.02 090
debridement.
21630......... ............ A........... Extensive sternum 19.01 NA NA 10.36 11.10 2.59 090
surgery.
21632......... ............ A........... Extensive sternum 19.51 NA NA 9.43 10.27 2.66 090
surgery.
21685......... ............ A........... Hyoid myotomy & 14.89 NA NA 8.77 9.37 1.06 090
suspension.
21700......... ............ A........... Revision of neck 6.23 NA NA 4.40 4.42 0.32 090
muscle.
21705......... ............ A........... Revision of neck 9.83 NA NA 4.36 4.97 1.43 090
muscle/rib.
21720......... ............ A........... Revision of neck 5.72 NA NA 4.11 3.29 0.91 090
muscle.
21725......... ............ A........... Revision of neck 7.10 NA NA 5.15 5.30 1.21 090
muscle.
21740......... ............ A........... Reconstruction of 17.47 NA NA 8.21 8.36 2.37 090
sternum.
21742......... ............ C........... Repair stern/nuss 0.00 0.00 0.00 0.00 0.00 0.00 090
w/o scope.
21743......... ............ C........... Repair sternum/ 0.00 0.00 0.00 0.00 0.00 0.00 090
nuss w/scope.
21750......... ............ A........... Repair of sternum 11.35 NA NA 5.32 5.72 1.63 090
separation.
21800......... ............ A........... Treatment of rib 0.98 1.36 1.35 1.43 1.38 0.09 090
fracture.
21805......... ............ A........... Treatment of rib 2.80 NA NA 3.27 3.24 0.38 090
fracture.
21810......... ............ A........... Treatment of rib 6.92 NA NA 5.38 5.17 0.94 090
fracture(s).
21820......... ............ A........... Treat sternum 1.31 1.83 1.83 1.89 1.83 0.16 090
fracture.
21825......... ............ A........... Treat sternum 7.65 NA NA 5.38 5.89 1.11 090
fracture.
21899......... ............ C........... Neck/chest surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
21920......... ............ A........... Biopsy soft tissue 2.08 4.44 3.86 1.88 1.68 0.14 010
of back.
21925......... ............ A........... Biopsy soft tissue 4.54 5.35 5.26 3.36 3.30 0.60 090
of back.
21930......... ............ A........... Remove lesion, 5.06 6.05 5.88 3.78 3.59 0.66 090
back or flank.
21935......... ............ A........... Remove tumor, back 18.38 NA NA 8.45 9.04 2.48 090
22010......... ............ A........... I&d, p-spine, c/t/ 12.57 NA NA 8.36 8.62 1.74 090
cerv-thor.
22015......... ............ A........... I&d, p-spine, l/s/ 12.46 NA NA 8.34 8.59 1.72 090
ls.
22100......... ............ A........... Remove part of 10.80 NA NA 8.20 7.87 2.14 090
neck vertebra.
22101......... ............ A........... Remove part, 10.88 NA NA 8.12 7.94 1.91 090
thorax vertebra.
22102......... ............ A........... Remove part, 10.88 NA NA 7.93 8.02 1.88 090
lumbar vertebra.
22103......... ............ A........... Remove extra spine 2.34 NA NA 0.90 1.05 0.44 ZZZ
segment.
22110......... ............ A........... Remove part of 13.80 NA NA 9.12 9.15 2.77 090
neck vertebra.
22112......... ............ A........... Remove part, 13.87 NA NA 9.03 9.16 2.53 090
thorax vertebra.
22114......... ............ A........... Remove part, 13.87 NA NA 9.01 9.14 2.64 090
lumbar vertebra.
22116......... ............ A........... Remove extra spine 2.32 NA NA 0.89 1.03 0.50 ZZZ
segment.
22206......... ............ A........... Cut spine 3 col, 37.00 NA NA 17.73 17.73 6.23 090
thor.
22207......... ............ A........... Cut spine 3 col, 36.50 NA NA 17.61 17.61 6.07 090
lumb.
22208......... ............ A........... Cut spine 3 col, 9.66 3.73 3.73 3.73 3.73 2.07 ZZZ
addl seg.
22210......... ............ A........... Revision of neck 25.13 NA NA 14.56 14.99 5.46 090
spine.
22212......... ............ A........... Revision of thorax 20.74 NA NA 12.45 12.87 3.91 090
spine.
22214......... ............ A........... Revision of lumbar 20.77 NA NA 12.54 13.18 3.92 090
spine.
22216......... ............ A........... Revise, extra 6.03 NA NA 2.32 2.73 1.29 ZZZ
spine segment.
22220......... ............ A........... Revision of neck 22.69 NA NA 13.36 13.50 5.08 090
spine.
22222......... ............ A........... Revision of thorax 22.84 NA NA 10.47 10.80 4.13 090
spine.
22224......... ............ A........... Revision of lumbar 22.84 NA NA 12.90 13.57 4.19 090
spine.
22226......... ............ A........... Revise, extra 6.03 NA NA 2.28 2.69 1.29 ZZZ
spine segment.
22305......... ............ A........... Treat spine 2.08 2.15 2.23 1.80 1.86 0.39 090
process fracture.
22310......... ............ A........... Treat spine 3.69 2.99 2.90 2.50 2.43 0.50 090
fracture.
22315......... ............ A........... Treat spine 9.91 9.89 9.79 7.44 7.39 1.86 090
fracture.
22318......... ............ A........... Treat odontoid fx 22.54 NA NA 13.27 13.33 5.30 090
w/o graft.
22319......... ............ A........... Treat odontoid fx 25.15 NA NA 13.46 14.09 6.05 090
w/graft.
22325......... ............ A........... Treat spine 19.62 NA NA 12.15 12.12 3.88 090
fracture.
22326......... ............ A........... Treat neck spine 20.64 NA NA 12.03 12.37 4.43 090
fracture.
22327......... ............ A........... Treat thorax spine 20.52 NA NA 12.34 12.36 3.99 090
fracture.
22328......... ............ A........... Treat each add 4.60 NA NA 1.76 2.01 0.94 ZZZ
spine fx.
22505......... ............ A........... Manipulation of 1.87 NA NA 1.10 1.02 0.36 010
spine.
[[Page 2583]]
22520......... ............ A........... Percut 9.17 43.83 52.77 4.58 4.84 1.72 010
vertebroplasty
thor.
22521......... ............ A........... Percut 8.60 45.01 50.51 4.36 4.65 1.60 010
vertebroplasty
lumb.
22522......... ............ A........... Percut 4.30 NA NA 1.51 1.59 0.82 ZZZ
vertebroplasty
add[AElig]l.
22523......... ............ A........... Percut 9.21 NA NA 4.67 5.29 1.72 010
kyphoplasty, thor.
22524......... ............ A........... Percut 8.81 NA NA 4.53 5.11 1.60 010
kyphoplasty,
lumbar.
22525......... ............ A........... Percut 4.47 NA NA 1.69 1.98 0.82 ZZZ
kyphoplasty, add-
on.
22526......... ............ A........... Idet, single level 6.07 46.73 46.73 2.05 2.05 1.16 010
22527......... ............ A........... Idet, 1 or more 3.03 40.40 40.40 0.70 0.70 0.58 ZZZ
levels.
22532......... ............ A........... Lat thorax spine 25.81 NA NA 13.79 14.31 4.35 090
fusion.
22533......... ............ A........... Lat lumbar spine 24.61 NA NA 13.58 13.59 3.16 090
fusion.
22534......... ............ A........... Lat thor/lumb, 5.99 NA NA 2.28 2.66 1.25 ZZZ
add[AElig]l seg.
22548......... ............ A........... Neck spine fusion. 26.86 NA NA 14.94 15.38 5.61 090
22554......... ............ A........... Neck spine fusion. 17.54 NA NA 10.65 11.50 4.46 090
22556......... ............ A........... Thorax spine 24.50 NA NA 12.96 13.85 4.35 090
fusion.
22558......... ............ A........... Lumbar spine 23.33 NA NA 11.44 12.37 3.16 090
fusion.
22585......... ............ A........... Additional spinal 5.52 NA NA 2.06 2.43 1.25 ZZZ
fusion.
22590......... ............ A........... Spine & skull 21.56 NA NA 13.08 13.21 4.79 090
spinal fusion.
22595......... ............ A........... Neck spinal fusion 20.44 NA NA 12.65 12.75 4.41 090
22600......... ............ A........... Neck spine fusion. 17.20 NA NA 11.20 11.20 3.73 090
22610......... ............ A........... Thorax spine 17.08 NA NA 10.82 11.12 3.53 090
fusion.
22612......... ............ A........... Lumbar spine 23.38 NA NA 12.50 13.36 4.47 090
fusion.
22614......... ............ A........... Spine fusion, 6.43 NA NA 2.46 2.90 1.38 ZZZ
extra segment.
22630......... ............ A........... Lumbar spine 21.89 NA NA 12.54 13.08 4.73 090
fusion.
22632......... ............ A........... Spine fusion, 5.22 NA NA 1.99 2.33 1.16 ZZZ
extra segment.
22800......... ............ A........... Fusion of spine... 19.30 NA NA 11.16 11.97 3.76 090
22802......... ............ A........... Fusion of spine... 31.91 NA NA 16.00 17.80 6.17 090
22804......... ............ A........... Fusion of spine... 37.30 NA NA 18.13 20.42 7.00 090
22808......... ............ A........... Fusion of spine... 27.31 NA NA 14.06 15.19 4.93 090
22810......... ............ A........... Fusion of spine... 31.30 NA NA 14.92 16.64 5.15 090
22812......... ............ A........... Fusion of spine... 34.00 NA NA 17.39 18.73 5.30 090
22818......... ............ A........... Kyphectomy, 1-2 34.18 NA NA 16.63 17.75 6.47 090
segments.
22819......... ............ A........... Kyphectomy, 3 or 39.18 NA NA 18.88 19.47 7.67 090
more.
22830......... ............ A........... Exploration of 11.13 NA NA 7.06 7.51 2.30 090
spinal fusion.
22840......... ............ A........... Insert spine 12.52 NA NA 4.78 5.64 2.79 ZZZ
fixation device.
22841......... ............ B........... Insert spine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fixation device.
22842......... ............ A........... Insert spine 12.56 NA NA 4.80 5.65 2.75 ZZZ
fixation device.
22843......... ............ A........... Insert spine 13.44 NA NA 5.16 5.88 2.86 ZZZ
fixation device.
22844......... ............ A........... Insert spine 16.42 NA NA 6.41 7.58 3.19 ZZZ
fixation device.
22845......... ............ A........... Insert spine 11.94 NA NA 4.49 5.28 2.86 ZZZ
fixation device.
22846......... ............ A........... Insert spine 12.40 NA NA 4.66 5.50 2.96 ZZZ
fixation device.
22847......... ............ A........... Insert spine 13.78 NA NA 5.20 6.11 3.00 ZZZ
fixation device.
22848......... ............ A........... Insert pelv 5.99 NA NA 2.34 2.76 1.15 ZZZ
fixation device.
22849......... ............ A........... Reinsert spinal 19.08 NA NA 10.17 10.95 3.90 090
fixation.
22850......... ............ A........... Remove spine 9.74 NA NA 6.41 6.70 2.05 090
fixation device.
22851......... ............ A........... Apply spine prosth 6.70 NA NA 2.54 2.95 1.49 ZZZ
device.
22852......... ............ A........... Remove spine 9.29 NA NA 6.18 6.49 1.90 090
fixation device.
22855......... ............ A........... Remove spine 15.77 NA NA 9.18 9.43 3.52 090
fixation device.
22857......... ............ R........... Lumbar artif 26.93 NA NA 14.82 14.82 3.56 090
diskectomy.
22862......... ............ R........... Revise lumbar 32.43 NA NA 16.09 16.09 5.36 090
artif disc.
22865......... ............ R........... Remove lumb artif 31.55 NA NA 15.74 15.74 5.18 090
disc.
22899......... ............ C........... Spine surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
22900......... ............ A........... Remove abdominal 6.14 NA NA 3.54 3.38 0.76 090
wall lesion.
22999......... ............ C........... Abdomen surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
23000......... ............ A........... Removal of calcium 4.40 7.89 8.21 3.74 4.08 0.68 090
deposits.
23020......... ............ A........... Release shoulder 9.24 NA NA 6.49 7.02 1.54 090
joint.
23030......... ............ A........... Drain shoulder 3.44 6.29 6.84 2.40 2.65 0.57 010
lesion.
23031......... ............ A........... Drain shoulder 2.76 6.52 7.19 2.22 2.47 0.46 010
bursa.
23035......... ............ A........... Drain shoulder 9.04 NA NA 6.46 7.36 1.47 090
bone lesion.
23040......... ............ A........... Exploratory 9.63 NA NA 6.75 7.31 1.60 090
shoulder surgery.
23044......... ............ A........... Exploratory 7.48 NA NA 5.52 5.98 1.24 090
shoulder surgery.
23065......... ............ A........... Biopsy shoulder 2.28 2.96 2.72 1.74 1.68 0.20 010
tissues.
23066......... ............ A........... Biopsy shoulder 4.21 7.76 7.72 3.61 3.80 0.63 090
tissues.
23075......... ............ A........... Removal of 2.41 3.70 3.68 1.72 1.75 0.34 010
shoulder lesion.
23076......... ............ A........... Removal of 7.77 NA NA 5.32 5.44 1.13 090
shoulder lesion.
23077......... ............ A........... Remove tumor of 18.08 NA NA 9.61 9.92 2.34 090
shoulder.
23100......... ............ A........... Biopsy of shoulder 6.09 NA NA 5.00 5.33 1.04 090
joint.
23101......... ............ A........... Shoulder joint 5.63 NA NA 4.54 4.94 0.96 090
surgery.
23105......... ............ A........... Remove shoulder 8.36 NA NA 6.10 6.61 1.42 090
joint lining.
23106......... ............ A........... Incision of 6.02 NA NA 4.79 5.25 0.99 090
collarbone joint.
23107......... ............ A........... Explore treat 8.75 NA NA 6.26 6.83 1.49 090
shoulder joint.
23120......... ............ A........... Partial removal, 7.23 NA NA 5.47 5.97 1.23 090
collar bone.
23125......... ............ A........... Removal of collar 9.52 NA NA 6.39 6.98 1.62 090
bone.
[[Page 2584]]
23130......... ............ A........... Remove shoulder 7.63 NA NA 6.08 6.61 1.30 090
bone, part.
23140......... ............ A........... Removal of bone 7.01 NA NA 4.90 5.07 1.08 090
lesion.
23145......... ............ A........... Removal of bone 9.28 NA NA 6.49 6.97 1.49 090
lesion.
23146......... ............ A........... Removal of bone 7.96 NA NA 5.92 6.52 1.35 090
lesion.
23150......... ............ A........... Removal of humerus 8.79 NA NA 6.26 6.59 1.32 090
lesion.
23155......... ............ A........... Removal of humerus 10.72 NA NA 7.26 7.79 1.81 090
lesion.
23156......... ............ A........... Removal of humerus 8.99 NA NA 6.29 6.84 1.50 090
lesion.
23170......... ............ A........... Remove collar bone 7.10 NA NA 5.00 5.51 1.12 090
lesion.
23172......... ............ A........... Remove shoulder 7.20 NA NA 5.52 5.90 1.01 090
blade lesion.
23174......... ............ A........... Remove humerus 9.90 NA NA 7.18 7.77 1.65 090
lesion.
23180......... ............ A........... Remove collar bone 8.85 NA NA 6.42 7.71 1.47 090
lesion.
23182......... ............ A........... Remove shoulder 8.47 NA NA 6.43 7.49 1.37 090
blade lesion.
23184......... ............ A........... Remove humerus 9.76 NA NA 6.93 8.12 1.63 090
lesion.
23190......... ............ A........... Partial removal of 7.36 NA NA 5.31 5.74 1.17 090
scapula.
23195......... ............ A........... Removal of head of 10.24 NA NA 6.92 7.33 1.71 090
humerus.
23200......... ............ A........... Removal of collar 12.69 NA NA 7.12 7.92 1.94 090
bone.
23210......... ............ A........... Removal of 13.16 NA NA 7.81 8.41 2.03 090
shoulder blade.
23220......... ............ A........... Partial removal of 15.36 NA NA 9.15 9.99 2.49 090
humerus.
23221......... ............ A........... Partial removal of 18.41 NA NA 10.62 11.17 3.06 090
humerus.
23222......... ............ A........... Partial removal of 25.44 NA NA 13.35 14.57 3.95 090
humerus.
23330......... ............ A........... Remove shoulder 1.87 3.36 3.52 1.51 1.70 0.24 010
foreign body.
23331......... ............ A........... Remove shoulder 7.51 NA NA 5.84 6.32 1.27 090
foreign body.
23332......... ............ A........... Remove shoulder 12.23 NA NA 7.97 8.65 2.03 090
foreign body.
23350......... ............ A........... Injection for 1.00 2.73 3.10 0.35 0.34 0.06 000
shoulder x-ray.
23395......... ............ A........... Muscle 18.29 NA NA 11.21 12.04 2.94 090
transfer,shoulder/
arm.
23397......... ............ A........... Muscle transfers.. 16.62 NA NA 9.56 10.47 2.74 090
23400......... ............ A........... Fixation of 13.73 NA NA 8.55 9.31 2.30 090
shoulder blade.
23405......... ............ A........... Incision of tendon 8.43 NA NA 5.92 6.42 1.45 090
& muscle.
23406......... ............ A........... Incise tendon(s) & 10.90 NA NA 6.91 7.63 1.88 090
muscle(s).
23410......... ............ A........... Repair rotator 12.63 NA NA 7.78 8.60 2.17 090
cuff, acute.
23412......... ............ A........... Repair rotator 13.55 NA NA 8.16 9.03 2.32 090
cuff, chronic.
23415......... ............ A........... Release of 10.09 NA NA 6.59 7.29 1.74 090
shoulder ligament.
23420......... ............ A........... Repair of shoulder 14.75 NA NA 9.71 10.28 2.32 090
23430......... ............ A........... Repair biceps 10.05 NA NA 6.78 7.44 1.74 090
tendon.
23440......... ............ A........... Remove/transplant 10.53 NA NA 6.78 7.52 1.83 090
tendon.
23450......... ............ A........... Repair shoulder 13.58 NA NA 8.18 9.02 2.33 090
capsule.
23455......... ............ A........... Repair shoulder 14.55 NA NA 8.56 9.50 2.50 090
capsule.
23460......... ............ A........... Repair shoulder 15.68 NA NA 9.37 10.37 2.67 090
capsule.
23462......... ............ A........... Repair shoulder 15.60 NA NA 9.09 9.92 2.60 090
capsule.
23465......... ............ A........... Repair shoulder 16.16 NA NA 9.50 10.34 2.77 090
capsule.
23466......... ............ A........... Repair shoulder 15.55 NA NA 10.00 10.69 2.47 090
capsule.
23470......... ............ A........... Reconstruct 17.75 NA NA 10.13 11.19 2.99 090
shoulder joint.
23472......... ............ A........... Reconstruct 22.47 NA NA 12.15 13.28 3.67 090
shoulder joint.
23480......... ............ A........... Revision of collar 11.42 NA NA 7.30 8.04 1.95 090
bone.
23485......... ............ A........... Revision of collar 13.79 NA NA 8.21 9.05 2.34 090
bone.
23490......... ............ A........... Reinforce clavicle 12.04 NA NA 6.75 7.73 1.47 090
23491......... ............ A........... Reinforce shoulder 14.40 NA NA 8.72 9.72 2.47 090
bones.
23500......... ............ A........... Treat clavicle 2.13 2.64 2.76 2.71 2.62 0.30 090
fracture.
23505......... ............ A........... Treat clavicle 3.74 4.01 4.21 3.62 3.73 0.61 090
fracture.
23515......... ............ A........... Treat clavicle 9.53 NA NA 7.01 6.78 1.28 090
fracture.
23520......... ............ A........... Treat clavicle 2.21 2.77 2.81 2.84 2.79 0.34 090
dislocation.
23525......... ............ A........... Treat clavicle 3.67 4.17 4.35 3.64 3.79 0.46 090
dislocation.
23530......... ............ A........... Treat clavicle 7.37 NA NA 5.31 5.62 1.20 090
dislocation.
23532......... ............ A........... Treat clavicle 8.08 NA NA 6.02 6.50 1.38 090
dislocation.
23540......... ............ A........... Treat clavicle 2.28 2.67 2.77 2.74 2.55 0.29 090
dislocation.
23545......... ............ A........... Treat clavicle 3.32 3.74 3.97 3.26 3.31 0.35 090
dislocation.
23550......... ............ A........... Treat clavicle 7.48 NA NA 5.54 5.96 1.25 090
dislocation.
23552......... ............ A........... Treat clavicle 8.70 NA NA 6.26 6.79 1.46 090
dislocation.
23570......... ............ A........... Treat shoulder 2.28 2.78 2.90 2.92 2.91 0.36 090
blade fx.
23575......... ............ A........... Treat shoulder 4.12 4.59 4.74 4.08 4.20 0.59 090
blade fx.
23585......... ............ A........... Treat scapula 14.07 NA NA 8.51 8.08 1.54 090
fracture.
23600......... ............ A........... Treat humerus 3.00 4.07 4.31 3.65 3.60 0.48 090
fracture.
23605......... ............ A........... Treat humerus 4.94 5.38 5.77 4.60 4.85 0.84 090
fracture.
23615......... ............ A........... Treat humerus 12.12 NA NA 8.06 8.45 1.62 090
fracture.
23616......... ............ A........... Treat humerus 18.19 NA NA 10.46 12.30 3.70 090
fracture.
23620......... ............ A........... Treat humerus 2.46 3.41 3.51 3.15 3.07 0.40 090
fracture.
23625......... ............ A........... Treat humerus 3.99 4.45 4.69 3.92 4.10 0.67 090
fracture.
23630......... ............ A........... Treat humerus 10.39 NA NA 7.37 7.00 1.27 090
fracture.
23650......... ............ A........... Treat shoulder 3.44 3.29 3.53 2.83 2.79 0.30 090
dislocation.
23655......... ............ A........... Treat shoulder 4.64 NA NA 4.15 4.16 0.69 090
dislocation.
23660......... ............ A........... Treat shoulder 7.55 NA NA 5.69 6.04 1.29 090
dislocation.
23665......... ............ A........... Treat dislocation/ 4.54 4.85 5.09 4.27 4.49 0.71 090
fracture.
[[Page 2585]]
23670......... ............ A........... Treat dislocation/ 12.12 NA NA 7.93 7.38 1.36 090
fracture.
23675......... ............ A........... Treat dislocation/ 6.13 6.13 6.48 5.13 5.49 1.01 090
fracture.
23680......... ............ A........... Treat dislocation/ 12.99 NA NA 8.24 8.17 1.76 090
fracture.
23700......... ............ A........... Fixation of 2.54 NA NA 1.90 2.04 0.44 010
shoulder.
23800......... ............ A........... Fusion of shoulder 14.59 NA NA 8.87 9.64 2.36 090
joint.
23802......... ............ A........... Fusion of shoulder 18.17 NA NA 11.22 10.70 2.71 090
joint.
23900......... ............ A........... Amputation of arm 20.57 NA NA 10.43 11.07 3.19 090
& girdle.
23920......... ............ A........... Amputation at 16.03 NA NA 9.22 9.58 2.47 090
shoulder joint.
23921......... ............ A........... Amputation follow- 5.61 NA NA 4.85 4.97 0.78 090
up surgery.
23929......... ............ C........... Shoulder surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
23930......... ............ A........... Drainage of arm 2.96 4.98 5.65 1.98 2.15 0.43 010
lesion.
23931......... ............ A........... Drainage of arm 1.81 4.36 5.14 1.75 1.96 0.28 010
bursa.
23935......... ............ A........... Drain arm/elbow 6.27 NA NA 5.10 5.51 1.05 090
bone lesion.
24000......... ............ A........... Exploratory elbow 5.99 NA NA 4.75 5.08 0.97 090
surgery.
24006......... ............ A........... Release elbow 9.62 NA NA 6.60 7.18 1.50 090
joint.
24065......... ............ A........... Biopsy arm/elbow 2.10 4.15 3.68 1.92 1.83 0.17 010
soft tissue.
24066......... ............ A........... Biopsy arm/elbow 5.26 8.27 8.61 3.92 4.03 0.80 090
soft tissue.
24075......... ............ A........... Remove arm/elbow 3.96 7.19 7.27 3.27 3.33 0.56 090
lesion.
24076......... ............ A........... Remove arm/elbow 6.36 NA NA 4.59 4.72 0.95 090
lesion.
24077......... ............ A........... Remove tumor of 11.95 NA NA 6.86 7.30 1.73 090
arm/elbow.
24100......... ............ A........... Biopsy elbow joint 4.98 NA NA 4.09 4.31 0.85 090
lining.
24101......... ............ A........... Explore/treat 6.19 NA NA 5.05 5.49 1.03 090
elbow joint.
24102......... ............ A........... Remove elbow joint 8.15 NA NA 5.81 6.34 1.33 090
lining.
24105......... ............ A........... Removal of elbow 3.67 NA NA 4.03 4.21 0.61 090
bursa.
24110......... ............ A........... Remove humerus 7.46 NA NA 5.65 6.16 1.28 090
lesion.
24115......... ............ A........... Remove/graft bone 10.00 NA NA 4.32 5.77 1.68 090
lesion.
24116......... ............ A........... Remove/graft bone 12.11 NA NA 7.68 8.38 2.06 090
lesion.
24120......... ............ A........... Remove elbow 6.71 NA NA 5.18 5.55 1.10 090
lesion.
24125......... ............ A........... Remove/graft bone 8.02 NA NA 5.99 6.08 1.06 090
lesion.
24126......... ............ A........... Remove/graft bone 8.50 NA NA 6.01 6.52 1.16 090
lesion.
24130......... ............ A........... Removal of head of 6.31 NA NA 5.13 5.58 1.04 090
radius.
24134......... ............ A........... Removal of arm 10.10 NA NA 6.91 7.88 1.64 090
bone lesion.
24136......... ............ A........... Remove radius bone 8.29 NA NA 5.77 6.50 1.38 090
lesion.
24138......... ............ A........... Remove elbow bone 8.33 NA NA 6.49 7.14 1.34 090
lesion.
24140......... ............ A........... Partial removal of 9.43 NA NA 6.58 7.84 1.51 090
arm bone.
24145......... ............ A........... Partial removal of 7.70 NA NA 5.64 6.85 1.25 090
radius.
24147......... ............ A........... Partial removal of 7.69 NA NA 6.28 7.44 1.30 090
elbow.
24149......... ............ A........... Radical resection 15.92 NA NA 10.77 11.20 2.35 090
of elbow.
24150......... ............ A........... Extensive humerus 13.70 NA NA 8.50 9.25 2.33 090
surgery.
24151......... ............ A........... Extensive humerus 16.08 NA NA 9.70 10.61 2.60 090
surgery.
24152......... ............ A........... Extensive radius 10.24 NA NA 6.17 6.95 1.48 090
surgery.
24153......... ............ A........... Extensive radius 11.73 NA NA 4.87 5.22 0.74 090
surgery.
24155......... ............ A........... Removal of elbow 11.97 NA NA 7.42 7.91 1.93 090
joint.
24160......... ............ A........... Remove elbow joint 7.89 NA NA 5.83 6.36 1.30 090
implant.
24164......... ............ A........... Remove radius head 6.34 NA NA 4.90 5.34 1.03 090
implant.
24200......... ............ A........... Removal of arm 1.78 2.74 3.08 1.36 1.49 0.20 010
foreign body.
24201......... ............ A........... Removal of arm 4.61 7.80 8.81 3.66 3.95 0.72 090
foreign body.
24220......... ............ A........... Injection for 1.31 2.66 3.15 0.46 0.45 0.08 000
elbow x-ray.
24300......... ............ A........... Manipulate elbow w/ 3.86 NA NA 5.16 5.44 0.65 090
anesth.
24301......... ............ A........... Muscle/tendon 10.26 NA NA 6.83 7.51 1.66 090
transfer.
24305......... ............ A........... Arm tendon 7.51 NA NA 5.66 6.19 1.15 090
lengthening.
24310......... ............ A........... Revision of arm 6.03 NA NA 4.73 5.16 0.96 090
tendon.
24320......... ............ A........... Repair of arm 10.74 NA NA 7.03 7.28 1.74 090
tendon.
24330......... ............ A........... Revision of arm 9.67 NA NA 6.64 7.26 1.60 090
muscles.
24331......... ............ A........... Revision of arm 10.83 NA NA 6.95 7.82 1.78 090
muscles.
24332......... ............ A........... Tenolysis, triceps 7.77 NA NA 5.92 6.35 1.23 090
24340......... ............ A........... Repair of biceps 7.96 NA NA 5.96 6.47 1.36 090
tendon.
24341......... ............ A........... Repair arm tendon/ 9.24 NA NA 7.53 7.72 1.36 090
muscle.
24342......... ............ A........... Repair of ruptured 10.74 NA NA 7.07 7.79 1.86 090
tendon.
24343......... ............ A........... Repr elbow lat 8.99 NA NA 6.99 7.57 1.43 090
ligmnt w/tiss.
24344......... ............ A........... Reconstruct elbow 14.97 NA NA 9.96 10.74 2.37 090
lat ligmnt.
24345......... ............ A........... Repr elbw med 8.99 NA NA 6.94 7.48 1.44 090
ligmnt w/tissu.
24346......... ............ A........... Reconstruct elbow 14.97 NA NA 10.04 10.69 2.34 090
med ligmnt.
24357......... ............ A........... Repair elbow, perc 5.32 NA NA 4.72 5.15 0.87 090
24358......... ............ A........... Repair elbow w/ 6.54 NA NA 5.28 5.73 1.07 090
deb, open.
24359......... ............ A........... Repair elbow deb/ 8.86 NA NA 6.20 6.20 1.41 090
attch open.
24360......... ............ A........... Reconstruct elbow 12.53 NA NA 7.84 8.66 2.06 090
joint.
24361......... ............ A........... Reconstruct elbow 14.27 NA NA 8.76 9.67 2.19 090
joint.
24362......... ............ A........... Reconstruct elbow 15.18 NA NA 5.74 7.89 2.61 090
joint.
24363......... ............ A........... Replace elbow 22.47 NA NA 12.18 12.95 3.02 090
joint.
24365......... ............ A........... Reconstruct head 8.51 NA NA 5.97 6.59 1.41 090
of radius.
24366......... ............ A........... Reconstruct head 9.25 NA NA 6.31 6.93 1.52 090
of radius.
[[Page 2586]]
24400......... ............ A........... Revision of 11.19 NA NA 7.50 8.18 1.93 090
humerus.
24410......... ............ A........... Revision of 14.96 NA NA 9.25 9.78 2.58 090
humerus.
24420......... ............ A........... Revision of 13.58 NA NA 8.51 9.53 2.18 090
humerus.
24430......... ............ A........... Repair of humerus. 15.07 NA NA 9.23 9.49 2.22 090
24435......... ............ A........... Repair humerus 14.74 NA NA 9.82 10.35 2.28 090
with graft.
24470......... ............ A........... Revision of elbow 8.81 NA NA 5.66 6.69 1.48 090
joint.
24495......... ............ A........... Decompression of 8.30 NA NA 6.41 7.58 1.18 090
forearm.
24498......... ............ A........... Reinforce humerus. 12.16 NA NA 7.67 8.47 2.07 090
24500......... ............ A........... Treat humerus 3.29 4.45 4.65 3.81 3.75 0.50 090
fracture.
24505......... ............ A........... Treat humerus 5.25 5.84 6.22 4.88 5.14 0.89 090
fracture.
24515......... ............ A........... Treat humerus 11.97 NA NA 8.04 8.72 2.03 090
fracture.
24516......... ............ A........... Treat humerus 12.07 NA NA 7.65 8.38 2.03 090
fracture.
24530......... ............ A........... Treat humerus 3.57 4.73 4.97 4.00 4.02 0.57 090
fracture.
24535......... ............ A........... Treat humerus 6.96 6.82 7.33 5.86 6.24 1.18 090
fracture.
24538......... ............ A........... Treat humerus 9.63 NA NA 7.19 7.95 1.64 090
fracture.
24545......... ............ A........... Treat humerus 12.99 NA NA 8.28 8.37 1.83 090
fracture.
24546......... ............ A........... Treat humerus 14.73 NA NA 9.11 10.22 2.74 090
fracture.
24560......... ............ A........... Treat humerus 2.87 4.11 4.30 3.43 3.31 0.44 090
fracture.
24565......... ............ A........... Treat humerus 5.64 5.94 6.28 5.05 5.29 0.93 090
fracture.
24566......... ............ A........... Treat humerus 8.86 NA NA 6.80 7.48 1.30 090
fracture.
24575......... ............ A........... Treat humerus 9.53 NA NA 6.97 7.69 1.87 090
fracture.
24576......... ............ A........... Treat humerus 2.94 4.41 4.59 3.71 3.71 0.46 090
fracture.
24577......... ............ A........... Treat humerus 5.87 6.04 6.49 5.08 5.47 0.95 090
fracture.
24579......... ............ A........... Treat humerus 11.26 NA NA 7.74 8.29 2.03 090
fracture.
24582......... ............ A........... Treat humerus 9.89 NA NA 8.18 8.65 1.48 090
fracture.
24586......... ............ A........... Treat elbow 15.64 NA NA 9.33 10.28 2.65 090
fracture.
24587......... ............ A........... Treat elbow 15.65 NA NA 9.32 10.17 2.53 090
fracture.
24600......... ............ A........... Treat elbow 4.28 3.86 4.36 3.28 3.39 0.50 090
dislocation.
24605......... ............ A........... Treat elbow 5.50 NA NA 4.91 5.14 0.89 090
dislocation.
24615......... ............ A........... Treat elbow 9.72 NA NA 6.56 7.19 1.60 090
dislocation.
24620......... ............ A........... Treat elbow 7.07 NA NA 5.49 5.87 1.07 090
fracture.
24635......... ............ A........... Treat elbow 8.64 NA NA 6.55 10.31 2.29 090
fracture.
24640......... ............ A........... Treat elbow 1.22 1.53 1.69 0.83 0.81 0.12 010
dislocation.
24650......... ............ A........... Treat radius 2.22 3.43 3.60 2.99 2.87 0.35 090
fracture.
24655......... ............ A........... Treat radius 4.48 5.18 5.57 4.40 4.60 0.70 090
fracture.
24665......... ............ A........... Treat radius 8.22 NA NA 6.51 7.01 1.41 090
fracture.
24666......... ............ A........... Treat radius 9.74 NA NA 6.96 7.51 1.62 090
fracture.
24670......... ............ A........... Treat ulnar 2.60 3.73 3.92 3.15 3.11 0.41 090
fracture.
24675......... ............ A........... Treat ulnar 4.79 5.38 5.69 4.57 4.77 0.81 090
fracture.
24685......... ............ A........... Treat ulnar 8.21 NA NA 6.52 7.02 1.52 090
fracture.
24800......... ............ A........... Fusion of elbow 11.27 NA NA 6.89 7.82 1.63 090
joint.
24802......... ............ A........... Fusion/graft of 14.18 NA NA 8.03 9.21 2.38 090
elbow joint.
24900......... ............ A........... Amputation of 10.04 NA NA 6.42 6.74 1.53 090
upper arm.
24920......... ............ A........... Amputation of 10.02 NA NA 6.04 6.49 1.61 090
upper arm.
24925......... ............ A........... Amputation follow- 7.19 NA NA 4.95 5.52 1.14 090
up surgery.
24930......... ............ A........... Amputation follow- 10.72 NA NA 6.20 6.72 1.68 090
up surgery.
24931......... ............ A........... Amputate upper arm 13.32 NA NA 5.08 5.40 1.90 090
& implant.
24935......... ............ A........... Revision of 16.30 NA NA 10.47 9.25 2.14 090
amputation.
24940......... ............ C........... Revision of upper 0.00 0.00 0.00 0.00 0.00 0.00 090
arm.
24999......... ............ C........... Upper arm/elbow 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
25000......... ............ A........... Incision of tendon 3.44 NA NA 3.98 5.43 0.55 090
sheath.
25001......... ............ A........... Incise flexor 3.68 NA NA 3.95 4.09 0.55 090
carpi radialis.
25020......... ............ A........... Decompress forearm 5.97 NA NA 6.95 8.26 0.93 090
1 space.
25023......... ............ A........... Decompress forearm 13.69 NA NA 11.33 13.14 2.04 090
1 space.
25024......... ............ A........... Decompress forearm 10.62 NA NA 7.08 7.28 1.36 090
2 spaces.
25025......... ............ A........... Decompress forearm 17.77 NA NA 9.70 9.84 1.83 090
2 spaces.
25028......... ............ A........... Drainage of 5.30 NA NA 6.20 7.18 0.81 090
forearm lesion.
25031......... ............ A........... Drainage of 4.18 NA NA 3.49 5.71 0.63 090
forearm bursa.
25035......... ............ A........... Treat forearm bone 7.54 NA NA 5.63 9.61 1.24 090
lesion.
25040......... ............ A........... Explore/treat 7.41 NA NA 5.40 6.35 1.15 090
wrist joint.
25065......... ............ A........... Biopsy forearm 2.01 4.33 3.78 1.98 1.94 0.15 010
soft tissues.
25066......... ............ A........... Biopsy forearm 4.18 NA NA 3.84 5.45 0.64 090
soft tissues.
25075......... ............ A........... Removal forearm 3.78 NA NA 3.31 4.60 0.55 090
lesion subcu.
25076......... ............ A........... Removal forearm 4.97 NA NA 4.11 6.83 0.74 090
lesion deep.
25077......... ............ A........... Remove tumor, 9.90 NA NA 6.18 9.14 1.42 090
forearm/wrist.
25085......... ............ A........... Incision of wrist 5.55 NA NA 4.62 5.87 0.85 090
capsule.
25100......... ............ A........... Biopsy of wrist 3.94 NA NA 3.77 4.53 0.59 090
joint.
25101......... ............ A........... Explore/treat 4.74 NA NA 4.35 5.12 0.75 090
wrist joint.
25105......... ............ A........... Remove wrist joint 5.91 NA NA 4.98 6.14 0.92 090
lining.
25107......... ............ A........... Remove wrist joint 7.50 NA NA 6.24 7.29 0.99 090
cartilage.
25109......... ............ A........... Excise tendon 6.81 NA NA 5.24 5.24 0.96 090
forearm/wrist.
25110......... ............ A........... Remove wrist 3.96 NA NA 3.62 5.34 0.62 090
tendon lesion.
[[Page 2587]]
25111......... ............ A........... Remove wrist 3.44 NA NA 3.62 4.16 0.53 090
tendon lesion.
25112......... ............ A........... Reremove wrist 4.58 NA NA 4.08 4.67 0.70 090
tendon lesion.
25115......... ............ A........... Remove wrist/ 9.89 NA NA 7.34 10.69 1.31 090
forearm lesion.
25116......... ............ A........... Remove wrist/ 7.38 NA NA 6.19 9.67 1.11 090
forearm lesion.
25118......... ............ A........... Excise wrist 4.42 NA NA 4.15 4.95 0.68 090
tendon sheath.
25119......... ............ A........... Partial removal of 6.10 NA NA 5.07 6.33 0.96 090
ulna.
25120......... ............ A........... Removal of forearm 6.16 NA NA 5.10 8.60 1.00 090
lesion.
25125......... ............ A........... Remove/graft 7.55 NA NA 5.68 9.27 1.06 090
forearm lesion.
25126......... ............ A........... Remove/graft 7.62 NA NA 5.86 9.44 1.27 090
forearm lesion.
25130......... ............ A........... Removal of wrist 5.32 NA NA 4.73 5.58 0.80 090
lesion.
25135......... ............ A........... Remove & graft 6.96 NA NA 5.62 6.57 1.02 090
wrist lesion.
25136......... ............ A........... Remove & graft 6.03 NA NA 5.10 5.85 1.03 090
wrist lesion.
25145......... ............ A........... Remove forearm 6.43 NA NA 5.21 8.64 1.01 090
bone lesion.
25150......... ............ A........... Partial removal of 7.27 NA NA 5.53 6.87 1.14 090
ulna.
25151......... ............ A........... Partial removal of 7.57 NA NA 5.65 9.19 1.18 090
radius.
25170......... ............ A........... Extensive forearm 11.34 NA NA 7.37 11.26 1.78 090
surgery.
25210......... ............ A........... Removal of wrist 6.01 NA NA 5.05 5.92 0.88 090
bone.
25215......... ............ A........... Removal of wrist 8.02 NA NA 6.03 7.40 1.19 090
bones.
25230......... ............ A........... Partial removal of 5.28 NA NA 4.50 5.32 0.79 090
radius.
25240......... ............ A........... Partial removal of 5.22 NA NA 4.47 5.71 0.81 090
ulna.
25246......... ............ A........... Injection for 1.45 2.73 3.09 0.53 0.50 0.09 000
wrist x-ray.
25248......... ............ A........... Remove forearm 5.20 NA NA 4.05 6.29 0.72 090
foreign body.
25250......... ............ A........... Removal of wrist 6.66 NA NA 5.27 5.69 1.01 090
prosthesis.
25251......... ............ A........... Removal of wrist 9.70 NA NA 6.75 7.33 1.26 090
prosthesis.
25259......... ............ A........... Manipulate wrist w/ 3.86 NA NA 5.16 5.44 0.62 090
anesthes.
25260......... ............ A........... Repair forearm 7.89 NA NA 6.38 9.85 1.19 090
tendon/muscle.
25263......... ............ A........... Repair forearm 7.90 NA NA 6.10 9.68 1.18 090
tendon/muscle.
25265......... ............ A........... Repair forearm 9.96 NA NA 7.11 10.71 1.47 090
tendon/muscle.
25270......... ............ A........... Repair forearm 6.06 NA NA 4.97 8.50 0.95 090
tendon/muscle.
25272......... ............ A........... Repair forearm 7.10 NA NA 5.49 9.14 1.11 090
tendon/muscle.
25274......... ............ A........... Repair forearm 8.82 NA NA 6.37 10.00 1.36 090
tendon/muscle.
25275......... ............ A........... Repair forearm 8.82 NA NA 6.48 7.03 1.31 090
tendon sheath.
25280......... ............ A........... Revise wrist/ 7.28 NA NA 5.56 9.10 1.08 090
forearm tendon.
25290......... ............ A........... Incise wrist/ 5.34 NA NA 4.50 9.75 0.82 090
forearm tendon.
25295......... ............ A........... Release wrist/ 6.61 NA NA 5.29 8.73 1.00 090
forearm tendon.
25300......... ............ A........... Fusion of tendons 8.88 NA NA 6.66 7.56 1.26 090
at wrist.
25301......... ............ A........... Fusion of tendons 8.47 NA NA 6.19 7.13 1.29 090
at wrist.
25310......... ............ A........... Transplant forearm 8.26 NA NA 5.94 9.49 1.21 090
tendon.
25312......... ............ A........... Transplant forearm 9.70 NA NA 6.71 10.33 1.41 090
tendon.
25315......... ............ A........... Revise palsy hand 10.56 NA NA 7.11 10.76 1.58 090
tendon(s).
25316......... ............ A........... Revise palsy hand 12.76 NA NA 7.82 12.03 1.75 090
tendon(s).
25320......... ............ A........... Repair/revise 12.38 NA NA 9.87 10.63 1.61 090
wrist joint.
25332......... ............ A........... Revise wrist joint 11.60 NA NA 7.61 8.40 1.84 090
25335......... ............ A........... Realignment of 13.25 NA NA 8.31 9.95 1.93 090
hand.
25337......... ............ A........... Reconstruct ulna/ 11.44 NA NA 8.63 9.86 1.61 090
radioulnar.
25350......... ............ A........... Revision of radius 8.97 NA NA 6.35 10.17 1.46 090
25355......... ............ A........... Revision of radius 10.41 NA NA 6.75 10.68 1.74 090
25360......... ............ A........... Revision of ulna.. 8.62 NA NA 6.24 10.06 1.41 090
25365......... ............ A........... Revise radius & 12.77 NA NA 8.18 11.92 2.16 090
ulna.
25370......... ............ A........... Revise radius or 13.93 NA NA 9.01 12.55 2.29 090
ulna.
25375......... ............ A........... Revise radius & 13.41 NA NA 8.37 12.40 2.27 090
ulna.
25390......... ............ A........... Shorten radius or 10.58 NA NA 7.07 10.83 1.65 090
ulna.
25391......... ............ A........... Lengthen radius or 14.14 NA NA 8.67 12.62 2.22 090
ulna.
25392......... ............ A........... Shorten radius & 14.44 NA NA 8.91 12.44 2.11 090
ulna.
25393......... ............ A........... Lengthen radius & 16.42 NA NA 9.57 13.58 2.77 090
ulna.
25394......... ............ A........... Repair carpal 10.71 NA NA 6.95 7.51 1.59 090
bone, shorten.
25400......... ............ A........... Repair radius or 11.16 NA NA 7.27 11.23 1.83 090
ulna.
25405......... ............ A........... Repair/graft 14.87 NA NA 8.93 13.11 2.33 090
radius or ulna.
25415......... ............ A........... Repair radius & 13.66 NA NA 8.80 12.66 2.18 090
ulna.
25420......... ............ A........... Repair/graft 16.89 NA NA 9.93 14.11 2.62 090
radius & ulna.
25425......... ............ A........... Repair/graft 13.58 NA NA 8.49 14.94 2.09 090
radius or ulna.
25426......... ............ A........... Repair/graft 16.31 NA NA 9.20 12.88 2.55 090
radius & ulna.
25430......... ............ A........... Vasc graft into 9.57 NA NA 7.04 7.19 1.27 090
carpal bone.
25431......... ............ A........... Repair nonunion 10.75 NA NA 7.16 7.78 1.91 090
carpal bone.
25440......... ............ A........... Repair/graft wrist 10.56 NA NA 6.90 8.15 1.63 090
bone.
25441......... ............ A........... Reconstruct wrist 13.15 NA NA 8.11 9.06 2.08 090
joint.
25442......... ............ A........... Reconstruct wrist 10.98 NA NA 7.51 8.20 1.53 090
joint.
25443......... ............ A........... Reconstruct wrist 10.52 NA NA 7.22 8.00 1.37 090
joint.
25444......... ............ A........... Reconstruct wrist 11.28 NA NA 7.44 8.24 1.72 090
joint.
25445......... ............ A........... Reconstruct wrist 9.76 NA NA 6.70 7.35 1.55 090
joint.
25446......... ............ A........... Wrist replacement. 17.16 NA NA 9.99 10.96 2.48 090
25447......... ............ A........... Repair wrist 10.95 NA NA 7.87 8.27 1.61 090
joint(s).
[[Page 2588]]
25449......... ............ A........... Remove wrist joint 14.80 NA NA 8.96 9.82 2.22 090
implant.
25450......... ............ A........... Revision of wrist 7.94 NA NA 3.84 7.02 1.36 090
joint.
25455......... ............ A........... Revision of wrist 9.57 NA NA 6.85 8.86 0.96 090
joint.
25490......... ............ A........... Reinforce radius.. 9.61 NA NA 6.58 10.16 1.43 090
25491......... ............ A........... Reinforce ulna.... 10.03 NA NA 6.79 10.63 1.60 090
25492......... ............ A........... Reinforce radius 12.52 NA NA 8.34 11.82 2.15 090
and ulna.
25500......... ............ A........... Treat fracture of 2.51 3.31 3.44 2.86 2.79 0.35 090
radius.
25505......... ............ A........... Treat fracture of 5.30 5.83 6.19 4.98 5.20 0.90 090
radius.
25515......... ............ A........... Treat fracture of 8.64 NA NA 6.47 6.97 1.59 090
radius.
25520......... ............ A........... Treat fracture of 6.35 5.70 6.28 5.14 5.60 1.08 090
radius.
25525......... ............ A........... Treat fracture of 10.37 NA NA 7.42 8.71 2.13 090
radius.
25526......... ............ A........... Treat fracture of 12.96 NA NA 8.69 11.10 2.20 090
radius.
25530......... ............ A........... Treat fracture of 2.15 3.48 3.62 2.98 2.92 0.34 090
ulna.
25535......... ............ A........... Treat fracture of 5.22 5.57 5.79 4.84 5.07 0.89 090
ulna.
25545......... ............ A........... Treat fracture of 7.78 NA NA 6.23 6.95 1.53 090
ulna.
25560......... ............ A........... Treat fracture 2.50 3.37 3.53 2.85 2.73 0.35 090
radius & ulna.
25565......... ............ A........... Treat fracture 5.71 5.91 6.31 4.93 5.18 0.93 090
radius & ulna.
25574......... ............ A........... Treat fracture 8.64 NA NA 6.55 6.88 1.21 090
radius & ulna.
25575......... ............ A........... Treat fracture 12.10 NA NA 8.37 8.94 1.82 090
radius/ulna.
25600......... ............ A........... Treat fracture 2.69 3.68 3.89 3.17 3.07 0.42 090
radius/ulna.
25605......... ............ A........... Treat fracture 7.02 6.87 7.05 6.14 6.18 1.00 090
radius/ulna.
25606......... ............ A........... Treat fx distal 8.10 NA NA 6.70 7.83 1.26 090
radial.
25607......... ............ A........... Treat fx rad extra- 9.35 NA NA 7.20 7.20 1.36 090
articul.
25608......... ............ A........... Treat fx rad intra- 10.86 NA NA 7.80 7.80 1.84 090
articul.
25609......... ............ A........... Treat fx radial 3+ 14.12 NA NA 9.66 9.66 2.38 090
frag.
25622......... ............ A........... Treat wrist bone 2.68 3.91 4.09 3.36 3.23 0.41 090
fracture.
25624......... ............ A........... Treat wrist bone 4.62 5.64 5.97 4.78 4.92 0.76 090
fracture.
25628......... ............ A........... Treat wrist bone 9.51 NA NA 6.85 7.34 1.37 090
fracture.
25630......... ............ A........... Treat wrist bone 2.94 3.76 3.97 3.25 3.10 0.45 090
fracture.
25635......... ............ A........... Treat wrist bone 4.47 5.12 5.53 4.34 4.12 0.74 090
fracture.
25645......... ............ A........... Treat wrist bone 7.31 NA NA 5.56 6.10 1.20 090
fracture.
25650......... ............ A........... Treat wrist bone 3.12 3.85 4.08 3.45 3.31 0.45 090
fracture.
25651......... ............ A........... Pin ulnar styloid 5.68 NA NA 5.15 5.32 0.86 090
fracture.
25652......... ............ A........... Treat fracture 7.92 NA NA 6.16 6.58 1.21 090
ulnar styloid.
25660......... ............ A........... Treat wrist 4.84 NA NA 4.33 4.52 0.58 090
dislocation.
25670......... ............ A........... Treat wrist 7.98 NA NA 5.82 6.41 1.28 090
dislocation.
25671......... ............ A........... Pin radioulnar 6.32 NA NA 5.54 5.85 1.00 090
dislocation.
25675......... ............ A........... Treat wrist 4.75 4.72 5.19 4.00 4.32 0.62 090
dislocation.
25676......... ............ A........... Treat wrist 8.17 NA NA 6.14 6.72 1.34 090
dislocation.
25680......... ............ A........... Treat wrist 6.08 NA NA 4.39 4.56 0.78 090
fracture.
25685......... ............ A........... Treat wrist 9.97 NA NA 6.63 7.21 1.60 090
fracture.
25690......... ............ A........... Treat wrist 5.58 NA NA 4.85 5.18 0.88 090
dislocation.
25695......... ............ A........... Treat wrist 8.40 NA NA 6.01 6.55 1.32 090
dislocation.
25800......... ............ A........... Fusion of wrist 9.95 NA NA 6.80 7.95 1.57 090
joint.
25805......... ............ A........... Fusion/graft of 11.59 NA NA 7.68 8.97 1.81 090
wrist joint.
25810......... ............ A........... Fusion/graft of 11.75 NA NA 8.04 8.98 1.68 090
wrist joint.
25820......... ............ A........... Fusion of hand 7.52 NA NA 6.41 7.13 1.22 090
bones.
25825......... ............ A........... Fuse hand bones 9.54 NA NA 7.66 8.45 1.41 090
with graft.
25830......... ............ A........... Fusion, radioulnar 10.69 NA NA 10.59 12.50 1.55 090
jnt/ulna.
25900......... ............ A........... Amputation of 9.46 NA NA 6.74 9.66 1.30 090
forearm.
25905......... ............ A........... Amputation of 9.48 NA NA 6.07 9.19 1.40 090
forearm.
25907......... ............ A........... Amputation follow- 7.98 NA NA 5.77 8.77 1.10 090
up surgery.
25909......... ............ A........... Amputation follow- 9.20 NA NA 6.33 9.31 1.44 090
up surgery.
25915......... ............ A........... Amputation of 17.38 NA NA 5.98 12.43 2.94 090
forearm.
25920......... ............ A........... Amputate hand at 8.92 NA NA 6.59 7.22 1.35 090
wrist.
25922......... ............ A........... Amputate hand at 7.54 NA NA 6.28 6.67 1.12 090
wrist.
25924......... ............ A........... Amputation follow- 8.70 NA NA 6.13 7.11 1.32 090
up surgery.
25927......... ............ A........... Amputation of hand 8.98 NA NA 8.66 10.17 1.27 090
25929......... ............ A........... Amputation follow- 7.71 NA NA 5.67 5.77 1.14 090
up surgery.
25931......... ............ A........... Amputation follow- 7.93 NA NA 8.33 9.90 1.15 090
up surgery.
25999......... ............ C........... Forearm or wrist 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
26010......... ............ A........... Drainage of finger 1.56 4.06 4.81 1.52 1.57 0.18 010
abscess.
26011......... ............ A........... Drainage of finger 2.21 6.25 7.54 1.96 2.14 0.33 010
abscess.
26020......... ............ A........... Drain hand tendon 4.97 NA NA 4.74 5.05 0.73 090
sheath.
26025......... ............ A........... Drainage of palm 4.99 NA NA 4.46 4.79 0.76 090
bursa.
26030......... ............ A........... Drainage of palm 6.16 NA NA 5.00 5.36 0.92 090
bursa(s).
26034......... ............ A........... Treat hand bone 6.49 NA NA 5.58 5.97 1.01 090
lesion.
26035......... ............ A........... Decompress fingers/ 11.14 NA NA 8.13 8.00 1.47 090
hand.
26037......... ............ A........... Decompress fingers/ 7.48 NA NA 5.50 5.91 1.13 090
hand.
26040......... ............ A........... Release palm 3.38 NA NA 3.60 3.83 0.53 090
contracture.
26045......... ............ A........... Release palm 5.62 NA NA 4.89 5.27 0.93 090
contracture.
26055......... ............ A........... Incise finger 3.00 9.05 11.70 3.83 3.88 0.43 090
tendon sheath.
[[Page 2589]]
26060......... ............ A........... Incision of finger 2.85 NA NA 3.06 3.28 0.45 090
tendon.
26070......... ............ A........... Explore/treat hand 3.73 NA NA 3.06 3.21 0.48 090
joint.
26075......... ............ A........... Explore/treat 3.83 NA NA 3.37 3.58 0.53 090
finger joint.
26080......... ............ A........... Explore/treat 4.36 NA NA 4.32 4.59 0.66 090
finger joint.
26100......... ............ A........... Biopsy hand joint 3.71 NA NA 3.67 3.90 0.54 090
lining.
26105......... ............ A........... Biopsy finger 3.75 NA NA 3.68 3.96 0.59 090
joint lining.
26110......... ............ A........... Biopsy finger 3.57 NA NA 3.61 3.83 0.53 090
joint lining.
26115......... ............ A........... Removal hand 3.92 9.84 11.47 4.23 4.50 0.59 090
lesion subcut.
26116......... ............ A........... Removal hand 5.61 NA NA 5.31 5.66 0.84 090
lesion, deep.
26117......... ............ A........... Remove tumor, hand/ 8.62 NA NA 6.19 6.63 1.26 090
finger.
26121......... ............ A........... Release palm 7.61 NA NA 5.93 6.45 1.17 090
contracture.
26123......... ............ A........... Release palm 10.63 NA NA 8.22 8.54 1.43 090
contracture.
26125......... ............ A........... Release palm 4.60 NA NA 1.87 2.16 0.70 ZZZ
contracture.
26130......... ............ A........... Remove wrist joint 5.48 NA NA 4.89 5.12 0.94 090
lining.
26135......... ............ A........... Revise finger 7.02 NA NA 5.47 5.97 1.07 090
joint, each.
26140......... ............ A........... Revise finger 6.23 NA NA 5.17 5.61 0.92 090
joint, each.
26145......... ............ A........... Tendon excision, 6.38 NA NA 5.19 5.62 0.97 090
palm/finger.
26160......... ............ A........... Remove tendon 3.46 9.04 10.71 3.94 4.03 0.49 090
sheath lesion.
26170......... ............ A........... Removal of palm 4.82 NA NA 4.37 4.66 0.69 090
tendon, each.
26180......... ............ A........... Removal of finger 5.24 NA NA 4.71 5.06 0.78 090
tendon.
26185......... ............ A........... Remove finger bone 6.32 NA NA 5.73 5.89 0.81 090
26200......... ............ A........... Remove hand bone 5.56 NA NA 4.56 4.96 0.88 090
lesion.
26205......... ............ A........... Remove/graft bone 7.82 NA NA 5.85 6.37 1.20 090
lesion.
26210......... ............ A........... Removal of finger 5.21 NA NA 4.74 5.08 0.79 090
lesion.
26215......... ............ A........... Remove/graft 7.16 NA NA 5.54 5.93 0.98 090
finger lesion.
26230......... ............ A........... Partial removal of 6.38 NA NA 4.95 5.43 1.01 090
hand bone.
26235......... ............ A........... Partial removal, 6.24 NA NA 4.95 5.38 0.95 090
finger bone.
26236......... ............ A........... Partial removal, 5.37 NA NA 4.58 4.95 0.81 090
finger bone.
26250......... ............ A........... Extensive hand 7.61 NA NA 5.72 6.08 1.07 090
surgery.
26255......... ............ A........... Extensive hand 12.80 NA NA 8.29 8.83 1.69 090
surgery.
26260......... ............ A........... Extensive finger 7.09 NA NA 5.47 5.83 1.01 090
surgery.
26261......... ............ A........... Extensive finger 9.28 NA NA 6.73 6.45 1.14 090
surgery.
26262......... ............ A........... Partial removal of 5.72 NA NA 4.75 5.04 0.88 090
finger.
26320......... ............ A........... Removal of implant 4.02 NA NA 3.79 4.05 0.59 090
from hand.
26340......... ............ A........... Manipulate finger 2.62 NA NA 4.61 4.74 0.39 090
w/anesth.
26350......... ............ A........... Repair finger/hand 6.07 NA NA 9.54 12.08 0.93 090
tendon.
26352......... ............ A........... Repair/graft hand 7.75 NA NA 10.07 12.72 1.13 090
tendon.
26356......... ............ A........... Repair finger/hand 10.22 NA NA 13.72 16.05 1.21 090
tendon.
26357......... ............ A........... Repair finger/hand 8.65 NA NA 10.36 13.00 1.33 090
tendon.
26358......... ............ A........... Repair/graft hand 9.22 NA NA 10.96 13.81 1.38 090
tendon.
26370......... ............ A........... Repair finger/hand 7.17 NA NA 9.51 12.31 1.12 090
tendon.
26372......... ............ A........... Repair/graft hand 8.89 NA NA 10.54 13.54 1.40 090
tendon.
26373......... ............ A........... Repair finger/hand 8.29 NA NA 10.17 13.11 1.23 090
tendon.
26390......... ............ A........... Revise hand/finger 9.31 NA NA 9.21 11.25 1.40 090
tendon.
26392......... ............ A........... Repair/graft hand 10.38 NA NA 11.17 13.95 1.57 090
tendon.
26410......... ............ A........... Repair hand tendon 4.68 NA NA 7.64 9.79 0.73 090
26412......... ............ A........... Repair/graft hand 6.37 NA NA 8.63 10.95 0.97 090
tendon.
26415......... ............ A........... Excision, hand/ 8.40 NA NA 7.47 9.63 0.98 090
finger tendon.
26416......... ............ A........... Graft hand or 9.44 NA NA 9.05 11.83 0.79 090
finger tendon.
26418......... ............ A........... Repair finger 4.33 NA NA 8.15 10.24 0.67 090
tendon.
26420......... ............ A........... Repair/graft 6.83 NA NA 8.81 11.22 1.07 090
finger tendon.
26426......... ............ A........... Repair finger/hand 6.21 NA NA 5.12 9.14 0.95 090
tendon.
26428......... ............ A........... Repair/graft 7.28 NA NA 9.26 11.57 1.09 090
finger tendon.
26432......... ............ A........... Repair finger 4.07 NA NA 6.79 8.53 0.64 090
tendon.
26433......... ............ A........... Repair finger 4.61 NA NA 7.02 8.91 0.72 090
tendon.
26434......... ............ A........... Repair/graft 6.15 NA NA 7.94 9.74 0.93 090
finger tendon.
26437......... ............ A........... Realignment of 5.88 NA NA 7.82 9.69 0.89 090
tendons.
26440......... ............ A........... Release palm/ 5.07 NA NA 8.49 10.97 0.75 090
finger tendon.
26442......... ............ A........... Release palm & 9.50 NA NA 11.83 13.89 1.20 090
finger tendon.
26445......... ............ A........... Release hand/ 4.36 NA NA 8.24 10.69 0.65 090
finger tendon.
26449......... ............ A........... Release forearm/ 8.34 NA NA 7.28 11.53 1.06 090
hand tendon.
26450......... ............ A........... Incision of palm 3.71 NA NA 5.19 6.26 0.59 090
tendon.
26455......... ............ A........... Incision of finger 3.68 NA NA 5.15 6.22 0.58 090
tendon.
26460......... ............ A........... Incise hand/finger 3.50 NA NA 5.12 6.13 0.55 090
tendon.
26471......... ............ A........... Fusion of finger 5.79 NA NA 7.80 9.52 0.88 090
tendons.
26474......... ............ A........... Fusion of finger 5.38 NA NA 7.61 9.50 0.76 090
tendons.
26476......... ............ A........... Tendon lengthening 5.24 NA NA 7.36 9.15 0.79 090
26477......... ............ A........... Tendon shortening. 5.21 NA NA 7.58 9.32 0.81 090
26478......... ............ A........... Lengthening of 5.86 NA NA 7.79 9.81 0.90 090
hand tendon.
26479......... ............ A........... Shortening of hand 5.80 NA NA 7.74 9.65 0.92 090
tendon.
26480......... ............ A........... Transplant hand 6.76 NA NA 9.67 12.36 1.02 090
tendon.
26483......... ............ A........... Transplant/graft 8.36 NA NA 10.23 12.87 1.26 090
hand tendon.
[[Page 2590]]
26485......... ............ A........... Transplant palm 7.77 NA NA 10.09 12.73 1.15 090
tendon.
26489......... ............ A........... Transplant/graft 9.74 NA NA 10.83 11.45 1.26 090
palm tendon.
26490......... ............ A........... Revise thumb 8.48 NA NA 8.88 10.86 1.21 090
tendon.
26492......... ............ A........... Tendon transfer 9.70 NA NA 9.83 11.72 1.40 090
with graft.
26494......... ............ A........... Hand tendon/muscle 8.54 NA NA 9.24 11.11 1.28 090
transfer.
26496......... ............ A........... Revise thumb 9.66 NA NA 9.58 11.41 1.45 090
tendon.
26497......... ............ A........... Finger tendon 9.64 NA NA 9.54 11.56 1.41 090
transfer.
26498......... ............ A........... Finger tendon 14.07 NA NA 11.66 13.92 2.11 090
transfer.
26499......... ............ A........... Revision of finger 9.05 NA NA 8.86 10.95 1.35 090
26500......... ............ A........... Hand tendon 6.02 NA NA 7.75 9.60 0.90 090
reconstruction.
26502......... ............ A........... Hand tendon 7.20 NA NA 8.33 10.18 1.13 090
reconstruction.
26508......... ............ A........... Release thumb 6.07 NA NA 7.80 9.74 0.98 090
contracture.
26510......... ............ A........... Thumb tendon 5.49 NA NA 7.64 9.49 0.79 090
transfer.
26516......... ............ A........... Fusion of knuckle 7.21 NA NA 8.31 10.28 1.10 090
joint.
26517......... ............ A........... Fusion of knuckle 8.96 NA NA 9.00 11.26 1.41 090
joints.
26518......... ............ A........... Fusion of knuckle 9.15 NA NA 8.97 11.18 1.35 090
joints.
26520......... ............ A........... Release knuckle 5.36 NA NA 8.87 11.39 0.80 090
contracture.
26525......... ............ A........... Release finger 5.39 NA NA 8.89 11.44 0.81 090
contracture.
26530......... ............ A........... Revise knuckle 6.76 NA NA 5.41 5.78 1.04 090
joint.
26531......... ............ A........... Revise knuckle 7.99 NA NA 6.17 6.65 1.17 090
with implant.
26535......... ............ A........... Revise finger 5.30 NA NA 4.09 3.92 0.71 090
joint.
26536......... ............ A........... Revise/implant 6.44 NA NA 9.25 9.45 0.96 090
finger joint.
26540......... ............ A........... Repair hand joint. 6.49 NA NA 8.06 9.97 0.99 090
26541......... ............ A........... Repair hand joint 8.69 NA NA 9.12 11.26 1.28 090
with graft.
26542......... ............ A........... Repair hand joint 6.84 NA NA 8.20 10.12 1.02 090
with graft.
26545......... ............ A........... Reconstruct finger 6.99 NA NA 8.46 10.30 1.05 090
joint.
26546......... ............ A........... Repair nonunion 10.53 NA NA 11.43 13.24 1.44 090
hand.
26548......... ............ A........... Reconstruct finger 8.10 NA NA 8.81 10.83 1.20 090
joint.
26550......... ............ A........... Construct thumb 21.54 NA NA 14.55 16.07 2.46 090
replacement.
26551......... ............ A........... Great toe-hand 48.23 NA NA 17.17 24.82 7.98 090
transfer.
26553......... ............ A........... Single transfer, 47.92 NA NA 27.38 25.04 2.42 090
toe-hand.
26554......... ............ A........... Double transfer, 56.73 NA NA 35.82 36.69 9.44 090
toe-hand.
26555......... ............ A........... Positional change 16.94 NA NA 14.01 16.10 2.49 090
of finger.
26556......... ............ A........... Toe joint transfer 49.43 NA NA 18.05 25.70 2.58 090
26560......... ............ A........... Repair of web 5.43 NA NA 6.65 8.23 0.85 090
finger.
26561......... ............ A........... Repair of web 10.98 NA NA 9.51 10.93 1.45 090
finger.
26562......... ............ A........... Repair of web 16.40 NA NA 8.77 12.96 2.24 090
finger.
26565......... ............ A........... Correct metacarpal 6.80 NA NA 8.16 10.08 1.00 090
flaw.
26567......... ............ A........... Correct finger 6.88 NA NA 8.12 10.04 1.04 090
deformity.
26568......... ............ A........... Lengthen 9.15 NA NA 10.70 13.07 1.49 090
metacarpal/finger.
26580......... ............ A........... Repair hand 19.50 NA NA 9.74 11.70 2.29 090
deformity.
26587......... ............ A........... Reconstruct extra 14.36 NA NA 8.02 8.62 1.53 090
finger.
26590......... ............ A........... Repair finger 18.51 NA NA 12.43 13.19 2.78 090
deformity.
26591......... ............ A........... Repair muscles of 3.30 NA NA 6.22 7.92 0.48 090
hand.
26593......... ............ A........... Release muscles of 5.38 NA NA 7.80 9.47 0.78 090
hand.
26596......... ............ A........... Excision 9.02 NA NA 7.49 8.16 1.43 090
constricting
tissue.
26600......... ............ A........... Treat metacarpal 2.48 3.84 3.73 3.49 3.07 0.30 090
fracture.
26605......... ............ A........... Treat metacarpal 2.92 4.09 4.32 3.51 3.58 0.49 090
fracture.
26607......... ............ A........... Treat metacarpal 5.40 NA NA 4.89 5.58 0.87 090
fracture.
26608......... ............ A........... Treat metacarpal 5.43 NA NA 5.23 5.74 0.88 090
fracture.
26615......... ............ A........... Treat metacarpal 6.91 NA NA 6.02 5.66 0.86 090
fracture.
26641......... ............ A........... Treat thumb 4.01 4.04 4.30 3.40 3.47 0.39 090
dislocation.
26645......... ............ A........... Treat thumb 4.47 4.61 4.89 3.92 4.06 0.67 090
fracture.
26650......... ............ A........... Treat thumb 5.19 NA NA 4.89 5.79 0.94 090
fracture.
26665......... ............ A........... Treat thumb 7.78 NA NA 6.32 6.47 0.90 090
fracture.
26670......... ............ A........... Treat hand 3.74 3.62 3.94 3.03 2.99 0.39 090
dislocation.
26675......... ............ A........... Treat hand 4.71 5.26 5.37 4.52 4.49 0.77 090
dislocation.
26676......... ............ A........... Pin hand 5.60 NA NA 5.57 6.13 0.91 090
dislocation.
26685......... ............ A........... Treat hand 6.91 NA NA 5.97 6.06 1.09 090
dislocation.
26686......... ............ A........... Treat hand 8.06 NA NA 6.08 6.49 1.24 090
dislocation.
26700......... ............ A........... Treat knuckle 3.74 3.30 3.53 2.93 2.90 0.35 090
dislocation.
26705......... ............ A........... Treat knuckle 4.26 4.75 5.04 4.04 4.17 0.66 090
dislocation.
26706......... ............ A........... Pin knuckle 5.19 NA NA 4.70 4.90 0.81 090
dislocation.
26715......... ............ A........... Treat knuckle 6.87 NA NA 6.00 5.76 0.91 090
dislocation.
26720......... ............ A........... Treat finger 1.70 2.58 2.68 2.30 2.18 0.24 090
fracture, each.
26725......... ............ A........... Treat finger 3.39 4.09 4.43 3.41 3.46 0.53 090
fracture, each.
26727......... ............ A........... Treat finger 5.30 NA NA 5.18 5.71 0.84 090
fracture, each.
26735......... ............ A........... Treat finger 7.26 NA NA 6.13 5.84 0.95 090
fracture, each.
26740......... ............ A........... Treat finger 1.99 3.01 3.07 2.72 2.71 0.31 090
fracture, each.
26742......... ............ A........... Treat finger 3.90 4.27 4.63 3.57 3.72 0.58 090
fracture, each.
26746......... ............ A........... Treat finger 9.59 NA NA 7.20 6.38 0.91 090
fracture, each.
26750......... ............ A........... Treat finger 1.74 2.25 2.37 2.26 2.14 0.22 090
fracture, each.
[[Page 2591]]
26755......... ............ A........... Treat finger 3.15 3.75 4.08 2.94 2.97 0.42 090
fracture, each.
26756......... ............ A........... Pin finger 4.46 NA NA 4.86 5.29 0.71 090
fracture, each.
26765......... ............ A........... Treat finger 5.70 NA NA 5.47 4.93 0.66 090
fracture, each.
26770......... ............ A........... Treat finger 3.07 2.92 3.18 2.55 2.48 0.27 090
dislocation.
26775......... ............ A........... Treat finger 3.78 4.62 4.91 3.88 3.85 0.54 090
dislocation.
26776......... ............ A........... Pin finger 4.87 NA NA 4.99 5.50 0.77 090
dislocation.
26785......... ............ A........... Treat finger 6.44 NA NA 5.78 5.15 0.68 090
dislocation.
26820......... ............ A........... Thumb fusion with 8.33 NA NA 8.97 11.11 1.30 090
graft.
26841......... ............ A........... Fusion of thumb... 7.21 NA NA 8.77 11.00 1.18 090
26842......... ............ A........... Thumb fusion with 8.37 NA NA 9.02 11.20 1.32 090
graft.
26843......... ............ A........... Fusion of hand 7.67 NA NA 8.57 10.46 1.15 090
joint.
26844......... ............ A........... Fusion/graft of 8.86 NA NA 9.16 11.27 1.33 090
hand joint.
26850......... ............ A........... Fusion of knuckle. 7.03 NA NA 8.27 10.24 1.06 090
26852......... ............ A........... Fusion of knuckle 8.59 NA NA 9.14 11.02 1.22 090
with graft.
26860......... ............ A........... Fusion of finger 4.76 NA NA 7.54 9.37 0.73 090
joint.
26861......... ............ A........... Fusion of finger 1.74 NA NA 0.70 0.82 0.27 ZZZ
jnt, add-on.
26862......... ............ A........... Fusion/graft of 7.44 NA NA 8.67 10.51 1.10 090
finger joint.
26863......... ............ A........... Fuse/graft added 3.89 NA NA 1.58 1.85 0.56 ZZZ
joint.
26910......... ............ A........... Amputate 7.67 NA NA 8.28 9.75 1.16 090
metacarpal bone.
26951......... ............ A........... Amputation of 5.85 NA NA 8.40 9.28 0.71 090
finger/thumb.
26952......... ............ A........... Amputation of 6.37 NA NA 7.91 9.79 0.95 090
finger/thumb.
26989......... ............ C........... Hand/finger 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
26990......... ............ A........... Drainage of pelvis 7.84 NA NA 6.21 6.71 1.22 090
lesion.
26991......... ............ A........... Drainage of pelvis 6.97 8.62 9.89 4.88 5.16 1.11 090
bursa.
26992......... ............ A........... Drainage of bone 13.37 NA NA 8.42 9.40 2.17 090
lesion.
27000......... ............ A........... Incision of hip 5.66 NA NA 4.51 4.90 0.98 090
tendon.
27001......... ............ A........... Incision of hip 7.05 NA NA 5.23 5.66 1.24 090
tendon.
27003......... ............ A........... Incision of hip 7.70 NA NA 5.73 6.11 1.12 090
tendon.
27005......... ............ A........... Incision of hip 9.96 NA NA 6.49 7.15 1.73 090
tendon.
27006......... ............ A........... Incision of hip 9.99 NA NA 6.76 7.37 1.70 090
tendons.
27025......... ............ A........... Incision of hip/ 12.66 NA NA 8.21 8.38 1.85 090
thigh fascia.
27030......... ............ A........... Drainage of hip 13.54 NA NA 8.04 8.84 2.27 090
joint.
27033......... ............ A........... Exploration of hip 13.99 NA NA 8.40 9.16 2.33 090
joint.
27035......... ............ A........... Denervation of hip 17.23 NA NA 8.53 9.88 2.16 090
joint.
27036......... ............ A........... Excision of hip 14.18 NA NA 8.92 9.47 2.27 090
joint/muscle.
27040......... ............ A........... Biopsy of soft 2.89 5.19 5.22 1.87 1.94 0.27 010
tissues.
27041......... ............ A........... Biopsy of soft 10.07 NA NA 5.74 6.19 1.35 090
tissues.
27047......... ............ A........... Remove hip/pelvis 7.51 7.03 7.07 4.50 4.63 1.03 090
lesion.
27048......... ............ A........... Remove hip/pelvis 6.44 NA NA 4.61 4.70 0.92 090
lesion.
27049......... ............ A........... Remove tumor, hip/ 15.20 NA NA 8.17 8.29 2.07 090
pelvis.
27050......... ............ A........... Biopsy of 4.65 NA NA 3.01 3.72 0.60 090
sacroiliac joint.
27052......... ............ A........... Biopsy of hip 7.27 NA NA 5.65 5.77 1.08 090
joint.
27054......... ............ A........... Removal of hip 9.09 NA NA 6.49 6.92 1.47 090
joint lining.
27060......... ............ A........... Removal of ischial 5.78 NA NA 4.37 4.37 0.80 090
bursa.
27062......... ............ A........... Remove femur 5.66 NA NA 4.60 4.90 0.93 090
lesion/bursa.
27065......... ............ A........... Removal of hip 6.44 NA NA 4.99 5.22 1.01 090
bone lesion.
27066......... ............ A........... Removal of hip 11.06 NA NA 7.44 7.94 1.80 090
bone lesion.
27067......... ............ A........... Remove/graft hip 14.57 NA NA 8.85 9.76 1.85 090
bone lesion.
27070......... ............ A........... Partial removal of 11.44 NA NA 8.03 8.59 1.75 090
hip bone.
27071......... ............ A........... Partial removal of 12.25 NA NA 8.48 9.31 1.93 090
hip bone.
27075......... ............ A........... Extensive hip 36.77 NA NA 16.15 17.68 5.66 090
surgery.
27076......... ............ A........... Extensive hip 24.25 NA NA 12.83 13.68 3.71 090
surgery.
27077......... ............ A........... Extensive hip 42.54 NA NA 19.95 21.31 6.14 090
surgery.
27078......... ............ A........... Extensive hip 14.54 NA NA 8.82 9.38 2.23 090
surgery.
27079......... ............ A........... Extensive hip 14.91 NA NA 8.01 8.78 1.95 090
surgery.
27080......... ............ A........... Removal of tail 6.80 NA NA 4.59 4.71 0.93 090
bone.
27086......... ............ A........... Remove hip foreign 1.89 3.66 4.11 1.48 1.65 0.25 010
body.
27087......... ............ A........... Remove hip foreign 8.72 NA NA 5.66 6.16 1.35 090
body.
27090......... ............ A........... Removal of hip 11.57 NA NA 7.41 8.10 1.95 090
prosthesis.
27091......... ............ A........... Removal of hip 24.15 NA NA 12.91 13.46 3.85 090
prosthesis.
27093......... ............ A........... Injection for hip 1.30 3.15 3.81 0.47 0.48 0.13 000
x-ray.
27095......... ............ A........... Injection for hip 1.50 3.71 4.72 0.51 0.51 0.14 000
x-ray.
27096......... ............ A........... Inject sacroiliac 1.40 2.52 3.44 0.33 0.33 0.08 000
joint.
27097......... ............ A........... Revision of hip 9.16 NA NA 6.34 6.38 1.57 090
tendon.
27098......... ............ A........... Transfer tendon to 9.20 NA NA 4.91 5.97 0.95 090
pelvis.
27100......... ............ A........... Transfer of 11.21 NA NA 7.40 8.04 1.86 090
abdominal muscle.
27105......... ............ A........... Transfer of spinal 11.90 NA NA 7.36 8.26 1.73 090
muscle.
27110......... ............ A........... Transfer of 13.63 NA NA 8.28 8.70 2.19 090
iliopsoas muscle.
27111......... ............ A........... Transfer of 12.46 NA NA 8.07 8.61 1.95 090
iliopsoas muscle.
27120......... ............ A........... Reconstruction of 19.10 NA NA 10.82 11.33 3.09 090
hip socket.
27122......... ............ A........... Reconstruction of 15.95 NA NA 9.44 10.24 2.62 090
hip socket.
27125......... ............ A........... Partial hip 16.46 NA NA 9.60 10.11 2.55 090
replacement.
[[Page 2592]]
27130......... ............ A........... Total hip 21.61 NA NA 11.77 12.54 3.51 090
arthroplasty.
27132......... ............ A........... Total hip 25.49 NA NA 13.43 14.54 4.05 090
arthroplasty.
27134......... ............ A........... Revise hip joint 30.13 NA NA 14.69 16.25 4.95 090
replacement.
27137......... ............ A........... Revise hip joint 22.55 NA NA 11.73 12.84 3.68 090
replacement.
27138......... ............ A........... Revise hip joint 23.55 NA NA 12.12 13.26 3.85 090
replacement.
27140......... ............ A........... Transplant femur 12.66 NA NA 7.88 8.65 2.12 090
ridge.
27146......... ............ A........... Incision of hip 18.72 NA NA 10.69 11.42 2.97 090
bone.
27147......... ............ A........... Revision of hip 21.87 NA NA 12.02 12.64 3.58 090
bone.
27151......... ............ A........... Incision of hip 23.92 NA NA 12.89 10.42 3.92 090
bones.
27156......... ............ A........... Revision of hip 26.03 NA NA 13.72 14.90 4.22 090
bones.
27158......... ............ A........... Revision of pelvis 20.89 NA NA 11.52 11.25 3.17 090
27161......... ............ A........... Incision of neck 17.74 NA NA 10.36 11.24 2.95 090
of femur.
27165......... ............ A........... Incision/fixation 20.06 NA NA 11.58 12.25 3.11 090
of femur.
27170......... ............ A........... Repair/graft femur 17.46 NA NA 9.76 10.53 2.82 090
head/neck.
27175......... ............ A........... Treat slipped 9.29 NA NA 5.17 5.92 1.46 090
epiphysis.
27176......... ............ A........... Treat slipped 12.78 NA NA 8.18 8.60 2.23 090
epiphysis.
27177......... ............ A........... Treat slipped 15.94 NA NA 9.64 10.27 2.62 090
epiphysis.
27178......... ............ A........... Treat slipped 12.78 NA NA 7.98 8.20 2.09 090
epiphysis.
27179......... ............ A........... Revise head/neck 13.83 NA NA 8.57 9.29 2.26 090
of femur.
27181......... ............ A........... Treat slipped 15.98 NA NA 9.74 9.98 1.57 090
epiphysis.
27185......... ............ A........... Revision of femur 9.67 NA NA 6.65 7.08 2.40 090
epiphysis.
27187......... ............ A........... Reinforce hip 14.09 NA NA 8.69 9.51 2.38 090
bones.
27193......... ............ A........... Treat pelvic ring 5.98 4.63 4.86 4.76 4.92 0.96 090
fracture.
27194......... ............ A........... Treat pelvic ring 10.08 NA NA 6.61 7.13 1.65 090
fracture.
27200......... ............ A........... Treat tail bone 1.87 2.08 2.15 2.22 2.19 0.28 090
fracture.
27202......... ............ A........... Treat tail bone 7.25 NA NA 4.91 10.89 1.06 090
fracture.
27215......... ............ A........... Treat pelvic 10.45 NA NA 6.55 6.82 1.98 090
fracture(s).
27216......... ............ A........... Treat pelvic ring 15.73 NA NA 9.14 9.37 2.64 090
fracture.
27217......... ............ A........... Treat pelvic ring 14.65 NA NA 8.63 9.39 2.42 090
fracture.
27218......... ............ A........... Treat pelvic ring 20.93 NA NA 11.33 11.37 3.49 090
fracture.
27220......... ............ A........... Treat hip socket 6.72 5.25 5.49 5.15 5.39 1.07 090
fracture.
27222......... ............ A........... Treat hip socket 13.97 NA NA 8.52 9.25 2.20 090
fracture.
27226......... ............ A........... Treat hip wall 15.45 NA NA 8.93 8.37 2.49 090
fracture.
27227......... ............ A........... Treat hip 25.21 NA NA 13.38 14.39 4.06 090
fracture(s).
27228......... ............ A........... Treat hip 29.13 NA NA 14.85 16.24 4.67 090
fracture(s).
27230......... ............ A........... Treat thigh 5.69 4.93 5.23 4.87 4.98 0.95 090
fracture.
27232......... ............ A........... Treat thigh 11.66 NA NA 6.10 6.64 1.86 090
fracture.
27235......... ............ A........... Treat thigh 12.88 NA NA 7.98 8.72 2.12 090
fracture.
27236......... ............ A........... Treat thigh 17.43 NA NA 10.14 10.60 2.72 090
fracture.
27238......... ............ A........... Treat thigh 5.64 NA NA 4.65 4.90 0.89 090
fracture.
27240......... ............ A........... Treat thigh 13.66 NA NA 8.21 8.84 2.17 090
fracture.
27244......... ............ A........... Treat thigh 17.08 NA NA 9.62 10.46 2.78 090
fracture.
27245......... ............ A........... Treat thigh 21.09 NA NA 11.34 12.55 3.53 090
fracture.
27246......... ............ A........... Treat thigh 4.75 3.91 4.18 3.95 4.18 0.81 090
fracture.
27248......... ............ A........... Treat thigh 10.64 NA NA 6.38 7.30 1.82 090
fracture.
27250......... ............ A........... Treat hip 7.21 NA NA 4.30 4.46 0.62 090
dislocation.
27252......... ............ A........... Treat hip 10.92 NA NA 6.49 6.96 1.66 090
dislocation.
27253......... ............ A........... Treat hip 13.46 NA NA 8.17 8.98 2.25 090
dislocation.
27254......... ............ A........... Treat hip 18.80 NA NA 10.54 11.28 3.18 090
dislocation.
27256......... ............ A........... Treat hip 4.25 2.52 3.02 1.41 1.75 0.46 010
dislocation.
27257......... ............ A........... Treat hip 5.35 NA NA 2.54 2.68 0.69 010
dislocation.
27258......... ............ A........... Treat hip 16.04 NA NA 9.48 10.18 2.65 090
dislocation.
27259......... ............ A........... Treat hip 23.03 NA NA 12.78 13.45 3.75 090
dislocation.
27265......... ............ A........... Treat hip 5.12 NA NA 3.95 4.37 0.63 090
dislocation.
27266......... ............ A........... Treat hip 7.67 NA NA 5.51 5.93 1.29 090
dislocation.
27267......... ............ A........... Cltx thigh fx..... 5.38 NA NA 4.40 4.40 0.89 090
27268......... ............ A........... Cltx thigh fx w/ 7.00 NA NA 5.02 5.02 1.16 090
mnpj.
27269......... ............ A........... Optx thigh fx..... 18.75 NA NA 9.89 9.89 2.93 090
27275......... ............ A........... Manipulation of 2.29 NA NA 1.85 1.98 0.39 010
hip joint.
27280......... ............ A........... Fusion of 14.49 NA NA 8.88 9.58 2.54 090
sacroiliac joint.
27282......... ............ A........... Fusion of pubic 11.71 NA NA 7.78 7.89 1.87 090
bones.
27284......... ............ A........... Fusion of hip 24.91 NA NA 12.01 13.39 3.93 090
joint.
27286......... ............ A........... Fusion of hip 24.97 NA NA 12.61 14.21 3.13 090
joint.
27290......... ............ A........... Amputation of leg 24.38 NA NA 12.11 13.09 3.44 090
at hip.
27295......... ............ A........... Amputation of leg 19.54 NA NA 9.59 10.45 2.96 090
at hip.
27299......... ............ C........... Pelvis/hip joint 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
27301......... ............ A........... Drain thigh/knee 6.67 8.20 9.14 4.65 4.89 1.04 090
lesion.
27303......... ............ A........... Drainage of bone 8.52 NA NA 5.99 6.49 1.43 090
lesion.
27305......... ............ A........... Incise thigh 6.09 NA NA 4.68 4.93 1.01 090
tendon & fascia.
27306......... ............ A........... Incision of thigh 4.66 NA NA 4.08 4.40 0.85 090
tendon.
27307......... ............ A........... Incision of thigh 5.97 NA NA 4.74 5.06 1.04 090
tendons.
27310......... ............ A........... Exploration of 9.88 NA NA 6.78 7.18 1.61 090
knee joint.
[[Page 2593]]
27323......... ............ A........... Biopsy, thigh soft 2.30 4.20 3.86 1.93 1.91 0.24 010
tissues.
27324......... ............ A........... Biopsy, thigh soft 4.95 NA NA 3.82 4.00 0.75 090
tissues.
27325......... ............ A........... Neurectomy, 7.09 NA NA 4.99 4.97 1.09 090
hamstring.
27326......... ............ A........... Neurectomy, 6.36 NA NA 5.12 5.18 1.06 090
popliteal.
27327......... ............ A........... Removal of thigh 4.52 6.04 6.02 3.58 3.65 0.64 090
lesion.
27328......... ............ A........... Removal of thigh 5.62 NA NA 4.07 4.22 0.84 090
lesion.
27329......... ............ A........... Remove tumor, 15.68 NA NA 8.47 8.75 2.15 090
thigh/knee.
27330......... ............ A........... Biopsy, knee joint 5.02 NA NA 4.26 4.42 0.86 090
lining.
27331......... ............ A........... Explore/treat knee 5.93 NA NA 4.80 5.16 1.02 090
joint.
27332......... ............ A........... Removal of knee 8.34 NA NA 6.12 6.62 1.43 090
cartilage.
27333......... ............ A........... Removal of knee 7.43 NA NA 5.69 6.18 1.26 090
cartilage.
27334......... ............ A........... Remove knee joint 9.07 NA NA 6.43 6.92 1.51 090
lining.
27335......... ............ A........... Remove knee joint 10.43 NA NA 7.02 7.62 1.75 090
lining.
27340......... ............ A........... Removal of kneecap 4.23 NA NA 4.04 4.30 0.72 090
bursa.
27345......... ............ A........... Removal of knee 5.98 NA NA 4.89 5.26 1.00 090
cyst.
27347......... ............ A........... Remove knee cyst.. 6.58 NA NA 5.26 5.34 0.98 090
27350......... ............ A........... Removal of kneecap 8.54 NA NA 6.25 6.75 1.41 090
27355......... ............ A........... Remove femur 7.89 NA NA 5.81 6.29 1.32 090
lesion.
27356......... ............ A........... Remove femur 9.97 NA NA 6.84 7.34 1.65 090
lesion/graft.
27357......... ............ A........... Remove femur 11.02 NA NA 7.48 8.09 1.96 090
lesion/graft.
27358......... ............ A........... Remove femur 4.73 NA NA 1.81 2.17 0.82 ZZZ
lesion/fixation.
27360......... ............ A........... Partial removal, 11.34 NA NA 8.05 8.81 1.84 090
leg bone(s).
27365......... ............ A........... Extensive leg 17.93 NA NA 10.42 11.05 2.80 090
surgery.
27370......... ............ A........... Injection for knee 0.96 3.00 3.36 0.36 0.34 0.08 000
x-ray.
27372......... ............ A........... Removal of foreign 5.12 8.31 9.18 4.04 4.36 0.84 090
body.
27380......... ............ A........... Repair of kneecap 7.34 NA NA 6.06 6.67 1.24 090
tendon.
27381......... ............ A........... Repair/graft 10.64 NA NA 7.56 8.33 1.80 090
kneecap tendon.
27385......... ............ A........... Repair of thigh 8.00 NA NA 6.31 6.97 1.36 090
muscle.
27386......... ............ A........... Repair/graft of 10.99 NA NA 7.93 8.72 1.86 090
thigh muscle.
27390......... ............ A........... Incision of thigh 5.44 NA NA 4.47 4.79 0.92 090
tendon.
27391......... ............ A........... Incision of thigh 7.38 NA NA 5.55 6.06 1.23 090
tendons.
27392......... ............ A........... Incision of thigh 9.51 NA NA 6.67 7.13 1.57 090
tendons.
27393......... ............ A........... Lengthening of 6.50 NA NA 4.96 5.40 1.10 090
thigh tendon.
27394......... ............ A........... Lengthening of 8.68 NA NA 6.15 6.69 1.47 090
thigh tendons.
27395......... ............ A........... Lengthening of 12.10 NA NA 7.93 8.63 2.05 090
thigh tendons.
27396......... ............ A........... Transplant of 8.04 NA NA 5.83 6.42 1.34 090
thigh tendon.
27397......... ............ A........... Transplants of 12.46 NA NA 8.35 8.70 1.83 090
thigh tendons.
27400......... ............ A........... Revise thigh 9.21 NA NA 6.51 6.88 1.31 090
muscles/tendons.
27403......... ............ A........... Repair of knee 8.51 NA NA 6.03 6.61 1.44 090
cartilage.
27405......... ............ A........... Repair of knee 8.96 NA NA 6.39 6.94 1.51 090
ligament.
27407......... ............ A........... Repair of knee 10.71 NA NA 6.83 7.58 1.79 090
ligament.
27409......... ............ A........... Repair of knee 13.57 NA NA 8.26 9.11 2.25 090
ligaments.
27412......... ............ A........... Autochondrocyte 24.53 NA NA 13.66 14.23 4.36 090
implant knee.
27415......... ............ A........... Osteochondral knee 19.79 NA NA 11.79 12.17 4.36 090
allograft.
27416......... ............ A........... Osteochondral knee 14.00 NA NA 8.39 8.39 2.32 090
autograft.
27418......... ............ A........... Repair degenerated 11.46 NA NA 7.57 8.24 1.89 090
kneecap.
27420......... ............ A........... Revision of 10.14 NA NA 6.91 7.51 1.72 090
unstable kneecap.
27422......... ............ A........... Revision of 10.09 NA NA 6.88 7.50 1.71 090
unstable kneecap.
27424......... ............ A........... Revision/removal 10.12 NA NA 6.90 7.50 1.71 090
of kneecap.
27425......... ............ A........... Lat retinacular 5.28 NA NA 4.70 5.12 0.90 090
release open.
27427......... ............ A........... Reconstruction, 9.67 NA NA 6.70 7.25 1.63 090
knee.
27428......... ............ A........... Reconstruction, 15.33 NA NA 10.05 10.65 2.43 090
knee.
27429......... ............ A........... Reconstruction, 17.24 NA NA 11.26 11.84 2.71 090
knee.
27430......... ............ A........... Revision of thigh 10.04 NA NA 6.84 7.42 1.70 090
muscles.
27435......... ............ A........... Incision of knee 10.68 NA NA 7.59 8.04 1.70 090
joint.
27437......... ............ A........... Revise kneecap.... 8.82 NA NA 6.19 6.72 1.49 090
27438......... ............ A........... Revise kneecap 11.77 NA NA 7.50 8.02 1.96 090
with implant.
27440......... ............ A........... Revision of knee 10.97 NA NA 7.00 6.50 1.82 090
joint.
27441......... ............ A........... Revision of knee 11.42 NA NA 7.36 7.04 1.89 090
joint.
27442......... ............ A........... Revision of knee 12.25 NA NA 7.64 8.28 2.10 090
joint.
27443......... ............ A........... Revision of knee 11.29 NA NA 7.35 8.04 1.91 090
joint.
27445......... ............ A........... Revision of knee 18.52 NA NA 10.42 11.39 3.09 090
joint.
27446......... ............ A........... Revision of knee 16.26 NA NA 9.29 10.28 2.81 090
joint.
27447......... ............ A........... Total knee 23.04 NA NA 12.58 13.59 3.80 090
arthroplasty.
27448......... ............ A........... Incision of thigh. 11.48 NA NA 7.32 7.96 1.95 090
27450......... ............ A........... Incision of thigh. 14.47 NA NA 8.84 9.71 2.43 090
27454......... ............ A........... Realignment of 18.97 NA NA 10.73 11.62 3.13 090
thigh bone.
27455......... ............ A........... Realignment of 13.24 NA NA 8.31 9.10 2.25 090
knee.
27457......... ............ A........... Realignment of 13.92 NA NA 8.23 9.08 2.35 090
knee.
27465......... ............ A........... Shortening of 18.44 NA NA 10.29 10.26 2.48 090
thigh bone.
27466......... ............ A........... Lengthening of 17.13 NA NA 10.06 10.95 2.78 090
thigh bone.
27468......... ............ A........... Shorten/lengthen 19.82 NA NA 11.17 11.77 3.31 090
thighs.
[[Page 2594]]
27470......... ............ A........... Repair of thigh... 16.97 NA NA 10.16 10.98 2.80 090
27472......... ............ A........... Repair/graft of 18.57 NA NA 10.64 11.67 3.08 090
thigh.
27475......... ............ A........... Surgery to stop 8.82 NA NA 6.20 6.71 1.36 090
leg growth.
27477......... ............ A........... Surgery to stop 10.03 NA NA 6.60 7.17 1.74 090
leg growth.
27479......... ............ A........... Surgery to stop 13.04 NA NA 8.85 9.25 2.79 090
leg growth.
27485......... ............ A........... Surgery to stop 9.02 NA NA 6.22 6.81 1.53 090
leg growth.
27486......... ............ A........... Revise/replace 20.92 NA NA 11.63 12.57 3.37 090
knee joint.
27487......... ............ A........... Revise/replace 26.91 NA NA 13.98 15.27 4.40 090
knee joint.
27488......... ............ A........... Removal of knee 17.40 NA NA 10.25 10.98 2.75 090
prosthesis.
27495......... ............ A........... Reinforce thigh... 16.40 NA NA 9.60 10.51 2.72 090
27496......... ............ A........... Decompression of 6.66 NA NA 4.98 5.29 0.99 090
thigh/knee.
27497......... ............ A........... Decompression of 7.70 NA NA 4.99 5.21 1.15 090
thigh/knee.
27498......... ............ A........... Decompression of 8.54 NA NA 5.19 5.57 1.24 090
thigh/knee.
27499......... ............ A........... Decompression of 9.31 NA NA 5.98 6.40 1.47 090
thigh/knee.
27500......... ............ A........... Treatment of thigh 6.21 5.36 5.75 4.58 4.79 1.02 090
fracture.
27501......... ............ A........... Treatment of thigh 6.34 5.01 5.40 4.92 5.15 1.03 090
fracture.
27502......... ............ A........... Treatment of thigh 11.24 NA NA 6.86 7.49 1.79 090
fracture.
27503......... ............ A........... Treatment of thigh 11.13 NA NA 7.22 7.75 1.85 090
fracture.
27506......... ............ A........... Treatment of thigh 19.42 NA NA 11.37 12.08 3.04 090
fracture.
27507......... ............ A........... Treatment of thigh 14.39 NA NA 8.13 8.99 2.43 090
fracture.
27508......... ............ A........... Treatment of thigh 6.08 5.69 6.08 5.05 5.27 0.97 090
fracture.
27509......... ............ A........... Treatment of thigh 8.02 NA NA 6.54 7.25 1.34 090
fracture.
27510......... ............ A........... Treatment of thigh 9.68 NA NA 6.27 6.80 1.53 090
fracture.
27511......... ............ A........... Treatment of thigh 14.97 NA NA 8.11 9.66 2.38 090
fracture.
27513......... ............ A........... Treatment of thigh 19.11 NA NA 9.75 11.82 3.13 090
fracture.
27514......... ............ A........... Treatment of thigh 14.46 NA NA 7.89 10.62 3.01 090
fracture.
27516......... ............ A........... Treat thigh fx 5.45 5.72 6.04 5.07 5.30 0.81 090
growth plate.
27517......... ............ A........... Treat thigh fx 8.98 NA NA 6.42 6.94 1.22 090
growth plate.
27519......... ............ A........... Treat thigh fx 13.11 NA NA 7.39 9.49 2.56 090
growth plate.
27520......... ............ A........... Treat kneecap 2.93 4.10 4.32 3.53 3.48 0.47 090
fracture.
27524......... ............ A........... Treat kneecap 10.25 NA NA 6.94 7.59 1.75 090
fracture.
27530......... ............ A........... Treat knee 3.97 4.82 5.07 4.26 4.34 0.65 090
fracture.
27532......... ............ A........... Treat knee 7.43 6.40 6.88 5.63 6.04 1.26 090
fracture.
27535......... ............ A........... Treat knee 13.27 NA NA 7.45 8.78 2.01 090
fracture.
27536......... ............ A........... Treat knee 17.19 NA NA 10.20 10.91 2.74 090
fracture.
27538......... ............ A........... Treat knee 4.95 5.51 5.83 4.89 5.05 0.84 090
fracture(s).
27540......... ............ A........... Treat knee 11.16 NA NA 7.39 8.45 2.28 090
fracture.
27550......... ............ A........... Treat knee 5.84 5.21 5.62 4.51 4.72 0.76 090
dislocation.
27552......... ............ A........... Treat knee 8.04 NA NA 6.09 6.52 1.36 090
dislocation.
27556......... ............ A........... Treat knee 12.86 NA NA 7.26 9.46 2.51 090
dislocation.
27557......... ............ A........... Treat knee 15.76 NA NA 8.45 10.79 2.98 090
dislocation.
27558......... ............ A........... Treat knee 18.25 NA NA 9.29 11.17 3.09 090
dislocation.
27560......... ............ A........... Treat kneecap 3.88 4.25 4.54 3.72 3.45 0.40 090
dislocation.
27562......... ............ A........... Treat kneecap 5.86 NA NA 4.61 4.69 0.94 090
dislocation.
27566......... ............ A........... Treat kneecap 12.59 NA NA 7.89 8.61 2.13 090
dislocation.
27570......... ............ A........... Fixation of knee 1.76 NA NA 1.62 1.70 0.30 010
joint.
27580......... ............ A........... Fusion of knee.... 20.90 NA NA 12.19 13.50 3.38 090
27590......... ............ A........... Amputate leg at 13.35 NA NA 6.02 6.35 1.75 090
thigh.
27591......... ............ A........... Amputate leg at 13.82 NA NA 7.35 8.00 2.03 090
thigh.
27592......... ............ A........... Amputate leg at 10.86 NA NA 5.45 5.81 1.45 090
thigh.
27594......... ............ A........... Amputation follow- 7.17 NA NA 4.73 4.95 1.02 090
up surgery.
27596......... ............ A........... Amputation follow- 11.15 NA NA 5.98 6.40 1.57 090
up surgery.
27598......... ............ A........... Amputate lower leg 11.08 NA NA 6.20 6.61 1.65 090
at knee.
27599......... ............ C........... Leg surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
27600......... ............ A........... Decompression of 5.94 NA NA 3.80 4.16 0.86 090
lower leg.
27601......... ............ A........... Decompression of 5.94 NA NA 4.18 4.51 0.80 090
lower leg.
27602......... ............ A........... Decompression of 7.71 NA NA 4.29 4.71 1.10 090
lower leg.
27603......... ............ A........... Drain lower leg 5.12 7.05 7.27 3.90 4.03 0.74 090
lesion.
27604......... ............ A........... Drain lower leg 4.51 6.49 6.29 3.43 3.69 0.69 090
bursa.
27605......... ............ A........... Incision of 2.89 5.16 6.42 1.74 2.03 0.41 010
achilles tendon.
27606......... ............ A........... Incision of 4.15 NA NA 2.63 2.99 0.69 010
achilles tendon.
27607......... ............ A........... Treat lower leg 8.51 NA NA 5.70 5.94 1.31 090
bone lesion.
27610......... ............ A........... Explore/treat 9.01 NA NA 6.11 6.56 1.40 090
ankle joint.
27612......... ............ A........... Exploration of 8.01 NA NA 5.18 5.64 1.13 090
ankle joint.
27613......... ............ A........... Biopsy lower leg 2.19 3.91 3.57 1.78 1.79 0.20 010
soft tissue.
27614......... ............ A........... Biopsy lower leg 5.71 7.76 7.45 3.94 4.19 0.78 090
soft tissue.
27615......... ............ A........... Remove tumor, 12.93 NA NA 7.28 8.34 1.84 090
lower leg.
27618......... ............ A........... Remove lower leg 5.14 6.44 6.23 3.80 3.90 0.72 090
lesion.
27619......... ............ A........... Remove lower leg 8.47 10.00 9.76 5.28 5.62 1.25 090
lesion.
27620......... ............ A........... Explore/treat 6.04 NA NA 4.57 5.02 0.97 090
ankle joint.
27625......... ............ A........... Remove ankle joint 8.37 NA NA 5.50 5.98 1.28 090
lining.
27626......... ............ A........... Remove ankle joint 8.98 NA NA 5.78 6.35 1.48 090
lining.
[[Page 2595]]
27630......... ............ A........... Removal of tendon 4.85 7.99 7.77 3.81 4.09 0.74 090
lesion.
27635......... ............ A........... Remove lower leg 7.91 NA NA 5.63 6.19 1.31 090
bone lesion.
27637......... ............ A........... Remove/graft leg 10.17 NA NA 6.91 7.60 1.66 090
bone lesion.
27638......... ............ A........... Remove/graft leg 10.87 NA NA 7.05 7.67 1.85 090
bone lesion.
27640......... ............ A........... Partial removal of 12.10 NA NA 7.47 8.89 1.89 090
tibia.
27641......... ............ A........... Partial removal of 9.73 NA NA 6.09 7.22 1.46 090
fibula.
27645......... ............ A........... Extensive lower 14.78 NA NA 8.74 10.40 2.42 090
leg surgery.
27646......... ............ A........... Extensive lower 13.21 NA NA 7.64 9.34 2.06 090
leg surgery.
27647......... ............ A........... Extensive ankle/ 12.85 NA NA 6.54 7.08 1.76 090
heel surgery.
27648......... ............ A........... Injection for 0.96 2.88 3.20 0.34 0.34 0.08 000
ankle x-ray.
27650......... ............ A........... Repair achilles 9.94 NA NA 6.16 6.84 1.59 090
tendon.
27652......... ............ A........... Repair/graft 10.64 NA NA 6.44 7.24 1.72 090
achilles tendon.
27654......... ............ A........... Repair of achilles 10.32 NA NA 5.99 6.57 1.58 090
tendon.
27656......... ............ A........... Repair leg fascia 4.62 7.96 8.25 3.58 3.68 0.69 090
defect.
27658......... ............ A........... Repair of leg 5.03 NA NA 3.89 4.22 0.79 090
tendon, each.
27659......... ............ A........... Repair of leg 6.99 NA NA 4.68 5.16 1.09 090
tendon, each.
27664......... ............ A........... Repair of leg 4.64 NA NA 3.88 4.22 0.76 090
tendon, each.
27665......... ............ A........... Repair of leg 5.46 NA NA 4.33 4.65 0.89 090
tendon, each.
27675......... ............ A........... Repair lower leg 7.24 NA NA 4.67 5.21 1.11 090
tendons.
27676......... ............ A........... Repair lower leg 8.61 NA NA 5.73 6.24 1.37 090
tendons.
27680......... ............ A........... Release of lower 5.79 NA NA 4.16 4.64 0.93 090
leg tendon.
27681......... ............ A........... Release of lower 6.94 NA NA 5.09 5.51 1.15 090
leg tendons.
27685......... ............ A........... Revision of lower 6.57 8.78 8.04 4.57 5.02 0.97 090
leg tendon.
27686......... ............ A........... Revise lower leg 7.64 NA NA 5.29 5.89 1.24 090
tendons.
27687......... ............ A........... Revision of calf 6.30 NA NA 4.47 4.90 1.00 090
tendon.
27690......... ............ A........... Revise lower leg 8.96 NA NA 5.37 5.86 1.33 090
tendon.
27691......... ............ A........... Revise lower leg 10.28 NA NA 6.66 7.21 1.64 090
tendon.
27692......... ............ A........... Revise additional 1.87 NA NA 0.71 0.82 0.32 ZZZ
leg tendon.
27695......... ............ A........... Repair of ankle 6.58 NA NA 4.88 5.38 1.05 090
ligament.
27696......... ............ A........... Repair of ankle 8.46 NA NA 5.26 5.85 1.28 090
ligaments.
27698......... ............ A........... Repair of ankle 9.49 NA NA 5.87 6.41 1.47 090
ligament.
27700......... ............ A........... Revision of ankle 9.54 NA NA 5.21 5.45 1.30 090
joint.
27702......... ............ A........... Reconstruct ankle 14.28 NA NA 8.65 9.56 2.38 090
joint.
27703......... ............ A........... Reconstruction, 16.79 NA NA 9.78 10.51 2.77 090
ankle joint.
27704......... ............ A........... Removal of ankle 7.69 NA NA 5.62 5.61 1.27 090
implant.
27705......... ............ A........... Incision of tibia. 10.74 NA NA 6.96 7.57 1.81 090
27707......... ............ A........... Incision of fibula 4.67 NA NA 4.49 4.71 0.76 090
27709......... ............ A........... Incision of tibia 17.32 NA NA 9.96 9.05 1.74 090
& fibula.
27712......... ............ A........... Realignment of 15.67 NA NA 9.45 10.10 2.48 090
lower leg.
27715......... ............ A........... Revision of lower 15.36 NA NA 9.04 9.91 2.50 090
leg.
27720......... ............ A........... Repair of tibia... 12.22 NA NA 7.93 8.67 2.05 090
27722......... ............ A........... Repair/graft of 12.31 NA NA 7.89 8.51 2.06 090
tibia.
27724......... ............ A........... Repair/graft of 19.18 NA NA 10.29 11.33 3.17 090
tibia.
27725......... ............ A........... Repair of lower 17.15 NA NA 10.59 11.25 2.72 090
leg.
27726......... ............ A........... Repair fibula 14.20 NA NA 7.68 7.68 1.43 090
nonunion.
27727......... ............ A........... Repair of lower 14.69 NA NA 9.07 9.71 2.44 090
leg.
27730......... ............ A........... Repair of tibia 7.59 NA NA 5.31 5.87 1.73 090
epiphysis.
27732......... ............ A........... Repair of fibula 5.37 NA NA 4.17 4.55 0.77 090
epiphysis.
27734......... ............ A........... Repair lower leg 8.72 NA NA 6.17 6.23 1.35 090
epiphyses.
27740......... ............ A........... Repair of leg 9.49 NA NA 6.61 7.30 1.62 090
epiphyses.
27742......... ............ A........... Repair of leg 10.49 NA NA 4.60 5.08 1.80 090
epiphyses.
27745......... ............ A........... Reinforce tibia... 10.37 NA NA 7.00 7.58 1.76 090
27750......... ............ A........... Treatment of tibia 3.26 4.32 4.54 3.74 3.79 0.55 090
fracture.
27752......... ............ A........... Treatment of tibia 6.15 5.95 6.30 5.11 5.39 1.01 090
fracture.
27756......... ............ A........... Treatment of tibia 7.33 NA NA 5.76 6.11 1.17 090
fracture.
27758......... ............ A........... Treatment of tibia 12.40 NA NA 8.03 8.61 2.04 090
fracture.
27759......... ............ A........... Treatment of tibia 14.31 NA NA 8.67 9.50 2.39 090
fracture.
27760......... ............ A........... Cltx medial ankle 3.09 4.28 4.48 3.68 3.63 0.48 090
fx.
27762......... ............ A........... Cltx med ankle fx 5.33 5.48 5.91 4.65 4.97 0.85 090
w/mnpj.
27766......... ............ A........... Optx medial ankle 7.73 NA NA 6.13 6.68 1.44 090
fx.
27767......... ............ A........... Cltx post ankle fx 2.50 3.62 3.62 3.65 3.65 0.30 090
27768......... ............ A........... Cltx post ankle fx 5.00 NA NA 4.30 4.30 0.79 090
w/mnpj.
27769......... ............ A........... Optx post ankle fx 10.00 NA NA 6.08 6.08 1.45 090
27780......... ............ A........... Treatment of 2.72 3.87 4.02 3.31 3.26 0.41 090
fibula fracture.
27781......... ............ A........... Treatment of 4.47 4.88 5.19 4.26 4.45 0.73 090
fibula fracture.
27784......... ............ A........... Treatment of 9.51 NA NA 6.85 6.66 1.23 090
fibula fracture.
27786......... ............ A........... Treatment of ankle 2.91 4.05 4.26 3.43 3.38 0.46 090
fracture.
27788......... ............ A........... Treatment of ankle 4.52 4.97 5.31 4.23 4.44 0.74 090
fracture.
27792......... ............ A........... Treatment of ankle 9.55 NA NA 6.81 6.89 1.32 090
fracture.
27808......... ............ A........... Treatment of ankle 2.91 4.40 4.60 3.71 3.70 0.46 090
fracture.
27810......... ............ A........... Treatment of ankle 5.20 5.41 5.83 4.55 4.85 0.82 090
fracture.
27814......... ............ A........... Treatment of ankle 10.46 NA NA 7.24 7.90 1.86 090
fracture.
[[Page 2596]]
27816......... ............ A........... Treatment of ankle 2.96 3.99 4.19 3.33 3.37 0.43 090
fracture.
27818......... ............ A........... Treatment of ankle 5.57 5.41 5.89 4.44 4.81 0.82 090
fracture.
27822......... ............ A........... Treatment of ankle 11.03 NA NA 8.21 9.43 1.92 090
fracture.
27823......... ............ A........... Treatment of ankle 12.98 NA NA 8.94 10.21 2.26 090
fracture.
27824......... ............ A........... Treat lower leg 3.20 3.65 3.86 3.47 3.52 0.45 090
fracture.
27825......... ............ A........... Treat lower leg 6.60 5.78 6.19 4.76 5.07 1.02 090
fracture.
27826......... ............ A........... Treat lower leg 10.92 NA NA 8.21 8.52 1.47 090
fracture.
27827......... ............ A........... Treat lower leg 14.56 NA NA 10.19 11.48 2.44 090
fracture.
27828......... ............ A........... Treat lower leg 18.20 NA NA 11.58 12.76 2.82 090
fracture.
27829......... ............ A........... Treat lower leg 8.64 NA NA 6.97 6.88 0.95 090
joint.
27830......... ............ A........... Treat lower leg 3.85 4.09 4.24 3.56 3.71 0.54 090
dislocation.
27831......... ............ A........... Treat lower leg 4.62 NA NA 4.06 4.26 0.73 090
dislocation.
27832......... ............ A........... Treat lower leg 10.01 NA NA 6.83 6.50 1.03 090
dislocation.
27840......... ............ A........... Treat ankle 4.65 NA NA 3.65 3.71 0.46 090
dislocation.
27842......... ............ A........... Treat ankle 6.34 NA NA 4.85 4.98 1.00 090
dislocation.
27846......... ............ A........... Treat ankle 10.16 NA NA 6.77 7.35 1.71 090
dislocation.
27848......... ............ A........... Treat ankle 11.56 NA NA 7.32 8.52 1.95 090
dislocation.
27860......... ............ A........... Fixation of ankle 2.36 NA NA 1.69 1.84 0.39 010
joint.
27870......... ............ A........... Fusion of ankle 15.21 NA NA 9.08 9.81 2.37 090
joint, open.
27871......... ............ A........... Fusion of 9.42 NA NA 6.54 7.06 1.59 090
tibiofibular
joint.
27880......... ............ A........... Amputation of 15.24 NA NA 6.65 6.89 1.76 090
lower leg.
27881......... ............ A........... Amputation of 13.32 NA NA 7.38 8.12 1.99 090
lower leg.
27882......... ............ A........... Amputation of 9.67 NA NA 4.91 5.70 1.29 090
lower leg.
27884......... ............ A........... Amputation follow- 8.64 NA NA 5.11 5.43 1.22 090
up surgery.
27886......... ............ A........... Amputation follow- 9.88 NA NA 5.65 6.08 1.40 090
up surgery.
27888......... ............ A........... Amputation of foot 10.23 NA NA 6.01 6.76 1.51 090
at ankle.
27889......... ............ A........... Amputation of foot 10.72 NA NA 5.44 5.96 1.46 090
at ankle.
27892......... ............ A........... Decompression of 7.82 NA NA 5.10 5.35 1.10 090
leg.
27893......... ............ A........... Decompression of 7.78 NA NA 5.13 5.30 1.10 090
leg.
27894......... ............ A........... Decompression of 12.42 NA NA 7.34 7.56 1.65 090
leg.
27899......... ............ C........... Leg/ankle surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
28001......... ............ A........... Drainage of bursa 2.75 4.00 3.49 1.61 1.78 0.33 010
of foot.
28002......... ............ A........... Treatment of foot 5.78 6.68 5.83 3.57 3.67 0.61 010
infection.
28003......... ............ A........... Treatment of foot 8.95 7.78 7.01 4.56 4.89 1.12 090
infection.
28005......... ............ A........... Treat foot bone 9.30 NA NA 5.53 5.79 1.16 090
lesion.
28008......... ............ A........... Incision of foot 4.50 6.17 5.36 3.00 3.10 0.57 090
fascia.
28010......... ............ A........... Incision of toe 2.89 2.86 2.62 2.35 2.36 0.36 090
tendon.
28011......... ............ A........... Incision of toe 4.19 3.80 3.55 3.03 3.17 0.59 090
tendons.
28020......... ............ A........... Exploration of 5.06 7.37 6.69 3.58 3.86 0.72 090
foot joint.
28022......... ............ A........... Exploration of 4.72 6.93 6.06 3.33 3.59 0.62 090
foot joint.
28024......... ............ A........... Exploration of toe 4.43 6.56 5.89 3.12 3.52 0.58 090
joint.
28035......... ............ A........... Decompression of 5.14 7.28 6.57 3.55 3.82 0.70 090
tibia nerve.
28043......... ............ A........... Excision of foot 3.58 4.78 4.30 2.73 2.95 0.46 090
lesion.
28045......... ............ A........... Excision of foot 4.77 7.03 6.20 3.24 3.42 0.63 090
lesion.
28046......... ............ A........... Resection of 10.55 10.37 9.57 5.76 6.12 1.36 090
tumor, foot.
28050......... ............ A........... Biopsy of foot 4.30 6.95 5.92 3.30 3.44 0.60 090
joint lining.
28052......... ............ A........... Biopsy of foot 3.98 6.30 5.61 2.87 3.15 0.53 090
joint lining.
28054......... ............ A........... Biopsy of toe 3.49 6.25 5.49 2.80 3.01 0.46 090
joint lining.
28055......... ............ A........... Neurectomy, foot.. 6.20 NA NA 3.44 3.55 0.74 090
28060......... ............ A........... Partial removal, 5.29 7.08 6.28 3.54 3.71 0.70 090
foot fascia.
28062......... ............ A........... Removal of foot 6.58 7.83 7.17 3.82 3.92 0.83 090
fascia.
28070......... ............ A........... Removal of foot 5.15 7.37 6.29 3.54 3.68 0.73 090
joint lining.
28072......... ............ A........... Removal of foot 4.63 7.57 6.55 3.60 3.95 0.68 090
joint lining.
28080......... ............ A........... Removal of foot 4.65 7.67 6.39 4.19 3.94 0.47 090
lesion.
28086......... ............ A........... Excise foot tendon 4.83 7.87 7.93 3.81 4.25 0.76 090
sheath.
28088......... ............ A........... Excise foot tendon 3.90 7.00 6.38 3.19 3.54 0.61 090
sheath.
28090......... ............ A........... Removal of foot 4.46 6.77 5.96 3.18 3.32 0.59 090
lesion.
28092......... ............ A........... Removal of toe 3.69 6.47 5.84 2.99 3.26 0.49 090
lesions.
28100......... ............ A........... Removal of ankle/ 5.72 8.10 8.03 4.00 4.34 0.82 090
heel lesion.
28102......... ............ A........... Remove/graft foot 7.80 NA NA 4.84 5.40 1.14 090
lesion.
28103......... ............ A........... Remove/graft foot 6.56 NA NA 4.03 4.32 0.91 090
lesion.
28104......... ............ A........... Removal of foot 5.17 7.23 6.36 3.47 3.69 0.70 090
lesion.
28106......... ............ A........... Remove/graft foot 7.23 NA NA 4.23 4.33 0.97 090
lesion.
28107......... ............ A........... Remove/graft foot 5.62 7.70 7.11 3.66 3.93 0.74 090
lesion.
28108......... ............ A........... Removal of toe 4.21 6.35 5.47 2.99 3.12 0.53 090
lesions.
28110......... ............ A........... Part removal of 4.13 6.93 6.07 3.06 3.14 0.54 090
metatarsal.
28111......... ............ A........... Part removal of 5.06 7.10 6.69 3.20 3.43 0.67 090
metatarsal.
28112......... ............ A........... Part removal of 4.54 7.19 6.50 3.24 3.41 0.61 090
metatarsal.
28113......... ............ A........... Part removal of 5.88 8.37 7.21 4.61 4.46 0.63 090
metatarsal.
28114......... ............ A........... Removal of 11.61 13.40 12.51 8.30 8.34 1.42 090
metatarsal heads.
28116......... ............ A........... Revision of foot.. 8.94 9.45 8.12 5.34 5.26 1.03 090
28118......... ............ A........... Removal of heel 6.02 7.93 7.09 4.02 4.18 0.84 090
bone.
[[Page 2597]]
28119......... ............ A........... Removal of heel 5.45 7.22 6.32 3.58 3.65 0.70 090
spur.
28120......... ............ A........... Part removal of 5.64 8.09 7.69 3.97 4.19 0.77 090
ankle/heel.
28122......... ............ A........... Partial removal of 7.56 8.47 7.65 4.78 5.02 0.98 090
foot bone.
28124......... ............ A........... Partial removal of 4.88 6.78 5.88 3.46 3.56 0.60 090
toe.
28126......... ............ A........... Partial removal of 3.56 5.96 5.09 2.66 2.83 0.45 090
toe.
28130......... ............ A........... Removal of ankle 9.30 NA NA 6.16 6.44 1.26 090
bone.
28140......... ............ A........... Removal of 7.03 7.82 7.52 4.12 4.44 0.92 090
metatarsal.
28150......... ............ A........... Removal of toe.... 4.14 6.36 5.60 2.98 3.13 0.53 090
28153......... ............ A........... Partial removal of 3.71 6.21 5.26 2.89 2.79 0.47 090
toe.
28160......... ............ A........... Partial removal of 3.79 6.31 5.44 2.93 3.13 0.49 090
toe.
28171......... ............ A........... Extensive foot 9.85 NA NA 5.26 5.34 1.33 090
surgery.
28173......... ............ A........... Extensive foot 9.05 8.74 8.16 4.61 4.91 1.12 090
surgery.
28175......... ............ A........... Extensive foot 6.17 7.14 6.43 3.63 3.67 0.73 090
surgery.
28190......... ............ A........... Removal of foot 1.98 4.01 3.70 1.34 1.41 0.22 010
foreign body.
28192......... ............ A........... Removal of foot 4.69 6.72 6.10 3.19 3.42 0.61 090
foreign body.
28193......... ............ A........... Removal of foot 5.79 7.34 6.47 3.63 3.78 0.73 090
foreign body.
28200......... ............ A........... Repair of foot 4.65 6.88 5.99 3.23 3.39 0.61 090
tendon.
28202......... ............ A........... Repair/graft of 6.96 7.77 7.49 3.94 4.21 0.91 090
foot tendon.
28208......... ............ A........... Repair of foot 4.42 6.70 5.75 3.19 3.24 0.58 090
tendon.
28210......... ............ A........... Repair/graft of 6.41 7.63 6.92 3.93 3.98 0.81 090
foot tendon.
28220......... ............ A........... Release of foot 4.58 6.42 5.54 3.08 3.25 0.57 090
tendon.
28222......... ............ A........... Release of foot 5.67 6.93 6.09 3.35 3.73 0.69 090
tendons.
28225......... ............ A........... Release of foot 3.70 6.02 5.15 2.72 2.81 0.46 090
tendon.
28226......... ............ A........... Release of foot 4.58 6.89 5.84 3.25 3.50 0.58 090
tendons.
28230......... ............ A........... Incision of foot 4.28 6.27 5.47 2.88 3.27 0.55 090
tendon(s).
28232......... ............ A........... Incision of toe 3.43 5.94 5.23 2.68 2.99 0.44 090
tendon.
28234......... ............ A........... Incision of foot 3.43 6.30 5.48 3.06 3.21 0.44 090
tendon.
28238......... ............ A........... Revision of foot 7.85 8.39 7.82 4.37 4.65 1.06 090
tendon.
28240......... ............ A........... Release of big toe 4.40 6.36 5.49 2.95 3.22 0.58 090
28250......... ............ A........... Revision of foot 5.97 7.56 6.59 3.82 3.98 0.82 090
fascia.
28260......... ............ A........... Release of midfoot 8.08 8.45 7.39 4.61 4.80 1.14 090
joint.
28261......... ............ A........... Revision of foot 12.91 10.68 9.64 6.33 6.82 1.57 090
tendon.
28262......... ............ A........... Revision of foot 17.01 15.54 14.55 9.74 10.33 2.60 090
and ankle.
28264......... ............ A........... Release of midfoot 10.53 10.32 9.03 5.95 6.62 1.54 090
joint.
28270......... ............ A........... Release of foot 4.82 6.92 5.90 3.44 3.59 0.62 090
contracture.
28272......... ............ A........... Release of toe 3.84 5.84 5.01 2.65 2.75 0.46 090
joint, each.
28280......... ............ A........... Fusion of toes.... 5.24 7.29 6.77 3.54 4.01 0.73 090
28285......... ............ A........... Repair of 4.65 6.71 5.79 3.35 3.39 0.59 090
hammertoe.
28286......... ............ A........... Repair of 4.61 6.53 5.66 3.06 3.16 0.57 090
hammertoe.
28288......... ............ A........... Partial removal of 5.81 8.60 7.27 4.69 4.79 0.65 090
foot bone.
28289......... ............ A........... Repair hallux 8.11 9.43 8.71 5.34 5.55 1.02 090
rigidus.
28290......... ............ A........... Correction of 5.72 8.19 7.22 3.96 4.34 0.82 090
bunion.
28292......... ............ A........... Correction of 8.72 10.35 8.91 6.16 5.85 0.91 090
bunion.
28293......... ............ A........... Correction of 11.10 14.48 12.61 6.92 6.51 1.13 090
bunion.
28294......... ............ A........... Correction of 8.63 9.46 8.45 4.77 4.74 1.09 090
bunion.
28296......... ............ A........... Correction of 9.31 9.58 8.87 4.79 5.10 1.19 090
bunion.
28297......... ............ A........... Correction of 9.31 10.47 9.71 5.33 5.80 1.32 090
bunion.
28298......... ............ A........... Correction of 8.01 9.30 8.26 4.59 4.79 1.05 090
bunion.
28299......... ............ A........... Correction of 11.39 10.55 9.66 5.73 5.90 1.37 090
bunion.
28300......... ............ A........... Incision of heel 9.61 NA NA 6.04 6.54 1.54 090
bone.
28302......... ............ A........... Incision of ankle 9.62 NA NA 6.21 6.55 1.42 090
bone.
28304......... ............ A........... Incision of 9.29 9.56 8.75 5.08 5.41 1.27 090
midfoot bones.
28305......... ............ A........... Incise/graft 10.63 NA NA 5.79 6.26 1.27 090
midfoot bones.
28306......... ............ A........... Incision of 5.91 8.42 7.63 3.89 4.03 0.84 090
metatarsal.
28307......... ............ A........... Incision of 6.39 9.28 10.15 4.33 4.81 0.90 090
metatarsal.
28308......... ............ A........... Incision of 5.36 7.92 6.83 3.83 3.75 0.70 090
metatarsal.
28309......... ............ A........... Incision of 13.96 NA NA 7.69 7.82 2.05 090
metatarsals.
28310......... ............ A........... Revision of big 5.48 7.55 6.65 3.42 3.49 0.70 090
toe.
28312......... ............ A........... Revision of toe... 4.60 7.38 6.41 3.23 3.43 0.63 090
28313......... ............ A........... Repair deformity 5.06 7.27 6.28 3.61 4.22 0.73 090
of toe.
28315......... ............ A........... Removal of 4.91 6.68 5.79 3.22 3.28 0.63 090
sesamoid bone.
28320......... ............ A........... Repair of foot 9.25 NA NA 5.69 6.20 1.43 090
bones.
28322......... ............ A........... Repair of 8.41 9.75 9.46 5.32 5.83 1.27 090
metatarsals.
28340......... ............ A........... Resect enlarged 7.04 8.10 7.27 4.08 4.16 0.84 090
toe tissue.
28341......... ............ A........... Resect enlarged 8.60 8.60 7.77 4.42 4.62 1.01 090
toe.
28344......... ............ A........... Repair extra 4.31 6.42 6.08 2.93 3.28 0.51 090
toe(s).
28345......... ............ A........... Repair webbed 5.98 7.62 6.91 3.79 4.23 0.80 090
toe(s).
28360......... ............ A........... Reconstruct cleft 14.67 NA NA 6.35 8.42 2.29 090
foot.
28400......... ............ A........... Treatment of heel 2.22 3.37 3.50 2.92 2.99 0.35 090
fracture.
28405......... ............ A........... Treatment of heel 4.63 4.43 4.63 3.68 4.15 0.73 090
fracture.
28406......... ............ A........... Treatment of heel 6.44 NA NA 5.56 6.18 1.11 090
fracture.
28415......... ............ A........... Treat heel 15.96 NA NA 10.25 11.77 2.67 090
fracture.
[[Page 2598]]
28420......... ............ A........... Treat/graft heel 17.29 NA NA 10.28 11.60 2.81 090
fracture.
28430......... ............ A........... Treatment of ankle 2.14 3.12 3.26 2.57 2.57 0.31 090
fracture.
28435......... ............ A........... Treatment of ankle 3.45 3.99 3.93 3.26 3.50 0.55 090
fracture.
28436......... ............ A........... Treatment of ankle 4.78 NA NA 4.75 5.33 0.81 090
fracture.
28445......... ............ A........... Treat ankle 15.53 NA NA 9.49 10.26 2.59 090
fracture.
28446......... ............ A........... Osteochondral 17.50 NA NA 10.36 10.36 2.45 090
talus autogrft.
28450......... ............ A........... Treat midfoot 1.95 2.92 3.02 2.42 2.45 0.28 090
fracture, each.
28455......... ............ A........... Treat midfoot 3.15 3.74 3.58 3.10 3.26 0.44 090
fracture, each.
28456......... ............ A........... Treat midfoot 2.75 NA NA 3.73 3.94 0.44 090
fracture.
28465......... ............ A........... Treat midfoot 8.64 NA NA 6.07 6.19 1.10 090
fracture, each.
28470......... ............ A........... Treat metatarsal 1.99 2.80 2.96 2.36 2.40 0.30 090
fracture.
28475......... ............ A........... Treat metatarsal 2.97 3.13 3.23 2.52 2.86 0.44 090
fracture.
28476......... ............ A........... Treat metatarsal 3.46 NA NA 4.33 4.65 0.54 090
fracture.
28485......... ............ A........... Treat metatarsal 7.28 NA NA 5.56 5.51 0.83 090
fracture.
28490......... ............ A........... Treat big toe 1.12 2.09 2.05 1.67 1.65 0.14 090
fracture.
28495......... ............ A........... Treat big toe 1.62 2.46 2.32 1.87 1.97 0.20 090
fracture.
28496......... ............ A........... Treat big toe 2.39 7.42 7.83 2.99 3.09 0.36 090
fracture.
28505......... ............ A........... Treat big toe 7.28 8.46 8.28 4.82 4.36 0.56 090
fracture.
28510......... ............ A........... Treatment of toe 1.12 1.69 1.61 1.61 1.57 0.14 090
fracture.
28515......... ............ A........... Treatment of toe 1.50 2.22 2.06 1.82 1.86 0.18 090
fracture.
28525......... ............ A........... Treat toe fracture 5.46 8.12 7.82 4.32 3.88 0.49 090
28530......... ............ A........... Treat sesamoid 1.08 1.62 1.53 1.34 1.39 0.14 090
bone fracture.
28531......... ............ A........... Treat sesamoid 2.51 6.55 6.91 2.43 2.25 0.34 090
bone fracture.
28540......... ............ A........... Treat foot 2.10 2.75 2.58 2.31 2.36 0.26 090
dislocation.
28545......... ............ A........... Treat foot 2.51 3.43 2.89 2.81 2.58 0.37 090
dislocation.
28546......... ............ A........... Treat foot 3.28 8.06 7.49 3.64 4.01 0.52 090
dislocation.
28555......... ............ A........... Repair foot 9.49 10.81 10.36 6.29 5.99 1.04 090
dislocation.
28570......... ............ A........... Treat foot 1.70 2.49 2.46 1.91 2.12 0.23 090
dislocation.
28575......... ............ A........... Treat foot 3.38 4.42 4.07 3.72 3.72 0.56 090
dislocation.
28576......... ............ A........... Treat foot 4.48 NA NA 4.06 4.12 0.69 090
dislocation.
28585......... ............ A........... Repair foot 10.92 11.57 9.45 6.97 6.41 1.25 090
dislocation.
28600......... ............ A........... Treat foot 1.94 3.03 2.92 2.37 2.53 0.27 090
dislocation.
28605......... ............ A........... Treat foot 2.78 3.89 3.51 3.27 3.20 0.40 090
dislocation.
28606......... ............ A........... Treat foot 4.97 NA NA 4.12 4.40 0.82 090
dislocation.
28615......... ............ A........... Repair foot 10.46 NA NA 8.14 8.09 1.30 090
dislocation.
28630......... ............ A........... Treat toe 1.72 1.85 1.71 0.91 0.95 0.20 010
dislocation.
28635......... ............ A........... Treat toe 1.93 2.27 2.15 1.33 1.43 0.26 010
dislocation.
28636......... ............ A........... Treat toe 2.77 4.39 4.13 2.05 2.34 0.43 010
dislocation.
28645......... ............ A........... Repair toe 7.28 8.34 6.65 4.62 3.95 0.57 090
dislocation.
28660......... ............ A........... Treat toe 1.25 1.30 1.28 0.78 0.79 0.13 010
dislocation.
28665......... ............ A........... Treat toe 1.94 1.82 1.63 1.33 1.38 0.26 010
dislocation.
28666......... ............ A........... Treat toe 2.66 NA NA 1.83 2.21 0.43 010
dislocation.
28675......... ............ A........... Repair of toe 5.46 8.24 7.69 4.45 3.90 0.45 090
dislocation.
28705......... ............ A........... Fusion of foot 20.12 NA NA 10.66 11.55 3.09 090
bones.
28715......... ............ A........... Fusion of foot 14.40 NA NA 8.49 9.12 2.17 090
bones.
28725......... ............ A........... Fusion of foot 11.97 NA NA 6.82 7.53 1.87 090
bones.
28730......... ............ A........... Fusion of foot 12.21 NA NA 7.76 8.12 1.71 090
bones.
28735......... ............ A........... Fusion of foot 12.03 NA NA 6.97 7.40 1.69 090
bones.
28737......... ............ A........... Revision of foot 10.83 NA NA 6.07 6.44 1.47 090
bones.
28740......... ............ A........... Fusion of foot 9.09 10.87 10.87 5.99 6.23 1.22 090
bones.
28750......... ............ A........... Fusion of big toe 8.37 10.77 11.34 5.88 6.27 1.13 090
joint.
28755......... ............ A........... Fusion of big toe 4.79 7.26 6.68 3.35 3.55 0.65 090
joint.
28760......... ............ A........... Fusion of big toe 8.94 9.87 8.92 5.27 5.39 1.05 090
joint.
28800......... ............ A........... Amputation of 8.65 NA NA 5.01 5.40 1.15 090
midfoot.
28805......... ............ A........... Amputation thru 12.55 NA NA 5.90 5.77 1.18 090
metatarsal.
28810......... ............ A........... Amputation toe & 6.52 NA NA 4.06 4.27 0.86 090
metatarsal.
28820......... ............ A........... Amputation of toe. 4.89 7.65 7.60 3.55 3.67 0.61 090
28825......... ............ A........... Partial amputation 3.71 7.13 7.06 3.13 3.30 0.50 090
of toe.
28890......... ............ A........... High energy eswt, 3.36 4.57 5.14 2.20 2.14 0.41 090
plantar f.
28899......... ............ C........... Foot/toes surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
29000......... ............ A........... Application of 2.25 4.01 3.49 1.64 1.69 0.41 000
body cast.
29010......... ............ A........... Application of 2.06 4.38 3.83 1.62 1.70 0.45 000
body cast.
29015......... ............ A........... Application of 2.41 3.61 3.29 1.56 1.58 0.28 000
body cast.
29020......... ............ A........... Application of 2.11 3.81 3.50 1.41 1.41 0.28 000
body cast.
29025......... ............ A........... Application of 2.40 4.04 3.59 1.76 1.81 0.44 000
body cast.
29035......... ............ A........... Application of 1.77 3.70 3.66 1.48 1.53 0.28 000
body cast.
29040......... ............ A........... Application of 2.22 3.28 2.87 1.34 1.42 0.36 000
body cast.
29044......... ............ A........... Application of 2.12 3.58 3.77 1.47 1.69 0.35 000
body cast.
29046......... ............ A........... Application of 2.41 4.49 3.86 1.91 2.00 0.42 000
body cast.
29049......... ............ A........... Application of 0.89 1.12 1.21 0.59 0.56 0.13 000
figure eight.
29055......... ............ A........... Application of 1.78 2.82 2.90 1.23 1.35 0.30 000
shoulder cast.
29058......... ............ A........... Application of 1.31 1.26 1.41 0.67 0.70 0.17 000
shoulder cast.
[[Page 2599]]
29065......... ............ A........... Application of 0.87 1.28 1.30 0.70 0.73 0.15 000
long arm cast.
29075......... ............ A........... Application of 0.77 1.24 1.25 0.66 0.67 0.13 000
forearm cast.
29085......... ............ A........... Apply hand/wrist 0.87 1.26 1.27 0.68 0.66 0.14 000
cast.
29086......... ............ A........... Apply finger cast. 0.62 1.08 1.02 0.55 0.52 0.07 000
29105......... ............ A........... Apply long arm 0.87 1.09 1.16 0.53 0.52 0.12 000
splint.
29125......... ............ A........... Apply forearm 0.59 0.97 0.99 0.42 0.41 0.07 000
splint.
29126......... ............ A........... Apply forearm 0.77 1.01 1.11 0.48 0.47 0.07 000
splint.
29130......... ............ A........... Application of 0.50 0.43 0.45 0.18 0.18 0.06 000
finger splint.
29131......... ............ A........... Application of 0.55 0.59 0.66 0.24 0.24 0.03 000
finger splint.
29200......... ............ A........... Strapping of chest 0.65 0.61 0.66 0.35 0.34 0.04 000
29220......... ............ A........... Strapping of low 0.64 0.65 0.69 0.38 0.38 0.04 000
back.
29240......... ............ A........... Strapping of 0.71 0.68 0.76 0.40 0.38 0.06 000
shoulder.
29260......... ............ A........... Strapping of elbow 0.55 0.67 0.71 0.37 0.35 0.05 000
or wrist.
29280......... ............ A........... Strapping of hand 0.51 0.67 0.73 0.37 0.35 0.03 000
or finger.
29305......... ............ A........... Application of hip 2.03 3.29 3.31 1.56 1.66 0.35 000
cast.
29325......... ............ A........... Application of hip 2.32 3.33 3.43 1.58 1.77 0.40 000
casts.
29345......... ............ A........... Application of 1.40 1.66 1.72 0.94 1.00 0.24 000
long leg cast.
29355......... ............ A........... Application of 1.53 1.62 1.66 0.94 1.03 0.26 000
long leg cast.
29358......... ............ A........... Apply long leg 1.43 2.01 2.04 0.91 1.00 0.25 000
cast brace.
29365......... ............ A........... Application of 1.18 1.58 1.62 0.86 0.90 0.20 000
long leg cast.
29405......... ............ A........... Apply short leg 0.86 1.20 1.21 0.65 0.68 0.14 000
cast.
29425......... ............ A........... Apply short leg 1.01 1.22 1.23 0.66 0.70 0.15 000
cast.
29435......... ............ A........... Apply short leg 1.18 1.53 1.54 0.81 0.87 0.20 000
cast.
29440......... ............ A........... Addition of walker 0.57 0.64 0.67 0.26 0.26 0.08 000
to cast.
29445......... ............ A........... Apply rigid leg 1.78 1.56 1.68 0.89 0.92 0.27 000
cast.
29450......... ............ A........... Application of leg 2.08 1.59 1.53 0.90 0.99 0.27 000
cast.
29505......... ............ A........... Application, long 0.69 1.07 1.13 0.45 0.45 0.08 000
leg splint.
29515......... ............ A........... Application lower 0.73 0.96 0.91 0.46 0.46 0.09 000
leg splint.
29520......... ............ A........... Strapping of hip.. 0.54 0.66 0.75 0.37 0.42 0.03 000
29530......... ............ A........... Strapping of knee. 0.57 0.66 0.72 0.37 0.35 0.05 000
29540......... ............ A........... Strapping of ankle 0.51 0.55 0.48 0.31 0.31 0.06 000
and/or ft.
29550......... ............ A........... Strapping of toes. 0.47 0.56 0.49 0.30 0.29 0.06 000
29580......... ............ A........... Application of 0.55 0.71 0.68 0.33 0.34 0.07 000
paste boot.
29590......... ............ A........... Application of 0.76 0.59 0.55 0.26 0.27 0.09 000
foot splint.
29700......... ............ A........... Removal/revision 0.57 0.95 0.92 0.25 0.26 0.08 000
of cast.
29705......... ............ A........... Removal/revision 0.76 0.76 0.79 0.36 0.37 0.13 000
of cast.
29710......... ............ A........... Removal/revision 1.34 1.32 1.43 0.55 0.63 0.20 000
of cast.
29715......... ............ A........... Removal/revision 0.94 1.20 1.19 0.43 0.42 0.09 000
of cast.
29720......... ............ A........... Repair of body 0.68 1.17 1.16 0.35 0.37 0.12 000
cast.
29730......... ............ A........... Windowing of cast. 0.75 0.74 0.77 0.34 0.34 0.12 000
29740......... ............ A........... Wedging of cast... 1.12 1.03 1.09 0.47 0.48 0.18 000
29750......... ............ A........... Wedging of 1.26 1.07 1.06 0.52 0.55 0.21 000
clubfoot cast.
29799......... ............ C........... Casting/strapping 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
29800......... ............ A........... Jaw arthroscopy/ 6.73 NA NA 4.63 5.80 0.99 090
surgery.
29804......... ............ A........... Jaw arthroscopy/ 8.71 NA NA 5.70 6.66 1.38 090
surgery.
29805......... ............ A........... Shoulder 5.94 NA NA 4.71 5.19 1.02 090
arthroscopy, dx.
29806......... ............ A........... Shoulder 14.95 NA NA 9.36 10.26 2.50 090
arthroscopy/
surgery.
29807......... ............ A........... Shoulder 14.48 NA NA 9.20 10.10 2.42 090
arthroscopy/
surgery.
29819......... ............ A........... Shoulder 7.68 NA NA 5.63 6.21 1.32 090
arthroscopy/
surgery.
29820......... ............ A........... Shoulder 7.12 NA NA 5.18 5.70 1.22 090
arthroscopy/
surgery.
29821......... ............ A........... Shoulder 7.78 NA NA 5.66 6.23 1.33 090
arthroscopy/
surgery.
29822......... ............ A........... Shoulder 7.49 NA NA 5.58 6.14 1.28 090
arthroscopy/
surgery.
29823......... ............ A........... Shoulder 8.24 NA NA 6.05 6.64 1.41 090
arthroscopy/
surgery.
29824......... ............ A........... Shoulder 8.82 NA NA 6.54 7.03 1.42 090
arthroscopy/
surgery.
29825......... ............ A........... Shoulder 7.68 NA NA 5.64 6.20 1.32 090
arthroscopy/
surgery.
29826......... ............ A........... Shoulder 9.05 NA NA 6.18 6.86 1.55 090
arthroscopy/
surgery.
29827......... ............ A........... Arthroscop rotator 15.44 NA NA 9.32 10.43 2.67 090
cuff repr.
29828......... ............ A........... Arthroscopy biceps 13.00 NA NA 8.18 8.18 2.17 090
tenodesis.
29830......... ............ A........... Elbow arthroscopy. 5.80 NA NA 4.49 4.92 0.99 090
29834......... ............ A........... Elbow arthroscopy/ 6.33 NA NA 4.86 5.35 1.08 090
surgery.
29835......... ............ A........... Elbow arthroscopy/ 6.53 NA NA 4.97 5.43 1.13 090
surgery.
29836......... ............ A........... Elbow arthroscopy/ 7.61 NA NA 5.54 6.17 1.22 090
surgery.
29837......... ............ A........... Elbow arthroscopy/ 6.92 NA NA 5.07 5.60 1.19 090
surgery.
29838......... ............ A........... Elbow arthroscopy/ 7.77 NA NA 5.66 6.28 1.30 090
surgery.
29840......... ............ A........... Wrist arthroscopy. 5.59 NA NA 4.63 4.98 0.84 090
29843......... ............ A........... Wrist arthroscopy/ 6.06 NA NA 4.81 5.22 0.92 090
surgery.
29844......... ............ A........... Wrist arthroscopy/ 6.42 NA NA 4.88 5.35 1.04 090
surgery.
29845......... ............ A........... Wrist arthroscopy/ 7.58 NA NA 5.60 6.04 0.99 090
surgery.
29846......... ............ A........... Wrist arthroscopy/ 6.80 NA NA 5.11 5.59 1.07 090
surgery.
29847......... ............ A........... Wrist arthroscopy/ 7.13 NA NA 5.28 5.74 1.08 090
surgery.
29848......... ............ A........... Wrist endoscopy/ 6.24 NA NA 5.28 5.44 0.86 090
surgery.
29850......... ............ A........... Knee arthroscopy/ 8.18 NA NA 4.72 4.88 1.25 090
surgery.
[[Page 2600]]
29851......... ............ A........... Knee arthroscopy/ 13.08 NA NA 8.22 9.01 2.35 090
surgery.
29855......... ............ A........... Tibial arthroscopy/ 10.60 NA NA 7.28 8.03 1.85 090
surgery.
29856......... ............ A........... Tibial arthroscopy/ 14.12 NA NA 8.70 9.69 2.40 090
surgery.
29860......... ............ A........... Hip arthroscopy, 8.85 NA NA 6.25 6.60 1.36 090
dx.
29861......... ............ A........... Hip arthroscopy/ 9.95 NA NA 6.40 6.87 1.59 090
surgery.
29862......... ............ A........... Hip arthroscopy/ 10.97 NA NA 7.57 8.07 1.62 090
surgery.
29863......... ............ A........... Hip arthroscopy/ 10.97 NA NA 7.49 8.00 1.42 090
surgery.
29866......... ............ A........... Autgrft implnt, 14.48 NA NA 9.47 10.41 2.40 090
knee w/scope.
29867......... ............ A........... Allgrft implnt, 18.18 NA NA 11.04 12.13 2.79 090
knee w/scope.
29868......... ............ A........... Meniscal trnspl, 24.89 NA NA 13.80 15.30 4.36 090
knee w/scpe.
29870......... ............ A........... Knee arthroscopy, 5.11 NA NA 4.18 4.53 0.85 090
dx.
29871......... ............ A........... Knee arthroscopy/ 6.60 NA NA 5.06 5.47 1.14 090
drainage.
29873......... ............ A........... Knee arthroscopy/ 6.09 NA NA 5.60 6.09 1.04 090
surgery.
29874......... ............ A........... Knee arthroscopy/ 7.10 NA NA 5.09 5.58 1.11 090
surgery.
29875......... ............ A........... Knee arthroscopy/ 6.36 NA NA 4.89 5.37 1.09 090
surgery.
29876......... ............ A........... Knee arthroscopy/ 8.72 NA NA 6.19 6.61 1.37 090
surgery.
29877......... ............ A........... Knee arthroscopy/ 8.15 NA NA 5.98 6.36 1.28 090
surgery.
29879......... ............ A........... Knee arthroscopy/ 8.84 NA NA 6.23 6.68 1.39 090
surgery.
29880......... ............ A........... Knee arthroscopy/ 9.30 NA NA 6.43 6.90 1.47 090
surgery.
29881......... ............ A........... Knee arthroscopy/ 8.56 NA NA 6.14 6.55 1.34 090
surgery.
29882......... ............ A........... Knee arthroscopy/ 9.45 NA NA 6.46 6.85 1.50 090
surgery.
29883......... ............ A........... Knee arthroscopy/ 11.61 NA NA 7.59 8.33 1.93 090
surgery.
29884......... ............ A........... Knee arthroscopy/ 8.13 NA NA 5.96 6.33 1.27 090
surgery.
29885......... ............ A........... Knee arthroscopy/ 10.03 NA NA 7.03 7.50 1.58 090
surgery.
29886......... ............ A........... Knee arthroscopy/ 8.34 NA NA 6.04 6.45 1.30 090
surgery.
29887......... ............ A........... Knee arthroscopy/ 9.98 NA NA 6.97 7.45 1.57 090
surgery.
29888......... ............ A........... Knee arthroscopy/ 14.14 NA NA 8.27 9.24 2.42 090
surgery.
29889......... ............ A........... Knee arthroscopy/ 17.15 NA NA 10.62 11.53 2.79 090
surgery.
29891......... ............ A........... Ankle arthroscopy/ 9.47 NA NA 6.65 7.08 1.39 090
surgery.
29892......... ............ A........... Ankle arthroscopy/ 10.07 NA NA 6.39 7.07 1.41 090
surgery.
29893......... ............ A........... Scope, plantar 6.08 8.84 7.56 4.67 4.33 0.63 090
fasciotomy.
29894......... ............ A........... Ankle arthroscopy/ 7.26 NA NA 4.72 5.10 1.15 090
surgery.
29895......... ............ A........... Ankle arthroscopy/ 7.04 NA NA 4.52 5.00 1.11 090
surgery.
29897......... ............ A........... Ankle arthroscopy/ 7.23 NA NA 4.82 5.35 1.17 090
surgery.
29898......... ............ A........... Ankle arthroscopy/ 8.38 NA NA 5.24 5.72 1.28 090
surgery.
29899......... ............ A........... Ankle arthroscopy/ 15.21 NA NA 9.21 9.88 2.41 090
surgery.
29900......... ............ A........... Mcp joint 5.74 NA NA 4.67 5.27 0.94 090
arthroscopy, dx.
29901......... ............ A........... Mcp joint 6.45 NA NA 5.10 5.68 1.06 090
arthroscopy, surg.
29902......... ............ A........... Mcp joint 7.02 NA NA 4.71 5.63 1.12 090
arthroscopy, surg.
29904......... ............ A........... Subtalar arthro w/ 8.50 NA NA 5.89 5.89 1.25 090
fb rmvl.
29905......... ............ A........... Subtalar arthro w/ 9.00 NA NA 6.52 6.52 1.32 090
exc.
29906......... ............ A........... Subtalar arthro w/ 9.47 NA NA 6.88 6.88 1.39 090
deb.
29907......... ............ A........... Subtalar arthro w/ 12.00 NA NA 7.87 7.87 1.90 090
fusion.
29999......... ............ C........... Arthroscopy of 0.00 0.00 0.00 0.00 0.00 0.00 YYY
joint.
30000......... ............ A........... Drainage of nose 1.45 4.02 4.04 1.34 1.37 0.12 010
lesion.
30020......... ............ A........... Drainage of nose 1.45 4.17 3.72 1.39 1.43 0.12 010
lesion.
30100......... ............ A........... Intranasal biopsy. 0.94 2.58 2.28 0.75 0.78 0.07 000
30110......... ............ A........... Removal of nose 1.65 3.90 3.57 1.45 1.51 0.14 010
polyp(s).
30115......... ............ A........... Removal of nose 4.38 NA NA 5.99 5.88 0.41 090
polyp(s).
30117......... ............ A........... Removal of 3.20 18.17 15.66 4.92 4.77 0.26 090
intranasal lesion.
30118......... ............ A........... Removal of 9.81 NA NA 8.56 8.88 0.78 090
intranasal lesion.
30120......... ............ A........... Revision of nose.. 5.31 7.08 6.79 5.09 5.55 0.52 090
30124......... ............ A........... Removal of nose 3.14 NA NA 3.68 3.65 0.25 090
lesion.
30125......... ............ A........... Removal of nose 7.21 NA NA 7.41 7.87 0.63 090
lesion.
30130......... ............ A........... Excise inferior 3.41 NA NA 5.64 5.62 0.31 090
turbinate.
30140......... ............ A........... Resect inferior 3.48 NA NA 7.11 6.65 0.35 090
turbinate.
30150......... ............ A........... Partial removal of 9.44 NA NA 9.04 10.03 0.93 090
nose.
30160......... ............ A........... Removal of nose... 9.88 NA NA 8.88 9.55 0.88 090
30200......... ............ A........... Injection 0.78 2.02 1.82 0.67 0.71 0.06 000
treatment of nose.
30210......... ............ A........... Nasal sinus 1.10 2.51 2.31 1.27 1.29 0.09 010
therapy.
30220......... ............ A........... Insert nasal 1.56 5.82 5.03 1.43 1.48 0.12 010
septal button.
30300......... ............ A........... Remove nasal 1.06 4.30 4.46 1.87 1.89 0.08 010
foreign body.
30310......... ............ A........... Remove nasal 1.98 NA NA 2.91 3.01 0.16 010
foreign body.
30320......... ............ A........... Remove nasal 4.56 NA NA 6.36 6.70 0.39 090
foreign body.
30400......... ............ R........... Reconstruction of 10.58 NA NA 13.92 14.71 1.04 090
nose.
30410......... ............ R........... Reconstruction of 13.72 NA NA 15.34 16.86 1.42 090
nose.
30420......... ............ R........... Reconstruction of 16.62 NA NA 15.84 16.88 1.46 090
nose.
30430......... ............ R........... Revision of nose.. 7.96 NA NA 13.25 14.64 0.77 090
30435......... ............ R........... Revision of nose.. 12.45 NA NA 15.43 17.40 1.22 090
30450......... ............ R........... Revision of nose.. 19.38 NA NA 16.90 19.40 1.97 090
30460......... ............ A........... Revision of nose.. 10.24 NA NA 7.49 8.72 1.03 090
30462......... ............ A........... Revision of nose.. 20.12 NA NA 14.66 17.46 2.54 090
[[Page 2601]]
30465......... ............ A........... Repair nasal 12.20 NA NA 11.08 11.53 1.06 090
stenosis.
30520......... ............ A........... Repair of nasal 6.85 NA NA 8.05 7.36 0.46 090
septum.
30540......... ............ A........... Repair nasal 7.81 NA NA 8.55 8.92 0.67 090
defect.
30545......... ............ A........... Repair nasal 11.50 NA NA 11.09 11.50 1.71 090
defect.
30560......... ............ A........... Release of nasal 1.28 5.28 5.03 2.03 2.08 0.10 010
adhesions.
30580......... ............ A........... Repair upper jaw 6.76 8.14 7.96 4.69 5.24 0.89 090
fistula.
30600......... ............ A........... Repair mouth/nose 6.07 7.68 7.60 4.18 4.60 0.70 090
fistula.
30620......... ............ A........... Intranasal 6.04 NA NA 8.67 8.76 0.57 090
reconstruction.
30630......... ............ A........... Repair nasal 7.18 NA NA 7.73 7.84 0.61 090
septum defect.
30801......... ............ A........... Ablate inf 1.11 4.30 4.22 2.12 2.02 0.09 010
turbinate, superf.
30802......... ............ A........... Cauterization, 2.05 4.98 4.79 2.51 2.44 0.16 010
inner nose.
30901......... ............ A........... Control of 1.21 1.27 1.32 0.31 0.31 0.11 000
nosebleed.
30903......... ............ A........... Control of 1.54 3.28 3.00 0.43 0.46 0.13 000
nosebleed.
30905......... ............ A........... Control of 1.97 3.94 3.73 0.51 0.63 0.17 000
nosebleed.
30906......... ............ A........... Repeat control of 2.45 4.29 4.09 0.76 0.98 0.20 000
nosebleed.
30915......... ............ A........... Ligation, nasal 7.36 NA NA 6.46 6.58 0.58 090
sinus artery.
30920......... ............ A........... Ligation, upper 11.03 NA NA 8.97 8.97 0.80 090
jaw artery.
30930......... ............ A........... Ther fx, nasal inf 1.28 NA NA 1.64 1.63 0.12 010
turbinate.
30999......... ............ C........... Nasal surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31000......... ............ A........... Irrigation, 1.17 3.22 3.03 1.34 1.37 0.09 010
maxillary sinus.
31002......... ............ A........... Irrigation, 1.93 NA NA 2.69 2.97 0.15 010
sphenoid sinus.
31020......... ............ A........... Exploration, 2.99 8.61 8.57 5.55 5.37 0.29 090
maxillary sinus.
31030......... ............ A........... Exploration, 5.95 10.41 10.96 6.45 6.56 0.60 090
maxillary sinus.
31032......... ............ A........... Explore sinus, 6.61 NA NA 7.00 7.12 0.59 090
remove polyps.
31040......... ............ A........... Exploration behind 9.66 NA NA 7.38 8.60 0.87 090
upper jaw.
31050......... ............ A........... Exploration, 5.31 NA NA 6.51 6.43 0.49 090
sphenoid sinus.
31051......... ............ A........... Sphenoid sinus 7.16 NA NA 8.37 8.31 0.62 090
surgery.
31070......... ............ A........... Exploration of 4.32 NA NA 6.19 6.06 0.38 090
frontal sinus.
31075......... ............ A........... Exploration of 9.40 NA NA 9.33 9.53 0.75 090
frontal sinus.
31080......... ............ A........... Removal of frontal 12.54 NA NA 10.63 12.08 1.23 090
sinus.
31081......... ............ A........... Removal of frontal 13.99 NA NA 15.38 14.69 2.47 090
sinus.
31084......... ............ A........... Removal of frontal 14.75 NA NA 12.88 13.20 1.19 090
sinus.
31085......... ............ A........... Removal of frontal 15.44 NA NA 14.44 14.20 1.73 090
sinus.
31086......... ............ A........... Removal of frontal 14.16 NA NA 12.79 13.04 1.07 090
sinus.
31087......... ............ A........... Removal of frontal 14.39 NA NA 11.65 12.10 1.44 090
sinus.
31090......... ............ A........... Exploration of 10.88 NA NA 13.41 12.99 0.94 090
sinuses.
31200......... ............ A........... Removal of ethmoid 5.03 NA NA 7.44 8.33 0.29 090
sinus.
31201......... ............ A........... Removal of ethmoid 8.49 NA NA 9.00 9.09 0.82 090
sinus.
31205......... ............ A........... Removal of ethmoid 10.47 NA NA 9.52 10.70 0.67 090
sinus.
31225......... ............ A........... Removal of upper 26.44 NA NA 17.90 17.87 1.59 090
jaw.
31230......... ............ A........... Removal of upper 30.56 NA NA 19.50 19.44 1.78 090
jaw.
31231......... ............ A........... Nasal endoscopy, 1.10 3.60 3.49 0.77 0.82 0.09 000
dx.
31233......... ............ A........... Nasal/sinus 2.18 4.27 4.28 1.12 1.30 0.20 000
endoscopy, dx.
31235......... ............ A........... Nasal/sinus 2.64 4.65 4.78 1.26 1.49 0.26 000
endoscopy, dx.
31237......... ............ A........... Nasal/sinus 2.98 4.90 5.05 1.39 1.64 0.28 000
endoscopy, surg.
31238......... ............ A........... Nasal/sinus 3.26 4.83 5.03 1.48 1.79 0.27 000
endoscopy, surg.
31239......... ............ A........... Nasal/sinus 9.23 NA NA 6.43 7.21 0.62 010
endoscopy, surg.
31240......... ............ A........... Nasal/sinus 2.61 NA NA 1.27 1.50 0.24 000
endoscopy, surg.
31254......... ............ A........... Revision of 4.64 NA NA 1.94 2.39 0.45 000
ethmoid sinus.
31255......... ............ A........... Removal of ethmoid 6.95 NA NA 2.69 3.40 0.73 000
sinus.
31256......... ............ A........... Exploration 3.29 NA NA 1.49 1.80 0.33 000
maxillary sinus.
31267......... ............ A........... Endoscopy, 5.45 NA NA 2.20 2.75 0.55 000
maxillary sinus.
31276......... ............ A........... Sinus endoscopy, 8.84 NA NA 3.31 4.21 0.92 000
surgical.
31287......... ............ A........... Nasal/sinus 3.91 NA NA 1.69 2.07 0.39 000
endoscopy, surg.
31288......... ............ A........... Nasal/sinus 4.57 NA NA 1.91 2.36 0.46 000
endoscopy, surg.
31290......... ............ A........... Nasal/sinus 18.50 NA NA 9.05 10.55 1.40 010
endoscopy, surg.
31291......... ............ A........... Nasal/sinus 19.45 NA NA 9.54 11.01 1.69 010
endoscopy, surg.
31292......... ............ A........... Nasal/sinus 15.79 NA NA 8.06 9.34 1.21 010
endoscopy, surg.
31293......... ............ A........... Nasal/sinus 17.36 NA NA 8.69 10.04 1.28 010
endoscopy, surg.
31294......... ............ A........... Nasal/sinus 20.20 NA NA 9.67 11.28 1.53 010
endoscopy, surg.
31299......... ............ C........... Sinus surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31300......... ............ A........... Removal of larynx 15.71 NA NA 14.59 14.79 1.17 090
lesion.
31320......... ............ A........... Diagnostic 5.62 NA NA 10.15 10.23 0.46 090
incision, larynx.
31360......... ............ A........... Removal of larynx. 29.57 NA NA 20.08 18.41 1.38 090
31365......... ............ A........... Removal of larynx. 38.47 NA NA 23.00 21.69 1.98 090
31367......... ............ A........... Partial removal of 30.23 NA NA 22.52 22.21 1.79 090
larynx.
31368......... ............ A........... Partial removal of 33.85 NA NA 24.61 25.06 2.21 090
larynx.
31370......... ............ A........... Partial removal of 27.23 NA NA 22.16 22.22 1.75 090
larynx.
31375......... ............ A........... Partial removal of 25.73 NA NA 21.16 20.78 1.63 090
larynx.
31380......... ............ A........... Partial removal of 25.23 NA NA 20.81 20.71 1.71 090
larynx.
31382......... ............ A........... Partial removal of 28.23 NA NA 22.71 22.17 1.68 090
larynx.
31390......... ............ A........... Removal of larynx 42.17 NA NA 25.99 25.19 2.24 090
& pharynx.
[[Page 2602]]
31395......... ............ A........... Reconstruct larynx 43.46 NA NA 28.53 28.42 2.49 090
& pharynx.
31400......... ............ A........... Revision of larynx 11.48 NA NA 12.50 13.14 0.83 090
31420......... ............ A........... Removal of 11.32 NA NA 8.59 9.07 0.83 090
epiglottis.
31500......... ............ A........... Insert emergency 2.33 NA NA 0.42 0.48 0.17 000
airway.
31502......... ............ A........... Change of windpipe 0.65 NA NA 0.21 0.25 0.05 000
airway.
31505......... ............ A........... Diagnostic 0.61 1.43 1.44 0.59 0.60 0.05 000
laryngoscopy.
31510......... ............ A........... Laryngoscopy with 1.92 3.23 3.26 1.00 1.13 0.16 000
biopsy.
31511......... ............ A........... Remove foreign 2.16 2.94 3.03 1.03 1.04 0.19 000
body, larynx.
31512......... ............ A........... Removal of larynx 2.07 2.97 3.09 1.06 1.21 0.18 000
lesion.
31513......... ............ A........... Injection into 2.10 NA NA 1.09 1.27 0.17 000
vocal cord.
31515......... ............ A........... Laryngoscopy for 1.80 3.20 3.37 0.88 0.97 0.14 000
aspiration.
31520......... ............ A........... Dx laryngoscopy, 2.56 NA NA 1.21 1.38 0.20 000
newborn.
31525......... ............ A........... Dx laryngoscopy 2.63 3.45 3.55 1.23 1.44 0.21 000
excl nb.
31526......... ............ A........... Dx laryngoscopy w/ 2.57 NA NA 1.25 1.48 0.21 000
oper scope.
31527......... ............ A........... Laryngoscopy for 3.27 NA NA 1.40 1.64 0.26 000
treatment.
31528......... ............ A........... Laryngoscopy and 2.37 NA NA 1.09 1.27 0.19 000
dilation.
31529......... ............ A........... Laryngoscopy and 2.68 NA NA 1.25 1.48 0.22 000
dilation.
31530......... ............ A........... Laryngoscopy w/fb 3.38 NA NA 1.45 1.70 0.29 000
removal.
31531......... ............ A........... Laryngoscopy w/fb 3.58 NA NA 1.59 1.93 0.29 000
& op scope.
31535......... ............ A........... Laryngoscopy w/ 3.16 NA NA 1.44 1.72 0.26 000
biopsy.
31536......... ............ A........... Laryngoscopy w/bx 3.55 NA NA 1.57 1.91 0.29 000
& op scope.
31540......... ............ A........... Laryngoscopy w/exc 4.12 NA NA 1.76 2.15 0.33 000
of tumor.
31541......... ............ A........... Larynscop w/tumr 4.52 NA NA 1.89 2.34 0.37 000
exc + scope.
31545......... ............ A........... Remove vc lesion w/ 6.30 NA NA 2.52 2.99 0.37 000
scope.
31546......... ............ A........... Remove vc lesion 9.73 NA NA 3.43 4.20 0.78 000
scope/graft.
31560......... ............ A........... Laryngoscop w/ 5.45 NA NA 2.16 2.65 0.43 000
arytenoidectom.
31561......... ............ A........... Larynscop, remve 5.99 NA NA 2.32 2.85 0.49 000
cart + scop.
31570......... ............ A........... Laryngoscope w/vc 3.86 4.26 4.97 1.65 2.02 0.31 000
inj.
31571......... ............ A........... Laryngoscop w/vc 4.26 NA NA 1.81 2.21 0.35 000
inj + scope.
31575......... ............ A........... Diagnostic 1.10 1.70 1.80 0.76 0.83 0.09 000
laryngoscopy.
31576......... ............ A........... Laryngoscopy with 1.97 3.52 3.59 1.04 1.17 0.14 000
biopsy.
31577......... ............ A........... Remove foreign 2.47 3.38 3.57 1.17 1.35 0.21 000
body, larynx.
31578......... ............ A........... Removal of larynx 2.84 4.00 4.14 1.34 1.43 0.23 000
lesion.
31579......... ............ A........... Diagnostic 2.26 2.87 3.32 1.15 1.31 0.18 000
laryngoscopy.
31580......... ............ A........... Revision of larynx 14.46 NA NA 13.83 14.88 1.00 090
31582......... ............ A........... Revision of larynx 22.87 NA NA 22.57 24.19 1.76 090
31584......... ............ A........... Treat larynx 20.35 NA NA 15.28 16.72 1.72 090
fracture.
31587......... ............ A........... Revision of larynx 15.12 NA NA 8.64 8.96 0.97 090
31588......... ............ A........... Revision of larynx 14.62 NA NA 12.52 13.07 1.06 090
31590......... ............ A........... Reinnervate larynx 7.63 NA NA 12.80 14.17 0.84 090
31595......... ............ A........... Larynx nerve 8.75 NA NA 9.65 10.10 0.68 090
surgery.
31599......... ............ C........... Larynx surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31600......... ............ A........... Incision of 7.17 NA NA 2.28 2.74 0.80 000
windpipe.
31601......... ............ A........... Incision of 4.44 NA NA 1.74 2.07 0.40 000
windpipe.
31603......... ............ A........... Incision of 4.14 NA NA 1.19 1.45 0.44 000
windpipe.
31605......... ............ A........... Incision of 3.57 NA NA 0.82 1.00 0.40 000
windpipe.
31610......... ............ A........... Incision of 9.29 NA NA 7.73 8.00 0.79 090
windpipe.
31611......... ............ A........... Surgery/speech 5.92 NA NA 7.08 7.07 0.46 090
prosthesis.
31612......... ............ A........... Puncture/clear 0.91 1.09 1.09 0.26 0.30 0.08 000
windpipe.
31613......... ............ A........... Repair windpipe 4.63 NA NA 6.14 6.07 0.42 090
opening.
31614......... ............ A........... Repair windpipe 8.47 NA NA 9.59 9.15 0.58 090
opening.
31615......... ............ A........... Visualization of 2.09 2.38 2.49 1.05 1.12 0.16 000
windpipe.
31620......... ............ A........... Endobronchial us 1.40 6.02 5.83 0.33 0.44 0.11 ZZZ
add-on.
31622......... ............ A........... Dx bronchoscope/ 2.78 5.24 5.45 0.90 0.98 0.18 000
wash.
31623......... ............ A........... Dx bronchoscope/ 2.88 5.98 6.20 0.89 0.97 0.13 000
brush.
31624......... ............ A........... Dx bronchoscope/ 2.88 5.34 5.56 0.89 0.97 0.13 000
lavage.
31625......... ............ A........... Bronchoscopy w/ 3.36 5.48 5.65 1.01 1.11 0.18 000
biopsy(s).
31628......... ............ A........... Bronchoscopy/lung 3.80 6.96 6.99 1.10 1.20 0.18 000
bx, each.
31629......... ............ A........... Bronchoscopy/ 4.09 12.01 13.14 1.17 1.28 0.16 000
needle bx, each.
31630......... ............ A........... Bronchoscopy 3.81 NA NA 1.27 1.49 0.32 000
dilate/fx repr.
31631......... ............ A........... Bronchoscopy, 4.36 NA NA 1.42 1.59 0.34 000
dilate w/stent.
31632......... ............ A........... Bronchoscopy/lung 1.03 0.86 0.83 0.24 0.27 0.18 ZZZ
bx, add[AElig]l.
31633......... ............ A........... Bronchoscopy/ 1.32 0.99 0.95 0.31 0.35 0.16 ZZZ
needle bx
add[AElig]l.
31635......... ............ A........... Bronchoscopy w/fb 3.67 5.20 5.66 1.13 1.28 0.24 000
removal.
31636......... ............ A........... Bronchoscopy, 4.30 NA NA 1.34 1.55 0.31 000
bronch stents.
31637......... ............ A........... Bronchoscopy, 1.58 NA NA 0.41 0.48 0.13 ZZZ
stent add-on.
31638......... ............ A........... Bronchoscopy, 4.88 NA NA 1.54 1.76 0.22 000
revise stent.
31640......... ............ A........... Bronchoscopy w/ 4.93 NA NA 1.53 1.80 0.46 000
tumor excise.
31641......... ............ A........... Bronchoscopy, 5.02 NA NA 1.49 1.69 0.35 000
treat blockage.
31643......... ............ A........... Diag bronchoscope/ 3.49 NA NA 1.04 1.13 0.20 000
catheter.
31645......... ............ A........... Bronchoscopy, 3.16 4.72 4.93 0.96 1.04 0.16 000
clear airways.
31646......... ............ A........... Bronchoscopy, 2.72 4.42 4.64 0.85 0.92 0.14 000
reclear airway.
[[Page 2603]]
31656......... ............ A........... Bronchoscopy, inj 2.17 5.69 6.49 0.68 0.76 0.15 000
for x-ray.
31715......... ............ A........... Injection for 1.11 NA NA 0.25 0.30 0.07 000
bronchus x-ray.
31717......... ............ A........... Bronchial brush 2.12 5.84 7.05 0.72 0.75 0.14 000
biopsy.
31720......... ............ A........... Clearance of 1.06 NA NA 0.27 0.30 0.07 000
airways.
31725......... ............ A........... Clearance of 1.96 NA NA 0.41 0.49 0.14 000
airways.
31730......... ............ A........... Intro, windpipe 2.85 25.74 13.97 0.74 0.87 0.21 000
wire/tube.
31750......... ............ A........... Repair of windpipe 15.19 NA NA 17.46 17.51 1.05 090
31755......... ............ A........... Repair of windpipe 17.19 NA NA 24.00 24.27 1.29 090
31760......... ............ A........... Repair of windpipe 23.36 NA NA 9.78 10.25 2.95 090
31766......... ............ A........... Reconstruction of 31.58 NA NA 11.70 12.68 4.53 090
windpipe.
31770......... ............ A........... Repair/graft of 23.48 NA NA 8.54 9.39 2.84 090
bronchus.
31775......... ............ A........... Reconstruct 24.51 NA NA 9.52 10.66 3.02 090
bronchus.
31780......... ............ A........... Reconstruct 19.70 NA NA 8.80 9.93 1.65 090
windpipe.
31781......... ............ A........... Reconstruct 24.77 NA NA 9.67 10.90 2.25 090
windpipe.
31785......... ............ A........... Remove windpipe 18.29 NA NA 7.68 8.93 1.59 090
lesion.
31786......... ............ A........... Remove windpipe 25.34 NA NA 9.62 11.36 3.30 090
lesion.
31800......... ............ A........... Repair of windpipe 8.10 NA NA 8.68 8.97 0.79 090
injury.
31805......... ............ A........... Repair of windpipe 13.34 NA NA 6.22 6.72 1.83 090
injury.
31820......... ............ A........... Closure of 4.58 5.86 5.76 3.26 3.46 0.38 090
windpipe lesion.
31825......... ............ A........... Repair of windpipe 6.98 7.45 7.56 4.48 4.93 0.53 090
defect.
31830......... ............ A........... Revise windpipe 4.54 5.93 5.85 3.56 3.77 0.44 090
scar.
31899......... ............ C........... Airways surgical 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
32035......... ............ A........... Exploration of 11.20 NA NA 6.09 5.97 1.26 090
chest.
32036......... ............ A........... Exploration of 12.21 NA NA 6.30 6.37 1.43 090
chest.
32095......... ............ A........... Biopsy through 10.06 NA NA 5.10 5.24 1.22 090
chest wall.
32100......... ............ A........... Exploration/biopsy 16.08 NA NA 7.01 7.42 2.24 090
of chest.
32110......... ............ A........... Explore/repair 25.15 NA NA 9.88 10.31 3.22 090
chest.
32120......... ............ A........... Re-exploration of 14.27 NA NA 6.78 6.93 1.63 090
chest.
32124......... ............ A........... Explore chest free 15.33 NA NA 6.96 7.09 1.90 090
adhesions.
32140......... ............ A........... Removal of lung 16.54 NA NA 7.40 7.54 1.97 090
lesion(s).
32141......... ............ A........... Remove/treat lung 27.10 NA NA 10.19 8.87 2.01 090
lesions.
32150......... ............ A........... Removal of lung 16.70 NA NA 7.51 7.56 2.01 090
lesion(s).
32151......... ............ A........... Remove lung 16.82 NA NA 7.92 7.96 2.04 090
foreign body.
32160......... ............ A........... Open chest heart 13.02 NA NA 5.84 5.56 1.31 090
massage.
32200......... ............ A........... Drain, open, lung 18.48 NA NA 8.77 8.69 2.14 090
lesion.
32201......... ............ A........... Drain, percut, 3.99 19.87 20.29 1.43 1.36 0.24 000
lung lesion.
32215......... ............ A........... Treat chest lining 12.93 NA NA 6.24 6.57 1.69 090
32220......... ............ A........... Release of lung... 26.41 NA NA 11.91 12.44 3.57 090
32225......... ............ A........... Partial release of 16.63 NA NA 7.46 7.56 2.07 090
lung.
32310......... ............ A........... Removal of chest 15.16 NA NA 6.93 7.16 2.00 090
lining.
32320......... ............ A........... Free/remove chest 27.04 NA NA 11.46 11.81 3.52 090
lining.
32400......... ............ A........... Needle biopsy 1.76 2.15 2.14 0.57 0.56 0.10 000
chest lining.
32402......... ............ A........... Open biopsy chest 8.89 NA NA 4.69 4.90 1.07 090
lining.
32405......... ............ A........... Biopsy, lung or 1.93 0.69 0.68 0.69 0.66 0.11 000
mediastinum.
32420......... ............ A........... Puncture/clear 2.18 NA NA 0.71 0.70 0.12 000
lung.
32421......... ............ A........... Thoracentesis for 1.54 2.41 2.73 0.47 0.47 0.08 000
aspiration.
32422......... ............ A........... Thoracentesis w/ 2.19 2.88 3.05 1.03 1.05 0.12 000
tube insert.
32440......... ............ A........... Removal of lung... 27.17 NA NA 10.92 11.91 3.69 090
32442......... ............ A........... Sleeve 56.37 NA NA 18.74 16.75 3.85 090
pneumonectomy.
32445......... ............ A........... Removal of lung... 63.60 NA NA 22.80 18.43 3.72 090
32480......... ............ A........... Partial removal of 25.71 NA NA 10.19 11.13 3.50 090
lung.
32482......... ............ A........... Bilobectomy....... 27.28 NA NA 11.10 12.01 3.67 090
32484......... ............ A........... Segmentectomy..... 25.30 NA NA 9.57 10.48 3.04 090
32486......... ............ A........... Sleeve lobectomy.. 42.80 NA NA 14.62 13.94 3.52 090
32488......... ............ A........... Completion 42.83 NA NA 15.58 14.68 3.81 090
pneumonectomy.
32491......... ............ R........... Lung volume 25.09 NA NA 10.43 11.53 2.99 090
reduction.
32500......... ............ A........... Partial removal of 24.48 NA NA 10.27 11.32 3.26 090
lung.
32501......... ............ A........... Repair bronchus 4.68 NA NA 1.34 1.44 0.65 ZZZ
add-on.
32503......... ............ A........... Resect apical lung 31.61 NA NA 12.09 13.58 4.38 090
tumor.
32504......... ............ A........... Resect apical lung 36.41 NA NA 13.48 15.08 5.09 090
tum/chest.
32540......... ............ A........... Removal of lung 30.22 NA NA 11.49 10.56 2.08 090
lesion.
32550......... ............ A........... Insert pleural 4.17 14.97 17.47 1.51 1.58 0.42 000
cath.
32551......... ............ A........... Insertion of chest 3.29 NA NA 0.97 1.16 0.43 000
tube.
32560......... ............ A........... Treat lung lining 2.19 5.06 5.76 0.58 0.64 0.23 000
chemically.
32601......... ............ A........... Thoracoscopy, 5.45 NA NA 2.07 2.21 0.80 000
diagnostic.
32602......... ............ A........... Thoracoscopy, 5.95 NA NA 2.22 2.37 0.87 000
diagnostic.
32603......... ............ A........... Thoracoscopy, 7.80 NA NA 2.74 2.89 1.14 000
diagnostic.
32604......... ............ A........... Thoracoscopy, 8.77 NA NA 3.05 3.25 1.25 000
diagnostic.
32605......... ............ A........... Thoracoscopy, 6.92 NA NA 2.58 2.74 1.00 000
diagnostic.
32606......... ............ A........... Thoracoscopy, 8.39 NA NA 2.97 3.15 1.22 000
diagnostic.
32650......... ............ A........... Thoracoscopy, 10.77 NA NA 5.24 6.00 1.58 090
surgical.
32651......... ............ A........... Thoracoscopy, 18.70 NA NA 7.70 7.47 1.87 090
surgical.
[[Page 2604]]
32652......... ............ A........... Thoracoscopy, 29.00 NA NA 11.14 10.64 2.73 090
surgical.
32653......... ............ A........... Thoracoscopy, 18.09 NA NA 7.46 7.22 1.89 090
surgical.
32654......... ............ A........... Thoracoscopy, 20.44 NA NA 7.96 7.75 1.63 090
surgical.
32655......... ............ A........... Thoracoscopy, 16.09 NA NA 6.88 7.06 1.90 090
surgical.
32656......... ............ A........... Thoracoscopy, 13.18 NA NA 5.96 6.95 1.90 090
surgical.
32657......... ............ A........... Thoracoscopy, 12.85 NA NA 5.97 6.83 2.00 090
surgical.
32658......... ............ A........... Thoracoscopy, 11.65 NA NA 5.50 6.43 1.70 090
surgical.
32659......... ............ A........... Thoracoscopy, 11.86 NA NA 5.80 6.63 1.62 090
surgical.
32660......... ............ A........... Thoracoscopy, 17.69 NA NA 7.59 8.54 2.09 090
surgical.
32661......... ............ A........... Thoracoscopy, 13.27 NA NA 6.05 6.92 1.93 090
surgical.
32662......... ............ A........... Thoracoscopy, 14.91 NA NA 6.64 7.74 2.18 090
surgical.
32663......... ............ A........... Thoracoscopy, 24.56 NA NA 9.40 10.08 2.73 090
surgical.
32664......... ............ A........... Thoracoscopy, 14.22 NA NA 5.62 6.62 2.33 090
surgical.
32665......... ............ A........... Thoracoscopy, 21.45 NA NA 8.57 8.35 2.16 090
surgical.
32800......... ............ A........... Repair lung hernia 15.59 NA NA 6.93 7.17 1.99 090
32810......... ............ A........... Close chest after 14.83 NA NA 6.98 7.25 1.94 090
drainage.
32815......... ............ A........... Close bronchial 49.79 NA NA 18.60 14.79 3.28 090
fistula.
32820......... ............ A........... Reconstruct 22.33 NA NA 10.57 11.37 2.53 090
injured chest.
32850......... ............ X........... Donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pneumonectomy.
32851......... ............ A........... Lung transplant, 40.94 NA NA 20.19 23.94 5.58 090
single.
32852......... ............ A........... Lung transplant 44.65 NA NA 22.58 27.88 6.02 090
with bypass.
32853......... ............ A........... Lung transplant, 50.11 NA NA 22.80 27.29 7.07 090
double.
32854......... ............ A........... Lung transplant 53.88 NA NA 25.79 30.27 7.22 090
with bypass.
32855......... ............ C........... Prepare donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lung, single.
32856......... ............ C........... Prepare donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lung, double.
32900......... ............ A........... Removal of rib(s). 23.69 NA NA 9.57 9.73 2.94 090
32905......... ............ A........... Revise & repair 23.17 NA NA 9.53 9.84 3.16 090
chest wall.
32906......... ............ A........... Revise & repair 29.18 NA NA 11.04 11.55 3.98 090
chest wall.
32940......... ............ A........... Revision of lung.. 21.22 NA NA 8.49 8.99 2.89 090
32960......... ............ A........... Therapeutic 1.84 1.61 1.68 0.68 0.62 0.16 000
pneumothorax.
32997......... ............ A........... Total lung lavage. 7.31 NA NA 1.84 1.88 0.55 000
32998......... ............ A........... Perq rf ablate tx, 5.68 70.26 70.26 1.99 1.99 0.36 000
pul tumor.
32999......... ............ C........... Chest surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
33010......... ............ A........... Drainage of heart 2.24 NA NA 1.04 0.91 0.14 000
sac.
33011......... ............ A........... Repeat drainage of 2.24 NA NA 1.13 0.97 0.15 000
heart sac.
33015......... ............ A........... Incision of heart 8.44 NA NA 5.16 5.05 0.65 090
sac.
33020......... ............ A........... Incision of heart 14.87 NA NA 6.37 6.58 1.80 090
sac.
33025......... ............ A........... Incision of heart 13.65 NA NA 5.85 6.10 1.81 090
sac.
33030......... ............ A........... Partial removal of 22.27 NA NA 9.12 9.33 2.84 090
heart sac.
33031......... ............ A........... Partial removal of 25.30 NA NA 9.58 9.81 3.14 090
heart sac.
33050......... ............ A........... Removal of heart 16.85 NA NA 7.37 7.61 2.15 090
sac lesion.
33120......... ............ A........... Removal of heart 27.33 NA NA 10.57 11.08 3.70 090
lesion.
33130......... ............ A........... Removal of heart 24.05 NA NA 9.37 9.75 3.01 090
lesion.
33140......... ............ A........... Heart 28.26 NA NA 10.31 10.60 2.86 090
revascularize
(tmr).
33141......... ............ A........... Heart tmr w/other 2.54 NA NA 0.78 1.18 0.69 ZZZ
procedure.
33202......... ............ A........... Insert epicard 13.15 NA NA 6.08 6.08 1.71 090
eltrd, open.
33203......... ............ A........... Insert epicard 13.92 NA NA 6.13 6.13 1.39 090
eltrd, endo.
33206......... ............ A........... Insertion of heart 7.31 NA NA 5.13 4.79 0.52 090
pacemaker.
33207......... ............ A........... Insertion of heart 8.00 NA NA 5.23 4.94 0.59 090
pacemaker.
33208......... ............ A........... Insertion of heart 8.72 NA NA 5.66 5.21 0.56 090
pacemaker.
33210......... ............ A........... Insertion of heart 3.30 NA NA 1.66 1.46 0.18 000
electrode.
33211......... ............ A........... Insertion of heart 3.39 NA NA 1.59 1.45 0.21 000
electrode.
33212......... ............ A........... Insertion of pulse 5.51 NA NA 3.71 3.53 0.43 090
generator.
33213......... ............ A........... Insertion of pulse 6.36 NA NA 4.21 3.97 0.45 090
generator.
33214......... ............ A........... Upgrade of 7.78 NA NA 5.36 5.13 0.58 090
pacemaker system.
33215......... ............ A........... Reposition pacing- 4.89 NA NA 3.49 3.33 0.37 090
defib lead.
33216......... ............ A........... Insert lead pace- 5.81 NA NA 4.54 4.37 0.36 090
defib, one.
33217......... ............ A........... Insert lead pace- 5.78 NA NA 4.43 4.33 0.39 090
defib, dual.
33218......... ............ A........... Repair lead pace- 5.97 NA NA 4.82 4.56 0.37 090
defib, one.
33220......... ............ A........... Repair lead pace- 6.05 NA NA 4.78 4.53 0.37 090
defib, dual.
33222......... ............ A........... Revise pocket, 5.01 NA NA 4.30 4.30 0.42 090
pacemaker.
33223......... ............ A........... Revise pocket, 6.49 NA NA 4.88 4.74 0.45 090
pacing-defib.
33224......... ............ A........... Insert pacing lead 9.04 NA NA 4.91 4.45 0.54 000
& connect.
33225......... ............ A........... L ventric pacing 8.33 NA NA 4.35 3.80 0.45 ZZZ
lead add-on.
33226......... ............ A........... Reposition l 8.68 NA NA 4.74 4.28 0.59 000
ventric lead.
33233......... ............ A........... Removal of 3.33 NA NA 3.27 3.27 0.22 090
pacemaker system.
33234......... ............ A........... Removal of 7.85 NA NA 5.49 5.20 0.56 090
pacemaker system.
33235......... ............ A........... Removal pacemaker 9.93 NA NA 7.24 7.03 0.73 090
electrode.
33236......... ............ A........... Remove electrode/ 12.64 NA NA 6.38 6.91 1.69 090
thoracotomy.
33237......... ............ A........... Remove electrode/ 13.75 NA NA 8.02 7.90 1.59 090
thoracotomy.
33238......... ............ A........... Remove electrode/ 15.28 NA NA 8.05 8.13 2.03 090
thoracotomy.
33240......... ............ A........... Insert pulse 7.61 NA NA 5.25 4.92 0.41 090
generator.
[[Page 2605]]
33241......... ............ A........... Remove pulse 3.26 NA NA 3.00 2.98 0.18 090
generator.
33243......... ............ A........... Remove eltrd/ 23.42 NA NA 10.94 11.20 2.10 090
thoracotomy.
33244......... ............ A........... Remove eltrd, 13.84 NA NA 9.44 9.17 0.99 090
transven.
33249......... ............ A........... Eltrd/insert pace- 15.02 NA NA 10.16 9.26 0.77 090
defib.
33250......... ............ A........... Ablate heart 25.78 NA NA 10.89 10.96 3.19 090
dysrhythm focus.
33251......... ............ A........... Ablate heart 28.80 NA NA 10.97 11.32 3.60 090
dysrhythm focus.
33254......... ............ A........... Ablate atria, lmtd 23.58 NA NA 9.77 9.77 3.35 090
33255......... ............ A........... Ablate atria w/o 28.91 NA NA 11.37 11.37 3.94 090
bypass, ext.
33256......... ............ A........... Ablate atria w/ 34.77 NA NA 13.12 13.12 4.95 090
bypass, exten.
33257......... ............ A........... Ablate atria, 9.63 NA NA 5.47 5.47 0.89 ZZZ
lmtd, add-on.
33258......... ............ A........... Ablate atria, 11.00 NA NA 5.99 5.99 1.09 ZZZ
x10sv, add-on.
33259......... ............ A........... Ablate atria w/ 14.14 NA NA 7.80 7.80 1.78 ZZZ
bypass add-on.
33261......... ............ A........... Ablate heart 28.80 NA NA 11.69 11.73 3.46 090
dysrhythm focus.
33265......... ............ A........... Ablate atria, 23.58 NA NA 9.77 9.77 3.35 090
lmtd, endo.
33266......... ............ A........... Ablate atria, 32.91 NA NA 12.57 12.57 4.80 090
x10sv, endo.
33282......... ............ A........... Implant pat-active 4.70 NA NA 4.24 4.13 0.23 090
ht record.
33284......... ............ A........... Remove pat-active 3.04 NA NA 3.38 3.45 0.14 090
ht record.
33300......... ............ A........... Repair of heart 44.89 NA NA 15.06 12.15 2.66 090
wound.
33305......... ............ A........... Repair of heart 76.85 NA NA 25.14 17.88 3.13 090
wound.
33310......... ............ A........... Exploratory heart 20.22 NA NA 8.36 8.97 2.59 090
surgery.
33315......... ............ A........... Exploratory heart 26.05 NA NA 10.36 10.62 3.28 090
surgery.
33320......... ............ A........... Repair major blood 18.46 NA NA 8.01 8.11 2.08 090
vessel(s).
33321......... ............ A........... Repair major 20.71 NA NA 8.38 9.08 2.91 090
vessel.
33322......... ............ A........... Repair major blood 24.30 NA NA 9.55 9.96 2.86 090
vessel(s).
33330......... ............ A........... Insert major 25.17 NA NA 9.50 9.89 2.82 090
vessel graft.
33332......... ............ A........... Insert major 24.46 NA NA 9.46 9.99 3.03 090
vessel graft.
33335......... ............ A........... Insert major 33.79 NA NA 12.49 12.92 4.28 090
vessel graft.
33400......... ............ A........... Repair of aortic 41.37 NA NA 14.58 15.13 4.11 090
valve.
33401......... ............ A........... Valvuloplasty, 24.41 NA NA 10.28 11.89 3.57 090
open.
33403......... ............ A........... Valvuloplasty, w/ 25.39 NA NA 12.53 13.42 3.55 090
cp bypass.
33404......... ............ A........... Prepare heart- 31.25 NA NA 12.02 13.28 4.33 090
aorta conduit.
33405......... ............ A........... Replacement of 41.19 NA NA 15.12 16.71 5.33 090
aortic valve.
33406......... ............ A........... Replacement of 52.55 NA NA 18.39 18.76 5.45 090
aortic valve.
33410......... ............ A........... Replacement of 46.28 NA NA 16.53 16.56 4.69 090
aortic valve.
33411......... ............ A........... Replacement of 61.94 NA NA 21.11 19.93 5.48 090
aortic valve.
33412......... ............ A........... Replacement of 43.77 NA NA 16.22 18.32 6.39 090
aortic valve.
33413......... ............ A........... Replacement of 59.74 NA NA 23.55 22.19 6.53 090
aortic valve.
33414......... ............ A........... Repair of aortic 39.29 NA NA 14.29 14.21 4.57 090
valve.
33415......... ............ A........... Revision, 37.19 NA NA 13.15 12.59 4.14 090
subvalvular
tissue.
33416......... ............ A........... Revise ventricle 36.43 NA NA 13.24 13.38 4.57 090
muscle.
33417......... ............ A........... Repair of aortic 29.17 NA NA 11.71 12.66 4.10 090
valve.
33420......... ............ A........... Revision of mitral 25.67 NA NA 9.50 9.53 1.82 090
valve.
33422......... ............ A........... Revision of mitral 29.61 NA NA 11.36 12.51 3.94 090
valve.
33425......... ............ A........... Repair of mitral 49.83 NA NA 17.61 15.34 4.07 090
valve.
33426......... ............ A........... Repair of mitral 43.15 NA NA 15.76 16.45 5.03 090
valve.
33427......... ............ A........... Repair of mitral 44.70 NA NA 15.70 17.54 6.09 090
valve.
33430......... ............ A........... Replacement of 50.75 NA NA 18.57 17.93 5.10 090
mitral valve.
33460......... ............ A........... Revision of 44.62 NA NA 14.72 13.01 3.45 090
tricuspid valve.
33463......... ............ A........... Valvuloplasty, 56.95 NA NA 19.73 16.33 3.87 090
tricuspid.
33464......... ............ A........... Valvuloplasty, 44.49 NA NA 15.85 14.69 4.15 090
tricuspid.
33465......... ............ A........... Replace tricuspid 50.59 NA NA 17.65 15.31 4.39 090
valve.
33468......... ............ A........... Revision of 32.82 NA NA 15.25 14.45 4.07 090
tricuspid valve.
33470......... ............ A........... Revision of 21.32 NA NA 7.93 9.31 1.03 090
pulmonary valve.
33471......... ............ A........... Valvotomy, 22.83 NA NA 11.60 10.68 3.39 090
pulmonary valve.
33472......... ............ A........... Revision of 22.90 NA NA 8.79 10.33 3.55 090
pulmonary valve.
33474......... ............ A........... Revision of 39.27 NA NA 12.95 11.92 3.22 090
pulmonary valve.
33475......... ............ A........... Replacement, 42.27 NA NA 15.07 15.22 4.93 090
pulmonary valve.
33476......... ............ A........... Revision of heart 26.41 NA NA 10.37 11.17 2.42 090
chamber.
33478......... ............ A........... Revision of heart 27.38 NA NA 11.02 12.04 3.89 090
chamber.
33496......... ............ A........... Repair, prosth 29.71 NA NA 11.10 11.93 4.13 090
valve clot.
33500......... ............ A........... Repair heart 27.82 NA NA 11.04 11.25 3.87 090
vessel fistula.
33501......... ............ A........... Repair heart 19.43 NA NA 8.00 8.14 1.91 090
vessel fistula.
33502......... ............ A........... Coronary artery 21.69 NA NA 9.34 10.21 3.00 090
correction.
33503......... ............ A........... Coronary artery 22.29 NA NA 12.33 11.03 1.78 090
graft.
33504......... ............ A........... Coronary artery 25.30 NA NA 10.59 11.20 3.36 090
graft.
33505......... ............ A........... Repair artery w/ 38.35 NA NA 15.14 14.03 2.19 090
tunnel.
33506......... ............ A........... Repair artery, 37.80 NA NA 12.71 13.64 4.66 090
translocation.
33507......... ............ A........... Repair art, 31.35 NA NA 11.10 12.37 4.06 090
intramural.
33508......... ............ A........... Endoscopic vein 0.31 NA NA 0.09 0.10 0.04 ZZZ
harvest.
33510......... ............ A........... CABG, vein, single 34.87 NA NA 12.92 14.63 4.41 090
33511......... ............ A........... CABG, vein, two... 38.34 NA NA 14.16 15.62 4.56 090
33512......... ............ A........... CABG, vein, three. 43.87 NA NA 15.95 16.78 4.67 090
[[Page 2606]]
33513......... ............ A........... CABG, vein, four.. 45.26 NA NA 16.38 17.09 4.88 090
33514......... ............ A........... CABG, vein, five.. 47.97 NA NA 17.36 17.71 4.77 090
33516......... ............ A........... Cabg, vein, six or 49.65 NA NA 17.97 18.39 5.13 090
more.
33517......... ............ A........... CABG, artery-vein, 3.61 NA NA 1.08 0.96 0.39 ZZZ
single.
33518......... ............ A........... CABG, artery-vein, 7.93 NA NA 2.37 1.97 0.73 ZZZ
two.
33519......... ............ A........... CABG, artery-vein, 10.49 NA NA 3.14 2.73 1.04 ZZZ
three.
33521......... ............ A........... CABG, artery-vein, 12.59 NA NA 3.78 3.42 1.37 ZZZ
four.
33522......... ............ A........... CABG, artery-vein, 14.14 NA NA 4.24 4.02 1.78 ZZZ
five.
33523......... ............ A........... Cabg, art-vein, 16.08 NA NA 4.78 4.66 2.13 ZZZ
six or more.
33530......... ............ A........... Coronary artery, 10.13 NA NA 2.95 2.43 0.88 ZZZ
bypass/reop.
33533......... ............ A........... CABG, arterial, 33.64 NA NA 12.57 14.52 4.56 090
single.
33534......... ............ A........... CABG, arterial, 39.77 NA NA 14.75 16.24 4.70 090
two.
33535......... ............ A........... CABG, arterial, 44.64 NA NA 16.31 17.22 5.03 090
three.
33536......... ............ A........... Cabg, arterial, 48.32 NA NA 17.34 17.82 5.44 090
four or more.
33542......... ............ A........... Removal of heart 48.08 NA NA 16.90 14.95 4.38 090
lesion.
33545......... ............ A........... Repair of heart 56.93 NA NA 20.16 17.90 5.21 090
damage.
33548......... ............ A........... Restore/remodel, 53.96 NA NA 19.35 19.33 5.53 090
ventricle.
33572......... ............ A........... Open coronary 4.44 NA NA 1.31 1.38 0.65 ZZZ
endarterectomy.
33600......... ............ A........... Closure of valve.. 30.15 NA NA 12.15 12.34 4.42 090
33602......... ............ A........... Closure of valve.. 29.18 NA NA 11.17 11.81 3.82 090
33606......... ............ A........... Anastomosis/artery- 31.37 NA NA 11.92 12.80 4.41 090
aorta.
33608......... ............ A........... Repair anomaly w/ 31.72 NA NA 12.86 13.49 4.74 090
conduit.
33610......... ............ A........... Repair by 31.24 NA NA 13.56 13.58 4.56 090
enlargement.
33611......... ............ A........... Repair double 35.49 NA NA 12.37 13.26 4.37 090
ventricle.
33612......... ............ A........... Repair double 36.49 NA NA 14.32 14.74 5.30 090
ventricle.
33615......... ............ A........... Repair, modified 35.76 NA NA 13.80 13.48 4.32 090
fontan.
33617......... ............ A........... Repair single 38.96 NA NA 13.96 14.98 5.66 090
ventricle.
33619......... ............ A........... Repair single 48.60 NA NA 17.99 19.40 6.46 090
ventricle.
33641......... ............ A........... Repair heart 29.50 NA NA 10.89 10.24 3.23 090
septum defect.
33645......... ............ A........... Revision of heart 27.98 NA NA 10.68 11.23 3.79 090
veins.
33647......... ............ A........... Repair heart 29.37 NA NA 12.72 13.25 3.32 090
septum defects.
33660......... ............ A........... Repair of heart 31.75 NA NA 11.83 12.66 4.49 090
defects.
33665......... ............ A........... Repair of heart 34.77 NA NA 12.17 13.01 4.00 090
defects.
33670......... ............ A........... Repair of heart 36.58 NA NA 15.64 14.41 4.65 090
chambers.
33675......... ............ A........... Close mult vsd.... 35.87 NA NA 15.76 15.76 4.95 090
33676......... ............ A........... Close mult vsd w/ 36.87 NA NA 16.06 16.06 5.44 090
resection.
33677......... ............ A........... Cl mult vsd w/rem 38.37 NA NA 16.63 16.63 5.68 090
pul band.
33681......... ............ A........... Repair heart 32.16 NA NA 12.89 13.79 4.45 090
septum defect.
33684......... ............ A........... Repair heart 34.29 NA NA 13.29 13.46 3.39 090
septum defect.
33688......... ............ A........... Repair heart 34.67 NA NA 11.63 11.05 4.73 090
septum defect.
33690......... ............ A........... Reinforce 20.20 NA NA 8.64 9.40 1.97 090
pulmonary artery.
33692......... ............ A........... Repair of heart 31.38 NA NA 19.59 16.76 4.58 090
defects.
33694......... ............ A........... Repair of heart 35.49 NA NA 10.05 12.14 5.28 090
defects.
33697......... ............ A........... Repair of heart 37.49 NA NA 16.95 15.91 4.09 090
defects.
33702......... ............ A........... Repair of heart 27.11 NA NA 10.53 11.55 3.68 090
defects.
33710......... ............ A........... Repair of heart 30.28 NA NA 11.26 12.62 4.43 090
defects.
33720......... ............ A........... Repair of heart 27.13 NA NA 10.69 11.49 3.84 090
defect.
33722......... ............ A........... Repair of heart 29.05 NA NA 10.61 12.24 1.30 090
defect.
33724......... ............ A........... Repair venous 27.55 NA NA 10.38 10.38 4.00 090
anomaly.
33726......... ............ A........... Repair pul venous 37.04 NA NA 13.23 13.23 5.03 090
stenosis.
33730......... ............ A........... Repair heart-vein 36.01 NA NA 12.87 13.50 5.03 090
defect(s).
33732......... ............ A........... Repair heart-vein 28.80 NA NA 12.66 13.03 3.68 090
defect.
33735......... ............ A........... Revision of heart 22.04 NA NA 11.04 10.00 1.92 090
chamber.
33736......... ............ A........... Revision of heart 24.16 NA NA 12.07 11.96 3.09 090
chamber.
33737......... ............ A........... Revision of heart 22.34 NA NA 9.13 10.03 3.25 090
chamber.
33750......... ............ A........... Major vessel shunt 22.06 NA NA 9.43 9.82 1.16 090
33755......... ............ A........... Major vessel shunt 22.44 NA NA 7.80 8.30 3.26 090
33762......... ............ A........... Major vessel shunt 22.44 NA NA 8.69 9.43 3.14 090
33764......... ............ A........... Major vessel shunt 22.44 NA NA 8.95 9.59 3.01 090
& graft.
33766......... ............ A........... Major vessel shunt 23.41 NA NA 8.48 10.08 3.70 090
33767......... ............ A........... Major vessel shunt 25.14 NA NA 8.51 10.12 3.82 090
33768......... ............ A........... Cavopulmonary 8.00 NA NA 1.84 2.25 1.19 ZZZ
shunting.
33770......... ............ A........... Repair great 39.02 NA NA 11.92 13.30 5.74 090
vessels defect.
33771......... ............ A........... Repair great 40.58 NA NA 13.09 12.74 5.68 090
vessels defect.
33774......... ............ A........... Repair great 31.54 NA NA 12.21 13.44 4.81 090
vessels defect.
33775......... ............ A........... Repair great 32.83 NA NA 10.11 12.55 4.99 090
vessels defect.
33776......... ............ A........... Repair great 34.53 NA NA 10.25 13.03 5.09 090
vessels defect.
33777......... ............ A........... Repair great 33.95 NA NA 9.93 12.78 5.49 090
vessels defect.
33778......... ............ A........... Repair great 42.62 NA NA 14.93 15.92 6.20 090
vessels defect.
33779......... ............ A........... Repair great 43.15 NA NA 12.46 13.92 2.92 090
vessels defect.
33780......... ............ A........... Repair great 43.85 NA NA 13.15 16.12 3.68 090
vessels defect.
33781......... ............ A........... Repair great 43.16 NA NA 11.13 12.23 5.97 090
vessels defect.
[[Page 2607]]
33786......... ............ A........... Repair arterial 41.74 NA NA 14.10 15.41 5.71 090
trunk.
33788......... ............ A........... Revision of 27.26 NA NA 8.25 10.10 4.03 090
pulmonary artery.
33800......... ............ A........... Aortic suspension. 17.23 NA NA 6.82 7.47 2.46 090
33802......... ............ A........... Repair vessel 18.24 NA NA 7.95 8.59 2.27 090
defect.
33803......... ............ A........... Repair vessel 20.18 NA NA 6.39 8.08 3.20 090
defect.
33813......... ............ A........... Repair septal 21.23 NA NA 8.82 9.87 3.13 090
defect.
33814......... ............ A........... Repair septal 26.41 NA NA 10.41 11.53 3.85 090
defect.
33820......... ............ A........... Revise major 16.61 NA NA 6.96 7.66 2.35 090
vessel.
33822......... ............ A........... Revise major 17.63 NA NA 5.94 7.45 2.68 090
vessel.
33824......... ............ A........... Revise major 20.10 NA NA 8.46 9.22 2.89 090
vessel.
33840......... ............ A........... Remove aorta 21.21 NA NA 9.34 9.82 2.16 090
constriction.
33845......... ............ A........... Remove aorta 22.77 NA NA 9.39 10.37 3.22 090
constriction.
33851......... ............ A........... Remove aorta 21.85 NA NA 8.88 9.78 3.18 090
constriction.
33852......... ............ A........... Repair septal 24.28 NA NA 14.77 13.07 2.16 090
defect.
33853......... ............ A........... Repair septal 32.35 NA NA 12.26 13.54 4.48 090
defect.
33860......... ............ A........... Ascending aortic 59.33 NA NA 20.22 18.34 5.76 090
graft.
33861......... ............ A........... Ascending aortic 43.94 NA NA 15.71 16.71 6.37 090
graft.
33863......... ............ A........... Ascending aortic 58.71 NA NA 19.61 19.15 6.59 090
graft.
33864......... ............ A........... Ascending aortic 60.00 NA NA 20.11 20.11 6.73 090
graft.
33870......... ............ A........... Transverse aortic 45.93 NA NA 16.29 17.34 6.62 090
arch graft.
33875......... ............ A........... Thoracic aortic 35.68 NA NA 12.92 13.51 4.89 090
graft.
33877......... ............ A........... Thoracoabdominal 68.85 NA NA 21.03 18.68 5.94 090
graft.
33880......... ............ A........... Endovasc taa repr 34.48 NA NA 10.93 12.20 2.75 090
incl subcl.
33881......... ............ A........... Endovasc taa repr 29.48 NA NA 9.67 10.82 2.33 090
w/o subcl.
33883......... ............ A........... Insert endovasc 20.99 NA NA 7.24 8.21 2.11 090
prosth, taa.
33884......... ............ A........... Endovasc prosth, 8.20 NA NA 2.08 2.33 0.86 ZZZ
taa, add-on.
33886......... ............ A........... Endovasc prosth, 17.99 NA NA 6.34 7.29 1.80 090
delayed.
33889......... ............ A........... Artery transpose/ 15.92 NA NA 3.98 4.58 2.18 000
endovas taa.
33891......... ............ A........... Car-car bp grft/ 20.00 NA NA 5.82 6.39 2.73 000
endovas taa.
33910......... ............ A........... Remove lung artery 29.59 NA NA 11.35 11.39 3.70 090
emboli.
33915......... ............ A........... Remove lung artery 24.83 NA NA 9.12 9.38 1.44 090
emboli.
33916......... ............ A........... Surgery of great 28.30 NA NA 10.83 11.09 3.67 090
vessel.
33917......... ............ A........... Repair pulmonary 25.14 NA NA 10.04 11.12 3.70 090
artery.
33920......... ............ A........... Repair pulmonary 32.58 NA NA 9.47 11.65 4.38 090
atresia.
33922......... ............ A........... Transect pulmonary 24.09 NA NA 10.25 10.58 3.10 090
artery.
33924......... ............ A........... Remove pulmonary 5.49 NA NA 1.59 1.72 0.82 ZZZ
shunt.
33925......... ............ A........... Rpr pul art 31.25 NA NA 16.44 15.56 4.61 090
unifocal w/o cpb.
33926......... ............ A........... Repr pul art, 44.68 NA NA 14.81 16.25 6.22 090
unifocal w/cpb.
33930......... ............ X........... Removal of donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart/lung.
33933......... ............ C........... Prepare donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart/lung.
33935......... ............ R........... Transplantation, 61.68 NA NA 22.96 25.87 9.06 090
heart/lung.
33940......... ............ X........... Removal of donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart.
33944......... ............ C........... Prepare donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart.
33945......... ............ R........... Transplantation of 89.08 NA NA 30.40 25.90 6.26 090
heart.
33960......... ............ A........... External 19.33 NA NA 5.26 5.08 2.67 000
circulation
assist.
33961......... ............ A........... External 10.91 NA NA 2.99 3.30 0.88 ZZZ
circulation
assist.
33967......... ............ A........... Insert ia percut 4.84 NA NA 2.41 2.13 0.35 000
device.
33968......... ............ A........... Remove aortic 0.64 NA NA 0.26 0.24 0.07 000
assist device.
33970......... ............ A........... Aortic circulation 6.74 NA NA 2.54 2.41 0.82 000
assist.
33971......... ............ A........... Aortic circulation 11.91 NA NA 6.01 6.01 1.25 090
assist.
33973......... ............ A........... Insert balloon 9.75 NA NA 3.94 3.63 1.26 000
device.
33974......... ............ A........... Remove intra- 14.93 NA NA 7.74 7.81 1.74 090
aortic balloon.
33975......... ............ A........... Implant 20.97 NA NA 6.30 6.29 3.07 XXX
ventricular
device.
33976......... ............ A........... Implant 22.97 NA NA 7.67 7.61 3.26 XXX
ventricular
device.
33977......... ............ A........... Remove ventricular 20.07 NA NA 9.42 10.25 2.81 090
device.
33978......... ............ A........... Remove ventricular 22.51 NA NA 10.43 11.09 3.31 090
device.
33979......... ............ A........... Insert 45.93 NA NA 13.29 14.11 6.97 XXX
intracorporeal
device.
33980......... ............ A........... Remove 64.86 NA NA 23.09 24.17 8.59 090
intracorporeal
device.
33999......... ............ C........... Cardiac surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
34001......... ............ A........... Removal of artery 17.78 NA NA 6.37 6.54 1.85 090
clot.
34051......... ............ A........... Removal of artery 16.91 NA NA 7.44 7.61 2.21 090
clot.
34101......... ............ A........... Removal of artery 10.85 NA NA 4.30 4.83 1.41 090
clot.
34111......... ............ A........... Removal of arm 10.85 NA NA 4.28 4.82 1.40 090
artery clot.
34151......... ............ A........... Removal of artery 26.41 NA NA 8.66 9.53 3.56 090
clot.
34201......... ............ A........... Removal of artery 19.38 NA NA 6.55 5.98 1.45 090
clot.
34203......... ............ A........... Removal of leg 17.73 NA NA 6.38 7.22 2.36 090
artery clot.
34401......... ............ A........... Removal of vein 26.41 NA NA 9.27 9.97 3.10 090
clot.
34421......... ............ A........... Removal of vein 13.29 NA NA 5.20 5.75 1.55 090
clot.
34451......... ............ A........... Removal of vein 28.41 NA NA 9.39 10.42 3.84 090
clot.
34471......... ............ A........... Removal of vein 21.00 NA NA 7.87 6.59 1.18 090
clot.
34490......... ............ A........... Removal of vein 10.83 NA NA 4.35 4.89 1.41 090
clot.
34501......... ............ A........... Repair valve, 16.74 NA NA 6.43 7.46 2.35 090
femoral vein.
[[Page 2608]]
34502......... ............ A........... Reconstruct vena 27.86 NA NA 10.49 11.39 3.63 090
cava.
34510......... ............ A........... Transposition of 19.80 NA NA 7.53 8.47 2.33 090
vein valve.
34520......... ............ A........... Cross-over vein 19.05 NA NA 7.02 7.74 2.29 090
graft.
34530......... ............ A........... Leg vein fusion... 17.77 NA NA 6.77 7.69 1.74 090
34800......... ............ A........... Endovas aaa repr w/ 21.46 NA NA 7.25 8.21 2.46 090
sm tube.
34802......... ............ A........... Endovas aaa repr w/ 23.71 NA NA 8.18 8.99 2.33 090
2-p part.
34803......... ............ A........... Endovas aaa repr w/ 24.74 NA NA 8.02 9.12 2.01 090
3-p part.
34804......... ............ A........... Endovas aaa repr w/ 23.71 NA NA 8.07 8.94 2.30 090
1-p part.
34805......... ............ A........... Endovas aaa repr w/ 22.59 NA NA 7.27 8.46 2.01 090
long tube.
34806......... ............ A........... Aneurysm press 2.06 0.51 0.51 0.51 0.51 0.30 ZZZ
sensor add-on.
34808......... ............ A........... Endovas iliac a 4.12 NA NA 1.05 1.21 0.59 ZZZ
device addon.
34812......... ............ A........... Xpose for 6.74 NA NA 1.67 1.95 1.18 000
endoprosth,
femorl.
34813......... ............ A........... Femoral endovas 4.79 NA NA 1.16 1.36 0.67 ZZZ
graft add-on.
34820......... ............ A........... Xpose for 9.74 NA NA 2.45 2.84 1.50 000
endoprosth, iliac.
34825......... ............ A........... Endovasc extend 12.72 NA NA 5.15 5.65 1.28 090
prosth, init.
34826......... ............ A........... Endovasc exten 4.12 NA NA 1.14 1.25 0.44 ZZZ
prosth,
add[AElig]l.
34830......... ............ A........... Open aortic tube 35.10 NA NA 10.34 12.02 4.55 090
prosth repr.
34831......... ............ A........... Open aortoiliac 37.85 NA NA 11.28 11.51 4.89 090
prosth repr.
34832......... ............ A........... Open aortofemor 37.85 NA NA 11.81 13.22 4.85 090
prosth repr.
34833......... ............ A........... Xpose for 11.98 NA NA 3.29 3.86 1.70 000
endoprosth, iliac.
34834......... ............ A........... Xpose, endoprosth, 5.34 NA NA 1.57 1.88 0.76 000
brachial.
34900......... ............ A........... Endovasc iliac 16.77 NA NA 6.06 6.82 2.00 090
repr w/graft.
35001......... ............ A........... Repair defect of 20.70 NA NA 7.71 8.63 2.81 090
artery.
35002......... ............ A........... Repair artery 22.12 NA NA 7.52 8.61 3.00 090
rupture, neck.
35005......... ............ A........... Repair defect of 19.18 NA NA 8.53 8.69 1.77 090
artery.
35011......... ............ A........... Repair defect of 18.50 NA NA 6.30 7.14 2.55 090
artery.
35013......... ............ A........... Repair artery 23.10 NA NA 7.77 8.72 3.10 090
rupture, arm.
35021......... ............ A........... Repair defect of 22.09 NA NA 8.47 8.94 2.87 090
artery.
35022......... ............ A........... Repair artery 25.62 NA NA 10.59 10.22 3.17 090
rupture, chest.
35045......... ............ A........... Repair defect of 17.94 NA NA 6.28 6.89 2.45 090
arm artery.
35081......... ............ A........... Repair defect of 33.37 NA NA 10.71 11.09 4.01 090
artery.
35082......... ............ A........... Repair artery 41.93 NA NA 12.78 14.04 5.44 090
rupture, aorta.
35091......... ............ A........... Repair defect of 35.35 NA NA 10.00 11.79 5.14 090
artery.
35092......... ............ A........... Repair artery 50.81 NA NA 14.51 16.08 6.40 090
rupture, aorta.
35102......... ............ A........... Repair defect of 36.37 NA NA 11.30 11.83 4.48 090
artery.
35103......... ............ A........... Repair artery 43.49 NA NA 12.64 14.25 5.76 090
rupture, groin.
35111......... ............ A........... Repair defect of 26.17 NA NA 8.51 9.49 3.47 090
artery.
35112......... ............ A........... Repair artery 32.44 NA NA 10.08 11.02 4.08 090
rupture,spleen.
35121......... ............ A........... Repair defect of 31.41 NA NA 9.98 11.17 4.30 090
artery.
35122......... ............ A........... Repair artery 37.76 NA NA 11.52 12.66 4.75 090
rupture, belly.
35131......... ............ A........... Repair defect of 26.29 NA NA 8.64 9.69 3.80 090
artery.
35132......... ............ A........... Repair artery 32.44 NA NA 10.29 11.34 4.30 090
rupture, groin.
35141......... ............ A........... Repair defect of 20.83 NA NA 6.94 7.93 2.90 090
artery.
35142......... ............ A........... Repair artery 25.03 NA NA 8.25 9.31 3.36 090
rupture, thigh.
35151......... ............ A........... Repair defect of 23.61 NA NA 7.65 8.82 3.24 090
artery.
35152......... ............ A........... Repair artery 27.53 NA NA 9.12 10.25 3.61 090
rupture, knee.
35180......... ............ A........... Repair blood 15.01 NA NA 6.26 6.60 1.00 090
vessel lesion.
35182......... ............ A........... Repair blood 31.58 NA NA 10.84 11.82 4.36 090
vessel lesion.
35184......... ............ A........... Repair blood 18.72 NA NA 6.51 7.40 2.53 090
vessel lesion.
35188......... ............ A........... Repair blood 15.05 NA NA 6.29 6.96 2.16 090
vessel lesion.
35189......... ............ A........... Repair blood 29.85 NA NA 10.68 11.32 4.01 090
vessel lesion.
35190......... ............ A........... Repair blood 13.33 NA NA 5.24 5.86 1.80 090
vessel lesion.
35201......... ............ A........... Repair blood 16.84 NA NA 6.32 7.16 2.34 090
vessel lesion.
35206......... ............ A........... Repair blood 13.76 NA NA 5.30 5.93 1.87 090
vessel lesion.
35207......... ............ A........... Repair blood 10.85 NA NA 6.64 7.00 1.48 090
vessel lesion.
35211......... ............ A........... Repair blood 24.50 NA NA 9.72 10.17 3.20 090
vessel lesion.
35216......... ............ A........... Repair blood 36.47 NA NA 13.58 11.28 2.65 090
vessel lesion.
35221......... ............ A........... Repair blood 26.54 NA NA 8.34 9.14 3.37 090
vessel lesion.
35226......... ............ A........... Repair blood 15.22 NA NA 5.80 6.62 2.02 090
vessel lesion.
35231......... ............ A........... Repair blood 21.08 NA NA 7.73 8.75 2.89 090
vessel lesion.
35236......... ............ A........... Repair blood 17.94 NA NA 6.30 7.09 2.43 090
vessel lesion.
35241......... ............ A........... Repair blood 25.50 NA NA 10.03 10.58 3.53 090
vessel lesion.
35246......... ............ A........... Repair blood 28.15 NA NA 10.11 10.77 3.86 090
vessel lesion.
35251......... ............ A........... Repair blood 31.83 NA NA 9.46 10.63 4.13 090
vessel lesion.
35256......... ............ A........... Repair blood 18.98 NA NA 6.38 7.36 2.63 090
vessel lesion.
35261......... ............ A........... Repair blood 18.88 NA NA 6.98 7.50 2.61 090
vessel lesion.
35266......... ............ A........... Repair blood 15.75 NA NA 5.47 6.24 2.10 090
vessel lesion.
35271......... ............ A........... Repair blood 24.50 NA NA 9.69 10.10 3.16 090
vessel lesion.
35276......... ............ A........... Repair blood 25.72 NA NA 9.79 10.50 3.49 090
vessel lesion.
35281......... ............ A........... Repair blood 29.93 NA NA 9.29 10.50 3.97 090
vessel lesion.
35286......... ............ A........... Repair blood 17.06 NA NA 6.31 7.18 2.35 090
vessel lesion.
35301......... ............ A........... Rechanneling of 19.53 NA NA 6.69 7.56 2.68 090
artery.
[[Page 2609]]
35302......... ............ A........... Rechanneling of 21.27 NA NA 6.91 6.91 2.98 090
artery.
35303......... ............ A........... Rechanneling of 23.52 NA NA 7.46 7.46 3.26 090
artery.
35304......... ............ A........... Rechanneling of 24.52 NA NA 7.71 7.71 3.41 090
artery.
35305......... ............ A........... Rechanneling of 23.52 NA NA 7.46 7.46 3.26 090
artery.
35306......... ............ A........... Rechanneling of 9.25 NA NA 2.28 2.28 1.34 ZZZ
artery.
35311......... ............ A........... Rechanneling of 28.52 NA NA 9.64 10.69 3.42 090
artery.
35321......... ............ A........... Rechanneling of 16.51 NA NA 5.78 6.58 2.25 090
artery.
35331......... ............ A........... Rechanneling of 27.61 NA NA 8.82 10.03 3.83 090
artery.
35341......... ............ A........... Rechanneling of 26.10 NA NA 8.25 9.56 3.78 090
artery.
35351......... ............ A........... Rechanneling of 24.53 NA NA 7.65 8.62 3.35 090
artery.
35355......... ............ A........... Rechanneling of 19.78 NA NA 6.36 7.22 2.67 090
artery.
35361......... ............ A........... Rechanneling of 30.11 NA NA 9.60 10.65 4.15 090
artery.
35363......... ............ A........... Rechanneling of 32.22 NA NA 10.44 11.52 4.33 090
artery.
35371......... ............ A........... Rechanneling of 15.23 NA NA 5.33 6.14 2.14 090
artery.
35372......... ............ A........... Rechanneling of 18.50 NA NA 6.13 7.09 2.63 090
artery.
35390......... ............ A........... Reoperation, 3.19 NA NA 0.82 0.94 0.46 ZZZ
carotid add-on.
35400......... ............ A........... Angioscopy........ 3.00 NA NA 0.72 0.91 0.43 ZZZ
35450......... ............ A........... Repair arterial 10.05 NA NA 2.97 3.27 1.25 000
blockage.
35452......... ............ A........... Repair arterial 6.90 NA NA 2.06 2.33 0.94 000
blockage.
35454......... ............ A........... Repair arterial 6.03 NA NA 1.76 2.04 0.87 000
blockage.
35456......... ............ A........... Repair arterial 7.34 NA NA 2.12 2.44 1.04 000
blockage.
35458......... ............ A........... Repair arterial 9.48 NA NA 2.80 3.14 1.26 000
blockage.
35459......... ............ A........... Repair arterial 8.62 NA NA 2.65 2.91 1.21 000
blockage.
35460......... ............ A........... Repair venous 6.03 NA NA 1.75 2.01 0.83 000
blockage.
35470......... ............ A........... Repair arterial 8.62 61.19 75.06 3.44 3.40 0.69 000
blockage.
35471......... ............ A........... Repair arterial 10.05 66.05 83.19 4.69 4.32 0.67 000
blockage.
35472......... ............ A........... Repair arterial 6.90 47.53 55.97 2.81 2.78 0.58 000
blockage.
35473......... ............ A........... Repair arterial 6.03 46.56 53.22 2.50 2.46 0.51 000
blockage.
35474......... ............ A........... Repair arterial 7.35 60.44 74.11 2.98 2.94 0.57 000
blockage.
35475......... ............ R........... Repair arterial 9.48 48.69 52.41 3.39 3.47 0.62 000
blockage.
35476......... ............ A........... Repair venous 6.03 37.15 40.96 2.23 2.29 0.34 000
blockage.
35480......... ............ A........... Atherectomy, open. 11.06 NA NA 4.05 4.04 1.28 000
35481......... ............ A........... Atherectomy, open. 7.60 NA NA 2.57 2.72 1.13 000
35482......... ............ A........... Atherectomy, open. 6.64 NA NA 2.01 2.29 0.89 000
35483......... ............ A........... Atherectomy, open. 8.09 NA NA 2.57 2.79 1.15 000
35484......... ............ A........... Atherectomy, open. 10.42 NA NA 2.90 3.34 1.27 000
35485......... ............ A........... Atherectomy, open. 9.48 NA NA 2.87 3.20 1.35 000
35490......... ............ A........... Atherectomy, 11.06 NA NA 5.18 4.94 0.71 000
percutaneous.
35491......... ............ A........... Atherectomy, 7.60 NA NA 3.86 3.57 0.74 000
percutaneous.
35492......... ............ A........... Atherectomy, 6.64 NA NA 3.49 3.34 0.43 000
percutaneous.
35493......... ............ A........... Atherectomy, 8.09 NA NA 3.97 3.88 0.56 000
percutaneous.
35494......... ............ A........... Atherectomy, 10.42 NA NA 5.15 4.81 0.59 000
percutaneous.
35495......... ............ A........... Atherectomy, 9.48 NA NA 4.45 4.42 0.69 000
percutaneous.
35500......... ............ A........... Harvest vein for 6.44 NA NA 1.60 1.81 0.93 ZZZ
bypass.
35501......... ............ A........... Artery bypass 28.99 NA NA 11.07 9.77 4.10 090
graft.
35506......... ............ A........... Artery bypass 25.23 NA NA 8.32 8.89 2.87 090
graft.
35508......... ............ A........... Artery bypass 25.99 NA NA 8.77 9.11 2.78 090
graft.
35509......... ............ A........... Artery bypass 27.99 NA NA 10.79 9.78 3.92 090
graft.
35510......... ............ A........... Artery bypass 24.29 NA NA 7.70 8.94 2.12 090
graft.
35511......... ............ A........... Artery bypass 22.12 NA NA 7.66 8.51 2.91 090
graft.
35512......... ............ A........... Artery bypass 23.79 NA NA 7.48 8.74 2.12 090
graft.
35515......... ............ A........... Artery bypass 25.99 NA NA 9.09 9.19 2.78 090
graft.
35516......... ............ A........... Artery bypass 24.11 NA NA 7.46 7.13 2.34 090
graft.
35518......... ............ A........... Artery bypass 22.57 NA NA 7.33 8.15 3.03 090
graft.
35521......... ............ A........... Artery bypass 24.00 NA NA 7.95 8.89 3.13 090
graft.
35522......... ............ A........... Artery bypass 23.05 NA NA 7.40 8.58 2.12 090
graft.
35523......... ............ A........... Artery bypass 24.00 NA NA 9.22 9.22 2.14 090
graft.
35525......... ............ A........... Artery bypass 21.59 NA NA 7.04 8.21 2.12 090
graft.
35526......... ............ A........... Artery bypass 31.47 NA NA 14.04 13.28 3.63 090
graft.
35531......... ............ A........... Artery bypass 38.98 NA NA 11.48 12.98 5.18 090
graft.
35533......... ............ A........... Artery bypass 29.79 NA NA 9.50 10.61 3.85 090
graft.
35536......... ............ A........... Artery bypass 33.60 NA NA 9.51 11.23 4.62 090
graft.
35537......... ............ A........... Artery bypass 41.75 NA NA 13.10 13.10 5.72 090
graft.
35538......... ............ A........... Artery bypass 46.82 NA NA 14.45 14.45 6.39 090
graft.
35539......... ............ A........... Artery bypass 43.98 NA NA 13.47 13.47 6.02 090
graft.
35540......... ............ A........... Artery bypass 49.20 NA NA 14.82 14.82 6.76 090
graft.
35548......... ............ A........... Artery bypass 22.57 NA NA 7.74 8.58 2.98 090
graft.
35549......... ............ A........... Artery bypass 24.34 NA NA 8.74 9.56 3.30 090
graft.
35551......... ............ A........... Artery bypass 27.72 NA NA 9.38 10.44 3.75 090
graft.
35556......... ............ A........... Artery bypass 26.62 NA NA 8.64 9.18 3.10 090
graft.
35558......... ............ A........... Artery bypass 23.00 NA NA 7.87 8.71 3.00 090
graft.
35560......... ............ A........... Artery bypass 33.90 NA NA 10.63 11.97 4.75 090
graft.
[[Page 2610]]
35563......... ............ A........... Artery bypass 25.99 NA NA 8.88 9.70 3.52 090
graft.
35565......... ............ A........... Artery bypass 25.00 NA NA 8.17 9.15 3.30 090
graft.
35566......... ............ A........... Artery bypass 32.22 NA NA 9.85 10.62 3.83 090
graft.
35571......... ............ A........... Artery bypass 25.39 NA NA 8.09 9.47 3.43 090
graft.
35572......... ............ A........... Harvest 6.81 NA NA 1.92 2.08 0.99 ZZZ
femoropopliteal
vein.
35583......... ............ A........... Vein bypass graft. 27.62 NA NA 8.64 9.40 3.17 090
35585......... ............ A........... Vein bypass graft. 32.22 NA NA 10.11 11.17 4.02 090
35587......... ............ A........... Vein bypass graft. 26.08 NA NA 8.51 9.98 3.52 090
35600......... ............ A........... Harvest art for 4.94 NA NA 1.52 1.57 0.73 ZZZ
cabg add-on.
35601......... ............ A........... Artery bypass 26.99 NA NA 10.43 9.53 3.72 090
graft.
35606......... ............ A........... Artery bypass 22.36 NA NA 7.30 8.16 2.70 090
graft.
35612......... ............ A........... Artery bypass 16.71 NA NA 6.31 7.10 2.09 090
graft.
35616......... ............ A........... Artery bypass 21.74 NA NA 7.13 7.62 2.20 090
graft.
35621......... ............ A........... Artery bypass 20.95 NA NA 6.78 7.73 2.92 090
graft.
35623......... ............ A........... Bypass graft, not 25.79 NA NA 8.44 9.47 3.46 090
vein.
35626......... ............ A........... Artery bypass 29.06 NA NA 10.28 11.13 4.08 090
graft.
35631......... ............ A........... Artery bypass 35.90 NA NA 10.56 12.20 4.96 090
graft.
35636......... ............ A........... Artery bypass 31.62 NA NA 9.72 11.01 4.10 090
graft.
35637......... ............ A........... Artery bypass 32.92 NA NA 10.65 10.65 4.44 090
graft.
35638......... ............ A........... Artery bypass 33.47 NA NA 10.79 10.79 4.52 090
graft.
35642......... ............ A........... Artery bypass 18.85 NA NA 6.22 7.45 2.28 090
graft.
35645......... ............ A........... Artery bypass 18.34 NA NA 7.98 8.13 2.50 090
graft.
35646......... ............ A........... Artery bypass 32.84 NA NA 10.45 11.78 4.44 090
graft.
35647......... ............ A........... Artery bypass 29.62 NA NA 9.66 10.72 3.99 090
graft.
35650......... ............ A........... Artery bypass 20.08 NA NA 6.93 7.65 2.72 090
graft.
35651......... ............ A........... Artery bypass 25.97 NA NA 8.71 9.72 3.36 090
graft.
35654......... ............ A........... Artery bypass 26.17 NA NA 8.36 9.51 3.53 090
graft.
35656......... ............ A........... Artery bypass 20.39 NA NA 6.84 7.72 2.80 090
graft.
35661......... ............ A........... Artery bypass 20.22 NA NA 7.04 7.99 2.72 090
graft.
35663......... ............ A........... Artery bypass 23.80 NA NA 7.90 8.94 3.11 090
graft.
35665......... ............ A........... Artery bypass 22.22 NA NA 7.36 8.41 3.01 090
graft.
35666......... ............ A........... Artery bypass 23.53 NA NA 8.51 9.58 3.16 090
graft.
35671......... ............ A........... Artery bypass 20.64 NA NA 7.63 8.50 2.78 090
graft.
35681......... ............ A........... Composite bypass 1.60 NA NA 0.40 0.47 0.23 ZZZ
graft.
35682......... ............ A........... Composite bypass 7.19 NA NA 1.70 2.04 1.03 ZZZ
graft.
35683......... ............ A........... Composite bypass 8.49 NA NA 1.96 2.39 1.20 ZZZ
graft.
35685......... ............ A........... Bypass graft 4.04 NA NA 0.96 1.15 0.58 ZZZ
patency/patch.
35686......... ............ A........... Bypass graft/av 3.34 NA NA 0.85 0.99 0.47 ZZZ
fist patency.
35691......... ............ A........... Arterial 18.32 NA NA 5.95 7.18 2.59 090
transposition.
35693......... ............ A........... Arterial 15.64 NA NA 6.12 6.92 2.22 090
transposition.
35694......... ............ A........... Arterial 19.19 NA NA 6.32 7.46 2.70 090
transposition.
35695......... ............ A........... Arterial 19.97 NA NA 6.71 7.63 2.74 090
transposition.
35697......... ............ A........... Reimplant artery 3.00 NA NA 0.74 0.88 0.41 ZZZ
each.
35700......... ............ A........... Reoperation, 3.08 NA NA 0.77 0.89 0.44 ZZZ
bypass graft.
35701......... ............ A........... Exploration, 9.11 NA NA 4.32 4.73 1.12 090
carotid artery.
35721......... ............ A........... Exploration, 7.66 NA NA 3.83 4.13 1.03 090
femoral artery.
35741......... ............ A........... Exploration 8.61 NA NA 3.87 4.26 1.12 090
popliteal artery.
35761......... ............ A........... Exploration of 5.84 NA NA 3.44 3.72 0.75 090
artery/vein.
35800......... ............ A........... Explore neck 7.99 NA NA 3.95 4.30 0.95 090
vessels.
35820......... ............ A........... Explore chest 36.81 NA NA 12.91 10.06 1.95 090
vessels.
35840......... ............ A........... Explore abdominal 10.87 NA NA 4.81 5.05 1.34 090
vessels.
35860......... ............ A........... Explore limb 6.72 NA NA 3.38 3.71 0.78 090
vessels.
35870......... ............ A........... Repair vessel 24.39 NA NA 7.92 8.85 3.01 090
graft defect.
35875......... ............ A........... Removal of clot in 10.64 NA NA 4.29 4.74 1.41 090
graft.
35876......... ............ A........... Removal of clot in 17.74 NA NA 5.95 6.73 2.40 090
graft.
35879......... ............ A........... Revise graft w/ 17.28 NA NA 5.98 6.83 2.28 090
vein.
35881......... ............ A........... Revise graft w/ 19.22 NA NA 6.46 7.57 2.56 090
vein.
35883......... ............ A........... Revise graft w/ 23.07 NA NA 8.50 8.50 3.19 090
nonauto graft.
35884......... ............ A........... Revise graft w/ 24.57 NA NA 8.94 8.94 3.41 090
vein.
35901......... ............ A........... Excision, graft, 8.26 NA NA 4.24 4.77 1.15 090
neck.
35903......... ............ A........... Excision, graft, 9.44 NA NA 4.60 5.38 1.30 090
extremity.
35905......... ............ A........... Excision, graft, 33.39 NA NA 10.66 11.92 4.44 090
thorax.
35907......... ............ A........... Excision, graft, 37.14 NA NA 10.89 12.53 4.92 090
abdomen.
36000......... ............ A........... Place needle in 0.18 0.46 0.51 0.06 0.06 0.01 XXX
vein.
36002......... ............ A........... Pseudoaneurysm 1.96 2.24 2.55 0.86 0.91 0.17 000
injection trt.
36005......... ............ A........... Injection ext 0.95 8.47 8.06 0.39 0.35 0.05 000
venography.
36010......... ............ A........... Place catheter in 2.43 11.10 15.21 0.78 0.79 0.20 XXX
vein.
36011......... ............ A........... Place catheter in 3.14 19.63 23.73 1.01 1.03 0.27 XXX
vein.
36012......... ............ A........... Place catheter in 3.51 20.26 19.61 1.28 1.23 0.23 XXX
vein.
36013......... ............ A........... Place catheter in 2.52 18.79 20.08 0.93 0.81 0.25 XXX
artery.
36014......... ............ A........... Place catheter in 3.02 18.96 19.55 1.11 1.07 0.19 XXX
artery.
36015......... ............ A........... Place catheter in 3.51 18.56 21.12 1.05 1.12 0.21 XXX
artery.
[[Page 2611]]
36100......... ............ A........... Establish access 3.02 11.25 11.66 1.21 1.16 0.26 XXX
to artery.
36120......... ............ A........... Establish access 2.01 9.21 9.96 0.59 0.62 0.14 XXX
to artery.
36140......... ............ A........... Establish access 2.01 10.49 11.63 0.71 0.67 0.16 XXX
to artery.
36145......... ............ A........... Artery to vein 2.01 10.29 11.43 0.66 0.66 0.11 XXX
shunt.
36160......... ............ A........... Establish access 2.52 11.55 12.52 1.05 0.95 0.26 XXX
to aorta.
36200......... ............ A........... Place catheter in 3.02 13.67 15.10 1.02 1.01 0.24 XXX
aorta.
36215......... ............ A........... Place catheter in 4.67 25.97 26.51 1.89 1.75 0.27 XXX
artery.
36216......... ............ A........... Place catheter in 5.27 28.06 28.58 2.09 1.94 0.31 XXX
artery.
36217......... ............ A........... Place catheter in 6.29 45.91 50.69 2.43 2.30 0.44 XXX
artery.
36218......... ............ A........... Place catheter in 1.01 3.77 4.43 0.39 0.36 0.07 ZZZ
artery.
36245......... ............ A........... Place catheter in 4.67 28.80 30.46 2.12 1.90 0.31 XXX
artery.
36246......... ............ A........... Place catheter in 5.27 27.45 28.72 1.99 1.91 0.38 XXX
artery.
36247......... ............ A........... Place catheter in 6.29 45.20 47.37 2.36 2.25 0.47 XXX
artery.
36248......... ............ A........... Place catheter in 1.01 3.18 3.61 0.38 0.36 0.07 ZZZ
artery.
36260......... ............ A........... Insertion of 9.82 NA NA 4.65 4.76 1.29 090
infusion pump.
36261......... ............ A........... Revision of 5.55 NA NA 3.06 3.36 0.70 090
infusion pump.
36262......... ............ A........... Removal of 4.05 NA NA 2.71 2.73 0.54 090
infusion pump.
36299......... ............ C........... Vessel injection 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
36400......... ............ A........... Bl draw < 3 yrs 0.38 0.28 0.28 0.09 0.09 0.03 XXX
fem/jugular.
36405......... ............ A........... Bl draw < 3 yrs 0.31 0.27 0.27 0.08 0.08 0.03 XXX
scalp vein.
36406......... ............ A........... Bl draw < 3 yrs 0.18 0.25 0.26 0.04 0.05 0.01 XXX
other vein.
36410......... ............ A........... Non-routine bl 0.18 0.32 0.30 0.05 0.05 0.01 XXX
draw > 3 yrs.
36415......... ............ X........... Routine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
venipuncture.
36416......... ............ B........... Capillary blood 0.00 0.00 0.00 0.00 0.00 0.00 XXX
draw.
36420......... ............ A........... Vein access 1.01 NA NA 0.21 0.24 0.07 XXX
cutdown < 1 yr.
36425......... ............ A........... Vein access 0.76 NA NA 0.21 0.21 0.06 XXX
cutdown > 1 yr.
36430......... ............ A........... Blood transfusion 0.00 0.94 0.97 NA NA 0.06 XXX
service.
36440......... ............ A........... Bl push transfuse, 1.03 NA NA 0.25 0.27 0.10 XXX
2 yr or <.
36450......... ............ A........... Bl exchange/ 2.23 NA NA 0.77 0.74 0.21 XXX
transfuse, nb.
36455......... ............ A........... Bl exchange/ 2.43 NA NA 0.67 0.84 0.15 XXX
transfuse non-nb.
36460......... ............ A........... Transfusion 6.58 NA NA 1.81 2.03 0.79 XXX
service, fetal.
36468......... ............ R........... Injection(s), 0.00 0.00 0.00 0.00 0.00 0.00 000
spider veins.
36469......... ............ R........... Injection(s), 0.00 0.00 0.00 0.00 0.00 0.00 000
spider veins.
36470......... ............ A........... Injection therapy 1.09 2.41 2.55 0.64 0.69 0.12 010
of vein.
36471......... ............ A........... Injection therapy 1.60 2.56 2.82 0.79 0.88 0.19 010
of veins.
36475......... ............ A........... Endovenous rf, 1st 6.72 35.78 43.60 1.88 2.21 0.37 000
vein.
36476......... ............ A........... Endovenous rf, 3.38 6.14 7.01 0.83 0.98 0.18 ZZZ
vein add-on.
36478......... ............ A........... Endovenous laser, 6.72 26.98 36.90 2.04 2.29 0.37 000
1st vein.
36479......... ............ A........... Endovenous laser 3.38 6.36 7.18 0.95 1.04 0.18 ZZZ
vein addon.
36481......... ............ A........... Insertion of 6.98 NA NA 2.36 2.48 0.55 000
catheter, vein.
36500......... ............ A........... Insertion of 3.51 NA NA 1.25 1.31 0.20 000
catheter, vein.
36510......... ............ A........... Insertion of 1.09 1.08 2.48 0.30 0.45 0.10 000
catheter, vein.
36511......... ............ A........... Apheresis wbc..... 1.74 NA NA 0.58 0.65 0.08 000
36512......... ............ A........... Apheresis rbc..... 1.74 NA NA 0.60 0.67 0.08 000
36513......... ............ A........... Apheresis 1.74 NA NA 0.55 0.64 0.17 000
platelets.
36514......... ............ A........... Apheresis plasma.. 1.74 10.51 13.74 0.53 0.62 0.08 000
36515......... ............ A........... Apheresis, adsorp/ 1.74 45.51 55.93 0.48 0.57 0.08 000
reinfuse.
36516......... ............ A........... Apheresis, 1.22 49.59 66.85 0.39 0.43 0.08 000
selective.
36522......... ............ A........... Photopheresis..... 1.67 37.44 34.92 0.94 0.95 0.13 000
36555......... ............ A........... Insert non-tunnel 2.68 3.81 4.78 0.59 0.69 0.11 000
cv cath.
36556......... ............ A........... Insert non-tunnel 2.50 2.86 4.24 0.55 0.65 0.19 000
cv cath.
36557......... ............ A........... Insert tunneled cv 5.11 15.11 18.13 2.29 2.47 0.57 010
cath.
36558......... ............ A........... Insert tunneled cv 4.81 14.85 17.95 2.36 2.46 0.57 010
cath.
36560......... ............ A........... Insert tunneled cv 6.26 21.33 25.51 2.72 2.88 0.57 010
cath.
36561......... ............ A........... Insert tunneled cv 6.01 22.27 25.94 2.64 2.80 0.57 010
cath.
36563......... ............ A........... Insert tunneled cv 6.21 23.11 24.94 2.60 2.79 0.84 010
cath.
36565......... ............ A........... Insert tunneled cv 6.01 17.53 21.12 2.47 2.71 0.57 010
cath.
36566......... ............ A........... Insert tunneled cv 6.51 111.95 68.73 2.60 2.86 0.57 010
cath.
36568......... ............ A........... Insert picc cath.. 1.92 5.88 6.70 0.59 0.59 0.11 000
36569......... ............ A........... Insert picc cath.. 1.82 4.47 5.91 0.67 0.62 0.19 000
36570......... ............ A........... Insert picvad cath 5.33 21.25 27.22 2.10 2.41 0.57 010
36571......... ............ A........... Insert picvad cath 5.31 24.53 28.90 2.45 2.58 0.57 010
36575......... ............ A........... Repair tunneled cv 0.67 3.31 3.68 0.23 0.25 0.20 000
cath.
36576......... ............ A........... Repair tunneled cv 3.21 5.91 6.43 1.57 1.71 0.19 010
cath.
36578......... ............ A........... Replace tunneled 3.51 9.18 10.16 2.00 2.15 0.19 010
cv cath.
36580......... ............ A........... Replace cvad cath. 1.31 3.96 5.45 0.43 0.42 0.19 000
36581......... ............ A........... Replace tunneled 3.45 15.51 17.51 1.74 1.83 0.19 010
cv cath.
36582......... ............ A........... Replace tunneled 5.21 21.55 23.79 2.46 2.66 0.19 010
cv cath.
36583......... ............ A........... Replace tunneled 5.26 21.60 23.82 2.49 2.68 0.19 010
cv cath.
36584......... ............ A........... Replace picc cath. 1.20 3.97 5.47 0.61 0.58 0.19 000
36585......... ............ A........... Replace picvad 4.81 22.57 25.20 2.43 2.58 0.19 010
cath.
36589......... ............ A........... Removal tunneled 2.27 1.86 2.05 1.23 1.31 0.24 010
cv cath.
[[Page 2612]]
36590......... ............ A........... Removal tunneled 3.32 3.62 3.50 1.60 1.66 0.44 010
cv cath.
36591......... ............ T........... Draw blood off 0.00 0.54 0.54 NA NA 0.01 XXX
venous device.
36592......... ............ T........... Collect blood from 0.00 0.67 0.67 NA NA 0.01 XXX
picc.
36593......... ............ A........... Declot vascular 0.00 0.82 0.60 NA NA 0.37 XXX
device.
36595......... ............ A........... Mech remov 3.59 10.84 14.05 1.38 1.41 0.21 000
tunneled cv cath.
36596......... ............ A........... Mech remov 0.75 2.58 3.13 0.43 0.47 0.05 000
tunneled cv cath.
36597......... ............ A........... Reposition venous 1.21 2.04 2.22 0.46 0.45 0.07 000
catheter.
36598......... ............ T........... Inj w/fluor, eval 0.74 2.22 2.43 0.27 1.46 0.05 000
cv device.
36600......... ............ A........... Withdrawal of 0.32 0.50 0.49 0.07 0.08 0.02 XXX
arterial blood.
36620......... ............ A........... Insertion 1.15 NA NA 0.15 0.19 0.07 000
catheter, artery.
36625......... ............ A........... Insertion 2.11 NA NA 0.50 0.52 0.26 000
catheter, artery.
36640......... ............ A........... Insertion 2.10 NA NA 0.91 0.97 0.21 000
catheter, artery.
36660......... ............ A........... Insertion 1.40 NA NA 0.41 0.42 0.14 000
catheter, artery.
36680......... ............ A........... Insert needle, 1.20 NA NA 0.28 0.39 0.11 000
bone cavity.
36800......... ............ A........... Insertion of 2.43 NA NA 1.53 1.67 0.25 000
cannula.
36810......... ............ A........... Insertion of 3.96 NA NA 1.32 1.50 0.45 000
cannula.
36815......... ............ A........... Insertion of 2.62 NA NA 1.04 1.10 0.35 000
cannula.
36818......... ............ A........... Av fuse, uppr arm, 11.81 NA NA 4.49 5.26 1.90 090
cephalic.
36819......... ............ A........... Av fuse, uppr arm, 14.39 NA NA 5.12 5.75 1.96 090
basilic.
36820......... ............ A........... Av fusion/forearm 14.39 NA NA 5.24 5.82 1.95 090
vein.
36821......... ............ A........... Av fusion direct 9.15 NA NA 3.94 4.30 1.23 090
any site.
36822......... ............ A........... Insertion of 5.51 NA NA 3.75 4.06 0.79 090
cannula(s).
36823......... ............ A........... Insertion of 22.82 NA NA 8.64 9.01 2.89 090
cannula(s).
36825......... ............ A........... Artery-vein 10.00 NA NA 4.23 4.64 1.35 090
autograft.
36830......... ............ A........... Artery-vein 12.00 NA NA 4.13 4.68 1.66 090
nonautograft.
36831......... ............ A........... Open thrombect av 8.01 NA NA 3.19 3.57 1.09 090
fistula.
36832......... ............ A........... Av fistula 10.50 NA NA 3.75 4.23 1.44 090
revision, open.
36833......... ............ A........... Av fistula 11.95 NA NA 4.12 4.66 1.65 090
revision.
36834......... ............ A........... Repair A-V 11.11 NA NA 4.22 4.50 1.37 090
aneurysm.
36835......... ............ A........... Artery to vein 7.43 NA NA 3.74 4.03 0.98 090
shunt.
36838......... ............ A........... Dist revas 21.59 NA NA 7.05 8.22 3.02 090
ligation, hemo.
36860......... ............ A........... External cannula 2.01 3.36 2.57 0.63 0.65 0.11 000
declotting.
36861......... ............ A........... Cannula declotting 2.52 NA NA 1.22 1.35 0.27 000
36870......... ............ A........... Percut thrombect 5.17 40.83 46.94 2.76 2.96 0.29 090
av fistula.
37140......... ............ A........... Revision of 25.12 NA NA 8.93 9.71 2.02 090
circulation.
37145......... ............ A........... Revision of 26.13 NA NA 10.46 10.66 3.26 090
circulation.
37160......... ............ A........... Revision of 23.13 NA NA 7.93 8.60 2.82 090
circulation.
37180......... ............ A........... Revision of 26.13 NA NA 9.28 9.79 3.35 090
circulation.
37181......... ............ A........... Splice spleen/ 28.26 NA NA 8.84 9.92 3.41 090
kidney veins.
37182......... ............ A........... Insert hepatic 16.97 NA NA 6.33 6.20 1.00 000
shunt (tips).
37183......... ............ A........... Remove hepatic 7.99 NA NA 3.09 3.05 0.47 000
shunt (tips).
37184......... ............ A........... Prim art mech 8.66 49.97 60.86 3.24 3.29 0.55 000
thrombectomy.
37185......... ............ A........... Prim art m- 3.28 16.39 19.65 1.12 1.12 0.21 ZZZ
thrombect add-on.
37186......... ............ A........... Sec art m- 4.92 34.94 42.18 1.79 1.72 0.32 ZZZ
thrombect add-on.
37187......... ............ A........... Venous mech 8.03 48.27 59.25 2.99 3.07 0.51 000
thrombectomy.
37188......... ............ A........... Venous m- 5.71 42.27 52.14 2.18 2.27 0.37 000
thrombectomy add-
on.
37195......... ............ C........... Thrombolytic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy, stroke.
37200......... ............ A........... Transcatheter 4.55 NA NA 1.65 1.58 0.27 000
biopsy.
37201......... ............ A........... Transcatheter 4.99 NA NA 2.33 2.44 0.33 000
therapy infuse.
37202......... ............ A........... Transcatheter 5.67 NA NA 3.34 3.19 0.43 000
therapy infuse.
37203......... ............ A........... Transcatheter 5.02 30.14 31.52 2.07 2.06 0.29 000
retrieval.
37204......... ............ A........... Transcatheter 18.11 NA NA 6.24 6.07 1.48 000
occlusion.
37205......... ............ A........... Transcath iv 8.27 108.78 56.26 3.25 3.50 0.60 000
stent, percut.
37206......... ............ A........... Transcath iv stent/ 4.12 66.53 33.98 1.58 1.50 0.31 ZZZ
perc addl.
37207......... ............ A........... Transcath iv 8.27 NA NA 2.38 2.77 1.17 000
stent, open.
37208......... ............ A........... Transcath iv stent/ 4.12 NA NA 1.01 1.19 0.59 ZZZ
open addl.
37209......... ............ A........... Change iv cath at 2.27 NA NA 0.77 0.75 0.15 000
thromb tx.
37210......... ............ A........... Embolization 10.60 83.31 83.31 3.68 3.68 0.60 000
uterine fibroid.
37215......... ............ R........... Transcath stent, 19.58 NA NA 9.94 9.52 1.09 090
cca w/eps.
37216......... ............ N........... Transcath stent, 18.85 NA NA 5.76 7.29 1.04 090
cca w/o eps.
37250......... ............ A........... Iv us first vessel 2.10 NA NA 0.77 0.76 0.21 ZZZ
add-on.
37251......... ............ A........... Iv us each add 1.60 NA NA 0.50 0.52 0.19 ZZZ
vessel add-on.
37500......... ............ A........... Endoscopy ligate 11.54 NA NA 5.35 6.10 1.54 090
perf veins.
37501......... ............ C........... Vascular endoscopy 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
37565......... ............ A........... Ligation of neck 11.97 NA NA 5.14 5.38 1.33 090
vein.
37600......... ............ A........... Ligation of neck 12.34 NA NA 4.92 5.78 1.41 090
artery.
37605......... ............ A........... Ligation of neck 14.20 NA NA 5.45 6.18 1.99 090
artery.
37606......... ............ A........... Ligation of neck 8.72 NA NA 4.86 4.71 1.23 090
artery.
37607......... ............ A........... Ligation of a-v 6.19 NA NA 3.03 3.29 0.85 090
fistula.
37609......... ............ A........... Temporal artery 3.02 4.20 4.35 1.82 1.89 0.36 010
procedure.
37615......... ............ A........... Ligation of neck 7.72 NA NA 4.09 4.10 0.68 090
artery.
37616......... ............ A........... Ligation of chest 18.89 NA NA 7.93 8.01 2.33 090
artery.
[[Page 2613]]
37617......... ............ A........... Ligation of 23.71 NA NA 7.89 8.53 2.98 090
abdomen artery.
37618......... ............ A........... Ligation of 5.95 NA NA 3.37 3.49 0.67 090
extremity artery.
37620......... ............ A........... Revision of major 11.49 NA NA 5.45 5.58 0.91 090
vein.
37650......... ............ A........... Revision of major 8.41 NA NA 4.23 4.46 1.01 090
vein.
37660......... ............ A........... Revision of major 22.20 NA NA 7.59 8.33 2.49 090
vein.
37700......... ............ A........... Revise leg vein... 3.76 NA NA 2.39 2.59 0.53 090
37718......... ............ A........... Ligate/strip short 7.05 NA NA 3.48 3.77 0.14 090
leg vein.
37722......... ............ A........... Ligate/strip long 8.08 NA NA 3.69 4.05 0.86 090
leg vein.
37735......... ............ A........... Removal of leg 10.81 NA NA 4.69 5.10 1.48 090
veins/lesion.
37760......... ............ A........... Ligation, leg 10.69 NA NA 4.48 4.91 1.44 090
veins, open.
37765......... ............ A........... Phleb veins extrem 7.63 NA NA 3.57 4.09 0.48 090
10-20.
37766......... ............ A........... Phleb veins extrem 9.58 NA NA 4.13 4.73 0.48 090
20+.
37780......... ............ A........... Revision of leg 3.87 NA NA 2.39 2.62 0.53 090
vein.
37785......... ............ A........... Ligate/divide/ 3.87 4.92 5.06 2.58 2.65 0.54 090
excise vein.
37788......... ............ A........... Revascularization, 23.21 NA NA 12.05 10.57 2.26 090
penis.
37790......... ............ A........... Penile venous 8.37 NA NA 5.15 4.76 0.59 090
occlusion.
37799......... ............ C........... Vascular surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
38100......... ............ A........... Removal of spleen, 19.47 NA NA 6.85 6.51 1.92 090
total.
38101......... ............ A........... Removal of spleen, 19.47 NA NA 6.92 6.72 2.05 090
partial.
38102......... ............ A........... Removal of spleen, 4.79 NA NA 1.23 1.43 0.63 ZZZ
total.
38115......... ............ A........... Repair of ruptured 21.80 NA NA 7.44 7.04 2.09 090
spleen.
38120......... ............ A........... Laparoscopy, 16.97 NA NA 6.93 7.16 2.25 090
splenectomy.
38129......... ............ C........... Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
spleen.
38200......... ............ A........... Injection for 2.64 NA NA 1.09 0.99 0.14 000
spleen x-ray.
38204......... ............ B........... Bl donor search 2.00 0.46 0.46 0.46 0.46 0.06 XXX
management.
38205......... ............ R........... Harvest allogenic 1.50 NA NA 0.53 0.60 0.07 000
stem cells.
38206......... ............ R........... Harvest auto stem 1.50 NA NA 0.55 0.61 0.07 000
cells.
38207......... ............ I........... Cryopreserve stem 0.89 0.40 0.40 0.40 0.40 0.01 XXX
cells.
38208......... ............ I........... Thaw preserved 0.56 0.25 0.25 0.25 0.25 0.02 XXX
stem cells.
38209......... ............ I........... Wash harvest stem 0.24 0.11 0.11 0.11 0.11 0.01 XXX
cells.
38210......... ............ I........... T-cell depletion 1.57 0.71 0.71 0.71 0.71 0.03 XXX
of harvest.
38211......... ............ I........... Tumor cell deplete 1.42 0.64 0.64 0.64 0.64 0.02 XXX
of harvst.
38212......... ............ I........... Rbc depletion of 0.94 0.42 0.42 0.42 0.42 0.02 XXX
harvest.
38213......... ............ I........... Platelet deplete 0.24 0.11 0.11 0.11 0.11 0.01 XXX
of harvest.
38214......... ............ I........... Volume deplete of 0.81 0.36 0.36 0.36 0.36 0.01 XXX
harvest.
38215......... ............ I........... Harvest stem cell 0.94 0.42 0.42 0.42 0.42 0.02 XXX
concentrte.
38220......... ............ A........... Bone marrow 1.08 2.68 3.20 0.45 0.48 0.05 XXX
aspiration.
38221......... ............ A........... Bone marrow biopsy 1.37 2.79 3.36 0.57 0.61 0.07 XXX
38230......... ............ R........... Bone marrow 4.80 NA NA 3.13 3.18 0.48 010
collection.
38240......... ............ R........... Bone marrow/stem 2.24 NA NA 0.94 0.98 0.11 XXX
transplant.
38241......... ............ R........... Bone marrow/stem 2.24 NA NA 0.94 0.99 0.11 XXX
transplant.
38242......... ............ A........... Lymphocyte infuse 1.71 NA NA 0.67 0.73 0.08 000
transplant.
38300......... ............ A........... Drainage, lymph 2.28 4.22 4.26 2.04 2.05 0.25 010
node lesion.
38305......... ............ A........... Drainage, lymph 6.55 NA NA 4.20 4.32 0.88 090
node lesion.
38308......... ............ A........... Incision of lymph 6.73 NA NA 3.54 3.64 0.85 090
channels.
38380......... ............ A........... Thoracic duct 8.34 NA NA 5.06 5.37 0.74 090
procedure.
38381......... ............ A........... Thoracic duct 13.32 NA NA 6.08 6.48 1.85 090
procedure.
38382......... ............ A........... Thoracic duct 10.51 NA NA 5.43 5.60 1.37 090
procedure.
38500......... ............ A........... Biopsy/removal, 3.76 3.75 3.72 2.03 2.06 0.49 010
lymph nodes.
38505......... ............ A........... Needle biopsy, 1.14 2.11 2.08 0.74 0.76 0.09 000
lymph nodes.
38510......... ............ A........... Biopsy/removal, 6.69 5.38 5.47 3.09 3.29 0.72 010
lymph nodes.
38520......... ............ A........... Biopsy/removal, 6.95 NA NA 3.75 3.90 0.84 090
lymph nodes.
38525......... ............ A........... Biopsy/removal, 6.35 NA NA 3.47 3.38 0.80 090
lymph nodes.
38530......... ............ A........... Biopsy/removal, 8.26 NA NA 4.12 4.26 1.12 090
lymph nodes.
38542......... ............ A........... Explore deep 6.08 NA NA 3.97 4.22 0.60 090
node(s), neck.
38550......... ............ A........... Removal, neck/ 6.99 NA NA 4.28 4.10 0.88 090
armpit lesion.
38555......... ............ A........... Removal, neck/ 15.42 NA NA 7.45 7.99 1.76 090
armpit lesion.
38562......... ............ A........... Removal, pelvic 10.92 NA NA 5.77 5.77 1.20 090
lymph nodes.
38564......... ............ A........... Removal, abdomen 11.29 NA NA 5.21 5.23 1.32 090
lymph nodes.
38570......... ............ A........... Laparoscopy, lymph 9.28 NA NA 4.04 4.00 1.13 010
node biop.
38571......... ............ A........... Laparoscopy, 14.70 NA NA 6.80 6.22 1.15 010
lymphadenectomy.
38572......... ............ A........... Laparoscopy, 16.86 NA NA 5.94 6.51 1.91 010
lymphadenectomy.
38589......... ............ C........... Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
lymphatic.
38700......... ............ A........... Removal of lymph 12.68 NA NA 6.51 6.38 0.72 090
nodes, neck.
38720......... ............ A........... Removal of lymph 21.72 NA NA 10.18 9.77 1.20 090
nodes, neck.
38724......... ............ A........... Removal of lymph 23.72 NA NA 10.93 10.38 1.28 090
nodes, neck.
38740......... ............ A........... Remove armpit 10.57 NA NA 5.00 4.97 1.32 090
lymph nodes.
38745......... ............ A........... Remove armpit 13.71 NA NA 6.05 6.06 1.74 090
lymph nodes.
38746......... ............ A........... Remove thoracic 4.88 NA NA 1.42 1.51 0.72 ZZZ
lymph nodes.
38747......... ............ A........... Remove abdominal 4.88 NA NA 1.27 1.47 0.64 ZZZ
lymph nodes.
38760......... ............ A........... Remove groin lymph 13.49 NA NA 5.92 6.02 1.72 090
nodes.
38765......... ............ A........... Remove groin lymph 21.78 NA NA 8.35 8.58 2.48 090
nodes.
[[Page 2614]]
38770......... ............ A........... Remove pelvis 13.98 NA NA 6.72 6.23 1.40 090
lymph nodes.
38780......... ............ A........... Remove abdomen 17.56 NA NA 7.99 8.09 1.89 090
lymph nodes.
38790......... ............ A........... Inject for 1.29 NA NA 0.75 0.75 0.13 000
lymphatic x-ray.
38792......... ............ A........... Identify sentinel 0.52 NA NA 0.49 0.46 0.06 000
node.
38794......... ............ A........... Access thoracic 4.51 NA NA 3.18 3.31 0.32 090
lymph duct.
38999......... ............ C........... Blood/lymph system 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
39000......... ............ A........... Exploration of 7.49 NA NA 4.27 4.46 0.89 090
chest.
39010......... ............ A........... Exploration of 13.11 NA NA 6.34 6.94 1.76 090
chest.
39200......... ............ A........... Removal chest 15.04 NA NA 6.20 6.87 2.03 090
lesion.
39220......... ............ A........... Removal chest 19.47 NA NA 8.00 8.68 2.46 090
lesion.
39400......... ............ A........... Visualization of 8.00 NA NA 4.15 4.50 0.82 010
chest.
39499......... ............ C........... Chest procedure... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
39501......... ............ A........... Repair diaphragm 13.89 NA NA 5.82 6.14 1.78 090
laceration.
39502......... ............ A........... Repair 17.09 NA NA 6.59 6.87 2.17 090
paraesophageal
hernia.
39503......... ............ A........... Repair of 108.67 NA NA 27.41 30.40 10.98 090
diaphragm hernia.
39520......... ............ A........... Repair of 16.63 NA NA 6.80 7.42 2.24 090
diaphragm hernia.
39530......... ............ A........... Repair of 16.22 NA NA 6.23 6.68 2.11 090
diaphragm hernia.
39531......... ............ A........... Repair of 17.23 NA NA 6.58 6.98 2.22 090
diaphragm hernia.
39540......... ............ A........... Repair of 14.51 NA NA 5.70 5.96 1.80 090
diaphragm hernia.
39541......... ............ A........... Repair of 15.67 NA NA 6.07 6.33 1.93 090
diaphragm hernia.
39545......... ............ A........... Revision of 14.58 NA NA 6.93 7.24 1.84 090
diaphragm.
39560......... ............ A........... Resect diaphragm, 12.97 NA NA 5.52 5.90 1.59 090
simple.
39561......... ............ A........... Resect diaphragm, 19.75 NA NA 9.32 9.33 2.45 090
complex.
39599......... ............ C........... Diaphragm surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
40490......... ............ A........... Biopsy of lip..... 1.22 2.08 1.85 0.58 0.59 0.05 000
40500......... ............ A........... Partial excision 4.35 7.91 7.40 4.36 4.35 0.38 090
of lip.
40510......... ............ A........... Partial excision 4.74 6.74 6.68 3.62 3.82 0.49 090
of lip.
40520......... ............ A........... Partial excision 4.71 7.00 7.27 3.82 3.97 0.52 090
of lip.
40525......... ............ A........... Reconstruct lip 7.61 NA NA 5.33 5.82 0.85 090
with flap.
40527......... ............ A........... Reconstruct lip 9.20 NA NA 6.14 6.75 0.97 090
with flap.
40530......... ............ A........... Partial removal of 5.45 7.59 7.70 4.27 4.42 0.55 090
lip.
40650......... ............ A........... Repair lip........ 3.69 5.99 6.39 3.17 3.23 0.38 090
40652......... ............ A........... Repair lip........ 4.32 7.26 7.50 4.12 4.19 0.52 090
40654......... ............ A........... Repair lip........ 5.37 8.09 8.35 4.68 4.81 0.60 090
40700......... ............ A........... Repair cleft lip/ 13.97 NA NA 8.66 8.87 0.95 090
nasal.
40701......... ............ A........... Repair cleft lip/ 17.03 NA NA 7.82 9.58 1.65 090
nasal.
40702......... ............ A........... Repair cleft lip/ 14.09 NA NA 5.82 7.03 1.23 090
nasal.
40720......... ............ A........... Repair cleft lip/ 14.54 NA NA 9.53 9.71 1.80 090
nasal.
40761......... ............ A........... Repair cleft lip/ 15.69 NA NA 9.29 9.79 1.94 090
nasal.
40799......... ............ C........... Lip surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
40800......... ............ A........... Drainage of mouth 1.19 3.84 3.40 1.88 1.83 0.13 010
lesion.
40801......... ............ A........... Drainage of mouth 2.57 4.88 4.45 2.58 2.66 0.31 010
lesion.
40804......... ............ A........... Removal, foreign 1.26 3.79 3.59 1.83 1.85 0.11 010
body, mouth.
40805......... ............ A........... Removal, foreign 2.73 5.14 4.81 2.66 2.74 0.32 010
body, mouth.
40806......... ............ A........... Incision of lip 0.31 2.43 2.13 0.51 0.50 0.04 000
fold.
40808......... ............ A........... Biopsy of mouth 0.98 3.61 3.13 1.62 1.55 0.10 010
lesion.
40810......... ............ A........... Excision of mouth 1.33 3.69 3.29 1.72 1.69 0.13 010
lesion.
40812......... ............ A........... Excise/repair 2.33 4.54 4.13 2.28 2.34 0.28 010
mouth lesion.
40814......... ............ A........... Excise/repair 3.45 5.69 5.32 3.70 3.79 0.41 090
mouth lesion.
40816......... ............ A........... Excision of mouth 3.70 5.91 5.54 3.77 3.89 0.40 090
lesion.
40818......... ............ A........... Excise oral mucosa 2.72 5.83 5.50 3.75 3.86 0.21 090
for graft.
40819......... ............ A........... Excise lip or 2.45 4.93 4.51 3.11 3.10 0.29 090
cheek fold.
40820......... ............ A........... Treatment of mouth 1.30 5.30 4.62 2.94 2.69 0.11 010
lesion.
40830......... ............ A........... Repair mouth 1.78 4.04 3.88 2.00 2.05 0.19 010
laceration.
40831......... ............ A........... Repair mouth 2.50 5.24 4.95 2.70 2.88 0.30 010
laceration.
40840......... ............ R........... Reconstruction of 9.03 10.03 9.91 5.59 6.28 1.08 090
mouth.
40842......... ............ R........... Reconstruction of 9.03 10.22 10.14 5.72 6.25 1.08 090
mouth.
40843......... ............ R........... Reconstruction of 12.62 11.34 11.65 5.75 6.78 1.39 090
mouth.
40844......... ............ R........... Reconstruction of 16.57 15.23 15.50 9.12 10.34 2.00 090
mouth.
40845......... ............ R........... Reconstruction of 19.13 16.04 16.55 10.22 11.72 2.01 090
mouth.
40899......... ............ C........... Mouth surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
41000......... ............ A........... Drainage of mouth 1.32 2.56 2.44 1.33 1.37 0.12 010
lesion.
41005......... ............ A........... Drainage of mouth 1.28 4.33 3.83 1.77 1.75 0.12 010
lesion.
41006......... ............ A........... Drainage of mouth 3.28 5.44 5.11 2.82 3.00 0.35 090
lesion.
41007......... ............ A........... Drainage of mouth 3.14 5.35 5.24 2.72 2.87 0.31 090
lesion.
41008......... ............ A........... Drainage of mouth 3.40 5.52 5.10 2.85 3.02 0.42 090
lesion.
41009......... ............ A........... Drainage of mouth 3.63 5.83 5.40 3.15 3.36 0.47 090
lesion.
41010......... ............ A........... Incision of tongue 1.08 3.90 3.66 1.56 1.58 0.07 010
fold.
41015......... ............ A........... Drainage of mouth 4.00 6.29 5.85 3.98 4.06 0.46 090
lesion.
41016......... ............ A........... Drainage of mouth 4.11 6.23 5.92 4.07 4.15 0.53 090
lesion.
41017......... ............ A........... Drainage of mouth 4.11 6.37 6.01 4.12 4.21 0.53 090
lesion.
41018......... ............ A........... Drainage of mouth 5.14 6.76 6.45 4.48 4.53 0.68 090
lesion.
[[Page 2615]]
41019......... ............ A........... Place needles h&n 8.84 NA NA 3.28 3.28 0.59 000
for rt.
41100......... ............ A........... Biopsy of tongue.. 1.39 2.68 2.55 1.17 1.29 0.15 010
41105......... ............ A........... Biopsy of tongue.. 1.44 2.68 2.49 1.20 1.26 0.13 010
41108......... ............ A........... Biopsy of floor of 1.07 2.52 2.30 1.08 1.11 0.10 010
mouth.
41110......... ............ A........... Excision of tongue 1.53 3.66 3.32 1.65 1.64 0.13 010
lesion.
41112......... ............ A........... Excision of tongue 2.77 5.26 4.87 3.24 3.23 0.28 090
lesion.
41113......... ............ A........... Excision of tongue 3.23 5.52 5.13 3.39 3.43 0.34 090
lesion.
41114......... ............ A........... Excision of tongue 8.71 NA NA 6.30 6.75 0.83 090
lesion.
41115......... ............ A........... Excision of tongue 1.76 4.19 3.74 1.72 1.79 0.18 010
fold.
41116......... ............ A........... Excision of mouth 2.47 5.56 4.96 2.80 2.80 0.23 090
lesion.
41120......... ............ A........... Partial removal of 10.91 NA NA 14.34 14.83 0.79 090
tongue.
41130......... ............ A........... Partial removal of 15.51 NA NA 15.89 16.05 0.93 090
tongue.
41135......... ............ A........... Tongue and neck 29.83 NA NA 21.87 22.55 1.89 090
surgery.
41140......... ............ A........... Removal of tongue. 28.81 NA NA 23.59 25.14 2.27 090
41145......... ............ A........... Tongue removal, 37.59 NA NA 28.83 29.70 2.55 090
neck surgery.
41150......... ............ A........... Tongue, mouth, jaw 29.52 NA NA 23.05 23.89 1.95 090
surgery.
41153......... ............ A........... Tongue, mouth, 33.28 NA NA 23.95 24.49 2.01 090
neck surgery.
41155......... ............ A........... Tongue, jaw, & 43.96 NA NA 27.62 27.22 2.34 090
neck surgery.
41250......... ............ A........... Repair tongue 1.93 3.86 3.30 1.61 1.39 0.18 010
laceration.
41251......... ............ A........... Repair tongue 2.29 3.49 3.38 1.78 1.66 0.22 010
laceration.
41252......... ............ A........... Repair tongue 2.99 4.60 4.24 2.12 2.19 0.29 010
laceration.
41500......... ............ A........... Fixation of tongue 3.74 NA NA 7.53 7.49 0.30 090
41510......... ............ A........... Tongue to lip 3.45 NA NA 6.48 7.21 0.20 090
surgery.
41520......... ............ A........... Reconstruction, 2.77 5.81 5.22 3.26 3.44 0.27 090
tongue fold.
41599......... ............ C........... Tongue and mouth 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
41800......... ............ A........... Drainage of gum 1.21 4.80 3.70 2.12 1.70 0.12 010
lesion.
41805......... ............ A........... Removal foreign 1.28 4.64 3.66 2.70 2.46 0.13 010
body, gum.
41806......... ............ A........... Removal foreign 2.73 5.83 4.71 3.34 3.19 0.37 010
body,jawbone.
41820......... ............ R........... Excision, gum, 0.00 0.00 0.00 0.00 0.00 0.00 000
each quadrant.
41821......... ............ R........... Excision of gum 0.00 0.00 0.00 0.00 0.00 0.00 000
flap.
41822......... ............ R........... Excision of gum 2.35 4.80 4.35 1.85 1.86 0.31 010
lesion.
41823......... ............ R........... Excision of gum 3.63 6.46 6.01 3.73 3.87 0.47 090
lesion.
41825......... ............ A........... Excision of gum 1.35 3.69 3.38 1.47 1.86 0.15 010
lesion.
41826......... ............ A........... Excision of gum 2.35 5.09 3.76 2.58 2.34 0.30 010
lesion.
41827......... ............ A........... Excision of gum 3.72 6.65 6.08 3.38 3.52 0.35 090
lesion.
41828......... ............ R........... Excision of gum 3.11 4.09 3.95 1.64 2.30 0.44 010
lesion.
41830......... ............ R........... Removal of gum 3.38 5.99 5.47 3.12 3.37 0.44 010
tissue.
41850......... ............ R........... Treatment of gum 0.00 0.00 0.00 0.00 0.00 0.00 000
lesion.
41870......... ............ R........... Gum graft......... 0.00 0.00 0.00 0.00 0.00 0.00 000
41872......... ............ R........... Repair gum........ 2.90 6.05 5.53 3.31 3.38 0.30 090
41874......... ............ R........... Repair tooth 3.13 5.67 5.25 2.72 2.95 0.45 090
socket.
41899......... ............ C........... Dental surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
42000......... ............ A........... Drainage mouth 1.25 2.48 2.52 1.21 1.23 0.12 010
roof lesion.
42100......... ............ A........... Biopsy roof of 1.33 2.27 2.18 1.26 1.31 0.13 010
mouth.
42104......... ............ A........... Excision lesion, 1.66 3.58 3.06 1.67 1.61 0.16 010
mouth roof.
42106......... ............ A........... Excision lesion, 2.12 4.45 3.84 2.07 2.26 0.25 010
mouth roof.
42107......... ............ A........... Excision lesion, 4.48 6.54 6.13 3.69 3.82 0.44 090
mouth roof.
42120......... ............ A........... Remove palate/ 11.70 NA NA 12.29 12.03 0.52 090
lesion.
42140......... ............ A........... Excision of uvula. 1.65 4.58 4.15 2.12 2.11 0.13 090
42145......... ............ A........... Repair palate, 9.63 NA NA 7.49 7.49 0.65 090
pharynx/uvula.
42160......... ............ A........... Treatment mouth 1.82 3.78 4.01 1.69 1.99 0.17 010
roof lesion.
42180......... ............ A........... Repair palate..... 2.52 3.38 3.22 1.86 1.98 0.21 010
42182......... ............ A........... Repair palate..... 3.84 3.99 3.93 2.40 2.71 0.40 010
42200......... ............ A........... Reconstruct cleft 12.41 NA NA 8.63 9.42 1.27 090
palate.
42205......... ............ A........... Reconstruct cleft 13.57 NA NA 7.37 8.72 1.58 090
palate.
42210......... ............ A........... Reconstruct cleft 14.91 NA NA 10.25 10.86 2.17 090
palate.
42215......... ............ A........... Reconstruct cleft 8.88 NA NA 7.42 8.25 1.31 090
palate.
42220......... ............ A........... Reconstruct cleft 7.07 NA NA 7.22 7.00 0.73 090
palate.
42225......... ............ A........... Reconstruct cleft 9.66 NA NA 12.25 14.66 0.86 090
palate.
42226......... ............ A........... Lengthening of 10.24 NA NA 11.91 13.31 1.01 090
palate.
42227......... ............ A........... Lengthening of 9.81 NA NA 11.22 13.39 0.98 090
palate.
42235......... ............ A........... Repair palate..... 7.92 NA NA 10.35 11.11 0.72 090
42260......... ............ A........... Repair nose to lip 10.10 9.74 9.97 6.03 6.55 1.26 090
fistula.
42280......... ............ A........... Preparation, 1.56 2.23 2.10 0.83 0.99 0.19 010
palate mold.
42281......... ............ A........... Insertion, palate 1.95 3.03 2.83 1.69 1.78 0.17 010
prosthesis.
42299......... ............ C........... Palate/uvula 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
42300......... ............ A........... Drainage of 1.95 3.14 2.98 1.74 1.78 0.16 010
salivary gland.
42305......... ............ A........... Drainage of 6.23 NA NA 3.99 4.36 0.51 090
salivary gland.
42310......... ............ A........... Drainage of 1.58 2.29 2.28 1.39 1.46 0.13 010
salivary gland.
42320......... ............ A........... Drainage of 2.37 3.74 3.51 1.88 1.99 0.21 010
salivary gland.
42330......... ............ A........... Removal of 2.23 3.41 3.28 1.73 1.79 0.19 010
salivary stone.
42335......... ............ A........... Removal of 3.35 5.77 5.34 2.85 3.00 0.29 090
salivary stone.
[[Page 2616]]
42340......... ............ A........... Removal of 4.64 6.71 6.38 3.48 3.71 0.42 090
salivary stone.
42400......... ............ A........... Biopsy of salivary 0.78 2.00 1.82 0.65 0.68 0.06 000
gland.
42405......... ............ A........... Biopsy of salivary 3.31 3.97 3.98 2.15 2.30 0.28 010
gland.
42408......... ............ A........... Excision of 4.58 6.42 6.17 3.27 3.44 0.45 090
salivary cyst.
42409......... ............ A........... Drainage of 2.85 5.32 4.92 2.53 2.65 0.27 090
salivary cyst.
42410......... ............ A........... Excise parotid 9.46 NA NA 5.37 5.80 0.91 090
gland/lesion.
42415......... ............ A........... Excise parotid 17.99 NA NA 8.63 9.75 1.43 090
gland/lesion.
42420......... ............ A........... Excise parotid 20.87 NA NA 9.58 10.98 1.65 090
gland/lesion.
42425......... ............ A........... Excise parotid 13.31 NA NA 6.84 7.72 1.05 090
gland/lesion.
42426......... ............ A........... Excise parotid 22.54 NA NA 10.01 11.52 1.81 090
gland/lesion.
42440......... ............ A........... Excise 7.05 NA NA 3.86 4.33 0.59 090
submaxillary
gland.
42450......... ............ A........... Excise sublingual 4.66 6.38 6.14 4.03 4.14 0.42 090
gland.
42500......... ............ A........... Repair salivary 4.34 6.12 5.90 3.86 4.02 0.41 090
duct.
42505......... ............ A........... Repair salivary 6.23 7.28 7.20 4.71 5.04 0.55 090
duct.
42507......... ............ A........... Parotid duct 6.16 NA NA 6.34 6.44 0.49 090
diversion.
42508......... ............ A........... Parotid duct 9.22 NA NA 8.08 8.21 1.04 090
diversion.
42509......... ............ A........... Parotid duct 11.65 NA NA 8.92 9.56 0.93 090
diversion.
42510......... ............ A........... Parotid duct 8.26 NA NA 6.90 7.35 0.66 090
diversion.
42550......... ............ A........... Injection for 1.25 2.28 2.75 0.44 0.43 0.07 000
salivary x-ray.
42600......... ............ A........... Closure of 4.86 6.57 6.58 3.43 3.77 0.43 090
salivary fistula.
42650......... ............ A........... Dilation of 0.77 1.29 1.19 0.66 0.68 0.07 000
salivary duct.
42660......... ............ A........... Dilation of 1.13 1.46 1.40 0.75 0.80 0.09 000
salivary duct.
42665......... ............ A........... Ligation of 2.57 5.00 4.59 2.40 2.50 0.23 090
salivary duct.
42699......... ............ C........... Salivary surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
42700......... ............ A........... Drainage of tonsil 1.64 2.97 2.81 1.65 1.67 0.13 010
abscess.
42720......... ............ A........... Drainage of throat 6.31 4.70 4.76 3.17 3.48 0.44 010
abscess.
42725......... ............ A........... Drainage of throat 12.28 NA NA 7.09 7.65 0.91 090
abscess.
42800......... ............ A........... Biopsy of throat.. 1.41 2.47 2.33 1.30 1.35 0.11 010
42802......... ............ A........... Biopsy of throat.. 1.56 4.14 4.45 1.67 1.87 0.12 010
42804......... ............ A........... Biopsy of upper 1.26 3.59 3.66 1.50 1.62 0.10 010
nose/throat.
42806......... ............ A........... Biopsy of upper 1.60 3.83 3.95 1.61 1.77 0.13 010
nose/throat.
42808......... ............ A........... Excise pharynx 2.32 3.22 3.16 1.60 1.77 0.19 010
lesion.
42809......... ............ A........... Remove pharynx 1.83 2.23 2.28 1.32 1.32 0.16 010
foreign body.
42810......... ............ A........... Excision of neck 3.30 6.23 5.97 3.73 3.64 0.29 090
cyst.
42815......... ............ A........... Excision of neck 7.23 NA NA 6.26 6.34 0.61 090
cyst.
42820......... ............ A........... Remove tonsils and 4.17 NA NA 2.85 3.07 0.31 090
adenoids.
42821......... ............ A........... Remove tonsils and 4.31 NA NA 2.99 3.25 0.35 090
adenoids.
42825......... ............ A........... Removal of tonsils 3.45 NA NA 2.90 3.04 0.25 090
42826......... ............ A........... Removal of tonsils 3.40 NA NA 2.69 2.86 0.27 090
42830......... ............ A........... Removal of 2.60 NA NA 2.43 2.50 0.20 090
adenoids.
42831......... ............ A........... Removal of 2.75 NA NA 2.66 2.75 0.22 090
adenoids.
42835......... ............ A........... Removal of 2.33 NA NA 1.78 2.12 0.21 090
adenoids.
42836......... ............ A........... Removal of 3.21 NA NA 2.65 2.81 0.26 090
adenoids.
42842......... ............ A........... Extensive surgery 12.02 NA NA 12.05 11.52 0.71 090
of throat.
42844......... ............ A........... Extensive surgery 17.57 NA NA 15.48 15.86 1.16 090
of throat.
42845......... ............ A........... Extensive surgery 32.35 NA NA 21.17 22.18 1.99 090
of throat.
42860......... ............ A........... Excision of tonsil 2.25 NA NA 2.30 2.35 0.18 090
tags.
42870......... ............ A........... Excision of 5.44 NA NA 8.71 8.64 0.44 090
lingual tonsil.
42890......... ............ A........... Partial removal of 18.92 NA NA 15.26 14.71 1.05 090
pharynx.
42892......... ............ A........... Revision of 25.77 NA NA 19.22 18.20 1.28 090
pharyngeal walls.
42894......... ............ A........... Revision of 33.61 NA NA 23.55 22.79 1.87 090
pharyngeal walls.
42900......... ............ A........... Repair throat 5.26 NA NA 2.96 3.31 0.50 010
wound.
42950......... ............ A........... Reconstruction of 8.16 NA NA 11.08 11.47 0.72 090
throat.
42953......... ............ A........... Repair throat, 9.33 NA NA 13.79 15.56 0.88 090
esophagus.
42955......... ............ A........... Surgical opening 7.92 NA NA 10.11 10.39 0.80 090
of throat.
42960......... ............ A........... Control throat 2.35 NA NA 1.72 1.84 0.19 010
bleeding.
42961......... ............ A........... Control throat 5.69 NA NA 4.49 4.72 0.45 090
bleeding.
42962......... ............ A........... Control throat 7.31 NA NA 5.19 5.55 0.58 090
bleeding.
42970......... ............ A........... Control nose/ 5.76 NA NA 3.59 3.88 0.39 090
throat bleeding.
42971......... ............ A........... Control nose/ 6.54 NA NA 4.51 4.81 0.51 090
throat bleeding.
42972......... ............ A........... Control nose/ 7.53 NA NA 4.99 5.35 0.62 090
throat bleeding.
42999......... ............ C........... Throat surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
43020......... ............ A........... Incision of 8.14 NA NA 4.58 5.00 0.87 090
esophagus.
43030......... ............ A........... Throat muscle 7.91 NA NA 4.52 5.01 0.70 090
surgery.
43045......... ............ A........... Incision of 21.70 NA NA 9.31 10.01 2.59 090
esophagus.
43100......... ............ A........... Excision of 9.55 NA NA 5.21 5.72 0.93 090
esophagus lesion.
43101......... ............ A........... Excision of 16.99 NA NA 7.17 7.53 2.32 090
esophagus lesion.
43107......... ............ A........... Removal of 43.97 NA NA 16.27 17.27 5.24 090
esophagus.
43108......... ............ A........... Removal of 82.66 NA NA 24.49 19.35 4.08 090
esophagus.
43112......... ............ A........... Removal of 47.27 NA NA 17.02 18.20 5.81 090
esophagus.
43113......... ............ A........... Removal of 79.85 NA NA 25.37 20.24 4.43 090
esophagus.
43116......... ............ A........... Partial removal of 92.78 NA NA 30.34 23.52 3.06 090
esophagus.
[[Page 2617]]
43117......... ............ A........... Partial removal of 43.52 NA NA 15.16 16.22 5.19 090
esophagus.
43118......... ............ A........... Partial removal of 66.86 NA NA 21.53 17.66 4.11 090
esophagus.
43121......... ............ A........... Partial removal of 51.22 NA NA 18.29 15.98 3.91 090
esophagus.
43122......... ............ A........... Partial removal of 43.97 NA NA 15.62 16.51 5.42 090
esophagus.
43123......... ............ A........... Partial removal of 82.91 NA NA 25.78 19.95 4.16 090
esophagus.
43124......... ............ A........... Removal of 68.83 NA NA 24.37 18.73 3.74 090
esophagus.
43130......... ............ A........... Removal of 12.41 NA NA 6.38 6.97 1.16 090
esophagus pouch.
43135......... ............ A........... Removal of 26.09 NA NA 9.93 9.01 2.34 090
esophagus pouch.
43200......... ............ A........... Esophagus 1.59 3.73 3.93 0.98 1.02 0.13 000
endoscopy.
43201......... ............ A........... Esoph scope w/ 2.09 5.63 5.13 1.19 1.15 0.15 000
submucous inj.
43202......... ............ A........... Esophagus 1.89 5.17 5.36 0.98 0.96 0.15 000
endoscopy, biopsy.
43204......... ............ A........... Esoph scope w/ 3.76 NA NA 2.01 1.76 0.30 000
sclerosis inj.
43205......... ............ A........... Esophagus 3.78 NA NA 2.06 1.79 0.28 000
endoscopy/
ligation.
43215......... ............ A........... Esophagus 2.60 NA NA 1.29 1.24 0.22 000
endoscopy.
43216......... ............ A........... Esophagus 2.40 3.08 2.07 1.26 1.16 0.20 000
endoscopy/lesion.
43217......... ............ A........... Esophagus 2.90 6.58 6.77 1.38 1.28 0.26 000
endoscopy.
43219......... ............ A........... Esophagus 2.80 NA NA 1.55 1.45 0.24 000
endoscopy.
43220......... ............ A........... Esoph endoscopy, 2.10 NA NA 1.13 1.05 0.17 000
dilation.
43226......... ............ A........... Esoph endoscopy, 2.34 NA NA 1.29 1.16 0.19 000
dilation.
43227......... ............ A........... Esoph endoscopy, 3.59 NA NA 1.77 1.61 0.28 000
repair.
43228......... ............ A........... Esoph endoscopy, 3.76 NA NA 1.89 1.72 0.34 000
ablation.
43231......... ............ A........... Esoph endoscopy w/ 3.19 NA NA 1.76 1.53 0.23 000
us exam.
43232......... ............ A........... Esoph endoscopy w/ 4.47 NA NA 2.39 2.10 0.34 000
us fn bx.
43234......... ............ A........... Upper GI 2.01 4.98 5.16 1.02 0.94 0.17 000
endoscopy, exam.
43235......... ............ A........... Uppr gi endoscopy, 2.39 5.29 5.23 1.35 1.18 0.19 000
diagnosis.
43236......... ............ A........... Uppr gi scope w/ 2.92 6.72 6.56 1.65 1.43 0.21 000
submuc inj.
43237......... ............ A........... Endoscopic us 3.98 NA NA 2.16 1.88 0.43 000
exam, esoph.
43238......... ............ A........... Uppr gi endoscopy 5.02 NA NA 2.57 2.27 0.43 000
w/us fn bx.
43239......... ............ A........... Upper GI 2.87 6.06 5.89 1.56 1.37 0.22 000
endoscopy, biopsy.
43240......... ............ A........... Esoph endoscope w/ 6.85 NA NA 3.29 2.95 0.56 000
drain cyst.
43241......... ............ A........... Upper GI endoscopy 2.59 NA NA 1.40 1.25 0.21 000
with tube.
43242......... ............ A........... Uppr gi endoscopy 7.30 NA NA 3.68 3.21 0.53 000
w/us fn bx.
43243......... ............ A........... Upper gi endoscopy 4.56 NA NA 2.36 2.08 0.33 000
& inject.
43244......... ............ A........... Upper GI endoscopy/ 5.04 NA NA 2.65 2.31 0.37 000
ligation.
43245......... ............ A........... Uppr gi scope 3.18 NA NA 1.63 1.46 0.26 000
dilate strictr.
43246......... ............ A........... Place gastrostomy 4.32 NA NA 2.11 1.90 0.34 000
tube.
43247......... ............ A........... Operative upper GI 3.38 NA NA 1.79 1.58 0.27 000
endoscopy.
43248......... ............ A........... Uppr gi endoscopy/ 3.15 NA NA 1.77 1.54 0.23 000
guide wire.
43249......... ............ A........... Esoph endoscopy, 2.90 NA NA 1.62 1.41 0.22 000
dilation.
43250......... ............ A........... Upper GI endoscopy/ 3.20 NA NA 1.61 1.46 0.26 000
tumor.
43251......... ............ A........... Operative upper GI 3.69 NA NA 1.92 1.70 0.29 000
endoscopy.
43255......... ............ A........... Operative upper GI 4.81 NA NA 2.53 2.21 0.35 000
endoscopy.
43256......... ............ A........... Uppr gi endoscopy 4.34 NA NA 2.25 1.98 0.32 000
w/stent.
43257......... ............ A........... Uppr gi scope w/ 5.50 NA NA 2.14 2.17 0.36 000
thrml txmnt.
43258......... ............ A........... Operative upper GI 4.54 NA NA 2.37 2.08 0.33 000
endoscopy.
43259......... ............ A........... Endoscopic 5.19 NA NA 2.69 2.34 0.35 000
ultrasound exam.
43260......... ............ A........... Endo 5.95 NA NA 3.06 2.67 0.43 000
cholangiopancreat
ograph.
43261......... ............ A........... Endo 6.26 NA NA 3.20 2.80 0.46 000
cholangiopancreat
ograph.
43262......... ............ A........... Endo 7.38 NA NA 3.73 3.26 0.54 000
cholangiopancreat
ograph.
43263......... ............ A........... Endo 7.28 NA NA 3.64 3.20 0.54 000
cholangiopancreat
ograph.
43264......... ............ A........... Endo 8.89 NA NA 4.44 3.88 0.65 000
cholangiopancreat
ograph.
43265......... ............ A........... Endo 10.00 NA NA 4.99 4.34 0.73 000
cholangiopancreat
ograph.
43267......... ............ A........... Endo 7.38 NA NA 3.39 3.09 0.54 000
cholangiopancreat
ograph.
43268......... ............ A........... Endo 7.38 NA NA 3.89 3.39 0.54 000
cholangiopancreat
ograph.
43269......... ............ A........... Endo 8.20 NA NA 4.10 3.59 0.60 000
cholangiopancreat
ograph.
43271......... ............ A........... Endo 7.38 NA NA 3.71 3.25 0.54 000
cholangiopancreat
ograph.
43272......... ............ A........... Endo 7.38 NA NA 3.78 3.28 0.54 000
cholangiopancreat
ograph.
43280......... ............ A........... Laparoscopy, 18.00 NA NA 6.66 6.96 2.28 090
fundoplasty.
43289......... ............ C........... Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
esoph.
43300......... ............ A........... Repair of 9.21 NA NA 5.41 5.90 1.12 090
esophagus.
43305......... ............ A........... Repair esophagus 17.98 NA NA 8.34 9.52 1.54 090
and fistula.
43310......... ............ A........... Repair of 26.18 NA NA 9.82 10.44 3.61 090
esophagus.
43312......... ............ A........... Repair esophagus 29.23 NA NA 10.28 11.09 4.01 090
and fistula.
43313......... ............ A........... Esophagoplasty 48.17 NA NA 17.48 18.15 5.47 090
congenital.
43314......... ............ A........... Tracheo- 53.15 NA NA 15.11 17.15 6.65 090
esophagoplasty
cong.
43320......... ............ A........... Fuse esophagus & 23.18 NA NA 8.61 8.91 2.74 090
stomach.
43324......... ............ A........... Revise esophagus & 22.86 NA NA 8.35 8.56 2.76 090
stomach.
43325......... ............ A........... Revise esophagus & 22.47 NA NA 8.39 8.59 2.60 090
stomach.
43326......... ............ A........... Revise esophagus & 22.15 NA NA 9.21 9.25 2.85 090
stomach.
43330......... ............ A........... Repair of 22.06 NA NA 8.10 8.32 2.63 090
esophagus.
43331......... ............ A........... Repair of 22.93 NA NA 9.83 9.81 2.94 090
esophagus.
43340......... ............ A........... Fuse esophagus & 22.86 NA NA 9.28 9.13 2.46 090
intestine.
[[Page 2618]]
43341......... ............ A........... Fuse esophagus & 24.10 NA NA 9.66 9.84 2.92 090
intestine.
43350......... ............ A........... Surgical opening, 19.31 NA NA 8.76 8.60 1.42 090
esophagus.
43351......... ............ A........... Surgical opening, 21.87 NA NA 10.87 10.33 2.47 090
esophagus.
43352......... ............ A........... Surgical opening, 17.68 NA NA 7.95 8.17 2.06 090
esophagus.
43360......... ............ A........... Gastrointestinal 39.90 NA NA 14.90 14.99 4.97 090
repair.
43361......... ............ A........... Gastrointestinal 45.50 NA NA 18.15 17.52 4.50 090
repair.
43400......... ............ A........... Ligate esophagus 25.47 NA NA 13.60 11.52 1.96 090
veins.
43401......... ............ A........... Esophagus surgery 26.36 NA NA 9.55 9.52 3.05 090
for veins.
43405......... ............ A........... Ligate/staple 24.55 NA NA 10.68 10.13 2.84 090
esophagus.
43410......... ............ A........... Repair esophagus 16.28 NA NA 7.67 7.65 1.72 090
wound.
43415......... ............ A........... Repair esophagus 28.70 NA NA 11.84 11.79 3.53 090
wound.
43420......... ............ A........... Repair esophagus 16.65 NA NA 7.48 7.44 1.43 090
opening.
43425......... ............ A........... Repair esophagus 24.91 NA NA 10.46 10.22 3.03 090
opening.
43450......... ............ A........... Dilate esophagus.. 1.38 2.68 2.66 0.93 0.81 0.11 000
43453......... ............ A........... Dilate esophagus.. 1.51 6.31 6.19 1.01 0.87 0.11 000
43456......... ............ A........... Dilate esophagus.. 2.57 13.02 13.39 1.45 1.27 0.20 000
43458......... ............ A........... Dilate esophagus.. 3.06 6.93 6.79 1.59 1.44 0.24 000
43460......... ............ A........... Pressure treatment 3.79 NA NA 1.76 1.62 0.31 000
esophagus.
43496......... ............ C........... Free jejunum flap, 0.00 0.00 0.00 0.00 0.00 0.00 090
microvasc.
43499......... ............ C........... Esophagus surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
43500......... ............ A........... Surgical opening 12.71 NA NA 5.29 5.13 1.45 090
of stomach.
43501......... ............ A........... Surgical repair of 22.47 NA NA 8.10 8.20 2.65 090
stomach.
43502......... ............ A........... Surgical repair of 25.56 NA NA 8.97 9.22 3.10 090
stomach.
43510......... ............ A........... Surgical opening 15.01 NA NA 9.14 7.86 1.48 090
of stomach.
43520......... ............ A........... Incision of 11.21 NA NA 4.82 5.04 1.36 090
pyloric muscle.
43600......... ............ A........... Biopsy of stomach. 1.91 NA NA 0.77 0.71 0.14 000
43605......... ............ A........... Biopsy of stomach. 13.64 NA NA 5.36 5.32 1.58 090
43610......... ............ A........... Excision of 16.26 NA NA 6.03 6.09 1.94 090
stomach lesion.
43611......... ............ A........... Excision of 20.25 NA NA 7.49 7.53 2.36 090
stomach lesion.
43620......... ............ A........... Removal of stomach 33.91 NA NA 11.10 11.45 3.96 090
43621......... ............ A........... Removal of stomach 39.40 NA NA 12.41 12.19 4.04 090
43622......... ............ A........... Removal of stomach 39.90 NA NA 12.51 12.55 4.30 090
43631......... ............ A........... Removal of 24.38 NA NA 8.59 8.88 2.99 090
stomach, partial.
43632......... ............ A........... Removal of 35.01 NA NA 11.28 10.22 2.99 090
stomach, partial.
43633......... ............ A........... Removal of 33.01 NA NA 10.76 10.04 3.06 090
stomach, partial.
43634......... ............ A........... Removal of 36.51 NA NA 11.79 10.94 3.33 090
stomach, partial.
43635......... ............ A........... Removal of 2.06 NA NA 0.52 0.61 0.27 ZZZ
stomach, partial.
43640......... ............ A........... Vagotomy & pylorus 19.43 NA NA 7.34 7.30 2.26 090
repair.
43641......... ............ A........... Vagotomy & pylorus 19.68 NA NA 7.63 7.50 2.25 090
repair.
43644......... ............ A........... Lap gastric bypass/ 29.24 NA NA 10.11 10.66 3.16 090
roux-en-y.
43645......... ............ A........... Lap gastr bypass 31.37 NA NA 10.49 11.25 3.54 090
incl smll i.
43647......... ............ C........... Lap impl 0.00 0.00 0.00 0.00 0.00 0.00 YYY
electrode, antrum.
43648......... ............ C........... Lap revise/remv 0.00 0.00 0.00 0.00 0.00 0.00 YYY
eltrd antrum.
43651......... ............ A........... Laparoscopy, vagus 10.13 NA NA 4.62 4.69 1.33 090
nerve.
43652......... ............ A........... Laparoscopy, vagus 12.13 NA NA 5.23 5.49 1.55 090
nerve.
43653......... ............ A........... Laparoscopy, 8.38 NA NA 4.47 4.32 1.01 090
gastrostomy.
43659......... ............ C........... Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
stom.
43752......... ............ A........... Nasal/orogastric w/ 0.81 NA NA 0.27 0.26 0.02 000
stent.
43760......... ............ A........... Change gastrostomy 0.90 5.99 4.04 0.33 0.39 0.09 000
tube.
43761......... ............ A........... Reposition 2.01 1.04 1.10 0.70 0.68 0.13 000
gastrostomy tube.
43770......... ............ A........... Lap place gastr 17.85 NA NA 7.40 7.56 2.19 090
adj device.
43771......... ............ A........... Lap revise gastr 20.64 NA NA 8.13 8.36 2.55 090
adj device.
43772......... ............ A........... Lap rmvl gastr adj 15.62 NA NA 6.00 6.21 1.93 090
device.
43773......... ............ A........... Lap replace gastr 20.64 NA NA 8.11 8.35 2.56 090
adj device.
43774......... ............ A........... Lap rmvl gastr adj 15.66 NA NA 6.18 6.37 1.85 090
all parts.
43800......... ............ A........... Reconstruction of 15.35 NA NA 5.82 5.86 1.82 090
pylorus.
43810......... ............ A........... Fusion of stomach 16.80 NA NA 6.14 6.16 1.94 090
and bowel.
43820......... ............ A........... Fusion of stomach 22.40 NA NA 8.08 7.24 2.04 090
and bowel.
43825......... ............ A........... Fusion of stomach 21.63 NA NA 7.90 7.96 2.54 090
and bowel.
43830......... ............ A........... Place gastrostomy 10.75 NA NA 5.17 5.01 1.25 090
tube.
43831......... ............ A........... Place gastrostomy 8.38 NA NA 4.93 4.72 1.03 090
tube.
43832......... ............ A........... Place gastrostomy 17.26 NA NA 7.07 6.96 1.98 090
tube.
43840......... ............ A........... Repair of stomach 22.70 NA NA 8.15 7.46 2.06 090
lesion.
43842......... ............ N........... V-band 20.90 NA NA 6.75 7.27 2.45 090
gastroplasty.
43843......... ............ A........... Gastroplasty w/o v- 21.08 NA NA 7.85 7.80 2.46 090
band.
43845......... ............ A........... Gastroplasty 33.12 NA NA 12.89 11.83 4.06 090
duodenal switch.
43846......... ............ A........... Gastric bypass for 27.23 NA NA 9.98 10.01 3.19 090
obesity.
43847......... ............ A........... Gastric bypass 30.10 NA NA 10.52 10.71 3.56 090
incl small i.
43848......... ............ A........... Revision 32.57 NA NA 11.31 11.56 3.88 090
gastroplasty.
43850......... ............ A........... Revise stomach- 27.45 NA NA 9.50 9.66 3.28 090
bowel fusion.
43855......... ............ A........... Revise stomach- 28.56 NA NA 9.71 10.02 3.47 090
bowel fusion.
43860......... ............ A........... Revise stomach- 27.76 NA NA 9.48 9.73 3.31 090
bowel fusion.
[[Page 2619]]
43865......... ............ A........... Revise stomach- 28.92 NA NA 9.74 10.12 3.51 090
bowel fusion.
43870......... ............ A........... Repair stomach 11.36 NA NA 4.95 4.73 1.27 090
opening.
43880......... ............ A........... Repair stomach- 27.05 NA NA 9.28 9.59 3.27 090
bowel fistula.
43881......... ............ C........... Impl/redo electrd, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
antrum.
43882......... ............ C........... Revise/remove 0.00 0.00 0.00 0.00 0.00 0.00 YYY
electrd antrum.
43886......... ............ A........... Revise gastric 4.54 NA NA 3.45 3.29 0.25 090
port, open.
43887......... ............ A........... Remove gastric 4.24 NA NA 3.06 2.91 0.51 090
port, open.
43888......... ............ A........... Change gastric 6.34 NA NA 4.01 3.89 0.70 090
port, open.
43999......... ............ C........... Stomach surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
44005......... ............ A........... Freeing of bowel 18.38 NA NA 6.59 6.65 2.15 090
adhesion.
44010......... ............ A........... Incision of small 14.18 NA NA 5.53 5.49 1.64 090
bowel.
44015......... ............ A........... Insert needle cath 2.62 NA NA 0.68 0.78 0.35 ZZZ
bowel.
44020......... ............ A........... Explore small 16.14 NA NA 6.01 5.97 1.86 090
intestine.
44021......... ............ A........... Decompress small 16.23 NA NA 6.15 6.06 1.87 090
bowel.
44025......... ............ A........... Incision of large 16.43 NA NA 6.06 6.04 1.90 090
bowel.
44050......... ............ A........... Reduce bowel 15.44 NA NA 5.83 5.89 1.86 090
obstruction.
44055......... ............ A........... Correct 25.53 NA NA 8.49 8.61 2.91 090
malrotation of
bowel.
44100......... ............ A........... Biopsy of bowel... 2.01 NA NA 0.91 0.81 0.17 000
44110......... ............ A........... Excise intestine 13.96 NA NA 5.51 5.37 1.55 090
lesion(s).
44111......... ............ A........... Excision of bowel 16.44 NA NA 6.10 6.10 1.87 090
lesion(s).
44120......... ............ A........... Removal of small 20.74 NA NA 7.15 7.11 2.25 090
intestine.
44121......... ............ A........... Removal of small 4.44 NA NA 1.12 1.32 0.58 ZZZ
intestine.
44125......... ............ A........... Removal of small 19.93 NA NA 7.03 7.14 2.27 090
intestine.
44126......... ............ A........... Enterectomy w/o 42.02 NA NA 13.61 13.86 4.69 090
taper, cong.
44127......... ............ A........... Enterectomy w/ 49.09 NA NA 15.65 15.69 5.77 090
taper, cong.
44128......... ............ A........... Enterectomy cong, 4.44 NA NA 1.22 1.37 0.61 ZZZ
add-on.
44130......... ............ A........... Bowel to bowel 21.98 NA NA 7.98 7.10 1.88 090
fusion.
44132......... ............ R........... Enterectomy, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cadaver donor.
44133......... ............ R........... Enterectomy, live 0.00 0.00 0.00 0.00 0.00 0.00 XXX
donor.
44135......... ............ R........... Intestine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplnt,
cadaver.
44136......... ............ R........... Intestine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplant, live.
44137......... ............ C........... Remove intestinal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
allograft.
44139......... ............ A........... Mobilization of 2.23 NA NA 0.56 0.66 0.28 ZZZ
colon.
44140......... ............ A........... Partial removal of 22.46 NA NA 8.07 8.36 2.71 090
colon.
44141......... ............ A........... Partial removal of 29.75 NA NA 11.85 10.95 2.53 090
colon.
44143......... ............ A........... Partial removal of 27.63 NA NA 10.29 10.49 3.05 090
colon.
44144......... ............ A........... Partial removal of 29.75 NA NA 10.63 10.12 2.86 090
colon.
44145......... ............ A........... Partial removal of 28.45 NA NA 9.49 10.15 3.29 090
colon.
44146......... ............ A........... Partial removal of 35.14 NA NA 13.37 13.12 3.41 090
colon.
44147......... ............ A........... Partial removal of 33.56 NA NA 10.79 9.74 2.56 090
colon.
44150......... ............ A........... Removal of colon.. 29.99 NA NA 12.62 12.32 3.04 090
44151......... ............ A........... Removal of colon/ 34.73 NA NA 13.93 13.67 3.49 090
ileostomy.
44155......... ............ A........... Removal of colon/ 34.23 NA NA 13.46 13.38 3.28 090
ileostomy.
44156......... ............ A........... Removal of colon/ 37.23 NA NA 14.49 14.76 3.95 090
ileostomy.
44157......... ............ A........... Colectomy w/ 35.49 NA NA 17.10 17.10 3.93 090
ileoanal anast.
44158......... ............ A........... Colectomy w/neo- 36.49 NA NA 17.44 17.44 4.06 090
rectum pouch.
44160......... ............ A........... Removal of colon.. 20.78 NA NA 7.52 7.63 2.37 090
44180......... ............ A........... Lap, enterolysis.. 15.19 NA NA 5.81 6.02 1.86 090
44186......... ............ A........... Lap, jejunostomy.. 10.30 NA NA 4.59 4.69 1.27 090
44187......... ............ A........... Lap, ileo/jejuno- 17.27 NA NA 8.13 8.20 1.96 090
stomy.
44188......... ............ A........... Lap, colostomy.... 19.20 NA NA 8.68 8.76 2.24 090
44202......... ............ A........... Lap, enterectomy.. 23.26 NA NA 8.32 8.62 2.85 090
44203......... ............ A........... Lap resect s/ 4.44 NA NA 1.12 1.31 0.57 ZZZ
intestine, addl.
44204......... ............ A........... Laparo partial 26.29 NA NA 8.89 9.42 3.11 090
colectomy.
44205......... ............ A........... Lap colectomy part 22.86 NA NA 7.81 8.33 2.75 090
w/ileum.
44206......... ............ A........... Lap part colectomy 29.63 NA NA 10.48 10.87 3.46 090
w/stoma.
44207......... ............ A........... L colectomy/ 31.79 NA NA 10.11 10.80 3.67 090
coloproctostomy.
44208......... ............ A........... L colectomy/ 33.86 NA NA 12.02 12.58 3.88 090
coloproctostomy.
44210......... ............ A........... Laparo total 29.88 NA NA 11.19 11.53 3.42 090
proctocolectomy.
44211......... ............ A........... Lap colectomy w/ 36.87 NA NA 13.60 14.14 4.17 090
proctectomy.
44212......... ............ A........... Laparo total 34.37 NA NA 13.05 13.37 3.78 090
proctocolectomy.
44213......... ............ A........... Lap, mobil splenic 3.50 NA NA 0.86 1.04 0.44 ZZZ
fl add-on.
44227......... ............ A........... Lap, close 28.49 NA NA 9.49 10.06 3.38 090
enterostomy.
44238......... ............ C........... Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
intestine.
44300......... ............ A........... Open bowel to skin 13.65 NA NA 5.56 5.52 1.60 090
44310......... ............ A........... Ileostomy/ 17.49 NA NA 6.40 6.55 1.99 090
jejunostomy.
44312......... ............ A........... Revision of 9.33 NA NA 4.66 4.32 0.92 090
ileostomy.
44314......... ............ A........... Revision of 16.61 NA NA 6.78 6.67 1.75 090
ileostomy.
44316......... ............ A........... Devise bowel pouch 23.46 NA NA 8.88 8.71 2.38 090
44320......... ............ A........... Colostomy......... 19.75 NA NA 7.60 7.63 2.26 090
44322......... ............ A........... Colostomy with 13.15 NA NA 9.11 8.84 1.54 090
biopsies.
44340......... ............ A........... Revision of 9.12 NA NA 4.94 4.60 0.99 090
colostomy.
[[Page 2620]]
44345......... ............ A........... Revision of 17.06 NA NA 6.92 6.90 1.97 090
colostomy.
44346......... ............ A........... Revision of 19.47 NA NA 7.53 7.46 2.13 090
colostomy.
44360......... ............ A........... Small bowel 2.59 NA NA 1.50 1.30 0.19 000
endoscopy.
44361......... ............ A........... Small bowel 2.87 NA NA 1.63 1.41 0.21 000
endoscopy/biopsy.
44363......... ............ A........... Small bowel 3.49 NA NA 1.85 1.61 0.27 000
endoscopy.
44364......... ............ A........... Small bowel 3.73 NA NA 1.98 1.73 0.27 000
endoscopy.
44365......... ............ A........... Small bowel 3.31 NA NA 1.74 1.55 0.24 000
endoscopy.
44366......... ............ A........... Small bowel 4.40 NA NA 2.37 2.05 0.32 000
endoscopy.
44369......... ............ A........... Small bowel 4.51 NA NA 2.36 2.05 0.33 000
endoscopy.
44370......... ............ A........... Small bowel 4.79 NA NA 2.56 2.27 0.37 000
endoscopy/stent.
44372......... ............ A........... Small bowel 4.40 NA NA 2.12 1.93 0.35 000
endoscopy.
44373......... ............ A........... Small bowel 3.49 NA NA 1.77 1.59 0.27 000
endoscopy.
44376......... ............ A........... Small bowel 5.25 NA NA 2.47 2.25 0.42 000
endoscopy.
44377......... ............ A........... Small bowel 5.52 NA NA 2.76 2.45 0.40 000
endoscopy/biopsy.
44378......... ............ A........... Small bowel 7.12 NA NA 3.58 3.14 0.52 000
endoscopy.
44379......... ............ A........... S bowel endoscope 7.46 NA NA 3.93 3.42 0.62 000
w/stent.
44380......... ............ A........... Small bowel 1.05 NA NA 0.74 0.65 0.08 000
endoscopy.
44382......... ............ A........... Small bowel 1.27 NA NA 0.84 0.73 0.12 000
endoscopy.
44383......... ............ A........... Ileoscopy w/stent. 2.94 NA NA 1.61 1.44 0.21 000
44385......... ............ A........... Endoscopy of bowel 1.82 4.90 4.13 0.89 0.82 0.15 000
pouch.
44386......... ............ A........... Endoscopy, bowel 2.12 6.65 6.65 1.02 0.95 0.20 000
pouch/biop.
44388......... ............ A........... Colonoscopy....... 2.82 6.12 5.60 1.35 1.25 0.26 000
44389......... ............ A........... Colonoscopy with 3.13 7.11 6.87 1.58 1.42 0.27 000
biopsy.
44390......... ............ A........... Colonoscopy for 3.82 8.34 7.73 1.92 1.70 0.32 000
foreign body.
44391......... ............ A........... Colonoscopy for 4.31 8.94 8.84 2.22 1.95 0.34 000
bleeding.
44392......... ............ A........... Colonoscopy & 3.81 7.37 6.98 1.72 1.60 0.34 000
polypectomy.
44393......... ............ A........... Colonoscopy, 4.83 8.04 7.47 2.13 2.00 0.42 000
lesion removal.
44394......... ............ A........... Colonoscopy w/ 4.42 8.51 8.16 2.07 1.89 0.38 000
snare.
44397......... ............ A........... Colonoscopy w/ 4.70 NA NA 2.16 1.98 0.39 000
stent.
44500......... ............ A........... Intro, 0.49 NA NA 0.17 0.17 0.03 000
gastrointestinal
tube.
44602......... ............ A........... Suture, small 24.64 NA NA 7.62 7.01 2.12 090
intestine.
44603......... ............ A........... Suture, small 28.03 NA NA 8.97 8.12 2.42 090
intestine.
44604......... ............ A........... Suture, large 18.06 NA NA 6.07 6.26 2.12 090
intestine.
44605......... ............ A........... Repair of bowel 22.00 NA NA 7.83 8.11 2.52 090
lesion.
44615......... ............ A........... Intestinal 18.08 NA NA 6.54 6.61 2.07 090
stricturoplasty.
44620......... ............ A........... Repair bowel 14.35 NA NA 5.51 5.42 1.51 090
opening.
44625......... ............ A........... Repair bowel 17.20 NA NA 6.15 6.23 1.86 090
opening.
44626......... ............ A........... Repair bowel 27.82 NA NA 8.89 9.35 3.27 090
opening.
44640......... ............ A........... Repair bowel-skin 24.12 NA NA 8.02 8.30 2.78 090
fistula.
44650......... ............ A........... Repair bowel 25.04 NA NA 8.31 8.60 2.93 090
fistula.
44660......... ............ A........... Repair bowel- 23.83 NA NA 9.76 9.05 2.14 090
bladder fistula.
44661......... ............ A........... Repair bowel- 27.27 NA NA 9.40 9.48 2.81 090
bladder fistula.
44680......... ............ A........... Surgical revision, 17.88 NA NA 6.69 6.57 2.00 090
intestine.
44700......... ............ A........... Suspend bowel w/ 17.40 NA NA 6.16 6.41 1.84 090
prosthesis.
44701......... ............ A........... Intraop colon 3.10 NA NA 0.76 0.91 0.37 ZZZ
lavage add-on.
44715......... ............ C........... Prepare donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intestine.
44720......... ............ A........... Prep donor 5.00 NA NA 1.27 1.49 0.37 XXX
intestine/venous.
44721......... ............ A........... Prep donor 7.00 NA NA 1.78 2.09 0.97 XXX
intestine/artery.
44799......... ............ C........... Unlisted procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY
intestine.
44800......... ............ A........... Excision of bowel 11.94 NA NA 5.49 5.44 1.47 090
pouch.
44820......... ............ A........... Excision of 13.63 NA NA 5.56 5.53 1.59 090
mesentery lesion.
44850......... ............ A........... Repair of 12.03 NA NA 5.01 5.01 1.39 090
mesentery.
44899......... ............ C........... Bowel surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
44900......... ............ A........... Drain app abscess, 12.44 NA NA 5.03 4.86 1.33 090
open.
44901......... ............ A........... Drain app abscess, 3.37 19.81 23.86 1.20 1.15 0.22 000
percut.
44950......... ............ A........... Appendectomy...... 10.52 NA NA 4.05 4.18 1.31 090
44955......... ............ A........... Appendectomy add- 1.53 NA NA 0.40 0.47 0.20 ZZZ
on.
44960......... ............ A........... Appendectomy...... 14.39 NA NA 5.40 5.37 1.63 090
44970......... ............ A........... Laparoscopy, 9.35 NA NA 4.19 4.14 1.14 090
appendectomy.
44979......... ............ C........... Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
app.
45000......... ............ A........... Drainage of pelvic 6.20 NA NA 3.57 3.27 0.52 090
abscess.
45005......... ............ A........... Drainage of rectal 2.00 3.99 4.02 1.59 1.58 0.25 010
abscess.
45020......... ............ A........... Drainage of rectal 8.43 NA NA 4.55 3.91 0.55 090
abscess.
45100......... ............ A........... Biopsy of rectum.. 3.96 NA NA 2.81 2.59 0.44 090
45108......... ............ A........... Removal of 5.04 NA NA 3.10 2.94 0.59 090
anorectal lesion.
45110......... ............ A........... Removal of rectum. 30.57 NA NA 11.86 12.13 3.36 090
45111......... ............ A........... Partial removal of 17.89 NA NA 7.00 7.08 2.07 090
rectum.
45112......... ............ A........... Removal of rectum. 33.05 NA NA 10.31 11.04 3.43 090
45113......... ............ A........... Partial 33.09 NA NA 11.59 12.09 3.49 090
proctectomy.
45114......... ............ A........... Partial removal of 30.63 NA NA 10.30 10.59 3.36 090
rectum.
45116......... ............ A........... Partial removal of 27.56 NA NA 9.65 9.84 2.88 090
rectum.
45119......... ............ A........... Remove rectum w/ 33.35 NA NA 11.54 12.00 3.36 090
reservoir.
[[Page 2621]]
45120......... ............ A........... Removal of rectum. 26.25 NA NA 9.27 9.70 2.90 090
45121......... ............ A........... Removal of rectum 28.93 NA NA 10.04 10.57 3.25 090
and colon.
45123......... ............ A........... Partial 18.70 NA NA 6.94 6.90 1.86 090
proctectomy.
45126......... ............ A........... Pelvic 48.89 NA NA 17.89 18.55 4.33 090
exenteration.
45130......... ............ A........... Excision of rectal 18.37 NA NA 6.67 6.72 1.80 090
prolapse.
45135......... ............ A........... Excision of rectal 22.15 NA NA 8.61 8.51 2.36 090
prolapse.
45136......... ............ A........... Excise ileoanal 30.63 NA NA 11.96 12.24 2.82 090
reservior.
45150......... ............ A........... Excision of rectal 5.77 NA NA 3.34 3.15 0.61 090
stricture.
45160......... ............ A........... Excision of rectal 16.17 NA NA 6.44 6.54 1.68 090
lesion.
45170......... ............ A........... Excision of rectal 12.48 NA NA 5.36 5.30 1.35 090
lesion.
45190......... ............ A........... Destruction, 10.29 NA NA 5.52 5.07 1.13 090
rectal tumor.
45300......... ............ A........... Proctosigmoidoscop 0.80 1.96 1.74 0.45 0.37 0.04 000
y dx.
45303......... ............ A........... Proctosigmoidoscop 1.50 19.93 19.31 0.66 0.49 0.05 000
y dilate.
45305......... ............ A........... Proctosigmoidoscop 1.25 3.19 2.91 0.59 0.55 0.11 000
y w/bx.
45307......... ............ A........... Proctosigmoidoscop 1.70 3.25 3.14 0.70 0.59 0.11 000
y fb.
45308......... ............ A........... Proctosigmoidoscop 1.40 3.41 2.70 0.63 0.53 0.09 000
y removal.
45309......... ............ A........... Proctosigmoidoscop 1.50 3.53 3.17 0.67 0.75 0.22 000
y removal.
45315......... ............ A........... Proctosigmoidoscop 1.80 3.82 3.34 0.88 0.75 0.15 000
y removal.
45317......... ............ A........... Proctosigmoidoscop 2.00 3.37 2.90 0.77 0.71 0.15 000
y bleed.
45320......... ............ A........... Proctosigmoidoscop 1.78 3.40 3.16 0.80 0.75 0.16 000
y ablate.
45321......... ............ A........... Proctosigmoidoscop 1.75 NA NA 0.86 0.71 0.13 000
y volvul.
45327......... ............ A........... Proctosigmoidoscop 2.00 NA NA 0.91 0.80 0.16 000
y w/stent.
45330......... ............ A........... Diagnostic 0.96 2.52 2.40 0.62 0.56 0.08 000
sigmoidoscopy.
45331......... ............ A........... Sigmoidoscopy and 1.15 3.28 3.18 0.79 0.69 0.09 000
biopsy.
45332......... ............ A........... Sigmoidoscopy w/fb 1.79 5.54 5.27 0.99 0.90 0.16 000
removal.
45333......... ............ A........... Sigmoidoscopy & 1.79 5.67 5.27 0.99 0.89 0.15 000
polypectomy.
45334......... ............ A........... Sigmoidoscopy for 2.73 NA NA 1.54 1.34 0.20 000
bleeding.
45335......... ............ A........... Sigmoidoscopy w/ 1.46 5.34 4.28 0.90 0.79 0.11 000
submuc inj.
45337......... ............ A........... Sigmoidoscopy & 2.36 NA NA 1.25 1.12 0.21 000
decompress.
45338......... ............ A........... Sigmoidoscopy w/ 2.34 5.91 5.57 1.28 1.14 0.19 000
tumr remove.
45339......... ............ A........... Sigmoidoscopy w/ 3.14 5.73 4.60 1.66 1.47 0.26 000
ablate tumr.
45340......... ............ A........... Sig w/balloon 1.89 10.27 8.22 1.03 0.93 0.15 000
dilation.
45341......... ............ A........... Sigmoidoscopy w/ 2.60 NA NA 1.47 1.27 0.19 000
ultrasound.
45342......... ............ A........... Sigmoidoscopy w/us 4.05 NA NA 2.17 1.85 0.30 000
guide bx.
45345......... ............ A........... Sigmoidoscopy w/ 2.92 NA NA 1.50 1.33 0.23 000
stent.
45355......... ............ A........... Surgical 3.51 NA NA 1.58 1.48 0.36 000
colonoscopy.
45378......... ............ A........... Diagnostic 3.69 6.39 6.27 1.82 1.65 0.30 000
colonoscopy.
45378......... 53.......... A........... Diagnostic 0.96 2.52 2.40 0.62 0.56 0.08 000
colonoscopy.
45379......... ............ A........... Colonoscopy w/fb 4.68 8.08 7.87 2.17 1.99 0.39 000
removal.
45380......... ............ A........... Colonoscopy and 4.43 7.76 7.48 2.24 1.99 0.35 000
biopsy.
45381......... ............ A........... Colonoscopy, 4.19 7.73 7.42 2.16 1.90 0.30 000
submucous inj.
45382......... ............ A........... Colonoscopy/ 5.68 10.36 10.15 2.89 2.54 0.41 000
control bleeding.
45383......... ............ A........... Lesion removal 5.86 8.56 8.24 2.63 2.43 0.48 000
colonoscopy.
45384......... ............ A........... Lesion remove 4.69 7.20 7.00 2.18 2.01 0.38 000
colonoscopy.
45385......... ............ A........... Lesion removal 5.30 8.38 8.09 2.59 2.31 0.42 000
colonoscopy.
45386......... ............ A........... Colonoscopy dilate 4.57 12.37 12.39 2.18 1.98 0.39 000
stricture.
45387......... ............ A........... Colonoscopy w/ 5.90 NA NA 2.80 2.57 0.48 000
stent.
45391......... ............ A........... Colonoscopy w/ 5.09 NA NA 2.60 2.29 0.42 000
endoscope us.
45392......... ............ A........... Colonoscopy w/ 6.54 NA NA 3.21 2.85 0.42 000
endoscopic fnb.
45395......... ............ A........... Lap, removal of 32.79 NA NA 12.96 13.32 3.63 090
rectum.
45397......... ............ A........... Lap, remove rectum 36.29 NA NA 13.40 13.83 3.67 090
w/pouch.
45400......... ............ A........... Laparoscopic proc. 19.31 NA NA 7.08 7.46 2.03 090
45402......... ............ A........... Lap proctopexy w/ 26.38 NA NA 8.74 9.37 2.82 090
sig resect.
45499......... ............ C........... Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
rectum.
45500......... ............ A........... Repair of rectum.. 7.64 NA NA 4.46 4.00 0.75 090
45505......... ............ A........... Repair of rectum.. 8.20 NA NA 5.04 4.45 0.86 090
45520......... ............ A........... Treatment of 0.55 2.86 2.25 0.38 0.38 0.05 000
rectal prolapse.
45540......... ............ A........... Correct rectal 18.02 NA NA 5.84 6.32 1.85 090
prolapse.
45541......... ............ A........... Correct rectal 14.72 NA NA 6.59 6.27 1.55 090
prolapse.
45550......... ............ A........... Repair rectum/ 24.67 NA NA 8.96 9.09 2.62 090
remove sigmoid.
45560......... ............ A........... Repair of 11.42 NA NA 5.52 5.29 1.13 090
rectocele.
45562......... ............ A........... Exploration/repair 17.82 NA NA 8.11 7.55 1.84 090
of rectum.
45563......... ............ A........... Exploration/repair 26.22 NA NA 10.76 10.64 3.11 090
of rectum.
45800......... ............ A........... Repair rect/ 20.18 NA NA 9.15 8.29 1.86 090
bladder fistula.
45805......... ............ A........... Repair fistula w/ 23.19 NA NA 9.93 9.72 2.03 090
colostomy.
45820......... ............ A........... Repair 20.24 NA NA 9.10 8.36 1.58 090
rectourethral
fistula.
45825......... ............ A........... Repair fistula w/ 24.01 NA NA 9.47 9.64 2.32 090
colostomy.
45900......... ............ A........... Reduction of 2.96 NA NA 1.66 1.58 0.30 010
rectal prolapse.
45905......... ............ A........... Dilation of anal 2.32 NA NA 1.60 1.51 0.27 010
sphincter.
45910......... ............ A........... Dilation of rectal 2.82 NA NA 1.85 1.75 0.30 010
narrowing.
45915......... ............ A........... Remove rectal 3.16 4.21 4.26 2.02 2.06 0.30 010
obstruction.
45990......... ............ A........... Surg dx exam, 1.80 NA NA 0.72 0.76 0.17 000
anorectal.
[[Page 2622]]
45999......... ............ C........... Rectum surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
46020......... ............ A........... Placement of seton 2.94 3.26 2.80 2.35 2.10 0.31 010
46030......... ............ A........... Removal of rectal 1.24 1.89 1.62 0.81 0.76 0.14 010
marker.
46040......... ............ A........... Incision of rectal 5.26 6.54 6.02 3.99 3.78 0.62 090
abscess.
46045......... ............ A........... Incision of rectal 5.79 NA NA 3.94 3.42 0.54 090
abscess.
46050......... ............ A........... Incision of anal 1.21 3.20 2.87 0.98 0.91 0.14 010
abscess.
46060......... ............ A........... Incision of rectal 6.24 NA NA 4.42 3.83 0.67 090
abscess.
46070......... ............ A........... Incision of anal 2.74 NA NA 2.35 2.09 0.36 090
septum.
46080......... ............ A........... Incision of anal 2.50 3.07 2.72 1.12 1.13 0.30 010
sphincter.
46083......... ............ A........... Incise external 1.42 2.37 2.44 0.96 0.94 0.15 010
hemorrhoid.
46200......... ............ A........... Removal of anal 3.48 6.29 5.07 3.73 3.30 0.39 090
fissure.
46210......... ............ A........... Removal of anal 2.73 5.83 5.47 3.30 2.96 0.31 090
crypt.
46211......... ............ A........... Removal of anal 4.31 7.85 6.63 4.67 4.09 0.48 090
crypts.
46220......... ............ A........... Removal of anal 1.58 3.02 2.66 1.10 1.02 0.17 010
tag.
46221......... ............ A........... Ligation of 2.31 3.73 3.19 2.00 1.87 0.23 010
hemorrhoid(s).
46230......... ............ A........... Removal of anal 2.59 3.51 3.29 1.33 1.31 0.30 010
tags.
46250......... ............ A........... Hemorrhoidectomy.. 4.17 5.96 5.63 2.83 2.72 0.48 090
46255......... ............ A........... Hemorrhoidectomy.. 4.88 6.34 6.09 3.07 2.95 0.58 090
46257......... ............ A........... Remove hemorrhoids 5.68 NA NA 3.85 3.36 0.64 090
& fissure.
46258......... ............ A........... Remove hemorrhoids 6.28 NA NA 3.96 3.61 0.68 090
& fistula.
46260......... ............ A........... Hemorrhoidectomy.. 6.65 NA NA 4.07 3.63 0.76 090
46261......... ............ A........... Remove hemorrhoids 7.63 NA NA 4.30 3.95 0.79 090
& fissure.
46262......... ............ A........... Remove hemorrhoids 7.80 NA NA 4.66 4.20 0.83 090
& fistula.
46270......... ............ A........... Removal of anal 4.81 6.39 5.69 3.92 3.37 0.46 090
fistula.
46275......... ............ A........... Removal of anal 5.31 6.63 5.63 3.97 3.47 0.52 090
fistula.
46280......... ............ A........... Removal of anal 6.28 NA NA 4.27 3.76 0.66 090
fistula.
46285......... ............ A........... Removal of anal 5.31 6.53 5.15 3.96 3.35 0.44 090
fistula.
46288......... ............ A........... Repair anal 7.68 NA NA 4.68 4.17 0.79 090
fistula.
46320......... ............ A........... Removal of 1.62 2.41 2.27 0.88 0.86 0.18 010
hemorrhoid clot.
46500......... ............ A........... Injection into 1.64 3.61 2.86 1.25 1.20 0.16 010
hemorrhoid(s).
46505......... ............ A........... Chemodenervation 3.13 3.28 3.16 2.28 2.12 0.14 010
anal musc.
46600......... ............ A........... Diagnostic 0.55 1.37 1.47 0.38 0.36 0.05 000
anoscopy.
46604......... ............ A........... Anoscopy and 1.03 12.52 10.83 0.51 0.56 0.12 000
dilation.
46606......... ............ A........... Anoscopy and 1.20 3.88 3.83 0.58 0.50 0.09 000
biopsy.
46608......... ............ A........... Anoscopy, remove 1.30 3.76 4.08 0.58 0.61 0.16 000
for body.
46610......... ............ A........... Anoscopy, remove 1.28 3.80 3.91 0.59 0.60 0.15 000
lesion.
46611......... ............ A........... Anoscopy.......... 1.30 2.53 2.93 0.57 0.67 0.19 000
46612......... ............ A........... Anoscopy, remove 1.50 4.70 4.94 0.72 0.85 0.28 000
lesions.
46614......... ............ A........... Anoscopy, control 1.00 1.93 2.13 0.52 0.68 0.20 000
bleeding.
46615......... ............ A........... Anoscopy.......... 1.50 1.74 2.11 0.64 0.85 0.33 000
46700......... ............ A........... Repair of anal 9.68 NA NA 5.16 4.68 0.94 090
stricture.
46705......... ............ A........... Repair of anal 7.32 NA NA 4.07 3.87 0.91 090
stricture.
46706......... ............ A........... Repr of anal 2.41 NA NA 1.49 1.37 0.28 010
fistula w/glue.
46710......... ............ A........... Repr per/vag pouch 17.01 NA NA 7.55 7.65 1.38 090
sngl proc.
46712......... ............ A........... Repr per/vag pouch 36.32 NA NA 14.02 14.53 3.67 090
dbl proc.
46715......... ............ A........... Rep perf anoper 7.54 NA NA 3.76 3.66 0.92 090
fistu.
46716......... ............ A........... Rep perf anoper/ 17.14 NA NA 9.60 8.79 1.58 090
vestib fistu.
46730......... ............ A........... Construction of 30.17 NA NA 12.50 12.26 2.47 090
absent anus.
46735......... ............ A........... Construction of 35.66 NA NA 15.02 14.28 3.21 090
absent anus.
46740......... ............ A........... Construction of 33.42 NA NA 15.30 14.26 2.42 090
absent anus.
46742......... ............ A........... Repair of 39.66 NA NA 13.76 15.58 3.20 090
imperforated anus.
46744......... ............ A........... Repair of cloacal 58.46 NA NA 18.15 19.64 6.40 090
anomaly.
46746......... ............ A........... Repair of cloacal 64.93 NA NA 19.69 22.42 7.70 090
anomaly.
46748......... ............ A........... Repair of cloacal 70.91 NA NA 21.06 22.35 3.37 090
anomaly.
46750......... ............ A........... Repair of anal 12.02 NA NA 5.77 5.41 1.10 090
sphincter.
46751......... ............ A........... Repair of anal 9.19 NA NA 5.02 5.22 0.94 090
sphincter.
46753......... ............ A........... Reconstruction of 8.81 NA NA 4.59 4.22 0.94 090
anus.
46754......... ............ A........... Removal of suture 2.88 3.64 3.61 2.21 1.94 0.19 010
from anus.
46760......... ............ A........... Repair of anal 17.21 NA NA 8.06 7.57 1.59 090
sphincter.
46761......... ............ A........... Repair of anal 15.16 NA NA 6.47 6.24 1.43 090
sphincter.
46762......... ............ A........... Implant artificial 14.66 NA NA 7.08 6.30 1.24 090
sphincter.
46900......... ............ A........... Destruction, anal 1.91 3.66 3.12 1.31 1.29 0.17 010
lesion(s).
46910......... ............ A........... Destruction, anal 1.88 3.88 3.39 1.20 1.13 0.19 010
lesion(s).
46916......... ............ A........... Cryosurgery, anal 1.88 3.77 3.46 1.58 1.48 0.11 010
lesion(s).
46917......... ............ A........... Laser surgery, 1.88 8.79 8.96 1.22 1.17 0.21 010
anal lesions.
46922......... ............ A........... Excision of anal 1.88 4.14 3.71 1.20 1.13 0.22 010
lesion(s).
46924......... ............ A........... Destruction, anal 2.78 9.58 9.14 1.52 1.43 0.26 010
lesion(s).
46934......... ............ A........... Destruction of 3.79 5.57 5.32 2.88 2.91 0.32 090
hemorrhoids.
46935......... ............ A........... Destruction of 2.44 3.86 3.66 1.11 1.16 0.23 010
hemorrhoids.
46936......... ............ A........... Destruction of 3.70 6.24 5.56 2.66 2.57 0.34 090
hemorrhoids.
46937......... ............ A........... Cryotherapy of 2.70 3.41 3.09 1.43 1.32 0.14 010
rectal lesion.
46938......... ............ A........... Cryotherapy of 4.70 5.63 4.81 3.55 3.30 0.58 090
rectal lesion.
[[Page 2623]]
46940......... ............ A........... Treatment of anal 2.33 2.85 2.42 1.04 1.07 0.23 010
fissure.
46942......... ............ A........... Treatment of anal 2.05 2.80 2.32 0.96 0.99 0.19 010
fissure.
46945......... ............ A........... Ligation of 2.13 4.80 4.03 2.98 2.73 0.19 090
hemorrhoids.
46946......... ............ A........... Ligation of 2.60 4.64 4.18 2.65 2.52 0.27 090
hemorrhoids.
46947......... ............ A........... Hemorrhoidopexy by 5.49 NA NA 3.11 2.91 0.75 090
stapling.
46999......... ............ C........... Anus surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
47000......... ............ A........... Needle biopsy of 1.90 7.67 5.37 0.70 0.66 0.12 000
liver.
47001......... ............ A........... Needle biopsy, 1.90 NA NA 0.48 0.57 0.25 ZZZ
liver add-on.
47010......... ............ A........... Open drainage, 19.27 NA NA 8.32 8.36 1.81 090
liver lesion.
47011......... ............ A........... Percut drain, 3.69 NA NA 1.32 1.26 0.22 000
liver lesion.
47015......... ............ A........... Inject/aspirate 18.37 NA NA 8.17 7.83 1.84 090
liver cyst.
47100......... ............ A........... Wedge biopsy of 12.78 NA NA 6.32 6.18 1.53 090
liver.
47120......... ............ A........... Partial removal of 38.82 NA NA 14.08 14.61 4.66 090
liver.
47122......... ............ A........... Extensive removal 59.35 NA NA 18.76 20.11 7.21 090
of liver.
47125......... ............ A........... Partial removal of 52.91 NA NA 17.18 18.35 6.47 090
liver.
47130......... ............ A........... Partial removal of 57.06 NA NA 18.12 19.55 6.96 090
liver.
47133......... ............ X........... Removal of donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
liver.
47135......... ............ R........... Transplantation of 83.29 NA NA 27.76 29.64 9.96 090
liver.
47136......... ............ R........... Transplantation of 70.39 NA NA 24.56 25.80 8.44 090
liver.
47140......... ............ A........... Partial removal, 59.22 NA NA 21.63 21.95 5.19 090
donor liver.
47141......... ............ A........... Partial removal, 71.27 NA NA 25.36 26.14 5.19 090
donor liver.
47142......... ............ A........... Partial removal, 79.21 NA NA 27.37 28.43 5.19 090
donor liver.
47143......... ............ C........... Prep donor liver, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
whole.
47144......... ............ C........... Prep donor liver, 0.00 0.00 0.00 0.00 0.00 0.00 090
3-segment.
47145......... ............ C........... Prep donor liver, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lobe split.
47146......... ............ A........... Prep donor liver/ 6.00 NA NA 1.52 1.79 0.83 XXX
venous.
47147......... ............ A........... Prep donor liver/ 7.00 NA NA 1.77 2.08 0.97 XXX
arterial.
47300......... ............ A........... Surgery for liver 18.01 NA NA 7.75 7.49 1.99 090
lesion.
47350......... ............ A........... Repair liver wound 22.36 NA NA 8.78 8.82 2.59 090
47360......... ............ A........... Repair liver wound 31.18 NA NA 11.25 11.41 3.38 090
47361......... ............ A........... Repair liver wound 52.47 NA NA 17.40 17.96 5.87 090
47362......... ............ A........... Repair liver wound 23.41 NA NA 9.31 9.01 2.51 090
47370......... ............ A........... Laparo ablate 20.67 NA NA 7.70 7.91 2.56 090
liver tumor rf.
47371......... ............ A........... Laparo ablate 20.67 NA NA 7.90 8.02 2.61 090
liver cryosurg.
47379......... ............ C........... Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure, liver.
47380......... ............ A........... Open ablate liver 24.43 NA NA 8.61 8.98 2.87 090
tumor rf.
47381......... ............ A........... Open ablate liver 24.72 NA NA 9.32 9.46 2.85 090
tumor cryo.
47382......... ............ A........... Percut ablate 15.19 NA NA 6.21 6.14 0.96 010
liver rf.
47399......... ............ C........... Liver surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
47400......... ............ A........... Incision of liver 36.23 NA NA 13.02 13.23 3.08 090
duct.
47420......... ............ A........... Incision of bile 21.92 NA NA 8.55 8.66 2.63 090
duct.
47425......... ............ A........... Incision of bile 22.20 NA NA 8.65 8.73 2.62 090
duct.
47460......... ............ A........... Incise bile duct 20.41 NA NA 9.14 8.75 2.21 090
sphincter.
47480......... ............ A........... Incision of 13.12 NA NA 6.64 6.28 1.42 090
gallbladder.
47490......... ............ A........... Incision of 8.05 NA NA 5.30 5.43 0.43 090
gallbladder.
47500......... ............ A........... Injection for 1.96 NA NA 0.71 0.67 0.12 000
liver x-rays.
47505......... ............ A........... Injection for 0.76 NA NA 0.27 0.26 0.04 000
liver x-rays.
47510......... ............ A........... Insert catheter, 7.94 NA NA 4.63 4.82 0.46 090
bile duct.
47511......... ............ A........... Insert bile duct 10.74 NA NA 5.05 5.06 0.62 090
drain.
47525......... ............ A........... Change bile duct 5.55 14.87 14.98 2.69 2.75 0.33 010
catheter.
47530......... ............ A........... Revise/reinsert 5.96 30.60 32.20 3.45 3.58 0.37 090
bile tube.
47550......... ............ A........... Bile duct 3.02 NA NA 0.78 0.90 0.40 ZZZ
endoscopy add-on.
47552......... ............ A........... Biliary endoscopy 6.03 NA NA 2.48 2.43 0.42 000
thru skin.
47553......... ............ A........... Biliary endoscopy 6.34 NA NA 2.25 2.16 0.37 000
thru skin.
47554......... ............ A........... Biliary endoscopy 9.05 NA NA 3.30 3.32 0.96 000
thru skin.
47555......... ............ A........... Biliary endoscopy 7.55 NA NA 2.75 2.61 0.45 000
thru skin.
47556......... ............ A........... Biliary endoscopy 8.55 NA NA 3.09 2.94 0.50 000
thru skin.
47560......... ............ A........... Laparoscopy w/ 4.88 NA NA 1.24 1.45 0.65 000
cholangio.
47561......... ............ A........... Laparo w/cholangio/ 5.17 NA NA 1.58 1.75 0.66 000
biopsy.
47562......... ............ A........... Laparoscopic 11.63 NA NA 5.27 5.13 1.46 090
cholecystectomy.
47563......... ............ A........... Laparo 12.03 NA NA 5.07 5.18 1.58 090
cholecystectomy/
graph.
47564......... ............ A........... Laparo 14.21 NA NA 5.42 5.68 1.89 090
cholecystectomy/
explr.
47570......... ............ A........... Laparo 12.56 NA NA 4.97 5.17 1.65 090
cholecystoenteros
tomy.
47579......... ............ C........... Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
biliary.
47600......... ............ A........... Removal of 17.35 NA NA 7.22 6.68 1.80 090
gallbladder.
47605......... ............ A........... Removal of 15.90 NA NA 6.39 6.44 1.95 090
gallbladder.
47610......... ............ A........... Removal of 20.84 NA NA 7.66 7.79 2.49 090
gallbladder.
47612......... ............ A........... Removal of 21.13 NA NA 7.68 7.78 2.48 090
gallbladder.
47620......... ............ A........... Removal of 22.99 NA NA 8.16 8.34 2.74 090
gallbladder.
47630......... ............ A........... Remove bile duct 9.57 NA NA 4.73 4.81 0.65 090
stone.
47700......... ............ A........... Exploration of 16.39 NA NA 7.31 7.36 2.07 090
bile ducts.
47701......... ............ A........... Bile duct revision 28.62 NA NA 10.65 11.06 3.68 090
[[Page 2624]]
47711......... ............ A........... Excision of bile 25.77 NA NA 9.65 9.78 3.05 090
duct tumor.
47712......... ............ A........... Excision of bile 33.59 NA NA 11.66 12.04 3.93 090
duct tumor.
47715......... ............ A........... Excision of bile 21.42 NA NA 8.61 8.52 2.49 090
duct cyst.
47720......... ............ A........... Fuse gallbladder & 18.21 NA NA 7.71 7.59 2.11 090
bowel.
47721......... ............ A........... Fuse upper gi 21.86 NA NA 8.55 8.55 2.53 090
structures.
47740......... ............ A........... Fuse gallbladder & 21.10 NA NA 8.34 8.35 2.42 090
bowel.
47741......... ............ A........... Fuse gallbladder & 24.08 NA NA 9.26 9.27 2.83 090
bowel.
47760......... ............ A........... Fuse bile ducts 38.14 NA NA 13.05 11.94 3.42 090
and bowel.
47765......... ............ A........... Fuse liver ducts & 52.01 NA NA 16.96 13.87 3.30 090
bowel.
47780......... ............ A........... Fuse bile ducts 42.14 NA NA 14.13 12.66 3.50 090
and bowel.
47785......... ............ A........... Fuse bile ducts 56.01 NA NA 17.86 15.38 4.10 090
and bowel.
47800......... ............ A........... Reconstruction of 26.04 NA NA 9.78 9.91 3.08 090
bile ducts.
47801......... ............ A........... Placement, bile 17.47 NA NA 8.44 8.29 1.16 090
duct support.
47802......... ............ A........... Fuse liver duct & 24.80 NA NA 9.69 9.68 2.86 090
intestine.
47900......... ............ A........... Suture bile duct 22.31 NA NA 8.86 8.86 2.65 090
injury.
47999......... ............ C........... Bile tract surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
48000......... ............ A........... Drainage of 31.82 NA NA 10.87 11.18 3.48 090
abdomen.
48001......... ............ A........... Placement of 39.56 NA NA 12.77 13.32 4.69 090
drain, pancreas.
48020......... ............ A........... Removal of 18.96 NA NA 7.60 7.45 2.13 090
pancreatic stone.
48100......... ............ A........... Biopsy of 14.38 NA NA 5.96 5.77 1.62 090
pancreas, open.
48102......... ............ A........... Needle biopsy, 4.68 9.62 8.78 1.91 1.93 0.28 010
pancreas.
48105......... ............ A........... Resect/debride 49.05 NA NA 15.78 16.17 5.56 090
pancreas.
48120......... ............ A........... Removal of 18.33 NA NA 6.86 6.85 2.10 090
pancreas lesion.
48140......... ............ A........... Partial removal of 26.19 NA NA 9.38 9.46 3.03 090
pancreas.
48145......... ............ A........... Partial removal of 27.26 NA NA 9.56 9.69 3.18 090
pancreas.
48146......... ............ A........... Pancreatectomy.... 30.42 NA NA 11.94 11.96 3.50 090
48148......... ............ A........... Removal of 20.26 NA NA 8.21 7.90 2.30 090
pancreatic duct.
48150......... ............ A........... Partial removal of 52.63 NA NA 18.03 18.77 6.32 090
pancreas.
48152......... ............ A........... Pancreatectomy.... 48.47 NA NA 16.84 17.52 5.80 090
48153......... ............ A........... Pancreatectomy.... 52.61 NA NA 17.92 18.73 6.31 090
48154......... ............ A........... Pancreatectomy.... 48.70 NA NA 17.07 17.64 5.84 090
48155......... ............ A........... Removal of 29.27 NA NA 11.97 11.81 3.27 090
pancreas.
48160......... ............ N........... Pancreas removal/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplant.
48400......... ............ A........... Injection, intraop 1.95 NA NA 0.66 0.65 0.15 ZZZ
add-on.
48500......... ............ A........... Surgery of 18.03 NA NA 7.67 7.50 2.03 090
pancreatic cyst.
48510......... ............ A........... Drain pancreatic 17.06 NA NA 7.61 7.52 1.83 090
pseudocyst.
48511......... ............ A........... Drain pancreatic 3.99 20.20 20.55 1.43 1.37 0.24 000
pseudocyst.
48520......... ............ A........... Fuse pancreas cyst 18.07 NA NA 6.83 6.76 2.06 090
and bowel.
48540......... ............ A........... Fuse pancreas cyst 21.86 NA NA 7.80 7.95 2.61 090
and bowel.
48545......... ............ A........... Pancreatorrhaphy.. 22.10 NA NA 8.42 8.20 2.38 090
48547......... ............ A........... Duodenal exclusion 30.25 NA NA 10.29 10.38 3.42 090
48548......... ............ A........... Fuse pancreas and 27.96 NA NA 9.89 10.02 3.28 090
bowel.
48550......... ............ X........... Donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pancreatectomy.
48551......... ............ C........... Prep donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pancreas.
48552......... ............ A........... Prep donor 4.30 NA NA 1.14 1.30 0.31 XXX
pancreas/venous.
48554......... ............ R........... Transpl allograft 37.03 NA NA 20.53 19.40 4.19 090
pancreas.
48556......... ............ A........... Removal, allograft 19.24 NA NA 9.23 8.65 2.08 090
pancreas.
48999......... ............ C........... Pancreas surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
49000......... ............ A........... Exploration of 12.44 NA NA 5.21 5.29 1.52 090
abdomen.
49002......... ............ A........... Reopening of 17.55 NA NA 6.39 5.70 1.37 090
abdomen.
49010......... ............ A........... Exploration behind 15.98 NA NA 6.20 6.05 1.51 090
abdomen.
49020......... ............ A........... Drain abdominal 26.46 NA NA 9.89 10.04 2.85 090
abscess.
49021......... ............ A........... Drain abdominal 3.37 19.65 20.36 1.21 1.16 0.20 000
abscess.
49040......... ............ A........... Drain, open, abdom 16.41 NA NA 6.52 6.47 1.70 090
abscess.
49041......... ............ A........... Drain, percut, 3.99 19.93 19.73 1.43 1.37 0.24 000
abdom abscess.
49060......... ............ A........... Drain, open, 18.42 NA NA 7.25 7.34 1.75 090
retrop abscess.
49061......... ............ A........... Drain, percut, 3.69 19.76 19.70 1.33 1.27 0.22 000
retroper absc.
49062......... ............ A........... Drain to 12.12 NA NA 5.12 5.27 1.39 090
peritoneal cavity.
49080......... ............ A........... Puncture, 1.35 2.73 3.36 0.48 0.47 0.08 000
peritoneal cavity.
49081......... ............ A........... Removal of 1.26 2.94 2.76 0.47 0.45 0.09 000
abdominal fluid.
49180......... ............ A........... Biopsy, abdominal 1.73 2.48 2.79 0.62 0.59 0.10 000
mass.
49203......... ............ A........... Exc abd tum 5 cm 20.00 NA NA 7.66 7.66 2.27 090
or less.
49204......... ............ A........... Exc abd tum over 5 26.00 NA NA 9.27 9.27 2.94 090
cm.
49205......... ............ A........... Exc abd tum over 30.00 NA NA 10.35 10.35 3.40 090
10 cm.
49215......... ............ A........... Excise sacral 37.66 NA NA 12.69 13.37 4.38 090
spine tumor.
49220......... ............ A........... Multiple surgery, 15.70 NA NA 6.46 6.54 1.89 090
abdomen.
49250......... ............ A........... Excision of 8.93 NA NA 4.34 4.30 1.08 090
umbilicus.
49255......... ............ A........... Removal of omentum 12.41 NA NA 5.63 5.62 1.43 090
49320......... ............ A........... Diag laparo 5.09 NA NA 2.44 2.54 0.65 010
separate proc.
49321......... ............ A........... Laparoscopy, 5.39 NA NA 2.56 2.60 0.70 010
biopsy.
49322......... ............ A........... Laparoscopy, 5.96 NA NA 2.63 2.81 0.71 010
aspiration.
49323......... ............ A........... Laparo drain 10.13 NA NA 4.69 4.59 1.20 090
lymphocele.
[[Page 2625]]
49324......... ............ A........... Lap insertion perm 6.27 NA NA 2.79 2.79 0.73 010
ip cath.
49325......... ............ A........... Lap revision perm 6.77 NA NA 2.91 2.91 0.86 010
ip cath.
49326......... ............ A........... Lap w/omentopexy 3.50 NA NA 0.92 0.92 0.44 ZZZ
add-on.
49329......... ............ C........... Laparo proc, abdm/ 0.00 0.00 0.00 0.00 0.00 0.00 YYY
per/oment.
49400......... ............ A........... Air injection into 1.88 2.47 2.77 0.62 0.62 0.15 000
abdomen.
49402......... ............ A........... Remove foreign 14.01 NA NA 5.52 5.51 1.62 090
body, adbomen.
49419......... ............ A........... Insrt abdom cath 7.03 NA NA 3.43 3.50 0.81 090
for chemotx.
49420......... ............ A........... Insert abdom 2.22 NA NA 1.18 1.13 0.21 000
drain, temp.
49421......... ............ A........... Insert abdom 5.87 NA NA 3.12 3.14 0.74 090
drain, perm.
49422......... ............ A........... Remove perm 6.26 NA NA 2.61 2.75 0.83 010
cannula/catheter.
49423......... ............ A........... Exchange drainage 1.46 13.10 13.59 0.56 0.54 0.09 000
catheter.
49424......... ............ A........... Assess cyst, 0.76 3.08 3.40 0.30 0.30 0.04 000
contrast inject.
49425......... ............ A........... Insert abdomen- 12.13 NA NA 5.29 5.44 1.54 090
venous drain.
49426......... ............ A........... Revise abdomen- 10.33 NA NA 4.56 4.66 1.28 090
venous shunt.
49427......... ............ A........... Injection, 0.89 NA NA 0.32 0.31 0.07 000
abdominal shunt.
49428......... ............ A........... Ligation of shunt. 6.79 NA NA 3.00 3.46 0.80 010
49429......... ............ A........... Removal of shunt.. 7.41 NA NA 2.99 3.21 1.02 010
49435......... ............ A........... Insert subq exten 2.25 NA NA 0.62 0.62 0.28 ZZZ
to ip cath.
49436......... ............ A........... Embedded ip cath 2.69 NA NA 1.66 1.66 0.28 010
exit-site.
49440......... ............ A........... Place gastrostomy 4.18 25.06 25.06 1.81 1.81 0.49 010
tube perc.
49441......... ............ A........... Place duod/jej 4.77 30.13 30.13 2.01 2.01 0.29 010
tube perc.
49442......... ............ A........... Place cecostomy 4.00 24.46 24.46 1.63 1.63 0.24 010
tube perc.
49446......... ............ A........... Change g-tube to g- 3.31 25.78 25.78 1.15 1.15 0.18 000
j perc.
49450......... ............ A........... Replace g/c tube 1.36 18.97 18.97 0.44 0.44 0.08 000
perc.
49451......... ............ A........... Replace duod/jej 1.84 19.71 19.71 0.64 0.64 0.11 000
tube perc.
49452......... ............ A........... Replace g-j tube 2.86 23.51 23.51 1.00 1.00 0.18 000
perc.
49460......... ............ A........... Fix g/colon tube w/ 0.96 20.59 20.59 0.31 0.31 0.05 000
device.
49465......... ............ A........... Fluoro exam of g/ 0.62 3.89 3.89 0.22 0.22 0.03 000
colon tube.
49491......... ............ A........... Rpr hern preemie 12.42 NA NA 4.62 4.83 1.40 090
reduc.
49492......... ............ A........... Rpr ing hern 15.32 NA NA 6.23 6.17 1.81 090
premie, blocked.
49495......... ............ A........... Rpr ing hernia 6.15 NA NA 3.06 3.01 0.74 090
baby, reduc.
49496......... ............ A........... Rpr ing hernia 9.32 NA NA 4.45 4.36 1.07 090
baby, blocked.
49500......... ............ A........... Rpr ing hernia, 5.76 NA NA 3.65 3.38 0.71 090
init, reduce.
49501......... ............ A........... Rpr ing hernia, 9.28 NA NA 4.27 4.23 1.12 090
init blocked.
49505......... ............ A........... Prp i/hern init 7.88 NA NA 3.88 3.81 1.03 090
reduc >5 yr.
49507......... ............ A........... Prp i/hern init 9.97 NA NA 4.45 4.45 1.27 090
block >5 yr.
49520......... ............ A........... Rerepair ing 9.91 NA NA 4.38 4.40 1.28 090
hernia, reduce.
49521......... ............ A........... Rerepair ing 12.36 NA NA 4.98 5.11 1.59 090
hernia, blocked.
49525......... ............ A........... Repair ing hernia, 8.85 NA NA 4.12 4.10 1.13 090
sliding.
49540......... ............ A........... Repair lumbar 10.66 NA NA 4.58 4.66 1.37 090
hernia.
49550......... ............ A........... Rpr rem hernia, 8.91 NA NA 4.11 4.12 1.14 090
init, reduce.
49553......... ............ A........... Rpr fem hernia, 9.84 NA NA 4.42 4.41 1.24 090
init blocked.
49555......... ............ A........... Rerepair fem 9.31 NA NA 4.20 4.23 1.20 090
hernia, reduce.
49557......... ............ A........... Rerepair fem 11.54 NA NA 4.83 4.91 1.47 090
hernia, blocked.
49560......... ............ A........... Rpr ventral hern 11.84 NA NA 4.88 5.01 1.52 090
init, reduc.
49561......... ............ A........... Rpr ventral hern 15.30 NA NA 5.80 5.93 1.89 090
init, block.
49565......... ............ A........... Rerepair ventrl 12.29 NA NA 5.08 5.15 1.52 090
hern, reduce.
49566......... ............ A........... Rerepair ventrl 15.45 NA NA 5.85 5.99 1.91 090
hern, block.
49568......... ............ A........... Hernia repair w/ 4.88 NA NA 1.24 1.45 0.64 ZZZ
mesh.
49570......... ............ A........... Rpr epigastric 5.97 NA NA 3.38 3.27 0.75 090
hern, reduce.
49572......... ............ A........... Rpr epigastric 7.79 NA NA 3.83 3.64 0.88 090
hern, blocked.
49580......... ............ A........... Rpr umbil hern, 4.39 NA NA 2.95 2.77 0.54 090
reduc < 5 yr.
49582......... ............ A........... Rpr umbil hern, 7.05 NA NA 3.69 3.58 0.88 090
block < 5 yr.
49585......... ............ A........... Rpr umbil hern, 6.51 NA NA 3.51 3.40 0.82 090
reduc > 5 yr.
49587......... ............ A........... Rpr umbil hern, 7.96 NA NA 3.86 3.80 0.99 090
block > 5 yr.
49590......... ............ A........... Repair spigelian 8.82 NA NA 4.09 4.08 1.13 090
hernia.
49600......... ............ A........... Repair umbilical 11.47 NA NA 5.38 5.35 1.32 090
lesion.
49605......... ............ A........... Repair umbilical 86.85 NA NA 27.59 28.05 9.39 090
lesion.
49606......... ............ A........... Repair umbilical 18.92 NA NA 6.78 7.23 2.46 090
lesion.
49610......... ............ A........... Repair umbilical 10.83 NA NA 5.29 5.24 1.07 090
lesion.
49611......... ............ A........... Repair umbilical 9.26 NA NA 4.21 5.59 0.78 090
lesion.
49650......... ............ A........... Laparo hernia 6.30 NA NA 3.35 3.27 0.93 090
repair initial.
49651......... ............ A........... Laparo hernia 8.29 NA NA 4.23 4.13 1.14 090
repair recur.
49659......... ............ C........... Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
hernia repair.
49900......... ............ A........... Repair of 12.26 NA NA 6.29 6.26 1.62 090
abdominal wall.
49904......... ............ A........... Omental flap, 22.16 NA NA 11.89 13.55 2.70 090
extra-abdom.
49905......... ............ A........... Omental flap, 6.54 NA NA 1.69 1.99 0.75 ZZZ
intra-abdom.
49906......... ............ C........... Free omental flap, 0.00 0.00 0.00 0.00 0.00 0.00 090
microvasc.
49999......... ............ C........... Abdomen surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
50010......... ............ A........... Exploration of 12.13 NA NA 6.73 5.98 0.93 090
kidney.
50020......... ............ A........... Renal abscess, 17.88 NA NA 8.49 8.12 1.34 090
open drain.
50021......... ............ A........... Renal abscess, 3.37 21.11 21.39 1.22 1.16 0.20 000
percut drain.
[[Page 2626]]
50040......... ............ A........... Drainage of kidney 16.48 NA NA 8.83 7.82 1.03 090
50045......... ............ A........... Exploration of 16.67 NA NA 8.15 7.37 1.24 090
kidney.
50060......... ............ A........... Removal of kidney 20.80 NA NA 10.83 9.33 1.36 090
stone.
50065......... ............ A........... Incision of kidney 22.17 NA NA 11.53 8.80 1.59 090
50070......... ............ A........... Incision of kidney 21.70 NA NA 11.34 9.77 1.44 090
50075......... ............ A........... Removal of kidney 26.91 NA NA 13.51 11.70 1.81 090
stone.
50080......... ............ A........... Removal of kidney 15.61 NA NA 8.56 7.42 1.04 090
stone.
50081......... ............ A........... Removal of kidney 23.32 NA NA 12.18 10.47 1.54 090
stone.
50100......... ............ A........... Revise kidney 17.30 NA NA 6.52 7.15 2.07 090
blood vessels.
50120......... ............ A........... Exploration of 17.06 NA NA 9.12 7.94 1.21 090
kidney.
50125......... ............ A........... Explore and drain 17.67 NA NA 9.72 8.34 1.43 090
kidney.
50130......... ............ A........... Removal of kidney 18.67 NA NA 10.06 8.61 1.22 090
stone.
50135......... ............ A........... Exploration of 20.44 NA NA 10.70 9.24 1.33 090
kidney.
50200......... ............ A........... Biopsy of kidney.. 2.63 NA NA 1.19 1.24 0.16 000
50205......... ............ A........... Biopsy of kidney.. 12.19 NA NA 5.51 5.26 1.30 090
50220......... ............ A........... Remove kidney, 18.53 NA NA 9.52 8.38 1.35 090
open.
50225......... ............ A........... Removal kidney 21.73 NA NA 11.02 9.58 1.50 090
open, complex.
50230......... ............ A........... Removal kidney 23.68 NA NA 11.65 10.11 1.55 090
open, radical.
50234......... ............ A........... Removal of kidney 23.90 NA NA 12.04 10.44 1.59 090
& ureter.
50236......... ............ A........... Removal of kidney 26.74 NA NA 13.92 12.08 1.77 090
& ureter.
50240......... ............ A........... Partial removal of 24.01 NA NA 12.61 10.81 1.55 090
kidney.
50250......... ............ A........... Cryoablate renal 22.06 NA NA 11.49 10.33 1.39 090
mass open.
50280......... ............ A........... Removal of kidney 16.94 NA NA 9.07 7.88 1.19 090
lesion.
50290......... ............ A........... Removal of kidney 16.00 NA NA 7.74 7.10 1.41 090
lesion.
50300......... ............ X........... Remove cadaver 0.00 0.00 0.00 0.00 0.00 0.00 XXX
donor kidney.
50320......... ............ A........... Remove kidney, 22.28 NA NA 12.31 11.48 2.36 090
living donor.
50323......... ............ C........... Prep cadaver renal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
allograft.
50325......... ............ C........... Prep donor renal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
graft.
50327......... ............ A........... Prep renal graft/ 4.00 NA NA 1.10 1.22 0.29 XXX
venous.
50328......... ............ A........... Prep renal graft/ 3.50 NA NA 0.98 1.08 0.26 XXX
arterial.
50329......... ............ A........... Prep renal graft/ 3.34 NA NA 1.05 1.09 0.25 XXX
ureteral.
50340......... ............ A........... Removal of kidney. 13.86 NA NA 7.81 7.15 1.65 090
50360......... ............ A........... Transplantation of 40.45 NA NA 18.68 17.08 3.82 090
kidney.
50365......... ............ A........... Transplantation of 45.68 NA NA 19.42 18.81 4.43 090
kidney.
50370......... ............ A........... Remove 18.68 NA NA 9.19 8.17 1.68 090
transplanted
kidney.
50380......... ............ A........... Reimplantation of 29.66 NA NA 16.21 14.12 2.51 090
kidney.
50382......... ............ A........... Change ureter 5.50 26.38 31.26 2.05 1.96 0.34 000
stent, percut.
50384......... ............ A........... Remove ureter 5.00 20.68 27.96 1.86 1.78 0.31 000
stent, percut.
50385......... ............ A........... Change stent via 4.44 30.64 30.64 2.05 2.05 0.27 000
transureth.
50386......... ............ A........... Remove stent via 3.30 19.38 19.38 1.61 1.61 0.20 000
transureth.
50387......... ............ A........... Change ext/int 2.00 12.61 15.42 0.73 0.70 0.12 000
ureter stent.
50389......... ............ A........... Remove renal tube 1.10 6.68 9.72 0.40 0.39 0.07 000
w/fluoro.
50390......... ............ A........... Drainage of kidney 1.96 NA NA 0.71 0.67 0.12 000
lesion.
50391......... ............ A........... Instll rx agnt 1.96 1.38 1.48 0.72 0.67 0.14 000
into rnal tub.
50392......... ............ A........... Insert kidney 3.37 NA NA 1.52 1.52 0.20 000
drain.
50393......... ............ A........... Insert ureteral 4.15 NA NA 1.80 1.80 0.25 000
tube.
50394......... ............ A........... Injection for 0.76 1.87 2.28 0.58 0.62 0.05 000
kidney x-ray.
50395......... ............ A........... Create passage to 3.37 NA NA 1.57 1.53 0.21 000
kidney.
50396......... ............ A........... Measure kidney 2.09 NA NA 1.08 1.08 0.13 000
pressure.
50398......... ............ A........... Change kidney tube 1.46 11.85 14.08 0.57 0.54 0.09 000
50400......... ............ A........... Revision of kidney/ 21.12 NA NA 10.95 9.41 1.38 090
ureter.
50405......... ............ A........... Revision of kidney/ 25.68 NA NA 12.91 10.97 1.79 090
ureter.
50500......... ............ A........... Repair of kidney 21.07 NA NA 8.70 8.54 2.02 090
wound.
50520......... ............ A........... Close kidney-skin 18.73 NA NA 9.25 8.34 1.49 090
fistula.
50525......... ............ A........... Repair renal- 24.21 NA NA 11.80 10.40 1.84 090
abdomen fistula.
50526......... ............ A........... Repair renal- 26.13 NA NA 8.16 9.01 1.97 090
abdomen fistula.
50540......... ............ A........... Revision of 20.95 NA NA 10.62 9.47 1.36 090
horseshoe kidney.
50541......... ............ A........... Laparo ablate 16.76 NA NA 8.70 7.59 1.13 090
renal cyst.
50542......... ............ A........... Laparo ablate 21.18 NA NA 11.18 9.66 1.39 090
renal mass.
50543......... ............ A........... Laparo partial 27.18 NA NA 14.10 12.15 1.81 090
nephrectomy.
50544......... ............ A........... Laparoscopy, 23.27 NA NA 11.44 9.98 1.58 090
pyeloplasty.
50545......... ............ A........... Laparo radical 24.93 NA NA 12.15 10.67 1.71 090
nephrectomy.
50546......... ............ A........... Laparoscopic 21.69 NA NA 11.29 9.83 1.57 090
nephrectomy.
50547......... ............ A........... Laparo removal 26.24 NA NA 12.48 11.79 2.77 090
donor kidney.
50548......... ............ A........... Laparo remove w/ 25.26 NA NA 12.12 10.65 1.73 090
ureter.
50549......... ............ C........... Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
renal.
50551......... ............ A........... Kidney endoscopy.. 5.59 4.60 4.37 2.65 2.31 0.40 000
50553......... ............ A........... Kidney endoscopy.. 5.98 4.50 4.43 2.63 2.40 0.39 000
50555......... ............ A........... Kidney endoscopy & 6.52 5.10 4.95 3.02 2.68 0.45 000
biopsy.
50557......... ............ A........... Kidney endoscopy & 6.61 5.27 4.92 3.07 2.68 0.47 000
treatment.
50561......... ............ A........... Kidney endoscopy & 7.58 5.81 5.45 3.41 3.03 0.54 000
treatment.
50562......... ............ A........... Renal scope w/ 10.90 NA NA 5.36 4.84 0.73 090
tumor resect.
[[Page 2627]]
50570......... ............ A........... Kidney endoscopy.. 9.53 NA NA 4.15 3.68 0.68 000
50572......... ............ A........... Kidney endoscopy.. 10.33 NA NA 4.32 3.91 0.85 000
50574......... ............ A........... Kidney endoscopy & 11.00 NA NA 4.79 4.27 0.77 000
biopsy.
50575......... ............ A........... Kidney endoscopy.. 13.96 NA NA 5.96 5.29 0.99 000
50576......... ............ A........... Kidney endoscopy & 10.97 NA NA 4.78 4.22 0.78 000
treatment.
50580......... ............ A........... Kidney endoscopy & 11.84 NA NA 5.10 4.53 0.83 000
treatment.
50590......... ............ A........... Fragmenting of 9.64 17.10 14.75 6.13 5.12 0.65 090
kidney stone.
50592......... ............ A........... Perc rf ablate 6.77 75.49 112.31 3.00 2.99 0.43 010
renal tumor.
50593......... ............ A........... Perc cryo ablate 9.08 114.62 114.62 3.45 3.45 0.58 010
renal tum.
50600......... ............ A........... Exploration of 17.04 NA NA 8.51 7.59 1.13 090
ureter.
50605......... ............ A........... Insert ureteral 16.66 NA NA 7.89 7.31 1.45 090
support.
50610......... ............ A........... Removal of ureter 17.12 NA NA 8.98 7.97 1.43 090
stone.
50620......... ............ A........... Removal of ureter 16.30 NA NA 8.88 7.61 1.07 090
stone.
50630......... ............ A........... Removal of ureter 16.08 NA NA 8.20 7.24 1.09 090
stone.
50650......... ............ A........... Removal of ureter. 18.67 NA NA 9.96 8.59 1.23 090
50660......... ............ A........... Removal of ureter. 20.87 NA NA 10.73 9.34 1.38 090
50684......... ............ A........... Injection for 0.76 3.97 4.47 0.63 0.55 0.05 000
ureter x-ray.
50686......... ............ A........... Measure ureter 1.51 2.30 2.87 0.81 0.82 0.11 000
pressure.
50688......... ............ A........... Change of ureter 1.18 NA NA 0.95 1.01 0.07 010
tube/stent.
50690......... ............ A........... Injection for 1.16 1.45 1.64 0.75 0.73 0.07 000
ureter x-ray.
50700......... ............ A........... Revision of ureter 16.54 NA NA 8.76 7.94 1.27 090
50715......... ............ A........... Release of ureter. 20.49 NA NA 8.54 8.64 2.14 090
50722......... ............ A........... Release of ureter. 17.80 NA NA 7.27 7.54 1.91 090
50725......... ............ A........... Release/revise 20.05 NA NA 8.82 8.43 1.52 090
ureter.
50727......... ............ A........... Revise ureter..... 8.17 NA NA 5.73 5.00 0.61 090
50728......... ............ A........... Revise ureter..... 12.00 NA NA 6.75 6.15 1.00 090
50740......... ............ A........... Fusion of ureter & 19.92 NA NA 8.98 8.35 1.97 090
kidney.
50750......... ............ A........... Fusion of ureter & 21.07 NA NA 11.08 9.53 1.38 090
kidney.
50760......... ............ A........... Fusion of ureters. 19.92 NA NA 9.90 8.78 1.55 090
50770......... ............ A........... Splicing of 21.07 NA NA 10.88 9.43 1.45 090
ureters.
50780......... ............ A........... Reimplant ureter 19.80 NA NA 10.11 8.85 1.51 090
in bladder.
50782......... ............ A........... Reimplant ureter 19.51 NA NA 9.89 9.33 1.61 090
in bladder.
50783......... ............ A........... Reimplant ureter 20.52 NA NA 10.12 9.17 1.99 090
in bladder.
50785......... ............ A........... Reimplant ureter 22.08 NA NA 11.20 9.74 1.45 090
in bladder.
50800......... ............ A........... Implant ureter in 16.23 NA NA 9.17 7.82 1.19 090
bowel.
50810......... ............ A........... Fusion of ureter & 22.38 NA NA 10.58 9.83 2.32 090
bowel.
50815......... ............ A........... Urine shunt to 22.06 NA NA 11.47 9.95 1.54 090
intestine.
50820......... ............ A........... Construct bowel 23.89 NA NA 11.86 10.25 1.90 090
bladder.
50825......... ............ A........... Construct bowel 30.48 NA NA 14.91 13.02 2.08 090
bladder.
50830......... ............ A........... Revise urine flow. 33.57 NA NA 15.62 13.90 2.38 090
50840......... ............ A........... Replace ureter by 22.19 NA NA 11.93 10.18 1.47 090
bowel.
50845......... ............ A........... Appendico- 22.21 NA NA 12.07 10.48 1.57 090
vesicostomy.
50860......... ............ A........... Transplant ureter 16.93 NA NA 9.22 7.92 1.29 090
to skin.
50900......... ............ A........... Repair of ureter.. 14.89 NA NA 7.99 7.06 1.14 090
50920......... ............ A........... Closure ureter/ 15.66 NA NA 8.52 7.54 1.01 090
skin fistula.
50930......... ............ A........... Closure ureter/ 20.04 NA NA 9.49 8.73 1.28 090
bowel fistula.
50940......... ............ A........... Release of ureter. 15.78 NA NA 7.79 7.09 1.26 090
50945......... ............ A........... Laparoscopy 17.87 NA NA 9.29 8.16 1.36 090
ureterolithotomy.
50947......... ............ A........... Laparo new ureter/ 25.63 NA NA 12.29 10.99 2.17 090
bladder.
50948......... ............ A........... Laparo new ureter/ 23.69 NA NA 11.19 9.94 1.71 090
bladder.
50949......... ............ C........... Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
ureter.
50951......... ............ A........... Endoscopy of 5.83 4.82 4.56 2.76 2.41 0.41 000
ureter.
50953......... ............ A........... Endoscopy of 6.23 4.93 4.67 3.22 2.79 0.43 000
ureter.
50955......... ............ A........... Ureter endoscopy & 6.74 5.15 5.78 3.45 3.07 0.48 000
biopsy.
50957......... ............ A........... Ureter endoscopy & 6.78 5.38 4.97 3.14 2.76 0.48 000
treatment.
50961......... ............ A........... Ureter endoscopy & 6.04 4.75 4.55 2.79 2.49 0.41 000
treatment.
50970......... ............ A........... Ureter endoscopy.. 7.13 NA NA 3.24 2.85 0.52 000
50972......... ............ A........... Ureter endoscopy & 6.88 NA NA 3.05 2.76 0.49 000
catheter.
50974......... ............ A........... Ureter endoscopy & 9.16 NA NA 3.77 3.44 0.64 000
biopsy.
50976......... ............ A........... Ureter endoscopy & 9.03 NA NA 3.85 3.46 0.66 000
treatment.
50980......... ............ A........... Ureter endoscopy & 6.84 NA NA 3.12 2.75 0.48 000
treatment.
51020......... ............ A........... Incise & treat 7.56 NA NA 5.39 4.62 0.47 090
bladder.
51030......... ............ A........... Incise & treat 7.68 NA NA 4.90 4.43 0.58 090
bladder.
51040......... ............ A........... Incise & drain 4.43 NA NA 3.69 3.23 0.31 090
bladder.
51045......... ............ A........... Incise bladder/ 7.68 NA NA 5.15 4.54 0.52 090
drain ureter.
51050......... ............ A........... Removal of bladder 7.87 NA NA 5.33 4.48 0.49 090
stone.
51060......... ............ A........... Removal of ureter 9.82 NA NA 6.42 5.46 0.62 090
stone.
51065......... ............ A........... Remove ureter 9.82 NA NA 6.25 5.30 0.63 090
calculus.
51080......... ............ A........... Drainage of 6.61 NA NA 4.61 4.07 0.43 090
bladder abscess.
51100......... ............ A........... Drain bladder by 0.78 0.92 0.92 0.27 0.27 0.05 000
needle.
51101......... ............ A........... Drain bladder by 1.02 2.41 2.41 0.34 0.34 0.10 000
trocar/cath.
51102......... ............ A........... Drain bl w/cath 4.27 4.75 4.75 2.37 2.37 0.28 010
insertion.
[[Page 2628]]
51500......... ............ A........... Removal of bladder 10.92 NA NA 5.76 5.38 1.03 090
cyst.
51520......... ............ A........... Removal of bladder 10.08 NA NA 6.31 5.49 0.69 090
lesion.
51525......... ............ A........... Removal of bladder 15.29 NA NA 8.47 7.30 0.99 090
lesion.
51530......... ............ A........... Removal of bladder 13.58 NA NA 7.38 6.57 1.05 090
lesion.
51535......... ............ A........... Repair of ureter 13.77 NA NA 7.38 6.74 1.23 090
lesion.
51550......... ............ A........... Partial removal of 17.10 NA NA 8.71 7.72 1.31 090
bladder.
51555......... ............ A........... Partial removal of 23.03 NA NA 11.36 10.01 1.70 090
bladder.
51565......... ............ A........... Revise bladder & 23.50 NA NA 12.12 10.54 1.63 090
ureter(s).
51570......... ............ A........... Removal of bladder 27.31 NA NA 13.49 11.62 1.72 090
51575......... ............ A........... Removal of bladder 34.00 NA NA 16.45 14.24 2.17 090
& nodes.
51580......... ............ A........... Remove bladder/ 35.14 NA NA 17.59 15.04 2.25 090
revise tract.
51585......... ............ A........... Removal of bladder 39.41 NA NA 19.26 16.48 2.49 090
& nodes.
51590......... ............ A........... Remove bladder/ 36.15 NA NA 17.25 14.93 2.28 090
revise tract.
51595......... ............ A........... Remove bladder/ 41.12 NA NA 19.58 16.85 2.60 090
revise tract.
51596......... ............ A........... Remove bladder/ 44.01 NA NA 21.20 18.21 2.78 090
create pouch.
51597......... ............ A........... Removal of pelvic 42.61 NA NA 20.19 17.51 2.82 090
structures.
51600......... ............ A........... Injection for 0.88 4.23 4.64 0.33 0.31 0.06 000
bladder x-ray.
51605......... ............ A........... Preparation for 0.64 NA NA 0.43 0.39 0.04 000
bladder xray.
51610......... ............ A........... Injection for 1.05 1.91 2.10 0.71 0.65 0.07 000
bladder x-ray.
51700......... ............ A........... Irrigation of 0.88 1.50 1.55 0.34 0.31 0.06 000
bladder.
51701......... ............ A........... Insert bladder 0.50 1.04 1.31 0.24 0.22 0.04 000
catheter.
51702......... ............ A........... Insert temp 0.50 1.53 1.81 0.33 0.29 0.04 000
bladder cath.
51703......... ............ A........... Insert bladder 1.47 2.26 2.50 0.80 0.68 0.10 000
cath, complex.
51705......... ............ A........... Change of bladder 1.03 2.02 2.15 0.85 0.73 0.07 010
tube.
51710......... ............ A........... Change of bladder 1.50 2.73 3.03 1.18 0.97 0.11 010
tube.
51715......... ............ A........... Endoscopic 3.73 4.41 4.16 1.73 1.54 0.29 000
injection/implant.
51720......... ............ A........... Treatment of 1.50 1.62 1.68 0.74 0.71 0.14 000
bladder lesion.
51725......... ............ A........... Simple 1.51 4.23 4.91 NA NA 0.16 000
cystometrogram.
51725......... TC.......... A........... Simple 0.00 3.68 4.39 NA NA 0.04 000
cystometrogram.
51725......... 26.......... A........... Simple 1.51 0.55 0.52 0.55 0.52 0.12 000
cystometrogram.
51726......... ............ A........... Complex 1.71 7.11 7.31 NA NA 0.18 000
cystometrogram.
51726......... TC.......... A........... Complex 0.00 6.47 6.71 NA NA 0.05 000
cystometrogram.
51726......... 26.......... A........... Complex 1.71 0.64 0.60 0.64 0.60 0.13 000
cystometrogram.
51736......... ............ A........... Urine flow 0.61 0.94 0.76 NA NA 0.06 000
measurement.
51736......... TC.......... A........... Urine flow 0.00 0.70 0.54 NA NA 0.01 000
measurement.
51736......... 26.......... A........... Urine flow 0.61 0.24 0.22 0.24 0.22 0.05 000
measurement.
51741......... ............ A........... Electro- 1.14 1.27 1.03 NA NA 0.11 000
uroflowmetry,
first.
51741......... TC.......... A........... Electro- 0.00 0.83 0.62 NA NA 0.02 000
uroflowmetry,
first.
51741......... 26.......... A........... Electro- 1.14 0.44 0.41 0.44 0.41 0.09 000
uroflowmetry,
first.
51772......... ............ A........... Urethra pressure 1.61 5.06 5.32 NA NA 0.20 000
profile.
51772......... TC.......... A........... Urethra pressure 0.00 4.51 4.77 NA NA 0.05 000
profile.
51772......... 26.......... A........... Urethra pressure 1.61 0.55 0.55 0.55 0.55 0.15 000
profile.
51784......... ............ A........... Anal/urinary 1.53 4.12 4.05 NA NA 0.16 000
muscle study.
51784......... TC.......... A........... Anal/urinary 0.00 3.56 3.52 NA NA 0.04 000
muscle study.
51784......... 26.......... A........... Anal/urinary 1.53 0.56 0.53 0.56 0.53 0.12 000
muscle study.
51785......... ............ A........... Anal/urinary 1.53 4.55 4.50 NA NA 0.15 000
muscle study.
51785......... TC.......... A........... Anal/urinary 0.00 3.99 3.97 NA NA 0.04 000
muscle study.
51785......... 26.......... A........... Anal/urinary 1.53 0.56 0.53 0.56 0.53 0.11 000
muscle study.
51792......... ............ A........... Urinary reflex 1.10 5.05 5.52 NA NA 0.20 000
study.
51792......... TC.......... A........... Urinary reflex 0.00 4.66 5.12 NA NA 0.13 000
study.
51792......... 26.......... A........... Urinary reflex 1.10 0.39 0.40 0.39 0.40 0.07 000
study.
51795......... ............ A........... Urine voiding 1.53 6.72 7.00 NA NA 0.22 000
pressure study.
51795......... TC.......... A........... Urine voiding 0.00 6.15 6.47 NA NA 0.10 000
pressure study.
51795......... 26.......... A........... Urine voiding 1.53 0.57 0.53 0.57 0.53 0.12 000
pressure study.
51797......... ............ A........... Intraabdominal 0.80 2.44 4.11 NA NA 0.17 ZZZ
pressure test.
51797......... TC.......... A........... Intraabdominal 0.00 2.14 3.70 NA NA 0.05 ZZZ
pressure test.
51797......... 26.......... A........... Intraabdominal 0.80 0.30 0.41 0.30 0.41 0.12 ZZZ
pressure test.
51798......... ............ A........... Us urine capacity 0.00 0.59 0.47 NA NA 0.08 XXX
measure.
51800......... ............ A........... Revision of 18.74 NA NA 9.72 8.64 1.32 090
bladder/urethra.
51820......... ............ A........... Revision of 19.41 NA NA 9.75 9.02 1.75 090
urinary tract.
51840......... ............ A........... Attach bladder/ 11.28 NA NA 5.76 5.66 1.06 090
urethra.
51841......... ............ A........... Attach bladder/ 13.60 NA NA 6.86 6.62 1.24 090
urethra.
51845......... ............ A........... Repair bladder 10.07 NA NA 5.89 5.31 0.79 090
neck.
51860......... ............ A........... Repair of bladder 12.49 NA NA 6.73 6.25 1.16 090
wound.
51865......... ............ A........... Repair of bladder 15.69 NA NA 8.33 7.50 1.23 090
wound.
51880......... ............ A........... Repair of bladder 7.81 NA NA 4.73 4.34 0.72 090
opening.
51900......... ............ A........... Repair bladder/ 14.48 NA NA 7.98 7.02 1.21 090
vagina lesion.
51920......... ............ A........... Close bladder- 13.26 NA NA 8.04 6.84 1.18 090
uterus fistula.
51925......... ............ A........... Hysterectomy/ 17.35 NA NA 12.42 10.51 2.04 090
bladder repair.
51940......... ............ A........... Correction of 30.48 NA NA 11.73 11.91 2.15 090
bladder defect.
51960......... ............ A........... Revision of 25.20 NA NA 12.89 11.27 1.63 090
bladder & bowel.
51980......... ............ A........... Construct bladder 12.44 NA NA 7.07 6.22 0.86 090
opening.
[[Page 2629]]
51990......... ............ A........... Laparo urethral 13.26 NA NA 5.93 6.04 1.39 090
suspension.
51992......... ............ A........... Laparo sling 14.77 NA NA 6.51 6.36 1.41 090
operation.
51999......... ............ C........... Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
bla.
52000......... ............ A........... Cystoscopy........ 2.23 3.66 3.48 1.31 1.03 0.14 000
52001......... ............ A........... Cystoscopy, 5.44 5.05 5.06 2.57 2.22 0.39 000
removal of clots.
52005......... ............ A........... Cystoscopy & 2.37 5.73 5.65 1.37 1.13 0.17 000
ureter catheter.
52007......... ............ A........... Cystoscopy and 3.02 10.71 13.58 1.62 1.38 0.22 000
biopsy.
52010......... ............ A........... Cystoscopy & duct 3.02 8.08 9.42 1.62 1.38 0.21 000
catheter.
52204......... ............ A........... Cystoscopy w/ 2.59 8.31 11.41 1.38 1.14 0.17 000
biopsy(s).
52214......... ............ A........... Cystoscopy and 3.70 19.89 29.01 1.83 1.58 0.26 000
treatment.
52224......... ............ A........... Cystoscopy and 3.14 19.07 27.77 1.60 1.38 0.22 000
treatment.
52234......... ............ A........... Cystoscopy and 4.62 NA NA 2.27 1.96 0.33 000
treatment.
52235......... ............ A........... Cystoscopy and 5.44 NA NA 2.64 2.29 0.39 000
treatment.
52240......... ............ A........... Cystoscopy and 9.71 NA NA 4.34 3.82 0.69 000
treatment.
52250......... ............ A........... Cystoscopy and 4.49 NA NA 2.30 1.97 0.32 000
radiotracer.
52260......... ............ A........... Cystoscopy and 3.91 NA NA 1.93 1.67 0.28 000
treatment.
52265......... ............ A........... Cystoscopy and 2.94 7.49 10.42 1.47 1.29 0.22 000
treatment.
52270......... ............ A........... Cystoscopy & 3.36 7.02 9.03 1.74 1.49 0.24 000
revise urethra.
52275......... ............ A........... Cystoscopy & 4.69 9.30 12.43 2.27 1.96 0.33 000
revise urethra.
52276......... ............ A........... Cystoscopy and 4.99 NA NA 2.44 2.11 0.35 000
treatment.
52277......... ............ A........... Cystoscopy and 6.16 NA NA 2.90 2.56 0.44 000
treatment.
52281......... ............ A........... Cystoscopy and 2.80 5.29 6.19 1.54 1.31 0.20 000
treatment.
52282......... ............ A........... Cystoscopy, 6.39 NA NA 2.96 2.60 0.45 000
implant stent.
52283......... ............ A........... Cystoscopy and 3.73 4.06 4.00 1.86 1.62 0.26 000
treatment.
52285......... ............ A........... Cystoscopy and 3.60 4.33 4.17 1.83 1.58 0.26 000
treatment.
52290......... ............ A........... Cystoscopy and 4.58 NA NA 2.26 1.95 0.32 000
treatment.
52300......... ............ A........... Cystoscopy and 5.30 NA NA 2.56 2.23 0.38 000
treatment.
52301......... ............ A........... Cystoscopy and 5.50 NA NA 2.68 2.33 0.46 000
treatment.
52305......... ............ A........... Cystoscopy and 5.30 NA NA 2.49 2.17 0.38 000
treatment.
52310......... ............ A........... Cystoscopy and 2.81 4.00 4.35 1.43 1.23 0.20 000
treatment.
52315......... ............ A........... Cystoscopy and 5.20 6.63 7.65 2.47 2.15 0.37 000
treatment.
52317......... ............ A........... Remove bladder 6.71 17.07 23.01 2.99 2.64 0.48 000
stone.
52318......... ............ A........... Remove bladder 9.18 NA NA 4.04 3.57 0.65 000
stone.
52320......... ............ A........... Cystoscopy and 4.69 NA NA 2.21 1.92 0.33 000
treatment.
52325......... ............ A........... Cystoscopy, stone 6.15 NA NA 2.78 2.45 0.44 000
removal.
52327......... ............ A........... Cystoscopy, inject 5.18 2.04 16.94 2.04 1.93 0.37 000
material.
52330......... ............ A........... Cystoscopy and 5.03 20.41 29.63 2.35 2.05 0.36 000
treatment.
52332......... ............ A........... Cystoscopy and 2.83 12.42 9.08 1.55 1.30 0.21 000
treatment.
52334......... ............ A........... Create passage to 4.82 NA NA 2.33 2.03 0.35 000
kidney.
52341......... ............ A........... Cysto w/ureter 6.11 NA NA 3.04 2.63 0.43 000
stricture tx.
52342......... ............ A........... Cysto w/up 6.61 NA NA 3.25 2.80 0.46 000
stricture tx.
52343......... ............ A........... Cysto w/renal 7.31 NA NA 3.49 3.04 0.51 000
stricture tx.
52344......... ............ A........... Cysto/uretero, 7.81 NA NA 3.90 3.35 0.55 000
stricture tx.
52345......... ............ A........... Cysto/uretero w/up 8.31 NA NA 4.11 3.53 0.58 000
stricture.
52346......... ............ A........... Cystouretero w/ 9.34 NA NA 4.51 3.90 0.65 000
renal strict.
52351......... ............ A........... Cystouretero & or 5.85 NA NA 2.95 2.55 0.41 000
pyeloscope.
52352......... ............ A........... Cystouretero w/ 6.87 NA NA 3.46 2.98 0.49 000
stone remove.
52353......... ............ A........... Cystouretero w/ 7.96 NA NA 3.90 3.38 0.57 000
lithotripsy.
52354......... ............ A........... Cystouretero w/ 7.33 NA NA 3.64 3.16 0.52 000
biopsy.
52355......... ............ A........... Cystouretero w/ 8.81 NA NA 4.24 3.69 0.63 000
excise tumor.
52400......... ............ A........... Cystouretero w/ 10.06 NA NA 5.39 4.56 0.68 090
congen repr.
52402......... ............ A........... Cystourethro cut 5.27 NA NA 2.15 1.92 0.40 000
ejacul duct.
52450......... ............ A........... Incision of 7.63 NA NA 5.48 4.58 0.54 090
prostate.
52500......... ............ A........... Revision of 9.39 NA NA 6.18 5.05 0.60 090
bladder neck.
52601......... ............ A........... Prostatectomy 15.13 NA NA 8.43 6.76 0.87 090
(TURP).
52606......... ............ A........... Control postop 8.84 NA NA 5.48 4.52 0.57 090
bleeding.
52612......... ............ A........... Prostatectomy, 9.07 NA NA 5.88 4.81 0.56 090
first stage.
52614......... ............ A........... Prostatectomy, 7.81 NA NA 5.37 4.36 0.48 090
second stage.
52620......... ............ A........... Remove residual 7.19 NA NA 4.61 3.80 0.47 090
prostate.
52630......... ............ A........... Remove prostate 7.65 NA NA 4.80 3.99 0.51 090
regrowth.
52640......... ............ A........... Relieve bladder 6.89 NA NA 4.41 3.69 0.47 090
contracture.
52647......... ............ A........... Laser surgery of 11.15 41.95 57.97 6.89 5.71 0.73 090
prostate.
52648......... ............ A........... Laser surgery of 12.00 42.49 58.24 7.22 6.00 0.79 090
prostate.
52649......... ............ A........... 2Prostate laser 17.16 NA NA 9.32 9.32 1.11 090
enucleation.
52700......... ............ A........... Drainage of 7.39 NA NA 4.90 4.04 0.48 090
prostate abscess.
53000......... ............ A........... Incision of 2.30 NA NA 1.78 1.66 0.16 010
urethra.
53010......... ............ A........... Incision of 4.35 NA NA 3.83 3.37 0.24 090
urethra.
53020......... ............ A........... Incision of 1.77 NA NA 0.95 0.81 0.13 000
urethra.
53025......... ............ A........... Incision of 1.13 NA NA 0.82 0.66 0.08 000
urethra.
53040......... ............ A........... Drainage of 6.49 NA NA 4.40 3.92 0.45 090
urethra abscess.
53060......... ............ A........... Drainage of 2.65 2.09 2.09 1.54 1.45 0.28 010
urethra abscess.
53080......... ............ A........... Drainage of 6.82 NA NA 4.97 5.46 0.52 090
urinary leakage.
[[Page 2630]]
53085......... ............ A........... Drainage of 11.05 NA NA 4.41 5.91 0.92 090
urinary leakage.
53200......... ............ A........... Biopsy of urethra. 2.59 1.70 1.51 1.29 1.14 0.20 000
53210......... ............ A........... Removal of urethra 13.59 NA NA 7.76 6.80 0.89 090
53215......... ............ A........... Removal of urethra 16.72 NA NA 9.12 7.88 1.10 090
53220......... ............ A........... Treatment of 7.53 NA NA 4.98 4.35 0.49 090
urethra lesion.
53230......... ............ A........... Removal of urethra 10.31 NA NA 6.37 5.54 0.73 090
lesion.
53235......... ............ A........... Removal of urethra 10.86 NA NA 6.92 5.91 0.72 090
lesion.
53240......... ............ A........... Surgery for 6.98 NA NA 4.87 4.20 0.52 090
urethra pouch.
53250......... ............ A........... Removal of urethra 6.42 NA NA 4.38 3.84 0.49 090
gland.
53260......... ............ A........... Treatment of 3.00 2.45 2.35 1.84 1.63 0.25 010
urethra lesion.
53265......... ............ A........... Treatment of 3.14 2.94 2.82 1.98 1.70 0.24 010
urethra lesion.
53270......... ............ A........... Removal of urethra 3.11 2.46 2.33 1.84 1.69 0.30 010
gland.
53275......... ............ A........... Repair of urethra 4.54 NA NA 2.77 2.51 0.32 010
defect.
53400......... ............ A........... Revise urethra, 13.98 NA NA 8.17 7.10 0.98 090
stage 1.
53405......... ............ A........... Revise urethra, 15.51 NA NA 8.69 7.50 1.10 090
stage 2.
53410......... ............ A........... Reconstruction of 17.53 NA NA 9.68 8.36 1.16 090
urethra.
53415......... ............ A........... Reconstruction of 20.55 NA NA 10.70 9.01 1.37 090
urethra.
53420......... ............ A........... Reconstruct 15.04 NA NA 7.12 6.70 0.96 090
urethra, stage 1.
53425......... ............ A........... Reconstruct 16.94 NA NA 9.00 7.94 1.13 090
urethra, stage 2.
53430......... ............ A........... Reconstruction of 17.30 NA NA 8.81 7.90 1.15 090
urethra.
53431......... ............ A........... Reconstruct 21.03 NA NA 10.98 9.52 1.41 090
urethra/bladder.
53440......... ............ A........... Male sling 15.34 NA NA 9.19 7.58 0.96 090
procedure.
53442......... ............ A........... Remove/revise male 13.29 NA NA 8.36 6.90 0.82 090
sling.
53444......... ............ A........... Insert tandem cuff 14.06 NA NA 8.02 6.95 0.94 090
53445......... ............ A........... Insert uro/ves nck 15.21 NA NA 8.75 7.92 0.99 090
sphincter.
53446......... ............ A........... Remove uro 10.89 NA NA 7.00 6.11 0.72 090
sphincter.
53447......... ............ A........... Remove/replace ur 14.15 NA NA 8.38 7.40 0.95 090
sphincter.
53448......... ............ A........... Remov/replc ur 23.26 NA NA 12.33 10.69 1.50 090
sphinctr comp.
53449......... ............ A........... Repair uro 10.43 NA NA 6.61 5.66 0.68 090
sphincter.
53450......... ............ A........... Revision of 6.67 NA NA 4.75 4.02 0.43 090
urethra.
53460......... ............ A........... Revision of 7.65 NA NA 5.05 4.37 0.50 090
urethra.
53500......... ............ A........... Urethrlys, 12.87 NA NA 7.41 6.81 0.90 090
transvag w/ scope.
53502......... ............ A........... Repair of urethra 8.16 NA NA 5.10 4.54 0.62 090
injury.
53505......... ............ A........... Repair of urethra 8.16 NA NA 5.38 4.62 0.54 090
injury.
53510......... ............ A........... Repair of urethra 10.83 NA NA 6.83 6.00 0.74 090
injury.
53515......... ............ A........... Repair of urethra 14.09 NA NA 7.96 6.95 1.05 090
injury.
53520......... ............ A........... Repair of urethra 9.35 NA NA 6.20 5.34 0.61 090
defect.
53600......... ............ A........... Dilate urethra 1.21 1.15 1.14 0.57 0.50 0.09 000
stricture.
53601......... ............ A........... Dilate urethra 0.98 1.36 1.32 0.52 0.44 0.07 000
stricture.
53605......... ............ A........... Dilate urethra 1.28 NA NA 0.51 0.46 0.09 000
stricture.
53620......... ............ A........... Dilate urethra 1.62 1.70 1.85 0.83 0.71 0.11 000
stricture.
53621......... ............ A........... Dilate urethra 1.35 1.81 1.94 0.67 0.58 0.10 000
stricture.
53660......... ............ A........... Dilation of 0.71 1.32 1.31 0.45 0.38 0.05 000
urethra.
53661......... ............ A........... Dilation of 0.72 1.29 1.30 0.41 0.35 0.05 000
urethra.
53665......... ............ A........... Dilation of 0.76 NA NA 0.27 0.26 0.06 000
urethra.
53850......... ............ A........... Prostatic 9.98 49.25 71.68 5.86 4.90 0.67 090
microwave
thermotx.
53852......... ............ A........... Prostatic rf 10.68 46.37 67.60 6.66 5.51 0.70 090
thermotx.
53853......... ............ A........... Prostatic water 5.54 29.10 42.24 4.35 3.60 0.37 090
thermother.
53899......... ............ C........... Urology surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
54000......... ............ A........... Slitting of 1.56 2.70 2.80 1.48 1.20 0.11 010
prepuce.
54001......... ............ A........... Slitting of 2.21 3.06 3.12 1.67 1.39 0.15 010
prepuce.
54015......... ............ A........... Drain penis lesion 5.33 NA NA 3.21 2.88 0.38 010
54050......... ............ A........... Destruction, penis 1.26 2.10 1.88 1.39 1.21 0.08 010
lesion(s).
54055......... ............ A........... Destruction, penis 1.23 1.97 1.77 1.23 1.02 0.08 010
lesion(s).
54056......... ............ A........... Cryosurgery, penis 1.26 2.37 2.03 1.53 1.33 0.06 010
lesion(s).
54057......... ............ A........... Laser surg, penis 1.26 2.63 2.42 1.37 1.10 0.09 010
lesion(s).
54060......... ............ A........... Excision of penis 1.95 3.09 3.10 1.64 1.35 0.13 010
lesion(s).
54065......... ............ A........... Destruction, penis 2.44 3.30 2.97 2.00 1.61 0.13 010
lesion(s).
54100......... ............ A........... Biopsy of penis... 1.90 3.35 3.08 1.36 1.09 0.10 000
54105......... ............ A........... Biopsy of penis... 3.51 3.98 4.13 2.43 2.18 0.25 010
54110......... ............ A........... Treatment of penis 10.79 NA NA 6.72 5.74 0.72 090
lesion.
54111......... ............ A........... Treat penis 14.29 NA NA 8.03 6.90 0.96 090
lesion, graft.
54112......... ............ A........... Treat penis 16.83 NA NA 9.31 8.05 1.11 090
lesion, graft.
54115......... ............ A........... Treatment of penis 6.82 5.76 5.07 4.94 4.20 0.43 090
lesion.
54120......... ............ A........... Partial removal of 10.88 NA NA 6.72 5.70 0.68 090
penis.
54125......... ............ A........... Removal of penis.. 14.43 NA NA 8.07 6.95 0.95 090
54130......... ............ A........... Remove penis & 21.66 NA NA 11.58 9.87 1.52 090
nodes.
54135......... ............ A........... Remove penis & 27.99 NA NA 14.11 12.14 1.88 090
nodes.
54150......... ............ A........... Circumcision w/ 1.90 2.40 3.13 0.73 0.73 0.16 000
regionl block.
54160......... ............ A........... Circumcision, 2.50 3.80 3.97 1.48 1.28 0.19 010
neonate.
54161......... ............ A........... Circum 28 days or 3.29 NA NA 2.20 1.88 0.23 010
older.
54162......... ............ A........... Lysis penil 3.27 4.01 4.33 2.26 1.85 0.21 010
circumic lesion.
[[Page 2631]]
54163......... ............ A........... Repair of 3.27 NA NA 2.85 2.43 0.21 010
circumcision.
54164......... ............ A........... Frenulotomy of 2.77 NA NA 2.66 2.25 0.18 010
penis.
54200......... ............ A........... Treatment of penis 1.08 2.02 1.91 1.30 1.14 0.08 010
lesion.
54205......... ............ A........... Treatment of penis 8.84 NA NA 6.06 5.37 0.56 090
lesion.
54220......... ............ A........... Treatment of penis 2.42 3.32 3.58 1.35 1.15 0.17 000
lesion.
54230......... ............ A........... Prepare penis 1.34 1.40 1.24 0.91 0.77 0.09 000
study.
54231......... ............ A........... Dynamic 2.04 1.97 1.67 1.24 1.06 0.16 000
cavernosometry.
54235......... ............ A........... Penile injection.. 1.19 1.39 1.17 0.89 0.73 0.08 000
54240......... ............ A........... Penis study....... 1.31 1.51 1.26 NA NA 0.17 000
54240......... TC.......... A........... Penis study....... 0.00 1.03 0.81 NA NA 0.06 000
54240......... 26.......... A........... Penis study....... 1.31 0.48 0.45 0.48 0.45 0.11 000
54250......... ............ A........... Penis study....... 2.22 1.22 1.06 NA NA 0.18 000
54250......... TC.......... A........... Penis study....... 0.00 0.37 0.28 NA NA 0.02 000
54250......... 26.......... A........... Penis study....... 2.22 0.85 0.78 0.85 0.78 0.16 000
54300......... ............ A........... Revision of penis. 11.07 NA NA 6.70 6.14 0.76 090
54304......... ............ A........... Revision of penis. 13.15 NA NA 7.80 7.06 0.88 090
54308......... ............ A........... Reconstruction of 12.49 NA NA 4.76 5.36 0.84 090
urethra.
54312......... ............ A........... Reconstruction of 14.36 NA NA 8.87 7.93 1.24 090
urethra.
54316......... ............ A........... Reconstruction of 17.90 NA NA 9.94 8.94 1.21 090
urethra.
54318......... ............ A........... Reconstruction of 12.28 NA NA 4.83 5.31 1.39 090
urethra.
54322......... ............ A........... Reconstruction of 13.85 NA NA 7.94 7.20 0.92 090
urethra.
54324......... ............ A........... Reconstruction of 17.40 NA NA 9.75 8.85 1.14 090
urethra.
54326......... ............ A........... Reconstruction of 16.87 NA NA 9.16 8.47 1.11 090
urethra.
54328......... ............ A........... Revise penis/ 16.74 NA NA 9.48 8.36 0.98 090
urethra.
54332......... ............ A........... Revise penis/ 18.22 NA NA 10.07 8.90 1.21 090
urethra.
54336......... ............ A........... Revise penis/ 21.44 NA NA 7.31 8.80 2.21 090
urethra.
54340......... ............ A........... Secondary urethral 9.58 NA NA 6.36 5.70 0.63 090
surgery.
54344......... ............ A........... Secondary urethral 16.91 NA NA 9.54 8.64 1.54 090
surgery.
54348......... ............ A........... Secondary urethral 18.17 NA NA 10.13 9.23 1.23 090
surgery.
54352......... ............ A........... Reconstruct 25.95 NA NA 14.00 12.59 2.25 090
urethra/penis.
54360......... ............ A........... Penis plastic 12.65 NA NA 7.45 6.74 0.84 090
surgery.
54380......... ............ A........... Repair penis...... 14.03 NA NA 8.04 7.32 0.93 090
54385......... ............ A........... Repair penis...... 16.38 NA NA 11.31 9.78 0.86 090
54390......... ............ A........... Repair penis and 22.59 NA NA 7.42 8.42 1.54 090
bladder.
54400......... ............ A........... Insert semi-rigid 9.09 NA NA 5.75 5.05 0.64 090
prosthesis.
54401......... ............ A........... Insert self-contd 10.26 NA NA 8.15 6.94 0.73 090
prosthesis.
54405......... ............ A........... Insert multi-comp 14.39 NA NA 8.12 7.02 0.95 090
penis pros.
54406......... ............ A........... Remove muti-comp 12.76 NA NA 7.60 6.51 0.86 090
penis pros.
54408......... ............ A........... Repair multi-comp 13.73 NA NA 8.25 6.99 0.90 090
penis pros.
54410......... ............ A........... Remove/replace 16.48 NA NA 9.35 7.98 1.10 090
penis prosth.
54411......... ............ A........... Remov/replc penis 18.14 NA NA 10.41 8.72 1.13 090
pros, comp.
54415......... ............ A........... Remove self-contd 8.75 NA NA 6.00 5.10 0.58 090
penis pros.
54416......... ............ A........... Remv/repl penis 11.87 NA NA 7.90 6.64 0.77 090
contain pros.
54417......... ............ A........... Remv/replc penis 15.94 NA NA 9.10 7.63 1.00 090
pros, compl.
54420......... ............ A........... Revision of penis. 12.26 NA NA 7.39 6.48 0.81 090
54430......... ............ A........... Revision of penis. 10.93 NA NA 6.97 6.03 0.72 090
54435......... ............ A........... Revision of penis. 6.71 NA NA 4.99 4.30 0.43 090
54440......... ............ C........... Repair of penis... 0.00 0.00 0.00 0.00 0.00 0.00 090
54450......... ............ A........... Preputial 1.12 0.85 0.90 0.48 0.46 0.08 000
stretching.
54500......... ............ A........... Biopsy of testis.. 1.31 NA NA 0.76 0.66 0.10 000
54505......... ............ A........... Biopsy of testis.. 3.47 NA NA 2.44 2.18 0.27 010
54512......... ............ A........... Excise lesion 9.23 NA NA 5.67 4.90 0.67 090
testis.
54520......... ............ A........... Removal of testis. 5.25 NA NA 3.72 3.25 0.50 090
54522......... ............ A........... Orchiectomy, 10.15 NA NA 5.59 5.22 0.89 090
partial.
54530......... ............ A........... Removal of testis. 9.31 NA NA 6.06 5.15 0.66 090
54535......... ............ A........... Extensive testis 13.06 NA NA 6.91 6.22 0.95 090
surgery.
54550......... ............ A........... Exploration for 8.31 NA NA 5.21 4.51 0.59 090
testis.
54560......... ............ A........... Exploration for 11.97 NA NA 6.87 6.01 0.90 090
testis.
54600......... ............ A........... Reduce testis 7.54 NA NA 5.11 4.33 0.51 090
torsion.
54620......... ............ A........... Suspension of 5.16 NA NA 3.22 2.83 0.37 010
testis.
54640......... ............ A........... Suspension of 7.57 NA NA 5.35 4.54 0.62 090
testis.
54650......... ............ A........... Orchiopexy (Fowler- 12.24 NA NA 5.66 5.53 1.16 090
Stephens).
54660......... ............ A........... Revision of testis 5.64 NA NA 4.35 3.67 0.44 090
54670......... ............ A........... Repair testis 6.57 NA NA 4.79 4.16 0.47 090
injury.
54680......... ............ A........... Relocation of 13.91 NA NA 7.70 6.92 1.16 090
testis(es).
54690......... ............ A........... Laparoscopy, 11.60 NA NA 5.59 5.26 1.02 090
orchiectomy.
54692......... ............ A........... Laparoscopy, 13.64 NA NA 7.56 6.49 1.30 090
orchiopexy.
54699......... ............ C........... Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
testis.
54700......... ............ A........... Drainage of 3.44 NA NA 2.37 2.16 0.28 010
scrotum.
54800......... ............ A........... Biopsy of 2.33 NA NA 1.22 1.06 0.23 000
epididymis.
54830......... ............ A........... Remove epididymis 5.91 NA NA 4.43 3.72 0.41 090
lesion.
54840......... ............ A........... Remove epididymis 5.22 NA NA 3.80 3.29 0.37 090
lesion.
[[Page 2632]]
54860......... ............ A........... Removal of 6.85 NA NA 4.87 4.09 0.45 090
epididymis.
54861......... ............ A........... Removal of 9.57 NA NA 6.25 5.28 0.63 090
epididymis.
54865......... ............ A........... Explore epididymis 5.67 NA NA 4.26 3.60 0.40 090
54900......... ............ A........... Fusion of 14.05 NA NA 5.24 5.52 0.93 090
spermatic ducts.
54901......... ............ A........... Fusion of 18.92 NA NA 10.51 9.01 1.83 090
spermatic ducts.
55000......... ............ A........... Drainage of 1.43 1.85 1.96 0.91 0.78 0.11 000
hydrocele.
55040......... ............ A........... Removal of 5.39 NA NA 3.96 3.42 0.43 090
hydrocele.
55041......... ............ A........... Removal of 8.41 NA NA 5.68 4.82 0.60 090
hydroceles.
55060......... ............ A........... Repair of 6.05 NA NA 4.45 3.76 0.46 090
hydrocele.
55100......... ............ A........... Drainage of 2.40 3.49 3.58 2.11 1.83 0.17 010
scrotum abscess.
55110......... ............ A........... Explore scrotum... 6.23 NA NA 4.48 3.80 0.43 090
55120......... ............ A........... Removal of scrotum 5.62 NA NA 4.21 3.58 0.39 090
lesion.
55150......... ............ A........... Removal of scrotum 8.01 NA NA 5.45 4.64 0.56 090
55175......... ............ A........... Revision of 5.77 NA NA 4.34 3.67 0.37 090
scrotum.
55180......... ............ A........... Revision of 11.63 NA NA 7.27 6.32 0.90 090
scrotum.
55200......... ............ A........... Incision of sperm 4.50 8.01 10.17 3.30 2.84 0.33 090
duct.
55250......... ............ A........... Removal of sperm 3.32 7.83 9.65 3.06 2.64 0.25 090
duct(s).
55300......... ............ A........... Prepare, sperm 3.50 NA NA 1.75 1.53 0.25 000
duct x-ray.
55400......... ............ A........... Repair of sperm 8.53 NA NA 5.41 4.73 0.64 090
duct.
55450......... ............ A........... Ligation of sperm 4.38 5.46 6.23 2.57 2.22 0.29 010
duct.
55500......... ............ A........... Removal of 6.12 NA NA 4.20 3.64 0.55 090
hydrocele.
55520......... ............ A........... Removal of sperm 6.56 NA NA 3.82 3.53 0.75 090
cord lesion.
55530......... ............ A........... Revise spermatic 5.69 NA NA 4.09 3.55 0.45 090
cord veins.
55535......... ............ A........... Revise spermatic 7.09 NA NA 4.83 4.11 0.47 090
cord veins.
55540......... ............ A........... Revise hernia & 8.20 NA NA 4.25 4.02 0.94 090
sperm veins.
55550......... ............ A........... Laparo ligate 7.10 NA NA 4.55 3.92 0.57 090
spermatic vein.
55559......... ............ C........... Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
spermatic cord.
55600......... ............ A........... Incise sperm duct 6.91 NA NA 4.90 4.11 0.62 090
pouch.
55605......... ............ A........... Incise sperm duct 8.63 NA NA 4.63 4.45 0.64 090
pouch.
55650......... ............ A........... Remove sperm duct 12.52 NA NA 7.40 6.33 0.92 090
pouch.
55680......... ............ A........... Remove sperm pouch 5.59 NA NA 3.93 3.45 0.47 090
lesion.
55700......... ............ A........... Biopsy of prostate 2.58 3.71 3.95 1.32 0.98 0.11 000
55705......... ............ A........... Biopsy of prostate 4.58 NA NA 2.85 2.57 0.32 010
55720......... ............ A........... Drainage of 7.67 NA NA 4.89 4.35 0.95 090
prostate abscess.
55725......... ............ A........... Drainage of 9.90 NA NA 6.28 5.38 0.70 090
prostate abscess.
55801......... ............ A........... Removal of 19.62 NA NA 10.34 8.97 1.34 090
prostate.
55810......... ............ A........... Extensive prostate 24.14 NA NA 12.34 10.64 1.60 090
surgery.
55812......... ............ A........... Extensive prostate 29.69 NA NA 14.21 12.59 2.05 090
surgery.
55815......... ............ A........... Extensive prostate 32.75 NA NA 16.20 14.03 2.17 090
surgery.
55821......... ............ A........... Removal of 15.63 NA NA 8.67 7.43 1.01 090
prostate.
55831......... ............ A........... Removal of 17.06 NA NA 9.24 7.94 1.10 090
prostate.
55840......... ............ A........... Extensive prostate 24.45 NA NA 12.69 10.98 1.61 090
surgery.
55842......... ............ A........... Extensive prostate 26.31 NA NA 13.48 11.65 1.73 090
surgery.
55845......... ............ A........... Extensive prostate 30.52 NA NA 14.86 12.89 2.03 090
surgery.
55860......... ............ A........... Surgical exposure, 15.71 NA NA 8.54 7.47 1.02 090
prostate.
55862......... ............ A........... Extensive prostate 19.89 NA NA 10.70 9.27 1.49 090
surgery.
55865......... ............ A........... Extensive prostate 24.39 NA NA 12.41 10.83 1.63 090
surgery.
55866......... ............ A........... Laparo radical 32.25 NA NA 15.96 13.83 2.17 090
prostatectomy.
55870......... ............ A........... Electroejaculation 2.58 2.49 2.01 1.45 1.27 0.16 000
55873......... ............ A........... Cryoablate 20.25 NA NA 11.29 10.11 1.38 090
prostate.
55875......... ............ A........... Transperi needle 13.31 NA NA 7.84 6.84 0.89 090
place, pros.
55876......... ............ A........... Place rt device/ 1.73 2.07 2.07 1.05 1.05 0.28 000
marker, pros.
55899......... ............ C........... Genital surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
55920......... ............ A........... Place needles 8.31 NA NA 3.14 3.14 0.58 000
pelvic for rt.
55970......... ............ N........... Sex 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transformation, M
to F.
55980......... ............ N........... Sex 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transformation, F
to M.
56405......... ............ A........... I & D of vulva/ 1.46 1.18 1.25 1.16 1.15 0.17 010
perineum.
56420......... ............ A........... Drainage of gland 1.41 1.52 1.90 0.78 0.91 0.16 010
abscess.
56440......... ............ A........... Surgery for vulva 2.86 NA NA 1.56 1.63 0.34 010
lesion.
56441......... ............ A........... Lysis of labial 1.99 1.71 1.76 1.56 1.48 0.20 010
lesion(s).
56442......... ............ A........... Hymenotomy........ 0.68 NA NA 0.52 0.51 0.08 000
56501......... ............ A........... Destroy, vulva 1.55 1.63 1.71 1.21 1.23 0.18 010
lesions, sim.
56515......... ............ A........... Destroy vulva 3.03 2.40 2.47 1.74 1.78 0.33 010
lesion/s compl.
56605......... ............ A........... Biopsy of vulva/ 1.10 0.93 1.00 0.34 0.40 0.13 000
perineum.
56606......... ............ A........... Biopsy of vulva/ 0.55 0.36 0.43 0.15 0.19 0.07 ZZZ
perineum.
56620......... ............ A........... Partial removal of 8.44 NA NA 4.40 4.59 0.90 090
vulva.
56625......... ............ A........... Complete removal 9.55 NA NA 4.81 5.06 1.02 090
of vulva.
56630......... ............ A........... Extensive vulva 14.67 NA NA 6.28 6.56 1.49 090
surgery.
56631......... ............ A........... Extensive vulva 18.81 NA NA 7.79 8.30 1.96 090
surgery.
56632......... ............ A........... Extensive vulva 21.61 NA NA 9.30 9.41 2.39 090
surgery.
56633......... ............ A........... Extensive vulva 19.47 NA NA 7.80 8.20 1.98 090
surgery.
56634......... ............ A........... Extensive vulva 20.48 NA NA 8.19 8.81 2.17 090
surgery.
[[Page 2633]]
56637......... ............ A........... Extensive vulva 24.57 NA NA 9.31 10.19 2.61 090
surgery.
56640......... ............ A........... Extensive vulva 24.65 NA NA 8.84 9.73 2.89 090
surgery.
56700......... ............ A........... Partial removal of 2.79 NA NA 1.77 1.80 0.30 010
hymen.
56740......... ............ A........... Remove vagina 4.83 NA NA 2.33 2.45 0.56 010
gland lesion.
56800......... ............ A........... Repair of vagina.. 3.90 NA NA 1.96 2.08 0.44 010
56805......... ............ A........... Repair clitoris... 19.75 NA NA 7.69 8.55 2.15 090
56810......... ............ A........... Repair of perineum 4.26 NA NA 2.04 2.17 0.49 010
56820......... ............ A........... Exam of vulva w/ 1.50 1.19 1.25 0.53 0.59 0.18 000
scope.
56821......... ............ A........... Exam/biopsy of 2.05 1.53 1.65 0.68 0.80 0.25 000
vulva w/scope.
57000......... ............ A........... Exploration of 2.99 NA NA 1.75 1.73 0.31 010
vagina.
57010......... ............ A........... Drainage of pelvic 6.74 NA NA 3.80 3.80 0.71 090
abscess.
57020......... ............ A........... Drainage of pelvic 1.50 0.77 0.86 0.45 0.52 0.18 000
fluid.
57022......... ............ A........... I & d vaginal 2.70 NA NA 1.43 1.46 0.26 010
hematoma, pp.
57023......... ............ A........... I & d vag 5.13 NA NA 2.37 2.47 0.58 010
hematoma, non-ob.
57061......... ............ A........... Destroy vag 1.27 1.52 1.59 1.12 1.12 0.15 010
lesions, simple.
57065......... ............ A........... Destroy vag 2.63 2.03 2.16 1.49 1.58 0.31 010
lesions, complex.
57100......... ............ A........... Biopsy of vagina.. 1.20 0.95 1.02 0.37 0.42 0.14 000
57105......... ............ A........... Biopsy of vagina.. 1.71 1.59 1.69 1.33 1.37 0.20 010
57106......... ............ A........... Remove vagina 7.35 NA NA 4.27 4.23 0.73 090
wall, partial.
57107......... ............ A........... Remove vagina 24.43 NA NA 9.06 9.76 2.72 090
tissue, part.
57109......... ............ A........... Vaginectomy 28.25 NA NA 10.26 10.75 3.22 090
partial w/nodes.
57110......... ............ A........... Remove vagina 15.38 NA NA 6.19 6.73 1.74 090
wall, complete.
57111......... ............ A........... Remove vagina 28.25 NA NA 10.43 11.53 3.18 090
tissue, compl.
57112......... ............ A........... Vaginectomy w/ 30.37 NA NA 10.62 11.36 3.08 090
nodes, compl.
57120......... ............ A........... Closure of vagina. 8.18 NA NA 4.20 4.40 0.89 090
57130......... ............ A........... Remove vagina 2.44 1.96 2.06 1.47 1.50 0.29 010
lesion.
57135......... ............ A........... Remove vagina 2.68 2.03 2.15 1.53 1.59 0.31 010
lesion.
57150......... ............ A........... Treat vagina 0.55 0.58 0.84 0.15 0.18 0.07 000
infection.
57155......... ............ A........... Insert uteri 6.79 NA NA 3.49 4.03 0.43 090
tandems/ovoids.
57160......... ............ A........... Insert pessary/ 0.89 1.04 1.03 0.25 0.30 0.10 000
other device.
57170......... ............ A........... Fitting of 0.91 0.57 1.02 0.25 0.29 0.11 000
diaphragm/cap.
57180......... ............ A........... Treat vaginal 1.60 1.86 2.01 0.93 1.09 0.19 010
bleeding.
57200......... ............ A........... Repair of vagina.. 4.34 NA NA 2.99 2.94 0.46 090
57210......... ............ A........... Repair vagina/ 5.63 NA NA 3.27 3.35 0.62 090
perineum.
57220......... ............ A........... Revision of 4.77 NA NA 3.01 3.06 0.51 090
urethra.
57230......... ............ A........... Repair of urethral 6.22 NA NA 3.64 3.52 0.54 090
lesion.
57240......... ............ A........... Repair bladder & 11.42 NA NA 5.49 4.65 0.62 090
vagina.
57250......... ............ A........... Repair rectum & 11.42 NA NA 5.04 4.31 0.65 090
vagina.
57260......... ............ A........... Repair of vagina.. 14.36 NA NA 5.86 5.34 0.97 090
57265......... ............ A........... Extensive repair 15.86 NA NA 6.33 6.18 1.32 090
of vagina.
57267......... ............ A........... Insert mesh/pelvic 4.88 NA NA 1.50 1.74 0.64 ZZZ
flr addon.
57268......... ............ A........... Repair of bowel 7.47 NA NA 4.34 4.26 0.79 090
bulge.
57270......... ............ A........... Repair of bowel 13.57 NA NA 5.84 6.04 1.42 090
pouch.
57280......... ............ A........... Suspension of 16.62 NA NA 6.97 7.17 1.68 090
vagina.
57282......... ............ A........... Colpopexy, 7.84 NA NA 4.50 4.50 1.02 090
extraperitoneal.
57283......... ............ A........... Colpopexy, 11.58 NA NA 5.12 5.52 1.02 090
intraperitoneal.
57284......... ............ A........... Repair paravag 14.25 NA NA 5.99 6.57 1.41 090
defect, open.
57285......... ............ A........... Repair paravag 11.52 NA NA 5.16 5.16 0.63 090
defect, vag.
57287......... ............ A........... Revise/remove 11.49 NA NA 6.35 5.92 0.90 090
sling repair.
57288......... ............ A........... Repair bladder 14.01 NA NA 7.02 6.46 1.12 090
defect.
57289......... ............ A........... Repair bladder & 12.69 NA NA 6.71 6.37 1.21 090
vagina.
57291......... ............ A........... Construction of 8.54 NA NA 4.90 4.91 0.93 090
vagina.
57292......... ............ A........... Construct vagina 13.91 NA NA 5.91 6.42 1.58 090
with graft.
57295......... ............ A........... Revise vag graft 7.74 NA NA 4.09 4.26 0.91 090
via vagina.
57296......... ............ A........... Revise vag graft, 16.46 NA NA 6.67 6.67 1.68 090
open abd.
57300......... ............ A........... Repair rectum- 8.58 NA NA 4.44 4.36 0.87 090
vagina fistula.
57305......... ............ A........... Repair rectum- 15.24 NA NA 6.20 6.23 1.73 090
vagina fistula.
57307......... ............ A........... Fistula repair & 17.02 NA NA 6.91 6.95 2.02 090
colostomy.
57308......... ............ A........... Fistula repair, 10.48 NA NA 4.96 5.03 1.14 090
transperine.
57310......... ............ A........... Repair 7.55 NA NA 5.02 4.43 0.54 090
urethrovaginal
lesion.
57311......... ............ A........... Repair 8.81 NA NA 5.51 4.81 0.65 090
urethrovaginal
lesion.
57320......... ............ A........... Repair bladder- 8.78 NA NA 5.28 4.82 0.69 090
vagina lesion.
57330......... ............ A........... Repair bladder- 13.11 NA NA 7.20 6.46 1.06 090
vagina lesion.
57335......... ............ A........... Repair vagina..... 19.87 NA NA 7.83 8.43 1.92 090
57400......... ............ A........... Dilation of vagina 2.27 NA NA 1.00 1.05 0.26 000
57410......... ............ A........... Pelvic examination 1.75 NA NA 0.91 0.90 0.18 000
57415......... ............ A........... Remove vaginal 2.44 NA NA 1.49 1.46 0.24 010
foreign body.
57420......... ............ A........... Exam of vagina w/ 1.60 1.23 1.29 0.56 0.61 0.19 000
scope.
57421......... ............ A........... Exam/biopsy of vag 2.20 1.59 1.72 0.72 0.84 0.27 000
w/scope.
57423......... ............ A........... Repair paravag 16.00 NA NA 6.52 6.52 1.65 090
defect, lap.
57425......... ............ A........... Laparoscopy, surg, 16.93 NA NA 6.91 6.77 1.76 090
colpopexy.
57452......... ............ A........... Exam of cervix w/ 1.50 1.18 1.23 0.74 0.75 0.18 000
scope.
[[Page 2634]]
57454......... ............ A........... Bx/curett of 2.33 1.39 1.52 0.95 1.05 0.28 000
cervix w/scope.
57455......... ............ A........... Biopsy of cervix w/ 1.99 1.50 1.61 0.66 0.76 0.24 000
scope.
57456......... ............ A........... Endocerv curettage 1.85 1.46 1.55 0.62 0.72 0.22 000
w/scope.
57460......... ............ A........... Bx of cervix w/ 2.83 4.28 5.06 1.09 1.23 0.34 000
scope, leep.
57461......... ............ A........... Conz of cervix w/ 3.43 4.57 5.34 1.05 1.26 0.41 000
scope, leep.
57500......... ............ A........... Biopsy of cervix.. 1.20 2.02 2.28 0.64 0.64 0.12 000
57505......... ............ A........... Endocervical 1.16 1.33 1.39 1.07 1.08 0.14 010
curettage.
57510......... ............ A........... Cauterization of 1.90 1.30 1.43 0.90 0.97 0.23 010
cervix.
57511......... ............ A........... Cryocautery of 1.92 1.60 1.71 1.27 1.32 0.23 010
cervix.
57513......... ............ A........... Laser surgery of 1.92 1.57 1.64 1.28 1.34 0.23 010
cervix.
57520......... ............ A........... Conization of 4.06 3.38 3.66 2.51 2.69 0.49 090
cervix.
57522......... ............ A........... Conization of 3.62 2.77 2.96 2.25 2.35 0.41 090
cervix.
57530......... ............ A........... Removal of cervix. 5.19 NA NA 3.10 3.24 0.58 090
57531......... ............ A........... Removal of cervix, 29.77 NA NA 10.86 12.02 3.35 090
radical.
57540......... ............ A........... Removal of 13.19 NA NA 5.44 5.84 1.49 090
residual cervix.
57545......... ............ A........... Remove cervix/ 14.00 NA NA 5.72 6.20 1.52 090
repair pelvis.
57550......... ............ A........... Removal of 6.24 NA NA 3.61 3.72 0.67 090
residual cervix.
57555......... ............ A........... Remove cervix/ 9.84 NA NA 4.75 4.92 1.09 090
repair vagina.
57556......... ............ A........... Remove cervix, 9.26 NA NA 4.61 4.73 0.92 090
repair bowel.
57558......... ............ A........... D&c of cervical 1.69 1.35 1.41 1.05 1.09 0.20 010
stump.
57700......... ............ A........... Revision of cervix 4.22 NA NA 3.28 3.19 0.41 090
57720......... ............ A........... Revision of cervix 4.53 NA NA 2.94 3.02 0.49 090
57800......... ............ A........... Dilation of 0.77 0.72 0.74 0.41 0.44 0.09 000
cervical canal.
58100......... ............ A........... Biopsy of uterus 1.53 1.14 1.23 0.58 0.65 0.18 000
lining.
58110......... ............ A........... Bx done w/ 0.77 0.40 0.47 0.21 0.26 0.09 ZZZ
colposcopy add-on.
58120......... ............ A........... Dilation and 3.54 2.70 2.50 1.66 1.77 0.39 010
curettage.
58140......... ............ A........... Myomectomy abdom 15.69 NA NA 6.18 6.64 1.82 090
method.
58145......... ............ A........... Myomectomy vag 8.81 NA NA 4.23 4.51 0.97 090
method.
58146......... ............ A........... Myomectomy abdom 20.24 NA NA 7.34 8.18 2.33 090
complex.
58150......... ............ A........... Total hysterectomy 17.21 NA NA 6.56 7.02 1.85 090
58152......... ............ A........... Total hysterectomy 21.73 NA NA 8.03 8.95 2.48 090
58180......... ............ A........... Partial 16.50 NA NA 6.33 6.89 1.64 090
hysterectomy.
58200......... ............ A........... Extensive 23.00 NA NA 8.15 9.07 2.55 090
hysterectomy.
58210......... ............ A........... Extensive 30.76 NA NA 10.72 11.96 3.38 090
hysterectomy.
58240......... ............ A........... Removal of pelvis 49.02 NA NA 17.64 17.63 4.23 090
contents.
58260......... ............ A........... Vaginal 14.02 NA NA 5.79 6.24 1.57 090
hysterectomy.
58262......... ............ A........... Vag hyst including 15.81 NA NA 6.23 6.81 1.80 090
t/o.
58263......... ............ A........... Vag hyst w/t/o & 17.10 NA NA 6.64 7.26 1.95 090
vag repair.
58267......... ............ A........... Vag hyst w/urinary 18.23 NA NA 6.97 7.67 2.07 090
repair.
58270......... ............ A........... Vag hyst w/ 15.20 NA NA 5.93 6.50 1.74 090
enterocele repair.
58275......... ............ A........... Hysterectomy/ 16.90 NA NA 6.61 7.19 1.92 090
revise vagina.
58280......... ............ A........... Hysterectomy/ 18.20 NA NA 6.96 7.60 2.07 090
revise vagina.
58285......... ............ A........... Extensive 23.30 NA NA 7.94 8.94 2.71 090
hysterectomy.
58290......... ............ A........... Vag hyst complex.. 20.17 NA NA 7.35 8.24 2.30 090
58291......... ............ A........... Vag hyst incl t/o, 21.96 NA NA 7.82 8.85 2.53 090
complex.
58292......... ............ A........... Vag hyst t/o & 23.25 NA NA 8.21 9.29 2.68 090
repair, compl.
58293......... ............ A........... Vag hyst w/uro 24.23 NA NA 8.52 9.59 2.79 090
repair, compl.
58294......... ............ A........... Vag hyst w/ 21.45 NA NA 7.51 8.53 2.40 090
enterocele, compl.
58300......... ............ N........... Insert 1.01 0.63 1.03 0.23 0.31 0.12 XXX
intrauterine
device.
58301......... ............ A........... Remove 1.27 1.05 1.18 0.34 0.41 0.15 000
intrauterine
device.
58321......... ............ A........... Artificial 0.92 0.94 1.04 0.23 0.30 0.10 000
insemination.
58322......... ............ A........... Artificial 1.10 1.03 1.12 0.31 0.36 0.13 000
insemination.
58323......... ............ A........... Sperm washing..... 0.23 0.16 0.34 0.07 0.08 0.03 000
58340......... ............ A........... Catheter for 0.88 2.15 2.66 0.56 0.61 0.09 000
hysterography.
58345......... ............ A........... Reopen fallopian 4.67 NA NA 2.11 2.27 0.41 010
tube.
58346......... ............ A........... Insert heyman 7.48 NA NA 3.74 3.83 0.56 090
uteri capsule.
58350......... ............ A........... Reopen fallopian 1.03 1.35 1.42 0.88 0.90 0.12 010
tube.
58353......... ............ A........... Endometr ablate, 3.57 22.84 29.26 1.71 1.88 0.43 010
thermal.
58356......... ............ A........... Endometrial 6.36 43.38 52.43 1.85 2.27 0.82 010
cryoablation.
58400......... ............ A........... Suspension of 7.06 NA NA 3.86 3.90 0.75 090
uterus.
58410......... ............ A........... Suspension of 13.70 NA NA 5.55 5.99 1.45 090
uterus.
58520......... ............ A........... Repair of ruptured 13.38 NA NA 5.49 5.76 1.47 090
uterus.
58540......... ............ A........... Revision of uterus 15.61 NA NA 6.15 6.55 1.79 090
58541......... ............ A........... Lsh, uterus 250 g 14.57 NA NA 6.13 6.13 1.68 090
or less.
58542......... ............ A........... Lsh w/t/o ut 250 g 16.43 NA NA 6.64 6.64 1.69 090
or less.
58543......... ............ A........... Lsh uterus above 16.74 NA NA 6.71 6.71 1.73 090
250 g.
58544......... ............ A........... Lsh w/t/o uterus 18.24 NA NA 7.11 7.11 1.89 090
above 250 g.
58545......... ............ A........... Laparoscopic 15.45 NA NA 5.87 6.52 1.78 090
myomectomy.
58546......... ............ A........... Laparo-myomectomy, 19.84 NA NA 7.05 7.99 2.31 090
complex.
58548......... ............ A........... Lap radical hyst.. 31.45 NA NA 12.47 12.47 3.52 090
58550......... ............ A........... Laparo-asst vag 14.97 NA NA 6.13 6.71 1.73 090
hysterectomy.
58552......... ............ A........... Laparo-vag hyst 16.78 NA NA 6.56 7.29 1.73 090
incl t/o.
[[Page 2635]]
58553......... ............ A........... Laparo-vag hyst, 19.96 NA NA 7.09 8.00 2.31 090
complex.
58554......... ............ A........... Laparo-vag hyst w/ 22.98 NA NA 8.24 9.32 2.28 090
t/o, compl.
58555......... ............ A........... Hysteroscopy, dx, 3.33 2.76 2.48 1.23 1.39 0.40 000
sep proc.
58558......... ............ A........... Hysteroscopy, 4.74 3.62 2.90 1.65 1.91 0.57 000
biopsy.
58559......... ............ A........... Hysteroscopy, 6.16 NA NA 2.04 2.39 0.74 000
lysis.
58560......... ............ A........... Hysteroscopy, 6.99 NA NA 2.32 2.70 0.84 000
resect septum.
58561......... ............ A........... Hysteroscopy, 9.99 NA NA 3.11 3.70 1.21 000
remove myoma.
58562......... ............ A........... Hysteroscopy, 5.20 3.53 2.94 1.75 2.05 0.63 000
remove fb.
58563......... ............ A........... Hysteroscopy, 6.16 37.26 46.74 2.04 2.40 0.74 000
ablation.
58565......... ............ A........... Hysteroscopy, 7.06 41.99 45.79 3.37 3.64 1.19 090
sterilization.
58570......... ............ A........... Tlh, uterus 250 g 15.75 NA NA 6.46 6.46 1.82 090
or less.
58571......... ............ A........... Tlh w/t/o 250 g or 17.56 NA NA 6.95 6.95 1.81 090
less.
58572......... ............ A........... Tlh, uterus over 19.96 NA NA 7.60 7.60 2.31 090
250 g.
58573......... ............ A........... Tlh w/t/o uterus 22.98 NA NA 8.42 8.42 2.28 090
over 250 g.
58578......... ............ C........... Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
uterus.
58579......... ............ C........... Hysteroscope 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
58600......... ............ A........... Division of 5.86 NA NA 2.92 3.13 0.66 090
fallopian tube.
58605......... ............ A........... Division of 5.25 NA NA 2.71 2.91 0.59 090
fallopian tube.
58611......... ............ A........... Ligate oviduct(s) 1.45 NA NA 0.40 0.48 0.18 ZZZ
add-on.
58615......... ............ A........... Occlude fallopian 3.91 NA NA 2.04 2.37 0.47 010
tube(s).
58660......... ............ A........... Laparoscopy, lysis 11.54 NA NA 4.49 4.88 1.40 090
58661......... ............ A........... Laparoscopy, 11.30 NA NA 3.99 4.55 1.34 010
remove adnexa.
58662......... ............ A........... Laparoscopy, 12.08 NA NA 4.76 5.27 1.43 090
excise lesions.
58670......... ............ A........... Laparoscopy, tubal 5.86 NA NA 2.95 3.11 0.67 090
cautery.
58671......... ............ A........... Laparoscopy, tubal 5.86 NA NA 2.94 3.11 0.68 090
block.
58672......... ............ A........... Laparoscopy, 12.88 NA NA 4.78 5.48 1.60 090
fimbrioplasty.
58673......... ............ A........... Laparoscopy, 13.99 NA NA 5.13 5.85 1.70 090
salpingostomy.
58679......... ............ C........... Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
oviduct-ovary.
58700......... ............ A........... Removal of 12.84 NA NA 5.49 5.74 1.51 090
fallopian tube.
58720......... ............ A........... Removal of ovary/ 12.08 NA NA 5.09 5.43 1.39 090
tube(s).
58740......... ............ A........... Revise fallopian 14.79 NA NA 6.05 6.59 1.72 090
tube(s).
58750......... ............ A........... Repair oviduct.... 15.56 NA NA 6.05 6.71 1.85 090
58752......... ............ A........... Revise ovarian 15.56 NA NA 5.99 6.47 1.81 090
tube(s).
58760......... ............ A........... Remove tubal 13.85 NA NA 5.59 6.15 1.80 090
obstruction.
58770......... ............ A........... Create new tubal 14.69 NA NA 5.75 6.33 1.74 090
opening.
58800......... ............ A........... Drainage of 4.54 3.21 3.43 2.69 2.80 0.43 090
ovarian cyst(s).
58805......... ............ A........... Drainage of 6.34 NA NA 3.51 3.50 0.69 090
ovarian cyst(s).
58820......... ............ A........... Drain ovary 4.62 NA NA 2.90 3.10 0.52 090
abscess, open.
58822......... ............ A........... Drain ovary 11.71 NA NA 5.16 5.19 1.16 090
abscess, percut.
58823......... ............ A........... Drain pelvic 3.37 20.00 20.67 1.16 1.14 0.24 000
abscess, percut.
58825......... ............ A........... Transposition, 11.70 NA NA 4.84 5.32 1.32 090
ovary(s).
58900......... ............ A........... Biopsy of ovary(s) 6.51 NA NA 3.55 3.56 0.69 090
58920......... ............ A........... Partial removal of 11.87 NA NA 5.05 5.31 1.43 090
ovary(s).
58925......... ............ A........... Removal of ovarian 12.33 NA NA 5.25 5.47 1.41 090
cyst(s).
58940......... ............ A........... Removal of 8.12 NA NA 4.04 4.07 0.91 090
ovary(s).
58943......... ............ A........... Removal of 19.42 NA NA 7.18 7.91 2.23 090
ovary(s).
58950......... ............ A........... Resect ovarian 18.24 NA NA 7.25 7.82 2.05 090
malignancy.
58951......... ............ A........... Resect ovarian 24.15 NA NA 8.60 9.52 2.64 090
malignancy.
58952......... ............ A........... Resect ovarian 27.15 NA NA 9.82 10.79 3.03 090
malignancy.
58953......... ............ A........... Tah, rad dissect 33.97 NA NA 11.63 13.09 3.84 090
for debulk.
58954......... ............ A........... Tah rad debulk/ 36.97 NA NA 12.52 14.12 4.18 090
lymph remove.
58956......... ............ A........... Bso, omentectomy w/ 22.65 NA NA 8.59 9.45 4.01 090
tah.
58957......... ............ A........... Resect recurrent 26.06 NA NA 9.57 9.57 2.95 090
gyn mal.
58958......... ............ A........... Resect recur gyn 29.06 NA NA 10.36 10.36 3.29 090
mal w/lym.
58960......... ............ A........... Exploration of 15.68 NA NA 6.25 6.80 1.80 090
abdomen.
58970......... ............ A........... Retrieval of 3.52 1.85 2.08 1.28 1.38 0.43 000
oocyte.
58974......... ............ C........... Transfer of embryo 0.00 0.00 0.00 0.00 0.00 0.00 000
58976......... ............ A........... Transfer of embryo 3.82 1.94 2.31 1.20 1.51 0.47 000
58999......... ............ C........... Genital surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
59000......... ............ A........... Amniocentesis, 1.30 1.75 1.91 0.55 0.61 0.31 000
diagnostic.
59001......... ............ A........... Amniocentesis, 3.00 NA NA 1.07 1.24 0.71 000
therapeutic.
59012......... ............ A........... Fetal cord 3.44 NA NA 1.13 1.34 0.82 000
puncture,prenatal.
59015......... ............ A........... Chorion biopsy.... 2.20 1.42 1.48 0.79 0.92 0.52 000
59020......... ............ A........... Fetal contract 0.66 1.07 0.92 NA NA 0.26 000
stress test.
59020......... TC.......... A........... Fetal contract 0.00 0.89 0.70 NA NA 0.10 000
stress test.
59020......... 26.......... A........... Fetal contract 0.66 0.18 0.22 0.18 0.22 0.16 000
stress test.
59025......... ............ A........... Fetal non-stress 0.53 0.63 0.54 NA NA 0.15 000
test.
59025......... TC.......... A........... Fetal non-stress 0.00 0.48 0.36 NA NA 0.02 000
test.
59025......... 26.......... A........... Fetal non-stress 0.53 0.15 0.18 0.15 0.18 0.13 000
test.
59030......... ............ A........... Fetal scalp blood 1.99 NA NA 0.46 0.61 0.47 000
sample.
59050......... ............ A........... Fetal monitor w/ 0.89 NA NA 0.27 0.31 0.21 XXX
report.
59051......... ............ A........... Fetal monitor/ 0.74 NA NA 0.20 0.25 0.17 XXX
interpret only.
[[Page 2636]]
59070......... ............ A........... Transabdom 5.24 4.39 4.77 1.77 2.04 0.28 000
amnioinfus w/us.
59072......... ............ A........... Umbilical cord 8.99 NA NA 2.39 2.76 0.16 000
occlud w/us.
59074......... ............ A........... Fetal fluid 5.24 3.61 4.09 1.53 1.92 0.28 000
drainage w/us.
59076......... ............ A........... Fetal shunt 8.99 NA NA 2.39 2.76 0.16 000
placement, w/us.
59100......... ............ A........... Remove uterus 13.26 NA NA 5.55 6.00 2.95 090
lesion.
59120......... ............ A........... Treat ectopic 12.56 NA NA 5.40 5.82 2.73 090
pregnancy.
59121......... ............ A........... Treat ectopic 12.64 NA NA 5.35 5.84 2.79 090
pregnancy.
59130......... ............ A........... Treat ectopic 14.98 NA NA 6.74 5.76 3.39 090
pregnancy.
59135......... ............ A........... Treat ectopic 14.82 NA NA 5.09 6.16 3.31 090
pregnancy.
59136......... ............ A........... Treat ectopic 14.15 NA NA 4.93 5.77 3.14 090
pregnancy.
59140......... ............ A........... Treat ectopic 5.86 NA NA 3.30 2.76 1.29 090
pregnancy.
59150......... ............ A........... Treat ectopic 12.19 NA NA 5.23 5.61 2.79 090
pregnancy.
59151......... ............ A........... Treat ectopic 12.01 NA NA 4.87 5.46 2.74 090
pregnancy.
59160......... ............ A........... D & c after 2.73 1.99 2.64 1.17 1.65 0.64 010
delivery.
59200......... ............ A........... Insert cervical 0.79 0.94 1.06 0.22 0.26 0.19 000
dilator.
59300......... ............ A........... Episiotomy or 2.41 2.19 2.18 1.00 0.98 0.57 000
vaginal repair.
59320......... ............ A........... Revision of cervix 2.48 NA NA 1.00 1.12 0.59 000
59325......... ............ A........... Revision of cervix 4.06 NA NA 1.44 1.67 0.88 000
59350......... ............ A........... Repair of uterus.. 4.94 NA NA 1.21 1.54 1.17 000
59400......... ............ A........... Obstetrical care.. 26.80 NA NA 14.09 14.71 5.50 MMM
59409......... ............ A........... Obstetrical care.. 13.48 NA NA 3.70 4.51 3.22 MMM
59410......... ............ A........... Obstetrical care.. 15.29 NA NA 4.92 5.61 3.52 MMM
59412......... ............ A........... Antepartum 1.71 NA NA 0.64 0.72 0.40 MMM
manipulation.
59414......... ............ A........... Deliver placenta.. 1.61 NA NA 0.44 0.54 0.38 MMM
59425......... ............ A........... Antepartum care 6.22 4.24 4.22 1.68 1.77 1.14 MMM
only.
59426......... ............ A........... Antepartum care 11.04 7.79 7.67 2.99 3.11 1.98 MMM
only.
59430......... ............ A........... Care after 2.13 1.08 1.15 0.71 0.82 0.50 MMM
delivery.
59510......... ............ A........... Cesarean delivery. 30.34 NA NA 15.98 16.63 6.25 MMM
59514......... ............ A........... Cesarean delivery 15.95 NA NA 4.43 5.32 3.80 MMM
only.
59515......... ............ A........... Cesarean delivery. 18.26 NA NA 6.13 6.98 4.13 MMM
59525......... ............ A........... Remove uterus 8.53 NA NA 2.25 2.78 1.95 ZZZ
after cesarean.
59610......... ............ A........... Vbac delivery..... 28.21 NA NA 14.94 15.41 5.87 MMM
59612......... ............ A........... Vbac delivery only 15.04 NA NA 4.19 5.13 3.59 MMM
59614......... ............ A........... Vbac care after 16.59 NA NA 5.11 6.02 3.89 MMM
delivery.
59618......... ............ A........... Attempted vbac 31.78 NA NA 16.37 17.30 6.61 MMM
delivery.
59620......... ............ A........... Attempted vbac 17.50 NA NA 4.66 5.71 4.17 MMM
delivery only.
59622......... ............ A........... Attempted vbac 19.70 NA NA 6.71 7.67 4.50 MMM
after care.
59812......... ............ A........... Treatment of 4.39 3.10 2.82 2.36 2.45 0.95 090
miscarriage.
59820......... ............ A........... Care of 4.68 4.07 4.25 3.46 3.51 0.95 090
miscarriage.
59821......... ............ A........... Treatment of 4.97 3.91 4.09 3.24 3.32 1.06 090
miscarriage.
59830......... ............ A........... Treat uterus 6.51 NA NA 3.44 3.71 1.44 090
infection.
59840......... ............ R........... Abortion.......... 3.01 2.00 2.06 1.77 1.95 0.71 010
59841......... ............ R........... Abortion.......... 5.57 3.12 3.30 2.55 2.76 1.24 010
59850......... ............ R........... Abortion.......... 5.90 NA NA 2.46 2.86 1.28 090
59851......... ............ R........... Abortion.......... 5.92 NA NA 3.29 3.51 1.28 090
59852......... ............ R........... Abortion.......... 8.23 NA NA 3.82 4.43 1.81 090
59855......... ............ R........... Abortion.......... 6.38 NA NA 3.08 3.31 1.45 090
59856......... ............ R........... Abortion.......... 7.74 NA NA 3.32 3.69 1.79 090
59857......... ............ R........... Abortion.......... 9.30 NA NA 3.64 4.18 2.02 090
59866......... ............ R........... Abortion (mpr).... 3.99 NA NA 1.36 1.63 0.87 000
59870......... ............ A........... Evacuate mole of 6.40 NA NA 4.38 4.43 1.42 090
uterus.
59871......... ............ A........... Remove cerclage 2.13 NA NA 0.91 1.02 0.50 000
suture.
59897......... ............ C........... Fetal invas px w/ 0.00 0.00 0.00 0.00 0.00 0.00 YYY
us.
59898......... ............ C........... Laparo proc, ob 0.00 0.00 0.00 0.00 0.00 0.00 YYY
care/deliver.
59899......... ............ C........... Maternity care 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
60000......... ............ A........... Drain thyroid/ 1.78 2.09 2.01 1.70 1.70 0.15 010
tongue cyst.
60100......... ............ A........... Biopsy of thyroid. 1.56 1.32 1.36 0.52 0.52 0.10 000
60200......... ............ A........... Remove thyroid 9.91 NA NA 5.50 5.74 1.01 090
lesion.
60210......... ............ A........... Partial thyroid 11.15 NA NA 5.23 5.43 1.23 090
excision.
60212......... ............ A........... Partial thyroid 16.32 NA NA 6.95 7.31 1.95 090
excision.
60220......... ............ A........... Partial removal of 12.29 NA NA 5.67 5.91 1.32 090
thyroid.
60225......... ............ A........... Partial removal of 14.67 NA NA 6.92 7.16 1.64 090
thyroid.
60240......... ............ A........... Removal of thyroid 16.18 NA NA 6.40 6.99 1.86 090
60252......... ............ A........... Removal of thyroid 21.88 NA NA 8.83 9.46 2.30 090
60254......... ............ A........... Extensive thyroid 28.29 NA NA 11.22 12.69 2.61 090
surgery.
60260......... ............ A........... Repeat thyroid 18.18 NA NA 7.41 8.03 1.94 090
surgery.
60270......... ............ A........... Removal of thyroid 23.07 NA NA 9.33 9.89 2.33 090
60271......... ............ A........... Removal of thyroid 17.54 NA NA 7.15 7.87 1.75 090
60280......... ............ A........... Remove thyroid 6.05 NA NA 4.48 4.57 0.54 090
duct lesion.
60281......... ............ A........... Remove thyroid 8.71 NA NA 5.32 5.58 0.73 090
duct lesion.
60300......... ............ A........... Aspir/inj thyroid 0.97 1.94 1.67 0.30 0.32 0.07 000
cyst.
60500......... ............ A........... Explore 16.69 NA NA 6.86 7.13 2.01 090
parathyroid
glands.
[[Page 2637]]
60502......... ............ A........... Re-explore 21.01 NA NA 8.61 8.99 2.54 090
parathyroids.
60505......... ............ A........... Explore 22.91 NA NA 9.39 10.16 2.65 090
parathyroid
glands.
60512......... ............ A........... Autotransplant 4.44 NA NA 1.21 1.41 0.53 ZZZ
parathyroid.
60520......... ............ A........... Removal of thymus 17.07 NA NA 7.01 7.65 2.20 090
gland.
60521......... ............ A........... Removal of thymus 19.11 NA NA 8.13 8.84 2.82 090
gland.
60522......... ............ A........... Removal of thymus 23.37 NA NA 9.61 10.44 3.27 090
gland.
60540......... ............ A........... Explore adrenal 17.91 NA NA 8.25 7.92 1.75 090
gland.
60545......... ............ A........... Explore adrenal 20.82 NA NA 8.95 8.74 2.08 090
gland.
60600......... ............ A........... Remove carotid 24.99 NA NA 8.83 9.90 2.20 090
body lesion.
60605......... ............ A........... Remove carotid 31.86 NA NA 12.14 12.20 2.50 090
body lesion.
60650......... ............ A........... Laparoscopy 20.63 NA NA 8.09 8.04 2.29 090
adrenalectomy.
60659......... ............ C........... Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 YYY
endocrine.
60699......... ............ C........... Endocrine surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
61000......... ............ A........... Remove cranial 1.58 NA NA 1.24 1.09 0.13 000
cavity fluid.
61001......... ............ A........... Remove cranial 1.49 NA NA 1.08 1.07 0.16 000
cavity fluid.
61020......... ............ A........... Remove brain 1.51 NA NA 1.63 1.48 0.34 000
cavity fluid.
61026......... ............ A........... Injection into 1.69 NA NA 1.30 1.34 0.33 000
brain canal.
61050......... ............ A........... Remove brain canal 1.51 NA NA 1.15 1.21 0.11 000
fluid.
61055......... ............ A........... Injection into 2.10 NA NA 1.33 1.37 0.17 000
brain canal.
61070......... ............ A........... Brain canal shunt 0.89 NA NA 1.16 1.08 0.17 000
procedure.
61105......... ............ A........... Twist drill hole.. 5.40 NA NA 4.91 4.42 1.32 090
61107......... ............ A........... Drill skull for 4.99 NA NA 1.83 2.18 1.29 000
implantation.
61108......... ............ A........... Drill skull for 11.51 NA NA 8.35 7.75 2.64 090
drainage.
61120......... ............ A........... Burr hole for 9.52 NA NA 6.78 6.39 2.10 090
puncture.
61140......... ............ A........... Pierce skull for 17.10 NA NA 10.42 10.15 4.12 090
biopsy.
61150......... ............ A........... Pierce skull for 18.80 NA NA 10.68 10.53 4.32 090
drainage.
61151......... ............ A........... Pierce skull for 13.41 NA NA 8.44 8.13 3.01 090
drainage.
61154......... ............ A........... Pierce skull & 16.92 NA NA 10.83 10.16 4.21 090
remove clot.
61156......... ............ A........... Pierce skull for 17.37 NA NA 9.72 9.78 4.23 090
drainage.
61210......... ............ A........... Pierce skull, 5.83 NA NA 2.15 2.53 1.50 000
implant device.
61215......... ............ A........... Insert brain-fluid 5.77 NA NA 5.45 4.72 1.26 090
device.
61250......... ............ A........... Pierce skull & 11.41 NA NA 7.38 7.12 2.77 090
explore.
61253......... ............ A........... Pierce skull & 13.41 NA NA 7.49 7.61 2.62 090
explore.
61304......... ............ A........... Open skull for 23.31 NA NA 12.54 12.69 5.63 090
exploration.
61305......... ............ A........... Open skull for 28.51 NA NA 14.97 15.14 6.09 090
exploration.
61312......... ............ A........... Open skull for 30.07 NA NA 15.24 15.14 6.36 090
drainage.
61313......... ............ A........... Open skull for 27.94 NA NA 15.37 15.09 6.45 090
drainage.
61314......... ............ A........... Open skull for 25.77 NA NA 14.15 13.60 6.28 090
drainage.
61315......... ............ A........... Open skull for 29.52 NA NA 15.51 15.77 7.16 090
drainage.
61316......... ............ A........... Implt cran bone 1.39 NA NA 0.51 0.56 0.35 ZZZ
flap to abdo.
61320......... ............ A........... Open skull for 27.32 NA NA 14.25 14.50 6.62 090
drainage.
61321......... ............ A........... Open skull for 30.40 NA NA 16.07 16.10 7.14 090
drainage.
61322......... ............ A........... Decompressive 34.08 NA NA 17.48 16.58 7.63 090
craniotomy.
61323......... ............ A........... Decompressive 34.93 NA NA 17.31 16.70 8.03 090
lobectomy.
61330......... ............ A........... Decompress eye 25.17 NA NA 11.53 12.63 2.32 090
socket.
61332......... ............ A........... Explore/biopsy eye 28.50 NA NA 12.96 14.28 4.83 090
socket.
61333......... ............ A........... Explore orbit/ 29.17 NA NA 12.88 14.24 3.92 090
remove lesion.
61334......... ............ A........... Explore orbit/ 19.50 NA NA 9.02 9.83 1.75 090
remove object.
61340......... ............ A........... Subtemporal 20.01 NA NA 11.68 11.40 4.84 090
decompression.
61343......... ............ A........... Incise skull 31.73 NA NA 15.94 16.37 7.64 090
(press relief).
61345......... ............ A........... Relieve cranial 29.10 NA NA 14.86 15.13 7.04 090
pressure.
61440......... ............ A........... Incise skull for 28.53 NA NA 15.23 14.72 6.90 090
surgery.
61450......... ............ A........... Incise skull for 27.59 NA NA 14.06 14.18 5.79 090
surgery.
61458......... ............ A........... Incise skull for 28.71 NA NA 14.89 15.20 7.03 090
brain wound.
61460......... ............ A........... Incise skull for 30.11 NA NA 14.58 15.50 6.04 090
surgery.
61470......... ............ A........... Incise skull for 27.52 NA NA 14.06 13.96 5.90 090
surgery.
61480......... ............ A........... Incise skull for 27.95 NA NA 8.14 11.71 6.73 090
surgery.
61490......... ............ A........... Incise skull for 27.12 NA NA 14.23 14.28 6.92 090
surgery.
61500......... ............ A........... Removal of skull 19.05 NA NA 10.69 10.75 4.11 090
lesion.
61501......... ............ A........... Remove infected 16.22 NA NA 9.45 9.33 3.22 090
skull bone.
61510......... ............ A........... Removal of brain 30.63 NA NA 16.95 16.83 7.35 090
lesion.
61512......... ............ A........... Remove brain 36.99 NA NA 18.47 19.08 9.08 090
lining lesion.
61514......... ............ A........... Removal of brain 27.10 NA NA 14.42 14.43 6.54 090
abscess.
61516......... ............ A........... Removal of brain 26.45 NA NA 14.06 14.16 6.35 090
lesion.
61517......... ............ A........... Implt brain 1.38 NA NA 0.51 0.58 0.35 ZZZ
chemotx add-on.
61518......... ............ A........... Removal of brain 39.69 NA NA 20.31 20.71 9.65 090
lesion.
61519......... ............ A........... Remove brain 43.28 NA NA 20.65 21.66 10.63 090
lining lesion.
61520......... ............ A........... Removal of brain 56.89 NA NA 25.96 28.15 11.21 090
lesion.
61521......... ............ A........... Removal of brain 46.84 NA NA 22.16 23.19 11.39 090
lesion.
61522......... ............ A........... Removal of brain 31.41 NA NA 15.77 16.10 7.62 090
abscess.
61524......... ............ A........... Removal of brain 29.76 NA NA 15.70 15.69 7.16 090
lesion.
61526......... ............ A........... Removal of brain 53.90 NA NA 22.53 26.02 7.07 090
lesion.
[[Page 2638]]
61530......... ............ A........... Removal of brain 45.43 NA NA 19.49 22.28 6.15 090
lesion.
61531......... ............ A........... Implant brain 16.28 NA NA 10.46 9.80 3.79 090
electrodes.
61533......... ............ A........... Implant brain 21.36 NA NA 11.79 11.66 5.12 090
electrodes.
61534......... ............ A........... Removal of brain 22.88 NA NA 13.13 12.61 5.44 090
lesion.
61535......... ............ A........... Remove brain 13.05 NA NA 8.84 8.13 3.02 090
electrodes.
61536......... ............ A........... Removal of brain 37.59 NA NA 18.53 19.17 9.21 090
lesion.
61537......... ............ A........... Removal of brain 36.35 NA NA 17.04 15.89 6.94 090
tissue.
61538......... ............ A........... Removal of brain 39.35 NA NA 18.37 16.84 6.94 090
tissue.
61539......... ............ A........... Removal of brain 34.15 NA NA 16.83 17.30 8.32 090
tissue.
61540......... ............ A........... Removal of brain 31.30 NA NA 16.30 16.78 8.32 090
tissue.
61541......... ............ A........... Incision of brain 30.81 NA NA 16.09 16.15 6.60 090
tissue.
61542......... ............ A........... Removal of brain 33.03 NA NA 16.78 17.31 8.03 090
tissue.
61543......... ............ A........... Removal of brain 31.18 NA NA 13.86 15.13 7.56 090
tissue.
61544......... ............ A........... Remove & treat 27.26 NA NA 14.28 14.06 5.97 090
brain lesion.
61545......... ............ A........... Excision of brain 46.23 NA NA 22.83 23.53 10.63 090
tumor.
61546......... ............ A........... Removal of 33.31 NA NA 16.74 17.12 7.67 090
pituitary gland.
61548......... ............ A........... Removal of 23.27 NA NA 11.62 12.20 3.43 090
pituitary gland.
61550......... ............ A........... Release of skull 15.44 NA NA 5.65 6.29 0.98 090
seams.
61552......... ............ A........... Release of skull 20.27 NA NA 12.15 10.64 1.06 090
seams.
61556......... ............ A........... Incise skull/ 24.00 NA NA 13.29 12.33 4.65 090
sutures.
61557......... ............ A........... Incise skull/ 23.16 NA NA 13.64 13.63 5.80 090
sutures.
61558......... ............ A........... Excision of skull/ 26.35 NA NA 14.70 14.45 1.36 090
sutures.
61559......... ............ A........... Excision of skull/ 33.82 NA NA 18.38 18.85 8.51 090
sutures.
61563......... ............ A........... Excision of skull 28.35 NA NA 13.09 14.17 5.17 090
tumor.
61564......... ............ A........... Excision of skull 34.59 NA NA 17.91 18.10 8.78 090
tumor.
61566......... ............ A........... Removal of brain 32.32 NA NA 16.65 17.21 6.94 090
tissue.
61567......... ............ A........... Incision of brain 36.84 NA NA 19.07 19.88 6.54 090
tissue.
61570......... ............ A........... Remove foreign 26.38 NA NA 14.02 13.97 5.88 090
body, brain.
61571......... ............ A........... Incise skull for 28.29 NA NA 14.64 14.89 6.79 090
brain wound.
61575......... ............ A........... Skull base/ 36.43 NA NA 16.10 17.87 5.34 090
brainstem surgery.
61576......... ............ A........... Skull base/ 55.11 NA NA 28.09 31.42 5.58 090
brainstem surgery.
61580......... ............ A........... Craniofacial 34.34 NA NA 22.85 24.22 3.37 090
approach, skull.
61581......... ............ A........... Craniofacial 38.88 NA NA 27.83 25.65 3.92 090
approach, skull.
61582......... ............ A........... Craniofacial 34.93 NA NA 30.48 28.90 7.21 090
approach, skull.
61583......... ............ A........... Craniofacial 38.41 NA NA 25.90 25.51 9.21 090
approach, skull.
61584......... ............ A........... Orbitocranial 37.61 NA NA 26.04 25.29 8.18 090
approach/skull.
61585......... ............ A........... Orbitocranial 42.46 NA NA 25.13 25.82 7.03 090
approach/skull.
61586......... ............ A........... Resect 27.28 NA NA 22.64 22.62 4.37 090
nasopharynx,
skull.
61590......... ............ A........... Infratemporal 46.87 NA NA 24.81 26.73 5.31 090
approach/skull.
61591......... ............ A........... Infratemporal 46.87 NA NA 24.60 27.07 5.66 090
approach/skull.
61592......... ............ A........... Orbitocranial 42.98 NA NA 26.80 26.66 10.07 090
approach/skull.
61595......... ............ A........... Transtemporal 33.57 NA NA 21.14 21.75 3.98 090
approach/skull.
61596......... ............ A........... Transcochlear 39.31 NA NA 20.95 22.70 3.40 090
approach/skull.
61597......... ............ A........... Transcondylar 40.73 NA NA 23.27 23.14 8.84 090
approach/skull.
61598......... ............ A........... Transpetrosal 36.41 NA NA 22.16 22.70 5.70 090
approach/skull.
61600......... ............ A........... Resect/excise 29.84 NA NA 19.76 19.77 3.79 090
cranial lesion.
61601......... ............ A........... Resect/excise 31.04 NA NA 22.38 21.44 6.63 090
cranial lesion.
61605......... ............ A........... Resect/excise 32.40 NA NA 19.47 20.72 2.86 090
cranial lesion.
61606......... ............ A........... Resect/excise 41.94 NA NA 23.77 24.47 8.97 090
cranial lesion.
61607......... ............ A........... Resect/excise 40.82 NA NA 21.00 22.40 6.90 090
cranial lesion.
61608......... ............ A........... Resect/excise 45.45 NA NA 26.32 26.46 10.75 090
cranial lesion.
61609......... ............ A........... Transect artery, 9.88 NA NA 3.25 4.05 2.56 ZZZ
sinus.
61610......... ............ A........... Transect artery, 29.63 NA NA 11.06 12.11 7.68 ZZZ
sinus.
61611......... ............ A........... Transect artery, 7.41 NA NA 1.71 2.76 1.89 ZZZ
sinus.
61612......... ............ A........... Transect artery, 27.84 NA NA 6.41 9.86 4.31 ZZZ
sinus.
61613......... ............ A........... Remove aneurysm, 44.94 NA NA 27.35 26.82 8.45 090
sinus.
61615......... ............ A........... Resect/excise 35.63 NA NA 21.30 22.02 4.73 090
lesion, skull.
61616......... ............ A........... Resect/excise 46.60 NA NA 27.24 27.96 8.26 090
lesion, skull.
61618......... ............ A........... Repair dura....... 18.58 NA NA 10.44 10.44 3.72 090
61619......... ............ A........... Repair dura....... 22.01 NA NA 11.67 11.96 3.95 090
61623......... ............ A........... Endovasc tempory 9.95 NA NA 3.72 3.90 1.05 000
vessel occl.
61624......... ............ A........... Transcath 20.12 NA NA 7.29 7.09 1.96 000
occlusion, cns.
61626......... ............ A........... Transcath 16.60 NA NA 5.97 5.75 1.24 000
occlusion, non-
cns.
61630......... ............ N........... Intracranial 22.07 NA NA 6.44 9.47 2.02 090
angioplasty.
61635......... ............ N........... Intracran 24.28 NA NA 6.95 10.25 2.21 090
angioplsty w/
stent.
61640......... ............ N........... Dilate ic 12.32 NA NA 2.83 2.83 0.71 000
vasospasm, init.
61641......... ............ N........... Dilate ic 4.33 NA NA 1.00 1.00 0.25 ZZZ
vasospasm add-on.
61642......... ............ N........... Dilate ic 8.66 NA NA 1.99 1.99 0.50 ZZZ
vasospasm add-on.
61680......... ............ A........... Intracranial 32.40 NA NA 16.75 17.09 7.95 090
vessel surgery.
61682......... ............ A........... Intracranial 63.31 NA NA 27.54 29.89 15.90 090
vessel surgery.
61684......... ............ A........... Intracranial 41.49 NA NA 20.38 21.19 10.31 090
vessel surgery.
61686......... ............ A........... Intracranial 67.32 NA NA 30.47 32.61 16.71 090
vessel surgery.
[[Page 2639]]
61690......... ............ A........... Intracranial 31.18 NA NA 16.52 16.63 6.94 090
vessel surgery.
61692......... ............ A........... Intracranial 54.43 NA NA 24.35 25.92 13.43 090
vessel surgery.
61697......... ............ A........... Brain aneurysm 63.22 NA NA 28.64 28.33 12.85 090
repr, complx.
61698......... ............ A........... Brain aneurysm 69.45 NA NA 30.59 28.65 12.54 090
repr, complx.
61700......... ............ A........... Brain aneurysm 50.44 NA NA 24.03 25.92 13.02 090
repr, simple.
61702......... ............ A........... Inner skull vessel 59.86 NA NA 27.50 26.78 10.79 090
surgery.
61703......... ............ A........... Clamp neck artery. 18.70 NA NA 10.06 10.27 4.06 090
61705......... ............ A........... Revise circulation 37.97 NA NA 18.32 18.79 8.87 090
to head.
61708......... ............ A........... Revise circulation 37.07 NA NA 14.87 15.02 2.51 090
to head.
61710......... ............ A........... Revise circulation 31.19 NA NA 13.79 13.72 4.52 090
to head.
61711......... ............ A........... Fusion of skull 38.10 NA NA 18.61 19.21 9.42 090
arteries.
61720......... ............ A........... Incise skull/brain 17.52 NA NA 7.89 8.93 2.79 090
surgery.
61735......... ............ A........... Incise skull/brain 22.22 NA NA 9.17 10.67 2.73 090
surgery.
61750......... ............ A........... Incise skull/brain 19.73 NA NA 10.95 10.79 4.72 090
biopsy.
61751......... ............ A........... Brain biopsy w/ct/ 18.64 NA NA 11.37 11.10 4.56 090
mr guide.
61760......... ............ A........... Implant brain 22.24 NA NA 12.06 10.39 5.42 090
electrodes.
61770......... ............ A........... Incise skull for 23.09 NA NA 9.89 11.08 3.55 090
treatment.
61790......... ............ A........... Treat trigeminal 11.50 NA NA 7.70 6.81 2.82 090
nerve.
61791......... ............ A........... Treat trigeminal 15.31 NA NA 8.21 8.57 3.40 090
tract.
61793......... ............ A........... Focus radiation 17.75 NA NA 9.55 9.84 4.46 090
beam.
61795......... ............ A........... Brain surgery 4.03 NA NA 1.43 1.73 0.79 ZZZ
using computer.
61850......... ............ A........... Implant 13.26 NA NA 7.89 7.78 3.22 090
neuroelectrodes.
61860......... ............ A........... Implant 22.16 NA NA 11.60 11.83 4.95 090
neuroelectrodes.
61863......... ............ A........... Implant 20.56 NA NA 12.42 12.10 5.43 090
neuroelectrode.
61864......... ............ A........... Implant 4.49 NA NA 1.68 1.98 5.43 ZZZ
neuroelectrde,
addl.
61867......... ............ A........... Implant 32.88 NA NA 16.37 17.20 5.43 090
neuroelectrode.
61868......... ............ A........... Implant 7.91 NA NA 2.94 3.48 5.43 ZZZ
neuroelectrde,
add[AElig]l.
61870......... ............ A........... Implant 16.24 NA NA 9.69 9.70 3.87 090
neuroelectrodes.
61875......... ............ A........... Implant 16.36 NA NA 5.33 6.95 2.95 090
neuroelectrodes.
61880......... ............ A........... Revise/remove 6.87 NA NA 5.18 4.87 1.66 090
neuroelectrode.
61885......... ............ A........... Insrt/redo 7.37 NA NA 7.06 6.19 1.59 090
neurostim 1 array.
61886......... ............ A........... Implant neurostim 9.73 NA NA 8.52 7.44 1.97 090
arrays.
61888......... ............ A........... Revise/remove 5.20 NA NA 3.47 3.57 1.33 010
neuroreceiver.
62000......... ............ A........... Treat skull 13.83 NA NA 7.61 6.57 1.06 090
fracture.
62005......... ............ A........... Treat skull 17.53 NA NA 9.59 9.20 3.87 090
fracture.
62010......... ............ A........... Treatment of head 21.30 NA NA 11.81 11.76 5.14 090
injury.
62100......... ............ A........... Repair brain fluid 23.40 NA NA 12.09 12.44 4.84 090
leakage.
62115......... ............ A........... Reduction of skull 22.71 NA NA 13.89 12.77 5.51 090
defect.
62116......... ............ A........... Reduction of skull 24.90 NA NA 13.35 13.36 6.11 090
defect.
62117......... ............ A........... Reduction of skull 28.26 NA NA 12.74 14.06 4.53 090
defect.
62120......... ............ A........... Repair skull 24.39 NA NA 17.33 17.91 3.00 090
cavity lesion.
62121......... ............ A........... Incise skull 22.93 NA NA 14.24 14.85 4.17 090
repair.
62140......... ............ A........... Repair of skull 14.45 NA NA 8.64 8.48 3.47 090
defect.
62141......... ............ A........... Repair of skull 15.97 NA NA 9.34 9.19 3.76 090
defect.
62142......... ............ A........... Remove skull plate/ 11.73 NA NA 7.79 7.39 2.73 090
flap.
62143......... ............ A........... Replace skull 14.05 NA NA 8.73 8.39 3.37 090
plate/flap.
62145......... ............ A........... Repair of skull & 19.99 NA NA 10.26 10.58 4.50 090
brain.
62146......... ............ A........... Repair of skull 17.18 NA NA 9.52 9.58 3.62 090
with graft.
62147......... ............ A........... Repair of skull 20.57 NA NA 11.00 11.15 4.32 090
with graft.
62148......... ............ A........... Retr bone flap to 2.00 NA NA 0.74 0.80 0.48 ZZZ
fix skull.
62160......... ............ A........... Neuroendoscopy add- 3.00 NA NA 1.11 1.32 0.77 ZZZ
on.
62161......... ............ A........... Dissect brain w/ 21.10 NA NA 12.15 12.13 5.19 090
scope.
62162......... ............ A........... Remove colloid 26.67 NA NA 14.65 14.75 5.91 090
cyst w/scope.
62163......... ............ A........... Neuroendoscopy w/ 16.40 NA NA 9.25 9.59 4.01 090
fb removal.
62164......... ............ A........... Remove brain tumor 29.27 NA NA 15.93 15.44 5.38 090
w/scope.
62165......... ............ A........... Remove pituit 23.10 NA NA 11.78 12.58 3.01 090
tumor w/scope.
62180......... ............ A........... Establish brain 22.45 NA NA 12.37 12.33 4.98 090
cavity shunt.
62190......... ............ A........... Establish brain 12.07 NA NA 7.37 7.23 2.80 090
cavity shunt.
62192......... ............ A........... Establish brain 13.25 NA NA 8.02 7.82 3.02 090
cavity shunt.
62194......... ............ A........... Replace/irrigate 5.68 NA NA 3.14 2.79 0.92 010
catheter.
62200......... ............ A........... Establish brain 19.19 NA NA 10.70 10.77 4.65 090
cavity shunt.
62201......... ............ A........... Brain cavity shunt 15.89 NA NA 10.35 9.90 3.68 090
w/scope.
62220......... ............ A........... Establish brain 14.00 NA NA 8.62 8.30 3.35 090
cavity shunt.
62223......... ............ A........... Establish brain 13.90 NA NA 9.36 8.80 3.14 090
cavity shunt.
62225......... ............ A........... Replace/irrigate 6.11 NA NA 5.48 4.79 1.39 090
catheter.
62230......... ............ A........... Replace/revise 11.35 NA NA 7.21 6.85 2.71 090
brain shunt.
62252......... ............ A........... Csf shunt 0.74 1.77 1.62 NA NA 0.21 XXX
reprogram.
62252......... TC.......... A........... Csf shunt 0.00 1.50 1.30 NA NA 0.02 XXX
reprogram.
62252......... 26.......... A........... Csf shunt 0.74 0.27 0.32 0.27 0.32 0.19 XXX
reprogram.
62256......... ............ A........... Remove brain 7.30 NA NA 5.90 5.30 1.72 090
cavity shunt.
62258......... ............ A........... Replace brain 15.54 NA NA 9.30 9.01 3.74 090
cavity shunt.
62263......... ............ A........... Epidural lysis 6.41 9.46 11.08 2.98 3.09 0.41 010
mult sessions.
[[Page 2640]]
62264......... ............ A........... Epidural lysis on 4.42 5.63 6.68 1.24 1.33 0.27 010
single day.
62268......... ............ A........... Drain spinal cord 4.73 6.70 9.12 1.81 1.98 0.43 000
cyst.
62269......... ............ A........... Needle biopsy, 5.01 6.25 10.47 1.48 1.73 0.37 000
spinal cord.
62270......... ............ A........... Spinal fluid tap, 1.37 2.40 2.69 0.58 0.57 0.08 000
diagnostic.
62272......... ............ A........... Drain cerebro 1.35 3.13 3.37 0.62 0.66 0.18 000
spinal fluid.
62273......... ............ A........... Inject epidural 2.15 1.67 2.19 0.57 0.64 0.13 000
patch.
62280......... ............ A........... Treat spinal cord 2.63 4.63 5.78 1.15 1.08 0.30 010
lesion.
62281......... ............ A........... Treat spinal cord 2.66 4.08 4.87 1.03 0.96 0.19 010
lesion.
62282......... ............ A........... Treat spinal canal 2.33 4.08 6.22 1.11 1.02 0.17 010
lesion.
62284......... ............ A........... Injection for 1.54 3.79 4.38 0.71 0.70 0.13 000
myelogram.
62287......... ............ A........... Percutaneous 8.88 NA NA 4.30 4.93 0.58 090
diskectomy.
62290......... ............ A........... Inject for spine 3.00 4.50 5.82 1.15 1.26 0.23 000
disk x-ray.
62291......... ............ A........... Inject for spine 2.91 4.24 5.09 1.08 1.15 0.26 000
disk x-ray.
62292......... ............ A........... Injection into 9.14 NA NA 2.87 3.67 0.82 090
disk lesion.
62294......... ............ A........... Injection into 12.77 NA NA 6.49 6.04 1.24 090
spinal artery.
62310......... ............ A........... Inject spine c/t.. 1.91 3.00 3.90 0.56 0.60 0.12 000
62311......... ............ A........... Inject spine l/s 1.54 2.66 3.79 0.52 0.56 0.09 000
(cd).
62318......... ............ A........... Inject spine w/ 2.04 3.09 4.41 0.43 0.54 0.12 000
cath, c/t.
62319......... ............ A........... Inject spine w/ 1.87 2.80 3.89 0.44 0.52 0.11 000
cath l/s (cd).
62350......... ............ A........... Implant spinal 8.04 NA NA 3.99 3.96 1.02 090
canal cath.
62351......... ............ A........... Implant spinal 11.54 NA NA 7.65 7.39 2.25 090
canal cath.
62355......... ............ A........... Remove spinal 6.60 NA NA 3.52 3.34 0.71 090
canal catheter.
62360......... ............ A........... Insert spine 3.68 NA NA 3.17 2.93 0.34 090
infusion device.
62361......... ............ A........... Implant spine 6.59 NA NA 4.07 3.99 0.80 090
infusion pump.
62362......... ............ A........... Implant spine 8.58 NA NA 4.65 4.51 1.18 090
infusion pump.
62365......... ............ A........... Remove spine 6.57 NA NA 3.71 3.65 0.86 090
infusion device.
62367......... ............ A........... Analyze spine 0.48 0.42 0.52 0.11 0.11 0.03 XXX
infusion pump.
62368......... ............ A........... Analyze spine 0.75 0.58 0.63 0.17 0.17 0.06 XXX
infusion pump.
63001......... ............ A........... Removal of spinal 17.51 NA NA 9.77 9.64 3.77 090
lamina.
63003......... ............ A........... Removal of spinal 17.64 NA NA 9.73 9.80 3.73 090
lamina.
63005......... ............ A........... Removal of spinal 16.28 NA NA 9.74 9.86 3.35 090
lamina.
63011......... ............ A........... Removal of spinal 15.78 NA NA 9.01 8.64 3.38 090
lamina.
63012......... ............ A........... Removal of spinal 16.72 NA NA 9.76 9.95 3.49 090
lamina.
63015......... ............ A........... Removal of spinal 20.70 NA NA 11.85 11.86 4.76 090
lamina.
63016......... ............ A........... Removal of spinal 21.90 NA NA 11.65 11.72 4.59 090
lamina.
63017......... ............ A........... Removal of spinal 17.18 NA NA 10.35 10.37 3.64 090
lamina.
63020......... ............ A........... Neck spine disk 16.05 NA NA 9.88 9.78 3.72 090
surgery.
63030......... ............ A........... Low back disk 13.03 NA NA 8.60 8.51 3.01 090
surgery.
63035......... ............ A........... Spinal disk 3.15 NA NA 1.19 1.39 0.79 ZZZ
surgery add-on.
63040......... ............ A........... Laminotomy, single 20.18 NA NA 11.03 11.27 4.68 090
cervical.
63042......... ............ A........... Laminotomy, single 18.61 NA NA 10.59 10.97 4.26 090
lumbar.
63043......... ............ C........... Laminotomy, 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
add[AElig]l
cervical.
63044......... ............ C........... Laminotomy, 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
add[AElig]l
lumbar.
63045......... ............ A........... Removal of spinal 17.82 NA NA 10.34 10.35 3.99 090
lamina.
63046......... ............ A........... Removal of spinal 17.12 NA NA 9.79 9.99 3.56 090
lamina.
63047......... ............ A........... Removal of spinal 15.22 NA NA 9.34 9.62 3.24 090
lamina.
63048......... ............ A........... Remove spinal 3.47 NA NA 1.32 1.49 0.72 ZZZ
lamina add-on.
63050......... ............ A........... Cervical 21.88 NA NA 11.82 11.83 4.67 090
laminoplasty.
63051......... ............ A........... C-laminoplasty w/ 25.38 NA NA 13.08 13.28 4.67 090
graft/plate.
63055......... ............ A........... Decompress spinal 23.42 NA NA 12.45 12.80 5.29 090
cord.
63056......... ............ A........... Decompress spinal 21.73 NA NA 11.38 11.98 4.76 090
cord.
63057......... ............ A........... Decompress spine 5.25 NA NA 1.98 2.31 1.22 ZZZ
cord add-on.
63064......... ............ A........... Decompress spinal 26.09 NA NA 13.22 13.82 5.71 090
cord.
63066......... ............ A........... Decompress spine 3.26 NA NA 1.21 1.43 0.69 ZZZ
cord add-on.
63075......... ............ A........... Neck spine disk 19.47 NA NA 11.01 11.55 4.63 090
surgery.
63076......... ............ A........... Neck spine disk 4.04 NA NA 1.52 1.79 0.96 ZZZ
surgery.
63077......... ............ A........... Spine disk 22.75 NA NA 11.08 11.94 3.99 090
surgery, thorax.
63078......... ............ A........... Spine disk 3.28 NA NA 1.21 1.43 0.66 ZZZ
surgery, thorax.
63081......... ............ A........... Removal of 25.97 NA NA 13.49 13.91 5.56 090
vertebral body.
63082......... ............ A........... Remove vertebral 4.36 NA NA 1.64 1.94 1.02 ZZZ
body add-on.
63085......... ............ A........... Removal of 29.34 NA NA 13.54 14.51 4.49 090
vertebral body.
63086......... ............ A........... Remove vertebral 3.19 NA NA 1.17 1.38 0.59 ZZZ
body add-on.
63087......... ............ A........... Removal of 37.38 NA NA 16.65 18.06 6.22 090
vertebral body.
63088......... ............ A........... Remove vertebral 4.32 NA NA 1.59 1.88 0.82 ZZZ
body add-on.
63090......... ............ A........... Removal of 30.78 NA NA 14.39 15.22 4.22 090
vertebral body.
63091......... ............ A........... Remove vertebral 3.03 NA NA 1.14 1.30 0.48 ZZZ
body add-on.
63101......... ............ A........... Removal of 33.92 NA NA 17.04 18.16 5.71 090
vertebral body.
63102......... ............ A........... Removal of 33.92 NA NA 16.83 18.06 5.71 090
vertebral body.
63103......... ............ A........... Remove vertebral 4.82 NA NA 1.74 2.12 0.69 ZZZ
body add-on.
63170......... ............ A........... Incise spinal cord 22.08 NA NA 10.44 11.15 4.87 090
tract(s).
63172......... ............ A........... Drainage of spinal 19.66 NA NA 11.07 10.86 4.49 090
cyst.
63173......... ............ A........... Drainage of spinal 24.18 NA NA 13.57 13.19 5.70 090
cyst.
[[Page 2641]]
63180......... ............ A........... Revise spinal cord 20.40 NA NA 10.95 10.97 3.96 090
ligaments.
63182......... ............ A........... Revise spinal cord 22.69 NA NA 7.18 9.07 5.32 090
ligaments.
63185......... ............ A........... Incise spinal 16.36 NA NA 9.80 8.95 2.80 090
column/nerves.
63190......... ............ A........... Incise spinal 18.76 NA NA 9.60 9.87 3.25 090
column/nerves.
63191......... ............ A........... Incise spinal 18.79 NA NA 4.10 7.29 6.36 090
column/nerves.
63194......... ............ A........... Incise spinal 21.97 NA NA 11.20 11.46 3.27 090
column & cord.
63195......... ............ A........... Incise spinal 21.54 NA NA 12.10 11.57 4.88 090
column & cord.
63196......... ............ A........... Incise spinal 25.14 NA NA 13.79 13.59 5.78 090
column & cord.
63197......... ............ A........... Incise spinal 23.95 NA NA 7.47 9.84 5.38 090
column & cord.
63198......... ............ A........... Incise spinal 29.75 NA NA 8.93 8.68 6.45 090
column & cord.
63199......... ............ A........... Incise spinal 31.32 NA NA 9.29 12.16 1.40 090
column & cord.
63200......... ............ A........... Release of spinal 21.31 NA NA 12.10 11.70 4.97 090
cord.
63250......... ............ A........... Revise spinal cord 43.73 NA NA 20.91 20.42 9.04 090
vessels.
63251......... ............ A........... Revise spinal cord 44.49 NA NA 21.53 22.07 10.44 090
vessels.
63252......... ............ A........... Revise spinal cord 44.48 NA NA 20.87 21.56 10.67 090
vessels.
63265......... ............ A........... Excise intraspinal 23.69 NA NA 12.99 12.88 5.45 090
lesion.
63266......... ............ A........... Excise intraspinal 24.55 NA NA 13.18 13.18 5.56 090
lesion.
63267......... ............ A........... Excise intraspinal 19.32 NA NA 11.13 11.10 4.38 090
lesion.
63268......... ............ A........... Excise intraspinal 19.89 NA NA 11.25 10.81 3.70 090
lesion.
63270......... ............ A........... Excise intraspinal 29.67 NA NA 15.36 15.41 6.84 090
lesion.
63271......... ............ A........... Excise intraspinal 29.79 NA NA 15.32 15.45 6.92 090
lesion.
63272......... ............ A........... Excise intraspinal 27.37 NA NA 14.29 14.49 6.20 090
lesion.
63273......... ............ A........... Excise intraspinal 26.34 NA NA 14.08 14.21 5.76 090
lesion.
63275......... ............ A........... Biopsy/excise 25.73 NA NA 13.74 13.76 5.82 090
spinal tumor.
63276......... ............ A........... Biopsy/excise 25.56 NA NA 13.52 13.60 5.85 090
spinal tumor.
63277......... ............ A........... Biopsy/excise 22.26 NA NA 12.13 12.32 5.03 090
spinal tumor.
63278......... ............ A........... Biopsy/excise 21.99 NA NA 11.92 12.16 4.56 090
spinal tumor.
63280......... ............ A........... Biopsy/excise 30.14 NA NA 15.88 16.10 7.29 090
spinal tumor.
63281......... ............ A........... Biopsy/excise 29.84 NA NA 15.87 16.02 7.19 090
spinal tumor.
63282......... ............ A........... Biopsy/excise 28.00 NA NA 15.01 15.17 6.78 090
spinal tumor.
63283......... ............ A........... Biopsy/excise 26.61 NA NA 14.68 14.67 6.28 090
spinal tumor.
63285......... ............ A........... Biopsy/excise 37.90 NA NA 18.10 19.02 9.21 090
spinal tumor.
63286......... ............ A........... Biopsy/excise 37.47 NA NA 18.71 19.31 9.24 090
spinal tumor.
63287......... ............ A........... Biopsy/excise 39.93 NA NA 19.62 20.02 9.42 090
spinal tumor.
63290......... ............ A........... Biopsy/excise 40.67 NA NA 19.29 19.94 9.05 090
spinal tumor.
63295......... ............ A........... Repair of 5.25 NA NA 1.95 2.05 1.03 ZZZ
laminectomy
defect.
63300......... ............ A........... Removal of 26.67 NA NA 13.80 14.05 5.99 090
vertebral body.
63301......... ............ A........... Removal of 31.42 NA NA 14.21 14.88 5.41 090
vertebral body.
63302......... ............ A........... Removal of 31.00 NA NA 13.78 14.82 5.55 090
vertebral body.
63303......... ............ A........... Removal of 33.42 NA NA 15.00 15.96 4.69 090
vertebral body.
63304......... ............ A........... Removal of 33.70 NA NA 17.58 17.43 6.43 090
vertebral body.
63305......... ............ A........... Removal of 36.09 NA NA 16.99 17.52 5.73 090
vertebral body.
63306......... ............ A........... Removal of 35.40 NA NA 16.65 17.22 8.35 090
vertebral body.
63307......... ............ A........... Removal of 34.81 NA NA 14.83 15.82 4.47 090
vertebral body.
63308......... ............ A........... Remove vertebral 5.24 NA NA 1.95 2.28 1.29 ZZZ
body add-on.
63600......... ............ A........... Remove spinal cord 15.02 NA NA 4.03 4.72 1.52 090
lesion.
63610......... ............ A........... Stimulation of 8.72 13.95 36.83 1.49 1.87 0.86 000
spinal cord.
63615......... ............ A........... Remove lesion of 17.22 NA NA 8.53 8.90 2.85 090
spinal cord.
63650......... ............ A........... Implant 7.57 NA NA 2.92 3.05 0.53 090
neuroelectrodes.
63655......... ............ A........... Implant 11.43 NA NA 7.63 7.26 2.44 090
neuroelectrodes.
63660......... ............ A........... Revise/remove 6.87 NA NA 3.42 3.52 0.78 090
neuroelectrode.
63685......... ............ A........... Insrt/redo spine n 7.87 NA NA 3.65 3.90 1.05 090
generator.
63688......... ............ A........... Revise/remove 6.10 NA NA 3.53 3.54 0.89 090
neuroreceiver.
63700......... ............ A........... Repair of spinal 17.32 NA NA 9.95 10.13 3.53 090
herniation.
63702......... ............ A........... Repair of spinal 19.26 NA NA 9.98 10.51 4.13 090
herniation.
63704......... ............ A........... Repair of spinal 22.23 NA NA 11.66 12.29 4.58 090
herniation.
63706......... ............ A........... Repair of spinal 25.15 NA NA 14.30 13.94 6.25 090
herniation.
63707......... ............ A........... Repair spinal 12.52 NA NA 7.83 7.77 2.52 090
fluid leakage.
63709......... ............ A........... Repair spinal 15.52 NA NA 8.97 9.19 3.10 090
fluid leakage.
63710......... ............ A........... Graft repair of 15.27 NA NA 9.19 9.12 3.41 090
spine defect.
63740......... ............ A........... Install spinal 12.50 NA NA 8.28 7.81 2.94 090
shunt.
63741......... ............ A........... Install spinal 9.02 NA NA 4.93 4.84 1.66 090
shunt.
63744......... ............ A........... Revision of spinal 8.86 NA NA 5.76 5.51 1.90 090
shunt.
63746......... ............ A........... Removal of spinal 7.25 NA NA 5.69 4.73 1.53 090
shunt.
64400......... ............ A........... N block inj, 1.11 1.42 1.66 0.45 0.44 0.07 000
trigeminal.
64402......... ............ A........... N block inj, 1.25 1.41 1.51 0.50 0.55 0.09 000
facial.
64405......... ............ A........... N block inj, 1.32 1.16 1.31 0.49 0.48 0.08 000
occipital.
64408......... ............ A........... N block inj, vagus 1.41 1.45 1.51 0.71 0.78 0.10 000
64410......... ............ A........... N block inj, 1.43 1.92 2.21 0.56 0.51 0.09 000
phrenic.
64412......... ............ A........... N block inj, 1.18 2.13 2.39 0.59 0.51 0.08 000
spinal accessor.
64413......... ............ A........... N block inj, 1.40 1.31 1.58 0.48 0.49 0.08 000
cervical plexus.
64415......... ............ A........... N block inj, 1.48 1.41 2.11 0.30 0.38 0.09 000
brachial plexus.
[[Page 2642]]
64416......... ............ A........... N block cont 3.85 NA NA 0.46 0.63 0.31 010
infuse, b plex.
64417......... ............ A........... N block inj, 1.44 1.43 2.23 0.32 0.40 0.11 000
axillary.
64418......... ............ A........... N block inj, 1.32 1.89 2.26 0.52 0.48 0.07 000
suprascapular.
64420......... ............ A........... N block inj, 1.18 2.40 3.14 0.45 0.43 0.08 000
intercost, sng.
64421......... ............ A........... N block inj, 1.68 3.55 4.82 0.53 0.52 0.11 000
intercost, mlt.
64425......... ............ A........... N block inj, ilio- 1.75 1.29 1.47 0.53 0.53 0.13 000
ing/hypogi.
64430......... ............ A........... N block inj, 1.46 2.39 2.45 0.77 0.66 0.10 000
pudendal.
64435......... ............ A........... N block inj, 1.45 2.00 2.26 0.56 0.62 0.16 000
paracervical.
64445......... ............ A........... N block inj, 1.48 1.63 2.15 0.50 0.50 0.10 000
sciatic, sng.
64446......... ............ A........... N blk inj, 3.61 NA NA 0.48 0.74 0.20 010
sciatic, cont inf.
64447......... ............ A........... N block inj fem, 1.50 NA NA 0.17 0.30 0.09 000
single.
64448......... ............ A........... N block inj fem, 3.36 NA NA 0.39 0.60 0.18 010
cont inf.
64449......... ............ A........... N block inj, 3.24 NA NA 0.42 0.69 0.15 010
lumbar plexus.
64450......... ............ A........... N block, other 1.27 1.28 1.26 0.49 0.48 0.13 000
peripheral.
64470......... ............ A........... Inj paravertebral 1.85 3.83 5.53 0.70 0.70 0.11 000
c/t.
64472......... ............ A........... Inj paravertebral 1.29 1.22 1.78 0.33 0.33 0.08 ZZZ
c/t add-on.
64475......... ............ A........... Inj paravertebral 1.41 3.64 5.26 0.58 0.60 0.10 000
l/s.
64476......... ............ A........... Inj paravertebral 0.98 1.10 1.61 0.22 0.23 0.07 ZZZ
l/s add-on.
64479......... ............ A........... Inj foramen 2.20 3.75 5.62 0.81 0.85 0.12 000
epidural c/t.
64480......... ............ A........... Inj foramen 1.54 1.55 2.20 0.39 0.43 0.10 ZZZ
epidural add-on.
64483......... ............ A........... Inj foramen 1.90 3.82 5.86 0.75 0.79 0.11 000
epidural l/s.
64484......... ............ A........... Inj foramen 1.33 1.63 2.45 0.32 0.35 0.08 ZZZ
epidural add-on.
64505......... ............ A........... N block, 1.36 1.13 1.18 0.74 0.70 0.10 000
spenopalatine
gangl.
64508......... ............ A........... N block, carotid 1.12 2.04 2.68 0.56 0.65 0.07 000
sinus s/p.
64510......... ............ A........... N block, stellate 1.22 1.90 2.68 0.43 0.47 0.07 000
ganglion.
64517......... ............ A........... N block inj, 2.20 1.72 2.22 0.68 0.78 0.11 000
hypogas plxs.
64520......... ............ A........... N block, lumbar/ 1.35 2.57 3.86 0.51 0.53 0.08 000
thoracic.
64530......... ............ A........... N block inj, 1.58 2.79 3.62 0.65 0.65 0.10 000
celiac pelus.
64550......... ............ A........... Apply 0.18 0.20 0.24 0.05 0.05 0.01 000
neurostimulator.
64553......... ............ A........... Implant 2.33 2.65 2.74 1.45 1.65 0.18 010
neuroelectrodes.
64555......... ............ A........... Implant 2.29 2.78 2.94 1.49 1.34 0.19 010
neuroelectrodes.
64560......... ............ A........... Implant 2.38 2.41 2.52 1.26 1.27 0.22 010
neuroelectrodes.
64561......... ............ A........... Implant 7.07 19.61 24.84 3.76 3.27 0.51 010
neuroelectrodes.
64565......... ............ A........... Implant 1.78 2.47 2.88 1.29 1.28 0.13 010
neuroelectrodes.
64573......... ............ A........... Implant 8.15 NA NA 5.16 5.21 1.60 090
neuroelectrodes.
64575......... ............ A........... Implant 4.37 NA NA 2.06 2.37 0.61 090
neuroelectrodes.
64577......... ............ A........... Implant 4.64 NA NA 4.79 4.03 1.04 090
neuroelectrodes.
64580......... ............ A........... Implant 4.14 NA NA 2.71 3.13 0.36 090
neuroelectrodes.
64581......... ............ A........... Implant 14.15 NA NA 6.60 5.99 1.05 090
neuroelectrodes.
64585......... ............ A........... Revise/remove 2.08 5.92 8.60 2.29 2.21 0.20 010
neuroelectrode.
64590......... ............ A........... Insrt/redo pn/ 2.42 6.41 6.77 2.46 2.37 0.19 010
gastr stimul.
64595......... ............ A........... Revise/rmv pn/ 1.75 6.45 8.42 2.18 2.05 0.19 010
gastr stimul.
64600......... ............ A........... Injection 3.46 5.43 7.39 1.63 1.64 0.34 010
treatment of
nerve.
64605......... ............ A........... Injection 5.62 7.22 8.39 2.27 2.23 0.79 010
treatment of
nerve.
64610......... ............ A........... Injection 7.17 9.18 9.02 3.43 3.57 1.58 010
treatment of
nerve.
64612......... ............ A........... Destroy nerve, 1.98 1.58 2.03 1.34 1.33 0.11 010
face muscle.
64613......... ............ A........... Destroy nerve, 1.98 1.37 2.15 1.14 1.18 0.11 010
neck muscle.
64614......... ............ A........... Destroy nerve, 2.20 1.62 2.42 1.31 1.31 0.10 010
extrem musc.
64620......... ............ A........... Injection 2.86 3.30 4.18 1.11 1.22 0.20 010
treatment of
nerve.
64622......... ............ A........... Destr paravertebrl 3.02 4.06 5.91 1.26 1.31 0.18 010
nerve l/s.
64623......... ............ A........... Destr 0.99 1.68 2.32 0.22 0.22 0.06 ZZZ
paravertebral n
add-on.
64626......... ............ A........... Destr paravertebrl 3.82 4.74 6.26 1.87 1.92 0.20 010
nerve c/t.
64627......... ............ A........... Destr 1.16 2.37 3.45 0.25 0.26 0.07 ZZZ
paravertebral n
add-on.
64630......... ............ A........... Injection 3.02 2.76 2.75 1.84 1.62 0.22 010
treatment of
nerve.
64640......... ............ A........... Injection 2.78 2.42 3.30 1.42 1.63 0.29 010
treatment of
nerve.
64650......... ............ A........... Chemodenerv 0.70 0.72 0.79 0.16 0.23 0.06 000
eccrine glands.
64653......... ............ A........... Chemodenerv 0.88 0.75 0.83 0.19 0.29 0.08 000
eccrine glands.
64680......... ............ A........... Injection 2.64 4.25 5.48 1.20 1.31 0.18 010
treatment of
nerve.
64681......... ............ A........... Injection 3.78 4.82 7.06 1.27 1.67 0.28 010
treatment of
nerve.
64702......... ............ A........... Revise finger/toe 6.10 NA NA 5.19 4.53 0.61 090
nerve.
64704......... ............ A........... Revise hand/foot 4.61 NA NA 3.28 3.30 0.61 090
nerve.
64708......... ............ A........... Revise arm/leg 6.22 NA NA 4.20 4.53 0.96 090
nerve.
64712......... ............ A........... Revision of 7.98 NA NA 4.38 4.67 0.95 090
sciatic nerve.
64713......... ............ A........... Revision of arm 11.29 NA NA 6.05 5.96 1.83 090
nerve(s).
64714......... ............ A........... Revise low back 10.44 NA NA 4.37 4.29 1.19 090
nerve(s).
64716......... ............ A........... Revision of 6.86 NA NA 5.46 5.72 0.63 090
cranial nerve.
64718......... ............ A........... Revise ulnar nerve 7.06 NA NA 6.20 6.10 1.05 090
at elbow.
64719......... ............ A........... Revise ulnar nerve 4.89 NA NA 4.14 4.33 0.77 090
at wrist.
64721......... ............ A........... Carpal tunnel 4.84 4.71 5.04 4.65 5.01 0.73 090
surgery.
64722......... ............ A........... Relieve pressure 4.74 NA NA 3.00 3.02 0.48 090
on nerve(s).
64726......... ............ A........... Release foot/toe 4.21 NA NA 2.80 2.80 0.54 090
nerve.
64727......... ............ A........... Internal nerve 3.10 NA NA 1.19 1.34 0.48 ZZZ
revision.
[[Page 2643]]
64732......... ............ A........... Incision of brow 4.81 NA NA 3.66 3.58 0.98 090
nerve.
64734......... ............ A........... Incision of cheek 5.45 NA NA 4.44 4.24 0.89 090
nerve.
64736......... ............ A........... Incision of chin 5.13 NA NA 3.72 3.87 0.52 090
nerve.
64738......... ............ A........... Incision of jaw 6.26 NA NA 4.65 4.63 1.08 090
nerve.
64740......... ............ A........... Incision of tongue 6.12 NA NA 4.98 5.05 0.69 090
nerve.
64742......... ............ A........... Incision of facial 6.75 NA NA 4.28 4.49 0.73 090
nerve.
64744......... ............ A........... Incise nerve, back 5.64 NA NA 4.04 3.91 1.16 090
of head.
64746......... ............ A........... Incise diaphragm 6.46 NA NA 3.86 4.18 0.82 090
nerve.
64752......... ............ A........... Incision of vagus 7.59 NA NA 3.79 4.04 0.93 090
nerve.
64755......... ............ A........... Incision of 14.97 NA NA 5.50 5.57 1.84 090
stomach nerves.
64760......... ............ A........... Incision of vagus 7.49 NA NA 3.78 3.62 0.81 090
nerve.
64761......... ............ A........... Incision of pelvis 6.94 NA NA 4.33 3.92 0.53 090
nerve.
64763......... ............ A........... Incise hip/thigh 7.46 NA NA 3.91 4.55 0.94 090
nerve.
64766......... ............ A........... Incise hip/thigh 9.34 NA NA 4.74 4.99 1.06 090
nerve.
64771......... ............ A........... Sever cranial 8.02 NA NA 5.64 5.60 1.23 090
nerve.
64772......... ............ A........... Incision of spinal 7.74 NA NA 5.12 5.02 1.40 090
nerve.
64774......... ............ A........... Remove skin nerve 5.70 NA NA 4.03 3.93 0.74 090
lesion.
64776......... ............ A........... Remove digit nerve 5.52 NA NA 3.73 3.70 0.76 090
lesion.
64778......... ............ A........... Digit nerve 3.11 NA NA 1.21 1.35 0.46 ZZZ
surgery add-on.
64782......... ............ A........... Remove limb nerve 6.76 NA NA 4.22 4.00 0.86 090
lesion.
64783......... ............ A........... Limb nerve surgery 3.71 NA NA 1.37 1.60 0.51 ZZZ
add-on.
64784......... ............ A........... Remove nerve 10.49 NA NA 6.41 6.50 1.38 090
lesion.
64786......... ............ A........... Remove sciatic 16.12 NA NA 8.44 9.14 2.61 090
nerve lesion.
64787......... ............ A........... Implant nerve end. 4.29 NA NA 1.64 1.88 0.58 ZZZ
64788......... ............ A........... Remove skin nerve 5.14 NA NA 4.06 3.76 0.73 090
lesion.
64790......... ............ A........... Removal of nerve 11.97 NA NA 6.98 7.09 2.11 090
lesion.
64792......... ............ A........... Removal of nerve 15.71 NA NA 8.30 8.57 2.49 090
lesion.
64795......... ............ A........... Biopsy of nerve... 3.01 NA NA 1.43 1.49 0.52 000
64802......... ............ A........... Remove sympathetic 10.24 NA NA 3.51 4.32 1.29 090
nerves.
64804......... ............ A........... Remove sympathetic 15.78 NA NA 5.97 6.57 2.15 090
nerves.
64809......... ............ A........... Remove sympathetic 14.61 NA NA 7.04 6.40 1.50 090
nerves.
64818......... ............ A........... Remove sympathetic 11.24 NA NA 4.32 4.80 1.33 090
nerves.
64820......... ............ A........... Remove sympathetic 10.64 NA NA 6.94 7.03 1.49 090
nerves.
64821......... ............ A........... Remove sympathetic 9.19 NA NA 6.54 6.94 1.24 090
nerves.
64822......... ............ A........... Remove sympathetic 9.19 NA NA 6.43 6.83 1.30 090
nerves.
64823......... ............ A........... Remove sympathetic 10.80 NA NA 6.47 7.30 1.57 090
nerves.
64831......... ............ A........... Repair of digit 10.23 NA NA 6.62 6.85 1.41 090
nerve.
64832......... ............ A........... Repair nerve add- 5.65 NA NA 2.32 2.62 0.85 ZZZ
on.
64834......... ............ A........... Repair of hand or 10.71 NA NA 6.45 6.77 1.54 090
foot nerve.
64835......... ............ A........... Repair of hand or 11.60 NA NA 6.91 7.30 1.74 090
foot nerve.
64836......... ............ A........... Repair of hand or 11.60 NA NA 7.07 7.37 1.68 090
foot nerve.
64837......... ............ A........... Repair nerve add- 6.25 NA NA 2.57 2.90 0.97 ZZZ
on.
64840......... ............ A........... Repair of leg 13.87 NA NA 7.52 7.89 1.37 090
nerve.
64856......... ............ A........... Repair/transpose 14.94 NA NA 8.48 8.84 2.13 090
nerve.
64857......... ............ A........... Repair arm/leg 15.69 NA NA 8.76 9.20 2.22 090
nerve.
64858......... ............ A........... Repair sciatic 17.69 NA NA 9.57 10.17 3.34 090
nerve.
64859......... ............ A........... Nerve surgery..... 4.25 NA NA 1.75 1.97 0.67 ZZZ
64861......... ............ A........... Repair of arm 20.74 NA NA 10.01 10.89 4.09 090
nerves.
64862......... ............ A........... Repair of low back 20.94 NA NA 10.14 11.03 4.32 090
nerves.
64864......... ............ A........... Repair of facial 13.31 NA NA 7.47 8.12 1.26 090
nerve.
64865......... ............ A........... Repair of facial 15.96 NA NA 11.53 12.53 1.50 090
nerve.
64866......... ............ A........... Fusion of facial/ 16.70 NA NA 11.11 12.14 2.05 090
other nerve.
64868......... ............ A........... Fusion of facial/ 14.80 NA NA 9.79 10.61 1.43 090
other nerve.
64870......... ............ A........... Fusion of facial/ 16.95 NA NA 8.06 8.40 1.30 090
other nerve.
64872......... ............ A........... Subsequent repair 1.99 NA NA 0.78 0.93 0.29 ZZZ
of nerve.
64874......... ............ A........... Repair & revise 2.98 NA NA 1.26 1.39 0.42 ZZZ
nerve add-on.
64876......... ............ A........... Repair nerve/ 3.37 NA NA 1.43 1.59 0.47 ZZZ
shorten bone.
64885......... ............ A........... Nerve graft, head 17.50 NA NA 8.95 10.28 1.63 090
or neck.
64886......... ............ A........... Nerve graft, head 20.72 NA NA 10.38 11.96 2.09 090
or neck.
64890......... ............ A........... Nerve graft, hand 16.11 NA NA 8.98 9.49 2.30 090
or foot.
64891......... ............ A........... Nerve graft, hand 17.22 NA NA 9.67 8.62 1.63 090
or foot.
64892......... ............ A........... Nerve graft, arm 15.61 NA NA 9.13 9.00 2.48 090
or leg.
64893......... ............ A........... Nerve graft, arm 16.74 NA NA 9.63 9.75 2.62 090
or leg.
64895......... ............ A........... Nerve graft, hand 20.26 NA NA 11.04 10.35 2.58 090
or foot.
64896......... ............ A........... Nerve graft, hand 21.81 NA NA 11.67 11.33 3.17 090
or foot.
64897......... ............ A........... Nerve graft, arm 19.25 NA NA 10.50 10.60 2.55 090
or leg.
64898......... ............ A........... Nerve graft, arm 20.82 NA NA 11.46 11.63 2.78 090
or leg.
64901......... ............ A........... Nerve graft add-on 10.20 NA NA 3.63 4.45 1.37 ZZZ
64902......... ............ A........... Nerve graft add-on 11.81 NA NA 4.66 5.31 1.55 ZZZ
64905......... ............ A........... Nerve pedicle 14.98 NA NA 7.00 7.75 2.01 090
transfer.
64907......... ............ A........... Nerve pedicle 19.90 NA NA 6.35 9.44 3.17 090
transfer.
64910......... ............ A........... Nerve repair w/ 11.21 NA NA 4.66 4.66 1.74 090
allograft.
[[Page 2644]]
64911......... ............ A........... Neurorraphy w/vein 14.21 NA NA 5.32 5.32 1.91 090
autograft.
64999......... ............ C........... Nervous system 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
65091......... ............ A........... Revise eye........ 7.13 NA NA 6.73 7.54 0.32 090
65093......... ............ A........... Revise eye with 6.93 NA NA 6.79 7.76 0.34 090
implant.
65101......... ............ A........... Removal of eye.... 8.10 NA NA 7.96 8.75 0.35 090
65103......... ............ A........... Remove eye/insert 8.64 NA NA 8.12 8.93 0.37 090
implant.
65105......... ............ A........... Remove eye/attach 9.70 NA NA 8.77 9.62 0.42 090
implant.
65110......... ............ A........... Removal of eye.... 15.42 NA NA 11.42 12.55 0.81 090
65112......... ............ A........... Remove eye/revise 18.18 NA NA 13.30 14.72 1.30 090
socket.
65114......... ............ A........... Remove eye/revise 19.32 NA NA 13.57 14.96 1.02 090
socket.
65125......... ............ A........... Revise ocular 3.18 6.71 7.76 3.17 3.38 0.19 090
implant.
65130......... ............ A........... Insert ocular 8.22 NA NA 7.68 8.42 0.35 090
implant.
65135......... ............ A........... Insert ocular 8.40 NA NA 7.74 8.53 0.36 090
implant.
65140......... ............ A........... Attach ocular 9.23 NA NA 8.38 9.13 0.40 090
implant.
65150......... ............ A........... Revise ocular 6.32 NA NA 6.29 7.13 0.31 090
implant.
65155......... ............ A........... Reinsert ocular 9.87 NA NA 8.77 9.63 0.50 090
implant.
65175......... ............ A........... Removal of ocular 7.22 NA NA 7.04 7.76 0.31 090
implant.
65205......... ............ A........... Remove foreign 0.71 0.57 0.60 0.32 0.30 0.03 000
body from eye.
65210......... ............ A........... Remove foreign 0.84 0.71 0.76 0.39 0.38 0.04 000
body from eye.
65220......... ............ A........... Remove foreign 0.71 0.59 0.62 0.28 0.28 0.05 000
body from eye.
65222......... ............ A........... Remove foreign 0.93 0.78 0.83 0.41 0.40 0.04 000
body from eye.
65235......... ............ A........... Remove foreign 8.78 NA NA 6.78 6.76 0.37 090
body from eye.
65260......... ............ A........... Remove foreign 12.29 NA NA 8.74 9.20 0.57 090
body from eye.
65265......... ............ A........... Remove foreign 14.06 NA NA 9.59 10.11 0.62 090
body from eye.
65270......... ............ A........... Repair of eye 1.92 3.82 4.52 1.20 1.29 0.09 010
wound.
65272......... ............ A........... Repair of eye 4.49 6.30 7.00 3.15 3.22 0.19 090
wound.
65273......... ............ A........... Repair of eye 5.03 NA NA 3.36 3.47 0.22 090
wound.
65275......... ............ A........... Repair of eye 6.14 6.30 6.31 3.90 3.92 0.26 090
wound.
65280......... ............ A........... Repair of eye 8.87 NA NA 5.83 6.03 0.38 090
wound.
65285......... ............ A........... Repair of eye 14.43 NA NA 8.39 8.80 0.64 090
wound.
65286......... ............ A........... Repair of eye 6.45 8.70 9.92 4.38 4.50 0.27 090
wound.
65290......... ............ A........... Repair of eye 6.35 NA NA 4.43 4.59 0.31 090
socket wound.
65400......... ............ A........... Removal of eye 7.27 7.44 7.88 5.84 5.98 0.30 090
lesion.
65410......... ............ A........... Biopsy of cornea.. 1.47 1.66 1.89 0.86 0.91 0.07 000
65420......... ............ A........... Removal of eye 4.24 6.85 7.86 3.96 4.20 0.21 090
lesion.
65426......... ............ A........... Removal of eye 5.93 8.09 9.13 4.50 4.71 0.25 090
lesion.
65430......... ............ A........... Corneal smear..... 1.47 1.09 1.19 0.86 0.92 0.07 000
65435......... ............ A........... Curette/treat 0.92 0.86 0.93 0.64 0.68 0.04 000
cornea.
65436......... ............ A........... Curette/treat 4.72 3.76 3.92 3.43 3.55 0.21 090
cornea.
65450......... ............ A........... Treatment of 3.35 3.67 3.87 3.60 3.77 0.16 090
corneal lesion.
65600......... ............ A........... Revision of cornea 4.07 4.43 4.72 3.38 3.37 0.17 090
65710......... ............ A........... Corneal transplant 14.09 NA NA 10.14 10.67 0.61 090
65730......... ............ A........... Corneal transplant 15.99 NA NA 10.96 11.49 0.70 090
65750......... ............ A........... Corneal transplant 16.60 NA NA 10.61 11.29 0.74 090
65755......... ............ A........... Corneal transplant 16.49 NA NA 10.58 11.24 0.73 090
65760......... ............ N........... Revision of cornea 0.00 0.00 0.00 0.00 0.00 0.00 XXX
65765......... ............ N........... Revision of cornea 0.00 0.00 0.00 0.00 0.00 0.00 XXX
65767......... ............ N........... Corneal tissue 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplant.
65770......... ............ A........... Revise cornea with 19.41 NA NA 11.65 12.43 0.87 090
implant.
65771......... ............ N........... Radial keratotomy. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
65772......... ............ A........... Correction of 4.96 4.84 5.19 3.91 4.02 0.21 090
astigmatism.
65775......... ............ A........... Correction of 6.73 NA NA 5.30 5.63 0.28 090
astigmatism.
65780......... ............ A........... Ocular reconst, 10.43 NA NA 8.93 9.61 0.44 090
transplant.
65781......... ............ A........... Ocular reconst, 17.84 NA NA 11.57 12.63 0.44 090
transplant.
65782......... ............ A........... Ocular reconst, 15.16 NA NA 10.19 11.09 0.44 090
transplant.
65800......... ............ A........... Drainage of eye... 1.91 1.39 1.60 1.02 1.10 0.09 000
65805......... ............ A........... Drainage of eye... 1.91 1.70 1.94 1.02 1.11 0.09 000
65810......... ............ A........... Drainage of eye... 5.67 NA NA 4.66 4.68 0.24 090
65815......... ............ A........... Drainage of eye... 5.85 7.91 8.96 4.57 4.69 0.25 090
65820......... ............ A........... Relieve inner eye 8.72 NA NA 7.50 8.28 0.40 090
pressure.
65850......... ............ A........... Incision of eye... 11.24 NA NA 7.32 7.88 0.52 090
65855......... ............ A........... Laser surgery of 3.90 3.49 3.90 2.62 2.86 0.19 010
eye.
65860......... ............ A........... Incise inner eye 3.56 3.26 3.65 2.07 2.29 0.18 090
adhesions.
65865......... ............ A........... Incise inner eye 5.66 NA NA 4.69 5.16 0.28 090
adhesions.
65870......... ............ A........... Incise inner eye 7.21 NA NA 5.70 6.06 0.31 090
adhesions.
65875......... ............ A........... Incise inner eye 7.61 NA NA 6.13 6.46 0.32 090
adhesions.
65880......... ............ A........... Incise inner eye 8.16 NA NA 6.30 6.67 0.35 090
adhesions.
65900......... ............ A........... Remove eye lesion. 12.26 NA NA 8.89 9.58 0.54 090
65920......... ............ A........... Remove implant of 9.74 NA NA 7.46 7.82 0.41 090
eye.
65930......... ............ A........... Remove blood clot 8.24 NA NA 5.77 6.30 0.37 090
from eye.
66020......... ............ A........... Injection 1.61 2.42 2.77 1.27 1.36 0.08 010
treatment of eye.
66030......... ............ A........... Injection 1.27 2.29 2.63 1.15 1.21 0.06 010
treatment of eye.
[[Page 2645]]
66130......... ............ A........... Remove eye lesion. 7.74 7.51 8.57 4.86 5.24 0.38 090
66150......... ............ A........... Glaucoma surgery.. 10.18 NA NA 8.81 9.11 0.46 090
66155......... ............ A........... Glaucoma surgery.. 10.17 NA NA 8.81 9.08 0.41 090
66160......... ............ A........... Glaucoma surgery.. 12.04 NA NA 9.47 9.83 0.50 090
66165......... ............ A........... Glaucoma surgery.. 9.89 NA NA 8.77 9.01 0.40 090
66170......... ............ A........... Glaucoma surgery.. 14.57 NA NA 11.54 11.89 0.60 090
66172......... ............ A........... Incision of eye... 18.26 NA NA 14.63 14.92 0.74 090
66180......... ............ A........... Implant eye shunt. 16.02 NA NA 9.69 10.23 0.71 090
66185......... ............ A........... Revise eye shunt.. 9.35 NA NA 7.04 7.21 0.40 090
66220......... ............ A........... Repair eye lesion. 8.98 NA NA 7.17 7.13 0.40 090
66225......... ............ A........... Repair/graft eye 12.38 NA NA 8.11 8.43 0.55 090
lesion.
66250......... ............ A........... Follow-up surgery 6.92 9.24 10.47 5.25 5.37 0.30 090
of eye.
66500......... ............ A........... Incision of iris.. 3.75 NA NA 3.95 4.29 0.18 090
66505......... ............ A........... Incision of iris.. 4.13 NA NA 4.30 4.65 0.20 090
66600......... ............ A........... Remove iris and 9.89 NA NA 8.25 8.24 0.43 090
lesion.
66605......... ............ A........... Removal of iris... 13.99 NA NA 9.45 9.74 0.77 090
66625......... ............ A........... Removal of iris... 5.19 NA NA 4.21 4.47 0.26 090
66630......... ............ A........... Removal of iris... 7.10 NA NA 5.34 5.53 0.31 090
66635......... ............ A........... Removal of iris... 7.19 NA NA 5.37 5.56 0.31 090
66680......... ............ A........... Repair iris & 6.24 NA NA 5.06 5.17 0.27 090
ciliary body.
66682......... ............ A........... Repair iris & 7.15 NA NA 6.71 6.66 0.31 090
ciliary body.
66700......... ............ A........... Destruction, 5.06 4.78 5.01 3.59 3.76 0.24 090
ciliary body.
66710......... ............ A........... Ciliary 5.06 4.60 4.88 3.60 3.72 0.23 090
transsleral
therapy.
66711......... ............ A........... Ciliary endoscopic 7.70 NA NA 6.29 6.38 0.30 090
ablation.
66720......... ............ A........... Destruction, 4.86 5.37 5.58 4.32 4.52 0.26 090
ciliary body.
66740......... ............ A........... Destruction, 5.06 4.53 4.81 3.60 3.79 0.23 090
ciliary body.
66761......... ............ A........... Revision of iris.. 4.87 5.02 5.31 4.19 4.25 0.20 090
66762......... ............ A........... Revision of iris.. 5.25 5.10 5.38 4.06 4.18 0.23 090
66770......... ............ A........... Removal of inner 5.98 5.53 5.81 4.59 4.69 0.26 090
eye lesion.
66820......... ............ A........... Incision, 3.93 NA NA 4.62 5.22 0.19 090
secondary
cataract.
66821......... ............ A........... After cataract 3.32 3.82 3.96 3.42 3.52 0.11 090
laser surgery.
66825......... ............ A........... Reposition 8.82 NA NA 7.77 8.42 0.40 090
intraocular lens.
66830......... ............ A........... Removal of lens 9.27 NA NA 6.37 6.66 0.36 090
lesion.
66840......... ............ A........... Removal of lens 8.98 NA NA 6.29 6.58 0.39 090
material.
66850......... ............ A........... Removal of lens 10.32 NA NA 7.06 7.35 0.45 090
material.
66852......... ............ A........... Removal of lens 11.18 NA NA 7.38 7.74 0.49 090
material.
66920......... ............ A........... Extraction of lens 9.93 NA NA 6.64 6.97 0.44 090
66930......... ............ A........... Extraction of lens 11.38 NA NA 7.45 7.80 0.49 090
66940......... ............ A........... Extraction of lens 10.14 NA NA 7.00 7.30 0.43 090
66982......... ............ A........... Cataract surgery, 14.83 NA NA 8.95 9.41 0.63 090
complex.
66983......... ............ A........... Cataract surg w/ 10.20 NA NA 6.51 6.31 0.14 090
iol, 1 stage.
66984......... ............ A........... Cataract surg w/ 10.36 NA NA 6.44 6.93 0.39 090
iol, 1 stage.
66985......... ............ A........... Insert lens 9.73 NA NA 7.12 7.29 0.36 090
prosthesis.
66986......... ............ A........... Exchange lens 12.26 NA NA 8.05 8.62 0.60 090
prosthesis.
66990......... ............ A........... Ophthalmic 1.51 NA NA 0.54 0.61 0.07 ZZZ
endoscope add-on.
66999......... ............ C........... Eye surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67005......... ............ A........... Partial removal of 5.77 NA NA 4.57 4.72 0.28 090
eye fluid.
67010......... ............ A........... Partial removal of 6.94 NA NA 4.99 5.21 0.34 090
eye fluid.
67015......... ............ A........... Release of eye 7.00 NA NA 5.70 6.08 0.34 090
fluid.
67025......... ............ A........... Replace eye fluid. 7.91 7.86 8.54 5.91 6.07 0.34 090
67027......... ............ A........... Implant eye drug 11.43 NA NA 7.37 7.68 0.54 090
system.
67028......... ............ A........... Injection eye drug 2.52 2.15 2.43 1.24 1.35 0.12 000
67030......... ............ A........... Incise inner eye 5.91 NA NA 5.60 5.73 0.24 090
strands.
67031......... ............ A........... Laser surgery, eye 4.34 4.09 4.35 3.43 3.53 0.18 090
strands.
67036......... ............ A........... Removal of inner 13.09 NA NA 8.06 8.59 0.58 090
eye fluid.
67039......... ............ A........... Laser treatment of 16.39 NA NA 10.69 11.44 0.71 090
retina.
67040......... ............ A........... Laser treatment of 19.23 NA NA 12.00 12.84 0.85 090
retina.
67041......... ............ A........... Vit for macular 19.00 NA NA 10.37 10.37 0.86 090
pucker.
67042......... ............ A........... Vit for macular 22.13 NA NA 11.49 11.49 1.00 090
hole.
67043......... ............ A........... Vit for membrane 22.94 NA NA 12.35 12.35 1.04 090
dissect.
67101......... ............ A........... Repair detached 8.60 8.49 8.81 6.17 6.35 0.37 090
retina.
67105......... ............ A........... Repair detached 8.35 7.41 7.75 5.78 5.97 0.37 090
retina.
67107......... ............ A........... Repair detached 16.35 NA NA 10.35 10.83 0.73 090
retina.
67108......... ............ A........... Repair detached 22.49 NA NA 12.93 13.68 1.02 090
retina.
67110......... ............ A........... Repair detached 10.02 8.92 9.58 6.96 7.18 0.44 090
retina.
67112......... ............ A........... Rerepair detached 18.45 NA NA 10.86 11.33 0.83 090
retina.
67113......... ............ A........... Repair retinal 25.00 NA NA 13.75 13.75 1.13 090
detach, cplx.
67115......... ............ A........... Release encircling 5.93 NA NA 4.92 5.00 0.25 090
material.
67120......... ............ A........... Remove eye implant 6.92 7.35 7.97 5.28 5.41 0.29 090
material.
67121......... ............ A........... Remove eye implant 12.00 NA NA 7.95 8.24 0.53 090
material.
67141......... ............ A........... Treatment of 6.00 5.41 5.63 4.65 4.76 0.26 090
retina.
67145......... ............ A........... Treatment of 6.17 5.34 5.53 4.71 4.82 0.27 090
retina.
[[Page 2646]]
67208......... ............ A........... Treatment of 7.50 5.64 5.89 5.20 5.36 0.33 090
retinal lesion.
67210......... ............ A........... Treatment of 9.35 5.91 6.24 5.44 5.66 0.44 090
retinal lesion.
67218......... ............ A........... Treatment of 20.22 NA NA 10.61 11.39 0.92 090
retinal lesion.
67220......... ............ A........... Treatment of 14.19 9.22 9.82 8.16 8.59 0.65 090
choroid lesion.
67221......... ............ R........... Ocular 3.45 2.92 3.62 1.38 1.59 0.20 000
photodynamic ther.
67225......... ............ A........... Eye photodynamic 0.47 0.22 0.24 0.17 0.19 0.02 ZZZ
ther add-on.
67227......... ............ A........... Treatment of 7.38 6.00 6.29 5.16 5.34 0.33 090
retinal lesion.
67228......... ............ A........... Treatment of 13.67 13.60 12.54 10.19 9.37 0.63 090
retinal lesion.
67229......... ............ A........... Tr retinal les 16.00 NA NA 9.52 9.52 0.71 090
preterm inf.
67250......... ............ A........... Reinforce eye wall 9.46 NA NA 7.66 8.42 0.47 090
67255......... ............ A........... Reinforce/graft 9.97 NA NA 8.43 9.16 0.44 090
eye wall.
67299......... ............ C........... Eye surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67311......... ............ A........... Revise eye muscle. 7.59 NA NA 5.50 5.76 0.37 090
67312......... ............ A........... Revise two eye 9.48 NA NA 6.19 6.47 0.43 090
muscles.
67314......... ............ A........... Revise eye muscle. 8.59 NA NA 6.15 6.35 0.39 090
67316......... ............ A........... Revise two eye 10.73 NA NA 6.92 7.21 0.49 090
muscles.
67318......... ............ A........... Revise eye 8.92 NA NA 6.51 6.72 0.41 090
muscle(s).
67320......... ............ A........... Revise eye 5.40 NA NA 1.92 1.94 0.22 ZZZ
muscle(s) add-on.
67331......... ............ A........... Eye surgery follow- 5.13 NA NA 1.81 1.82 0.21 ZZZ
up add-on.
67332......... ............ A........... Rerevise eye 5.56 NA NA 1.97 2.00 0.23 ZZZ
muscles add-on.
67334......... ............ A........... Revise eye muscle 5.05 NA NA 1.80 1.80 0.20 ZZZ
w/suture.
67335......... ............ A........... Eye suture during 2.49 NA NA 0.88 1.00 0.13 ZZZ
surgery.
67340......... ............ A........... Revise eye muscle 6.00 NA NA 2.14 2.17 0.25 ZZZ
add-on.
67343......... ............ A........... Release eye tissue 8.29 NA NA 6.06 6.29 0.37 090
67345......... ............ A........... Destroy nerve of 2.98 2.17 2.38 1.69 1.85 0.17 010
eye muscle.
67346......... ............ A........... Biopsy, eye muscle 2.87 NA NA 1.62 1.75 0.15 000
67399......... ............ C........... Eye muscle surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67400......... ............ A........... Explore/biopsy eye 10.97 NA NA 9.42 10.34 0.56 090
socket.
67405......... ............ A........... Explore/drain eye 9.00 NA NA 8.34 9.06 0.44 090
socket.
67412......... ............ A........... Explore/treat eye 10.17 NA NA 8.53 9.73 0.48 090
socket.
67413......... ............ A........... Explore/treat eye 10.09 NA NA 8.70 9.74 0.50 090
socket.
67414......... ............ A........... Explr/decompress 17.78 NA NA 11.64 11.84 0.65 090
eye socket.
67415......... ............ A........... Aspiration, 1.76 NA NA 0.62 0.69 0.09 000
orbital contents.
67420......... ............ A........... Explore/treat eye 21.62 NA NA 14.24 15.82 1.15 090
socket.
67430......... ............ A........... Explore/treat eye 14.99 NA NA 11.87 13.38 0.86 090
socket.
67440......... ............ A........... Explore/drain eye 14.56 NA NA 11.88 13.07 0.70 090
socket.
67445......... ............ A........... Explr/decompress 18.96 NA NA 12.14 13.03 0.90 090
eye socket.
67450......... ............ A........... Explore/biopsy eye 15.11 NA NA 12.30 13.50 0.68 090
socket.
67500......... ............ A........... Inject/treat eye 1.44 0.57 0.62 0.44 0.37 0.05 000
socket.
67505......... ............ A........... Inject/treat eye 1.27 0.65 0.67 0.50 0.41 0.05 000
socket.
67515......... ............ A........... Inject/treat eye 1.40 0.77 0.68 0.61 0.50 0.03 000
socket.
67550......... ............ A........... Insert eye socket 11.52 NA NA 9.83 10.57 0.72 090
implant.
67560......... ............ A........... Revise eye socket 11.93 NA NA 9.78 10.58 0.60 090
implant.
67570......... ............ A........... Decompress optic 14.21 NA NA 11.01 12.30 0.68 090
nerve.
67599......... ............ C........... Orbit surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67700......... ............ A........... Drainage of eyelid 1.37 4.31 5.17 1.17 1.22 0.07 010
abscess.
67710......... ............ A........... Incision of eyelid 1.04 3.70 4.54 1.08 1.14 0.05 010
67715......... ............ A........... Incision of eyelid 1.24 3.83 4.61 1.15 1.22 0.06 010
fold.
67800......... ............ A........... Remove eyelid 1.39 1.39 1.50 0.90 0.97 0.07 010
lesion.
67801......... ............ A........... Remove eyelid 1.89 1.67 1.82 1.08 1.17 0.09 010
lesions.
67805......... ............ A........... Remove eyelid 2.24 2.18 2.35 1.41 1.53 0.11 010
lesions.
67808......... ............ A........... Remove eyelid 4.47 NA NA 3.61 3.69 0.19 090
lesion(s).
67810......... ............ A........... Biopsy of eyelid.. 1.48 3.94 3.64 0.68 0.68 0.06 000
67820......... ............ A........... Revise eyelashes.. 0.71 0.43 0.52 0.50 0.53 0.04 000
67825......... ............ A........... Revise eyelashes.. 1.40 1.40 1.57 1.26 1.33 0.07 010
67830......... ............ A........... Revise eyelashes.. 1.72 3.99 4.76 1.32 1.41 0.08 010
67835......... ............ A........... Revise eyelashes.. 5.61 NA NA 4.12 4.37 0.28 090
67840......... ............ A........... Remove eyelid 2.06 3.90 4.69 1.45 1.55 0.10 010
lesion.
67850......... ............ A........... Treat eyelid 1.71 3.29 3.33 1.45 1.46 0.07 010
lesion.
67875......... ............ A........... Closure of eyelid 1.35 2.38 2.84 0.83 0.89 0.07 000
by suture.
67880......... ............ A........... Revision of eyelid 4.47 5.44 6.03 3.57 3.69 0.19 090
67882......... ............ A........... Revision of eyelid 5.87 6.36 6.99 4.46 4.63 0.25 090
67900......... ............ A........... Repair brow defect 6.69 7.37 8.22 4.61 4.93 0.38 090
67901......... ............ A........... Repair eyelid 7.47 8.99 7.20 5.29 5.35 0.54 090
defect.
67902......... ............ A........... Repair eyelid 9.68 NA NA 6.34 5.90 0.60 090
defect.
67903......... ............ A........... Repair eyelid 6.42 6.63 8.10 4.34 4.93 0.47 090
defect.
67904......... ............ A........... Repair eyelid 7.83 8.17 8.90 5.37 5.30 0.41 090
defect.
67906......... ............ A........... Repair eyelid 6.84 NA NA 4.47 4.75 0.46 090
defect.
67908......... ............ A........... Repair eyelid 5.19 5.55 6.09 4.12 4.74 0.28 090
defect.
67909......... ............ A........... Revise eyelid 5.46 6.18 7.11 4.17 4.56 0.31 090
defect.
67911......... ............ A........... Revise eyelid 7.38 NA NA 5.05 4.91 0.31 090
defect.
67912......... ............ A........... Correction eyelid 6.23 13.14 16.04 4.74 5.14 0.28 090
w/implant.
[[Page 2647]]
67914......... ............ A........... Repair eyelid 3.70 4.75 5.55 2.68 2.86 0.19 090
defect.
67915......... ............ A........... Repair eyelid 3.21 4.32 5.15 2.43 2.62 0.16 090
defect.
67916......... ............ A........... Repair eyelid 5.37 6.37 7.21 4.15 4.45 0.28 090
defect.
67917......... ............ A........... Repair eyelid 6.08 6.72 7.59 4.41 4.74 0.36 090
defect.
67921......... ............ A........... Repair eyelid 3.42 4.62 5.41 2.56 2.73 0.17 090
defect.
67922......... ............ A........... Repair eyelid 3.09 4.16 5.04 2.33 2.54 0.15 090
defect.
67923......... ............ A........... Repair eyelid 5.94 6.44 7.28 4.33 4.65 0.30 090
defect.
67924......... ............ A........... Repair eyelid 5.84 6.91 7.92 4.06 4.37 0.30 090
defect.
67930......... ............ A........... Repair eyelid 3.62 4.37 5.04 1.78 1.98 0.19 010
wound.
67935......... ............ A........... Repair eyelid 6.27 6.76 7.64 3.58 4.00 0.39 090
wound.
67938......... ............ A........... Remove eyelid 1.35 3.83 4.61 1.22 1.24 0.06 010
foreign body.
67950......... ............ A........... Revision of eyelid 5.88 6.66 7.65 4.37 4.80 0.36 090
67961......... ............ A........... Revision of eyelid 5.75 6.81 7.75 4.30 4.67 0.33 090
67966......... ............ A........... Revision of eyelid 8.83 8.05 8.59 5.74 5.66 0.37 090
67971......... ............ A........... Reconstruction of 9.87 NA NA 6.18 6.73 0.53 090
eyelid.
67973......... ............ A........... Reconstruction of 12.96 NA NA 7.71 8.52 0.75 090
eyelid.
67974......... ............ A........... Reconstruction of 12.93 NA NA 7.69 8.46 0.75 090
eyelid.
67975......... ............ A........... Reconstruction of 9.21 NA NA 5.94 6.45 0.50 090
eyelid.
67999......... ............ C........... Revision of eyelid 0.00 0.00 0.00 0.00 0.00 0.00 YYY
68020......... ............ A........... Incise/drain 1.39 1.24 1.32 1.05 1.13 0.06 010
eyelid lining.
68040......... ............ A........... Treatment of 0.85 0.60 0.66 0.35 0.39 0.04 000
eyelid lesions.
68100......... ............ A........... Biopsy of eyelid 1.35 2.36 2.81 0.86 0.90 0.07 000
lining.
68110......... ............ A........... Remove eyelid 1.79 3.07 3.59 1.48 1.56 0.09 010
lining lesion.
68115......... ............ A........... Remove eyelid 2.38 4.33 5.15 1.69 1.80 0.12 010
lining lesion.
68130......... ............ A........... Remove eyelid 4.99 6.64 7.68 4.02 4.31 0.24 090
lining lesion.
68135......... ............ A........... Remove eyelid 1.86 1.58 1.70 1.47 1.56 0.09 010
lining lesion.
68200......... ............ A........... Treat eyelid by 0.49 0.45 0.49 0.29 0.31 0.02 000
injection.
68320......... ............ A........... Revise/graft 6.44 9.16 10.22 5.31 5.42 0.27 090
eyelid lining.
68325......... ............ A........... Revise/graft 8.43 NA NA 6.10 6.32 0.44 090
eyelid lining.
68326......... ............ A........... Revise/graft 8.22 NA NA 5.92 6.17 0.35 090
eyelid lining.
68328......... ............ A........... Revise/graft 9.25 NA NA 6.38 6.84 0.54 090
eyelid lining.
68330......... ............ A........... Revise eyelid 5.63 7.41 8.42 4.44 4.58 0.24 090
lining.
68335......... ............ A........... Revise/graft 8.26 NA NA 5.92 6.15 0.36 090
eyelid lining.
68340......... ............ A........... Separate eyelid 4.84 6.87 7.88 3.87 3.98 0.21 090
adhesions.
68360......... ............ A........... Revise eyelid 5.04 6.43 7.24 3.96 4.07 0.22 090
lining.
68362......... ............ A........... Revise eyelid 8.41 NA NA 5.97 6.19 0.36 090
lining.
68371......... ............ A........... Harvest eye 4.97 NA NA 4.06 4.39 0.44 010
tissue, alograft.
68399......... ............ C........... Eyelid lining 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
68400......... ............ A........... Incise/drain tear 1.71 4.42 5.16 1.21 1.52 0.08 010
gland.
68420......... ............ A........... Incise/drain tear 2.32 4.59 5.39 1.42 1.76 0.11 010
sac.
68440......... ............ A........... Incise tear duct 0.96 1.25 1.67 1.19 1.23 0.05 010
opening.
68500......... ............ A........... Removal of tear 12.49 NA NA 9.53 9.63 0.55 090
gland.
68505......... ............ A........... Partial removal, 12.41 NA NA 8.91 9.79 0.55 090
tear gland.
68510......... ............ A........... Biopsy of tear 4.60 5.21 6.27 2.02 2.06 0.23 000
gland.
68520......... ............ A........... Removal of tear 8.58 NA NA 6.49 6.96 0.37 090
sac.
68525......... ............ A........... Biopsy of tear sac 4.42 NA NA 1.57 1.80 0.22 000
68530......... ............ A........... Clearance of tear 3.67 5.60 6.89 2.07 2.36 0.18 010
duct.
68540......... ............ A........... Remove tear gland 11.93 NA NA 8.49 8.94 0.52 090
lesion.
68550......... ............ A........... Remove tear gland 14.86 NA NA 9.68 10.52 0.80 090
lesion.
68700......... ............ A........... Repair tear ducts. 7.67 NA NA 5.56 5.77 0.32 090
68705......... ............ A........... Revise tear duct 2.08 3.03 3.60 1.58 1.69 0.10 010
opening.
68720......... ............ A........... Create tear sac 9.78 NA NA 6.88 7.37 0.44 090
drain.
68745......... ............ A........... Create tear duct 9.70 NA NA 6.98 7.42 0.52 090
drain.
68750......... ............ A........... Create tear duct 9.87 NA NA 7.43 7.85 0.43 090
drain.
68760......... ............ A........... Close tear duct 1.75 2.59 3.06 1.45 1.54 0.09 010
opening.
68761......... ............ A........... Close tear duct 1.38 1.83 2.05 1.25 1.28 0.06 010
opening.
68770......... ............ A........... Close tear system 8.09 NA NA 5.75 4.47 0.35 090
fistula.
68801......... ............ A........... Dilate tear duct 0.96 1.77 1.86 1.41 1.45 0.05 010
opening.
68810......... ............ A........... Probe nasolacrimal 2.63 3.39 3.53 2.68 2.68 0.10 010
duct.
68811......... ............ A........... Probe nasolacrimal 2.39 NA NA 2.12 2.27 0.13 010
duct.
68815......... ............ A........... Probe nasolacrimal 3.24 6.42 7.33 2.43 2.62 0.17 010
duct.
68816......... ............ A........... Probe nl duct w/ 3.00 12.75 12.75 2.51 2.51 0.16 010
balloon.
68840......... ............ A........... Explore/irrigate 1.27 1.51 1.55 1.28 1.20 0.06 010
tear ducts.
68850......... ............ A........... Injection for tear 0.80 0.72 0.80 0.60 0.64 0.04 000
sac x-ray.
68899......... ............ C........... Tear duct system 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
69000......... ............ A........... Drain external ear 1.47 2.89 2.88 1.34 1.35 0.12 010
lesion.
69005......... ............ A........... Drain external ear 2.13 2.99 2.96 1.61 1.73 0.17 010
lesion.
69020......... ............ A........... Drain outer ear 1.50 4.09 4.04 1.90 1.98 0.12 010
canal lesion.
69090......... ............ N........... Pierce earlobes... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
69100......... ............ A........... Biopsy of external 0.81 1.85 1.78 0.39 0.39 0.03 000
ear.
69105......... ............ A........... Biopsy of external 0.85 2.64 2.49 0.71 0.74 0.07 000
ear canal.
69110......... ............ A........... Remove external 3.47 7.84 7.29 4.45 4.46 0.30 090
ear, partial.
[[Page 2648]]
69120......... ............ A........... Removal of 4.08 NA NA 5.36 5.77 0.38 090
external ear.
69140......... ............ A........... Remove ear canal 8.03 NA NA 13.23 13.26 0.65 090
lesion(s).
69145......... ............ A........... Remove ear canal 2.65 7.03 6.41 3.37 3.34 0.21 090
lesion(s).
69150......... ............ A........... Extensive ear 13.49 NA NA 11.46 12.44 1.22 090
canal surgery.
69155......... ............ A........... Extensive ear/neck 23.06 NA NA 17.00 18.28 1.93 090
surgery.
69200......... ............ A........... Clear outer ear 0.77 2.15 2.27 0.61 0.58 0.06 000
canal.
69205......... ............ A........... Clear outer ear 1.20 NA NA 1.24 1.30 0.10 010
canal.
69210......... ............ A........... Remove impacted 0.61 0.58 0.60 0.17 0.20 0.05 000
ear wax.
69220......... ............ A........... Clean out mastoid 0.83 2.56 2.46 0.68 0.70 0.07 000
cavity.
69222......... ............ A........... Clean out mastoid 1.42 3.97 3.91 1.90 1.98 0.12 010
cavity.
69300......... ............ R........... Revise external 6.69 10.72 7.47 5.19 4.70 0.72 YYY
ear.
69310......... ............ A........... Rebuild outer ear 10.85 NA NA 15.50 15.90 0.85 090
canal.
69320......... ............ A........... Rebuild outer ear 17.03 NA NA 20.07 20.96 1.37 090
canal.
69399......... ............ C........... Outer ear surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
69400......... ............ A........... Inflate middle ear 0.83 2.82 2.49 0.68 0.67 0.07 000
canal.
69401......... ............ A........... Inflate middle ear 0.63 1.53 1.38 0.59 0.62 0.05 000
canal.
69405......... ............ A........... Catheterize middle 2.65 3.66 3.58 1.96 2.14 0.21 010
ear canal.
69420......... ............ A........... Incision of 1.35 3.32 3.24 1.56 1.57 0.11 010
eardrum.
69421......... ............ A........... Incision of 1.75 NA NA 1.85 2.01 0.15 010
eardrum.
69424......... ............ A........... Remove ventilating 0.85 2.34 2.26 0.68 0.68 0.07 000
tube.
69433......... ............ A........... Create eardrum 1.54 3.32 3.21 1.60 1.62 0.13 010
opening.
69436......... ............ A........... Create eardrum 1.98 NA NA 1.90 2.10 0.19 010
opening.
69440......... ............ A........... Exploration of 7.62 NA NA 9.12 8.95 0.61 090
middle ear.
69450......... ............ A........... Eardrum revision.. 5.61 NA NA 7.62 7.33 0.45 090
69501......... ............ A........... Mastoidectomy..... 9.12 NA NA 8.66 8.84 0.73 090
69502......... ............ A........... Mastoidectomy..... 12.44 NA NA 11.05 11.32 1.00 090
69505......... ............ A........... Remove mastoid 13.05 NA NA 16.15 16.68 1.05 090
structures.
69511......... ............ A........... Extensive mastoid 13.58 NA NA 16.34 16.91 1.09 090
surgery.
69530......... ............ A........... Extensive mastoid 20.24 NA NA 19.67 20.66 1.54 090
surgery.
69535......... ............ A........... Remove part of 37.27 NA NA 26.78 29.38 2.93 090
temporal bone.
69540......... ............ A........... Remove ear lesion. 1.22 3.90 3.82 1.85 1.92 0.10 010
69550......... ............ A........... Remove ear lesion. 11.04 NA NA 14.28 14.58 0.89 090
69552......... ............ A........... Remove ear lesion. 19.69 NA NA 18.20 19.44 1.59 090
69554......... ............ A........... Remove ear lesion. 35.71 NA NA 24.01 27.18 2.92 090
69601......... ............ A........... Mastoid surgery 13.31 NA NA 11.93 12.31 1.07 090
revision.
69602......... ............ A........... Mastoid surgery 13.64 NA NA 12.81 13.03 1.10 090
revision.
69603......... ............ A........... Mastoid surgery 14.08 NA NA 16.45 17.41 1.14 090
revision.
69604......... ............ A........... Mastoid surgery 14.08 NA NA 12.79 13.24 1.14 090
revision.
69605......... ............ A........... Mastoid surgery 18.55 NA NA 19.30 20.13 1.50 090
revision.
69610......... ............ A........... Repair of eardrum. 4.44 4.91 5.24 2.59 2.93 0.36 010
69620......... ............ A........... Repair of eardrum. 5.94 10.92 11.02 5.84 6.07 0.48 090
69631......... ............ A........... Repair eardrum 9.93 NA NA 11.53 11.37 0.80 090
structures.
69632......... ............ A........... Rebuild eardrum 12.82 NA NA 13.32 13.40 1.03 090
structures.
69633......... ............ A........... Rebuild eardrum 12.17 NA NA 13.09 13.08 0.98 090
structures.
69635......... ............ A........... Repair eardrum 13.39 NA NA 16.30 16.53 1.08 090
structures.
69636......... ............ A........... Rebuild eardrum 15.29 NA NA 18.21 18.76 1.23 090
structures.
69637......... ............ A........... Rebuild eardrum 15.18 NA NA 18.12 18.68 1.22 090
structures.
69641......... ............ A........... Revise middle ear 12.77 NA NA 12.48 12.64 1.03 090
& mastoid.
69642......... ............ A........... Revise middle ear 16.91 NA NA 15.54 15.92 1.36 090
& mastoid.
69643......... ............ A........... Revise middle ear 15.45 NA NA 14.17 14.50 1.24 090
& mastoid.
69644......... ............ A........... Revise middle ear 17.09 NA NA 18.75 19.58 1.37 090
& mastoid.
69645......... ............ A........... Revise middle ear 16.57 NA NA 18.61 19.32 1.33 090
& mastoid.
69646......... ............ A........... Revise middle ear 18.23 NA NA 19.12 19.95 1.46 090
& mastoid.
69650......... ............ A........... Release middle ear 9.71 NA NA 9.54 9.73 0.78 090
bone.
69660......... ............ A........... Revise middle ear 11.94 NA NA 10.51 10.85 0.96 090
bone.
69661......... ............ A........... Revise middle ear 15.80 NA NA 13.47 14.09 1.27 090
bone.
69662......... ............ A........... Revise middle ear 15.49 NA NA 12.51 13.13 1.25 090
bone.
69666......... ............ A........... Repair middle ear 9.80 NA NA 9.81 9.89 0.79 090
structures.
69667......... ............ A........... Repair middle ear 9.81 NA NA 9.84 9.92 0.79 090
structures.
69670......... ............ A........... Remove mastoid air 11.62 NA NA 11.25 11.48 0.93 090
cells.
69676......... ............ A........... Remove middle ear 9.58 NA NA 10.62 10.69 0.81 090
nerve.
69700......... ............ A........... Close mastoid 8.28 NA NA 8.68 8.97 0.67 090
fistula.
69710......... ............ N........... Implant/replace 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
69711......... ............ A........... Remove/repair 10.50 NA NA 10.42 10.61 0.83 090
hearing aid.
69714......... ............ A........... Implant temple 14.31 NA NA 11.80 12.23 1.13 090
bone w/stimul.
69715......... ............ A........... Temple bne implnt 18.80 NA NA 13.34 14.19 1.48 090
w/stimulat.
69717......... ............ A........... Temple bone 15.29 NA NA 11.97 13.22 0.90 090
implant revision.
69718......... ............ A........... Revise temple bone 19.05 NA NA 13.42 14.36 3.22 090
implant.
69720......... ............ A........... Release facial 14.57 NA NA 14.03 14.28 1.16 090
nerve.
69725......... ............ A........... Release facial 27.44 NA NA 18.04 19.09 2.45 090
nerve.
69740......... ............ A........... Repair facial 16.18 NA NA 11.59 12.51 1.27 090
nerve.
69745......... ............ A........... Repair facial 16.91 NA NA 9.94 12.46 1.14 090
nerve.
[[Page 2649]]
69799......... ............ C........... Middle ear surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
69801......... ............ A........... Incise inner ear.. 8.61 NA NA 9.63 9.55 0.69 090
69802......... ............ A........... Incise inner ear.. 13.39 NA NA 11.87 12.10 1.06 090
69805......... ............ A........... Explore inner ear. 14.55 NA NA 10.90 11.39 1.12 090
69806......... ............ A........... Explore inner ear. 12.52 NA NA 10.40 10.72 1.00 090
69820......... ............ A........... Establish inner 10.40 NA NA 10.26 10.74 0.90 090
ear window.
69840......... ............ A........... Revise inner ear 10.32 NA NA 11.38 12.28 0.79 090
window.
69905......... ............ A........... Remove inner ear.. 11.15 NA NA 11.04 11.20 0.90 090
69910......... ............ A........... Remove inner ear & 13.80 NA NA 10.89 11.41 1.07 090
mastoid.
69915......... ............ A........... Incise inner ear 22.65 NA NA 14.83 15.65 1.70 090
nerve.
69930......... ............ A........... Implant cochlear 17.60 NA NA 13.12 13.94 1.36 090
device.
69949......... ............ C........... Inner ear surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
69950......... ............ A........... Incise inner ear 27.44 NA NA 16.86 17.89 2.29 090
nerve.
69955......... ............ A........... Release facial 29.22 NA NA 19.41 20.40 2.49 090
nerve.
69960......... ............ A........... Release inner ear 29.22 NA NA 17.92 18.99 2.18 090
canal.
69970......... ............ A........... Remove inner ear 32.21 NA NA 19.54 21.41 2.42 090
lesion.
69979......... ............ C........... Temporal bone 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
69990......... ............ R........... Microsurgery add- 3.46 NA NA 1.27 1.53 0.89 ZZZ
on.
70010......... ............ A........... Contrast x-ray of 1.19 2.82 3.77 NA NA 0.27 XXX
brain.
70010......... TC.......... A........... Contrast x-ray of 0.00 2.40 3.37 NA NA 0.22 XXX
brain.
70010......... 26.......... A........... Contrast x-ray of 1.19 0.42 0.40 0.42 0.40 0.05 XXX
brain.
70015......... ............ A........... Contrast x-ray of 1.19 2.92 2.33 NA NA 0.16 XXX
brain.
70015......... TC.......... A........... Contrast x-ray of 0.00 2.49 1.92 NA NA 0.08 XXX
brain.
70015......... 26.......... A........... Contrast x-ray of 1.19 0.43 0.41 0.43 0.41 0.08 XXX
brain.
70030......... ............ A........... X-ray eye for 0.17 0.61 0.54 NA NA 0.03 XXX
foreign body.
70030......... TC.......... A........... X-ray eye for 0.00 0.55 0.48 NA NA 0.02 XXX
foreign body.
70030......... 26.......... A........... X-ray eye for 0.17 0.06 0.06 0.06 0.06 0.01 XXX
foreign body.
70100......... ............ A........... X-ray exam of jaw. 0.18 0.63 0.61 NA NA 0.03 XXX
70100......... TC.......... A........... X-ray exam of jaw. 0.00 0.58 0.55 NA NA 0.02 XXX
70100......... 26.......... A........... X-ray exam of jaw. 0.18 0.05 0.06 0.05 0.06 0.01 XXX
70110......... ............ A........... X-ray exam of jaw. 0.25 0.81 0.75 NA NA 0.05 XXX
70110......... TC.......... A........... X-ray exam of jaw. 0.00 0.72 0.67 NA NA 0.04 XXX
70110......... 26.......... A........... X-ray exam of jaw. 0.25 0.09 0.08 0.09 0.08 0.01 XXX
70120......... ............ A........... X-ray exam of 0.18 0.69 0.69 NA NA 0.05 XXX
mastoids.
70120......... TC.......... A........... X-ray exam of 0.00 0.64 0.63 NA NA 0.04 XXX
mastoids.
70120......... 26.......... A........... X-ray exam of 0.18 0.05 0.06 0.05 0.06 0.01 XXX
mastoids.
70130......... ............ A........... X-ray exam of 0.34 1.15 1.02 NA NA 0.07 XXX
mastoids.
70130......... TC.......... A........... X-ray exam of 0.00 1.04 0.91 NA NA 0.05 XXX
mastoids.
70130......... 26.......... A........... X-ray exam of 0.34 0.11 0.11 0.11 0.11 0.02 XXX
mastoids.
70134......... ............ A........... X-ray exam of 0.34 0.92 0.87 NA NA 0.07 XXX
middle ear.
70134......... TC.......... A........... X-ray exam of 0.00 0.80 0.76 NA NA 0.05 XXX
middle ear.
70134......... 26.......... A........... X-ray exam of 0.34 0.12 0.11 0.12 0.11 0.02 XXX
middle ear.
70140......... ............ A........... X-ray exam of 0.19 0.54 0.62 NA NA 0.05 XXX
facial bones.
70140......... TC.......... A........... X-ray exam of 0.00 0.49 0.56 NA NA 0.04 XXX
facial bones.
70140......... 26.......... A........... X-ray exam of 0.19 0.05 0.06 0.05 0.06 0.01 XXX
facial bones.
70150......... ............ A........... X-ray exam of 0.26 0.85 0.85 NA NA 0.06 XXX
facial bones.
70150......... TC.......... A........... X-ray exam of 0.00 0.77 0.77 NA NA 0.05 XXX
facial bones.
70150......... 26.......... A........... X-ray exam of 0.26 0.08 0.08 0.08 0.08 0.01 XXX
facial bones.
70160......... ............ A........... X-ray exam of 0.17 0.71 0.64 NA NA 0.03 XXX
nasal bones.
70160......... TC.......... A........... X-ray exam of 0.00 0.65 0.58 NA NA 0.02 XXX
nasal bones.
70160......... 26.......... A........... X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 XXX
nasal bones.
70170......... ............ C........... X-ray exam of tear 0.00 0.00 0.00 NA NA 0.00 XXX
duct.
70170......... TC.......... C........... X-ray exam of tear 0.00 0.00 0.00 NA NA 0.00 XXX
duct.
70170......... 26.......... A........... X-ray exam of tear 0.30 0.10 0.10 0.10 0.10 0.01 XXX
duct.
70190......... ............ A........... X-ray exam of eye 0.21 0.72 0.71 NA NA 0.05 XXX
sockets.
70190......... TC.......... A........... X-ray exam of eye 0.00 0.65 0.64 NA NA 0.04 XXX
sockets.
70190......... 26.......... A........... X-ray exam of eye 0.21 0.07 0.07 0.07 0.07 0.01 XXX
sockets.
70200......... ............ A........... X-ray exam of eye 0.28 0.87 0.87 NA NA 0.06 XXX
sockets.
70200......... TC.......... A........... X-ray exam of eye 0.00 0.78 0.78 NA NA 0.05 XXX
sockets.
70200......... 26.......... A........... X-ray exam of eye 0.28 0.09 0.09 0.09 0.09 0.01 XXX
sockets.
70210......... ............ A........... X-ray exam of 0.17 0.58 0.62 NA NA 0.05 XXX
sinuses.
70210......... TC.......... A........... X-ray exam of 0.00 0.53 0.57 NA NA 0.04 XXX
sinuses.
70210......... 26.......... A........... X-ray exam of 0.17 0.05 0.05 0.05 0.05 0.01 XXX
sinuses.
70220......... ............ A........... X-ray exam of 0.25 0.73 0.80 NA NA 0.06 XXX
sinuses.
70220......... TC.......... A........... X-ray exam of 0.00 0.65 0.72 NA NA 0.05 XXX
sinuses.
70220......... 26.......... A........... X-ray exam of 0.25 0.08 0.08 0.08 0.08 0.01 XXX
sinuses.
70240......... ............ A........... X-ray exam, 0.19 0.61 0.54 NA NA 0.03 XXX
pituitary saddle.
70240......... TC.......... A........... X-ray exam, 0.00 0.55 0.48 NA NA 0.02 XXX
pituitary saddle.
70240......... 26.......... A........... X-ray exam, 0.19 0.06 0.06 0.06 0.06 0.01 XXX
pituitary saddle.
70250......... ............ A........... X-ray exam of 0.24 0.70 0.69 NA NA 0.05 XXX
skull.
70250......... TC.......... A........... X-ray exam of 0.00 0.63 0.62 NA NA 0.04 XXX
skull.
70250......... 26.......... A........... X-ray exam of 0.24 0.07 0.07 0.07 0.07 0.01 XXX
skull.
[[Page 2650]]
70260......... ............ A........... X-ray exam of 0.34 0.88 0.94 NA NA 0.08 XXX
skull.
70260......... TC.......... A........... X-ray exam of 0.00 0.78 0.83 NA NA 0.06 XXX
skull.
70260......... 26.......... A........... X-ray exam of 0.34 0.10 0.11 0.10 0.11 0.02 XXX
skull.
70300......... ............ A........... X-ray exam of 0.10 0.24 0.27 NA NA 0.03 XXX
teeth.
70300......... TC.......... A........... X-ray exam of 0.00 0.21 0.23 NA NA 0.02 XXX
teeth.
70300......... 26.......... A........... X-ray exam of 0.10 0.03 0.04 0.03 0.04 0.01 XXX
teeth.
70310......... ............ A........... X-ray exam of 0.16 0.82 0.65 NA NA 0.03 XXX
teeth.
70310......... TC.......... A........... X-ray exam of 0.00 0.77 0.59 NA NA 0.02 XXX
teeth.
70310......... 26.......... A........... X-ray exam of 0.16 0.05 0.06 0.05 0.06 0.01 XXX
teeth.
70320......... ............ A........... Full mouth x-ray 0.22 1.07 0.97 NA NA 0.06 XXX
of teeth.
70320......... TC.......... A........... Full mouth x-ray 0.00 1.00 0.89 NA NA 0.05 XXX
of teeth.
70320......... 26.......... A........... Full mouth x-ray 0.22 0.07 0.08 0.07 0.08 0.01 XXX
of teeth.
70328......... ............ A........... X-ray exam of jaw 0.18 0.63 0.59 NA NA 0.03 XXX
joint.
70328......... TC.......... A........... X-ray exam of jaw 0.00 0.57 0.53 NA NA 0.02 XXX
joint.
70328......... 26.......... A........... X-ray exam of jaw 0.18 0.06 0.06 0.06 0.06 0.01 XXX
joint.
70330......... ............ A........... X-ray exam of jaw 0.24 1.01 0.96 NA NA 0.06 XXX
joints.
70330......... TC.......... A........... X-ray exam of jaw 0.00 0.93 0.88 NA NA 0.05 XXX
joints.
70330......... 26.......... A........... X-ray exam of jaw 0.24 0.08 0.08 0.08 0.08 0.01 XXX
joints.
70332......... ............ A........... X-ray exam of jaw 0.54 1.45 1.88 NA NA 0.14 XXX
joint.
70332......... TC.......... A........... X-ray exam of jaw 0.00 1.29 1.70 NA NA 0.12 XXX
joint.
70332......... 26.......... A........... X-ray exam of jaw 0.54 0.16 0.18 0.16 0.18 0.02 XXX
joint.
70336......... ............ A........... Magnetic image, 1.48 12.17 11.94 NA NA 0.66 XXX
jaw joint.
70336......... TC.......... A........... Magnetic image, 0.00 11.67 11.44 NA NA 0.59 XXX
jaw joint.
70336......... 26.......... A........... Magnetic image, 1.48 0.50 0.50 0.50 0.50 0.07 XXX
jaw joint.
70350......... ............ A........... X-ray head for 0.17 0.32 0.39 NA NA 0.03 XXX
orthodontia.
70350......... TC.......... A........... X-ray head for 0.00 0.27 0.33 NA NA 0.02 XXX
orthodontia.
70350......... 26.......... A........... X-ray head for 0.17 0.05 0.06 0.05 0.06 0.01 XXX
orthodontia.
70355......... ............ A........... Panoramic x-ray of 0.20 0.30 0.47 NA NA 0.05 XXX
jaws.
70355......... TC.......... A........... Panoramic x-ray of 0.00 0.23 0.40 NA NA 0.04 XXX
jaws.
70355......... 26.......... A........... Panoramic x-ray of 0.20 0.07 0.07 0.07 0.07 0.01 XXX
jaws.
70360......... ............ A........... X-ray exam of neck 0.17 0.56 0.52 NA NA 0.03 XXX
70360......... TC.......... A........... X-ray exam of neck 0.00 0.51 0.46 NA NA 0.02 XXX
70360......... 26.......... A........... X-ray exam of neck 0.17 0.05 0.06 0.05 0.06 0.01 XXX
70370......... ............ A........... Throat x-ray & 0.32 1.65 1.53 NA NA 0.08 XXX
fluoroscopy.
70370......... TC.......... A........... Throat x-ray & 0.00 1.55 1.43 NA NA 0.07 XXX
fluoroscopy.
70370......... 26.......... A........... Throat x-ray & 0.32 0.10 0.10 0.10 0.10 0.01 XXX
fluoroscopy.
70371......... ............ A........... Speech evaluation, 0.84 1.48 1.93 NA NA 0.16 XXX
complex.
70371......... TC.......... A........... Speech evaluation, 0.00 1.22 1.66 NA NA 0.12 XXX
complex.
70371......... 26.......... A........... Speech evaluation, 0.84 0.26 0.27 0.26 0.27 0.04 XXX
complex.
70373......... ............ A........... Contrast x-ray of 0.44 1.58 1.76 NA NA 0.13 XXX
larynx.
70373......... TC.......... A........... Contrast x-ray of 0.00 1.47 1.63 NA NA 0.11 XXX
larynx.
70373......... 26.......... A........... Contrast x-ray of 0.44 0.11 0.13 0.11 0.13 0.02 XXX
larynx.
70380......... ............ A........... X-ray exam of 0.17 0.82 0.78 NA NA 0.05 XXX
salivary gland.
70380......... TC.......... A........... X-ray exam of 0.00 0.76 0.72 NA NA 0.04 XXX
salivary gland.
70380......... 26.......... A........... X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 XXX
salivary gland.
70390......... ............ A........... X-ray exam of 0.38 2.34 2.13 NA NA 0.13 XXX
salivary duct.
70390......... TC.......... A........... X-ray exam of 0.00 2.21 2.00 NA NA 0.11 XXX
salivary duct.
70390......... 26.......... A........... X-ray exam of 0.38 0.13 0.13 0.13 0.13 0.02 XXX
salivary duct.
70450......... ............ A........... Ct head/brain w/o 0.85 4.92 4.96 NA NA 0.29 XXX
dye.
70450......... TC.......... A........... Ct head/brain w/o 0.00 4.62 4.67 NA NA 0.25 XXX
dye.
70450......... 26.......... A........... Ct head/brain w/o 0.85 0.30 0.29 0.30 0.29 0.04 XXX
dye.
70460......... ............ A........... Ct head/brain w/ 1.13 6.51 6.28 NA NA 0.35 XXX
dye.
70460......... TC.......... A........... Ct head/brain w/ 0.00 6.11 5.89 NA NA 0.30 XXX
dye.
70460......... 26.......... A........... Ct head/brain w/ 1.13 0.40 0.39 0.40 0.39 0.05 XXX
dye.
70470......... ............ A........... Ct head/brain w/o 1.27 7.94 7.71 NA NA 0.43 XXX
& w/dye.
70470......... TC.......... A........... Ct head/brain w/o 0.00 7.49 7.28 NA NA 0.37 XXX
& w/dye.
70470......... 26.......... A........... Ct head/brain w/o 1.27 0.45 0.43 0.45 0.43 0.06 XXX
& w/dye.
70480......... ............ A........... Ct orbit/ear/fossa 1.28 8.49 6.81 NA NA 0.31 XXX
w/o dye.
70480......... TC.......... A........... Ct orbit/ear/fossa 0.00 8.04 6.38 NA NA 0.25 XXX
w/o dye.
70480......... 26.......... A........... Ct orbit/ear/fossa 1.28 0.45 0.43 0.45 0.43 0.06 XXX
w/o dye.
70481......... ............ A........... Ct orbit/ear/fossa 1.38 9.98 8.05 NA NA 0.36 XXX
w/dye.
70481......... TC.......... A........... Ct orbit/ear/fossa 0.00 9.49 7.58 NA NA 0.30 XXX
w/dye.
70481......... 26.......... A........... Ct orbit/ear/fossa 1.38 0.49 0.47 0.49 0.47 0.06 XXX
w/dye.
70482......... ............ A........... Ct orbit/ear/fossa 1.45 11.41 9.48 NA NA 0.43 XXX
w/o&w/dye.
70482......... TC.......... A........... Ct orbit/ear/fossa 0.00 10.90 8.99 NA NA 0.37 XXX
w/o&w/dye.
70482......... 26.......... A........... Ct orbit/ear/fossa 1.45 0.51 0.49 0.51 0.49 0.06 XXX
w/o&w/dye.
70486......... ............ A........... Ct maxillofacial w/ 1.14 6.80 5.94 NA NA 0.30 XXX
o dye.
70486......... TC.......... A........... Ct maxillofacial w/ 0.00 6.40 5.56 NA NA 0.25 XXX
o dye.
70486......... 26.......... A........... Ct maxillofacial w/ 1.14 0.40 0.38 0.40 0.38 0.05 XXX
o dye.
70487......... ............ A........... Ct maxillofacial w/ 1.30 8.35 7.23 NA NA 0.36 XXX
dye.
70487......... TC.......... A........... Ct maxillofacial w/ 0.00 7.89 6.78 NA NA 0.30 XXX
dye.
70487......... 26.......... A........... Ct maxillofacial w/ 1.30 0.46 0.45 0.46 0.45 0.06 XXX
dye.
[[Page 2651]]
70488......... ............ A........... Ct maxillofacial w/ 1.42 10.40 8.97 NA NA 0.43 XXX
o & w/dye.
70488......... TC.......... A........... Ct maxillofacial w/ 0.00 9.91 8.49 NA NA 0.37 XXX
o & w/dye.
70488......... 26.......... A........... Ct maxillofacial w/ 1.42 0.49 0.48 0.49 0.48 0.06 XXX
o & w/dye.
70490......... ............ A........... Ct soft tissue 1.28 6.49 5.82 NA NA 0.31 XXX
neck w/o dye.
70490......... TC.......... A........... Ct soft tissue 0.00 6.04 5.38 NA NA 0.25 XXX
neck w/o dye.
70490......... 26.......... A........... Ct soft tissue 1.28 0.45 0.44 0.45 0.44 0.06 XXX
neck w/o dye.
70491......... ............ A........... Ct soft tissue 1.38 8.04 7.08 NA NA 0.36 XXX
neck w/dye.
70491......... TC.......... A........... Ct soft tissue 0.00 7.55 6.61 NA NA 0.30 XXX
neck w/dye.
70491......... 26.......... A........... Ct soft tissue 1.38 0.49 0.47 0.49 0.47 0.06 XXX
neck w/dye.
70492......... ............ A........... Ct sft tsue nck w/ 1.45 10.04 8.79 NA NA 0.43 XXX
o & w/dye.
70492......... TC.......... A........... Ct sft tsue nck w/ 0.00 9.53 8.30 NA NA 0.37 XXX
o & w/dye.
70492......... 26.......... A........... Ct sft tsue nck w/ 1.45 0.51 0.49 0.51 0.49 0.06 XXX
o & w/dye.
70496......... ............ A........... Ct angiography, 1.75 17.10 14.14 NA NA 0.66 XXX
head.
70496......... TC.......... A........... Ct angiography, 0.00 16.47 13.54 NA NA 0.58 XXX
head.
70496......... 26.......... A........... Ct angiography, 1.75 0.63 0.60 0.63 0.60 0.08 XXX
head.
70498......... ............ A........... Ct angiography, 1.75 17.24 14.21 NA NA 0.66 XXX
neck.
70498......... TC.......... A........... Ct angiography, 0.00 16.59 13.60 NA NA 0.58 XXX
neck.
70498......... 26.......... A........... Ct angiography, 1.75 0.65 0.61 0.65 0.61 0.08 XXX
neck.
70540......... ............ A........... Mri orbit/face/ 1.35 14.18 12.91 NA NA 0.45 XXX
neck w/o dye.
70540......... TC.......... A........... Mri orbit/face/ 0.00 13.72 12.46 NA NA 0.39 XXX
neck w/o dye.
70540......... 26.......... A........... Mri orbit/face/ 1.35 0.46 0.45 0.46 0.45 0.06 XXX
neck w/o dye.
70542......... ............ A........... Mri orbit/face/ 1.62 15.29 14.64 NA NA 0.54 XXX
neck w/dye.
70542......... TC.......... A........... Mri orbit/face/ 0.00 14.73 14.09 NA NA 0.47 XXX
neck w/dye.
70542......... 26.......... A........... Mri orbit/face/ 1.62 0.56 0.55 0.56 0.55 0.07 XXX
neck w/dye.
70543......... ............ A........... Mri orbt/fac/nck w/ 2.15 18.77 22.18 NA NA 0.94 XXX
o & w/dye.
70543......... TC.......... A........... Mri orbt/fac/nck w/ 0.00 18.03 21.46 NA NA 0.84 XXX
o & w/dye.
70543......... 26.......... A........... Mri orbt/fac/nck w/ 2.15 0.74 0.72 0.74 0.72 0.10 XXX
o & w/dye.
70544......... ............ A........... Mr angiography 1.20 15.86 13.73 NA NA 0.64 XXX
head w/o dye.
70544......... TC.......... A........... Mr angiography 0.00 15.44 13.32 NA NA 0.59 XXX
head w/o dye.
70544......... 26.......... A........... Mr angiography 1.20 0.42 0.41 0.42 0.41 0.05 XXX
head w/o dye.
70545......... ............ A........... Mr angiography 1.20 15.74 13.67 NA NA 0.64 XXX
head w/dye.
70545......... TC.......... A........... Mr angiography 0.00 15.32 13.26 NA NA 0.59 XXX
head w/dye.
70545......... 26.......... A........... Mr angiography 1.20 0.42 0.41 0.42 0.41 0.05 XXX
head w/dye.
70546......... ............ A........... Mr angiograph head 1.80 24.03 23.53 NA NA 0.67 XXX
w/o&w/dye.
70546......... TC.......... A........... Mr angiograph head 0.00 23.41 22.92 NA NA 0.59 XXX
w/o&w/dye.
70546......... 26.......... A........... Mr angiograph head 1.80 0.62 0.61 0.62 0.61 0.08 XXX
w/o&w/dye.
70547......... ............ A........... Mr angiography 1.20 15.79 13.69 NA NA 0.64 XXX
neck w/o dye.
70547......... TC.......... A........... Mr angiography 0.00 15.38 13.29 NA NA 0.59 XXX
neck w/o dye.
70547......... 26.......... A........... Mr angiography 1.20 0.41 0.40 0.41 0.40 0.05 XXX
neck w/o dye.
70548......... ............ A........... Mr angiography 1.20 16.65 14.13 NA NA 0.64 XXX
neck w/dye.
70548......... TC.......... A........... Mr angiography 0.00 16.23 13.72 NA NA 0.59 XXX
neck w/dye.
70548......... 26.......... A........... Mr angiography 1.20 0.42 0.41 0.42 0.41 0.05 XXX
neck w/dye.
70549......... ............ A........... Mr angiograph neck 1.80 24.05 23.53 NA NA 0.67 XXX
w/o&w/dye.
70549......... TC.......... A........... Mr angiograph neck 0.00 23.42 22.92 NA NA 0.59 XXX
w/o&w/dye.
70549......... 26.......... A........... Mr angiograph neck 1.80 0.63 0.61 0.63 0.61 0.08 XXX
w/o&w/dye.
70551......... ............ A........... Mri brain w/o dye. 1.48 14.44 13.07 NA NA 0.66 XXX
70551......... TC.......... A........... Mri brain w/o dye. 0.00 13.93 12.57 NA NA 0.59 XXX
70551......... 26.......... A........... Mri brain w/o dye. 1.48 0.51 0.50 0.51 0.50 0.07 XXX
70552......... ............ A........... Mri brain w/dye... 1.78 15.59 14.82 NA NA 0.78 XXX
70552......... TC.......... A........... Mri brain w/dye... 0.00 14.97 14.21 NA NA 0.70 XXX
70552......... 26.......... A........... Mri brain w/dye... 1.78 0.62 0.61 0.62 0.61 0.08 XXX
70553......... ............ A........... Mri brain w/o & w/ 2.36 18.09 21.88 NA NA 1.41 XXX
dye.
70553......... TC.......... A........... Mri brain w/o & w/ 0.00 17.27 21.08 NA NA 1.31 XXX
dye.
70553......... 26.......... A........... Mri brain w/o & w/ 2.36 0.82 0.80 0.82 0.80 0.10 XXX
dye.
70554......... ............ A........... Fmri brain by tech 2.11 15.42 15.42 NA NA 0.92 XXX
70554......... TC.......... A........... Fmri brain by tech 0.00 14.73 14.73 NA NA 0.82 XXX
70554......... 26.......... A........... Fmri brain by tech 2.11 0.69 0.69 0.69 0.69 0.10 XXX
70555......... ............ C........... Fmri brain by phys/ 0.00 0.00 0.00 NA NA 0.00 XXX
psych.
70555......... TC.......... C........... Fmri brain by phys/ 0.00 0.00 0.00 NA NA 0.00 XXX
psych.
70555......... 26.......... A........... Fmri brain by phys/ 2.54 0.90 0.90 0.90 0.90 0.11 XXX
psych.
70557......... ............ C........... Mri brain w/o dye. 0.00 0.00 0.00 NA NA 0.00 XXX
70557......... TC.......... C........... Mri brain w/o dye. 0.00 0.00 0.00 NA NA 0.00 XXX
70557......... 26.......... A........... Mri brain w/o dye. 2.90 1.03 1.08 1.03 1.08 0.08 XXX
70558......... ............ C........... Mri brain w/dye... 0.00 0.00 0.00 NA NA 0.00 XXX
70558......... TC.......... C........... Mri brain w/dye... 0.00 0.00 0.00 NA NA 0.00 XXX
70558......... 26.......... A........... Mri brain w/dye... 3.20 1.10 1.17 1.10 1.17 0.10 XXX
70559......... ............ C........... Mri brain w/o & w/ 0.00 0.00 0.00 NA NA 0.00 XXX
dye.
70559......... TC.......... C........... Mri brain w/o & w/ 0.00 0.00 0.00 NA NA 0.00 XXX
dye.
70559......... 26.......... A........... Mri brain w/o & w/ 3.20 1.14 1.19 1.14 1.19 0.12 XXX
dye.
71010......... ............ A........... Chest x-ray....... 0.18 0.43 0.48 NA NA 0.03 XXX
71010......... TC.......... A........... Chest x-ray....... 0.00 0.37 0.42 NA NA 0.02 XXX
71010......... 26.......... A........... Chest x-ray....... 0.18 0.06 0.06 0.06 0.06 0.01 XXX
[[Page 2652]]
71015......... ............ A........... Chest x-ray....... 0.21 0.58 0.58 NA NA 0.03 XXX
71015......... TC.......... A........... Chest x-ray....... 0.00 0.51 0.51 NA NA 0.02 XXX
71015......... 26.......... A........... Chest x-ray....... 0.21 0.07 0.07 0.07 0.07 0.01 XXX
71020......... ............ A........... Chest x-ray....... 0.22 0.57 0.63 NA NA 0.05 XXX
71020......... TC.......... A........... Chest x-ray....... 0.00 0.50 0.56 NA NA 0.04 XXX
71020......... 26.......... A........... Chest x-ray....... 0.22 0.07 0.07 0.07 0.07 0.01 XXX
71021......... ............ A........... Chest x-ray....... 0.27 0.71 0.77 NA NA 0.06 XXX
71021......... TC.......... A........... Chest x-ray....... 0.00 0.62 0.68 NA NA 0.05 XXX
71021......... 26.......... A........... Chest x-ray....... 0.27 0.09 0.09 0.09 0.09 0.01 XXX
71022......... ............ A........... Chest x-ray....... 0.31 0.90 0.86 NA NA 0.06 XXX
71022......... TC.......... A........... Chest x-ray....... 0.00 0.80 0.76 NA NA 0.05 XXX
71022......... 26.......... A........... Chest x-ray....... 0.31 0.10 0.10 0.10 0.10 0.01 XXX
71023......... ............ A........... Chest x-ray and 0.38 1.54 1.23 NA NA 0.06 XXX
fluoroscopy.
71023......... TC.......... A........... Chest x-ray and 0.00 1.40 1.09 NA NA 0.05 XXX
fluoroscopy.
71023......... 26.......... A........... Chest x-ray and 0.38 0.14 0.14 0.14 0.14 0.01 XXX
fluoroscopy.
71030......... ............ A........... Chest x-ray....... 0.31 0.92 0.90 NA NA 0.06 XXX
71030......... TC.......... A........... Chest x-ray....... 0.00 0.82 0.80 NA NA 0.05 XXX
71030......... 26.......... A........... Chest x-ray....... 0.31 0.10 0.10 0.10 0.10 0.01 XXX
71034......... ............ A........... Chest x-ray and 0.46 2.12 1.85 NA NA 0.10 XXX
fluoroscopy.
71034......... TC.......... A........... Chest x-ray and 0.00 1.91 1.67 NA NA 0.08 XXX
fluoroscopy.
71034......... 26.......... A........... Chest x-ray and 0.46 0.21 0.18 0.21 0.18 0.02 XXX
fluoroscopy.
71035......... ............ A........... Chest x-ray....... 0.18 0.78 0.68 NA NA 0.03 XXX
71035......... TC.......... A........... Chest x-ray....... 0.00 0.72 0.62 NA NA 0.02 XXX
71035......... 26.......... A........... Chest x-ray....... 0.18 0.06 0.06 0.06 0.06 0.01 XXX
71040......... ............ A........... Contrast x-ray of 0.58 2.06 1.85 NA NA 0.11 XXX
bronchi.
71040......... TC.......... A........... Contrast x-ray of 0.00 1.88 1.67 NA NA 0.08 XXX
bronchi.
71040......... 26.......... A........... Contrast x-ray of 0.58 0.18 0.18 0.18 0.18 0.03 XXX
bronchi.
71060......... ............ A........... Contrast x-ray of 0.74 3.11 2.78 NA NA 0.16 XXX
bronchi.
71060......... TC.......... A........... Contrast x-ray of 0.00 2.85 2.53 NA NA 0.13 XXX
bronchi.
71060......... 26.......... A........... Contrast x-ray of 0.74 0.26 0.25 0.26 0.25 0.03 XXX
bronchi.
71090......... ............ C........... X-ray & pacemaker 0.00 0.00 0.00 NA NA 0.00 XXX
insertion.
71090......... TC.......... C........... X-ray & pacemaker 0.00 0.00 0.00 NA NA 0.00 XXX
insertion.
71090......... 26.......... A........... X-ray & pacemaker 0.54 0.28 0.24 0.28 0.24 0.02 XXX
insertion.
71100......... ............ A........... X-ray exam of ribs 0.22 0.62 0.63 NA NA 0.05 XXX
71100......... TC.......... A........... X-ray exam of ribs 0.00 0.55 0.56 NA NA 0.04 XXX
71100......... 26.......... A........... X-ray exam of ribs 0.22 0.07 0.07 0.07 0.07 0.01 XXX
71101......... ............ A........... X-ray exam of ribs/ 0.27 0.77 0.76 NA NA 0.05 XXX
chest.
71101......... TC.......... A........... X-ray exam of ribs/ 0.00 0.68 0.67 NA NA 0.04 XXX
chest.
71101......... 26.......... A........... X-ray exam of ribs/ 0.27 0.09 0.09 0.09 0.09 0.01 XXX
chest.
71110......... ............ A........... X-ray exam of ribs 0.27 0.77 0.82 NA NA 0.06 XXX
71110......... TC.......... A........... X-ray exam of ribs 0.00 0.69 0.73 NA NA 0.05 XXX
71110......... 26.......... A........... X-ray exam of ribs 0.27 0.08 0.09 0.08 0.09 0.01 XXX
71111......... ............ A........... X-ray exam of ribs/ 0.32 1.06 1.03 NA NA 0.07 XXX
chest.
71111......... TC.......... A........... X-ray exam of ribs/ 0.00 0.96 0.93 NA NA 0.06 XXX
chest.
71111......... 26.......... A........... X-ray exam of ribs/ 0.32 0.10 0.10 0.10 0.10 0.01 XXX
chest.
71120......... ............ A........... X-ray exam of 0.20 0.63 0.68 NA NA 0.05 XXX
breastbone.
71120......... TC.......... A........... X-ray exam of 0.00 0.56 0.61 NA NA 0.04 XXX
breastbone.
71120......... 26.......... A........... X-ray exam of 0.20 0.07 0.07 0.07 0.07 0.01 XXX
breastbone.
71130......... ............ A........... X-ray exam of 0.22 0.76 0.76 NA NA 0.05 XXX
breastbone.
71130......... TC.......... A........... X-ray exam of 0.00 0.68 0.69 NA NA 0.04 XXX
breastbone.
71130......... 26.......... A........... X-ray exam of 0.22 0.08 0.07 0.08 0.07 0.01 XXX
breastbone.
71250......... ............ A........... Ct thorax w/o dye. 1.16 6.45 6.37 NA NA 0.36 XXX
71250......... TC.......... A........... Ct thorax w/o dye. 0.00 6.04 5.98 NA NA 0.31 XXX
71250......... 26.......... A........... Ct thorax w/o dye. 1.16 0.41 0.39 0.41 0.39 0.05 XXX
71260......... ............ A........... Ct thorax w/dye... 1.24 8.00 7.74 NA NA 0.42 XXX
71260......... TC.......... A........... Ct thorax w/dye... 0.00 7.56 7.32 NA NA 0.37 XXX
71260......... 26.......... A........... Ct thorax w/dye... 1.24 0.44 0.42 0.44 0.42 0.05 XXX
71270......... ............ A........... Ct thorax w/o & w/ 1.38 10.04 9.68 NA NA 0.52 XXX
dye.
71270......... TC.......... A........... Ct thorax w/o & w/ 0.00 9.56 9.21 NA NA 0.46 XXX
dye.
71270......... 26.......... A........... Ct thorax w/o & w/ 1.38 0.48 0.47 0.48 0.47 0.06 XXX
dye.
71275......... ............ A........... Ct angiography, 1.92 11.77 12.39 NA NA 0.48 XXX
chest.
71275......... TC.......... A........... Ct angiography, 0.00 11.08 11.73 NA NA 0.39 XXX
chest.
71275......... 26.......... A........... Ct angiography, 1.92 0.69 0.66 0.69 0.66 0.09 XXX
chest.
71550......... ............ A........... Mri chest w/o dye. 1.46 16.38 14.03 NA NA 0.51 XXX
71550......... TC.......... A........... Mri chest w/o dye. 0.00 15.87 13.54 NA NA 0.45 XXX
71550......... 26.......... A........... Mri chest w/o dye. 1.46 0.51 0.49 0.51 0.49 0.06 XXX
71551......... ............ A........... Mri chest w/dye... 1.73 17.94 15.97 NA NA 0.60 XXX
71551......... TC.......... A........... Mri chest w/dye... 0.00 17.34 15.39 NA NA 0.52 XXX
71551......... 26.......... A........... Mri chest w/dye... 1.73 0.60 0.58 0.60 0.58 0.08 XXX
71552......... ............ A........... Mri chest w/o & w/ 2.26 22.58 24.10 NA NA 0.78 XXX
dye.
71552......... TC.......... A........... Mri chest w/o & w/ 0.00 21.77 23.33 NA NA 0.68 XXX
dye.
71552......... 26.......... A........... Mri chest w/o & w/ 2.26 0.81 0.77 0.81 0.77 0.10 XXX
dye.
[[Page 2653]]
71555......... ............ R........... Mri angio chest w 1.81 15.31 13.56 NA NA 0.67 XXX
or w/o dye.
71555......... TC.......... R........... Mri angio chest w 0.00 14.65 12.93 NA NA 0.59 XXX
or w/o dye.
71555......... 26.......... R........... Mri angio chest w 1.81 0.66 0.63 0.66 0.63 0.08 XXX
or w/o dye.
72010......... ............ A........... X-ray exam of 0.45 1.43 1.30 NA NA 0.08 XXX
spine.
72010......... TC.......... A........... X-ray exam of 0.00 1.30 1.16 NA NA 0.06 XXX
spine.
72010......... 26.......... A........... X-ray exam of 0.45 0.13 0.14 0.13 0.14 0.02 XXX
spine.
72020......... ............ A........... X-ray exam of 0.15 0.47 0.47 NA NA 0.03 XXX
spine.
72020......... TC.......... A........... X-ray exam of 0.00 0.42 0.42 NA NA 0.02 XXX
spine.
72020......... 26.......... A........... X-ray exam of 0.15 0.05 0.05 0.05 0.05 0.01 XXX
spine.
72040......... ............ A........... X-ray exam of neck 0.22 0.76 0.72 NA NA 0.05 XXX
spine.
72040......... TC.......... A........... X-ray exam of neck 0.00 0.69 0.65 NA NA 0.04 XXX
spine.
72040......... 26.......... A........... X-ray exam of neck 0.22 0.07 0.07 0.07 0.07 0.01 XXX
spine.
72050......... ............ A........... X-ray exam of neck 0.31 1.08 1.03 NA NA 0.07 XXX
spine.
72050......... TC.......... A........... X-ray exam of neck 0.00 0.97 0.93 NA NA 0.06 XXX
spine.
72050......... 26.......... A........... X-ray exam of neck 0.31 0.11 0.10 0.11 0.10 0.01 XXX
spine.
72052......... ............ A........... X-ray exam of neck 0.36 1.39 1.32 NA NA 0.08 XXX
spine.
72052......... TC.......... A........... X-ray exam of neck 0.00 1.27 1.20 NA NA 0.06 XXX
spine.
72052......... 26.......... A........... X-ray exam of neck 0.36 0.12 0.12 0.12 0.12 0.02 XXX
spine.
72069......... ............ A........... X-ray exam of 0.22 0.76 0.66 NA NA 0.03 XXX
trunk spine.
72069......... TC.......... A........... X-ray exam of 0.00 0.68 0.58 NA NA 0.02 XXX
trunk spine.
72069......... 26.......... A........... X-ray exam of 0.22 0.08 0.08 0.08 0.08 0.01 XXX
trunk spine.
72070......... ............ A........... X-ray exam of 0.22 0.64 0.68 NA NA 0.05 XXX
thoracic spine.
72070......... TC.......... A........... X-ray exam of 0.00 0.57 0.61 NA NA 0.04 XXX
thoracic spine.
72070......... 26.......... A........... X-ray exam of 0.22 0.07 0.07 0.07 0.07 0.01 XXX
thoracic spine.
72072......... ............ A........... X-ray exam of 0.22 0.77 0.78 NA NA 0.06 XXX
thoracic spine.
72072......... TC.......... A........... X-ray exam of 0.00 0.70 0.71 NA NA 0.05 XXX
thoracic spine.
72072......... 26.......... A........... X-ray exam of 0.22 0.07 0.07 0.07 0.07 0.01 XXX
thoracic spine.
72074......... ............ A........... X-ray exam of 0.22 0.95 0.96 NA NA 0.07 XXX
thoracic spine.
72074......... TC.......... A........... X-ray exam of 0.00 0.88 0.89 NA NA 0.06 XXX
thoracic spine.
72074......... 26.......... A........... X-ray exam of 0.22 0.07 0.07 0.07 0.07 0.01 XXX
thoracic spine.
72080......... ............ A........... X-ray exam of 0.22 0.70 0.71 NA NA 0.05 XXX
trunk spine.
72080......... TC.......... A........... X-ray exam of 0.00 0.62 0.64 NA NA 0.04 XXX
trunk spine.
72080......... 26.......... A........... X-ray exam of 0.22 0.08 0.07 0.08 0.07 0.01 XXX
trunk spine.
72090......... ............ A........... X-ray exam of 0.28 1.00 0.89 NA NA 0.05 XXX
trunk spine.
72090......... TC.......... A........... X-ray exam of 0.00 0.90 0.79 NA NA 0.04 XXX
trunk spine.
72090......... 26.......... A........... X-ray exam of 0.28 0.10 0.10 0.10 0.10 0.01 XXX
trunk spine.
72100......... ............ A........... X-ray exam of 0.22 0.81 0.77 NA NA 0.05 XXX
lower spine.
72100......... TC.......... A........... X-ray exam of 0.00 0.74 0.70 NA NA 0.04 XXX
lower spine.
72100......... 26.......... A........... X-ray exam of 0.22 0.07 0.07 0.07 0.07 0.01 XXX
lower spine.
72110......... ............ A........... X-ray exam of 0.31 1.15 1.07 NA NA 0.07 XXX
lower spine.
72110......... TC.......... A........... X-ray exam of 0.00 1.04 0.97 NA NA 0.06 XXX
lower spine.
72110......... 26.......... A........... X-ray exam of 0.31 0.11 0.10 0.11 0.10 0.01 XXX
lower spine.
72114......... ............ A........... X-ray exam of 0.36 1.57 1.43 NA NA 0.08 XXX
lower spine.
72114......... TC.......... A........... X-ray exam of 0.00 1.44 1.31 NA NA 0.06 XXX
lower spine.
72114......... 26.......... A........... X-ray exam of 0.36 0.13 0.12 0.13 0.12 0.02 XXX
lower spine.
72120......... ............ A........... X-ray exam of 0.22 1.08 1.01 NA NA 0.07 XXX
lower spine.
72120......... TC.......... A........... X-ray exam of 0.00 1.00 0.94 NA NA 0.06 XXX
lower spine.
72120......... 26.......... A........... X-ray exam of 0.22 0.08 0.07 0.08 0.07 0.01 XXX
lower spine.
72125......... ............ A........... Ct neck spine w/o 1.16 6.47 6.38 NA NA 0.36 XXX
dye.
72125......... TC.......... A........... Ct neck spine w/o 0.00 6.06 5.99 NA NA 0.31 XXX
dye.
72125......... 26.......... A........... Ct neck spine w/o 1.16 0.41 0.39 0.41 0.39 0.05 XXX
dye.
72126......... ............ A........... Ct neck spine w/ 1.22 8.00 7.73 NA NA 0.42 XXX
dye.
72126......... TC.......... A........... Ct neck spine w/ 0.00 7.57 7.32 NA NA 0.37 XXX
dye.
72126......... 26.......... A........... Ct neck spine w/ 1.22 0.43 0.41 0.43 0.41 0.05 XXX
dye.
72127......... ............ A........... Ct neck spine w/o 1.27 10.05 9.66 NA NA 0.52 XXX
& w/dye.
72127......... TC.......... A........... Ct neck spine w/o 0.00 9.61 9.23 NA NA 0.46 XXX
& w/dye.
72127......... 26.......... A........... Ct neck spine w/o 1.27 0.44 0.43 0.44 0.43 0.06 XXX
& w/dye.
72128......... ............ A........... Ct chest spine w/o 1.16 6.46 6.37 NA NA 0.36 XXX
dye.
72128......... TC.......... A........... Ct chest spine w/o 0.00 6.05 5.98 NA NA 0.31 XXX
dye.
72128......... 26.......... A........... Ct chest spine w/o 1.16 0.41 0.39 0.41 0.39 0.05 XXX
dye.
72129......... ............ A........... Ct chest spine w/ 1.22 8.00 7.74 NA NA 0.42 XXX
dye.
72129......... TC.......... A........... Ct chest spine w/ 0.00 7.57 7.32 NA NA 0.37 XXX
dye.
72129......... 26.......... A........... Ct chest spine w/ 1.22 0.43 0.42 0.43 0.42 0.05 XXX
dye.
72130......... ............ A........... Ct chest spine w/o 1.27 9.98 9.63 NA NA 0.52 XXX
& w/dye.
72130......... TC.......... A........... Ct chest spine w/o 0.00 9.54 9.20 NA NA 0.46 XXX
& w/dye.
72130......... 26.......... A........... Ct chest spine w/o 1.27 0.44 0.43 0.44 0.43 0.06 XXX
& w/dye.
72131......... ............ A........... Ct lumbar spine w/ 1.16 6.43 6.36 NA NA 0.36 XXX
o dye.
72131......... TC.......... A........... Ct lumbar spine w/ 0.00 6.03 5.97 NA NA 0.31 XXX
o dye.
72131......... 26.......... A........... Ct lumbar spine w/ 1.16 0.40 0.39 0.40 0.39 0.05 XXX
o dye.
72132......... ............ A........... Ct lumbar spine w/ 1.22 7.98 7.72 NA NA 0.42 XXX
dye.
72132......... TC.......... A........... Ct lumbar spine w/ 0.00 7.55 7.31 NA NA 0.37 XXX
dye.
72132......... 26.......... A........... Ct lumbar spine w/ 1.22 0.43 0.41 0.43 0.41 0.05 XXX
dye.
[[Page 2654]]
72133......... ............ A........... Ct lumbar spine w/ 1.27 10.02 9.65 NA NA 0.52 XXX
o & w/dye.
72133......... TC.......... A........... Ct lumbar spine w/ 0.00 9.58 9.22 NA NA 0.46 XXX
o & w/dye.
72133......... 26.......... A........... Ct lumbar spine w/ 1.27 0.44 0.43 0.44 0.43 0.06 XXX
o & w/dye.
72141......... ............ A........... Mri neck spine w/o 1.60 12.46 12.10 NA NA 0.66 XXX
dye.
72141......... TC.......... A........... Mri neck spine w/o 0.00 11.91 11.56 NA NA 0.59 XXX
dye.
72141......... 26.......... A........... Mri neck spine w/o 1.60 0.55 0.54 0.55 0.54 0.07 XXX
dye.
72142......... ............ A........... Mri neck spine w/ 1.92 15.62 14.85 NA NA 0.79 XXX
dye.
72142......... TC.......... A........... Mri neck spine w/ 0.00 14.96 14.20 NA NA 0.70 XXX
dye.
72142......... 26.......... A........... Mri neck spine w/ 1.92 0.66 0.65 0.66 0.65 0.09 XXX
dye.
72146......... ............ A........... Mri chest spine w/ 1.60 12.48 12.73 NA NA 0.71 XXX
o dye.
72146......... TC.......... A........... Mri chest spine w/ 0.00 11.93 12.19 NA NA 0.64 XXX
o dye.
72146......... 26.......... A........... Mri chest spine w/ 1.60 0.55 0.54 0.55 0.54 0.07 XXX
o dye.
72147......... ............ A........... Mri chest spine w/ 1.92 13.58 13.83 NA NA 0.79 XXX
dye.
72147......... TC.......... A........... Mri chest spine w/ 0.00 12.91 13.18 NA NA 0.70 XXX
dye.
72147......... 26.......... A........... Mri chest spine w/ 1.92 0.67 0.65 0.67 0.65 0.09 XXX
dye.
72148......... ............ A........... Mri lumbar spine w/ 1.48 12.42 12.68 NA NA 0.71 XXX
o dye.
72148......... TC.......... A........... Mri lumbar spine w/ 0.00 11.91 12.18 NA NA 0.64 XXX
o dye.
72148......... 26.......... A........... Mri lumbar spine w/ 1.48 0.51 0.50 0.51 0.50 0.07 XXX
o dye.
72149......... ............ A........... Mri lumbar spine w/ 1.78 15.52 14.79 NA NA 0.78 XXX
dye.
72149......... TC.......... A........... Mri lumbar spine w/ 0.00 14.90 14.18 NA NA 0.70 XXX
dye.
72149......... 26.......... A........... Mri lumbar spine w/ 1.78 0.62 0.61 0.62 0.61 0.08 XXX
dye.
72156......... ............ A........... Mri neck spine w/o 2.57 17.79 21.77 NA NA 1.42 XXX
& w/dye.
72156......... TC.......... A........... Mri neck spine w/o 0.00 16.90 20.90 NA NA 1.31 XXX
& w/dye.
72156......... 26.......... A........... Mri neck spine w/o 2.57 0.89 0.87 0.89 0.87 0.11 XXX
& w/dye.
72157......... ............ A........... Mri chest spine w/ 2.57 16.22 20.98 NA NA 1.42 XXX
o & w/dye.
72157......... TC.......... A........... Mri chest spine w/ 0.00 15.32 20.11 NA NA 1.31 XXX
o & w/dye.
72157......... 26.......... A........... Mri chest spine w/ 2.57 0.90 0.87 0.90 0.87 0.11 XXX
o & w/dye.
72158......... ............ A........... Mri lumbar spine w/ 2.36 17.70 21.69 NA NA 1.41 XXX
o & w/dye.
72158......... TC.......... A........... Mri lumbar spine w/ 0.00 16.88 20.89 NA NA 1.31 XXX
o & w/dye.
72158......... 26.......... A........... Mri lumbar spine w/ 2.36 0.82 0.80 0.82 0.80 0.10 XXX
o & w/dye.
72159......... ............ N........... Mr angio spine w/ 1.80 14.67 13.80 NA NA 0.74 XXX
o&w/dye.
72159......... TC.......... N........... Mr angio spine w/ 0.00 14.25 13.25 NA NA 0.64 XXX
o&w/dye.
72159......... 26.......... N........... Mr angio spine w/ 1.80 0.42 0.55 0.42 0.55 0.10 XXX
o&w/dye.
72170......... ............ A........... X-ray exam of 0.17 0.50 0.54 NA NA 0.03 XXX
pelvis.
72170......... TC.......... A........... X-ray exam of 0.00 0.44 0.48 NA NA 0.02 XXX
pelvis.
72170......... 26.......... A........... X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 XXX
pelvis.
72190......... ............ A........... X-ray exam of 0.21 0.84 0.79 NA NA 0.05 XXX
pelvis.
72190......... TC.......... A........... X-ray exam of 0.00 0.77 0.72 NA NA 0.04 XXX
pelvis.
72190......... 26.......... A........... X-ray exam of 0.21 0.07 0.07 0.07 0.07 0.01 XXX
pelvis.
72191......... ............ A........... Ct angiograph pelv 1.81 11.34 11.99 NA NA 0.47 XXX
w/o&w/dye.
72191......... TC.......... A........... Ct angiograph pelv 0.00 10.69 11.36 NA NA 0.39 XXX
w/o&w/dye.
72191......... 26.......... A........... Ct angiograph pelv 1.81 0.65 0.63 0.65 0.63 0.08 XXX
w/o&w/dye.
72192......... ............ A........... Ct pelvis w/o dye. 1.09 6.04 6.15 NA NA 0.36 XXX
72192......... TC.......... A........... Ct pelvis w/o dye. 0.00 5.65 5.78 NA NA 0.31 XXX
72192......... 26.......... A........... Ct pelvis w/o dye. 1.09 0.39 0.37 0.39 0.37 0.05 XXX
72193......... ............ A........... Ct pelvis w/dye... 1.16 7.55 7.39 NA NA 0.41 XXX
72193......... TC.......... A........... Ct pelvis w/dye... 0.00 7.14 6.99 NA NA 0.36 XXX
72193......... 26.......... A........... Ct pelvis w/dye... 1.16 0.41 0.40 0.41 0.40 0.05 XXX
72194......... ............ A........... Ct pelvis w/o & w/ 1.22 10.13 9.51 NA NA 0.48 XXX
dye.
72194......... TC.......... A........... Ct pelvis w/o & w/ 0.00 9.70 9.10 NA NA 0.43 XXX
dye.
72194......... 26.......... A........... Ct pelvis w/o & w/ 1.22 0.43 0.41 0.43 0.41 0.05 XXX
dye.
72195......... ............ A........... Mri pelvis w/o dye 1.46 14.44 13.06 NA NA 0.51 XXX
72195......... TC.......... A........... Mri pelvis w/o dye 0.00 13.93 12.57 NA NA 0.45 XXX
72195......... 26.......... A........... Mri pelvis w/o dye 1.46 0.51 0.49 0.51 0.49 0.06 XXX
72196......... ............ A........... Mri pelvis w/dye.. 1.73 15.54 14.78 NA NA 0.60 XXX
72196......... TC.......... A........... Mri pelvis w/dye.. 0.00 14.93 14.19 NA NA 0.52 XXX
72196......... 26.......... A........... Mri pelvis w/dye.. 1.73 0.61 0.59 0.61 0.59 0.08 XXX
72197......... ............ A........... Mri pelvis w/o & w/ 2.26 18.97 22.30 NA NA 1.02 XXX
dye.
72197......... TC.......... A........... Mri pelvis w/o & w/ 0.00 18.18 21.54 NA NA 0.92 XXX
dye.
72197......... 26.......... A........... Mri pelvis w/o & w/ 2.26 0.79 0.76 0.79 0.76 0.10 XXX
dye.
72198......... ............ A........... Mr angio pelvis w/ 1.80 15.09 13.44 NA NA 0.67 XXX
o & w/dye.
72198......... TC.......... A........... Mr angio pelvis w/ 0.00 14.45 12.83 NA NA 0.59 XXX
o & w/dye.
72198......... 26.......... A........... Mr angio pelvis w/ 1.80 0.64 0.61 0.64 0.61 0.08 XXX
o & w/dye.
72200......... ............ A........... X-ray exam 0.17 0.59 0.59 NA NA 0.03 XXX
sacroiliac joints.
72200......... TC.......... A........... X-ray exam 0.00 0.54 0.53 NA NA 0.02 XXX
sacroiliac joints.
72200......... 26.......... A........... X-ray exam 0.17 0.05 0.06 0.05 0.06 0.01 XXX
sacroiliac joints.
72202......... ............ A........... X-ray exam 0.19 0.74 0.71 NA NA 0.05 XXX
sacroiliac joints.
72202......... TC.......... A........... X-ray exam 0.00 0.67 0.65 NA NA 0.04 XXX
sacroiliac joints.
72202......... 26.......... A........... X-ray exam 0.19 0.07 0.06 0.07 0.06 0.01 XXX
sacroiliac joints.
72220......... ............ A........... X-ray exam of 0.17 0.58 0.61 NA NA 0.05 XXX
tailbone.
72220......... TC.......... A........... X-ray exam of 0.00 0.52 0.55 NA NA 0.04 XXX
tailbone.
72220......... 26.......... A........... X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 XXX
tailbone.
[[Page 2655]]
72240......... ............ A........... Contrast x-ray of 0.91 2.58 3.80 NA NA 0.29 XXX
neck spine.
72240......... TC.......... A........... Contrast x-ray of 0.00 2.26 3.50 NA NA 0.25 XXX
neck spine.
72240......... 26.......... A........... Contrast x-ray of 0.91 0.32 0.30 0.32 0.30 0.04 XXX
neck spine.
72255......... ............ A........... Contrast x-ray, 0.91 2.24 3.43 NA NA 0.26 XXX
thorax spine.
72255......... TC.......... A........... Contrast x-ray, 0.00 1.96 3.15 NA NA 0.22 XXX
thorax spine.
72255......... 26.......... A........... Contrast x-ray, 0.91 0.28 0.28 0.28 0.28 0.04 XXX
thorax spine.
72265......... ............ A........... Contrast x-ray, 0.83 2.54 3.43 NA NA 0.26 XXX
lower spine.
72265......... TC.......... A........... Contrast x-ray, 0.00 2.25 3.16 NA NA 0.22 XXX
lower spine.
72265......... 26.......... A........... Contrast x-ray, 0.83 0.29 0.27 0.29 0.27 0.04 XXX
lower spine.
72270......... ............ A........... Contrast x-ray, 1.33 3.99 5.27 NA NA 0.39 XXX
spine.
72270......... TC.......... A........... Contrast x-ray, 0.00 3.52 4.82 NA NA 0.33 XXX
spine.
72270......... 26.......... A........... Contrast x-ray, 1.33 0.47 0.45 0.47 0.45 0.06 XXX
spine.
72275......... ............ A........... Epidurography..... 0.76 1.73 2.02 NA NA 0.26 XXX
72275......... TC.......... A........... Epidurography..... 0.00 1.53 1.82 NA NA 0.22 XXX
72275......... 26.......... A........... Epidurography..... 0.76 0.20 0.20 0.20 0.20 0.04 XXX
72285......... ............ A........... X-ray c/t spine 1.16 1.44 5.09 NA NA 0.50 XXX
disk.
72285......... TC.......... A........... X-ray c/t spine 0.00 1.14 4.76 NA NA 0.43 XXX
disk.
72285......... 26.......... A........... X-ray c/t spine 1.16 0.30 0.33 0.30 0.33 0.07 XXX
disk.
72291......... ............ C........... Perq 0.00 0.00 0.00 NA NA 0.00 XXX
vertebroplasty,
fluor.
72291......... TC.......... C........... Perq 0.00 0.00 0.00 NA NA 0.00 XXX
vertebroplasty,
fluor.
72291......... 26.......... A........... Perq 1.31 0.48 0.47 0.48 0.47 0.10 XXX
vertebroplasty,
fluor.
72292......... ............ C........... Perq 0.00 0.00 0.00 NA NA 0.00 XXX
vertebroplasty,
ct.
72292......... TC.......... C........... Perq 0.00 0.00 0.00 NA NA 0.00 XXX
vertebroplasty,
ct.
72292......... 26.......... A........... Perq 1.38 0.50 0.49 0.50 0.49 0.07 XXX
vertebroplasty,
ct.
72295......... ............ A........... X-ray of lower 0.83 1.46 4.80 NA NA 0.46 XXX
spine disk.
72295......... TC.......... A........... X-ray of lower 0.00 1.22 4.54 NA NA 0.40 XXX
spine disk.
72295......... 26.......... A........... X-ray of lower 0.83 0.24 0.26 0.24 0.26 0.06 XXX
spine disk.
73000......... ............ A........... X-ray exam of 0.16 0.55 0.56 NA NA 0.03 XXX
collar bone.
73000......... TC.......... A........... X-ray exam of 0.00 0.50 0.51 NA NA 0.02 XXX
collar bone.
73000......... 26.......... A........... X-ray exam of 0.16 0.05 0.05 0.05 0.05 0.01 XXX
collar bone.
73010......... ............ A........... X-ray exam of 0.17 0.58 0.58 NA NA 0.03 XXX
shoulder blade.
73010......... TC.......... A........... X-ray exam of 0.00 0.52 0.52 NA NA 0.02 XXX
shoulder blade.
73010......... 26.......... A........... X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 XXX
shoulder blade.
73020......... ............ A........... X-ray exam of 0.15 0.44 0.48 NA NA 0.03 XXX
shoulder.
73020......... TC.......... A........... X-ray exam of 0.00 0.39 0.43 NA NA 0.02 XXX
shoulder.
73020......... 26.......... A........... X-ray exam of 0.15 0.05 0.05 0.05 0.05 0.01 XXX
shoulder.
73030......... ............ A........... X-ray exam of 0.18 0.57 0.60 NA NA 0.05 XXX
shoulder.
73030......... TC.......... A........... X-ray exam of 0.00 0.51 0.54 NA NA 0.04 XXX
shoulder.
73030......... 26.......... A........... X-ray exam of 0.18 0.06 0.06 0.06 0.06 0.01 XXX
shoulder.
73040......... ............ A........... Contrast x-ray of 0.54 2.25 2.27 NA NA 0.14 XXX
shoulder.
73040......... TC.......... A........... Contrast x-ray of 0.00 2.06 2.08 NA NA 0.12 XXX
shoulder.
73040......... 26.......... A........... Contrast x-ray of 0.54 0.19 0.19 0.19 0.19 0.02 XXX
shoulder.
73050......... ............ A........... X-ray exam of 0.20 0.74 0.73 NA NA 0.05 XXX
shoulders.
73050......... TC.......... A........... X-ray exam of 0.00 0.66 0.66 NA NA 0.04 XXX
shoulders.
73050......... 26.......... A........... X-ray exam of 0.20 0.08 0.07 0.08 0.07 0.01 XXX
shoulders.
73060......... ............ A........... X-ray exam of 0.17 0.58 0.60 NA NA 0.05 XXX
humerus.
73060......... TC.......... A........... X-ray exam of 0.00 0.52 0.54 NA NA 0.04 XXX
humerus.
73060......... 26.......... A........... X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 XXX
humerus.
73070......... ............ A........... X-ray exam of 0.15 0.55 0.56 NA NA 0.03 XXX
elbow.
73070......... TC.......... A........... X-ray exam of 0.00 0.50 0.51 NA NA 0.02 XXX
elbow.
73070......... 26.......... A........... X-ray exam of 0.15 0.05 0.05 0.05 0.05 0.01 XXX
elbow.
73080......... ............ A........... X-ray exam of 0.17 0.76 0.69 NA NA 0.05 XXX
elbow.
73080......... TC.......... A........... X-ray exam of 0.00 0.70 0.63 NA NA 0.04 XXX
elbow.
73080......... 26.......... A........... X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 XXX
elbow.
73085......... ............ A........... Contrast x-ray of 0.54 1.84 2.07 NA NA 0.14 XXX
elbow.
73085......... TC.......... A........... Contrast x-ray of 0.00 1.66 1.88 NA NA 0.12 XXX
elbow.
73085......... 26.......... A........... Contrast x-ray of 0.54 0.18 0.19 0.18 0.19 0.02 XXX
elbow.
73090......... ............ A........... X-ray exam of 0.16 0.55 0.56 NA NA 0.03 XXX
forearm.
73090......... TC.......... A........... X-ray exam of 0.00 0.50 0.51 NA NA 0.02 XXX
forearm.
73090......... 26.......... A........... X-ray exam of 0.16 0.05 0.05 0.05 0.05 0.01 XXX
forearm.
73092......... ............ A........... X-ray exam of arm, 0.16 0.58 0.56 NA NA 0.03 XXX
infant.
73092......... TC.......... A........... X-ray exam of arm, 0.00 0.53 0.51 NA NA 0.02 XXX
infant.
73092......... 26.......... A........... X-ray exam of arm, 0.16 0.05 0.05 0.05 0.05 0.01 XXX
infant.
73100......... ............ A........... X-ray exam of 0.16 0.61 0.57 NA NA 0.03 XXX
wrist.
73100......... TC.......... A........... X-ray exam of 0.00 0.55 0.52 NA NA 0.02 XXX
wrist.
73100......... 26.......... A........... X-ray exam of 0.16 0.06 0.05 0.06 0.05 0.01 XXX
wrist.
73110......... ............ A........... X-ray exam of 0.17 0.78 0.68 NA NA 0.03 XXX
wrist.
73110......... TC.......... A........... X-ray exam of 0.00 0.72 0.62 NA NA 0.02 XXX
wrist.
73110......... 26.......... A........... X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 XXX
wrist.
73115......... ............ A........... Contrast x-ray of 0.54 2.33 2.04 NA NA 0.12 XXX
wrist.
73115......... TC.......... A........... Contrast x-ray of 0.00 2.14 1.86 NA NA 0.10 XXX
wrist.
73115......... 26.......... A........... Contrast x-ray of 0.54 0.19 0.18 0.19 0.18 0.02 XXX
wrist.
[[Page 2656]]
73120......... ............ A........... X-ray exam of hand 0.16 0.56 0.55 NA NA 0.03 XXX
73120......... TC.......... A........... X-ray exam of hand 0.00 0.51 0.50 NA NA 0.02 XXX
73120......... 26.......... A........... X-ray exam of hand 0.16 0.05 0.05 0.05 0.05 0.01 XXX
73130......... ............ A........... X-ray exam of hand 0.17 0.66 0.63 NA NA 0.03 XXX
73130......... TC.......... A........... X-ray exam of hand 0.00 0.60 0.57 NA NA 0.02 XXX
73130......... 26.......... A........... X-ray exam of hand 0.17 0.06 0.06 0.06 0.06 0.01 XXX
73140......... ............ A........... X-ray exam of 0.13 0.67 0.57 NA NA 0.03 XXX
finger(s).
73140......... TC.......... A........... X-ray exam of 0.00 0.63 0.53 NA NA 0.02 XXX
finger(s).
73140......... 26.......... A........... X-ray exam of 0.13 0.04 0.04 0.04 0.04 0.01 XXX
finger(s).
73200......... ............ A........... Ct upper extremity 1.09 6.40 5.86 NA NA 0.30 XXX
w/o dye.
73200......... TC.......... A........... Ct upper extremity 0.00 6.02 5.49 NA NA 0.25 XXX
w/o dye.
73200......... 26.......... A........... Ct upper extremity 1.09 0.38 0.37 0.38 0.37 0.05 XXX
w/o dye.
73201......... ............ A........... Ct upper extremity 1.16 7.92 7.10 NA NA 0.36 XXX
w/dye.
73201......... TC.......... A........... Ct upper extremity 0.00 7.51 6.71 NA NA 0.31 XXX
w/dye.
73201......... 26.......... A........... Ct upper extremity 1.16 0.41 0.39 0.41 0.39 0.05 XXX
w/dye.
73202......... ............ A........... Ct uppr extremity 1.22 10.55 9.19 NA NA 0.44 XXX
w/o&w/dye.
73202......... TC.......... A........... Ct uppr extremity 0.00 10.13 8.78 NA NA 0.39 XXX
w/o&w/dye.
73202......... 26.......... A........... Ct uppr extremity 1.22 0.42 0.41 0.42 0.41 0.05 XXX
w/o&w/dye.
73206......... ............ A........... Ct angio upr extrm 1.81 10.94 11.24 NA NA 0.47 XXX
w/o&w/dye.
73206......... TC.......... A........... Ct angio upr extrm 0.00 10.26 10.61 NA NA 0.39 XXX
w/o&w/dye.
73206......... 26.......... A........... Ct angio upr extrm 1.81 0.68 0.63 0.68 0.63 0.08 XXX
w/o&w/dye.
73218......... ............ A........... Mri upper 1.35 14.65 13.15 NA NA 0.45 XXX
extremity w/o dye.
73218......... TC.......... A........... Mri upper 0.00 14.19 12.70 NA NA 0.39 XXX
extremity w/o dye.
73218......... 26.......... A........... Mri upper 1.35 0.46 0.45 0.46 0.45 0.06 XXX
extremity w/o dye.
73219......... ............ A........... Mri upper 1.62 15.41 14.70 NA NA 0.54 XXX
extremity w/dye.
73219......... TC.......... A........... Mri upper 0.00 14.85 14.15 NA NA 0.47 XXX
extremity w/dye.
73219......... 26.......... A........... Mri upper 1.62 0.56 0.55 0.56 0.55 0.07 XXX
extremity w/dye.
73220......... ............ A........... Mri uppr extremity 2.15 19.06 22.33 NA NA 0.94 XXX
w/o&w/dye.
73220......... TC.......... A........... Mri uppr extremity 0.00 18.31 21.60 NA NA 0.84 XXX
w/o&w/dye.
73220......... 26.......... A........... Mri uppr extremity 2.15 0.75 0.73 0.75 0.73 0.10 XXX
w/o&w/dye.
73221......... ............ A........... Mri joint upr 1.35 13.56 12.60 NA NA 0.45 XXX
extrem w/o dye.
73221......... TC.......... A........... Mri joint upr 0.00 13.09 12.15 NA NA 0.39 XXX
extrem w/o dye.
73221......... 26.......... A........... Mri joint upr 1.35 0.47 0.45 0.47 0.45 0.06 XXX
extrem w/o dye.
73222......... ............ A........... Mri joint upr 1.62 14.31 14.15 NA NA 0.54 XXX
extrem w/dye.
73222......... TC.......... A........... Mri joint upr 0.00 13.75 13.60 NA NA 0.47 XXX
extrem w/dye.
73222......... 26.......... A........... Mri joint upr 1.62 0.56 0.55 0.56 0.55 0.07 XXX
extrem w/dye.
73223......... ............ A........... Mri joint upr extr 2.15 17.58 21.59 NA NA 0.94 XXX
w/o&w/dye.
73223......... TC.......... A........... Mri joint upr extr 0.00 16.84 20.87 NA NA 0.84 XXX
w/o&w/dye.
73223......... 26.......... A........... Mri joint upr extr 2.15 0.74 0.72 0.74 0.72 0.10 XXX
w/o&w/dye.
73225......... ............ N........... Mr angio upr extr 1.73 14.65 13.16 NA NA 0.69 XXX
w/o&w/dye.
73225......... TC.......... N........... Mr angio upr extr 0.00 14.25 12.63 NA NA 0.59 XXX
w/o&w/dye.
73225......... 26.......... N........... Mr angio upr extr 1.73 0.40 0.53 0.40 0.53 0.10 XXX
w/o&w/dye.
73500......... ............ A........... X-ray exam of hip. 0.17 0.49 0.51 NA NA 0.03 XXX
73500......... TC.......... A........... X-ray exam of hip. 0.00 0.43 0.45 NA NA 0.02 XXX
73500......... 26.......... A........... X-ray exam of hip. 0.17 0.06 0.06 0.06 0.06 0.01 XXX
73510......... ............ A........... X-ray exam of hip. 0.21 0.77 0.71 NA NA 0.05 XXX
73510......... TC.......... A........... X-ray exam of hip. 0.00 0.70 0.64 NA NA 0.04 XXX
73510......... 26.......... A........... X-ray exam of hip. 0.21 0.07 0.07 0.07 0.07 0.01 XXX
73520......... ............ A........... X-ray exam of hips 0.26 0.79 0.77 NA NA 0.05 XXX
73520......... TC.......... A........... X-ray exam of hips 0.00 0.70 0.68 NA NA 0.04 XXX
73520......... 26.......... A........... X-ray exam of hips 0.26 0.09 0.09 0.09 0.09 0.01 XXX
73525......... ............ A........... Contrast x-ray of 0.54 1.83 2.06 NA NA 0.15 XXX
hip.
73525......... TC.......... A........... Contrast x-ray of 0.00 1.65 1.88 NA NA 0.12 XXX
hip.
73525......... 26.......... A........... Contrast x-ray of 0.54 0.18 0.18 0.18 0.18 0.03 XXX
hip.
73530......... ............ C........... X-ray exam of hip. 0.00 0.00 0.00 NA NA 0.00 XXX
73530......... TC.......... C........... X-ray exam of hip. 0.00 0.00 0.00 NA NA 0.00 XXX
73530......... 26.......... A........... X-ray exam of hip. 0.29 0.11 0.10 0.11 0.10 0.01 XXX
73540......... ............ A........... X-ray exam of 0.20 0.81 0.72 NA NA 0.05 XXX
pelvis & hips.
73540......... TC.......... A........... X-ray exam of 0.00 0.74 0.65 NA NA 0.04 XXX
pelvis & hips.
73540......... 26.......... A........... X-ray exam of 0.20 0.07 0.07 0.07 0.07 0.01 XXX
pelvis & hips.
73542......... ............ A........... X-ray exam, 0.59 1.13 1.70 NA NA 0.15 XXX
sacroiliac joint.
73542......... TC.......... A........... X-ray exam, 0.00 0.99 1.55 NA NA 0.12 XXX
sacroiliac joint.
73542......... 26.......... A........... X-ray exam, 0.59 0.14 0.15 0.14 0.15 0.03 XXX
sacroiliac joint.
73550......... ............ A........... X-ray exam of 0.17 0.55 0.59 NA NA 0.05 XXX
thigh.
73550......... TC.......... A........... X-ray exam of 0.00 0.49 0.53 NA NA 0.04 XXX
thigh.
73550......... 26.......... A........... X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 XXX
thigh.
73560......... ............ A........... X-ray exam of 0.17 0.58 0.58 NA NA 0.03 XXX
knee, 1 or 2.
73560......... TC.......... A........... X-ray exam of 0.00 0.52 0.52 NA NA 0.02 XXX
knee, 1 or 2.
73560......... 26.......... A........... X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 XXX
knee, 1 or 2.
73562......... ............ A........... X-ray exam of 0.18 0.73 0.68 NA NA 0.05 XXX
knee, 3.
73562......... TC.......... A........... X-ray exam of 0.00 0.66 0.62 NA NA 0.04 XXX
knee, 3.
73562......... 26.......... A........... X-ray exam of 0.18 0.07 0.06 0.07 0.06 0.01 XXX
knee, 3.
[[Page 2657]]
73564......... ............ A........... X-ray exam, knee, 0.22 0.86 0.77 NA NA 0.05 XXX
4 or more.
73564......... TC.......... A........... X-ray exam, knee, 0.00 0.78 0.70 NA NA 0.04 XXX
4 or more.
73564......... 26.......... A........... X-ray exam, knee, 0.22 0.08 0.07 0.08 0.07 0.01 XXX
4 or more.
73565......... ............ A........... X-ray exam of 0.17 0.65 0.60 NA NA 0.03 XXX
knees.
73565......... TC.......... A........... X-ray exam of 0.00 0.59 0.54 NA NA 0.02 XXX
knees.
73565......... 26.......... A........... X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 XXX
knees.
73580......... ............ A........... Contrast x-ray of 0.54 2.56 2.68 NA NA 0.17 XXX
knee joint.
73580......... TC.......... A........... Contrast x-ray of 0.00 2.37 2.50 NA NA 0.14 XXX
knee joint.
73580......... 26.......... A........... Contrast x-ray of 0.54 0.19 0.18 0.19 0.18 0.03 XXX
knee joint.
73590......... ............ A........... X-ray exam of 0.17 0.54 0.56 NA NA 0.03 XXX
lower leg.
73590......... TC.......... A........... X-ray exam of 0.00 0.48 0.50 NA NA 0.02 XXX
lower leg.
73590......... 26.......... A........... X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 XXX
lower leg.
73592......... ............ A........... X-ray exam of leg, 0.16 0.58 0.56 NA NA 0.03 XXX
infant.
73592......... TC.......... A........... X-ray exam of leg, 0.00 0.53 0.51 NA NA 0.02 XXX
infant.
73592......... 26.......... A........... X-ray exam of leg, 0.16 0.05 0.05 0.05 0.05 0.01 XXX
infant.
73600......... ............ A........... X-ray exam of 0.16 0.56 0.55 NA NA 0.03 XXX
ankle.
73600......... TC.......... A........... X-ray exam of 0.00 0.51 0.50 NA NA 0.02 XXX
ankle.
73600......... 26.......... A........... X-ray exam of 0.16 0.05 0.05 0.05 0.05 0.01 XXX
ankle.
73610......... ............ A........... X-ray exam of 0.17 0.68 0.63 NA NA 0.03 XXX
ankle.
73610......... TC.......... A........... X-ray exam of 0.00 0.62 0.57 NA NA 0.02 XXX
ankle.
73610......... 26.......... A........... X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 XXX
ankle.
73615......... ............ A........... Contrast x-ray of 0.54 2.00 2.14 NA NA 0.15 XXX
ankle.
73615......... TC.......... A........... Contrast x-ray of 0.00 1.82 1.96 NA NA 0.12 XXX
ankle.
73615......... 26.......... A........... Contrast x-ray of 0.54 0.18 0.18 0.18 0.18 0.03 XXX
ankle.
73620......... ............ A........... X-ray exam of foot 0.16 0.52 0.54 NA NA 0.03 XXX
73620......... TC.......... A........... X-ray exam of foot 0.00 0.48 0.49 NA NA 0.02 XXX
73620......... 26.......... A........... X-ray exam of foot 0.16 0.04 0.05 0.04 0.05 0.01 XXX
73630......... ............ A........... X-ray exam of foot 0.17 0.65 0.63 NA NA 0.03 XXX
73630......... TC.......... A........... X-ray exam of foot 0.00 0.60 0.57 NA NA 0.02 XXX
73630......... 26.......... A........... X-ray exam of foot 0.17 0.05 0.06 0.05 0.06 0.01 XXX
73650......... ............ A........... X-ray exam of heel 0.16 0.55 0.53 NA NA 0.03 XXX
73650......... TC.......... A........... X-ray exam of heel 0.00 0.50 0.48 NA NA 0.02 XXX
73650......... 26.......... A........... X-ray exam of heel 0.16 0.05 0.05 0.05 0.05 0.01 XXX
73660......... ............ A........... X-ray exam of 0.13 0.64 0.55 NA NA 0.03 XXX
toe(s).
73660......... TC.......... A........... X-ray exam of 0.00 0.60 0.51 NA NA 0.02 XXX
toe(s).
73660......... 26.......... A........... X-ray exam of 0.13 0.04 0.04 0.04 0.04 0.01 XXX
toe(s).
73700......... ............ A........... Ct lower extremity 1.09 6.41 5.86 NA NA 0.30 XXX
w/o dye.
73700......... TC.......... A........... Ct lower extremity 0.00 6.03 5.49 NA NA 0.25 XXX
w/o dye.
73700......... 26.......... A........... Ct lower extremity 1.09 0.38 0.37 0.38 0.37 0.05 XXX
w/o dye.
73701......... ............ A........... Ct lower extremity 1.16 7.98 7.14 NA NA 0.36 XXX
w/dye.
73701......... TC.......... A........... Ct lower extremity 0.00 7.57 6.74 NA NA 0.31 XXX
w/dye.
73701......... 26.......... A........... Ct lower extremity 1.16 0.41 0.40 0.41 0.40 0.05 XXX
w/dye.
73702......... ............ A........... Ct lwr extremity w/ 1.22 10.73 9.28 NA NA 0.44 XXX
o&w/dye.
73702......... TC.......... A........... Ct lwr extremity w/ 0.00 10.29 8.86 NA NA 0.39 XXX
o&w/dye.
73702......... 26.......... A........... Ct lwr extremity w/ 1.22 0.44 0.42 0.44 0.42 0.05 XXX
o&w/dye.
73706......... ............ A........... Ct angio lwr extr 1.90 12.35 11.97 NA NA 0.47 XXX
w/o&w/dye.
73706......... TC.......... A........... Ct angio lwr extr 0.00 11.63 11.30 NA NA 0.39 XXX
w/o&w/dye.
73706......... 26.......... A........... Ct angio lwr extr 1.90 0.72 0.67 0.72 0.67 0.08 XXX
w/o&w/dye.
73718......... ............ A........... Mri lower 1.35 14.27 12.96 NA NA 0.45 XXX
extremity w/o dye.
73718......... TC.......... A........... Mri lower 0.00 13.81 12.51 NA NA 0.39 XXX
extremity w/o dye.
73718......... 26.......... A........... Mri lower 1.35 0.46 0.45 0.46 0.45 0.06 XXX
extremity w/o dye.
73719......... ............ A........... Mri lower 1.62 15.41 14.70 NA NA 0.54 XXX
extremity w/dye.
73719......... TC.......... A........... Mri lower 0.00 14.84 14.15 NA NA 0.47 XXX
extremity w/dye.
73719......... 26.......... A........... Mri lower 1.62 0.57 0.55 0.57 0.55 0.07 XXX
extremity w/dye.
73720......... ............ A........... Mri lwr extremity 2.15 19.00 22.29 NA NA 0.94 XXX
w/o&w/dye.
73720......... TC.......... A........... Mri lwr extremity 0.00 18.25 21.57 NA NA 0.84 XXX
w/o&w/dye.
73720......... 26.......... A........... Mri lwr extremity 2.15 0.75 0.72 0.75 0.72 0.10 XXX
w/o&w/dye.
73721......... ............ A........... Mri jnt of lwr 1.35 13.88 12.76 NA NA 0.45 XXX
extre w/o dye.
73721......... TC.......... A........... Mri jnt of lwr 0.00 13.41 12.31 NA NA 0.39 XXX
extre w/o dye.
73721......... 26.......... A........... Mri jnt of lwr 1.35 0.47 0.45 0.47 0.45 0.06 XXX
extre w/o dye.
73722......... ............ A........... Mri joint of lwr 1.62 14.49 14.24 NA NA 0.54 XXX
extr w/dye.
73722......... TC.......... A........... Mri joint of lwr 0.00 13.92 13.69 NA NA 0.47 XXX
extr w/dye.
73722......... 26.......... A........... Mri joint of lwr 1.62 0.57 0.55 0.57 0.55 0.07 XXX
extr w/dye.
73723......... ............ A........... Mri joint lwr extr 2.15 17.56 21.59 NA NA 0.94 XXX
w/o&w/dye.
73723......... TC.......... A........... Mri joint lwr extr 0.00 16.82 20.86 NA NA 0.84 XXX
w/o&w/dye.
73723......... 26.......... A........... Mri joint lwr extr 2.15 0.74 0.73 0.74 0.73 0.10 XXX
w/o&w/dye.
73725......... ............ R........... Mr ang lwr ext w 1.82 15.13 13.47 NA NA 0.67 XXX
or w/o dye.
73725......... TC.......... R........... Mr ang lwr ext w 0.00 14.49 12.85 NA NA 0.59 XXX
or w/o dye.
73725......... 26.......... R........... Mr ang lwr ext w 1.82 0.64 0.62 0.64 0.62 0.08 XXX
or w/o dye.
74000......... ............ A........... X-ray exam of 0.18 0.46 0.52 NA NA 0.03 XXX
abdomen.
74000......... TC.......... A........... X-ray exam of 0.00 0.40 0.46 NA NA 0.02 XXX
abdomen.
74000......... 26.......... A........... X-ray exam of 0.18 0.06 0.06 0.06 0.06 0.01 XXX
abdomen.
[[Page 2658]]
74010......... ............ A........... X-ray exam of 0.23 0.79 0.72 NA NA 0.05 XXX
abdomen.
74010......... TC.......... A........... X-ray exam of 0.00 0.71 0.64 NA NA 0.04 XXX
abdomen.
74010......... 26.......... A........... X-ray exam of 0.23 0.08 0.08 0.08 0.08 0.01 XXX
abdomen.
74020......... ............ A........... X-ray exam of 0.27 0.81 0.76 NA NA 0.05 XXX
abdomen.
74020......... TC.......... A........... X-ray exam of 0.00 0.72 0.67 NA NA 0.04 XXX
abdomen.
74020......... 26.......... A........... X-ray exam of 0.27 0.09 0.09 0.09 0.09 0.01 XXX
abdomen.
74022......... ............ A........... X-ray exam series, 0.32 0.99 0.91 NA NA 0.06 XXX
abdomen.
74022......... TC.......... A........... X-ray exam series, 0.00 0.88 0.80 NA NA 0.05 XXX
abdomen.
74022......... 26.......... A........... X-ray exam series, 0.32 0.11 0.11 0.11 0.11 0.01 XXX
abdomen.
74150......... ............ A........... Ct abdomen w/o dye 1.19 6.07 6.07 NA NA 0.35 XXX
74150......... TC.......... A........... Ct abdomen w/o dye 0.00 5.65 5.66 NA NA 0.30 XXX
74150......... 26.......... A........... Ct abdomen w/o dye 1.19 0.42 0.41 0.42 0.41 0.05 XXX
74160......... ............ A........... Ct abdomen w/dye.. 1.27 8.82 8.05 NA NA 0.42 XXX
74160......... TC.......... A........... Ct abdomen w/dye.. 0.00 8.37 7.61 NA NA 0.36 XXX
74160......... 26.......... A........... Ct abdomen w/dye.. 1.27 0.45 0.44 0.45 0.44 0.06 XXX
74170......... ............ A........... Ct abdomen w/o & w/ 1.40 12.19 10.57 NA NA 0.49 XXX
dye.
74170......... TC.......... A........... Ct abdomen w/o & w/ 0.00 11.70 10.09 NA NA 0.43 XXX
dye.
74170......... 26.......... A........... Ct abdomen w/o & w/ 1.40 0.49 0.48 0.49 0.48 0.06 XXX
dye.
74175......... ............ A........... Ct angio abdom w/o 1.90 12.28 12.46 NA NA 0.47 XXX
& w/dye.
74175......... TC.......... A........... Ct angio abdom w/o 0.00 11.59 11.81 NA NA 0.39 XXX
& w/dye.
74175......... 26.......... A........... Ct angio abdom w/o 1.90 0.69 0.65 0.69 0.65 0.08 XXX
& w/dye.
74181......... ............ A........... Mri abdomen w/o 1.46 12.45 12.07 NA NA 0.51 XXX
dye.
74181......... TC.......... A........... Mri abdomen w/o 0.00 11.94 11.57 NA NA 0.45 XXX
dye.
74181......... 26.......... A........... Mri abdomen w/o 1.46 0.51 0.50 0.51 0.50 0.06 XXX
dye.
74182......... ............ A........... Mri abdomen w/dye. 1.73 17.45 15.74 NA NA 0.60 XXX
74182......... TC.......... A........... Mri abdomen w/dye. 0.00 16.84 15.15 NA NA 0.52 XXX
74182......... 26.......... A........... Mri abdomen w/dye. 1.73 0.61 0.59 0.61 0.59 0.08 XXX
74183......... ............ A........... Mri abdomen w/o & 2.26 19.00 22.31 NA NA 1.02 XXX
w/dye.
74183......... TC.......... A........... Mri abdomen w/o & 0.00 18.21 21.55 NA NA 0.92 XXX
w/dye.
74183......... 26.......... A........... Mri abdomen w/o & 2.26 0.79 0.76 0.79 0.76 0.10 XXX
w/dye.
74185......... ............ R........... Mri angio, abdom w 1.80 15.09 13.44 NA NA 0.67 XXX
orw/o dye.
74185......... TC.......... R........... Mri angio, abdom w 0.00 14.45 12.83 NA NA 0.59 XXX
orw/o dye.
74185......... 26.......... R........... Mri angio, abdom w 1.80 0.64 0.61 0.64 0.61 0.08 XXX
orw/o dye.
74190......... ............ C........... X-ray exam of 0.00 0.00 0.00 NA NA 0.00 XXX
peritoneum.
74190......... TC.......... C........... X-ray exam of 0.00 0.00 0.00 NA NA 0.00 XXX
peritoneum.
74190......... 26.......... A........... X-ray exam of 0.48 0.17 0.16 0.17 0.16 0.02 XXX
peritoneum.
74210......... ............ A........... Contrst x-ray exam 0.36 1.77 1.54 NA NA 0.08 XXX
of throat.
74210......... TC.......... A........... Contrst x-ray exam 0.00 1.64 1.42 NA NA 0.06 XXX
of throat.
74210......... 26.......... A........... Contrst x-ray exam 0.36 0.13 0.12 0.13 0.12 0.02 XXX
of throat.
74220......... ............ A........... Contrast x-ray, 0.46 2.01 1.68 NA NA 0.08 XXX
esophagus.
74220......... TC.......... A........... Contrast x-ray, 0.00 1.85 1.52 NA NA 0.06 XXX
esophagus.
74220......... 26.......... A........... Contrast x-ray, 0.46 0.16 0.16 0.16 0.16 0.02 XXX
esophagus.
74230......... ............ A........... Cine/vid x-ray, 0.53 1.95 1.72 NA NA 0.09 XXX
throat/esoph.
74230......... TC.......... A........... Cine/vid x-ray, 0.00 1.76 1.54 NA NA 0.07 XXX
throat/esoph.
74230......... 26.......... A........... Cine/vid x-ray, 0.53 0.19 0.18 0.19 0.18 0.02 XXX
throat/esoph.
74235......... ............ C........... Remove esophagus 0.00 0.00 0.00 NA NA 0.00 XXX
obstruction.
74235......... TC.......... C........... Remove esophagus 0.00 0.00 0.00 NA NA 0.00 XXX
obstruction.
74235......... 26.......... A........... Remove esophagus 1.19 0.47 0.43 0.47 0.43 0.05 XXX
obstruction.
74240......... ............ A........... X-ray exam, upper 0.69 2.30 2.00 NA NA 0.11 XXX
gi tract.
74240......... TC.......... A........... X-ray exam, upper 0.00 2.06 1.76 NA NA 0.08 XXX
gi tract.
74240......... 26.......... A........... X-ray exam, upper 0.69 0.24 0.24 0.24 0.24 0.03 XXX
gi tract.
74241......... ............ A........... X-ray exam, upper 0.69 2.57 2.14 NA NA 0.11 XXX
gi tract.
74241......... TC.......... A........... X-ray exam, upper 0.00 2.33 1.91 NA NA 0.08 XXX
gi tract.
74241......... 26.......... A........... X-ray exam, upper 0.69 0.24 0.23 0.24 0.23 0.03 XXX
gi tract.
74245......... ............ A........... X-ray exam, upper 0.91 3.96 3.32 NA NA 0.17 XXX
gi tract.
74245......... TC.......... A........... X-ray exam, upper 0.00 3.64 3.01 NA NA 0.13 XXX
gi tract.
74245......... 26.......... A........... X-ray exam, upper 0.91 0.32 0.31 0.32 0.31 0.04 XXX
gi tract.
74246......... ............ A........... Contrst x-ray uppr 0.69 2.81 2.34 NA NA 0.13 XXX
gi tract.
74246......... TC.......... A........... Contrst x-ray uppr 0.00 2.56 2.10 NA NA 0.10 XXX
gi tract.
74246......... 26.......... A........... Contrst x-ray uppr 0.69 0.25 0.24 0.25 0.24 0.03 XXX
gi tract.
74247......... ............ A........... Contrst x-ray uppr 0.69 3.22 2.57 NA NA 0.14 XXX
gi tract.
74247......... TC.......... A........... Contrst x-ray uppr 0.00 2.98 2.33 NA NA 0.11 XXX
gi tract.
74247......... 26.......... A........... Contrst x-ray uppr 0.69 0.24 0.24 0.24 0.24 0.03 XXX
gi tract.
74249......... ............ A........... Contrst x-ray uppr 0.91 4.35 3.61 NA NA 0.18 XXX
gi tract.
74249......... TC.......... A........... Contrst x-ray uppr 0.00 4.03 3.30 NA NA 0.14 XXX
gi tract.
74249......... 26.......... A........... Contrst x-ray uppr 0.91 0.32 0.31 0.32 0.31 0.04 XXX
gi tract.
74250......... ............ A........... X-ray exam of 0.47 2.49 1.97 NA NA 0.09 XXX
small bowel.
74250......... TC.......... A........... X-ray exam of 0.00 2.32 1.81 NA NA 0.07 XXX
small bowel.
74250......... 26.......... A........... X-ray exam of 0.47 0.17 0.16 0.17 0.16 0.02 XXX
small bowel.
74251......... ............ A........... X-ray exam of 0.69 10.02 5.78 NA NA 0.10 XXX
small bowel.
74251......... TC.......... A........... X-ray exam of 0.00 9.77 5.54 NA NA 0.07 XXX
small bowel.
74251......... 26.......... A........... X-ray exam of 0.69 0.25 0.24 0.25 0.24 0.03 XXX
small bowel.
[[Page 2659]]
74260......... ............ A........... X-ray exam of 0.50 8.31 4.98 NA NA 0.10 XXX
small bowel.
74260......... TC.......... A........... X-ray exam of 0.00 8.13 4.81 NA NA 0.08 XXX
small bowel.
74260......... 26.......... A........... X-ray exam of 0.50 0.18 0.17 0.18 0.17 0.02 XXX
small bowel.
74270......... ............ A........... Contrast x-ray 0.69 3.59 2.76 NA NA 0.14 XXX
exam of colon.
74270......... TC.......... A........... Contrast x-ray 0.00 3.34 2.52 NA NA 0.11 XXX
exam of colon.
74270......... 26.......... A........... Contrast x-ray 0.69 0.25 0.24 0.25 0.24 0.03 XXX
exam of colon.
74280......... ............ A........... Contrast x-ray 0.99 4.95 3.75 NA NA 0.17 XXX
exam of colon.
74280......... TC.......... A........... Contrast x-ray 0.00 4.60 3.42 NA NA 0.13 XXX
exam of colon.
74280......... 26.......... A........... Contrast x-ray 0.99 0.35 0.33 0.35 0.33 0.04 XXX
exam of colon.
74283......... ............ A........... Contrast x-ray 2.02 3.49 3.35 NA NA 0.23 XXX
exam of colon.
74283......... TC.......... A........... Contrast x-ray 0.00 2.80 2.68 NA NA 0.14 XXX
exam of colon.
74283......... 26.......... A........... Contrast x-ray 2.02 0.69 0.67 0.69 0.67 0.09 XXX
exam of colon.
74290......... ............ A........... Contrast x-ray, 0.32 1.58 1.21 NA NA 0.06 XXX
gallbladder.
74290......... TC.......... A........... Contrast x-ray, 0.00 1.47 1.10 NA NA 0.05 XXX
gallbladder.
74290......... 26.......... A........... Contrast x-ray, 0.32 0.11 0.11 0.11 0.11 0.01 XXX
gallbladder.
74291......... ............ A........... Contrast x-rays, 0.20 1.56 1.02 NA NA 0.03 XXX
gallbladder.
74291......... TC.......... A........... Contrast x-rays, 0.00 1.49 0.95 NA NA 0.02 XXX
gallbladder.
74291......... 26.......... A........... Contrast x-rays, 0.20 0.07 0.07 0.07 0.07 0.01 XXX
gallbladder.
74300......... ............ C........... X-ray bile ducts/ 0.00 0.00 0.00 NA NA 0.00 XXX
pancreas.
74300......... TC.......... C........... X-ray bile ducts/ 0.00 0.00 0.00 NA NA 0.00 XXX
pancreas.
74300......... 26.......... A........... X-ray bile ducts/ 0.36 0.13 0.12 0.13 0.12 0.02 XXX
pancreas.
74301......... ............ C........... X-rays at surgery 0.00 0.00 0.00 NA NA 0.00 ZZZ
add-on.
74301......... TC.......... C........... X-rays at surgery 0.00 0.00 0.00 NA NA 0.00 ZZZ
add-on.
74301......... 26.......... A........... X-rays at surgery 0.21 0.07 0.07 0.07 0.07 0.01 ZZZ
add-on.
74305......... ............ C........... X-ray bile ducts/ 0.00 0.00 0.00 NA NA 0.00 XXX
pancreas.
74305......... TC.......... C........... X-ray bile ducts/ 0.00 0.00 0.00 NA NA 0.00 XXX
pancreas.
74305......... 26.......... A........... X-ray bile ducts/ 0.42 0.15 0.15 0.15 0.15 0.02 XXX
pancreas.
74320......... ............ A........... Contrast x-ray of 0.54 2.14 2.73 NA NA 0.19 XXX
bile ducts.
74320......... TC.......... A........... Contrast x-ray of 0.00 1.94 2.54 NA NA 0.17 XXX
bile ducts.
74320......... 26.......... A........... Contrast x-ray of 0.54 0.20 0.19 0.20 0.19 0.02 XXX
bile ducts.
74327......... ............ A........... X-ray bile stone 0.70 2.97 2.48 NA NA 0.14 XXX
removal.
74327......... TC.......... A........... X-ray bile stone 0.00 2.72 2.24 NA NA 0.11 XXX
removal.
74327......... 26.......... A........... X-ray bile stone 0.70 0.25 0.24 0.25 0.24 0.03 XXX
removal.
74328......... ............ C........... X-ray bile duct 0.00 0.00 0.00 NA NA 0.00 XXX
endoscopy.
74328......... TC.......... C........... X-ray bile duct 0.00 0.00 0.00 NA NA 0.00 XXX
endoscopy.
74328......... 26.......... A........... X-ray bile duct 0.70 0.26 0.25 0.26 0.25 0.03 XXX
endoscopy.
74329......... ............ C........... X-ray for pancreas 0.00 0.00 0.00 NA NA 0.00 XXX
endoscopy.
74329......... TC.......... C........... X-ray for pancreas 0.00 0.00 0.00 NA NA 0.00 XXX
endoscopy.
74329......... 26.......... A........... X-ray for pancreas 0.70 0.27 0.25 0.27 0.25 0.03 XXX
endoscopy.
74330......... ............ C........... X-ray bile/panc 0.00 0.00 0.00 NA NA 0.00 XXX
endoscopy.
74330......... TC.......... C........... X-ray bile/panc 0.00 0.00 0.00 NA NA 0.00 XXX
endoscopy.
74330......... 26.......... A........... X-ray bile/panc 0.90 0.33 0.31 0.33 0.31 0.04 XXX
endoscopy.
74340......... ............ C........... X-ray guide for GI 0.00 0.00 0.00 NA NA 0.00 XXX
tube.
74340......... TC.......... C........... X-ray guide for GI 0.00 0.00 0.00 NA NA 0.00 XXX
tube.
74340......... 26.......... A........... X-ray guide for GI 0.54 0.19 0.19 0.19 0.19 0.02 XXX
tube.
74355......... ............ C........... X-ray guide, 0.00 0.00 0.00 NA NA 0.00 XXX
intestinal tube.
74355......... TC.......... C........... X-ray guide, 0.00 0.00 0.00 NA NA 0.00 XXX
intestinal tube.
74355......... 26.......... A........... X-ray guide, 0.76 0.28 0.26 0.28 0.26 0.03 XXX
intestinal tube.
74360......... ............ C........... X-ray guide, GI 0.00 0.00 0.00 NA NA 0.00 XXX
dilation.
74360......... TC.......... C........... X-ray guide, GI 0.00 0.00 0.00 NA NA 0.00 XXX
dilation.
74360......... 26.......... A........... X-ray guide, GI 0.54 0.24 0.21 0.24 0.21 0.02 XXX
dilation.
74363......... ............ C........... X-ray, bile duct 0.00 0.00 0.00 NA NA 0.00 XXX
dilation.
74363......... TC.......... C........... X-ray, bile duct 0.00 0.00 0.00 NA NA 0.00 XXX
dilation.
74363......... 26.......... A........... X-ray, bile duct 0.88 0.32 0.30 0.32 0.30 0.04 XXX
dilation.
74400......... ............ A........... Contrst x-ray, 0.49 2.60 2.22 NA NA 0.13 XXX
urinary tract.
74400......... TC.......... A........... Contrst x-ray, 0.00 2.43 2.05 NA NA 0.11 XXX
urinary tract.
74400......... 26.......... A........... Contrst x-ray, 0.49 0.17 0.17 0.17 0.17 0.02 XXX
urinary tract.
74410......... ............ A........... Contrst x-ray, 0.49 2.69 2.40 NA NA 0.13 XXX
urinary tract.
74410......... TC.......... A........... Contrst x-ray, 0.00 2.51 2.23 NA NA 0.11 XXX
urinary tract.
74410......... 26.......... A........... Contrst x-ray, 0.49 0.18 0.17 0.18 0.17 0.02 XXX
urinary tract.
74415......... ............ A........... Contrst x-ray, 0.49 3.27 2.78 NA NA 0.14 XXX
urinary tract.
74415......... TC.......... A........... Contrst x-ray, 0.00 3.10 2.61 NA NA 0.12 XXX
urinary tract.
74415......... 26.......... A........... Contrst x-ray, 0.49 0.17 0.17 0.17 0.17 0.02 XXX
urinary tract.
74420......... ............ C........... Contrst x-ray, 0.00 0.00 0.00 NA NA 0.00 XXX
urinary tract.
74420......... TC.......... C........... Contrst x-ray, 0.00 0.00 0.00 NA NA 0.00 XXX
urinary tract.
74420......... 26.......... A........... Contrst x-ray, 0.36 0.14 0.13 0.14 0.13 0.02 XXX
urinary tract.
74425......... ............ C........... Contrst x-ray, 0.00 0.00 0.00 NA NA 0.00 XXX
urinary tract.
74425......... TC.......... C........... Contrst x-ray, 0.00 0.00 0.00 NA NA 0.00 XXX
urinary tract.
74425......... 26.......... A........... Contrst x-ray, 0.36 0.13 0.13 0.13 0.13 0.02 XXX
urinary tract.
74430......... ............ A........... Contrast x-ray, 0.32 1.96 1.56 NA NA 0.08 XXX
bladder.
74430......... TC.......... A........... Contrast x-ray, 0.00 1.84 1.45 NA NA 0.06 XXX
bladder.
74430......... 26.......... A........... Contrast x-ray, 0.32 0.12 0.11 0.12 0.11 0.02 XXX
bladder.
[[Page 2660]]
74440......... ............ A........... X-ray, male 0.38 2.12 1.68 NA NA 0.08 XXX
genital tract.
74440......... TC.......... A........... X-ray, male 0.00 1.98 1.55 NA NA 0.06 XXX
genital tract.
74440......... 26.......... A........... X-ray, male 0.38 0.14 0.13 0.14 0.13 0.02 XXX
genital tract.
74445......... ............ C........... X-ray exam of 0.00 0.00 0.00 NA NA 0.00 XXX
penis.
74445......... TC.......... C........... X-ray exam of 0.00 0.00 0.00 NA NA 0.00 XXX
penis.
74445......... 26.......... A........... X-ray exam of 1.14 0.45 0.41 0.45 0.41 0.07 XXX
penis.
74450......... ............ C........... X-ray, urethra/ 0.00 0.00 0.00 NA NA 0.00 XXX
bladder.
74450......... TC.......... C........... X-ray, urethra/ 0.00 0.00 0.00 NA NA 0.00 XXX
bladder.
74450......... 26.......... A........... X-ray, urethra/ 0.33 0.12 0.12 0.12 0.12 0.02 XXX
bladder.
74455......... ............ A........... X-ray, urethra/ 0.33 2.18 1.94 NA NA 0.12 XXX
bladder.
74455......... TC.......... A........... X-ray, urethra/ 0.00 2.06 1.82 NA NA 0.10 XXX
bladder.
74455......... 26.......... A........... X-ray, urethra/ 0.33 0.12 0.12 0.12 0.12 0.02 XXX
bladder.
74470......... ............ C........... X-ray exam of 0.00 0.00 0.00 NA NA 0.00 XXX
kidney lesion.
74470......... TC.......... C........... X-ray exam of 0.00 0.00 0.00 NA NA 0.00 XXX
kidney lesion.
74470......... 26.......... A........... X-ray exam of 0.54 0.17 0.18 0.17 0.18 0.02 XXX
kidney lesion.
74475......... ............ A........... X-ray control, 0.54 2.12 3.19 NA NA 0.24 XXX
cath insert.
74475......... TC.......... A........... X-ray control, 0.00 1.92 3.00 NA NA 0.22 XXX
cath insert.
74475......... 26.......... A........... X-ray control, 0.54 0.20 0.19 0.20 0.19 0.02 XXX
cath insert.
74480......... ............ A........... X-ray control, 0.54 2.13 3.19 NA NA 0.24 XXX
cath insert.
74480......... TC.......... A........... X-ray control, 0.00 1.93 3.00 NA NA 0.22 XXX
cath insert.
74480......... 26.......... A........... X-ray control, 0.54 0.20 0.19 0.20 0.19 0.02 XXX
cath insert.
74485......... ............ A........... X-ray guide, GU 0.54 2.27 2.80 NA NA 0.20 XXX
dilation.
74485......... TC.......... A........... X-ray guide, GU 0.00 2.07 2.61 NA NA 0.17 XXX
dilation.
74485......... 26.......... A........... X-ray guide, GU 0.54 0.20 0.19 0.20 0.19 0.03 XXX
dilation.
74710......... ............ A........... X-ray measurement 0.34 0.64 0.90 NA NA 0.08 XXX
of pelvis.
74710......... TC.......... A........... X-ray measurement 0.00 0.53 0.79 NA NA 0.06 XXX
of pelvis.
74710......... 26.......... A........... X-ray measurement 0.34 0.11 0.11 0.11 0.11 0.02 XXX
of pelvis.
74740......... ............ A........... X-ray, female 0.38 1.77 1.60 NA NA 0.09 XXX
genital tract.
74740......... TC.......... A........... X-ray, female 0.00 1.64 1.47 NA NA 0.07 XXX
genital tract.
74740......... 26.......... A........... X-ray, female 0.38 0.13 0.13 0.13 0.13 0.02 XXX
genital tract.
74742......... ............ C........... X-ray, fallopian 0.00 0.00 0.00 NA NA 0.00 XXX
tube.
74742......... TC.......... C........... X-ray, fallopian 0.00 0.00 0.00 NA NA 0.00 XXX
tube.
74742......... 26.......... A........... X-ray, fallopian 0.61 0.19 0.20 0.19 0.20 0.03 XXX
tube.
74775......... ............ C........... X-ray exam of 0.00 0.00 0.00 NA NA 0.00 XXX
perineum.
74775......... TC.......... C........... X-ray exam of 0.00 0.00 0.00 NA NA 0.00 XXX
perineum.
74775......... 26.......... A........... X-ray exam of 0.62 0.22 0.21 0.22 0.21 0.03 XXX
perineum.
75557......... ............ A........... Cardiac mri for 2.35 11.27 11.27 NA NA 0.97 XXX
morph.
75557......... TC.......... A........... Cardiac mri for 0.00 10.33 10.33 NA NA 0.87 XXX
morph.
75557......... 26.......... A........... Cardiac mri for 2.35 0.94 0.94 0.94 0.94 0.10 XXX
morph.
75558......... ............ N........... Cardiac mri flow/ 2.60 12.39 12.39 NA NA 1.07 XXX
velocity.
75558......... TC.......... N........... Cardiac mri flow/ 0.00 11.79 11.79 NA NA 0.96 XXX
velocity.
75558......... 26.......... N........... Cardiac mri flow/ 2.60 0.60 0.60 0.60 0.60 0.11 XXX
velocity.
75559......... ............ A........... Cardiac mri w/ 2.95 17.26 17.26 NA NA 0.97 XXX
stress img.
75559......... TC.......... A........... Cardiac mri w/ 0.00 15.99 15.99 NA NA 0.87 XXX
stress img.
75559......... 26.......... A........... Cardiac mri w/ 2.95 1.27 1.27 1.27 1.27 0.10 XXX
stress img.
75560......... ............ N........... Cardiac mri flow/ 3.00 16.84 16.84 NA NA 1.00 XXX
vel/stress.
75560......... TC.......... N........... Cardiac mri flow/ 0.00 16.15 16.15 NA NA 0.89 XXX
vel/stress.
75560......... 26.......... N........... Cardiac mri flow/ 3.00 0.69 0.69 0.69 0.69 0.11 XXX
vel/stress.
75561......... ............ A........... Cardiac mri for 2.60 15.98 15.98 NA NA 1.07 XXX
morph w/dye.
75561......... TC.......... A........... Cardiac mri for 0.00 14.94 14.94 NA NA 0.96 XXX
morph w/dye.
75561......... 26.......... A........... Cardiac mri for 2.60 1.04 1.04 1.04 1.04 0.11 XXX
morph w/dye.
75562......... ............ N........... Card mri flow/vel 2.86 16.77 16.77 NA NA 1.03 XXX
w/dye.
75562......... TC.......... N........... Card mri flow/vel 0.00 16.11 16.11 NA NA 0.92 XXX
w/dye.
75562......... 26.......... N........... Card mri flow/vel 2.86 0.66 0.66 0.66 0.66 0.11 XXX
w/dye.
75563......... ............ A........... Card mri w/stress 3.00 20.22 20.22 NA NA 1.08 XXX
img & dye.
75563......... TC.......... A........... Card mri w/stress 0.00 18.84 18.84 NA NA 0.97 XXX
img & dye.
75563......... 26.......... A........... Card mri w/stress 3.00 1.38 1.38 1.38 1.38 0.11 XXX
img & dye.
75564......... ............ N........... Ht mri w/flo/vel/ 3.35 19.73 19.73 NA NA 1.21 XXX
strs & dye.
75564......... TC.......... N........... Ht mri w/flo/vel/ 0.00 18.96 18.96 NA NA 1.08 XXX
strs & dye.
75564......... 26.......... N........... Ht mri w/flo/vel/ 3.35 0.77 0.77 0.77 0.77 0.13 XXX
strs & dye.
75600......... ............ A........... Contrast x-ray 0.49 6.42 9.62 NA NA 0.67 XXX
exam of aorta.
75600......... TC.......... A........... Contrast x-ray 0.00 6.18 9.40 NA NA 0.65 XXX
exam of aorta.
75600......... 26.......... A........... Contrast x-ray 0.49 0.24 0.22 0.24 0.22 0.02 XXX
exam of aorta.
75605......... ............ A........... Contrast x-ray 1.14 3.55 8.28 NA NA 0.70 XXX
exam of aorta.
75605......... TC.......... A........... Contrast x-ray 0.00 3.06 7.84 NA NA 0.65 XXX
exam of aorta.
75605......... 26.......... A........... Contrast x-ray 1.14 0.49 0.44 0.49 0.44 0.05 XXX
exam of aorta.
75625......... ............ A........... Contrast x-ray 1.14 3.35 8.17 NA NA 0.71 XXX
exam of aorta.
75625......... TC.......... A........... Contrast x-ray 0.00 2.93 7.77 NA NA 0.65 XXX
exam of aorta.
75625......... 26.......... A........... Contrast x-ray 1.14 0.42 0.40 0.42 0.40 0.06 XXX
exam of aorta.
75630......... ............ A........... X-ray aorta, leg 1.79 3.76 8.76 NA NA 0.80 XXX
arteries.
75630......... TC.......... A........... X-ray aorta, leg 0.00 3.05 8.10 NA NA 0.69 XXX
arteries.
75630......... 26.......... A........... X-ray aorta, leg 1.79 0.71 0.66 0.71 0.66 0.11 XXX
arteries.
[[Page 2661]]
75635......... ............ A........... Ct angio abdominal 2.40 12.94 14.82 NA NA 0.50 XXX
arteries.
75635......... TC.......... A........... Ct angio abdominal 0.00 12.02 13.97 NA NA 0.39 XXX
arteries.
75635......... 26.......... A........... Ct angio abdominal 2.40 0.92 0.85 0.92 0.85 0.11 XXX
arteries.
75650......... ............ A........... Artery x-rays, 1.49 3.53 8.31 NA NA 0.72 XXX
head & neck.
75650......... TC.......... A........... Artery x-rays, 0.00 2.95 7.78 NA NA 0.65 XXX
head & neck.
75650......... 26.......... A........... Artery x-rays, 1.49 0.58 0.53 0.58 0.53 0.07 XXX
head & neck.
75658......... ............ A........... Artery x-rays, arm 1.31 3.73 8.41 NA NA 0.72 XXX
75658......... TC.......... A........... Artery x-rays, arm 0.00 3.29 7.95 NA NA 0.65 XXX
75658......... 26.......... A........... Artery x-rays, arm 1.31 0.44 0.46 0.44 0.46 0.07 XXX
75660......... ............ A........... Artery x-rays, 1.31 3.88 8.47 NA NA 0.71 XXX
head & neck.
75660......... TC.......... A........... Artery x-rays, 0.00 3.39 8.00 NA NA 0.65 XXX
head & neck.
75660......... 26.......... A........... Artery x-rays, 1.31 0.49 0.47 0.49 0.47 0.06 XXX
head & neck.
75662......... ............ A........... Artery x-rays, 1.66 5.01 9.11 NA NA 0.71 XXX
head & neck.
75662......... TC.......... A........... Artery x-rays, 0.00 4.31 8.46 NA NA 0.65 XXX
head & neck.
75662......... 26.......... A........... Artery x-rays, 1.66 0.70 0.65 0.70 0.65 0.06 XXX
head & neck.
75665......... ............ A........... Artery x-rays, 1.31 4.10 8.58 NA NA 0.74 XXX
head & neck.
75665......... TC.......... A........... Artery x-rays, 0.00 3.62 8.12 NA NA 0.65 XXX
head & neck.
75665......... 26.......... A........... Artery x-rays, 1.31 0.48 0.46 0.48 0.46 0.09 XXX
head & neck.
75671......... ............ A........... Artery x-rays, 1.66 5.10 9.13 NA NA 0.72 XXX
head & neck.
75671......... TC.......... A........... Artery x-rays, 0.00 4.46 8.54 NA NA 0.65 XXX
head & neck.
75671......... 26.......... A........... Artery x-rays, 1.66 0.64 0.59 0.64 0.59 0.07 XXX
head & neck.
75676......... ............ A........... Artery x-rays, 1.31 3.87 8.46 NA NA 0.72 XXX
neck.
75676......... TC.......... A........... Artery x-rays, 0.00 3.38 8.00 NA NA 0.65 XXX
neck.
75676......... 26.......... A........... Artery x-rays, 1.31 0.49 0.46 0.49 0.46 0.07 XXX
neck.
75680......... ............ A........... Artery x-rays, 1.66 4.61 8.88 NA NA 0.72 XXX
neck.
75680......... TC.......... A........... Artery x-rays, 0.00 3.95 8.28 NA NA 0.65 XXX
neck.
75680......... 26.......... A........... Artery x-rays, 1.66 0.66 0.60 0.66 0.60 0.07 XXX
neck.
75685......... ............ A........... Artery x-rays, 1.31 3.89 8.47 NA NA 0.71 XXX
spine.
75685......... TC.......... A........... Artery x-rays, 0.00 3.39 8.00 NA NA 0.65 XXX
spine.
75685......... 26.......... A........... Artery x-rays, 1.31 0.50 0.47 0.50 0.47 0.06 XXX
spine.
75705......... ............ A........... Artery x-rays, 2.18 4.18 8.75 NA NA 0.78 XXX
spine.
75705......... TC.......... A........... Artery x-rays, 0.00 3.38 7.99 NA NA 0.65 XXX
spine.
75705......... 26.......... A........... Artery x-rays, 2.18 0.80 0.76 0.80 0.76 0.13 XXX
spine.
75710......... ............ A........... Artery x-rays, arm/ 1.14 3.95 8.48 NA NA 0.72 XXX
leg.
75710......... TC.......... A........... Artery x-rays, arm/ 0.00 3.53 8.07 NA NA 0.65 XXX
leg.
75710......... 26.......... A........... Artery x-rays, arm/ 1.14 0.42 0.41 0.42 0.41 0.07 XXX
leg.
75716......... ............ A........... Artery x-rays, 1.31 4.92 8.98 NA NA 0.72 XXX
arms/legs.
75716......... TC.......... A........... Artery x-rays, 0.00 4.42 8.52 NA NA 0.65 XXX
arms/legs.
75716......... 26.......... A........... Artery x-rays, 1.31 0.50 0.46 0.50 0.46 0.07 XXX
arms/legs.
75722......... ............ A........... Artery x-rays, 1.14 3.84 8.43 NA NA 0.70 XXX
kidney.
75722......... TC.......... A........... Artery x-rays, 0.00 3.37 7.99 NA NA 0.65 XXX
kidney.
75722......... 26.......... A........... Artery x-rays, 1.14 0.47 0.44 0.47 0.44 0.05 XXX
kidney.
75724......... ............ A........... Artery x-rays, 1.49 5.13 9.15 NA NA 0.70 XXX
kidneys.
75724......... TC.......... A........... Artery x-rays, 0.00 4.39 8.50 NA NA 0.65 XXX
kidneys.
75724......... 26.......... A........... Artery x-rays, 1.49 0.74 0.65 0.74 0.65 0.05 XXX
kidneys.
75726......... ............ A........... Artery x-rays, 1.14 3.77 8.37 NA NA 0.70 XXX
abdomen.
75726......... TC.......... A........... Artery x-rays, 0.00 3.35 7.98 NA NA 0.65 XXX
abdomen.
75726......... 26.......... A........... Artery x-rays, 1.14 0.42 0.39 0.42 0.39 0.05 XXX
abdomen.
75731......... ............ A........... Artery x-rays, 1.14 4.10 8.54 NA NA 0.71 XXX
adrenal gland.
75731......... TC.......... A........... Artery x-rays, 0.00 3.60 8.10 NA NA 0.65 XXX
adrenal gland.
75731......... 26.......... A........... Artery x-rays, 1.14 0.50 0.44 0.50 0.44 0.06 XXX
adrenal gland.
75733......... ............ A........... Artery x-rays, 1.31 5.46 9.26 NA NA 0.71 XXX
adrenals.
75733......... TC.......... A........... Artery x-rays, 0.00 4.81 8.71 NA NA 0.65 XXX
adrenals.
75733......... 26.......... A........... Artery x-rays, 1.31 0.65 0.55 0.65 0.55 0.06 XXX
adrenals.
75736......... ............ A........... Artery x-rays, 1.14 3.87 8.44 NA NA 0.71 XXX
pelvis.
75736......... TC.......... A........... Artery x-rays, 0.00 3.44 8.03 NA NA 0.65 XXX
pelvis.
75736......... 26.......... A........... Artery x-rays, 1.14 0.43 0.41 0.43 0.41 0.06 XXX
pelvis.
75741......... ............ A........... Artery x-rays, 1.31 3.18 8.11 NA NA 0.71 XXX
lung.
75741......... TC.......... A........... Artery x-rays, 0.00 2.69 7.65 NA NA 0.65 XXX
lung.
75741......... 26.......... A........... Artery x-rays, 1.31 0.49 0.46 0.49 0.46 0.06 XXX
lung.
75743......... ............ A........... Artery x-rays, 1.66 3.56 8.36 NA NA 0.72 XXX
lungs.
75743......... TC.......... A........... Artery x-rays, 0.00 2.94 7.78 NA NA 0.65 XXX
lungs.
75743......... 26.......... A........... Artery x-rays, 1.66 0.62 0.58 0.62 0.58 0.07 XXX
lungs.
75746......... ............ A........... Artery x-rays, 1.14 3.52 8.26 NA NA 0.70 XXX
lung.
75746......... TC.......... A........... Artery x-rays, 0.00 3.12 7.87 NA NA 0.65 XXX
lung.
75746......... 26.......... A........... Artery x-rays, 1.14 0.40 0.39 0.40 0.39 0.05 XXX
lung.
75756......... ............ A........... Artery x-rays, 1.14 4.34 8.70 NA NA 0.69 XXX
chest.
75756......... TC.......... A........... Artery x-rays, 0.00 3.76 8.19 NA NA 0.65 XXX
chest.
75756......... 26.......... A........... Artery x-rays, 1.14 0.58 0.51 0.58 0.51 0.04 XXX
chest.
75774......... ............ A........... Artery x-ray, each 0.36 2.51 7.62 NA NA 0.67 ZZZ
vessel.
75774......... TC.......... A........... Artery x-ray, each 0.00 2.37 7.49 NA NA 0.65 ZZZ
vessel.
75774......... 26.......... A........... Artery x-ray, each 0.36 0.14 0.13 0.14 0.13 0.02 ZZZ
vessel.
[[Page 2662]]
75790......... ............ A........... Visualize A-V 1.84 3.12 2.54 NA NA 0.17 XXX
shunt.
75790......... TC.......... A........... Visualize A-V 0.00 2.52 1.94 NA NA 0.08 XXX
shunt.
75790......... 26.......... A........... Visualize A-V 1.84 0.60 0.60 0.60 0.60 0.09 XXX
shunt.
75801......... ............ C........... Lymph vessel x- 0.00 0.00 0.00 NA NA 0.00 XXX
ray, arm/leg.
75801......... TC.......... C........... Lymph vessel x- 0.00 0.00 0.00 NA NA 0.00 XXX
ray, arm/leg.
75801......... 26.......... A........... Lymph vessel x- 0.81 0.22 0.25 0.22 0.25 0.08 XXX
ray, arm/leg.
75803......... ............ C........... Lymph vessel x- 0.00 0.00 0.00 NA NA 0.00 XXX
ray,arms/legs.
75803......... TC.......... C........... Lymph vessel x- 0.00 0.00 0.00 NA NA 0.00 XXX
ray,arms/legs.
75803......... 26.......... A........... Lymph vessel x- 1.17 0.40 0.39 0.40 0.39 0.05 XXX
ray,arms/legs.
75805......... ............ C........... Lymph vessel x- 0.00 0.00 0.00 NA NA 0.00 XXX
ray, trunk.
75805......... TC.......... C........... Lymph vessel x- 0.00 0.00 0.00 NA NA 0.00 XXX
ray, trunk.
75805......... 26.......... A........... Lymph vessel x- 0.81 0.27 0.27 0.27 0.27 0.05 XXX
ray, trunk.
75807......... ............ C........... Lymph vessel x- 0.00 0.00 0.00 NA NA 0.00 XXX
ray, trunk.
75807......... TC.......... C........... Lymph vessel x- 0.00 0.00 0.00 NA NA 0.00 XXX
ray, trunk.
75807......... 26.......... A........... Lymph vessel x- 1.17 0.39 0.39 0.39 0.39 0.05 XXX
ray, trunk.
75809......... ............ A........... Nonvascular shunt, 0.47 2.17 1.54 NA NA 0.07 XXX
x-ray.
75809......... TC.......... A........... Nonvascular shunt, 0.00 2.01 1.39 NA NA 0.05 XXX
x-ray.
75809......... 26.......... A........... Nonvascular shunt, 0.47 0.16 0.15 0.16 0.15 0.02 XXX
x-ray.
75810......... ............ C........... Vein x-ray, spleen/ 0.00 0.00 0.00 NA NA 0.00 XXX
liver.
75810......... TC.......... C........... Vein x-ray, spleen/ 0.00 0.00 0.00 NA NA 0.00 XXX
liver.
75810......... 26.......... A........... Vein x-ray, spleen/ 1.14 0.39 0.38 0.39 0.38 0.05 XXX
liver.
75820......... ............ A........... Vein x-ray, arm/ 0.70 3.01 2.09 NA NA 0.09 XXX
leg.
75820......... TC.......... A........... Vein x-ray, arm/ 0.00 2.72 1.83 NA NA 0.06 XXX
leg.
75820......... 26.......... A........... Vein x-ray, arm/ 0.70 0.29 0.26 0.29 0.26 0.03 XXX
leg.
75822......... ............ A........... Vein x-ray, arms/ 1.06 3.18 2.50 NA NA 0.13 XXX
legs.
75822......... TC.......... A........... Vein x-ray, arms/ 0.00 2.81 2.14 NA NA 0.08 XXX
legs.
75822......... 26.......... A........... Vein x-ray, arms/ 1.06 0.37 0.36 0.37 0.36 0.05 XXX
legs.
75825......... ............ A........... Vein x-ray, trunk. 1.14 2.93 7.96 NA NA 0.72 XXX
75825......... TC.......... A........... Vein x-ray, trunk. 0.00 2.55 7.58 NA NA 0.65 XXX
75825......... 26.......... A........... Vein x-ray, trunk. 1.14 0.38 0.38 0.38 0.38 0.07 XXX
75827......... ............ A........... Vein x-ray, chest. 1.14 2.95 7.97 NA NA 0.70 XXX
75827......... TC.......... A........... Vein x-ray, chest. 0.00 2.58 7.60 NA NA 0.65 XXX
75827......... 26.......... A........... Vein x-ray, chest. 1.14 0.37 0.37 0.37 0.37 0.05 XXX
75831......... ............ A........... Vein x-ray, kidney 1.14 3.05 8.01 NA NA 0.71 XXX
75831......... TC.......... A........... Vein x-ray, kidney 0.00 2.67 7.64 NA NA 0.65 XXX
75831......... 26.......... A........... Vein x-ray, kidney 1.14 0.38 0.37 0.38 0.37 0.06 XXX
75833......... ............ A........... Vein x-ray, 1.49 3.68 8.39 NA NA 0.74 XXX
kidneys.
75833......... TC.......... A........... Vein x-ray, 0.00 3.18 7.89 NA NA 0.65 XXX
kidneys.
75833......... 26.......... A........... Vein x-ray, 1.49 0.50 0.50 0.50 0.50 0.09 XXX
kidneys.
75840......... ............ A........... Vein x-ray, 1.14 2.96 7.98 NA NA 0.72 XXX
adrenal gland.
75840......... TC.......... A........... Vein x-ray, 0.00 2.60 7.61 NA NA 0.65 XXX
adrenal gland.
75840......... 26.......... A........... Vein x-ray, 1.14 0.36 0.37 0.36 0.37 0.07 XXX
adrenal gland.
75842......... ............ A........... Vein x-ray, 1.49 3.75 8.42 NA NA 0.72 XXX
adrenal glands.
75842......... TC.......... A........... Vein x-ray, 0.00 3.20 7.91 NA NA 0.65 XXX
adrenal glands.
75842......... 26.......... A........... Vein x-ray, 1.49 0.55 0.51 0.55 0.51 0.07 XXX
adrenal glands.
75860......... ............ A........... Vein x-ray, neck.. 1.14 3.40 8.20 NA NA 0.69 XXX
75860......... TC.......... A........... Vein x-ray, neck.. 0.00 2.91 7.76 NA NA 0.65 XXX
75860......... 26.......... A........... Vein x-ray, neck.. 1.14 0.49 0.44 0.49 0.44 0.04 XXX
75870......... ............ A........... Vein x-ray, skull. 1.14 3.29 8.15 NA NA 0.70 XXX
75870......... TC.......... A........... Vein x-ray, skull. 0.00 2.89 7.75 NA NA 0.65 XXX
75870......... 26.......... A........... Vein x-ray, skull. 1.14 0.40 0.40 0.40 0.40 0.05 XXX
75872......... ............ A........... Vein x-ray, skull. 1.14 4.04 8.52 NA NA 0.79 XXX
75872......... TC.......... A........... Vein x-ray, skull. 0.00 3.60 8.11 NA NA 0.65 XXX
75872......... 26.......... A........... Vein x-ray, skull. 1.14 0.44 0.41 0.44 0.41 0.14 XXX
75880......... ............ A........... Vein x-ray, eye 0.70 3.21 2.20 NA NA 0.09 XXX
socket.
75880......... TC.......... A........... Vein x-ray, eye 0.00 2.94 1.95 NA NA 0.06 XXX
socket.
75880......... 26.......... A........... Vein x-ray, eye 0.70 0.27 0.25 0.27 0.25 0.03 XXX
socket.
75885......... ............ A........... Vein x-ray, liver. 1.44 3.18 8.13 NA NA 0.71 XXX
75885......... TC.......... A........... Vein x-ray, liver. 0.00 2.66 7.64 NA NA 0.65 XXX
75885......... 26.......... A........... Vein x-ray, liver. 1.44 0.52 0.49 0.52 0.49 0.06 XXX
75887......... ............ A........... Vein x-ray, liver. 1.44 3.42 8.25 NA NA 0.71 XXX
75887......... TC.......... A........... Vein x-ray, liver. 0.00 2.85 7.73 NA NA 0.65 XXX
75887......... 26.......... A........... Vein x-ray, liver. 1.44 0.57 0.52 0.57 0.52 0.06 XXX
75889......... ............ A........... Vein x-ray, liver. 1.14 3.07 8.03 NA NA 0.70 XXX
75889......... TC.......... A........... Vein x-ray, liver. 0.00 2.66 7.64 NA NA 0.65 XXX
75889......... 26.......... A........... Vein x-ray, liver. 1.14 0.41 0.39 0.41 0.39 0.05 XXX
75891......... ............ A........... Vein x-ray, liver. 1.14 3.07 8.02 NA NA 0.70 XXX
75891......... TC.......... A........... Vein x-ray, liver. 0.00 2.66 7.63 NA NA 0.65 XXX
75891......... 26.......... A........... Vein x-ray, liver. 1.14 0.41 0.39 0.41 0.39 0.05 XXX
75893......... ............ A........... Venous sampling by 0.54 2.86 7.83 NA NA 0.67 XXX
catheter.
75893......... TC.......... A........... Venous sampling by 0.00 2.66 7.64 NA NA 0.65 XXX
catheter.
75893......... 26.......... A........... Venous sampling by 0.54 0.20 0.19 0.20 0.19 0.02 XXX
catheter.
[[Page 2663]]
75894......... ............ C........... X-rays, transcath 0.00 0.00 0.00 NA NA 0.00 XXX
therapy.
75894......... TC.......... C........... X-rays, transcath 0.00 0.00 0.00 NA NA 0.00 XXX
therapy.
75894......... 26.......... A........... X-rays, transcath 1.31 0.46 0.44 0.46 0.44 0.08 XXX
therapy.
75896......... ............ C........... X-rays, transcath 0.00 0.00 0.00 NA NA 0.00 XXX
therapy.
75896......... TC.......... C........... X-rays, transcath 0.00 0.00 0.00 NA NA 0.00 XXX
therapy.
75896......... 26.......... A........... X-rays, transcath 1.31 0.52 0.48 0.52 0.48 0.05 XXX
therapy.
75898......... ............ C........... Follow-up 0.00 0.00 0.00 NA NA 0.00 XXX
angiography.
75898......... TC.......... C........... Follow-up 0.00 0.00 0.00 NA NA 0.00 XXX
angiography.
75898......... 26.......... A........... Follow-up 1.65 0.63 0.59 0.63 0.59 0.07 XXX
angiography.
75900......... ............ C........... Intravascular cath 0.00 0.00 0.00 NA NA 0.00 XXX
exchange.
75900......... TC.......... C........... Intravascular cath 0.00 0.00 0.00 NA NA 0.00 XXX
exchange.
75900......... 26.......... A........... Intravascular cath 0.49 0.17 0.16 0.17 0.16 0.03 XXX
exchange.
75901......... ............ A........... Remove cva device 0.49 4.15 2.81 NA NA 0.85 XXX
obstruct.
75901......... TC.......... A........... Remove cva device 0.00 3.98 2.64 NA NA 0.83 XXX
obstruct.
75901......... 26.......... A........... Remove cva device 0.49 0.17 0.17 0.17 0.17 0.02 XXX
obstruct.
75902......... ............ A........... Remove cva lumen 0.39 1.63 1.53 NA NA 0.85 XXX
obstruct.
75902......... TC.......... A........... Remove cva lumen 0.00 1.50 1.40 NA NA 0.83 XXX
obstruct.
75902......... 26.......... A........... Remove cva lumen 0.39 0.13 0.13 0.13 0.13 0.02 XXX
obstruct.
75940......... ............ C........... X-ray placement, 0.00 0.00 0.00 NA NA 0.00 XXX
vein filter.
75940......... TC.......... C........... X-ray placement, 0.00 0.00 0.00 NA NA 0.00 XXX
vein filter.
75940......... 26.......... A........... X-ray placement, 0.54 0.18 0.18 0.18 0.18 0.04 XXX
vein filter.
75945......... ............ C........... Intravascular us.. 0.00 0.00 0.00 NA NA 0.00 XXX
75945......... TC.......... C........... Intravascular us.. 0.00 0.00 0.00 NA NA 0.00 XXX
75945......... 26.......... A........... Intravascular us.. 0.40 0.14 0.14 0.14 0.14 0.04 XXX
75946......... ............ C........... Intravascular us 0.00 0.00 0.00 NA NA 0.00 ZZZ
add-on.
75946......... TC.......... C........... Intravascular us 0.00 0.00 0.00 NA NA 0.00 ZZZ
add-on.
75946......... 26.......... A........... Intravascular us 0.40 0.12 0.13 0.12 0.13 0.05 ZZZ
add-on.
75952......... ............ C........... Endovasc repair 0.00 0.00 0.00 NA NA 0.00 XXX
abdom aorta.
75952......... TC.......... C........... Endovasc repair 0.00 0.00 0.00 NA NA 0.00 XXX
abdom aorta.
75952......... 26.......... A........... Endovasc repair 4.49 1.30 1.39 1.30 1.39 0.43 XXX
abdom aorta.
75953......... ............ C........... Abdom aneurysm 0.00 0.00 0.00 NA NA 0.00 XXX
endovas rpr.
75953......... TC.......... C........... Abdom aneurysm 0.00 0.00 0.00 NA NA 0.00 XXX
endovas rpr.
75953......... 26.......... A........... Abdom aneurysm 1.36 0.40 0.42 0.40 0.42 0.13 XXX
endovas rpr.
75954......... ............ C........... Iliac aneurysm 0.00 0.00 0.00 NA NA 0.00 XXX
endovas rpr.
75954......... TC.......... C........... Iliac aneurysm 0.00 0.00 0.00 NA NA 0.00 XXX
endovas rpr.
75954......... 26.......... A........... Iliac aneurysm 2.25 0.63 0.70 0.63 0.70 0.15 XXX
endovas rpr.
75956......... ............ C........... Xray, endovasc 0.00 0.00 0.00 NA NA 0.00 XXX
thor ao repr.
75956......... TC.......... C........... Xray, endovasc 0.00 0.00 0.00 NA NA 0.00 XXX
thor ao repr.
75956......... 26.......... A........... Xray, endovasc 7.00 1.88 2.29 1.88 2.29 0.69 XXX
thor ao repr.
75957......... ............ C........... Xray, endovasc 0.00 0.00 0.00 NA NA 0.00 XXX
thor ao repr.
75957......... TC.......... C........... Xray, endovasc 0.00 0.00 0.00 NA NA 0.00 XXX
thor ao repr.
75957......... 26.......... A........... Xray, endovasc 6.00 1.63 1.97 1.63 1.97 0.59 XXX
thor ao repr.
75958......... ............ C........... Xray, place prox 0.00 0.00 0.00 NA NA 0.00 XXX
ext thor ao.
75958......... TC.......... C........... Xray, place prox 0.00 0.00 0.00 NA NA 0.00 XXX
ext thor ao.
75958......... 26.......... A........... Xray, place prox 4.00 1.05 1.30 1.05 1.30 0.39 XXX
ext thor ao.
75959......... ............ C........... Xray, place dist 0.00 0.00 0.00 NA NA 0.00 XXX
ext thor ao.
75959......... TC.......... C........... Xray, place dist 0.00 0.00 0.00 NA NA 0.00 XXX
ext thor ao.
75959......... 26.......... A........... Xray, place dist 3.50 0.92 1.14 0.92 1.14 0.34 XXX
ext thor ao.
75960......... ............ A........... Transcath iv stent 0.82 2.71 8.95 NA NA 0.82 XXX
rs&i.
75960......... TC.......... A........... Transcath iv stent 0.00 2.39 8.65 NA NA 0.77 XXX
rs&i.
75960......... 26.......... A........... Transcath iv stent 0.82 0.32 0.30 0.32 0.30 0.05 XXX
rs&i.
75961......... ............ A........... Retrieval, broken 4.24 4.68 8.29 NA NA 0.73 XXX
catheter.
75961......... TC.......... A........... Retrieval, broken 0.00 3.19 6.85 NA NA 0.55 XXX
catheter.
75961......... 26.......... A........... Retrieval, broken 4.24 1.49 1.44 1.49 1.44 0.18 XXX
catheter.
75962......... ............ A........... Repair arterial 0.54 3.50 9.72 NA NA 0.86 XXX
blockage.
75962......... TC.......... A........... Repair arterial 0.00 3.30 9.53 NA NA 0.83 XXX
blockage.
75962......... 26.......... A........... Repair arterial 0.54 0.20 0.19 0.20 0.19 0.03 XXX
blockage.
75964......... ............ A........... Repair artery 0.36 2.35 5.43 NA NA 0.46 ZZZ
blockage, each.
75964......... TC.......... A........... Repair artery 0.00 2.22 5.31 NA NA 0.43 ZZZ
blockage, each.
75964......... 26.......... A........... Repair artery 0.36 0.13 0.12 0.13 0.12 0.03 ZZZ
blockage, each.
75966......... ............ A........... Repair arterial 1.31 4.17 10.19 NA NA 0.89 XXX
blockage.
75966......... TC.......... A........... Repair arterial 0.00 3.60 9.68 NA NA 0.83 XXX
blockage.
75966......... 26.......... A........... Repair arterial 1.31 0.57 0.51 0.57 0.51 0.06 XXX
blockage.
75968......... ............ A........... Repair artery 0.36 2.41 5.46 NA NA 0.45 ZZZ
blockage, each.
75968......... TC.......... A........... Repair artery 0.00 2.25 5.32 NA NA 0.43 ZZZ
blockage, each.
75968......... 26.......... A........... Repair artery 0.36 0.16 0.14 0.16 0.14 0.02 ZZZ
blockage, each.
75970......... ............ C........... Vascular biopsy... 0.00 0.00 0.00 NA NA 0.00 XXX
75970......... TC.......... C........... Vascular biopsy... 0.00 0.00 0.00 NA NA 0.00 XXX
75970......... 26.......... A........... Vascular biopsy... 0.83 0.31 0.29 0.31 0.29 0.04 XXX
75978......... ............ A........... Repair venous 0.54 3.27 9.60 NA NA 0.85 XXX
blockage.
75978......... TC.......... A........... Repair venous 0.00 3.09 9.42 NA NA 0.83 XXX
blockage.
75978......... 26.......... A........... Repair venous 0.54 0.18 0.18 0.18 0.18 0.02 XXX
blockage.
[[Page 2664]]
75980......... ............ C........... Contrast xray exam 0.00 0.00 0.00 NA NA 0.00 XXX
bile duct.
75980......... TC.......... C........... Contrast xray exam 0.00 0.00 0.00 NA NA 0.00 XXX
bile duct.
75980......... 26.......... A........... Contrast xray exam 1.44 0.52 0.50 0.52 0.50 0.06 XXX
bile duct.
75982......... ............ C........... Contrast xray exam 0.00 0.00 0.00 NA NA 0.00 XXX
bile duct.
75982......... TC.......... C........... Contrast xray exam 0.00 0.00 0.00 NA NA 0.00 XXX
bile duct.
75982......... 26.......... A........... Contrast xray exam 1.44 0.52 0.50 0.52 0.50 0.06 XXX
bile duct.
75984......... ............ A........... Xray control 0.72 2.31 2.24 NA NA 0.14 XXX
catheter change.
75984......... TC.......... A........... Xray control 0.00 2.05 2.00 NA NA 0.11 XXX
catheter change.
75984......... 26.......... A........... Xray control 0.72 0.26 0.24 0.26 0.24 0.03 XXX
catheter change.
75989......... ............ A........... Abscess drainage 1.19 2.24 2.90 NA NA 0.22 XXX
under x-ray.
75989......... TC.......... A........... Abscess drainage 0.00 1.82 2.49 NA NA 0.17 XXX
under x-ray.
75989......... 26.......... A........... Abscess drainage 1.19 0.42 0.41 0.42 0.41 0.05 XXX
under x-ray.
75992......... ............ C........... Atherectomy, x-ray 0.00 0.00 0.00 NA NA 0.00 XXX
exam.
75992......... TC.......... C........... Atherectomy, x-ray 0.00 0.00 0.00 NA NA 0.00 XXX
exam.
75992......... 26.......... A........... Atherectomy, x-ray 0.54 0.22 0.21 0.22 0.21 0.03 XXX
exam.
75993......... ............ C........... Atherectomy, x-ray 0.00 0.00 0.00 NA NA 0.00 ZZZ
exam.
75993......... TC.......... C........... Atherectomy, x-ray 0.00 0.00 0.00 NA NA 0.00 ZZZ
exam.
75993......... 26.......... A........... Atherectomy, x-ray 0.36 0.14 0.13 0.14 0.13 0.02 ZZZ
exam.
75994......... ............ C........... Atherectomy, x-ray 0.00 0.00 0.00 NA NA 0.00 XXX
exam.
75994......... TC.......... C........... Atherectomy, x-ray 0.00 0.00 0.00 NA NA 0.00 XXX
exam.
75994......... 26.......... A........... Atherectomy, x-ray 1.31 0.54 0.50 0.54 0.50 0.07 XXX
exam.
75995......... ............ C........... Atherectomy, x-ray 0.00 0.00 0.00 NA NA 0.00 XXX
exam.
75995......... TC.......... C........... Atherectomy, x-ray 0.00 0.00 0.00 NA NA 0.00 XXX
exam.
75995......... 26.......... A........... Atherectomy, x-ray 1.31 0.48 0.47 0.48 0.47 0.05 XXX
exam.
75996......... ............ C........... Atherectomy, x-ray 0.00 0.00 0.00 NA NA 0.00 ZZZ
exam.
75996......... TC.......... C........... Atherectomy, x-ray 0.00 0.00 0.00 NA NA 0.00 ZZZ
exam.
75996......... 26.......... A........... Atherectomy, x-ray 0.36 0.12 0.12 0.12 0.12 0.02 ZZZ
exam.
76000......... ............ A........... Fluoroscope 0.17 2.77 2.06 NA NA 0.08 XXX
examination.
76000......... TC.......... A........... Fluoroscope 0.00 2.71 2.01 NA NA 0.07 XXX
examination.
76000......... 26.......... A........... Fluoroscope 0.17 0.06 0.05 0.06 0.05 0.01 XXX
examination.
76001......... ............ C........... Fluoroscope exam, 0.00 0.00 0.00 NA NA 0.00 XXX
extensive.
76001......... TC.......... C........... Fluoroscope exam, 0.00 0.00 0.00 NA NA 0.00 XXX
extensive.
76001......... 26.......... A........... Fluoroscope exam, 0.67 0.24 0.23 0.24 0.23 0.05 XXX
extensive.
76010......... ............ A........... X-ray, nose to 0.18 0.54 0.56 NA NA 0.03 XXX
rectum.
76010......... TC.......... A........... X-ray, nose to 0.00 0.48 0.50 NA NA 0.02 XXX
rectum.
76010......... 26.......... A........... X-ray, nose to 0.18 0.06 0.06 0.06 0.06 0.01 XXX
rectum.
76080......... ............ A........... X-ray exam of 0.54 1.10 1.16 NA NA 0.08 XXX
fistula.
76080......... TC.......... A........... X-ray exam of 0.00 0.90 0.97 NA NA 0.06 XXX
fistula.
76080......... 26.......... A........... X-ray exam of 0.54 0.20 0.19 0.20 0.19 0.02 XXX
fistula.
76098......... ............ A........... X-ray exam, breast 0.16 0.32 0.39 NA NA 0.03 XXX
specimen.
76098......... TC.......... A........... X-ray exam, breast 0.00 0.27 0.34 NA NA 0.02 XXX
specimen.
76098......... 26.......... A........... X-ray exam, breast 0.16 0.05 0.05 0.05 0.05 0.01 XXX
specimen.
76100......... ............ A........... X-ray exam of body 0.58 3.55 2.50 NA NA 0.10 XXX
section.
76100......... TC.......... A........... X-ray exam of body 0.00 3.35 2.30 NA NA 0.07 XXX
section.
76100......... 26.......... A........... X-ray exam of body 0.58 0.20 0.20 0.20 0.20 0.03 XXX
section.
76101......... ............ A........... Complex body 0.58 5.47 3.54 NA NA 0.11 XXX
section x-ray.
76101......... TC.......... A........... Complex body 0.00 5.28 3.35 NA NA 0.08 XXX
section x-ray.
76101......... 26.......... A........... Complex body 0.58 0.19 0.19 0.19 0.19 0.03 XXX
section x-ray.
76102......... ............ A........... Complex body 0.58 7.65 4.78 NA NA 0.14 XXX
section x-rays.
76102......... TC.......... A........... Complex body 0.00 7.47 4.60 NA NA 0.11 XXX
section x-rays.
76102......... 26.......... A........... Complex body 0.58 0.18 0.18 0.18 0.18 0.03 XXX
section x-rays.
76120......... ............ A........... Cine/video x-rays. 0.38 1.87 1.53 NA NA 0.08 XXX
76120......... TC.......... A........... Cine/video x-rays. 0.00 1.74 1.40 NA NA 0.06 XXX
76120......... 26.......... A........... Cine/video x-rays. 0.38 0.13 0.13 0.13 0.13 0.02 XXX
76125......... ............ C........... Cine/video x-rays 0.00 0.00 0.00 NA NA 0.00 ZZZ
add-on.
76125......... TC.......... C........... Cine/video x-rays 0.00 0.00 0.00 NA NA 0.00 ZZZ
add-on.
76125......... 26.......... A........... Cine/video x-rays 0.27 0.12 0.11 0.12 0.11 0.01 ZZZ
add-on.
76140......... ............ I........... X-ray consultation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
76150......... ............ A........... X-ray exam, dry 0.00 0.68 0.55 NA NA 0.02 XXX
process.
76350......... ............ C........... Special x-ray 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contrast study.
76376......... ............ A........... 3d render w/o 0.20 1.41 2.45 NA NA 0.10 XXX
postprocess.
76376......... TC.......... A........... 3d render w/o 0.00 1.34 2.38 NA NA 0.08 XXX
postprocess.
76376......... 26.......... A........... 3d render w/o 0.20 0.07 0.07 0.07 0.07 0.02 XXX
postprocess.
76377......... ............ A........... 3d rendering w/ 0.79 1.40 2.54 NA NA 0.39 XXX
postprocess.
76377......... TC.......... A........... 3d rendering w/ 0.00 1.12 2.27 NA NA 0.31 XXX
postprocess.
76377......... 26.......... A........... 3d rendering w/ 0.79 0.28 0.27 0.28 0.27 0.08 XXX
postprocess.
76380......... ............ A........... CAT scan follow-up 0.98 4.72 4.27 NA NA 0.22 XXX
study.
76380......... TC.......... A........... CAT scan follow-up 0.00 4.38 3.94 NA NA 0.18 XXX
study.
76380......... 26.......... A........... CAT scan follow-up 0.98 0.34 0.33 0.34 0.33 0.04 XXX
study.
76390......... ............ N........... Mr spectroscopy... 1.40 9.43 10.46 NA NA 0.66 XXX
76390......... TC.......... N........... Mr spectroscopy... 0.00 9.11 10.06 NA NA 0.59 XXX
76390......... 26.......... N........... Mr spectroscopy... 1.40 0.32 0.40 0.32 0.40 0.07 XXX
[[Page 2665]]
76496......... ............ C........... Fluoroscopic 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
76496......... TC.......... C........... Fluoroscopic 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
76496......... 26.......... C........... Fluoroscopic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76497......... ............ C........... Ct procedure...... 0.00 0.00 0.00 NA NA 0.00 XXX
76497......... TC.......... C........... Ct procedure...... 0.00 0.00 0.00 NA NA 0.00 XXX
76497......... 26.......... C........... Ct procedure...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
76498......... ............ C........... Mri procedure..... 0.00 0.00 0.00 NA NA 0.00 XXX
76498......... TC.......... C........... Mri procedure..... 0.00 0.00 0.00 NA NA 0.00 XXX
76498......... 26.......... C........... Mri procedure..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
76499......... ............ C........... Radiographic 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
76499......... TC.......... C........... Radiographic 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
76499......... 26.......... C........... Radiographic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76506......... ............ A........... Echo exam of head. 0.63 2.76 2.21 NA NA 0.14 XXX
76506......... TC.......... A........... Echo exam of head. 0.00 2.56 1.99 NA NA 0.08 XXX
76506......... 26.......... A........... Echo exam of head. 0.63 0.20 0.22 0.20 0.22 0.06 XXX
76510......... ............ A........... Ophth us, b & 1.55 2.25 2.55 NA NA 0.10 XXX
quant a.
76510......... TC.......... A........... Ophth us, b & 0.00 1.70 1.94 NA NA 0.07 XXX
quant a.
76510......... 26.......... A........... Ophth us, b & 1.55 0.55 0.61 0.55 0.61 0.03 XXX
quant a.
76511......... ............ A........... Ophth us, quant a 0.94 1.35 1.89 NA NA 0.10 XXX
only.
76511......... TC.......... A........... Ophth us, quant a 0.00 1.02 1.53 NA NA 0.07 XXX
only.
76511......... 26.......... A........... Ophth us, quant a 0.94 0.33 0.36 0.33 0.36 0.03 XXX
only.
76512......... ............ A........... Ophth us, b w/non- 0.94 1.16 1.69 NA NA 0.12 XXX
quant a.
76512......... TC.......... A........... Ophth us, b w/non- 0.00 0.83 1.32 NA NA 0.10 XXX
quant a.
76512......... 26.......... A........... Ophth us, b w/non- 0.94 0.33 0.37 0.33 0.37 0.02 XXX
quant a.
76513......... ............ A........... Echo exam of eye, 0.66 1.52 1.67 NA NA 0.12 XXX
water bath.
76513......... TC.......... A........... Echo exam of eye, 0.00 1.29 1.41 NA NA 0.10 XXX
water bath.
76513......... 26.......... A........... Echo exam of eye, 0.66 0.23 0.26 0.23 0.26 0.02 XXX
water bath.
76514......... ............ A........... Echo exam of eye, 0.17 0.16 0.15 NA NA 0.02 XXX
thickness.
76514......... TC.......... A........... Echo exam of eye, 0.00 0.10 0.08 NA NA 0.01 XXX
thickness.
76514......... 26.......... A........... Echo exam of eye, 0.17 0.06 0.07 0.06 0.07 0.01 XXX
thickness.
76516......... ............ A........... Echo exam of eye.. 0.54 1.15 1.31 NA NA 0.08 XXX
76516......... TC.......... A........... Echo exam of eye.. 0.00 0.97 1.10 NA NA 0.07 XXX
76516......... 26.......... A........... Echo exam of eye.. 0.54 0.18 0.21 0.18 0.21 0.01 XXX
76519......... ............ A........... Echo exam of eye.. 0.54 1.29 1.42 NA NA 0.08 XXX
76519......... TC.......... A........... Echo exam of eye.. 0.00 1.10 1.20 NA NA 0.07 XXX
76519......... 26.......... A........... Echo exam of eye.. 0.54 0.19 0.22 0.19 0.22 0.01 XXX
76529......... ............ A........... Echo exam of eye.. 0.57 1.15 1.26 NA NA 0.10 XXX
76529......... TC.......... A........... Echo exam of eye.. 0.00 0.95 1.04 NA NA 0.08 XXX
76529......... 26.......... A........... Echo exam of eye.. 0.57 0.20 0.22 0.20 0.22 0.02 XXX
76536......... ............ A........... Us exam of head 0.56 2.68 2.14 NA NA 0.10 XXX
and neck.
76536......... TC.......... A........... Us exam of head 0.00 2.50 1.96 NA NA 0.08 XXX
and neck.
76536......... 26.......... A........... Us exam of head 0.56 0.18 0.18 0.18 0.18 0.02 XXX
and neck.
76604......... ............ A........... Us exam, chest.... 0.55 1.83 1.66 NA NA 0.09 XXX
76604......... TC.......... A........... Us exam, chest.... 0.00 1.64 1.47 NA NA 0.07 XXX
76604......... 26.......... A........... Us exam, chest.... 0.55 0.19 0.19 0.19 0.19 0.02 XXX
76645......... ............ A........... Us exam, breast(s) 0.54 2.12 1.67 NA NA 0.08 XXX
76645......... TC.......... A........... Us exam, breast(s) 0.00 1.93 1.49 NA NA 0.06 XXX
76645......... 26.......... A........... Us exam, breast(s) 0.54 0.19 0.18 0.19 0.18 0.02 XXX
76700......... ............ A........... Us exam, abdom, 0.81 3.02 2.63 NA NA 0.15 XXX
complete.
76700......... TC.......... A........... Us exam, abdom, 0.00 2.75 2.36 NA NA 0.11 XXX
complete.
76700......... 26.......... A........... Us exam, abdom, 0.81 0.27 0.27 0.27 0.27 0.04 XXX
complete.
76705......... ............ A........... Echo exam of 0.59 2.36 1.98 NA NA 0.11 XXX
abdomen.
76705......... TC.......... A........... Echo exam of 0.00 2.15 1.78 NA NA 0.08 XXX
abdomen.
76705......... 26.......... A........... Echo exam of 0.59 0.21 0.20 0.21 0.20 0.03 XXX
abdomen.
76770......... ............ A........... Us exam abdo back 0.74 2.93 2.57 NA NA 0.14 XXX
wall, comp.
76770......... TC.......... A........... Us exam abdo back 0.00 2.67 2.32 NA NA 0.11 XXX
wall, comp.
76770......... 26.......... A........... Us exam abdo back 0.74 0.26 0.25 0.26 0.25 0.03 XXX
wall, comp.
76775......... ............ A........... Us exam abdo back 0.58 2.42 2.01 NA NA 0.11 XXX
wall, lim.
76775......... TC.......... A........... Us exam abdo back 0.00 2.21 1.81 NA NA 0.08 XXX
wall, lim.
76775......... 26.......... A........... Us exam abdo back 0.58 0.21 0.20 0.21 0.20 0.03 XXX
wall, lim.
76776......... ............ A........... Us exam k transpl 0.76 3.43 2.83 NA NA 0.14 XXX
w/doppler.
76776......... TC.......... A........... Us exam k transpl 0.00 3.16 2.57 NA NA 0.11 XXX
w/doppler.
76776......... 26.......... A........... Us exam k transpl 0.76 0.27 0.26 0.27 0.26 0.03 XXX
w/doppler.
76800......... ............ A........... Us exam, spinal 1.13 2.31 2.03 NA NA 0.13 XXX
canal.
76800......... TC.......... A........... Us exam, spinal 0.00 2.03 1.72 NA NA 0.08 XXX
canal.
76800......... 26.......... A........... Us exam, spinal 1.13 0.28 0.31 0.28 0.31 0.05 XXX
canal.
76801......... ............ A........... Ob us < 14 wks, 0.99 2.46 2.45 NA NA 0.16 XXX
single fetus.
76801......... TC.......... A........... Ob us < 14 wks, 0.00 2.16 2.13 NA NA 0.12 XXX
single fetus.
76801......... 26.......... A........... Ob us < 14 wks, 0.99 0.30 0.32 0.30 0.32 0.04 XXX
single fetus.
76802......... ............ A........... Ob us < 14 wks, 0.83 0.97 1.16 NA NA 0.16 ZZZ
add[AElig]l fetus.
76802......... TC.......... A........... Ob us < 14 wks, 0.00 0.71 0.88 NA NA 0.12 ZZZ
add[AElig]l fetus.
76802......... 26.......... A........... Ob us < 14 wks, 0.83 0.26 0.28 0.26 0.28 0.04 ZZZ
add[AElig]l fetus.
[[Page 2666]]
76805......... ............ A........... Ob us >/= 14 wks, 0.99 3.05 2.74 NA NA 0.16 XXX
sngl fetus.
76805......... TC.......... A........... Ob us >/= 14 wks, 0.00 2.74 2.42 NA NA 0.12 XXX
sngl fetus.
76805......... 26.......... A........... Ob us >/= 14 wks, 0.99 0.31 0.32 0.31 0.32 0.04 XXX
sngl fetus.
76810......... ............ A........... Ob us >/= 14 wks, 0.98 1.65 1.52 NA NA 0.26 ZZZ
addl fetus.
76810......... TC.......... A........... Ob us >/= 14 wks, 0.00 1.35 1.20 NA NA 0.22 ZZZ
addl fetus.
76810......... 26.......... A........... Ob us >/= 14 wks, 0.98 0.30 0.32 0.30 0.32 0.04 ZZZ
addl fetus.
76811......... ............ A........... Ob us, detailed, 1.90 3.05 3.64 NA NA 0.52 XXX
sngl fetus.
76811......... TC.......... A........... Ob us, detailed, 0.00 2.51 3.02 NA NA 0.43 XXX
sngl fetus.
76811......... 26.......... A........... Ob us, detailed, 1.90 0.54 0.62 0.54 0.62 0.09 XXX
sngl fetus.
76812......... ............ A........... Ob us, detailed, 1.78 3.98 2.84 NA NA 0.49 ZZZ
addl fetus.
76812......... TC.......... A........... Ob us, detailed, 0.00 3.48 2.26 NA NA 0.41 ZZZ
addl fetus.
76812......... 26.......... A........... Ob us, detailed, 1.78 0.50 0.58 0.50 0.58 0.08 ZZZ
addl fetus.
76813......... ............ A........... Ob us nuchal meas, 1.18 2.21 2.21 NA NA 0.19 XXX
1 gest.
76813......... TC.......... A........... Ob us nuchal meas, 0.00 1.81 1.81 NA NA 0.14 XXX
1 gest.
76813......... 26.......... A........... Ob us nuchal meas, 1.18 0.40 0.40 0.40 0.40 0.05 XXX
1 gest.
76814......... ............ A........... Ob us nuchal meas, 0.99 1.15 1.15 NA NA 0.19 XXX
add-on.
76814......... TC.......... A........... Ob us nuchal meas, 0.00 0.86 0.86 NA NA 0.14 XXX
add-on.
76814......... 26.......... A........... Ob us nuchal meas, 0.99 0.29 0.29 0.29 0.29 0.05 XXX
add-on.
76815......... ............ A........... Ob us, limited, 0.65 1.80 1.72 NA NA 0.11 XXX
fetus(s).
76815......... TC.......... A........... Ob us, limited, 0.00 1.60 1.51 NA NA 0.08 XXX
fetus(s).
76815......... 26.......... A........... Ob us, limited, 0.65 0.20 0.21 0.20 0.21 0.03 XXX
fetus(s).
76816......... ............ A........... Ob us, follow-up, 0.85 2.38 1.90 NA NA 0.10 XXX
per fetus.
76816......... TC.......... A........... Ob us, follow-up, 0.00 2.13 1.62 NA NA 0.06 XXX
per fetus.
76816......... 26.......... A........... Ob us, follow-up, 0.85 0.25 0.28 0.25 0.28 0.04 XXX
per fetus.
76817......... ............ A........... Transvaginal us, 0.75 2.02 1.89 NA NA 0.09 XXX
obstetric.
76817......... TC.......... A........... Transvaginal us, 0.00 1.79 1.65 NA NA 0.06 XXX
obstetric.
76817......... 26.......... A........... Transvaginal us, 0.75 0.23 0.24 0.23 0.24 0.03 XXX
obstetric.
76818......... ............ A........... Fetal biophys 1.05 2.22 2.11 NA NA 0.15 XXX
profile w/nst.
76818......... TC.......... A........... Fetal biophys 0.00 1.92 1.76 NA NA 0.10 XXX
profile w/nst.
76818......... 26.......... A........... Fetal biophys 1.05 0.30 0.35 0.30 0.35 0.05 XXX
profile w/nst.
76819......... ............ A........... Fetal biophys 0.77 1.63 1.76 NA NA 0.13 XXX
profil w/o nst.
76819......... TC.......... A........... Fetal biophys 0.00 1.40 1.50 NA NA 0.10 XXX
profil w/o nst.
76819......... 26.......... A........... Fetal biophys 0.77 0.23 0.26 0.23 0.26 0.03 XXX
profil w/o nst.
76820......... ............ A........... Umbilical artery 0.50 0.56 1.18 NA NA 0.15 XXX
echo.
76820......... TC.......... A........... Umbilical artery 0.00 0.42 1.01 NA NA 0.12 XXX
echo.
76820......... 26.......... A........... Umbilical artery 0.50 0.14 0.17 0.14 0.17 0.03 XXX
echo.
76821......... ............ A........... Middle cerebral 0.70 1.87 1.88 NA NA 0.15 XXX
artery echo.
76821......... TC.......... A........... Middle cerebral 0.00 1.67 1.64 NA NA 0.12 XXX
artery echo.
76821......... 26.......... A........... Middle cerebral 0.70 0.20 0.24 0.20 0.24 0.03 XXX
artery echo.
76825......... ............ A........... Echo exam of fetal 1.67 4.37 3.47 NA NA 0.18 XXX
heart.
76825......... TC.......... A........... Echo exam of fetal 0.00 3.87 2.92 NA NA 0.11 XXX
heart.
76825......... 26.......... A........... Echo exam of fetal 1.67 0.50 0.55 0.50 0.55 0.07 XXX
heart.
76826......... ............ A........... Echo exam of fetal 0.83 2.76 1.88 NA NA 0.08 XXX
heart.
76826......... TC.......... A........... Echo exam of fetal 0.00 2.52 1.61 NA NA 0.05 XXX
heart.
76826......... 26.......... A........... Echo exam of fetal 0.83 0.24 0.27 0.24 0.27 0.03 XXX
heart.
76827......... ............ A........... Echo exam of fetal 0.58 1.07 1.50 NA NA 0.14 XXX
heart.
76827......... TC.......... A........... Echo exam of fetal 0.00 0.90 1.31 NA NA 0.12 XXX
heart.
76827......... 26.......... A........... Echo exam of fetal 0.58 0.17 0.19 0.17 0.19 0.02 XXX
heart.
76828......... ............ A........... Echo exam of fetal 0.56 0.63 0.98 NA NA 0.11 XXX
heart.
76828......... TC.......... A........... Echo exam of fetal 0.00 0.48 0.79 NA NA 0.08 XXX
heart.
76828......... 26.......... A........... Echo exam of fetal 0.56 0.15 0.19 0.15 0.19 0.03 XXX
heart.
76830......... ............ A........... Transvaginal us, 0.69 2.76 2.26 NA NA 0.13 XXX
non-ob.
76830......... TC.......... A........... Transvaginal us, 0.00 2.54 2.03 NA NA 0.10 XXX
non-ob.
76830......... 26.......... A........... Transvaginal us, 0.69 0.22 0.23 0.22 0.23 0.03 XXX
non-ob.
76831......... ............ A........... Echo exam, uterus. 0.72 2.74 2.25 NA NA 0.13 XXX
76831......... TC.......... A........... Echo exam, uterus. 0.00 2.53 2.02 NA NA 0.10 XXX
76831......... 26.......... A........... Echo exam, uterus. 0.72 0.21 0.23 0.21 0.23 0.03 XXX
76856......... ............ A........... Us exam, pelvic, 0.69 2.80 2.27 NA NA 0.13 XXX
complete.
76856......... TC.......... A........... Us exam, pelvic, 0.00 2.56 2.04 NA NA 0.10 XXX
complete.
76856......... 26.......... A........... Us exam, pelvic, 0.69 0.24 0.23 0.24 0.23 0.03 XXX
complete.
76857......... ............ A........... Us exam, pelvic, 0.38 2.49 2.16 NA NA 0.08 XXX
limited.
76857......... TC.......... A........... Us exam, pelvic, 0.00 2.35 2.03 NA NA 0.06 XXX
limited.
76857......... 26.......... A........... Us exam, pelvic, 0.38 0.14 0.13 0.14 0.13 0.02 XXX
limited.
76870......... ............ A........... Us exam, scrotum.. 0.64 2.83 2.28 NA NA 0.13 XXX
76870......... TC.......... A........... Us exam, scrotum.. 0.00 2.60 2.06 NA NA 0.10 XXX
76870......... 26.......... A........... Us exam, scrotum.. 0.64 0.23 0.22 0.23 0.22 0.03 XXX
76872......... ............ A........... Us, transrectal... 0.69 3.41 2.82 NA NA 0.14 XXX
76872......... TC.......... A........... Us, transrectal... 0.00 3.14 2.58 NA NA 0.10 XXX
76872......... 26.......... A........... Us, transrectal... 0.69 0.27 0.24 0.27 0.24 0.04 XXX
76873......... ............ A........... Echograp trans r, 1.55 3.40 3.00 NA NA 0.25 XXX
pros study.
76873......... TC.......... A........... Echograp trans r, 0.00 2.85 2.48 NA NA 0.16 XXX
pros study.
76873......... 26.......... A........... Echograp trans r, 1.55 0.55 0.52 0.55 0.52 0.09 XXX
pros study.
[[Page 2667]]
76880......... ............ A........... Us exam, extremity 0.59 3.19 2.40 NA NA 0.11 XXX
76880......... TC.......... A........... Us exam, extremity 0.00 3.01 2.21 NA NA 0.08 XXX
76880......... 26.......... A........... Us exam, extremity 0.59 0.18 0.19 0.18 0.19 0.03 XXX
76885......... ............ A........... Us exam infant 0.74 3.26 2.50 NA NA 0.13 XXX
hips, dynamic.
76885......... TC.......... A........... Us exam infant 0.00 3.01 2.26 NA NA 0.10 XXX
hips, dynamic.
76885......... 26.......... A........... Us exam infant 0.74 0.25 0.24 0.25 0.24 0.03 XXX
hips, dynamic.
76886......... ............ A........... Us exam infant 0.62 2.28 1.95 NA NA 0.11 XXX
hips, static.
76886......... TC.......... A........... Us exam infant 0.00 2.06 1.74 NA NA 0.08 XXX
hips, static.
76886......... 26.......... A........... Us exam infant 0.62 0.22 0.21 0.22 0.21 0.03 XXX
hips, static.
76930......... ............ A........... Echo guide, 0.67 2.08 1.92 NA NA 0.12 XXX
cardiocentesis.
76930......... TC.......... A........... Echo guide, 0.00 1.74 1.63 NA NA 0.10 XXX
cardiocentesis.
76930......... 26.......... A........... Echo guide, 0.67 0.34 0.29 0.34 0.29 0.02 XXX
cardiocentesis.
76932......... ............ C........... Echo guide for 0.00 0.00 0.00 NA NA 0.00 XXX
heart biopsy.
76932......... TC.......... C........... Echo guide for 0.00 0.00 0.00 NA NA 0.00 XXX
heart biopsy.
76932......... 26.......... A........... Echo guide for 0.67 0.35 0.30 0.35 0.30 0.02 XXX
heart biopsy.
76936......... ............ A........... Echo guide for 1.99 6.13 6.55 NA NA 0.47 XXX
artery repair.
76936......... TC.......... A........... Echo guide for 0.00 5.42 5.86 NA NA 0.34 XXX
artery repair.
76936......... 26.......... A........... Echo guide for 1.99 0.71 0.69 0.71 0.69 0.13 XXX
artery repair.
76937......... ............ A........... Us guide, vascular 0.30 0.62 0.55 NA NA 0.13 ZZZ
access.
76937......... TC.......... A........... Us guide, vascular 0.00 0.52 0.45 NA NA 0.10 ZZZ
access.
76937......... 26.......... A........... Us guide, vascular 0.30 0.10 0.10 0.10 0.10 0.03 ZZZ
access.
76940......... ............ C........... Us guide, tissue 0.00 0.00 0.00 NA NA 0.00 XXX
ablation.
76940......... TC.......... C........... Us guide, tissue 0.00 0.00 0.00 NA NA 0.00 XXX
ablation.
76940......... 26.......... A........... Us guide, tissue 2.00 0.65 0.65 0.65 0.65 0.31 XXX
ablation.
76941......... ............ C........... Echo guide for 0.00 0.00 0.00 NA NA 0.00 XXX
transfusion.
76941......... TC.......... C........... Echo guide for 0.00 0.00 0.00 NA NA 0.00 XXX
transfusion.
76941......... 26.......... A........... Echo guide for 1.34 0.38 0.43 0.38 0.43 0.07 XXX
transfusion.
76942......... ............ A........... Echo guide for 0.67 4.80 3.91 NA NA 0.13 XXX
biopsy.
76942......... TC.......... A........... Echo guide for 0.00 4.56 3.68 NA NA 0.10 XXX
biopsy.
76942......... 26.......... A........... Echo guide for 0.67 0.24 0.23 0.24 0.23 0.03 XXX
biopsy.
76945......... ............ C........... Echo guide, villus 0.00 0.00 0.00 NA NA 0.00 XXX
sampling.
76945......... TC.......... C........... Echo guide, villus 0.00 0.00 0.00 NA NA 0.00 XXX
sampling.
76945......... 26.......... A........... Echo guide, villus 0.67 0.21 0.21 0.21 0.21 0.03 XXX
sampling.
76946......... ............ A........... Echo guide for 0.38 0.45 1.05 NA NA 0.12 XXX
amniocentesis.
76946......... TC.......... A........... Echo guide for 0.00 0.34 0.93 NA NA 0.10 XXX
amniocentesis.
76946......... 26.......... A........... Echo guide for 0.38 0.11 0.12 0.11 0.12 0.02 XXX
amniocentesis.
76948......... ............ A........... Echo guide, ova 0.38 0.45 1.04 NA NA 0.12 XXX
aspiration.
76948......... TC.......... A........... Echo guide, ova 0.00 0.35 0.93 NA NA 0.10 XXX
aspiration.
76948......... 26.......... A........... Echo guide, ova 0.38 0.10 0.11 0.10 0.11 0.02 XXX
aspiration.
76950......... ............ A........... Echo guidance 0.58 1.21 1.35 NA NA 0.10 XXX
radiotherapy.
76950......... TC.......... A........... Echo guidance 0.00 1.02 1.16 NA NA 0.07 XXX
radiotherapy.
76950......... 26.......... A........... Echo guidance 0.58 0.19 0.19 0.19 0.19 0.03 XXX
radiotherapy.
76965......... ............ A........... Echo guidance 1.34 1.20 3.60 NA NA 0.37 XXX
radiotherapy.
76965......... TC.......... A........... Echo guidance 0.00 0.70 3.14 NA NA 0.29 XXX
radiotherapy.
76965......... 26.......... A........... Echo guidance 1.34 0.50 0.46 0.50 0.46 0.08 XXX
radiotherapy.
76970......... ............ A........... Ultrasound exam 0.40 1.99 1.58 NA NA 0.08 XXX
follow-up.
76970......... TC.......... A........... Ultrasound exam 0.00 1.88 1.46 NA NA 0.06 XXX
follow-up.
76970......... 26.......... A........... Ultrasound exam 0.40 0.11 0.12 0.11 0.12 0.02 XXX
follow-up.
76975......... ............ C........... GI endoscopic 0.00 0.00 0.00 NA NA 0.00 XXX
ultrasound.
76975......... TC.......... C........... GI endoscopic 0.00 0.00 0.00 NA NA 0.00 XXX
ultrasound.
76975......... 26.......... A........... GI endoscopic 0.81 0.30 0.29 0.30 0.29 0.04 XXX
ultrasound.
76977......... ............ A........... Us bone density 0.05 0.10 0.48 NA NA 0.06 XXX
measure.
76977......... TC.......... A........... Us bone density 0.00 0.09 0.46 NA NA 0.05 XXX
measure.
76977......... 26.......... A........... Us bone density 0.05 0.01 0.02 0.01 0.02 0.01 XXX
measure.
76998......... ............ C........... Us guide, intraop. 0.00 0.00 0.00 NA NA 0.00 XXX
76998......... TC.......... C........... Us guide, intraop. 0.00 0.00 0.00 NA NA 0.00 XXX
76998......... 26.......... A........... Us guide, intraop. 1.20 0.35 0.38 0.35 0.38 0.13 XXX
76999......... ............ C........... Echo examination 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
76999......... TC.......... C........... Echo examination 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
76999......... 26.......... C........... Echo examination 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
77001......... ............ A........... Fluoroguide for 0.38 2.73 2.08 NA NA 0.11 ZZZ
vein device.
77001......... TC.......... A........... Fluoroguide for 0.00 2.60 1.95 NA NA 0.10 ZZZ
vein device.
77001......... 26.......... A........... Fluoroguide for 0.38 0.13 0.13 0.13 0.13 0.01 ZZZ
vein device.
77002......... ............ A........... Needle 0.54 1.23 1.35 NA NA 0.09 XXX
localization by
xray.
77002......... TC.......... A........... Needle 0.00 1.07 1.19 NA NA 0.07 XXX
localization by
xray.
77002......... 26.......... A........... Needle 0.54 0.16 0.16 0.16 0.16 0.02 XXX
localization by
xray.
77003......... ............ A........... Fluoroguide for 0.60 0.76 1.11 NA NA 0.10 XXX
spine inject.
77003......... TC.......... A........... Fluoroguide for 0.00 0.62 0.96 NA NA 0.07 XXX
spine inject.
77003......... 26.......... A........... Fluoroguide for 0.60 0.14 0.15 0.14 0.15 0.03 XXX
spine inject.
77011......... ............ A........... Ct scan for 1.21 20.28 14.47 NA NA 0.47 XXX
localization.
77011......... TC.......... A........... Ct scan for 0.00 19.88 14.07 NA NA 0.42 XXX
localization.
77011......... 26.......... A........... Ct scan for 1.21 0.40 0.40 0.40 0.40 0.05 XXX
localization.
[[Page 2668]]
77012......... ............ A........... Ct scan for needle 1.16 2.33 5.49 NA NA 0.47 XXX
biopsy.
77012......... TC.......... A........... Ct scan for needle 0.00 1.92 5.09 NA NA 0.42 XXX
biopsy.
77012......... 26.......... A........... Ct scan for needle 1.16 0.41 0.40 0.41 0.40 0.05 XXX
biopsy.
77013......... ............ C........... Ct guide for 0.00 0.00 0.00 NA NA 0.00 XXX
tissue ablation.
77013......... TC.......... C........... Ct guide for 0.00 0.00 0.00 NA NA 0.00 XXX
tissue ablation.
77013......... 26.......... A........... Ct guide for 3.99 1.43 1.36 1.43 1.36 0.18 XXX
tissue ablation.
77014......... ............ A........... Ct scan for 0.85 4.48 3.86 NA NA 0.20 XXX
therapy guide.
77014......... TC.......... A........... Ct scan for 0.00 4.20 3.58 NA NA 0.16 XXX
therapy guide.
77014......... 26.......... A........... Ct scan for 0.85 0.28 0.28 0.28 0.28 0.04 XXX
therapy guide.
77021......... ............ A........... Mr guidance for 1.50 9.71 10.71 NA NA 0.64 XXX
needle place.
77021......... TC.......... A........... Mr guidance for 0.00 9.19 10.20 NA NA 0.55 XXX
needle place.
77021......... 26.......... A........... Mr guidance for 1.50 0.52 0.51 0.52 0.51 0.09 XXX
needle place.
77022......... ............ C........... Mri for tissue 0.00 0.00 0.00 NA NA 0.00 XXX
ablation.
77022......... TC.......... C........... Mri for tissue 0.00 0.00 0.00 NA NA 0.00 XXX
ablation.
77022......... 26.......... A........... Mri for tissue 4.24 1.52 1.45 1.52 1.45 0.24 XXX
ablation.
77031......... ............ A........... Stereotact guide 1.59 1.87 4.78 NA NA 0.46 XXX
for brst bx.
77031......... TC.......... A........... Stereotact guide 0.00 1.34 4.25 NA NA 0.37 XXX
for brst bx.
77031......... 26.......... A........... Stereotact guide 1.59 0.53 0.53 0.53 0.53 0.09 XXX
for brst bx.
77032......... ............ A........... Guidance for 0.56 0.84 1.17 NA NA 0.09 XXX
needle, breast.
77032......... TC.......... A........... Guidance for 0.00 0.64 0.98 NA NA 0.07 XXX
needle, breast.
77032......... 26.......... A........... Guidance for 0.56 0.20 0.19 0.20 0.19 0.02 XXX
needle, breast.
77051......... ............ A........... Computer dx 0.06 0.20 0.32 NA NA 0.02 ZZZ
mammogram add-on.
77051......... TC.......... A........... Computer dx 0.00 0.18 0.30 NA NA 0.01 ZZZ
mammogram add-on.
77051......... 26.......... A........... Computer dx 0.06 0.02 0.02 0.02 0.02 0.01 ZZZ
mammogram add-on.
77052......... ............ A........... Comp screen 0.06 0.20 0.32 NA NA 0.02 ZZZ
mammogram add-on.
77052......... TC.......... A........... Comp screen 0.00 0.18 0.30 NA NA 0.01 ZZZ
mammogram add-on.
77052......... 26.......... A........... Comp screen 0.06 0.02 0.02 0.02 0.02 0.01 ZZZ
mammogram add-on.
77053......... ............ A........... X-ray of mammary 0.36 1.24 1.99 NA NA 0.16 XXX
duct.
77053......... TC.......... A........... X-ray of mammary 0.00 1.11 1.87 NA NA 0.14 XXX
duct.
77053......... 26.......... A........... X-ray of mammary 0.36 0.13 0.12 0.13 0.12 0.02 XXX
duct.
77054......... ............ A........... X-ray of mammary 0.45 1.68 2.74 NA NA 0.21 XXX
ducts.
77054......... TC.......... A........... X-ray of mammary 0.00 1.52 2.59 NA NA 0.19 XXX
ducts.
77054......... 26.......... A........... X-ray of mammary 0.45 0.16 0.15 0.16 0.15 0.02 XXX
ducts.
77055......... ............ A........... Mammogram, one 0.70 1.65 1.46 NA NA 0.09 XXX
breast.
77055......... TC.......... A........... Mammogram, one 0.00 1.40 1.22 NA NA 0.06 XXX
breast.
77055......... 26.......... A........... Mammogram, one 0.70 0.25 0.24 0.25 0.24 0.03 XXX
breast.
77056......... ............ A........... Mammogram, both 0.87 2.15 1.86 NA NA 0.11 XXX
breasts.
77056......... TC.......... A........... Mammogram, both 0.00 1.84 1.57 NA NA 0.07 XXX
breasts.
77056......... 26.......... A........... Mammogram, both 0.87 0.31 0.29 0.31 0.29 0.04 XXX
breasts.
77057......... ............ A........... Mammogram, 0.70 1.44 1.46 NA NA 0.10 XXX
screening.
77057......... TC.......... A........... Mammogram, 0.00 1.20 1.22 NA NA 0.07 XXX
screening.
77057......... 26.......... A........... Mammogram, 0.70 0.24 0.24 0.24 0.24 0.03 XXX
screening.
77058......... ............ A........... Mri, one breast... 1.63 21.65 19.91 NA NA 0.99 XXX
77058......... TC.......... A........... Mri, one breast... 0.00 21.09 19.36 NA NA 0.92 XXX
77058......... 26.......... A........... Mri, one breast... 1.63 0.56 0.55 0.56 0.55 0.07 XXX
77059......... ............ A........... Mri, both breasts. 1.63 21.58 23.02 NA NA 1.31 XXX
77059......... TC.......... A........... Mri, both breasts. 0.00 21.01 22.47 NA NA 1.24 XXX
77059......... 26.......... A........... Mri, both breasts. 1.63 0.57 0.55 0.57 0.55 0.07 XXX
77071......... ............ A........... X-ray stress view. 0.41 0.77 0.48 0.77 0.48 0.06 XXX
77072......... ............ A........... X-rays for bone 0.19 0.42 0.42 NA NA 0.03 XXX
age.
77072......... TC.......... A........... X-rays for bone 0.00 0.36 0.36 NA NA 0.02 XXX
age.
77072......... 26.......... A........... X-rays for bone 0.19 0.06 0.06 0.06 0.06 0.01 XXX
age.
77073......... ............ A........... X-rays, bone 0.27 0.67 0.78 NA NA 0.06 XXX
length studies.
77073......... TC.......... A........... X-rays, bone 0.00 0.57 0.68 NA NA 0.05 XXX
length studies.
77073......... 26.......... A........... X-rays, bone 0.27 0.10 0.10 0.10 0.10 0.01 XXX
length studies.
77074......... ............ A........... X-rays, bone 0.45 1.45 1.30 NA NA 0.08 XXX
survey, limited.
77074......... TC.......... A........... X-rays, bone 0.00 1.29 1.14 NA NA 0.06 XXX
survey, limited.
77074......... 26.......... A........... X-rays, bone 0.45 0.16 0.16 0.16 0.16 0.02 XXX
survey, limited.
77075......... ............ A........... X-rays, bone 0.54 2.29 1.96 NA NA 0.10 XXX
survey complete.
77075......... TC.......... A........... X-rays, bone 0.00 2.10 1.77 NA NA 0.08 XXX
survey complete.
77075......... 26.......... A........... X-rays, bone 0.54 0.19 0.19 0.19 0.19 0.02 XXX
survey complete.
77076......... ............ A........... X-rays, bone 0.70 2.13 1.55 NA NA 0.08 XXX
survey, infant.
77076......... TC.......... A........... X-rays, bone 0.00 1.90 1.32 NA NA 0.05 XXX
survey, infant.
77076......... 26.......... A........... X-rays, bone 0.70 0.23 0.23 0.23 0.23 0.03 XXX
survey, infant.
77077......... ............ A........... Joint survey, 0.31 0.66 0.93 NA NA 0.08 XXX
single view.
77077......... TC.......... A........... Joint survey, 0.00 0.55 0.83 NA NA 0.06 XXX
single view.
77077......... 26.......... A........... Joint survey, 0.31 0.11 0.10 0.11 0.10 0.02 XXX
single view.
77078......... ............ A........... Ct bone density, 0.25 4.75 3.88 NA NA 0.17 XXX
axial.
77078......... TC.......... A........... Ct bone density, 0.00 4.66 3.80 NA NA 0.16 XXX
axial.
77078......... 26.......... A........... Ct bone density, 0.25 0.09 0.08 0.09 0.08 0.01 XXX
axial.
77079......... ............ A........... Ct bone density, 0.22 0.83 1.92 NA NA 0.06 XXX
peripheral.
77079......... TC.......... A........... Ct bone density, 0.00 0.75 1.85 NA NA 0.05 XXX
peripheral.
[[Page 2669]]
77079......... 26.......... A........... Ct bone density, 0.22 0.08 0.07 0.08 0.07 0.01 XXX
peripheral.
77080......... ............ A........... Dxa bone density, 0.20 1.10 2.15 NA NA 0.18 XXX
axial.
77080......... TC.......... A........... Dxa bone density, 0.00 1.04 2.07 NA NA 0.17 XXX
axial.
77080......... 26.......... A........... Dxa bone density, 0.20 0.06 0.08 0.06 0.08 0.01 XXX
axial.
77081......... ............ A........... Dxa bone density/ 0.22 0.47 0.65 NA NA 0.06 XXX
peripheral.
77081......... TC.......... A........... Dxa bone density/ 0.00 0.41 0.58 NA NA 0.05 XXX
peripheral.
77081......... 26.......... A........... Dxa bone density/ 0.22 0.06 0.07 0.06 0.07 0.01 XXX
peripheral.
77082......... ............ A........... Dxa bone density, 0.17 0.53 0.66 NA NA 0.06 XXX
vert fx.
77082......... TC.......... A........... Dxa bone density, 0.00 0.48 0.61 NA NA 0.05 XXX
vert fx.
77082......... 26.......... A........... Dxa bone density, 0.17 0.05 0.05 0.05 0.05 0.01 XXX
vert fx.
77083......... ............ A........... Radiographic 0.20 0.37 0.59 NA NA 0.06 XXX
absorptiometry.
77083......... TC.......... A........... Radiographic 0.00 0.32 0.53 NA NA 0.05 XXX
absorptiometry.
77083......... 26.......... A........... Radiographic 0.20 0.05 0.06 0.05 0.06 0.01 XXX
absorptiometry.
77084......... ............ A........... Magnetic image, 1.60 13.57 12.65 NA NA 0.66 XXX
bone marrow.
77084......... TC.......... A........... Magnetic image, 0.00 13.05 12.13 NA NA 0.59 XXX
bone marrow.
77084......... 26.......... A........... Magnetic image, 1.60 0.52 0.52 0.52 0.52 0.07 XXX
bone marrow.
77261......... ............ A........... Radiation therapy 1.39 0.48 0.49 0.48 0.49 0.07 XXX
planning.
77262......... ............ A........... Radiation therapy 2.11 0.69 0.72 0.69 0.72 0.11 XXX
planning.
77263......... ............ A........... Radiation therapy 3.14 1.03 1.07 1.03 1.07 0.16 XXX
planning.
77280......... ............ A........... Set radiation 0.70 4.43 4.07 NA NA 0.22 XXX
therapy field.
77280......... TC.......... A........... Set radiation 0.00 4.20 3.84 NA NA 0.18 XXX
therapy field.
77280......... 26.......... A........... Set radiation 0.70 0.23 0.23 0.23 0.23 0.04 XXX
therapy field.
77285......... ............ A........... Set radiation 1.05 8.02 6.97 NA NA 0.35 XXX
therapy field.
77285......... TC.......... A........... Set radiation 0.00 7.68 6.63 NA NA 0.30 XXX
therapy field.
77285......... 26.......... A........... Set radiation 1.05 0.34 0.34 0.34 0.34 0.05 XXX
therapy field.
77290......... ............ A........... Set radiation 1.56 13.43 10.22 NA NA 0.43 XXX
therapy field.
77290......... TC.......... A........... Set radiation 0.00 12.92 9.72 NA NA 0.35 XXX
therapy field.
77290......... 26.......... A........... Set radiation 1.56 0.51 0.50 0.51 0.50 0.08 XXX
therapy field.
77295......... ............ A........... Set radiation 4.56 7.46 18.43 NA NA 1.71 XXX
therapy field.
77295......... TC.......... A........... Set radiation 0.00 5.96 16.95 NA NA 1.48 XXX
therapy field.
77295......... 26.......... A........... Set radiation 4.56 1.50 1.48 1.50 1.48 0.23 XXX
therapy field.
77299......... ............ C........... Radiation therapy 0.00 0.00 0.00 NA NA 0.00 XXX
planning.
77299......... TC.......... C........... Radiation therapy 0.00 0.00 0.00 NA NA 0.00 XXX
planning.
77299......... 26.......... C........... Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
planning.
77300......... ............ A........... Radiation therapy 0.62 1.18 1.36 NA NA 0.10 XXX
dose plan.
77300......... TC.......... A........... Radiation therapy 0.00 0.98 1.16 NA NA 0.07 XXX
dose plan.
77300......... 26.......... A........... Radiation therapy 0.62 0.20 0.20 0.20 0.20 0.03 XXX
dose plan.
77301......... ............ A........... Radiotherapy dose 7.99 57.48 43.99 NA NA 1.88 XXX
plan, imrt.
77301......... TC.......... A........... Radiotherapy dose 0.00 54.86 41.40 NA NA 1.48 XXX
plan, imrt.
77301......... 26.......... A........... Radiotherapy dose 7.99 2.62 2.59 2.62 2.59 0.40 XXX
plan, imrt.
77305......... ............ A........... Teletx isodose 0.70 0.90 1.50 NA NA 0.15 XXX
plan simple.
77305......... TC.......... A........... Teletx isodose 0.00 0.67 1.27 NA NA 0.11 XXX
plan simple.
77305......... 26.......... A........... Teletx isodose 0.70 0.23 0.23 0.23 0.23 0.04 XXX
plan simple.
77310......... ............ A........... Teletx isodose 1.05 1.24 1.96 NA NA 0.18 XXX
plan intermed.
77310......... TC.......... A........... Teletx isodose 0.00 0.90 1.62 NA NA 0.13 XXX
plan intermed.
77310......... 26.......... A........... Teletx isodose 1.05 0.34 0.34 0.34 0.34 0.05 XXX
plan intermed.
77315......... ............ A........... Teletx isodose 1.56 2.08 2.62 NA NA 0.22 XXX
plan complex.
77315......... TC.......... A........... Teletx isodose 0.00 1.57 2.12 NA NA 0.14 XXX
plan complex.
77315......... 26.......... A........... Teletx isodose 1.56 0.51 0.50 0.51 0.50 0.08 XXX
plan complex.
77321......... ............ A........... Special teletx 0.95 1.51 2.93 NA NA 0.26 XXX
port plan.
77321......... TC.......... A........... Special teletx 0.00 1.20 2.62 NA NA 0.21 XXX
port plan.
77321......... 26.......... A........... Special teletx 0.95 0.31 0.31 0.31 0.31 0.05 XXX
port plan.
77326......... ............ A........... Brachytx isodose 0.93 2.98 2.82 NA NA 0.18 XXX
calc simp.
77326......... TC.......... A........... Brachytx isodose 0.00 2.68 2.52 NA NA 0.13 XXX
calc simp.
77326......... 26.......... A........... Brachytx isodose 0.93 0.30 0.30 0.30 0.30 0.05 XXX
calc simp.
77327......... ............ A........... Brachytx isodose 1.39 4.09 4.01 NA NA 0.25 XXX
calc interm.
77327......... TC.......... A........... Brachytx isodose 0.00 3.64 3.56 NA NA 0.18 XXX
calc interm.
77327......... 26.......... A........... Brachytx isodose 1.39 0.45 0.45 0.45 0.45 0.07 XXX
calc interm.
77328......... ............ A........... Brachytx isodose 2.09 5.26 5.44 NA NA 0.36 XXX
plan compl.
77328......... TC.......... A........... Brachytx isodose 0.00 4.57 4.76 NA NA 0.25 XXX
plan compl.
77328......... 26.......... A........... Brachytx isodose 2.09 0.69 0.68 0.69 0.68 0.11 XXX
plan compl.
77331......... ............ A........... Special radiation 0.87 0.81 0.79 NA NA 0.06 XXX
dosimetry.
77331......... TC.......... A........... Special radiation 0.00 0.52 0.51 NA NA 0.02 XXX
dosimetry.
77331......... 26.......... A........... Special radiation 0.87 0.29 0.28 0.29 0.28 0.04 XXX
dosimetry.
77332......... ............ A........... Radiation 0.54 1.55 1.53 NA NA 0.10 XXX
treatment aid(s).
77332......... TC.......... A........... Radiation 0.00 1.37 1.36 NA NA 0.07 XXX
treatment aid(s).
77332......... 26.......... A........... Radiation 0.54 0.18 0.17 0.18 0.17 0.03 XXX
treatment aid(s).
77333......... ............ A........... Radiation 0.84 0.52 1.34 NA NA 0.15 XXX
treatment aid(s).
77333......... TC.......... A........... Radiation 0.00 0.24 1.07 NA NA 0.11 XXX
treatment aid(s).
77333......... 26.......... A........... Radiation 0.84 0.28 0.27 0.28 0.27 0.04 XXX
treatment aid(s).
77334......... ............ A........... Radiation 1.24 2.72 3.18 NA NA 0.23 XXX
treatment aid(s).
77334......... TC.......... A........... Radiation 0.00 2.31 2.78 NA NA 0.17 XXX
treatment aid(s).
[[Page 2670]]
77334......... 26.......... A........... Radiation 1.24 0.41 0.40 0.41 0.40 0.06 XXX
treatment aid(s).
77336......... ............ A........... Radiation physics 0.00 1.14 2.06 NA NA 0.16 XXX
consult.
77370......... ............ A........... Radiation physics 0.00 3.05 3.27 NA NA 0.18 XXX
consult.
77371......... ............ A........... Srs, multisource.. 0.00 30.11 30.11 NA NA 0.13 XXX
77372......... ............ A........... Srs, linear based. 0.00 22.83 22.83 NA NA 0.13 XXX
77373......... ............ A........... Sbrt delivery..... 0.00 42.67 42.67 NA NA 0.13 XXX
77399......... ............ C........... External radiation 0.00 0.00 0.00 NA NA 0.00 XXX
dosimetry.
77399......... TC.......... C........... External radiation 0.00 0.00 0.00 NA NA 0.00 XXX
dosimetry.
77399......... 26.......... C........... External radiation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dosimetry.
77401......... ............ A........... Radiation 0.00 0.47 1.12 NA NA 0.11 XXX
treatment
delivery.
77402......... ............ A........... Radiation 0.00 4.35 3.06 NA NA 0.11 XXX
treatment
delivery.
77403......... ............ A........... Radiation 0.00 3.76 2.77 NA NA 0.11 XXX
treatment
delivery.
77404......... ............ A........... Radiation 0.00 4.21 2.99 NA NA 0.11 XXX
treatment
delivery.
77406......... ............ A........... Radiation 0.00 4.24 3.01 NA NA 0.11 XXX
treatment
delivery.
77407......... ............ A........... Radiation 0.00 5.78 3.94 NA NA 0.12 XXX
treatment
delivery.
77408......... ............ A........... Radiation 0.00 5.19 3.64 NA NA 0.12 XXX
treatment
delivery.
77409......... ............ A........... Radiation 0.00 5.77 3.93 NA NA 0.12 XXX
treatment
delivery.
77411......... ............ A........... Radiation 0.00 5.74 3.92 NA NA 0.12 XXX
treatment
delivery.
77412......... ............ A........... Radiation 0.00 6.79 4.56 NA NA 0.13 XXX
treatment
delivery.
77413......... ............ A........... Radiation 0.00 6.86 4.60 NA NA 0.13 XXX
treatment
delivery.
77414......... ............ A........... Radiation 0.00 7.72 5.03 NA NA 0.13 XXX
treatment
delivery.
77416......... ............ A........... Radiation 0.00 7.73 5.03 NA NA 0.13 XXX
treatment
delivery.
77417......... ............ A........... Radiology port 0.00 0.36 0.48 NA NA 0.04 XXX
film(s).
77418......... ............ A........... Radiation tx 0.00 13.17 15.60 NA NA 0.13 XXX
delivery, imrt.
77421......... ............ A........... Stereoscopic x-ray 0.39 2.39 2.93 NA NA 0.12 XXX
guidance.
77421......... TC.......... A........... Stereoscopic x-ray 0.00 2.26 2.80 NA NA 0.10 XXX
guidance.
77421......... 26.......... A........... Stereoscopic x-ray 0.39 0.13 0.13 0.13 0.13 0.02 XXX
guidance.
77422......... ............ A........... Neutron beam tx, 0.00 5.36 3.53 NA NA 0.13 XXX
simple.
77423......... ............ A........... Neutron beam tx, 0.00 7.47 4.86 NA NA 0.13 XXX
complex.
77427......... ............ A........... Radiation tx 3.70 1.39 1.22 1.39 1.22 0.17 XXX
management, x5.
77431......... ............ A........... Radiation therapy 1.81 0.78 0.73 0.78 0.73 0.09 XXX
management.
77432......... ............ A........... Stereotactic 7.92 2.59 2.75 2.59 2.75 0.41 XXX
radiation trmt.
77435......... ............ A........... Sbrt management... 13.00 4.76 4.76 NA NA 0.67 XXX
77470......... ............ A........... Special radiation 2.09 1.92 6.88 NA NA 0.70 XXX
treatment.
77470......... TC.......... A........... Special radiation 0.00 1.24 6.20 NA NA 0.59 XXX
treatment.
77470......... 26.......... A........... Special radiation 2.09 0.68 0.68 0.68 0.68 0.11 XXX
treatment.
77499......... ............ C........... Radiation therapy 0.00 0.00 0.00 NA NA 0.00 XXX
management.
77499......... TC.......... C........... Radiation therapy 0.00 0.00 0.00 NA NA 0.00 XXX
management.
77499......... 26.......... C........... Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
management.
77520......... ............ C........... Proton trmt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
simple w/o comp.
77522......... ............ C........... Proton trmt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
simple w/comp.
77523......... ............ C........... Proton trmt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intermediate.
77525......... ............ C........... Proton treatment, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complex.
77600......... ............ R........... Hyperthermia 1.56 10.24 6.90 NA NA 0.24 XXX
treatment.
77600......... TC.......... R........... Hyperthermia 0.00 9.74 6.40 NA NA 0.16 XXX
treatment.
77600......... 26.......... R........... Hyperthermia 1.56 0.50 0.50 0.50 0.50 0.08 XXX
treatment.
77605......... ............ R........... Hyperthermia 2.09 18.48 11.60 NA NA 0.38 XXX
treatment.
77605......... TC.......... R........... Hyperthermia 0.00 17.93 11.00 NA NA 0.22 XXX
treatment.
77605......... 26.......... R........... Hyperthermia 2.09 0.55 0.60 0.55 0.60 0.16 XXX
treatment.
77610......... ............ R........... Hyperthermia 1.56 17.94 10.75 NA NA 0.24 XXX
treatment.
77610......... TC.......... R........... Hyperthermia 0.00 17.58 10.32 NA NA 0.16 XXX
treatment.
77610......... 26.......... R........... Hyperthermia 1.56 0.36 0.43 0.36 0.43 0.08 XXX
treatment.
77615......... ............ R........... Hyperthermia 2.09 25.93 15.32 NA NA 0.33 XXX
treatment.
77615......... TC.......... R........... Hyperthermia 0.00 25.29 14.67 NA NA 0.22 XXX
treatment.
77615......... 26.......... R........... Hyperthermia 2.09 0.64 0.65 0.64 0.65 0.11 XXX
treatment.
77620......... ............ R........... Hyperthermia 1.56 10.50 7.04 NA NA 0.36 XXX
treatment.
77620......... TC.......... R........... Hyperthermia 0.00 10.10 6.58 NA NA 0.16 XXX
treatment.
77620......... 26.......... R........... Hyperthermia 1.56 0.40 0.46 0.40 0.46 0.20 XXX
treatment.
77750......... ............ A........... Infuse radioactive 4.94 4.55 3.73 NA NA 0.32 090
materials.
77750......... TC.......... A........... Infuse radioactive 0.00 2.93 2.13 NA NA 0.07 090
materials.
77750......... 26.......... A........... Infuse radioactive 4.94 1.62 1.60 1.62 1.60 0.25 090
materials.
77761......... ............ A........... Apply intrcav 3.82 6.34 4.97 NA NA 0.33 090
radiat simple.
77761......... TC.......... A........... Apply intrcav 0.00 5.10 3.80 NA NA 0.14 090
radiat simple.
77761......... 26.......... A........... Apply intrcav 3.82 1.24 1.17 1.24 1.17 0.19 090
radiat simple.
77762......... ............ A........... Apply intrcav 5.73 7.63 6.54 NA NA 0.48 090
radiat interm.
77762......... TC.......... A........... Apply intrcav 0.00 5.75 4.68 NA NA 0.19 090
radiat interm.
77762......... 26.......... A........... Apply intrcav 5.73 1.88 1.86 1.88 1.86 0.29 090
radiat interm.
77763......... ............ A........... Apply intrcav 8.60 10.35 8.79 NA NA 0.66 090
radiat compl.
77763......... TC.......... A........... Apply intrcav 0.00 7.53 6.01 NA NA 0.23 090
radiat compl.
77763......... 26.......... A........... Apply intrcav 8.60 2.82 2.78 2.82 2.78 0.43 090
radiat compl.
77776......... ............ A........... Apply interstit 4.67 7.46 5.30 NA NA 0.57 090
radiat simpl.
77776......... TC.......... A........... Apply interstit 0.00 5.79 3.99 NA NA 0.13 090
radiat simpl.
[[Page 2671]]
77776......... 26.......... A........... Apply interstit 4.67 1.67 1.31 1.67 1.31 0.44 090
radiat simpl.
77777......... ............ A........... Apply interstit 7.49 7.92 7.26 NA NA 0.61 090
radiat inter.
77777......... TC.......... A........... Apply interstit 0.00 5.47 4.85 NA NA 0.22 090
radiat inter.
77777......... 26.......... A........... Apply interstit 7.49 2.45 2.41 2.45 2.41 0.39 090
radiat inter.
77778......... ............ A........... Apply interstit 11.23 11.33 10.01 NA NA 0.84 090
radiat compl.
77778......... TC.......... A........... Apply interstit 0.00 7.63 6.38 NA NA 0.27 090
radiat compl.
77778......... 26.......... A........... Apply interstit 11.23 3.70 3.63 3.70 3.63 0.57 090
radiat compl.
77781......... ............ A........... High intensity 1.21 4.41 12.62 NA NA 1.14 XXX
brachytherapy.
77781......... TC.......... A........... High intensity 0.00 4.01 12.16 NA NA 1.06 XXX
brachytherapy.
77781......... 26.......... A........... High intensity 1.21 0.40 0.46 0.40 0.46 0.08 XXX
brachytherapy.
77782......... ............ A........... High intensity 2.04 12.42 16.76 NA NA 1.19 XXX
brachytherapy.
77782......... TC.......... A........... High intensity 0.00 11.75 16.03 NA NA 1.06 XXX
brachytherapy.
77782......... 26.......... A........... High intensity 2.04 0.67 0.73 0.67 0.73 0.13 XXX
brachytherapy.
77783......... ............ A........... High intensity 3.27 24.21 22.86 NA NA 1.25 XXX
brachytherapy.
77783......... TC.......... A........... High intensity 0.00 23.14 21.73 NA NA 1.06 XXX
brachytherapy.
77783......... 26.......... A........... High intensity 3.27 1.07 1.13 1.07 1.13 0.19 XXX
brachytherapy.
77784......... ............ A........... High intensity 5.15 45.71 33.91 NA NA 1.35 XXX
brachytherapy.
77784......... TC.......... A........... High intensity 0.00 44.03 32.17 NA NA 1.06 XXX
brachytherapy.
77784......... 26.......... A........... High intensity 5.15 1.68 1.74 1.68 1.74 0.29 XXX
brachytherapy.
77789......... ............ A........... Apply surface 1.14 2.02 1.42 NA NA 0.08 000
radiation.
77789......... TC.......... A........... Apply surface 0.00 1.64 1.04 NA NA 0.02 000
radiation.
77789......... 26.......... A........... Apply surface 1.14 0.38 0.38 0.38 0.38 0.06 000
radiation.
77790......... ............ A........... Radiation handling 1.05 1.46 1.15 NA NA 0.07 XXX
77790......... TC.......... A........... Radiation handling 0.00 1.12 0.81 NA NA 0.02 XXX
77790......... 26.......... A........... Radiation handling 1.05 0.34 0.34 0.34 0.34 0.05 XXX
77799......... ............ C........... Radium/ 0.00 0.00 0.00 NA NA 0.00 XXX
radioisotope
therapy.
77799......... TC.......... C........... Radium/ 0.00 0.00 0.00 NA NA 0.00 XXX
radioisotope
therapy.
77799......... 26.......... C........... Radium/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radioisotope
therapy.
78000......... ............ A........... Thyroid, single 0.19 1.85 1.44 NA NA 0.07 XXX
uptake.
78000......... TC.......... A........... Thyroid, single 0.00 1.79 1.38 NA NA 0.06 XXX
uptake.
78000......... 26.......... A........... Thyroid, single 0.19 0.06 0.06 0.06 0.06 0.01 XXX
uptake.
78001......... ............ A........... Thyroid, multiple 0.26 2.31 1.85 NA NA 0.08 XXX
uptakes.
78001......... TC.......... A........... Thyroid, multiple 0.00 2.22 1.76 NA NA 0.07 XXX
uptakes.
78001......... 26.......... A........... Thyroid, multiple 0.26 0.09 0.09 0.09 0.09 0.01 XXX
uptakes.
78003......... ............ A........... Thyroid suppress/ 0.33 1.94 1.50 NA NA 0.07 XXX
stimul.
78003......... TC.......... A........... Thyroid suppress/ 0.00 1.82 1.39 NA NA 0.06 XXX
stimul.
78003......... 26.......... A........... Thyroid suppress/ 0.33 0.12 0.11 0.12 0.11 0.01 XXX
stimul.
78006......... ............ A........... Thyroid imaging 0.49 6.23 4.38 NA NA 0.15 XXX
with uptake.
78006......... TC.......... A........... Thyroid imaging 0.00 6.06 4.22 NA NA 0.13 XXX
with uptake.
78006......... 26.......... A........... Thyroid imaging 0.49 0.17 0.16 0.17 0.16 0.02 XXX
with uptake.
78007......... ............ A........... Thyroid image, 0.50 3.06 2.90 NA NA 0.16 XXX
mult uptakes.
78007......... TC.......... A........... Thyroid image, 0.00 2.89 2.73 NA NA 0.14 XXX
mult uptakes.
78007......... 26.......... A........... Thyroid image, 0.50 0.17 0.17 0.17 0.17 0.02 XXX
mult uptakes.
78010......... ............ A........... Thyroid imaging... 0.39 4.19 3.07 NA NA 0.13 XXX
78010......... TC.......... A........... Thyroid imaging... 0.00 4.06 2.94 NA NA 0.11 XXX
78010......... 26.......... A........... Thyroid imaging... 0.39 0.13 0.13 0.13 0.13 0.02 XXX
78011......... ............ A........... Thyroid imaging 0.45 4.55 3.55 NA NA 0.15 XXX
with flow.
78011......... TC.......... A........... Thyroid imaging 0.00 4.39 3.40 NA NA 0.13 XXX
with flow.
78011......... 26.......... A........... Thyroid imaging 0.45 0.16 0.15 0.16 0.15 0.02 XXX
with flow.
78015......... ............ A........... Thyroid met 0.67 5.34 4.08 NA NA 0.17 XXX
imaging.
78015......... TC.......... A........... Thyroid met 0.00 5.12 3.85 NA NA 0.14 XXX
imaging.
78015......... 26.......... A........... Thyroid met 0.67 0.22 0.23 0.22 0.23 0.03 XXX
imaging.
78016......... ............ A........... Thyroid met 0.82 8.54 6.15 NA NA 0.21 XXX
imaging/studies.
78016......... TC.......... A........... Thyroid met 0.00 8.26 5.87 NA NA 0.18 XXX
imaging/studies.
78016......... 26.......... A........... Thyroid met 0.82 0.28 0.28 0.28 0.28 0.03 XXX
imaging/studies.
78018......... ............ A........... Thyroid met 0.86 7.94 6.83 NA NA 0.33 XXX
imaging, body.
78018......... TC.......... A........... Thyroid met 0.00 7.64 6.53 NA NA 0.29 XXX
imaging, body.
78018......... 26.......... A........... Thyroid met 0.86 0.30 0.30 0.30 0.30 0.04 XXX
imaging, body.
78020......... ............ A........... Thyroid met uptake 0.60 1.80 1.66 NA NA 0.16 ZZZ
78020......... TC.......... A........... Thyroid met uptake 0.00 1.60 1.45 NA NA 0.14 ZZZ
78020......... 26.......... A........... Thyroid met uptake 0.60 0.20 0.21 0.20 0.21 0.02 ZZZ
78070......... ............ A........... Parathyroid 0.82 3.48 4.02 NA NA 0.15 XXX
nuclear imaging.
78070......... TC.......... A........... Parathyroid 0.00 3.20 3.74 NA NA 0.11 XXX
nuclear imaging.
78070......... 26.......... A........... Parathyroid 0.82 0.28 0.28 0.28 0.28 0.04 XXX
nuclear imaging.
78075......... ............ A........... Adrenal nuclear 0.74 11.63 8.65 NA NA 0.32 XXX
imaging.
78075......... TC.......... A........... Adrenal nuclear 0.00 11.38 8.40 NA NA 0.29 XXX
imaging.
78075......... 26.......... A........... Adrenal nuclear 0.74 0.25 0.25 0.25 0.25 0.03 XXX
imaging.
78099......... ............ C........... Endocrine nuclear 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
78099......... TC.......... C........... Endocrine nuclear 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
78099......... 26.......... C........... Endocrine nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78102......... ............ A........... Bone marrow 0.55 4.18 3.21 NA NA 0.14 XXX
imaging, ltd.
78102......... TC.......... A........... Bone marrow 0.00 3.99 3.02 NA NA 0.12 XXX
imaging, ltd.
[[Page 2672]]
78102......... 26.......... A........... Bone marrow 0.55 0.19 0.19 0.19 0.19 0.02 XXX
imaging, ltd.
78103......... ............ A........... Bone marrow 0.75 5.44 4.44 NA NA 0.20 XXX
imaging, mult.
78103......... TC.......... A........... Bone marrow 0.00 5.18 4.18 NA NA 0.17 XXX
imaging, mult.
78103......... 26.......... A........... Bone marrow 0.75 0.26 0.26 0.26 0.26 0.03 XXX
imaging, mult.
78104......... ............ A........... Bone marrow 0.80 6.23 5.29 NA NA 0.25 XXX
imaging, body.
78104......... TC.......... A........... Bone marrow 0.00 5.94 5.01 NA NA 0.22 XXX
imaging, body.
78104......... 26.......... A........... Bone marrow 0.80 0.29 0.28 0.29 0.28 0.03 XXX
imaging, body.
78110......... ............ A........... Plasma volume, 0.19 2.13 1.58 NA NA 0.07 XXX
single.
78110......... TC.......... A........... Plasma volume, 0.00 2.06 1.51 NA NA 0.06 XXX
single.
78110......... 26.......... A........... Plasma volume, 0.19 0.07 0.07 0.07 0.07 0.01 XXX
single.
78111......... ............ A........... Plasma volume, 0.22 2.14 2.40 NA NA 0.15 XXX
multiple.
78111......... TC.......... A........... Plasma volume, 0.00 2.07 2.32 NA NA 0.14 XXX
multiple.
78111......... 26.......... A........... Plasma volume, 0.22 0.07 0.08 0.07 0.08 0.01 XXX
multiple.
78120......... ............ A........... Red cell mass, 0.23 2.10 1.96 NA NA 0.12 XXX
single.
78120......... TC.......... A........... Red cell mass, 0.00 2.02 1.88 NA NA 0.11 XXX
single.
78120......... 26.......... A........... Red cell mass, 0.23 0.08 0.08 0.08 0.08 0.01 XXX
single.
78121......... ............ A........... Red cell mass, 0.32 2.20 2.62 NA NA 0.15 XXX
multiple.
78121......... TC.......... A........... Red cell mass, 0.00 2.10 2.51 NA NA 0.14 XXX
multiple.
78121......... 26.......... A........... Red cell mass, 0.32 0.10 0.11 0.10 0.11 0.01 XXX
multiple.
78122......... ............ A........... Blood volume...... 0.45 2.25 3.51 NA NA 0.26 XXX
78122......... TC.......... A........... Blood volume...... 0.00 2.10 3.35 NA NA 0.24 XXX
78122......... 26.......... A........... Blood volume...... 0.45 0.15 0.16 0.15 0.16 0.02 XXX
78130......... ............ A........... Red cell survival 0.61 3.50 3.28 NA NA 0.17 XXX
study.
78130......... TC.......... A........... Red cell survival 0.00 3.29 3.07 NA NA 0.14 XXX
study.
78130......... 26.......... A........... Red cell survival 0.61 0.21 0.21 0.21 0.21 0.03 XXX
study.
78135......... ............ A........... Red cell survival 0.64 8.68 6.89 NA NA 0.28 XXX
kinetics.
78135......... TC.......... A........... Red cell survival 0.00 8.46 6.67 NA NA 0.25 XXX
kinetics.
78135......... 26.......... A........... Red cell survival 0.64 0.22 0.22 0.22 0.22 0.03 XXX
kinetics.
78140......... ............ A........... Red cell 0.61 2.95 3.54 NA NA 0.24 XXX
sequestration.
78140......... TC.......... A........... Red cell 0.00 2.73 3.33 NA NA 0.21 XXX
sequestration.
78140......... 26.......... A........... Red cell 0.61 0.22 0.21 0.22 0.21 0.03 XXX
sequestration.
78185......... ............ A........... Spleen imaging.... 0.40 5.20 3.85 NA NA 0.15 XXX
78185......... TC.......... A........... Spleen imaging.... 0.00 5.06 3.71 NA NA 0.13 XXX
78185......... 26.......... A........... Spleen imaging.... 0.40 0.14 0.14 0.14 0.14 0.02 XXX
78190......... ............ A........... Platelet survival, 1.09 8.38 7.24 NA NA 0.38 XXX
kinetics.
78190......... TC.......... A........... Platelet survival, 0.00 8.13 6.92 NA NA 0.30 XXX
kinetics.
78190......... 26.......... A........... Platelet survival, 1.09 0.25 0.32 0.25 0.32 0.08 XXX
kinetics.
78191......... ............ A........... Platelet survival. 0.61 3.52 5.53 NA NA 0.40 XXX
78191......... TC.......... A........... Platelet survival. 0.00 3.31 5.32 NA NA 0.37 XXX
78191......... 26.......... A........... Platelet survival. 0.61 0.21 0.21 0.21 0.21 0.03 XXX
78195......... ............ A........... Lymph system 1.20 8.69 6.58 NA NA 0.28 XXX
imaging.
78195......... TC.......... A........... Lymph system 0.00 8.28 6.17 NA NA 0.22 XXX
imaging.
78195......... 26.......... A........... Lymph system 1.20 0.41 0.41 0.41 0.41 0.06 XXX
imaging.
78199......... ............ C........... Blood/lymph 0.00 0.00 0.00 NA NA 0.00 XXX
nuclear exam.
78199......... TC.......... C........... Blood/lymph 0.00 0.00 0.00 NA NA 0.00 XXX
nuclear exam.
78199......... 26.......... C........... Blood/lymph 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78201......... ............ A........... Liver imaging..... 0.44 4.60 3.56 NA NA 0.15 XXX
78201......... TC.......... A........... Liver imaging..... 0.00 4.47 3.42 NA NA 0.13 XXX
78201......... 26.......... A........... Liver imaging..... 0.44 0.13 0.14 0.13 0.14 0.02 XXX
78202......... ............ A........... Liver imaging with 0.51 5.35 4.20 NA NA 0.16 XXX
flow.
78202......... TC.......... A........... Liver imaging with 0.00 5.18 4.03 NA NA 0.14 XXX
flow.
78202......... 26.......... A........... Liver imaging with 0.51 0.17 0.17 0.17 0.17 0.02 XXX
flow.
78205......... ............ A........... Liver imaging (3D) 0.71 5.27 5.71 NA NA 0.34 XXX
78205......... TC.......... A........... Liver imaging (3D) 0.00 5.02 5.47 NA NA 0.31 XXX
78205......... 26.......... A........... Liver imaging (3D) 0.71 0.25 0.24 0.25 0.24 0.03 XXX
78206......... ............ A........... Liver image (3d) 0.96 8.61 7.42 NA NA 0.15 XXX
with flow.
78206......... TC.......... A........... Liver image (3d) 0.00 8.27 7.09 NA NA 0.11 XXX
with flow.
78206......... 26.......... A........... Liver image (3d) 0.96 0.34 0.33 0.34 0.33 0.04 XXX
with flow.
78215......... ............ A........... Liver and spleen 0.49 4.82 3.97 NA NA 0.16 XXX
imaging.
78215......... TC.......... A........... Liver and spleen 0.00 4.65 3.80 NA NA 0.14 XXX
imaging.
78215......... 26.......... A........... Liver and spleen 0.49 0.17 0.17 0.17 0.17 0.02 XXX
imaging.
78216......... ............ A........... Liver & spleen 0.57 2.86 3.26 NA NA 0.20 XXX
image/flow.
78216......... TC.......... A........... Liver & spleen 0.00 2.66 3.07 NA NA 0.18 XXX
image/flow.
78216......... 26.......... A........... Liver & spleen 0.57 0.20 0.19 0.20 0.19 0.02 XXX
image/flow.
78220......... ............ A........... Liver function 0.49 3.08 3.48 NA NA 0.21 XXX
study.
78220......... TC.......... A........... Liver function 0.00 2.91 3.32 NA NA 0.19 XXX
study.
78220......... 26.......... A........... Liver function 0.49 0.17 0.16 0.17 0.16 0.02 XXX
study.
78223......... ............ A........... Hepatobiliary 0.84 8.51 6.23 NA NA 0.23 XXX
imaging.
78223......... TC.......... A........... Hepatobiliary 0.00 8.22 5.94 NA NA 0.19 XXX
imaging.
78223......... 26.......... A........... Hepatobiliary 0.84 0.29 0.29 0.29 0.29 0.04 XXX
imaging.
78230......... ............ A........... Salivary gland 0.45 4.17 3.25 NA NA 0.15 XXX
imaging.
78230......... TC.......... A........... Salivary gland 0.00 4.01 3.10 NA NA 0.13 XXX
imaging.
[[Page 2673]]
78230......... 26.......... A........... Salivary gland 0.45 0.16 0.15 0.16 0.15 0.02 XXX
imaging.
78231......... ............ A........... Serial salivary 0.52 2.81 3.07 NA NA 0.19 XXX
imaging.
78231......... TC.......... A........... Serial salivary 0.00 2.64 2.90 NA NA 0.17 XXX
imaging.
78231......... 26.......... A........... Serial salivary 0.52 0.17 0.17 0.17 0.17 0.02 XXX
imaging.
78232......... ............ A........... Salivary gland 0.47 2.78 3.24 NA NA 0.20 XXX
function exam.
78232......... TC.......... A........... Salivary gland 0.00 2.63 3.08 NA NA 0.18 XXX
function exam.
78232......... 26.......... A........... Salivary gland 0.47 0.15 0.16 0.15 0.16 0.02 XXX
function exam.
78258......... ............ A........... Esophageal 0.74 5.52 4.33 NA NA 0.17 XXX
motility study.
78258......... TC.......... A........... Esophageal 0.00 5.25 4.07 NA NA 0.14 XXX
motility study.
78258......... 26.......... A........... Esophageal 0.74 0.27 0.26 0.27 0.26 0.03 XXX
motility study.
78261......... ............ A........... Gastric mucosa 0.69 6.01 5.17 NA NA 0.25 XXX
imaging.
78261......... TC.......... A........... Gastric mucosa 0.00 5.77 4.93 NA NA 0.22 XXX
imaging.
78261......... 26.......... A........... Gastric mucosa 0.69 0.24 0.24 0.24 0.24 0.03 XXX
imaging.
78262......... ............ A........... Gastroesophageal 0.68 5.96 5.22 NA NA 0.25 XXX
reflux exam.
78262......... TC.......... A........... Gastroesophageal 0.00 5.74 5.00 NA NA 0.22 XXX
reflux exam.
78262......... 26.......... A........... Gastroesophageal 0.68 0.22 0.22 0.22 0.22 0.03 XXX
reflux exam.
78264......... ............ A........... Gastric emptying 0.78 7.16 5.78 NA NA 0.25 XXX
study.
78264......... TC.......... A........... Gastric emptying 0.00 6.89 5.51 NA NA 0.22 XXX
study.
78264......... 26.......... A........... Gastric emptying 0.78 0.27 0.27 0.27 0.27 0.03 XXX
study.
78267......... ............ X........... Breath tst attain/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anal c-14.
78268......... ............ X........... Breath test 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, c-14.
78270......... ............ A........... Vit B-12 0.20 1.95 1.78 NA NA 0.11 XXX
absorption exam.
78270......... TC.......... A........... Vit B-12 0.00 1.88 1.71 NA NA 0.10 XXX
absorption exam.
78270......... 26.......... A........... Vit B-12 0.20 0.07 0.07 0.07 0.07 0.01 XXX
absorption exam.
78271......... ............ A........... Vit b-12 absrp 0.20 1.89 1.80 NA NA 0.11 XXX
exam, int fac.
78271......... TC.......... A........... Vit b-12 absrp 0.00 1.84 1.74 NA NA 0.10 XXX
exam, int fac.
78271......... 26.......... A........... Vit b-12 absrp 0.20 0.05 0.06 0.05 0.06 0.01 XXX
exam, int fac.
78272......... ............ A........... Vit B-12 absorp, 0.27 2.06 2.24 NA NA 0.14 XXX
combined.
78272......... TC.......... A........... Vit B-12 absorp, 0.00 1.99 2.16 NA NA 0.13 XXX
combined.
78272......... 26.......... A........... Vit B-12 absorp, 0.27 0.07 0.08 0.07 0.08 0.01 XXX
combined.
78278......... ............ A........... Acute GI blood 0.99 8.61 6.91 NA NA 0.29 XXX
loss imaging.
78278......... TC.......... A........... Acute GI blood 0.00 8.26 6.57 NA NA 0.25 XXX
loss imaging.
78278......... 26.......... A........... Acute GI blood 0.99 0.35 0.34 0.35 0.34 0.04 XXX
loss imaging.
78282......... ............ C........... GI protein loss 0.00 0.00 0.00 NA NA 0.00 XXX
exam.
78282......... TC.......... C........... GI protein loss 0.00 0.00 0.00 NA NA 0.00 XXX
exam.
78282......... 26.......... A........... GI protein loss 0.38 0.13 0.13 0.13 0.13 0.02 XXX
exam.
78290......... ............ A........... Meckel[AElig]s 0.68 8.52 5.91 NA NA 0.19 XXX
divert exam.
78290......... TC.......... A........... Meckel[AElig]s 0.00 8.28 5.67 NA NA 0.16 XXX
divert exam.
78290......... 26.......... A........... Meckel[AElig]s 0.68 0.24 0.24 0.24 0.24 0.03 XXX
divert exam.
78291......... ............ A........... Leveen/shunt 0.88 6.15 4.76 NA NA 0.20 XXX
patency exam.
78291......... TC.......... A........... Leveen/shunt 0.00 5.85 4.46 NA NA 0.16 XXX
patency exam.
78291......... 26.......... A........... Leveen/shunt 0.88 0.30 0.30 0.30 0.30 0.04 XXX
patency exam.
78299......... ............ C........... GI nuclear 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
78299......... TC.......... C........... GI nuclear 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
78299......... 26.......... C........... GI nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78300......... ............ A........... Bone imaging, 0.62 4.23 3.46 NA NA 0.17 XXX
limited area.
78300......... TC.......... A........... Bone imaging, 0.00 4.01 3.25 NA NA 0.14 XXX
limited area.
78300......... 26.......... A........... Bone imaging, 0.62 0.22 0.21 0.22 0.21 0.03 XXX
limited area.
78305......... ............ A........... Bone imaging, 0.83 5.48 4.71 NA NA 0.23 XXX
multiple areas.
78305......... TC.......... A........... Bone imaging, 0.00 5.20 4.43 NA NA 0.19 XXX
multiple areas.
78305......... 26.......... A........... Bone imaging, 0.83 0.28 0.28 0.28 0.28 0.04 XXX
multiple areas.
78306......... ............ A........... Bone imaging, 0.86 6.07 5.32 NA NA 0.26 XXX
whole body.
78306......... TC.......... A........... Bone imaging, 0.00 5.77 5.02 NA NA 0.22 XXX
whole body.
78306......... 26.......... A........... Bone imaging, 0.86 0.30 0.30 0.30 0.30 0.04 XXX
whole body.
78315......... ............ A........... Bone imaging, 3 1.02 8.60 6.86 NA NA 0.29 XXX
phase.
78315......... TC.......... A........... Bone imaging, 3 0.00 8.24 6.51 NA NA 0.25 XXX
phase.
78315......... 26.......... A........... Bone imaging, 3 1.02 0.36 0.35 0.36 0.35 0.04 XXX
phase.
78320......... ............ A........... Bone imaging (3D). 1.04 5.35 5.82 NA NA 0.35 XXX
78320......... TC.......... A........... Bone imaging (3D). 0.00 4.99 5.46 NA NA 0.31 XXX
78320......... 26.......... A........... Bone imaging (3D). 1.04 0.36 0.36 0.36 0.36 0.04 XXX
78350......... ............ N........... Bone mineral, 0.22 0.51 0.67 NA NA 0.06 XXX
single photon.
78350......... TC.......... N........... Bone mineral, 0.00 0.46 0.61 NA NA 0.05 XXX
single photon.
78350......... 26.......... N........... Bone mineral, 0.22 0.05 0.06 0.05 0.06 0.01 XXX
single photon.
78351......... ............ N........... Bone mineral, dual 0.30 NA NA 0.07 0.09 0.01 XXX
photon.
78399......... ............ C........... Musculoskeletal 0.00 0.00 0.00 NA NA 0.00 XXX
nuclear exam.
78399......... TC.......... C........... Musculoskeletal 0.00 0.00 0.00 NA NA 0.00 XXX
nuclear exam.
78399......... 26.......... C........... Musculoskeletal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78414......... ............ C........... Non-imaging heart 0.00 0.00 0.00 NA NA 0.00 XXX
function.
78414......... TC.......... C........... Non-imaging heart 0.00 0.00 0.00 NA NA 0.00 XXX
function.
78414......... 26.......... A........... Non-imaging heart 0.45 0.17 0.17 0.17 0.17 0.02 XXX
function.
78428......... ............ A........... Cardiac shunt 0.78 5.26 3.90 NA NA 0.16 XXX
imaging.
78428......... TC.......... A........... Cardiac shunt 0.00 4.90 3.58 NA NA 0.13 XXX
imaging.
[[Page 2674]]
78428......... 26.......... A........... Cardiac shunt 0.78 0.36 0.32 0.36 0.32 0.03 XXX
imaging.
78445......... ............ A........... Vascular flow 0.49 4.49 3.26 NA NA 0.13 XXX
imaging.
78445......... TC.......... A........... Vascular flow 0.00 4.32 3.09 NA NA 0.11 XXX
imaging.
78445......... 26.......... A........... Vascular flow 0.49 0.17 0.17 0.17 0.17 0.02 XXX
imaging.
78456......... ............ A........... Acute venous 1.00 8.81 6.57 NA NA 0.33 XXX
thrombus image.
78456......... TC.......... A........... Acute venous 0.00 8.44 6.21 NA NA 0.29 XXX
thrombus image.
78456......... 26.......... A........... Acute venous 1.00 0.37 0.36 0.37 0.36 0.04 XXX
thrombus image.
78457......... ............ A........... Venous thrombosis 0.77 4.66 3.79 NA NA 0.17 XXX
imaging.
78457......... TC.......... A........... Venous thrombosis 0.00 4.41 3.54 NA NA 0.14 XXX
imaging.
78457......... 26.......... A........... Venous thrombosis 0.77 0.25 0.25 0.25 0.25 0.03 XXX
imaging.
78458......... ............ A........... Ven thrombosis 0.90 4.51 4.43 NA NA 0.25 XXX
images, bilat.
78458......... TC.......... A........... Ven thrombosis 0.00 4.22 4.12 NA NA 0.21 XXX
images, bilat.
78458......... 26.......... A........... Ven thrombosis 0.90 0.29 0.31 0.29 0.31 0.04 XXX
images, bilat.
78459......... ............ C........... Heart muscle 0.00 0.00 0.00 NA NA 0.00 XXX
imaging (PET).
78459......... TC.......... C........... Heart muscle 0.00 0.00 0.00 NA NA 0.00 XXX
imaging (PET).
78459......... 26.......... A........... Heart muscle 1.50 0.61 0.59 0.61 0.59 0.05 XXX
imaging (PET).
78460......... ............ A........... Heart muscle 0.86 4.66 3.65 NA NA 0.17 XXX
blood, single.
78460......... TC.......... A........... Heart muscle 0.00 4.34 3.35 NA NA 0.13 XXX
blood, single.
78460......... 26.......... A........... Heart muscle 0.86 0.32 0.30 0.32 0.30 0.04 XXX
blood, single.
78461......... ............ A........... Heart muscle 1.23 4.07 4.61 NA NA 0.30 XXX
blood, multiple.
78461......... TC.......... A........... Heart muscle 0.00 3.61 4.17 NA NA 0.25 XXX
blood, multiple.
78461......... 26.......... A........... Heart muscle 1.23 0.46 0.44 0.46 0.44 0.05 XXX
blood, multiple.
78464......... ............ A........... Heart image (3d), 1.09 5.86 6.66 NA NA 0.41 XXX
single.
78464......... TC.......... A........... Heart image (3d), 0.00 5.36 6.22 NA NA 0.37 XXX
single.
78464......... 26.......... A........... Heart image (3d), 1.09 0.50 0.44 0.50 0.44 0.04 XXX
single.
78465......... ............ A........... Heart image (3d), 1.46 11.46 11.88 NA NA 0.67 XXX
multiple.
78465......... TC.......... A........... Heart image (3d), 0.00 10.75 11.27 NA NA 0.62 XXX
multiple.
78465......... 26.......... A........... Heart image (3d), 1.46 0.71 0.61 0.71 0.61 0.05 XXX
multiple.
78466......... ............ A........... Heart infarct 0.69 4.58 3.72 NA NA 0.17 XXX
image.
78466......... TC.......... A........... Heart infarct 0.00 4.29 3.46 NA NA 0.14 XXX
image.
78466......... 26.......... A........... Heart infarct 0.69 0.29 0.26 0.29 0.26 0.03 XXX
image.
78468......... ............ A........... Heart infarct 0.80 5.88 4.90 NA NA 0.22 XXX
image (ef).
78468......... TC.......... A........... Heart infarct 0.00 5.48 4.57 NA NA 0.19 XXX
image (ef).
78468......... 26.......... A........... Heart infarct 0.80 0.40 0.33 0.40 0.33 0.03 XXX
image (ef).
78469......... ............ A........... Heart infarct 0.92 6.29 5.92 NA NA 0.31 XXX
image (3D).
78469......... TC.......... A........... Heart infarct 0.00 5.85 5.54 NA NA 0.28 XXX
image (3D).
78469......... 26.......... A........... Heart infarct 0.92 0.44 0.38 0.44 0.38 0.03 XXX
image (3D).
78472......... ............ A........... Gated heart, 0.98 6.03 5.94 NA NA 0.34 XXX
planar, single.
78472......... TC.......... A........... Gated heart, 0.00 5.62 5.57 NA NA 0.30 XXX
planar, single.
78472......... 26.......... A........... Gated heart, 0.98 0.41 0.37 0.41 0.37 0.04 XXX
planar, single.
78473......... ............ A........... Gated heart, 1.47 7.76 8.27 NA NA 0.48 XXX
multiple.
78473......... TC.......... A........... Gated heart, 0.00 7.12 7.69 NA NA 0.42 XXX
multiple.
78473......... 26.......... A........... Gated heart, 1.47 0.64 0.58 0.64 0.58 0.06 XXX
multiple.
78478......... ............ A........... Heart wall motion 0.50 0.80 1.30 NA NA 0.12 XXX
add-on.
78478......... TC.......... A........... Heart wall motion 0.00 0.56 1.06 NA NA 0.10 XXX
add-on.
78478......... 26.......... A........... Heart wall motion 0.50 0.24 0.24 0.24 0.24 0.02 XXX
add-on.
78480......... ............ A........... Heart function add- 0.30 0.70 1.24 NA NA 0.12 XXX
on.
78480......... TC.......... A........... Heart function add- 0.00 0.56 1.06 NA NA 0.10 XXX
on.
78480......... 26.......... A........... Heart function add- 0.30 0.14 0.18 0.14 0.18 0.02 XXX
on.
78481......... ............ A........... Heart first pass, 0.98 5.07 5.33 NA NA 0.31 XXX
single.
78481......... TC.......... A........... Heart first pass, 0.00 4.58 4.90 NA NA 0.28 XXX
single.
78481......... 26.......... A........... Heart first pass, 0.98 0.49 0.43 0.49 0.43 0.03 XXX
single.
78483......... ............ A........... Heart first pass, 1.47 6.87 7.64 NA NA 0.46 XXX
multiple.
78483......... TC.......... A........... Heart first pass, 0.00 6.09 6.98 NA NA 0.41 XXX
multiple.
78483......... 26.......... A........... Heart first pass, 1.47 0.78 0.66 0.78 0.66 0.05 XXX
multiple.
78491......... ............ C........... Heart image (pet), 0.00 0.00 0.00 NA NA 0.00 XXX
single.
78491......... TC.......... C........... Heart image (pet), 0.00 0.00 0.00 NA NA 0.00 XXX
single.
78491......... 26.......... A........... Heart image (pet), 1.50 0.63 0.61 0.63 0.61 0.06 XXX
single.
78492......... ............ C........... Heart image (pet), 0.00 0.00 0.00 NA NA 0.00 XXX
multiple.
78492......... TC.......... C........... Heart image (pet), 0.00 0.00 0.00 NA NA 0.00 XXX
multiple.
78492......... 26.......... A........... Heart image (pet), 1.87 0.91 0.82 0.91 0.82 0.07 XXX
multiple.
78494......... ............ A........... Heart image, spect 1.19 6.23 6.86 NA NA 0.35 XXX
78494......... TC.......... A........... Heart image, spect 0.00 5.69 6.38 NA NA 0.30 XXX
78494......... 26.......... A........... Heart image, spect 1.19 0.54 0.48 0.54 0.48 0.05 XXX
78496......... ............ A........... Heart first pass 0.50 0.88 4.06 NA NA 0.32 ZZZ
add-on.
78496......... TC.......... A........... Heart first pass 0.00 0.65 3.86 NA NA 0.30 ZZZ
add-on.
78496......... 26.......... A........... Heart first pass 0.50 0.23 0.20 0.23 0.20 0.02 ZZZ
add-on.
78499......... ............ C........... Cardiovascular 0.00 0.00 0.00 NA NA 0.00 XXX
nuclear exam.
78499......... TC.......... C........... Cardiovascular 0.00 0.00 0.00 NA NA 0.00 XXX
nuclear exam.
78499......... 26.......... C........... Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78580......... ............ A........... Lung perfusion 0.74 5.13 4.41 NA NA 0.21 XXX
imaging.
78580......... TC.......... A........... Lung perfusion 0.00 4.87 4.15 NA NA 0.18 XXX
imaging.
[[Page 2675]]
78580......... 26.......... A........... Lung perfusion 0.74 0.26 0.26 0.26 0.26 0.03 XXX
imaging.
78584......... ............ A........... Lung V/Q image 0.99 3.02 3.28 NA NA 0.21 XXX
single breath.
78584......... TC.......... A........... Lung V/Q image 0.00 2.67 2.94 NA NA 0.17 XXX
single breath.
78584......... 26.......... A........... Lung V/Q image 0.99 0.35 0.34 0.35 0.34 0.04 XXX
single breath.
78585......... ............ A........... Lung V/Q imaging.. 1.09 8.63 7.32 NA NA 0.35 XXX
78585......... TC.......... A........... Lung V/Q imaging.. 0.00 8.25 6.95 NA NA 0.30 XXX
78585......... 26.......... A........... Lung V/Q imaging.. 1.09 0.38 0.37 0.38 0.37 0.05 XXX
78586......... ............ A........... Aerosol lung 0.40 4.17 3.44 NA NA 0.16 XXX
image, single.
78586......... TC.......... A........... Aerosol lung 0.00 4.03 3.31 NA NA 0.14 XXX
image, single.
78586......... 26.......... A........... Aerosol lung 0.40 0.14 0.13 0.14 0.13 0.02 XXX
image, single.
78587......... ............ A........... Aerosol lung 0.49 5.44 4.21 NA NA 0.16 XXX
image, multiple.
78587......... TC.......... A........... Aerosol lung 0.00 5.27 4.04 NA NA 0.14 XXX
image, multiple.
78587......... 26.......... A........... Aerosol lung 0.49 0.17 0.17 0.17 0.17 0.02 XXX
image, multiple.
78588......... ............ A........... Perfusion lung 1.09 8.66 6.11 NA NA 0.23 XXX
image.
78588......... TC.......... A........... Perfusion lung 0.00 8.28 5.74 NA NA 0.18 XXX
image.
78588......... 26.......... A........... Perfusion lung 1.09 0.38 0.37 0.38 0.37 0.05 XXX
image.
78591......... ............ A........... Vent image, 1 0.40 4.17 3.58 NA NA 0.16 XXX
breath, 1 proj.
78591......... TC.......... A........... Vent image, 1 0.00 4.03 3.44 NA NA 0.14 XXX
breath, 1 proj.
78591......... 26.......... A........... Vent image, 1 0.40 0.14 0.14 0.14 0.14 0.02 XXX
breath, 1 proj.
78593......... ............ A........... Vent image, 1 0.49 4.82 4.21 NA NA 0.20 XXX
proj, gas.
78593......... TC.......... A........... Vent image, 1 0.00 4.65 4.05 NA NA 0.18 XXX
proj, gas.
78593......... 26.......... A........... Vent image, 1 0.49 0.17 0.16 0.17 0.16 0.02 XXX
proj, gas.
78594......... ............ A........... Vent image, mult 0.53 5.29 5.23 NA NA 0.27 XXX
proj, gas.
78594......... TC.......... A........... Vent image, mult 0.00 5.11 5.05 NA NA 0.25 XXX
proj, gas.
78594......... 26.......... A........... Vent image, mult 0.53 0.18 0.18 0.18 0.18 0.02 XXX
proj, gas.
78596......... ............ A........... Lung differential 1.27 8.68 8.09 NA NA 0.42 XXX
function.
78596......... TC.......... A........... Lung differential 0.00 8.29 7.68 NA NA 0.37 XXX
function.
78596......... 26.......... A........... Lung differential 1.27 0.39 0.41 0.39 0.41 0.05 XXX
function.
78599......... ............ C........... Respiratory 0.00 0.00 0.00 NA NA 0.00 XXX
nuclear exam.
78599......... TC.......... C........... Respiratory 0.00 0.00 0.00 NA NA 0.00 XXX
nuclear exam.
78599......... 26.......... C........... Respiratory 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78600......... ............ A........... Brain image < 4 0.44 4.39 3.71 NA NA 0.16 XXX
views.
78600......... TC.......... A........... Brain image < 4 0.00 4.24 3.56 NA NA 0.14 XXX
views.
78600......... 26.......... A........... Brain image < 4 0.44 0.15 0.15 0.15 0.15 0.02 XXX
views.
78601......... ............ A........... Brain image w/flow 0.51 5.39 4.47 NA NA 0.20 XXX
< 4 views.
78601......... TC.......... A........... Brain image w/flow 0.00 5.21 4.30 NA NA 0.18 XXX
< 4 views.
78601......... 26.......... A........... Brain image w/flow 0.51 0.18 0.17 0.18 0.17 0.02 XXX
< 4 views.
78605......... ............ A........... Brain image 4+ 0.53 4.85 4.22 NA NA 0.20 XXX
views.
78605......... TC.......... A........... Brain image 4+ 0.00 4.66 4.03 NA NA 0.18 XXX
views.
78605......... 26.......... A........... Brain image 4+ 0.53 0.19 0.19 0.19 0.19 0.02 XXX
views.
78606......... ............ A........... Brain image w/flow 0.64 8.54 6.31 NA NA 0.24 XXX
4 + views.
78606......... TC.......... A........... Brain image w/flow 0.00 8.32 6.10 NA NA 0.21 XXX
4 + views.
78606......... 26.......... A........... Brain image w/flow 0.64 0.22 0.21 0.22 0.21 0.03 XXX
4 + views.
78607......... ............ A........... Brain imaging (3D) 1.23 8.64 7.81 NA NA 0.40 XXX
78607......... TC.......... A........... Brain imaging (3D) 0.00 8.23 7.39 NA NA 0.35 XXX
78607......... 26.......... A........... Brain imaging (3D) 1.23 0.41 0.42 0.41 0.42 0.05 XXX
78608......... ............ C........... Brain imaging 0.00 0.00 0.00 NA NA 0.00 XXX
(PET).
78608......... TC.......... C........... Brain imaging 0.00 0.00 0.00 NA NA 0.00 XXX
(PET).
78608......... 26.......... A........... Brain imaging 1.50 0.49 0.50 0.49 0.50 0.06 XXX
(PET).
78609......... ............ N........... Brain imaging 1.50 0.00 0.49 NA NA 0.06 XXX
(PET).
78609......... TC.......... N........... Brain imaging 0.00 0.00 0.00 NA NA 0.00 XXX
(PET).
78609......... 26.......... N........... Brain imaging 1.50 0.00 0.49 0.00 0.49 0.06 XXX
(PET).
78610......... ............ A........... Brain flow imaging 0.30 4.46 4.24 NA NA 0.11 XXX
only.
78610......... TC.......... A........... Brain flow imaging 0.00 4.36 4.11 NA NA 0.10 XXX
only.
78610......... 26.......... A........... Brain flow imaging 0.30 0.10 0.13 0.10 0.13 0.01 XXX
only.
78630......... ............ A........... Cerebrospinal 0.68 8.66 6.96 NA NA 0.30 XXX
fluid scan.
78630......... TC.......... A........... Cerebrospinal 0.00 8.42 6.73 NA NA 0.27 XXX
fluid scan.
78630......... 26.......... A........... Cerebrospinal 0.68 0.24 0.23 0.24 0.23 0.03 XXX
fluid scan.
78635......... ............ A........... CSF 0.61 8.80 5.79 NA NA 0.16 XXX
ventriculography.
78635......... TC.......... A........... CSF 0.00 8.59 5.57 NA NA 0.14 XXX
ventriculography.
78635......... 26.......... A........... CSF 0.61 0.21 0.22 0.21 0.22 0.02 XXX
ventriculography.
78645......... ............ A........... CSF shunt 0.57 8.49 6.05 NA NA 0.20 XXX
evaluation.
78645......... TC.......... A........... CSF shunt 0.00 8.29 5.86 NA NA 0.18 XXX
evaluation.
78645......... 26.......... A........... CSF shunt 0.57 0.20 0.19 0.20 0.19 0.02 XXX
evaluation.
78647......... ............ A........... Cerebrospinal 0.90 8.53 7.38 NA NA 0.35 XXX
fluid scan.
78647......... TC.......... A........... Cerebrospinal 0.00 8.24 7.08 NA NA 0.31 XXX
fluid scan.
78647......... 26.......... A........... Cerebrospinal 0.90 0.29 0.30 0.29 0.30 0.04 XXX
fluid scan.
78650......... ............ A........... CSF leakage 0.61 8.57 6.71 NA NA 0.27 XXX
imaging.
78650......... TC.......... A........... CSF leakage 0.00 8.36 6.50 NA NA 0.24 XXX
imaging.
78650......... 26.......... A........... CSF leakage 0.61 0.21 0.21 0.21 0.21 0.03 XXX
imaging.
78660......... ............ A........... Nuclear exam of 0.53 4.26 3.28 NA NA 0.14 XXX
tear flow.
78660......... TC.......... A........... Nuclear exam of 0.00 4.07 3.10 NA NA 0.12 XXX
tear flow.
[[Page 2676]]
78660......... 26.......... A........... Nuclear exam of 0.53 0.19 0.18 0.19 0.18 0.02 XXX
tear flow.
78699......... ............ C........... Nervous system 0.00 0.00 0.00 NA NA 0.00 XXX
nuclear exam.
78699......... TC.......... C........... Nervous system 0.00 0.00 0.00 NA NA 0.00 XXX
nuclear exam.
78699......... 26.......... C........... Nervous system 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78700......... ............ A........... Kidney imaging, 0.45 4.39 3.80 NA NA 0.18 XXX
morphol.
78700......... TC.......... A........... Kidney imaging, 0.00 4.23 3.64 NA NA 0.16 XXX
morphol.
78700......... 26.......... A........... Kidney imaging, 0.45 0.16 0.16 0.16 0.16 0.02 XXX
morphol.
78701......... ............ A........... Kidney imaging 0.49 5.39 4.56 NA NA 0.20 XXX
with flow.
78701......... TC.......... A........... Kidney imaging 0.00 5.22 4.39 NA NA 0.18 XXX
with flow.
78701......... 26.......... A........... Kidney imaging 0.49 0.17 0.17 0.17 0.17 0.02 XXX
with flow.
78707......... ............ A........... K flow/funct image 0.96 5.49 5.14 NA NA 0.27 XXX
w/o drug.
78707......... TC.......... A........... K flow/funct image 0.00 5.15 4.81 NA NA 0.23 XXX
w/o drug.
78707......... 26.......... A........... K flow/funct image 0.96 0.34 0.33 0.34 0.33 0.04 XXX
w/o drug.
78708......... ............ A........... K flow/funct image 1.21 3.48 4.18 NA NA 0.28 XXX
w/drug.
78708......... TC.......... A........... K flow/funct image 0.00 3.05 3.76 NA NA 0.23 XXX
w/drug.
78708......... 26.......... A........... K flow/funct image 1.21 0.43 0.42 0.43 0.42 0.05 XXX
w/drug.
78709......... ............ A........... K flow/funct 1.41 8.89 6.91 NA NA 0.29 XXX
image, multiple.
78709......... TC.......... A........... K flow/funct 0.00 8.40 6.43 NA NA 0.23 XXX
image, multiple.
78709......... 26.......... A........... K flow/funct 1.41 0.49 0.48 0.49 0.48 0.06 XXX
image, multiple.
78710......... ............ A........... Kidney imaging 0.66 5.28 5.71 NA NA 0.34 XXX
(3D).
78710......... TC.......... A........... Kidney imaging 0.00 5.06 5.49 NA NA 0.31 XXX
(3D).
78710......... 26.......... A........... Kidney imaging 0.66 0.22 0.22 0.22 0.22 0.03 XXX
(3D).
78725......... ............ A........... Kidney function 0.38 2.35 2.14 NA NA 0.13 XXX
study.
78725......... TC.......... A........... Kidney function 0.00 2.23 2.01 NA NA 0.11 XXX
study.
78725......... 26.......... A........... Kidney function 0.38 0.12 0.13 0.12 0.13 0.02 XXX
study.
78730......... ............ A........... Urinary bladder 0.15 1.99 1.78 NA NA 0.10 ZZZ
retention.
78730......... TC.......... A........... Urinary bladder 0.00 1.93 1.69 NA NA 0.08 ZZZ
retention.
78730......... 26.......... A........... Urinary bladder 0.15 0.06 0.09 0.06 0.09 0.02 ZZZ
retention.
78740......... ............ A........... Ureteral reflux 0.57 5.65 3.98 NA NA 0.15 XXX
study.
78740......... TC.......... A........... Ureteral reflux 0.00 5.46 3.79 NA NA 0.12 XXX
study.
78740......... 26.......... A........... Ureteral reflux 0.57 0.19 0.19 0.19 0.19 0.03 XXX
study.
78761......... ............ A........... Testicular imaging 0.71 5.06 4.24 NA NA 0.20 XXX
w/flow.
78761......... TC.......... A........... Testicular imaging 0.00 4.81 4.00 NA NA 0.17 XXX
w/flow.
78761......... 26.......... A........... Testicular imaging 0.71 0.25 0.24 0.25 0.24 0.03 XXX
w/flow.
78799......... ............ C........... Genitourinary 0.00 0.00 0.00 NA NA 0.00 XXX
nuclear exam.
78799......... TC.......... C........... Genitourinary 0.00 0.00 0.00 NA NA 0.00 XXX
nuclear exam.
78799......... 26.......... C........... Genitourinary 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78800......... ............ A........... Tumor imaging, 0.66 4.34 3.99 NA NA 0.22 XXX
limited area.
78800......... TC.......... A........... Tumor imaging, 0.00 4.13 3.77 NA NA 0.18 XXX
limited area.
78800......... 26.......... A........... Tumor imaging, 0.66 0.21 0.22 0.21 0.22 0.04 XXX
limited area.
78801......... ............ A........... Tumor imaging, 0.79 6.06 5.27 NA NA 0.27 XXX
mult areas.
78801......... TC.......... A........... Tumor imaging, 0.00 5.79 5.00 NA NA 0.22 XXX
mult areas.
78801......... 26.......... A........... Tumor imaging, 0.79 0.27 0.27 0.27 0.27 0.05 XXX
mult areas.
78802......... ............ A........... Tumor imaging, 0.86 8.15 6.98 NA NA 0.34 XXX
whole body.
78802......... TC.......... A........... Tumor imaging, 0.00 7.85 6.69 NA NA 0.30 XXX
whole body.
78802......... 26.......... A........... Tumor imaging, 0.86 0.30 0.29 0.30 0.29 0.04 XXX
whole body.
78803......... ............ A........... Tumor imaging (3D) 1.09 8.54 7.74 NA NA 0.40 XXX
78803......... TC.......... A........... Tumor imaging (3D) 0.00 8.17 7.36 NA NA 0.35 XXX
78803......... 26.......... A........... Tumor imaging (3D) 1.09 0.37 0.38 0.37 0.38 0.05 XXX
78804......... ............ A........... Tumor imaging, 1.07 14.85 13.14 NA NA 0.34 XXX
whole body.
78804......... TC.......... A........... Tumor imaging, 0.00 14.48 12.77 NA NA 0.30 XXX
whole body.
78804......... 26.......... A........... Tumor imaging, 1.07 0.37 0.37 0.37 0.37 0.04 XXX
whole body.
78805......... ............ A........... Abscess imaging, 0.73 4.23 3.94 NA NA 0.21 XXX
ltd area.
78805......... TC.......... A........... Abscess imaging, 0.00 3.98 3.69 NA NA 0.18 XXX
ltd area.
78805......... 26.......... A........... Abscess imaging, 0.73 0.25 0.25 0.25 0.25 0.03 XXX
ltd area.
78806......... ............ A........... Abscess imaging, 0.86 8.36 7.54 NA NA 0.39 XXX
whole body.
78806......... TC.......... A........... Abscess imaging, 0.00 8.06 7.25 NA NA 0.35 XXX
whole body.
78806......... 26.......... A........... Abscess imaging, 0.86 0.30 0.29 0.30 0.29 0.04 XXX
whole body.
78807......... ............ A........... Nuclear 1.09 8.52 7.73 NA NA 0.39 XXX
localization/
abscess.
78807......... TC.......... A........... Nuclear 0.00 8.15 7.35 NA NA 0.35 XXX
localization/
abscess.
78807......... 26.......... A........... Nuclear 1.09 0.37 0.38 0.37 0.38 0.04 XXX
localization/
abscess.
78811......... ............ C........... Pet image, ltd 0.00 0.00 0.00 NA NA 0.00 XXX
area.
78811......... TC.......... C........... Pet image, ltd 0.00 0.00 0.00 NA NA 0.00 XXX
area.
78811......... 26.......... A........... Pet image, ltd 1.54 0.54 0.53 0.54 0.53 0.11 XXX
area.
78812......... ............ C........... Pet image, skull- 0.00 0.00 0.00 NA NA 0.00 XXX
thigh.
78812......... TC.......... C........... Pet image, skull- 0.00 0.00 0.00 NA NA 0.00 XXX
thigh.
78812......... 26.......... A........... Pet image, skull- 1.93 0.67 0.66 0.67 0.66 0.11 XXX
thigh.
78813......... ............ C........... Pet image, full 0.00 0.00 0.00 NA NA 0.00 XXX
body.
78813......... TC.......... C........... Pet image, full 0.00 0.00 0.00 NA NA 0.00 XXX
body.
78813......... 26.......... A........... Pet image, full 2.00 0.68 0.69 0.68 0.69 0.11 XXX
body.
78814......... ............ C........... Pet image w/ct, 0.00 0.00 0.00 NA NA 0.00 XXX
lmtd.
78814......... TC.......... C........... Pet image w/ct, 0.00 0.00 0.00 NA NA 0.00 XXX
lmtd.
[[Page 2677]]
78814......... 26.......... A........... Pet image w/ct, 2.20 0.74 0.75 0.74 0.75 0.11 XXX
lmtd.
78815......... ............ C........... Pet image w/ct, 0.00 0.00 0.00 NA NA 0.00 XXX
skull-thigh.
78815......... TC.......... C........... Pet image w/ct, 0.00 0.00 0.00 NA NA 0.00 XXX
skull-thigh.
78815......... 26.......... A........... Pet image w/ct, 2.44 0.84 0.84 0.84 0.84 0.11 XXX
skull-thigh.
78816......... ............ C........... Pet image w/ct, 0.00 0.00 0.00 NA NA 0.00 XXX
full body.
78816......... TC.......... C........... Pet image w/ct, 0.00 0.00 0.00 NA NA 0.00 XXX
full body.
78816......... 26.......... A........... Pet image w/ct, 2.50 0.85 0.86 0.85 0.86 0.11 XXX
full body.
78890......... ............ B........... Nuclear medicine 0.05 0.39 0.86 NA NA 0.07 XXX
data proc.
78890......... TC.......... B........... Nuclear medicine 0.00 0.38 0.84 NA NA 0.06 XXX
data proc.
78890......... 26.......... B........... Nuclear medicine 0.05 0.01 0.02 0.01 0.02 0.01 XXX
data proc.
78891......... ............ B........... Nuclear med data 0.10 0.88 1.77 NA NA 0.14 XXX
proc.
78891......... TC.......... B........... Nuclear med data 0.00 0.86 1.74 NA NA 0.13 XXX
proc.
78891......... 26.......... B........... Nuclear med data 0.10 0.02 0.03 0.02 0.03 0.01 XXX
proc.
78999......... ............ C........... Nuclear diagnostic 0.00 0.00 0.00 NA NA 0.00 XXX
exam.
78999......... TC.......... C........... Nuclear diagnostic 0.00 0.00 0.00 NA NA 0.00 XXX
exam.
78999......... 26.......... C........... Nuclear diagnostic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
79005......... ............ A........... Nuclear rx, oral 1.80 1.85 2.54 NA NA 0.22 XXX
admin.
79005......... TC.......... A........... Nuclear rx, oral 0.00 1.27 1.95 NA NA 0.14 XXX
admin.
79005......... 26.......... A........... Nuclear rx, oral 1.80 0.58 0.59 0.58 0.59 0.08 XXX
admin.
79101......... ............ A........... Nuclear rx, iv 1.96 2.17 2.73 NA NA 0.22 XXX
admin.
79101......... TC.......... A........... Nuclear rx, iv 0.00 1.43 2.03 NA NA 0.14 XXX
admin.
79101......... 26.......... A........... Nuclear rx, iv 1.96 0.74 0.70 0.74 0.70 0.08 XXX
admin.
79200......... ............ A........... Nuclear rx, 1.99 2.22 2.77 NA NA 0.23 XXX
intracav admin.
79200......... TC.......... A........... Nuclear rx, 0.00 1.57 2.10 NA NA 0.14 XXX
intracav admin.
79200......... 26.......... A........... Nuclear rx, 1.99 0.65 0.67 0.65 0.67 0.09 XXX
intracav admin.
79300......... ............ C........... Nuclr rx, 0.00 0.00 0.00 NA NA 0.00 XXX
interstit colloid.
79300......... TC.......... C........... Nuclr rx, 0.00 0.00 0.00 NA NA 0.00 XXX
interstit colloid.
79300......... 26.......... A........... Nuclr rx, 1.60 0.54 0.55 0.54 0.55 0.13 XXX
interstit colloid.
79403......... ............ A........... Hematopoietic 2.25 2.92 4.04 NA NA 0.24 XXX
nuclear tx.
79403......... TC.......... A........... Hematopoietic 0.00 2.17 3.22 NA NA 0.14 XXX
nuclear tx.
79403......... 26.......... A........... Hematopoietic 2.25 0.75 0.82 0.75 0.82 0.10 XXX
nuclear tx.
79440......... ............ A........... Nuclear rx, intra- 1.99 1.84 2.59 NA NA 0.22 XXX
articular.
79440......... TC.......... A........... Nuclear rx, intra- 0.00 1.16 1.89 NA NA 0.14 XXX
articular.
79440......... 26.......... A........... Nuclear rx, intra- 1.99 0.68 0.70 0.68 0.70 0.08 XXX
articular.
79445......... ............ C........... Nuclear rx, intra- 0.00 0.00 0.00 NA NA 0.00 XXX
arterial.
79445......... TC.......... C........... Nuclear rx, intra- 0.00 0.00 0.00 NA NA 0.00 XXX
arterial.
79445......... 26.......... A........... Nuclear rx, intra- 2.40 0.85 0.83 0.85 0.83 0.12 XXX
arterial.
79999......... ............ C........... Nuclear medicine 0.00 0.00 0.00 NA NA 0.00 XXX
therapy.
79999......... TC.......... C........... Nuclear medicine 0.00 0.00 0.00 NA NA 0.00 XXX
therapy.
79999......... 26.......... C........... Nuclear medicine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
80500......... ............ A........... Lab pathology 0.37 0.20 0.20 0.11 0.14 0.01 XXX
consultation.
80502......... ............ A........... Lab pathology 1.33 0.31 0.43 0.25 0.40 0.04 XXX
consultation.
83020......... 26.......... A........... Hemoglobin 0.37 0.12 0.13 0.12 0.13 0.01 XXX
electrophoresis.
83912......... 26.......... A........... Genetic 0.37 0.11 0.12 0.11 0.12 0.01 XXX
examination.
84165......... 26.......... A........... Protein e- 0.37 0.12 0.13 0.12 0.13 0.01 XXX
phoresis, serum.
84166......... 26.......... A........... Protein e-phoresis/ 0.37 0.12 0.13 0.12 0.13 0.01 XXX
urine/csf.
84181......... 26.......... A........... Western blot test. 0.37 0.12 0.13 0.12 0.13 0.01 XXX
84182......... 26.......... A........... Protein, western 0.37 0.12 0.14 0.12 0.14 0.02 XXX
blot test.
85060......... ............ A........... Blood smear 0.45 0.14 0.16 0.14 0.16 0.02 XXX
interpretation.
85097......... ............ A........... Bone marrow 0.94 1.25 1.58 0.27 0.34 0.04 XXX
interpretation.
85390......... 26.......... A........... Fibrinolysins 0.37 0.13 0.13 0.13 0.13 0.01 XXX
screen.
85396......... ............ A........... Clotting assay, 0.37 NA NA 0.10 0.13 0.04 XXX
whole blood.
85576......... 26.......... A........... Blood platelet 0.37 0.12 0.14 0.12 0.14 0.01 XXX
aggregation.
86077......... ............ A........... Physician blood 0.94 0.38 0.39 0.30 0.34 0.03 XXX
bank service.
86078......... ............ A........... Physician blood 0.94 0.38 0.42 0.30 0.35 0.03 XXX
bank service.
86079......... ............ A........... Physician blood 0.94 0.39 0.42 0.30 0.36 0.03 XXX
bank service.
86255......... 26.......... A........... Fluorescent 0.37 0.12 0.13 0.12 0.13 0.01 XXX
antibody, screen.
86256......... 26.......... A........... Fluorescent 0.37 0.12 0.14 0.12 0.14 0.01 XXX
antibody, titer.
86320......... 26.......... A........... Serum 0.37 0.12 0.14 0.12 0.14 0.01 XXX
immunoelectrophor
esis.
86325......... 26.......... A........... Other 0.37 0.12 0.13 0.12 0.13 0.01 XXX
immunoelectrophor
esis.
86327......... 26.......... A........... Immunoelectrophore 0.42 0.12 0.15 0.12 0.15 0.02 XXX
sis assay.
86334......... 26.......... A........... Immunofix e- 0.37 0.12 0.13 0.12 0.13 0.01 XXX
phoresis, serum.
86335......... 26.......... A........... Immunfix e-phorsis/ 0.37 0.12 0.13 0.12 0.13 0.01 XXX
urine/csf.
86485......... ............ C........... Skin test, candida 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86486......... ............ A........... Skin test, nos 0.00 0.13 0.13 NA NA 0.02 XXX
antigen.
86490......... ............ A........... Coccidioidomycosis 0.00 0.13 0.21 NA NA 0.02 XXX
skin test.
86510......... ............ A........... Histoplasmosis 0.00 0.13 0.22 NA NA 0.02 XXX
skin test.
86580......... ............ A........... TB intradermal 0.00 0.16 0.20 NA NA 0.02 XXX
test.
87164......... 26.......... A........... Dark field 0.37 0.12 0.12 0.12 0.12 0.01 XXX
examination.
87207......... 26.......... A........... Smear, special 0.37 0.12 0.14 0.12 0.14 0.01 XXX
stain.
88104......... ............ A........... Cytopath fl 0.56 1.19 1.02 NA NA 0.04 XXX
nongyn, smears.
88104......... TC.......... A........... Cytopath fl 0.00 1.03 0.82 NA NA 0.02 XXX
nongyn, smears.
[[Page 2678]]
88104......... 26.......... A........... Cytopath fl 0.56 0.16 0.20 0.16 0.20 0.02 XXX
nongyn, smears.
88106......... ............ A........... Cytopath fl 0.56 1.52 1.44 NA NA 0.04 XXX
nongyn, filter.
88106......... TC.......... A........... Cytopath fl 0.00 1.37 1.24 NA NA 0.02 XXX
nongyn, filter.
88106......... 26.......... A........... Cytopath fl 0.56 0.15 0.20 0.15 0.20 0.02 XXX
nongyn, filter.
88107......... ............ A........... Cytopath fl 0.76 2.00 1.77 NA NA 0.05 XXX
nongyn, sm/fltr.
88107......... TC.......... A........... Cytopath fl 0.00 1.77 1.49 NA NA 0.02 XXX
nongyn, sm/fltr.
88107......... 26.......... A........... Cytopath fl 0.76 0.23 0.28 0.23 0.28 0.03 XXX
nongyn, sm/fltr.
88108......... ............ A........... Cytopath, 0.56 1.47 1.34 NA NA 0.04 XXX
concentrate tech.
88108......... TC.......... A........... Cytopath, 0.00 1.32 1.14 NA NA 0.02 XXX
concentrate tech.
88108......... 26.......... A........... Cytopath, 0.56 0.15 0.20 0.15 0.20 0.02 XXX
concentrate tech.
88112......... ............ A........... Cytopath, cell 1.18 1.47 1.72 NA NA 0.04 XXX
enhance tech.
88112......... TC.......... A........... Cytopath, cell 0.00 1.18 1.32 NA NA 0.02 XXX
enhance tech.
88112......... 26.......... A........... Cytopath, cell 1.18 0.29 0.40 0.29 0.40 0.02 XXX
enhance tech.
88125......... ............ A........... Forensic 0.26 0.21 0.24 NA NA 0.02 XXX
cytopathology.
88125......... TC.......... A........... Forensic 0.00 0.16 0.16 NA NA 0.01 XXX
cytopathology.
88125......... 26.......... A........... Forensic 0.26 0.05 0.08 0.05 0.08 0.01 XXX
cytopathology.
88141......... ............ A........... Cytopath, c/v, 0.42 0.38 0.26 0.38 0.26 0.02 XXX
interpret.
88160......... ............ A........... Cytopath smear, 0.50 0.91 0.87 NA NA 0.04 XXX
other source.
88160......... TC.......... A........... Cytopath smear, 0.00 0.78 0.70 NA NA 0.02 XXX
other source.
88160......... 26.......... A........... Cytopath smear, 0.50 0.13 0.17 0.13 0.17 0.02 XXX
other source.
88161......... ............ A........... Cytopath smear, 0.50 1.06 1.00 NA NA 0.04 XXX
other source.
88161......... TC.......... A........... Cytopath smear, 0.00 0.92 0.82 NA NA 0.02 XXX
other source.
88161......... 26.......... A........... Cytopath smear, 0.50 0.14 0.18 0.14 0.18 0.02 XXX
other source.
88162......... ............ A........... Cytopath smear, 0.76 1.58 1.30 NA NA 0.05 XXX
other source.
88162......... TC.......... A........... Cytopath smear, 0.00 1.35 1.02 NA NA 0.02 XXX
other source.
88162......... 26.......... A........... Cytopath smear, 0.76 0.23 0.28 0.23 0.28 0.03 XXX
other source.
88172......... ............ A........... Cytopathology eval 0.60 0.81 0.77 NA NA 0.04 XXX
of fna.
88172......... TC.......... A........... Cytopathology eval 0.00 0.64 0.55 NA NA 0.02 XXX
of fna.
88172......... 26.......... A........... Cytopathology eval 0.60 0.17 0.22 0.17 0.22 0.02 XXX
of fna.
88173......... ............ A........... Cytopath eval, 1.39 2.20 2.16 NA NA 0.07 XXX
fna, report.
88173......... TC.......... A........... Cytopath eval, 0.00 1.82 1.68 NA NA 0.02 XXX
fna, report.
88173......... 26.......... A........... Cytopath eval, 1.39 0.38 0.48 0.38 0.48 0.05 XXX
fna, report.
88182......... ............ A........... Cell marker study. 0.77 2.02 1.99 NA NA 0.07 XXX
88182......... TC.......... A........... Cell marker study. 0.00 1.88 1.76 NA NA 0.04 XXX
88182......... 26.......... A........... Cell marker study. 0.77 0.14 0.23 0.14 0.23 0.03 XXX
88184......... ............ A........... Flowcytometry/ tc, 0.00 2.47 1.89 NA NA 0.02 XXX
1 marker.
88185......... ............ A........... Flowcytometry/tc, 0.00 1.50 1.07 NA NA 0.02 ZZZ
add-on.
88187......... ............ A........... Flowcytometry/ 1.36 0.40 0.42 0.40 0.42 0.01 XXX
read, 2-8.
88188......... ............ A........... Flowcytometry/ 1.69 0.44 0.51 0.44 0.51 0.01 XXX
read, 9-15.
88189......... ............ A........... Flowcytometry/ 2.23 0.47 0.61 0.47 0.61 0.01 XXX
read, 16 & >.
88199......... ............ C........... Cytopathology 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
88199......... TC.......... C........... Cytopathology 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
88199......... 26.......... C........... Cytopathology 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88291......... ............ A........... Cyto/molecular 0.52 0.27 0.22 0.27 0.22 0.02 XXX
report.
88299......... ............ C........... Cytogenetic study. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88300......... ............ A........... Surgical path, 0.08 0.56 0.51 NA NA 0.02 XXX
gross.
88300......... TC.......... A........... Surgical path, 0.00 0.54 0.48 NA NA 0.01 XXX
gross.
88300......... 26.......... A........... Surgical path, 0.08 0.02 0.03 0.02 0.03 0.01 XXX
gross.
88302......... ............ A........... Tissue exam by 0.13 1.29 1.16 NA NA 0.03 XXX
pathologist.
88302......... TC.......... A........... Tissue exam by 0.00 1.25 1.11 NA NA 0.02 XXX
pathologist.
88302......... 26.......... A........... Tissue exam by 0.13 0.04 0.05 0.04 0.05 0.01 XXX
pathologist.
88304......... ............ A........... Tissue exam by 0.22 1.48 1.39 NA NA 0.03 XXX
pathologist.
88304......... TC.......... A........... Tissue exam by 0.00 1.42 1.32 NA NA 0.02 XXX
pathologist.
88304......... 26.......... A........... Tissue exam by 0.22 0.06 0.07 0.06 0.07 0.01 XXX
pathologist.
88305......... ............ A........... Tissue exam by 0.75 2.05 1.97 NA NA 0.07 XXX
pathologist.
88305......... TC.......... A........... Tissue exam by 0.00 1.85 1.71 NA NA 0.04 XXX
pathologist.
88305......... 26.......... A........... Tissue exam by 0.75 0.20 0.26 0.20 0.26 0.03 XXX
pathologist.
88307......... ............ A........... Tissue exam by 1.59 4.41 3.79 NA NA 0.12 XXX
pathologist.
88307......... TC.......... A........... Tissue exam by 0.00 3.94 3.21 NA NA 0.06 XXX
pathologist.
88307......... 26.......... A........... Tissue exam by 1.59 0.47 0.58 0.47 0.58 0.06 XXX
pathologist.
88309......... ............ A........... Tissue exam by 2.80 6.17 5.28 NA NA 0.14 XXX
pathologist.
88309......... TC.......... A........... Tissue exam by 0.00 5.34 4.38 NA NA 0.06 XXX
pathologist.
88309......... 26.......... A........... Tissue exam by 2.80 0.83 0.90 0.83 0.90 0.08 XXX
pathologist.
88311......... ............ A........... Decalcify tissue.. 0.24 0.24 0.23 NA NA 0.02 XXX
88311......... TC.......... A........... Decalcify tissue.. 0.00 0.17 0.15 NA NA 0.01 XXX
88311......... 26.......... A........... Decalcify tissue.. 0.24 0.07 0.08 0.07 0.08 0.01 XXX
88312......... ............ A........... Special stains.... 0.54 2.30 1.90 NA NA 0.03 XXX
88312......... TC.......... A........... Special stains.... 0.00 2.16 1.72 NA NA 0.01 XXX
88312......... 26.......... A........... Special stains.... 0.54 0.14 0.18 0.14 0.18 0.02 XXX
88313......... ............ A........... Special stains.... 0.24 1.95 1.60 NA NA 0.02 XXX
88313......... TC.......... A........... Special stains.... 0.00 1.89 1.52 NA NA 0.01 XXX
88313......... 26.......... A........... Special stains.... 0.24 0.06 0.08 0.06 0.08 0.01 XXX
[[Page 2679]]
88314......... ............ A........... Histochemical 0.45 1.96 2.01 NA NA 0.04 XXX
stain.
88314......... TC.......... A........... Histochemical 0.00 1.82 1.85 NA NA 0.02 XXX
stain.
88314......... 26.......... A........... Histochemical 0.45 0.14 0.16 0.14 0.16 0.02 XXX
stain.
88318......... ............ A........... Chemical 0.42 2.95 2.30 NA NA 0.03 XXX
histochemistry.
88318......... TC.......... A........... Chemical 0.00 2.83 2.15 NA NA 0.01 XXX
histochemistry.
88318......... 26.......... A........... Chemical 0.42 0.12 0.15 0.12 0.15 0.02 XXX
histochemistry.
88319......... ............ A........... Enzyme 0.53 3.23 3.32 NA NA 0.04 XXX
histochemistry.
88319......... TC.......... A........... Enzyme 0.00 3.08 3.13 NA NA 0.02 XXX
histochemistry.
88319......... 26.......... A........... Enzyme 0.53 0.15 0.19 0.15 0.19 0.02 XXX
histochemistry.
88321......... ............ A........... Microslide 1.63 0.71 0.75 0.46 0.51 0.05 XXX
consultation.
88323......... ............ A........... Microslide 1.83 2.21 2.00 NA NA 0.07 XXX
consultation.
88323......... TC.......... A........... Microslide 0.00 1.75 1.48 NA NA 0.02 XXX
consultation.
88323......... 26.......... A........... Microslide 1.83 0.46 0.52 0.46 0.52 0.05 XXX
consultation.
88325......... ............ A........... Comprehensive 2.50 2.40 2.67 0.69 0.82 0.07 XXX
review of data.
88329......... ............ A........... Path consult 0.67 0.66 0.66 0.20 0.24 0.02 XXX
introp.
88331......... ............ A........... Path consult 1.19 1.21 1.16 NA NA 0.08 XXX
intraop, 1 bloc.
88331......... TC.......... A........... Path consult 0.00 0.84 0.72 NA NA 0.04 XXX
intraop, 1 bloc.
88331......... 26.......... A........... Path consult 1.19 0.37 0.44 0.37 0.44 0.04 XXX
intraop, 1 bloc.
88332......... ............ A........... Path consult 0.59 0.48 0.47 NA NA 0.04 XXX
intraop,
add[AElig]l.
88332......... TC.......... A........... Path consult 0.00 0.30 0.25 NA NA 0.02 XXX
intraop,
add[AElig]l.
88332......... 26.......... A........... Path consult 0.59 0.18 0.22 0.18 0.22 0.02 XXX
intraop,
add[AElig]l.
88333......... ............ A........... Intraop cyto path 1.20 1.32 1.20 NA NA 0.08 XXX
consult, 1.
88333......... TC.......... A........... Intraop cyto path 0.00 0.95 0.75 NA NA 0.04 XXX
consult, 1.
88333......... 26.......... A........... Intraop cyto path 1.20 0.37 0.45 0.37 0.45 0.04 XXX
consult, 1.
88334......... ............ A........... Intraop cyto path 0.73 0.78 0.69 NA NA 0.04 XXX
consult, 2.
88334......... TC.......... A........... Intraop cyto path 0.00 0.56 0.45 NA NA 0.02 XXX
consult, 2.
88334......... 26.......... A........... Intraop cyto path 0.73 0.22 0.24 0.22 0.24 0.02 XXX
consult, 2.
88342......... ............ A........... Immunohistochemist 0.85 2.00 1.72 NA NA 0.05 XXX
ry.
88342......... TC.......... A........... Immunohistochemist 0.00 1.77 1.43 NA NA 0.02 XXX
ry.
88342......... 26.......... A........... Immunohistochemist 0.85 0.23 0.29 0.23 0.29 0.03 XXX
ry.
88346......... ............ A........... Immunofluorescent 0.86 1.91 1.74 NA NA 0.05 XXX
study.
88346......... TC.......... A........... Immunofluorescent 0.00 1.68 1.45 NA NA 0.02 XXX
study.
88346......... 26.......... A........... Immunofluorescent 0.86 0.23 0.29 0.23 0.29 0.03 XXX
study.
88347......... ............ A........... Immunofluorescent 0.86 1.31 1.29 NA NA 0.05 XXX
study.
88347......... TC.......... A........... Immunofluorescent 0.00 1.13 1.02 NA NA 0.02 XXX
study.
88347......... 26.......... A........... Immunofluorescent 0.86 0.18 0.27 0.18 0.27 0.03 XXX
study.
88348......... ............ A........... Electron 1.51 18.26 13.81 NA NA 0.13 XXX
microscopy.
88348......... TC.......... A........... Electron 0.00 17.84 13.28 NA NA 0.07 XXX
microscopy.
88348......... 26.......... A........... Electron 1.51 0.42 0.53 0.42 0.53 0.06 XXX
microscopy.
88349......... ............ A........... Scanning electron 0.76 9.40 6.48 NA NA 0.09 XXX
microscopy.
88349......... TC.......... A........... Scanning electron 0.00 9.17 6.20 NA NA 0.06 XXX
microscopy.
88349......... 26.......... A........... Scanning electron 0.76 0.23 0.28 0.23 0.28 0.03 XXX
microscopy.
88355......... ............ A........... Analysis, skeletal 1.85 3.22 6.00 NA NA 0.13 XXX
muscle.
88355......... TC.......... A........... Analysis, skeletal 0.00 2.85 5.42 NA NA 0.06 XXX
muscle.
88355......... 26.......... A........... Analysis, skeletal 1.85 0.37 0.58 0.37 0.58 0.07 XXX
muscle.
88356......... ............ A........... Analysis, nerve... 3.02 5.36 4.77 NA NA 0.19 XXX
88356......... TC.......... A........... Analysis, nerve... 0.00 4.78 3.85 NA NA 0.07 XXX
88356......... 26.......... A........... Analysis, nerve... 3.02 0.58 0.92 0.58 0.92 0.12 XXX
88358......... ............ A........... Analysis, tumor... 0.95 1.10 0.97 NA NA 0.17 XXX
88358......... TC.......... A........... Analysis, tumor... 0.00 0.94 0.69 NA NA 0.07 XXX
88358......... 26.......... A........... Analysis, tumor... 0.95 0.16 0.28 0.16 0.28 0.10 XXX
88360......... ............ A........... Tumor 1.10 2.22 1.98 NA NA 0.08 XXX
immunohistochem/
manual.
88360......... TC.......... A........... Tumor 0.00 1.95 1.61 NA NA 0.02 XXX
immunohistochem/
manual.
88360......... 26.......... A........... Tumor 1.10 0.27 0.37 0.27 0.37 0.06 XXX
immunohistochem/
manual.
88361......... ............ A........... Tumor 1.18 2.80 2.91 NA NA 0.17 XXX
immunohistochem/
comput.
88361......... TC.......... A........... Tumor 0.00 2.53 2.53 NA NA 0.07 XXX
immunohistochem/
comput.
88361......... 26.......... A........... Tumor 1.18 0.27 0.38 0.27 0.38 0.10 XXX
immunohistochem/
comput.
88362......... ............ A........... Nerve teasing 2.17 5.00 4.85 NA NA 0.15 XXX
preparations.
88362......... TC.......... A........... Nerve teasing 0.00 4.43 4.10 NA NA 0.06 XXX
preparations.
88362......... 26.......... A........... Nerve teasing 2.17 0.57 0.75 0.57 0.75 0.09 XXX
preparations.
88365......... ............ A........... Insitu 1.20 3.34 2.73 NA NA 0.05 XXX
hybridization
(fish).
88365......... TC.......... A........... Insitu 0.00 3.04 2.33 NA NA 0.02 XXX
hybridization
(fish).
88365......... 26.......... A........... Insitu 1.20 0.30 0.40 0.30 0.40 0.03 XXX
hybridization
(fish).
88367......... ............ A........... Insitu 1.30 5.16 4.60 NA NA 0.12 XXX
hybridization,
auto.
88367......... TC.......... A........... Insitu 0.00 4.94 4.22 NA NA 0.06 XXX
hybridization,
auto.
88367......... 26.......... A........... Insitu 1.30 0.22 0.38 0.22 0.38 0.06 XXX
hybridization,
auto.
88368......... ............ A........... Insitu 1.40 4.97 3.69 NA NA 0.12 XXX
hybridization,
manual.
88368......... TC.......... A........... Insitu 0.00 4.72 3.26 NA NA 0.06 XXX
hybridization,
manual.
88368......... 26.......... A........... Insitu 1.40 0.25 0.43 0.25 0.43 0.06 XXX
hybridization,
manual.
88371......... 26.......... A........... Protein, western 0.37 0.10 0.12 0.10 0.12 0.01 XXX
blot tissue.
88372......... 26.......... A........... Protein analysis w/ 0.37 0.12 0.14 0.12 0.14 0.01 XXX
probe.
88380......... ............ A........... Microdissection, 1.56 2.66 2.66 NA NA 0.14 XXX
laser.
[[Page 2680]]
88380......... TC.......... A........... Microdissection, 0.00 2.23 2.23 NA NA 0.07 XXX
laser.
88380......... 26.......... A........... Microdissection, 1.56 0.43 0.43 0.43 0.43 0.07 XXX
laser.
88381......... ............ A........... Microdissection, 1.18 4.47 4.47 NA NA 0.08 XXX
manual.
88381......... TC.......... A........... Microdissection, 0.00 4.15 4.15 NA NA 0.02 XXX
manual.
88381......... 26.......... A........... Microdissection, 1.18 0.32 0.32 0.32 0.32 0.06 XXX
manual.
88384......... ............ C........... Eval molecular 0.00 0.00 0.00 NA NA 0.00 XXX
probes, 11-50.
88384......... TC.......... C........... Eval molecular 0.00 0.00 0.00 NA NA 0.00 XXX
probes, 11-50.
88384......... 26.......... C........... Eval molecular 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probes, 11-50.
88385......... ............ A........... Eval molecul 1.50 15.55 11.32 NA NA 0.12 XXX
probes, 51-250.
88385......... TC.......... A........... Eval molecul 0.00 15.28 10.86 NA NA 0.06 XXX
probes, 51-250.
88385......... 26.......... A........... Eval molecul 1.50 0.27 0.46 0.27 0.46 0.06 XXX
probes, 51-250.
88386......... ............ A........... Eval molecul 1.88 15.46 11.25 NA NA 0.16 XXX
probes, 251-500.
88386......... TC.......... A........... Eval molecul 0.00 15.12 10.67 NA NA 0.08 XXX
probes, 251-500.
88386......... 26.......... A........... Eval molecul 1.88 0.34 0.58 0.34 0.58 0.08 XXX
probes, 251-500.
88399......... ............ C........... Surgical pathology 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
88399......... TC.......... C........... Surgical pathology 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
88399......... 26.......... C........... Surgical pathology 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
89049......... ............ A........... Chct for mal 1.40 3.56 3.56 0.19 0.23 0.06 XXX
hyperthermia.
89060......... 26.......... A........... Exam,synovial 0.37 0.12 0.14 0.12 0.14 0.01 XXX
fluid crystals.
89100......... ............ A........... Sample intestinal 0.60 7.90 4.87 0.54 0.37 0.03 XXX
contents.
89105......... ............ A........... Sample intestinal 0.50 7.85 5.04 0.46 0.32 0.02 XXX
contents.
89130......... ............ A........... Sample stomach 0.45 6.55 4.15 0.38 0.25 0.02 XXX
contents.
89132......... ............ A........... Sample stomach 0.19 8.39 4.97 0.39 0.22 0.01 XXX
contents.
89135......... ............ A........... Sample stomach 0.79 8.83 5.36 0.67 0.46 0.04 XXX
contents.
89136......... ............ A........... Sample stomach 0.21 5.95 3.84 0.26 0.18 0.01 XXX
contents.
89140......... ............ A........... Sample stomach 0.94 6.22 4.15 0.43 0.35 0.04 XXX
contents.
89141......... ............ A........... Sample stomach 0.85 6.36 4.58 0.49 0.41 0.03 XXX
contents.
89220......... ............ A........... Sputum specimen 0.00 0.37 0.40 NA NA 0.02 XXX
collection.
89230......... ............ A........... Collect sweat for 0.00 0.07 0.09 NA NA 0.02 XXX
test.
89240......... ............ C........... Pathology lab 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
90281......... ............ I........... Human ig, im...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90283......... ............ I........... Human ig, iv...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90284......... ............ X........... Human ig, sc...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90287......... ............ I........... Botulinum 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antitoxin.
90288......... ............ I........... Botulism ig, iv... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90291......... ............ I........... Cmv ig, iv........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90296......... ............ E........... Diphtheria 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antitoxin.
90371......... ............ E........... Hep b ig, im...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90375......... ............ E........... Rabies ig, im/sc.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90376......... ............ E........... Rabies ig, heat 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treated.
90378......... ............ X........... Rsv ig, im, 50mg.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90379......... ............ I........... Rsv ig, iv........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90384......... ............ I........... Rh ig, full-dose, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90385......... ............ E........... Rh ig, minidose, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90386......... ............ I........... Rh ig, iv......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90389......... ............ I........... Tetanus ig, im.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90393......... ............ E........... Vaccina ig, im.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90396......... ............ E........... Varicella-zoster 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ig, im.
90399......... ............ I........... Immune globulin... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90465......... ............ A........... Immune admin 1 0.17 0.44 0.38 NA NA 0.01 XXX
inj, < 8 yrs.
90466......... ............ A........... Immune admin addl 0.15 0.12 0.12 0.04 0.08 0.01 ZZZ
inj, < 8 y.
90467......... ............ R........... Immune admin o or 0.17 0.17 0.17 0.07 0.08 0.01 XXX
n, < 8 yrs.
90468......... ............ R........... Immune admin o/n, 0.15 0.11 0.11 0.04 0.05 0.01 ZZZ
addl < 8 y.
90471......... ............ A........... Immunization admin 0.17 0.44 0.38 NA NA 0.01 XXX
90472......... ............ A........... Immunization 0.15 0.12 0.13 0.04 0.08 0.01 ZZZ
admin, each add.
90473......... ............ R........... Immune admin oral/ 0.17 0.17 0.18 0.04 0.06 0.01 XXX
nasal.
90474......... ............ R........... Immune admin oral/ 0.15 0.08 0.09 0.04 0.05 0.01 ZZZ
nasal addl.
90476......... ............ E........... Adenovirus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, type 4.
90477......... ............ E........... Adenovirus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, type 7.
90581......... ............ E........... Anthrax vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sc.
90585......... ............ E........... Bcg vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
percut.
90586......... ............ E........... Bcg vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intravesical.
90632......... ............ E........... Hep a vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult im.
90633......... ............ E........... Hep a vacc, ped/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adol, 2 dose.
90634......... ............ E........... Hep a vacc, ped/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adol, 3 dose.
90636......... ............ E........... Hep a/hep b vacc, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult im.
90645......... ............ E........... Hib vaccine, hboc, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90646......... ............ E........... Hib vaccine, prp- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
d, im.
90647......... ............ E........... Hib vaccine, prp- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
omp, im.
90648......... ............ E........... Hib vaccine, prp- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
t, im.
90649......... ............ E........... H papilloma vacc 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dose im.
90655......... ............ X........... Flu vaccine no 0.00 0.00 0.00 0.00 0.00 0.00 XXX
preserv 6-35m.
[[Page 2681]]
90656......... ............ X........... Flu vaccine no 0.00 0.00 0.00 0.00 0.00 0.00 XXX
preserv 3 & >.
90657......... ............ X........... Flu vaccine, 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX
yrs, im.
90658......... ............ X........... Flu vaccine, 3 yrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX
& >, im.
90660......... ............ X........... Flu vaccine, nasal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90661......... ............ X........... Flu vacc cell cult 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prsv free.
90662......... ............ X........... Flu vacc prsv free 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inc antig.
90663......... ............ X........... Flu vacc pandemic. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90665......... ............ E........... Lyme disease 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, im.
90669......... ............ X........... Pneumococcal vacc, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ped <5.
90675......... ............ E........... Rabies vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90676......... ............ E........... Rabies vaccine, id 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90680......... ............ E........... Rotovirus vacc 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dose, oral.
90690......... ............ E........... Typhoid vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
90691......... ............ E........... Typhoid vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90692......... ............ E........... Typhoid vaccine, h- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
p, sc/id.
90693......... ............ E........... Typhoid vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
akd, sc.
90698......... ............ E........... Dtap-hib-ip 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, im.
90700......... ............ E........... Dtap vaccine, < 7 0.00 0.00 0.00 0.00 0.00 0.00 XXX
yrs, im.
90701......... ............ E........... Dtp vaccine, im... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90702......... ............ E........... Dt vaccine < 7, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90703......... ............ E........... Tetanus vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90704......... ............ E........... Mumps vaccine, sc. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90705......... ............ E........... Measles vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sc.
90706......... ............ E........... Rubella vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sc.
90707......... ............ E........... Mmr vaccine, sc... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90708......... ............ E........... Measles-rubella 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90710......... ............ E........... Mmrv vaccine, sc.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90712......... ............ E........... Oral poliovirus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
90713......... ............ E........... Poliovirus, ipv, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sc/im.
90714......... ............ E........... Td vaccine no 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prsrv >/= 7 im.
90715......... ............ E........... Tdap vaccine >7 im 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90716......... ............ E........... Chicken pox 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90717......... ............ E........... Yellow fever 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90718......... ............ E........... Td vaccine > 7, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90719......... ............ E........... Diphtheria 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, im.
90720......... ............ E........... Dtp/hib vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90721......... ............ E........... Dtap/hib vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90723......... ............ I........... Dtap-hep b-ipv 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, im.
90725......... ............ E........... Cholera vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injectable.
90727......... ............ E........... Plague vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90732......... ............ X........... Pneumococcal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
90733......... ............ E........... Meningococcal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90734......... ............ E........... Meningococcal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, im.
90735......... ............ E........... Encephalitis 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90736......... ............ E........... Zoster vacc, sc... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90740......... ............ X........... Hepb vacc, ill pat 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3 dose im.
90743......... ............ X........... Hep b vacc, adol, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2 dose, im.
90744......... ............ X........... Hepb vacc ped/adol 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3 dose im.
90746......... ............ X........... Hep b vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult, im.
90747......... ............ X........... Hepb vacc, ill pat 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4 dose im.
90748......... ............ I........... Hep b/hib vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90749......... ............ E........... Vaccine toxoid.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90760......... ............ A........... Hydration iv 0.17 1.32 1.37 NA NA 0.07 XXX
infusion, init.
90761......... ............ A........... Hydrate iv 0.09 0.32 0.36 NA NA 0.04 ZZZ
infusion, add-on.
90765......... ............ A........... Ther/proph/diag iv 0.21 1.62 1.69 NA NA 0.07 XXX
inf, init.
90766......... ............ A........... Ther/proph/dg iv 0.18 0.37 0.42 NA NA 0.04 ZZZ
inf, add-on.
90767......... ............ A........... Tx/proph/dg addl 0.19 0.69 0.79 NA NA 0.04 ZZZ
seq iv inf.
90768......... ............ A........... Ther/diag 0.17 0.33 0.39 NA NA 0.04 ZZZ
concurrent inf.
90769......... ............ A........... Sc ther infusion, 0.21 3.93 3.93 NA NA 0.06 XXX
up to 1 hr.
90770......... ............ A........... Sc ther infusion, 0.18 0.22 0.22 NA NA 0.04 ZZZ
addl hr.
90771......... ............ A........... Sc ther infusion, 0.00 1.86 1.86 NA NA 0.01 ZZZ
reset pump.
90772......... ............ A........... Ther/proph/diag 0.17 0.44 0.38 NA NA 0.01 XXX
inj, sc/im.
90773......... ............ A........... Ther/proph/diag 0.17 0.30 0.31 NA NA 0.02 XXX
inj, ia.
90774......... ............ A........... Ther/proph/diag 0.18 1.33 1.32 NA NA 0.04 XXX
inj, iv push.
90775......... ............ A........... Tx/pro/dx inj new 0.10 0.51 0.54 NA NA 0.04 ZZZ
drug addon.
90776......... ............ X........... Tx/pro/dx inj same 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
drug adon.
90779......... ............ C........... Ther/prop/diag inj/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inf proc.
90801......... ............ A........... Psy dx interview.. 2.80 1.49 1.33 0.60 0.76 0.06 XXX
90802......... ............ A........... Intac psy dx 3.01 1.54 1.37 0.68 0.83 0.07 XXX
interview.
90804......... ............ A........... Psytx, office, 20- 1.21 0.56 0.52 0.22 0.30 0.03 XXX
30 min.
90805......... ............ A........... Psytx, off, 20-30 1.37 0.60 0.55 0.24 0.33 0.03 XXX
min w/e&m.
90806......... ............ A........... Psytx, off, 45-50 1.86 0.53 0.61 0.33 0.46 0.04 XXX
min.
[[Page 2682]]
90807......... ............ A........... Psytx, off, 45-50 2.02 0.70 0.70 0.35 0.49 0.05 XXX
min w/e&m.
90808......... ............ A........... Psytx, office, 75- 2.79 0.69 0.86 0.49 0.70 0.06 XXX
80 min.
90809......... ............ A........... Psytx, off, 75-80, 2.95 0.86 0.93 0.52 0.72 0.07 XXX
w/e&m.
90810......... ............ A........... Intac psytx, off, 1.32 0.54 0.52 0.23 0.33 0.04 XXX
20-30 min.
90811......... ............ A........... Intac psytx, 20- 1.48 0.72 0.64 0.26 0.36 0.04 XXX
30, w/e&m.
90812......... ............ A........... Intac psytx, off, 1.97 0.65 0.72 0.34 0.49 0.04 XXX
45-50 min.
90813......... ............ A........... Intac psytx, 45-50 2.13 0.83 0.80 0.37 0.52 0.05 XXX
min w/e&m.
90814......... ............ A........... Intac psytx, off, 2.90 0.81 0.95 0.53 0.75 0.06 XXX
75-80 min.
90815......... ............ A........... Intac psytx, 75-80 3.06 0.99 1.02 0.53 0.74 0.07 XXX
w/e&m.
90816......... ............ A........... Psytx, hosp, 20-30 1.25 NA NA 0.33 0.39 0.03 XXX
min.
90817......... ............ A........... Psytx, hosp, 20-30 1.41 NA NA 0.35 0.40 0.03 XXX
min w/e&m.
90818......... ............ A........... Psytx, hosp, 45-50 1.89 NA NA 0.44 0.56 0.04 XXX
min.
90819......... ............ A........... Psytx, hosp, 45-50 2.05 NA NA 0.46 0.56 0.05 XXX
min w/e&m.
90821......... ............ A........... Psytx, hosp, 75-80 2.83 NA NA 0.60 0.80 0.06 XXX
min.
90822......... ............ A........... Psytx, hosp, 75-80 2.99 NA NA 0.63 0.79 0.08 XXX
min w/e&m.
90823......... ............ A........... Intac psytx, hosp, 1.36 NA NA 0.35 0.41 0.03 XXX
20-30 min.
90824......... ............ A........... Intac psytx, hsp 1.52 NA NA 0.37 0.43 0.04 XXX
20-30 w/e&m.
90826......... ............ A........... Intac psytx, hosp, 2.01 NA NA 0.46 0.59 0.05 XXX
45-50 min.
90827......... ............ A........... Intac psytx, hsp 2.16 NA NA 0.48 0.58 0.05 XXX
45-50 w/e&m.
90828......... ............ A........... Intac psytx, hosp, 2.94 NA NA 0.62 0.84 0.06 XXX
75-80 min.
90829......... ............ A........... Intac psytx, hsp 3.10 NA NA 0.64 0.81 0.07 XXX
75-80 w/e&m.
90845......... ............ A........... Psychoanalysis.... 1.79 0.39 0.48 0.32 0.43 0.04 XXX
90846......... ............ R........... Family psytx w/o 1.83 0.51 0.58 0.43 0.54 0.04 XXX
patient.
90847......... ............ R........... Family psytx w/ 2.21 0.74 0.78 0.49 0.63 0.05 XXX
patient.
90849......... ............ R........... Multiple family 0.59 0.33 0.30 0.21 0.22 0.02 XXX
group psytx.
90853......... ............ A........... Group 0.59 0.26 0.26 0.20 0.21 0.01 XXX
psychotherapy.
90857......... ............ A........... Intac group psytx. 0.63 0.38 0.33 0.21 0.23 0.01 XXX
90862......... ............ A........... Medication 0.95 0.62 0.51 0.27 0.29 0.02 XXX
management.
90865......... ............ A........... Narcosynthesis.... 2.84 1.17 1.26 0.63 0.77 0.12 XXX
90870......... ............ A........... Electroconvulsive 1.88 1.92 1.93 0.38 0.49 0.04 000
therapy.
90875......... ............ N........... Psychophysiologica 1.20 0.53 0.71 0.28 0.37 0.04 XXX
l therapy.
90876......... ............ N........... Psychophysiologica 1.90 0.67 0.92 0.44 0.58 0.05 XXX
l therapy.
90880......... ............ A........... Hypnotherapy...... 2.19 0.58 0.81 0.39 0.54 0.05 XXX
90882......... ............ N........... Environmental 0.00 0.00 0.00 0.00 0.00 0.00 XXX
manipulation.
90885......... ............ B........... Psy evaluation of 0.97 0.22 0.30 0.22 0.30 0.02 XXX
records.
90887......... ............ B........... Consultation with 1.48 0.61 0.71 0.34 0.45 0.04 XXX
family.
90889......... ............ B........... Preparation of 0.00 0.00 0.00 0.00 0.00 0.00 XXX
report.
90899......... ............ C........... Psychiatric 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service/therapy.
90901......... ............ A........... Biofeedback train, 0.41 0.46 0.56 0.10 0.12 0.02 000
any meth.
90911......... ............ A........... Biofeedback peri/ 0.89 1.37 1.47 0.30 0.30 0.06 000
uro/rectal.
90918......... ............ I........... ESRD related 11.16 4.70 5.41 3.74 4.93 0.36 XXX
services, month.
90919......... ............ I........... ESRD related 8.53 3.03 3.52 2.55 3.28 0.29 XXX
services, month.
90920......... ............ I........... ESRD related 7.26 2.74 3.24 2.27 3.01 0.23 XXX
services, month.
90921......... ............ I........... ESRD related 4.46 1.71 2.08 1.61 2.03 0.14 XXX
services, month.
90922......... ............ I........... ESRD related 0.37 0.16 0.18 0.13 0.17 0.01 XXX
services, day.
90923......... ............ I........... Esrd related 0.28 0.10 0.11 0.08 0.11 0.01 XXX
services, day.
90924......... ............ I........... Esrd related 0.24 0.09 0.10 0.07 0.10 0.01 XXX
services, day.
90925......... ............ I........... Esrd related 0.15 0.05 0.07 0.05 0.07 0.01 XXX
services, day.
90935......... ............ A........... Hemodialysis, one 1.22 NA NA 0.54 0.60 0.04 000
evaluation.
90937......... ............ A........... Hemodialysis, 2.11 NA NA 0.77 0.87 0.07 000
repeated eval.
90940......... ............ X........... Hemodialysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX
access study.
90945......... ............ A........... Dialysis, one 1.28 NA NA 0.55 0.62 0.04 000
evaluation.
90947......... ............ A........... Dialysis, repeated 2.16 NA NA 0.79 0.89 0.07 000
eval.
90989......... ............ X........... Dialysis training, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
90993......... ............ X........... Dialysis training, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
incompl.
90997......... ............ A........... Hemoperfusion..... 1.84 NA NA 0.50 0.58 0.06 000
90999......... ............ C........... Dialysis procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX
91000......... ............ A........... Esophageal 0.73 2.13 1.23 NA NA 0.04 000
intubation.
91000......... TC.......... A........... Esophageal 0.00 1.91 0.99 NA NA 0.01 000
intubation.
91000......... 26.......... A........... Esophageal 0.73 0.22 0.24 0.22 0.24 0.03 000
intubation.
91010......... ............ A........... Esophagus motility 1.25 3.67 4.04 NA NA 0.12 000
study.
91010......... TC.......... A........... Esophagus motility 0.00 3.12 3.55 NA NA 0.06 000
study.
91010......... 26.......... A........... Esophagus motility 1.25 0.55 0.49 0.55 0.49 0.06 000
study.
91011......... ............ A........... Esophagus motility 1.50 5.38 5.30 NA NA 0.13 000
study.
91011......... TC.......... A........... Esophagus motility 0.00 4.66 4.68 NA NA 0.06 000
study.
91011......... 26.......... A........... Esophagus motility 1.50 0.72 0.62 0.72 0.62 0.07 000
study.
91012......... ............ A........... Esophagus motility 1.46 5.44 5.60 NA NA 0.13 000
study.
91012......... TC.......... A........... Esophagus motility 0.00 4.76 5.00 NA NA 0.07 000
study.
91012......... 26.......... A........... Esophagus motility 1.46 0.68 0.60 0.68 0.60 0.06 000
study.
91020......... ............ A........... Gastric motility 1.44 4.82 4.67 NA NA 0.13 000
studies.
91020......... TC.......... A........... Gastric motility 0.00 4.21 4.12 NA NA 0.06 000
studies.
91020......... 26.......... A........... Gastric motility 1.44 0.61 0.55 0.61 0.55 0.07 000
studies.
[[Page 2683]]
91022......... ............ A........... Duodenal motility 1.44 3.14 3.76 NA NA 0.13 000
study.
91022......... TC.......... A........... Duodenal motility 0.00 2.52 3.20 NA NA 0.06 000
study.
91022......... 26.......... A........... Duodenal motility 1.44 0.62 0.56 0.62 0.56 0.07 000
study.
91030......... ............ A........... Acid perfusion of 0.91 2.90 2.67 NA NA 0.06 000
esophagus.
91030......... TC.......... A........... Acid perfusion of 0.00 2.48 2.30 NA NA 0.02 000
esophagus.
91030......... 26.......... A........... Acid perfusion of 0.91 0.42 0.37 0.42 0.37 0.04 000
esophagus.
91034......... ............ A........... Gastroesophageal 0.97 4.15 4.69 NA NA 0.12 000
reflux test.
91034......... TC.......... A........... Gastroesophageal 0.00 3.73 4.31 NA NA 0.06 000
reflux test.
91034......... 26.......... A........... Gastroesophageal 0.97 0.42 0.38 0.42 0.38 0.06 000
reflux test.
91035......... ............ A........... G-esoph reflx tst 1.59 11.39 11.10 NA NA 0.12 000
w/electrod.
91035......... TC.......... A........... G-esoph reflx tst 0.00 10.69 10.47 NA NA 0.06 000
w/electrod.
91035......... 26.......... A........... G-esoph reflx tst 1.59 0.70 0.63 0.70 0.63 0.06 000
w/electrod.
91037......... ............ A........... Esoph imped 0.97 3.47 3.20 NA NA 0.12 000
function test.
91037......... TC.......... A........... Esoph imped 0.00 3.03 2.81 NA NA 0.06 000
function test.
91037......... 26.......... A........... Esoph imped 0.97 0.44 0.39 0.44 0.39 0.06 000
function test.
91038......... ............ A........... Esoph imped funct 1.10 2.81 2.52 NA NA 0.12 000
test > 1h.
91038......... TC.......... A........... Esoph imped funct 0.00 2.31 2.07 NA NA 0.06 000
test > 1h.
91038......... 26.......... A........... Esoph imped funct 1.10 0.50 0.45 0.50 0.45 0.06 000
test > 1h.
91040......... ............ A........... Esoph balloon 0.97 7.73 9.43 NA NA 0.12 000
distension tst.
91040......... TC.......... A........... Esoph balloon 0.00 7.45 9.12 NA NA 0.06 000
distension tst.
91040......... 26.......... A........... Esoph balloon 0.97 0.28 0.31 0.28 0.31 0.06 000
distension tst.
91052......... ............ A........... Gastric analysis 0.79 2.92 2.68 NA NA 0.05 000
test.
91052......... TC.......... A........... Gastric analysis 0.00 2.55 2.36 NA NA 0.02 000
test.
91052......... 26.......... A........... Gastric analysis 0.79 0.37 0.32 0.37 0.32 0.03 000
test.
91055......... ............ A........... Gastric intubation 0.94 2.58 2.76 NA NA 0.07 000
for smear.
91055......... TC.......... A........... Gastric intubation 0.00 2.29 2.48 NA NA 0.02 000
for smear.
91055......... 26.......... A........... Gastric intubation 0.94 0.29 0.28 0.29 0.28 0.05 000
for smear.
91065......... ............ A........... Breath hydrogen 0.20 1.34 1.40 NA NA 0.03 000
test.
91065......... TC.......... A........... Breath hydrogen 0.00 1.28 1.33 NA NA 0.02 000
test.
91065......... 26.......... A........... Breath hydrogen 0.20 0.06 0.07 0.06 0.07 0.01 000
test.
91100......... ............ A........... Pass intestine 1.08 2.14 2.47 0.32 0.30 0.07 000
bleeding tube.
91105......... ............ A........... Gastric intubation 0.37 1.67 1.89 0.07 0.08 0.03 000
treatment.
91110......... ............ A........... Gi tract capsule 3.64 20.66 21.42 NA NA 0.16 XXX
endoscopy.
91110......... TC.......... A........... Gi tract capsule 0.00 18.99 19.95 NA NA 0.07 XXX
endoscopy.
91110......... 26.......... A........... Gi tract capsule 3.64 1.67 1.47 1.67 1.47 0.09 XXX
endoscopy.
91111......... ............ A........... Esophageal capsule 1.00 18.84 18.84 NA NA 0.05 XXX
endoscopy.
91111......... TC.......... A........... Esophageal capsule 0.00 18.39 18.39 NA NA 0.02 XXX
endoscopy.
91111......... 26.......... A........... Esophageal capsule 1.00 0.45 0.45 0.45 0.45 0.03 XXX
endoscopy.
91120......... ............ A........... Rectal sensation 0.97 8.89 9.94 NA NA 0.11 XXX
test.
91120......... TC.......... A........... Rectal sensation 0.00 8.62 9.63 NA NA 0.04 XXX
test.
91120......... 26.......... A........... Rectal sensation 0.97 0.27 0.31 0.27 0.31 0.07 XXX
test.
91122......... ............ A........... Anal pressure 1.77 4.31 4.70 NA NA 0.21 000
record.
91122......... TC.......... A........... Anal pressure 0.00 3.69 4.09 NA NA 0.08 000
record.
91122......... 26.......... A........... Anal pressure 1.77 0.62 0.61 0.62 0.61 0.13 000
record.
91123......... ............ B........... Irrigate fecal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
impaction.
91132......... ............ C........... Electrogastrograph 0.00 0.00 0.00 NA NA 0.00 XXX
y.
91132......... TC.......... C........... Electrogastrograph 0.00 0.00 0.00 NA NA 0.00 XXX
y.
91132......... 26.......... A........... Electrogastrograph 0.52 0.25 0.22 0.25 0.22 0.02 XXX
y.
91133......... ............ C........... Electrogastrograph 0.00 0.00 0.00 NA NA 0.00 XXX
y w/test.
91133......... TC.......... C........... Electrogastrograph 0.00 0.00 0.00 NA NA 0.00 XXX
y w/test.
91133......... 26.......... A........... Electrogastrograph 0.66 0.32 0.28 0.32 0.28 0.03 XXX
y w/test.
91299......... ............ C........... Gastroenterology 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
91299......... TC.......... C........... Gastroenterology 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
91299......... 26.......... C........... Gastroenterology 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
92002......... ............ A........... Eye exam, new 0.88 0.93 0.95 0.25 0.30 0.02 XXX
patient.
92004......... ............ A........... Eye exam, new 1.82 1.57 1.63 0.55 0.62 0.04 XXX
patient.
92012......... ............ A........... Eye exam 0.92 0.99 1.01 0.31 0.30 0.02 XXX
established pat.
92014......... ............ A........... Eye exam & 1.42 1.37 1.39 0.46 0.46 0.03 XXX
treatment.
92015......... ............ N........... Refraction........ 0.38 0.10 0.79 0.09 0.12 0.01 XXX
92018......... ............ A........... New eye exam & 2.50 NA NA 0.86 0.96 0.07 XXX
treatment.
92019......... ............ A........... Eye exam & 1.31 NA NA 0.35 0.46 0.03 XXX
treatment.
92020......... ............ A........... Special eye 0.37 0.25 0.29 0.13 0.14 0.01 XXX
evaluation.
92025......... ............ A........... Corneal topography 0.35 0.49 0.49 NA NA 0.02 XXX
92025......... TC.......... A........... Corneal topography 0.00 0.37 0.37 NA NA 0.01 XXX
92025......... 26.......... A........... Corneal topography 0.35 0.12 0.12 0.12 0.12 0.01 XXX
92060......... ............ A........... Special eye 0.69 0.76 0.75 NA NA 0.03 XXX
evaluation.
92060......... TC.......... A........... Special eye 0.00 0.54 0.49 NA NA 0.01 XXX
evaluation.
92060......... 26.......... A........... Special eye 0.69 0.22 0.26 0.22 0.26 0.02 XXX
evaluation.
92065......... ............ A........... Orthoptic/pleoptic 0.37 0.86 0.69 NA NA 0.02 XXX
training.
92065......... TC.......... A........... Orthoptic/pleoptic 0.00 0.77 0.57 NA NA 0.01 XXX
training.
92065......... 26.......... A........... Orthoptic/pleoptic 0.37 0.09 0.12 0.09 0.12 0.01 XXX
training.
92070......... ............ A........... Fitting of contact 0.70 0.90 0.99 0.22 0.27 0.02 XXX
lens.
[[Page 2684]]
92081......... ............ A........... Visual field 0.36 0.95 0.95 NA NA 0.02 XXX
examination(s).
92081......... TC.......... A........... Visual field 0.00 0.84 0.82 NA NA 0.01 XXX
examination(s).
92081......... 26.......... A........... Visual field 0.36 0.11 0.13 0.11 0.13 0.01 XXX
examination(s).
92082......... ............ A........... Visual field 0.44 1.32 1.27 NA NA 0.02 XXX
examination(s).
92082......... TC.......... A........... Visual field 0.00 1.18 1.11 NA NA 0.01 XXX
examination(s).
92082......... 26.......... A........... Visual field 0.44 0.14 0.16 0.14 0.16 0.01 XXX
examination(s).
92083......... ............ A........... Visual field 0.50 1.51 1.47 NA NA 0.02 XXX
examination(s).
92083......... TC.......... A........... Visual field 0.00 1.35 1.28 NA NA 0.01 XXX
examination(s).
92083......... 26.......... A........... Visual field 0.50 0.16 0.19 0.16 0.19 0.01 XXX
examination(s).
92100......... ............ A........... Serial tonometry 0.92 1.24 1.29 0.27 0.32 0.02 XXX
exam(s).
92120......... ............ A........... Tonography & eye 0.81 0.97 1.02 0.25 0.28 0.02 XXX
evaluation.
92130......... ............ A........... Water provocation 0.81 1.18 1.23 0.27 0.32 0.02 XXX
tonography.
92135......... ............ A........... Ophth dx imaging 0.35 0.79 0.79 NA NA 0.02 XXX
post seg.
92135......... TC.......... A........... Ophth dx imaging 0.00 0.67 0.66 NA NA 0.01 XXX
post seg.
92135......... 26.......... A........... Ophth dx imaging 0.35 0.12 0.13 0.12 0.13 0.01 XXX
post seg.
92136......... ............ A........... Ophthalmic 0.54 1.42 1.54 NA NA 0.08 XXX
biometry.
92136......... TC.......... A........... Ophthalmic 0.00 1.23 1.32 NA NA 0.07 XXX
biometry.
92136......... 26.......... A........... Ophthalmic 0.54 0.19 0.22 0.19 0.22 0.01 XXX
biometry.
92140......... ............ A........... Glaucoma 0.50 0.89 0.94 0.14 0.18 0.01 XXX
provocative tests.
92225......... ............ A........... Special eye exam, 0.38 0.24 0.23 0.12 0.14 0.01 XXX
initial.
92226......... ............ A........... Special eye exam, 0.33 0.23 0.22 0.11 0.13 0.01 XXX
subsequent.
92230......... ............ A........... Eye exam with 0.60 0.68 1.10 0.19 0.19 0.02 XXX
photos.
92235......... ............ A........... Eye exam with 0.81 2.26 2.44 NA NA 0.08 XXX
photos.
92235......... TC.......... A........... Eye exam with 0.00 1.97 2.11 NA NA 0.06 XXX
photos.
92235......... 26.......... A........... Eye exam with 0.81 0.29 0.33 0.29 0.33 0.02 XXX
photos.
92240......... ............ A........... Icg angiography... 1.10 4.38 5.25 NA NA 0.09 XXX
92240......... TC.......... A........... Icg angiography... 0.00 3.99 4.80 NA NA 0.06 XXX
92240......... 26.......... A........... Icg angiography... 1.10 0.39 0.45 0.39 0.45 0.03 XXX
92250......... ............ A........... Eye exam with 0.44 1.30 1.41 NA NA 0.02 XXX
photos.
92250......... TC.......... A........... Eye exam with 0.00 1.16 1.25 NA NA 0.01 XXX
photos.
92250......... 26.......... A........... Eye exam with 0.44 0.14 0.16 0.14 0.16 0.01 XXX
photos.
92260......... ............ A........... Ophthalmoscopy/ 0.20 0.23 0.24 0.07 0.08 0.01 XXX
dynamometry.
92265......... ............ A........... Eye muscle 0.81 1.00 1.24 NA NA 0.06 XXX
evaluation.
92265......... TC.......... A........... Eye muscle 0.00 0.76 0.98 NA NA 0.02 XXX
evaluation.
92265......... 26.......... A........... Eye muscle 0.81 0.24 0.26 0.24 0.26 0.04 XXX
evaluation.
92270......... ............ A........... Electro- 0.81 1.32 1.42 NA NA 0.05 XXX
oculography.
92270......... TC.......... A........... Electro- 0.00 1.09 1.14 NA NA 0.02 XXX
oculography.
92270......... 26.......... A........... Electro- 0.81 0.23 0.28 0.23 0.28 0.03 XXX
oculography.
92275......... ............ A........... Electroretinograph 1.01 2.42 2.18 NA NA 0.05 XXX
y.
92275......... TC.......... A........... Electroretinograph 0.00 2.07 1.79 NA NA 0.02 XXX
y.
92275......... 26.......... A........... Electroretinograph 1.01 0.35 0.39 0.35 0.39 0.03 XXX
y.
92283......... ............ A........... Color vision 0.17 0.99 0.91 NA NA 0.02 XXX
examination.
92283......... TC.......... A........... Color vision 0.00 0.94 0.85 NA NA 0.01 XXX
examination.
92283......... 26.......... A........... Color vision 0.17 0.05 0.06 0.05 0.06 0.01 XXX
examination.
92284......... ............ A........... Dark adaptation 0.24 1.13 1.50 NA NA 0.02 XXX
eye exam.
92284......... TC.......... A........... Dark adaptation 0.00 1.06 1.43 NA NA 0.01 XXX
eye exam.
92284......... 26.......... A........... Dark adaptation 0.24 0.07 0.07 0.07 0.07 0.01 XXX
eye exam.
92285......... ............ A........... Eye photography... 0.20 0.80 0.89 NA NA 0.02 XXX
92285......... TC.......... A........... Eye photography... 0.00 0.73 0.81 NA NA 0.01 XXX
92285......... 26.......... A........... Eye photography... 0.20 0.07 0.08 0.07 0.08 0.01 XXX
92286......... ............ A........... Internal eye 0.66 2.09 2.56 NA NA 0.04 XXX
photography.
92286......... TC.......... A........... Internal eye 0.00 1.87 2.31 NA NA 0.02 XXX
photography.
92286......... 26.......... A........... Internal eye 0.66 0.22 0.25 0.22 0.25 0.02 XXX
photography.
92287......... ............ A........... Internal eye 0.81 1.90 2.14 0.27 0.29 0.02 XXX
photography.
92310......... ............ N........... Contact lens 1.17 1.06 1.09 0.27 0.36 0.04 XXX
fitting.
92311......... ............ A........... Contact lens 1.08 1.27 1.18 0.31 0.33 0.03 XXX
fitting.
92312......... ............ A........... Contact lens 1.26 1.45 1.27 0.33 0.42 0.03 XXX
fitting.
92313......... ............ A........... Contact lens 0.92 1.42 1.24 0.31 0.30 0.02 XXX
fitting.
92314......... ............ N........... Prescription of 0.69 1.14 1.04 0.16 0.21 0.01 XXX
contact lens.
92315......... ............ A........... Prescription of 0.45 1.31 1.08 0.13 0.14 0.01 XXX
contact lens.
92316......... ............ A........... Prescription of 0.68 1.63 1.27 0.22 0.26 0.02 XXX
contact lens.
92317......... ............ A........... Prescription of 0.45 1.31 1.12 0.11 0.13 0.01 XXX
contact lens.
92325......... ............ A........... Modification of 0.00 0.83 0.62 NA NA 0.01 XXX
contact lens.
92326......... ............ A........... Replacement of 0.00 0.73 1.18 NA NA 0.06 XXX
contact lens.
92340......... ............ N........... Fitting of 0.37 0.44 0.57 0.09 0.11 0.01 XXX
spectacles.
92341......... ............ N........... Fitting of 0.47 0.46 0.60 0.11 0.14 0.01 XXX
spectacles.
92342......... ............ N........... Fitting of 0.53 0.48 0.62 0.12 0.17 0.01 XXX
spectacles.
92352......... ............ B........... Special spectacles 0.37 0.56 0.62 0.09 0.11 0.01 XXX
fitting.
92353......... ............ B........... Special spectacles 0.50 0.59 0.66 0.11 0.15 0.02 XXX
fitting.
92354......... ............ B........... Special spectacles 0.00 0.28 4.58 NA NA 0.10 XXX
fitting.
92355......... ............ B........... Special spectacles 0.00 0.44 2.39 NA NA 0.01 XXX
fitting.
92358......... ............ B........... Eye prosthesis 0.00 0.24 0.60 NA NA 0.05 XXX
service.
[[Page 2685]]
92370......... ............ N........... Repair & adjust 0.32 0.39 0.47 0.07 0.10 0.02 XXX
spectacles.
92371......... ............ B........... Repair & adjust 0.00 0.24 0.43 NA NA 0.02 XXX
spectacles.
92499......... ............ C........... Eye service or 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
92499......... TC.......... C........... Eye service or 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
92499......... 26.......... C........... Eye service or 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
92502......... ............ A........... Ear and throat 1.51 NA NA 0.90 1.01 0.05 000
examination.
92504......... ............ A........... Ear microscopy 0.18 0.60 0.55 0.06 0.07 0.01 XXX
examination.
92506......... ............ A........... Speech/hearing 0.86 3.50 3.05 0.28 0.34 0.03 XXX
evaluation.
92507......... ............ A........... Speech/hearing 0.52 1.23 1.17 0.16 0.19 0.02 XXX
therapy.
92508......... ............ A........... Speech/hearing 0.26 0.55 0.53 0.09 0.11 0.01 XXX
therapy.
92511......... ............ A........... Nasopharyngoscopy. 0.84 3.12 3.22 0.67 0.72 0.03 000
92512......... ............ A........... Nasal function 0.55 1.00 1.07 0.17 0.18 0.02 XXX
studies.
92516......... ............ A........... Facial nerve 0.43 1.23 1.21 0.14 0.18 0.01 XXX
function test.
92520......... ............ A........... Laryngeal function 0.75 0.93 0.72 0.24 0.31 0.03 XXX
studies.
92526......... ............ A........... Oral function 0.55 1.70 1.67 0.16 0.18 0.02 XXX
therapy.
92531......... ............ B........... Spontaneous 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nystagmus study.
92532......... ............ B........... Positional 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nystagmus test.
92533......... ............ B........... Caloric vestibular 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
92534......... ............ B........... Optokinetic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nystagmus test.
92541......... ............ A........... Spontaneous 0.40 1.15 1.09 NA NA 0.04 XXX
nystagmus test.
92541......... TC.......... A........... Spontaneous 0.00 1.04 0.94 NA NA 0.02 XXX
nystagmus test.
92541......... 26.......... A........... Spontaneous 0.40 0.11 0.15 0.11 0.15 0.02 XXX
nystagmus test.
92542......... ............ A........... Positional 0.33 1.29 1.22 NA NA 0.03 XXX
nystagmus test.
92542......... TC.......... A........... Positional 0.00 1.20 1.09 NA NA 0.02 XXX
nystagmus test.
92542......... 26.......... A........... Positional 0.33 0.09 0.13 0.09 0.13 0.01 XXX
nystagmus test.
92543......... ............ A........... Caloric vestibular 0.10 0.65 0.61 NA NA 0.02 XXX
test.
92543......... TC.......... A........... Caloric vestibular 0.00 0.62 0.57 NA NA 0.01 XXX
test.
92543......... 26.......... A........... Caloric vestibular 0.10 0.03 0.04 0.03 0.04 0.01 XXX
test.
92544......... ............ A........... Optokinetic 0.26 1.03 0.97 NA NA 0.03 XXX
nystagmus test.
92544......... TC.......... A........... Optokinetic 0.00 0.96 0.87 NA NA 0.02 XXX
nystagmus test.
92544......... 26.......... A........... Optokinetic 0.26 0.07 0.10 0.07 0.10 0.01 XXX
nystagmus test.
92545......... ............ A........... Oscillating 0.23 1.00 0.90 NA NA 0.03 XXX
tracking test.
92545......... TC.......... A........... Oscillating 0.00 0.94 0.81 NA NA 0.02 XXX
tracking test.
92545......... 26.......... A........... Oscillating 0.23 0.06 0.09 0.06 0.09 0.01 XXX
tracking test.
92546......... ............ A........... Sinusoidal 0.29 1.81 1.90 NA NA 0.03 XXX
rotational test.
92546......... TC.......... A........... Sinusoidal 0.00 1.73 1.80 NA NA 0.02 XXX
rotational test.
92546......... 26.......... A........... Sinusoidal 0.29 0.08 0.10 0.08 0.10 0.01 XXX
rotational test.
92547......... ............ A........... Supplemental 0.00 0.11 0.09 0.11 0.09 0.06 ZZZ
electrical test.
92548......... ............ A........... Posturography..... 0.50 1.70 1.98 NA NA 0.15 XXX
92548......... TC.......... A........... Posturography..... 0.00 1.56 1.78 NA NA 0.13 XXX
92548......... 26.......... A........... Posturography..... 0.50 0.14 0.20 0.14 0.20 0.02 XXX
92551......... ............ N........... Pure tone hearing 0.00 0.25 0.25 NA NA 0.01 XXX
test, air.
92552......... ............ A........... Pure tone 0.00 0.61 0.52 NA NA 0.04 XXX
audiometry, air.
92553......... ............ A........... Audiometry, air & 0.00 0.77 0.71 NA NA 0.06 XXX
bone.
92555......... ............ A........... Speech threshold 0.00 0.41 0.40 NA NA 0.04 XXX
audiometry.
92556......... ............ A........... Speech audiometry, 0.00 0.51 0.54 NA NA 0.06 XXX
complete.
92557......... ............ A........... Comprehensive 0.60 0.29 0.74 0.20 0.69 0.12 XXX
hearing test.
92559......... ............ N........... Group audiometric 0.00 0.00 0.00 0.00 0.00 0.00 XXX
testing.
92560......... ............ N........... Bekesy audiometry, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
92561......... ............ A........... Bekesy audiometry, 0.00 0.70 0.71 NA NA 0.06 XXX
diagnosis.
92562......... ............ A........... Loudness balance 0.00 0.62 0.51 NA NA 0.04 XXX
test.
92563......... ............ A........... Tone decay hearing 0.00 0.55 0.46 NA NA 0.04 XXX
test.
92564......... ............ A........... Sisi hearing test. 0.00 0.48 0.47 NA NA 0.05 XXX
92565......... ............ A........... Stenger test, pure 0.00 0.25 0.33 NA NA 0.04 XXX
tone.
92567......... ............ A........... Tympanometry...... 0.20 0.13 0.33 0.07 0.29 0.06 XXX
92568......... ............ A........... Acoustic refl 0.29 0.10 0.24 0.09 0.24 0.04 XXX
threshold tst.
92569......... ............ A........... Acoustic reflex 0.20 0.07 0.24 0.07 0.24 0.04 XXX
decay test.
92571......... ............ A........... Filtered speech 0.00 0.44 0.41 NA NA 0.04 XXX
hearing test.
92572......... ............ A........... Staggered spondaic 0.00 0.59 0.34 NA NA 0.01 XXX
word test.
92575......... ............ A........... Sensorineural 0.00 1.15 0.73 NA NA 0.02 XXX
acuity test.
92576......... ............ A........... Synthetic sentence 0.00 0.58 0.51 NA NA 0.05 XXX
test.
92577......... ............ A........... Stenger test, 0.00 0.26 0.49 NA NA 0.07 XXX
speech.
92579......... ............ A........... Visual audiometry 0.70 0.35 0.54 0.23 0.48 0.06 XXX
(vra).
92582......... ............ A........... Conditioning play 0.00 1.17 0.95 NA NA 0.06 XXX
audiometry.
92583......... ............ A........... Select picture 0.00 0.73 0.81 NA NA 0.08 XXX
audiometry.
92584......... ............ A........... Electrocochleograp 0.00 1.36 1.92 NA NA 0.21 XXX
hy.
92585......... ............ A........... Auditor evoke 0.50 2.10 2.08 NA NA 0.17 XXX
potent, compre.
92585......... TC.......... A........... Auditor evoke 0.00 1.95 1.90 NA NA 0.14 XXX
potent, compre.
92585......... 26.......... A........... Auditor evoke 0.50 0.15 0.18 0.15 0.18 0.03 XXX
potent, compre.
92586......... ............ A........... Auditor evoke 0.00 1.41 1.64 NA NA 0.14 XXX
potent, limit.
92587......... ............ A........... Evoked auditory 0.13 0.65 1.01 NA NA 0.12 XXX
test.
92587......... TC.......... A........... Evoked auditory 0.00 0.61 0.96 NA NA 0.11 XXX
test.
[[Page 2686]]
92587......... 26.......... A........... Evoked auditory 0.13 0.04 0.05 0.04 0.05 0.01 XXX
test.
92588......... ............ A........... Evoked auditory 0.36 1.12 1.38 NA NA 0.14 XXX
test.
92588......... TC.......... A........... Evoked auditory 0.00 1.01 1.24 NA NA 0.13 XXX
test.
92588......... 26.......... A........... Evoked auditory 0.36 0.11 0.14 0.11 0.14 0.01 XXX
test.
92590......... ............ N........... Hearing aid exam, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
one ear.
92591......... ............ N........... Hearing aid exam, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
both ears.
92592......... ............ N........... Hearing aid check, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
one ear.
92593......... ............ N........... Hearing aid check, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
both ears.
92594......... ............ N........... Electro hearng aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test, one.
92595......... ............ N........... Electro hearng aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tst, both.
92596......... ............ A........... Ear protector 0.00 1.02 0.80 NA NA 0.06 XXX
evaluation.
92597......... ............ A........... Oral speech device 0.86 1.99 1.84 0.28 0.37 0.03 XXX
eval.
92601......... ............ A........... Cochlear implt f/ 2.30 1.09 2.29 0.64 2.07 0.07 XXX
up exam < 7.
92602......... ............ A........... Reprogram cochlear 1.30 0.84 1.61 0.40 1.39 0.07 XXX
implt < 7.
92603......... ............ A........... Cochlear implt f/ 2.25 1.19 1.67 0.73 1.44 0.07 XXX
up exam 7 >.
92604......... ............ A........... Reprogram cochlear 1.25 0.78 1.06 0.41 0.88 0.07 XXX
implt 7 >.
92605......... ............ B........... Eval for nonspeech 0.00 0.00 0.00 0.00 0.00 0.00 XXX
device rx.
92606......... ............ B........... Non-speech device 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
92607......... ............ A........... Ex for speech 0.00 4.63 3.86 NA NA 0.05 XXX
device rx, 1hr.
92608......... ............ A........... Ex for speech 0.00 0.88 0.72 NA NA 0.05 XXX
device rx addl.
92609......... ............ A........... Use of speech 0.00 2.45 2.02 NA NA 0.04 XXX
device service.
92610......... ............ A........... Evaluate 0.00 1.70 2.57 NA NA 0.08 XXX
swallowing
function.
92611......... ............ A........... Motion fluoroscopy/ 0.00 1.95 2.69 NA NA 0.08 XXX
swallow.
92612......... ............ A........... Endoscopy swallow 1.27 2.97 2.86 0.42 0.54 0.04 XXX
tst (fees).
92613......... ............ A........... Endoscopy swallow 0.71 0.24 0.32 0.24 0.31 0.05 XXX
tst (fees).
92614......... ............ A........... Laryngoscopic 1.27 2.42 2.46 0.42 0.54 0.04 XXX
sensory test.
92615......... ............ A........... Eval laryngoscopy 0.63 0.21 0.28 0.21 0.28 0.05 XXX
sense tst.
92616......... ............ A........... Fees w/laryngeal 1.88 3.16 3.28 0.61 0.80 0.06 XXX
sense test.
92617......... ............ A........... Interprt fees/ 0.79 0.26 0.35 0.26 0.35 0.05 XXX
laryngeal test.
92620......... ............ A........... Auditory function, 0.00 1.93 1.54 NA NA 0.06 XXX
60 min.
92621......... ............ A........... Auditory function, 0.00 0.44 0.34 NA NA 0.06 ZZZ
+ 15 min.
92625......... ............ A........... Tinnitus 0.00 1.94 1.53 1.94 1.53 0.06 XXX
assessment.
92626......... ............ A........... Eval aud rehab 0.00 2.01 2.10 NA NA 0.06 XXX
status.
92627......... ............ A........... Eval aud status 0.00 0.46 0.50 0.46 0.50 0.02 ZZZ
rehab add-on.
92630......... ............ I........... Aud rehab pre-ling 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hear loss.
92633......... ............ I........... Aud rehab postling 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hear loss.
92640......... ............ A........... Aud brainstem 0.00 1.34 1.34 1.34 1.34 0.01 XXX
implt programg.
92700......... ............ C........... Ent procedure/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
92950......... ............ A........... Heart/lung 3.79 3.25 3.72 0.77 0.87 0.28 000
resuscitation cpr.
92953......... ............ A........... Temporary external 0.23 NA NA 0.07 0.07 0.02 000
pacing.
92960......... ............ A........... Cardioversion 2.25 4.37 5.34 1.45 1.31 0.07 000
electric, ext.
92961......... ............ A........... Cardioversion, 4.59 NA NA 2.43 2.26 0.29 000
electric, int.
92970......... ............ A........... Cardioassist, 3.51 NA NA 1.46 1.26 0.16 000
internal.
92971......... ............ A........... Cardioassist, 1.77 NA NA 1.09 0.97 0.06 000
external.
92973......... ............ A........... Percut coronary 3.28 NA NA 1.76 1.52 0.23 ZZZ
thrombectomy.
92974......... ............ A........... Cath place, cardio 3.00 NA NA 1.62 1.40 0.21 ZZZ
brachytx.
92975......... ............ A........... Dissolve clot, 7.24 NA NA 3.84 3.33 0.50 000
heart vessel.
92977......... ............ A........... Dissolve clot, 0.00 1.73 4.89 NA NA 0.46 XXX
heart vessel.
92978......... ............ C........... Intravasc us, 0.00 0.00 0.00 NA NA 0.00 ZZZ
heart add-on.
92978......... TC.......... C........... Intravasc us, 0.00 0.00 0.00 NA NA 0.00 ZZZ
heart add-on.
92978......... 26.......... A........... Intravasc us, 1.80 0.96 0.84 0.96 0.84 0.06 ZZZ
heart add-on.
92979......... ............ C........... Intravasc us, 0.00 0.00 0.00 NA NA 0.00 ZZZ
heart add-on.
92979......... TC.......... C........... Intravasc us, 0.00 0.00 0.00 NA NA 0.00 ZZZ
heart add-on.
92979......... 26.......... A........... Intravasc us, 1.44 0.77 0.67 0.77 0.67 0.06 ZZZ
heart add-on.
92980......... ............ A........... Insert 14.82 NA NA 8.13 7.09 1.03 000
intracoronary
stent.
92981......... ............ A........... Insert 4.16 NA NA 2.23 1.93 0.29 ZZZ
intracoronary
stent.
92982......... ............ A........... Coronary artery 10.96 NA NA 6.06 5.29 0.76 000
dilation.
92984......... ............ A........... Coronary artery 2.97 NA NA 1.58 1.37 0.21 ZZZ
dilation.
92986......... ............ A........... Revision of aortic 22.70 NA NA 15.34 13.59 1.51 090
valve.
92987......... ............ A........... Revision of mitral 23.48 NA NA 15.96 14.09 1.59 090
valve.
92990......... ............ A........... Revision of 18.12 NA NA 11.34 10.57 1.20 090
pulmonary valve.
92992......... ............ C........... Revision of heart 0.00 0.00 0.00 0.00 0.00 0.00 090
chamber.
92993......... ............ C........... Revision of heart 0.00 0.00 0.00 0.00 0.00 0.00 090
chamber.
92995......... ............ A........... Coronary 12.07 NA NA 6.65 5.80 0.84 000
atherectomy.
92996......... ............ A........... Coronary 3.26 NA NA 1.76 1.51 0.10 ZZZ
atherectomy add-
on.
92997......... ............ A........... Pul art balloon 11.98 NA NA 5.61 5.22 0.40 000
repr, percut.
92998......... ............ A........... Pul art balloon 5.99 NA NA 3.00 2.60 0.28 ZZZ
repr, percut.
93000......... ............ A........... Electrocardiogram, 0.17 0.35 0.42 NA NA 0.03 XXX
complete.
93005......... ............ A........... Electrocardiogram, 0.00 0.28 0.36 NA NA 0.02 XXX
tracing.
93010......... ............ A........... Electrocardiogram 0.17 0.07 0.06 0.07 0.06 0.01 XXX
report.
93012......... ............ A........... Transmission of 0.00 4.17 5.09 NA NA 0.18 XXX
ecg.
93014......... ............ A........... Report on 0.52 0.22 0.21 0.22 0.21 0.02 XXX
transmitted ecg.
[[Page 2687]]
93015......... ............ A........... Cardiovascular 0.75 1.91 1.94 NA NA 0.14 XXX
stress test.
93016......... ............ A........... Cardiovascular 0.45 0.22 0.20 0.22 0.20 0.02 XXX
stress test.
93017......... ............ A........... Cardiovascular 0.00 1.54 1.61 NA NA 0.11 XXX
stress test.
93018......... ............ A........... Cardiovascular 0.30 0.15 0.13 0.15 0.13 0.01 XXX
stress test.
93024......... ............ A........... Cardiac drug 1.17 2.40 1.98 NA NA 0.12 XXX
stress test.
93024......... TC.......... A........... Cardiac drug 0.00 1.82 1.47 NA NA 0.08 XXX
stress test.
93024......... 26.......... A........... Cardiac drug 1.17 0.58 0.51 0.58 0.51 0.04 XXX
stress test.
93025......... ............ A........... Microvolt t-wave 0.75 3.93 5.77 NA NA 0.14 XXX
assess.
93025......... TC.......... A........... Microvolt t-wave 0.00 3.55 5.43 NA NA 0.11 XXX
assess.
93025......... 26.......... A........... Microvolt t-wave 0.75 0.38 0.34 0.38 0.34 0.03 XXX
assess.
93040......... ............ A........... Rhythm ECG with 0.16 0.19 0.20 NA NA 0.02 XXX
report.
93041......... ............ A........... Rhythm ECG, 0.00 0.14 0.15 NA NA 0.01 XXX
tracing.
93042......... ............ A........... Rhythm ECG, report 0.16 0.05 0.05 0.05 0.05 0.01 XXX
93224......... ............ A........... ECG monitor/ 0.52 2.31 2.97 NA NA 0.24 XXX
report, 24 hrs.
93225......... ............ A........... ECG monitor/ 0.00 0.85 1.05 NA NA 0.08 XXX
record, 24 hrs.
93226......... ............ A........... ECG monitor/ 0.00 1.19 1.69 NA NA 0.14 XXX
report, 24 hrs.
93227......... ............ A........... ECG monitor/ 0.52 0.27 0.23 0.27 0.23 0.02 XXX
review, 24 hrs.
93230......... ............ A........... ECG monitor/ 0.52 2.30 3.10 NA NA 0.26 XXX
report, 24 hrs.
93231......... ............ A........... Ecg monitor/ 0.00 0.72 1.12 NA NA 0.11 XXX
record, 24 hrs.
93232......... ............ A........... ECG monitor/ 0.00 1.35 1.77 NA NA 0.13 XXX
report, 24 hrs.
93233......... ............ A........... ECG monitor/ 0.52 0.23 0.21 0.23 0.21 0.02 XXX
review, 24 hrs.
93235......... ............ C........... ECG monitor/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
report, 24 hrs.
93236......... ............ C........... ECG monitor/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
report, 24 hrs.
93237......... ............ A........... ECG monitor/ 0.45 0.22 0.19 0.22 0.19 0.02 XXX
review, 24 hrs.
93268......... ............ A........... ECG record/review. 0.52 5.79 6.61 NA NA 0.28 XXX
93270......... ............ A........... ECG recording..... 0.00 0.29 0.76 NA NA 0.08 XXX
93271......... ............ A........... Ecg/monitoring and 0.00 5.28 5.65 NA NA 0.18 XXX
analysis.
93272......... ............ A........... Ecg/review, 0.52 0.22 0.20 0.22 0.20 0.02 XXX
interpret only.
93278......... ............ A........... ECG/signal- 0.25 0.62 0.93 NA NA 0.12 XXX
averaged.
93278......... TC.......... A........... ECG/signal- 0.00 0.52 0.83 NA NA 0.11 XXX
averaged.
93278......... 26.......... A........... ECG/signal- 0.25 0.10 0.10 0.10 0.10 0.01 XXX
averaged.
93303......... ............ A........... Echo transthoracic 1.30 4.50 4.41 NA NA 0.27 XXX
93303......... TC.......... A........... Echo transthoracic 0.00 3.97 3.91 NA NA 0.23 XXX
93303......... 26.......... A........... Echo transthoracic 1.30 0.53 0.50 0.53 0.50 0.04 XXX
93304......... ............ A........... Echo transthoracic 0.75 3.10 2.67 NA NA 0.15 XXX
93304......... TC.......... A........... Echo transthoracic 0.00 2.80 2.38 NA NA 0.13 XXX
93304......... 26.......... A........... Echo transthoracic 0.75 0.30 0.29 0.30 0.29 0.02 XXX
93307......... ............ A........... Echo exam of heart 0.92 3.73 3.97 NA NA 0.26 XXX
93307......... TC.......... A........... Echo exam of heart 0.00 3.28 3.57 NA NA 0.23 XXX
93307......... 26.......... A........... Echo exam of heart 0.92 0.45 0.40 0.45 0.40 0.03 XXX
93308......... ............ A........... Echo exam of heart 0.53 2.62 2.38 NA NA 0.15 XXX
93308......... TC.......... A........... Echo exam of heart 0.00 2.35 2.15 NA NA 0.13 XXX
93308......... 26.......... A........... Echo exam of heart 0.53 0.27 0.23 0.27 0.23 0.02 XXX
93312......... ............ A........... Echo 2.20 7.39 5.98 NA NA 0.37 XXX
transesophageal.
93312......... TC.......... A........... Echo 0.00 6.42 5.10 NA NA 0.29 XXX
transesophageal.
93312......... 26.......... A........... Echo 2.20 0.97 0.88 0.97 0.88 0.08 XXX
transesophageal.
93313......... ............ A........... Echo 0.95 NA NA 0.12 0.17 0.06 XXX
transesophageal.
93314......... ............ A........... Echo 1.25 7.22 5.73 NA NA 0.33 XXX
transesophageal.
93314......... TC.......... A........... Echo 0.00 6.66 5.22 NA NA 0.29 XXX
transesophageal.
93314......... 26.......... A........... Echo 1.25 0.56 0.51 0.56 0.51 0.04 XXX
transesophageal.
93315......... ............ C........... Echo 0.00 0.00 0.00 NA NA 0.00 XXX
transesophageal.
93315......... TC.......... C........... Echo 0.00 0.00 0.00 NA NA 0.00 XXX
transesophageal.
93315......... 26.......... A........... Echo 2.78 1.31 1.16 1.31 1.16 0.09 XXX
transesophageal.
93316......... ............ A........... Echo 0.95 NA NA 0.26 0.25 0.05 XXX
transesophageal.
93317......... ............ C........... Echo 0.00 0.00 0.00 NA NA 0.00 XXX
transesophageal.
93317......... TC.......... C........... Echo 0.00 0.00 0.00 NA NA 0.00 XXX
transesophageal.
93317......... 26.......... A........... Echo 1.83 0.55 0.61 0.55 0.61 0.08 XXX
transesophageal.
93318......... ............ C........... Echo 0.00 0.00 0.00 NA NA 0.00 XXX
transesophageal
intraop.
93318......... TC.......... C........... Echo 0.00 0.00 0.00 NA NA 0.00 XXX
transesophageal
intraop.
93318......... 26.......... A........... Echo 2.20 0.86 0.67 0.86 0.67 0.14 XXX
transesophageal
intraop.
93320......... ............ A........... Doppler echo exam, 0.38 1.67 1.77 NA NA 0.13 ZZZ
heart.
93320......... TC.......... A........... Doppler echo exam, 0.00 1.49 1.60 NA NA 0.12 ZZZ
heart.
93320......... 26.......... A........... Doppler echo exam, 0.38 0.18 0.17 0.18 0.17 0.01 ZZZ
heart.
93321......... ............ A........... Doppler echo exam, 0.15 0.61 0.89 NA NA 0.09 ZZZ
heart.
93321......... TC.......... A........... Doppler echo exam, 0.00 0.54 0.82 NA NA 0.08 ZZZ
heart.
93321......... 26.......... A........... Doppler echo exam, 0.15 0.07 0.07 0.07 0.07 0.01 ZZZ
heart.
93325......... ............ A........... Doppler color flow 0.07 0.66 1.80 NA NA 0.22 ZZZ
add-on.
93325......... TC.......... A........... Doppler color flow 0.00 0.63 1.77 NA NA 0.21 ZZZ
add-on.
93325......... 26.......... A........... Doppler color flow 0.07 0.03 0.03 0.03 0.03 0.01 ZZZ
add-on.
93350......... ............ A........... Echo transthoracic 1.48 5.09 3.71 NA NA 0.18 XXX
93350......... TC.......... A........... Echo transthoracic 0.00 4.33 3.05 NA NA 0.13 XXX
93350......... 26.......... A........... Echo transthoracic 1.48 0.76 0.66 0.76 0.66 0.05 XXX
[[Page 2688]]
93501......... ............ A........... Right heart 3.02 18.71 18.39 NA NA 1.27 000
catheterization.
93501......... TC.......... A........... Right heart 0.00 17.14 17.03 NA NA 1.06 000
catheterization.
93501......... 26.......... A........... Right heart 3.02 1.57 1.36 1.57 1.36 0.21 000
catheterization.
93503......... ............ A........... Insert/place heart 2.91 NA NA NA NA 0.20 000
catheter.
93505......... ............ A........... Biopsy of heart 4.37 20.92 12.29 NA NA 0.46 000
lining.
93505......... TC.......... A........... Biopsy of heart 0.00 18.64 10.31 NA NA 0.16 000
lining.
93505......... 26.......... A........... Biopsy of heart 4.37 2.28 1.98 2.28 1.98 0.30 000
lining.
93508......... ............ A........... Cath placement, 4.09 28.85 21.78 NA NA 0.93 000
angiography.
93508......... TC.......... A........... Cath placement, 0.00 26.68 19.65 NA NA 0.65 000
angiography.
93508......... 26.......... A........... Cath placement, 4.09 2.17 2.13 2.17 2.13 0.28 000
angiography.
93510......... ............ A........... Left heart 4.32 28.15 33.65 NA NA 2.61 000
catheterization.
93510......... TC.......... A........... Left heart 0.00 25.87 31.42 NA NA 2.31 000
catheterization.
93510......... 26.......... A........... Left heart 4.32 2.28 2.23 2.28 2.23 0.30 000
catheterization.
93511......... ............ C........... Left heart 0.00 NA NA NA NA 0.00 000
catheterization.
93511......... TC.......... C........... Left heart 0.00 NA NA NA NA 0.00 000
catheterization.
93511......... 26.......... A........... Left heart 5.02 2.65 2.55 2.65 2.55 0.35 000
catheterization.
93514......... ............ C........... Left heart 0.00 NA NA NA NA 0.00 000
catheterization.
93514......... TC.......... C........... Left heart 0.00 NA NA NA NA 0.00 000
catheterization.
93514......... 26.......... A........... Left heart 7.04 2.95 3.04 2.95 3.04 0.49 000
catheterization.
93524......... ............ C........... Left heart 0.00 NA NA NA NA 0.00 000
catheterization.
93524......... TC.......... C........... Left heart 0.00 NA NA NA NA 0.00 000
catheterization.
93524......... 26.......... A........... Left heart 6.94 3.78 3.47 3.78 3.47 0.48 000
catheterization.
93526......... ............ A........... Rt & Lt heart 5.98 35.14 43.04 NA NA 3.46 000
catheters.
93526......... TC.......... A........... Rt & Lt heart 0.00 31.97 40.05 NA NA 3.04 000
catheters.
93526......... 26.......... A........... Rt & Lt heart 5.98 3.17 2.99 3.17 2.99 0.42 000
catheters.
93527......... ............ C........... Rt & Lt heart 0.00 NA NA NA NA 0.00 000
catheters.
93527......... TC.......... C........... Rt & Lt heart 0.00 NA NA NA NA 0.00 000
catheters.
93527......... 26.......... A........... Rt & Lt heart 7.27 3.86 3.59 3.86 3.59 0.51 000
catheters.
93528......... ............ C........... Rt & Lt heart 0.00 NA NA NA NA 0.00 000
catheters.
93528......... TC.......... C........... Rt & Lt heart 0.00 NA NA NA NA 0.00 000
catheters.
93528......... 26.......... A........... Rt & Lt heart 8.99 4.43 4.23 4.43 4.23 0.62 000
catheters.
93529......... ............ C........... Rt, lt heart 0.00 NA NA NA NA 0.00 000
catheterization.
93529......... TC.......... C........... Rt, lt heart 0.00 NA NA NA NA 0.00 000
catheterization.
93529......... 26.......... A........... Rt, lt heart 4.79 2.58 2.43 2.58 2.43 0.33 000
catheterization.
93530......... ............ C........... Rt heart cath, 0.00 NA NA NA NA 0.00 000
congenital.
93530......... TC.......... C........... Rt heart cath, 0.00 NA NA NA NA 0.00 000
congenital.
93530......... 26.......... A........... Rt heart cath, 4.22 1.84 1.89 1.84 1.89 0.29 000
congenital.
93531......... ............ C........... R & l heart cath, 0.00 NA NA NA NA 0.00 000
congenital.
93531......... TC.......... C........... R & l heart cath, 0.00 NA NA NA NA 0.00 000
congenital.
93531......... 26.......... A........... R & l heart cath, 8.34 3.57 3.58 3.57 3.58 0.58 000
congenital.
93532......... ............ C........... R & l heart cath, 0.00 NA NA NA NA 0.00 000
congenital.
93532......... TC.......... C........... R & l heart cath, 0.00 NA NA NA NA 0.00 000
congenital.
93532......... 26.......... A........... R & l heart cath, 9.99 3.66 3.95 3.66 3.95 0.69 000
congenital.
93533......... ............ C........... R & l heart cath, 0.00 NA NA NA NA 0.00 000
congenital.
93533......... TC.......... C........... R & l heart cath, 0.00 NA NA NA NA 0.00 000
congenital.
93533......... 26.......... A........... R & l heart cath, 6.69 3.16 2.98 3.16 2.98 0.47 000
congenital.
93539......... ............ A........... Injection, cardiac 0.40 2.47 1.31 0.21 0.19 0.01 000
cath.
93540......... ............ A........... Injection, cardiac 0.43 8.62 4.39 0.23 0.20 0.01 000
cath.
93541......... ............ A........... Injection for lung 0.29 0.15 0.13 0.15 0.13 0.01 000
angiogram.
93542......... ............ A........... Injection for 0.29 5.19 2.65 0.15 0.13 0.01 000
heart x-rays.
93543......... ............ A........... Injection for 0.29 2.62 1.37 0.16 0.13 0.01 000
heart x-rays.
93544......... ............ A........... Injection for 0.25 1.84 0.97 0.13 0.12 0.01 000
aortography.
93545......... ............ A........... Inject for 0.40 5.87 3.01 0.21 0.19 0.01 000
coronary x-rays.
93555......... ............ A........... Imaging, cardiac 0.81 0.60 3.59 NA NA 0.37 XXX
cath.
93555......... TC.......... A........... Imaging, cardiac 0.00 0.17 3.22 NA NA 0.34 XXX
cath.
93555......... 26.......... A........... Imaging, cardiac 0.81 0.43 0.37 0.43 0.37 0.03 XXX
cath.
93556......... ............ A........... Imaging, cardiac 0.83 0.88 5.55 NA NA 0.54 XXX
cath.
93556......... TC.......... A........... Imaging, cardiac 0.00 0.44 5.17 NA NA 0.51 XXX
cath.
93556......... 26.......... A........... Imaging, cardiac 0.83 0.44 0.38 0.44 0.38 0.03 XXX
cath.
93561......... ............ C........... Cardiac output 0.00 NA NA NA NA 0.00 000
measurement.
93561......... TC.......... C........... Cardiac output 0.00 NA NA NA NA 0.00 000
measurement.
93561......... 26.......... A........... Cardiac output 0.50 0.14 0.15 0.14 0.15 0.02 000
measurement.
93562......... ............ C........... Cardiac output 0.00 NA NA NA NA 0.00 000
measurement.
93562......... TC.......... C........... Cardiac output 0.00 NA NA NA NA 0.00 000
measurement.
93562......... 26.......... A........... Cardiac output 0.16 0.03 0.04 0.03 0.04 0.01 000
measurement.
93571......... ............ C........... Heart flow reserve 0.00 NA NA NA NA 0.00 ZZZ
measure.
93571......... TC.......... C........... Heart flow reserve 0.00 NA NA NA NA 0.00 ZZZ
measure.
93571......... 26.......... A........... Heart flow reserve 1.80 0.96 0.82 0.96 0.82 0.06 ZZZ
measure.
93572......... ............ C........... Heart flow reserve 0.00 NA NA NA NA 0.00 ZZZ
measure.
93572......... TC.......... C........... Heart flow reserve 0.00 NA NA NA NA 0.00 ZZZ
measure.
93572......... 26.......... A........... Heart flow reserve 1.44 0.74 0.62 0.74 0.62 0.04 ZZZ
measure.
93580......... ............ A........... Transcath closure 17.97 NA NA 9.41 8.40 1.25 000
of asd.
[[Page 2689]]
93581......... ............ A........... Transcath closure 24.39 NA NA 11.56 10.48 1.72 000
of vsd.
93600......... ............ C........... Bundle of His 0.00 0.00 0.00 NA NA 0.00 000
recording.
93600......... TC.......... C........... Bundle of His 0.00 0.00 0.00 NA NA 0.00 000
recording.
93600......... 26.......... A........... Bundle of His 2.12 1.09 0.96 1.09 0.96 0.16 000
recording.
93602......... ............ C........... Intra-atrial 0.00 0.00 0.00 NA NA 0.00 000
recording.
93602......... TC.......... C........... Intra-atrial 0.00 0.00 0.00 NA NA 0.00 000
recording.
93602......... 26.......... A........... Intra-atrial 2.12 1.04 0.93 1.04 0.93 0.17 000
recording.
93603......... ............ C........... Right ventricular 0.00 0.00 0.00 NA NA 0.00 000
recording.
93603......... TC.......... C........... Right ventricular 0.00 0.00 0.00 NA NA 0.00 000
recording.
93603......... 26.......... A........... Right ventricular 2.12 1.04 0.92 1.04 0.92 0.18 000
recording.
93609......... ............ C........... Map tachycardia, 0.00 0.00 0.00 NA NA 0.00 ZZZ
add-on.
93609......... TC.......... C........... Map tachycardia, 0.00 0.00 0.00 NA NA 0.00 ZZZ
add-on.
93609......... 26.......... A........... Map tachycardia, 4.99 2.61 2.29 2.61 2.29 0.35 ZZZ
add-on.
93610......... ............ C........... Intra-atrial 0.00 0.00 0.00 NA NA 0.00 000
pacing.
93610......... TC.......... C........... Intra-atrial 0.00 0.00 0.00 NA NA 0.00 000
pacing.
93610......... 26.......... A........... Intra-atrial 3.02 1.47 1.31 1.47 1.31 0.24 000
pacing.
93612......... ............ C........... Intraventricular 0.00 0.00 0.00 NA NA 0.00 000
pacing.
93612......... TC.......... C........... Intraventricular 0.00 0.00 0.00 NA NA 0.00 000
pacing.
93612......... 26.......... A........... Intraventricular 3.02 1.43 1.29 1.43 1.29 0.25 000
pacing.
93613......... ............ A........... Electrophys map 6.99 NA NA 3.69 3.23 0.49 ZZZ
3d, add-on.
93615......... ............ C........... Esophageal 0.00 0.00 0.00 NA NA 0.00 000
recording.
93615......... TC.......... C........... Esophageal 0.00 0.00 0.00 NA NA 0.00 000
recording.
93615......... 26.......... A........... Esophageal 0.99 0.54 0.40 0.54 0.40 0.03 000
recording.
93616......... ............ C........... Esophageal 0.00 0.00 0.00 NA NA 0.00 000
recording.
93616......... TC.......... C........... Esophageal 0.00 0.00 0.00 NA NA 0.00 000
recording.
93616......... 26.......... A........... Esophageal 1.49 0.26 0.35 0.26 0.35 0.09 000
recording.
93618......... ............ C........... Heart rhythm 0.00 0.00 0.00 NA NA 0.00 000
pacing.
93618......... TC.......... C........... Heart rhythm 0.00 0.00 0.00 NA NA 0.00 000
pacing.
93618......... 26.......... A........... Heart rhythm 4.25 2.28 1.97 2.28 1.97 0.30 000
pacing.
93619......... ............ C........... Electrophysiology 0.00 0.00 0.00 NA NA 0.00 000
evaluation.
93619......... TC.......... C........... Electrophysiology 0.00 0.00 0.00 NA NA 0.00 000
evaluation.
93619......... 26.......... A........... Electrophysiology 7.31 3.87 3.53 3.87 3.53 0.51 000
evaluation.
93620......... ............ C........... Electrophysiology 0.00 0.00 0.00 NA NA 0.00 000
evaluation.
93620......... TC.......... C........... Electrophysiology 0.00 0.00 0.00 NA NA 0.00 000
evaluation.
93620......... 26.......... A........... Electrophysiology 11.57 6.09 5.46 6.09 5.46 0.80 000
evaluation.
93621......... ............ C........... Electrophysiology 0.00 0.00 0.00 NA NA 0.00 ZZZ
evaluation.
93621......... TC.......... C........... Electrophysiology 0.00 0.00 0.00 NA NA 0.00 ZZZ
evaluation.
93621......... 26.......... A........... Electrophysiology 2.10 1.10 0.96 1.10 0.96 0.15 ZZZ
evaluation.
93622......... ............ C........... Electrophysiology 0.00 0.00 0.00 NA NA 0.00 ZZZ
evaluation.
93622......... TC.......... C........... Electrophysiology 0.00 0.00 0.00 NA NA 0.00 ZZZ
evaluation.
93622......... 26.......... A........... Electrophysiology 3.10 1.57 1.39 1.57 1.39 0.22 ZZZ
evaluation.
93623......... ............ C........... Stimulation, 0.00 0.00 0.00 NA NA 0.00 ZZZ
pacing heart.
93623......... TC.......... C........... Stimulation, 0.00 0.00 0.00 NA NA 0.00 ZZZ
pacing heart.
93623......... 26.......... A........... Stimulation, 2.85 1.50 1.30 1.50 1.30 0.20 ZZZ
pacing heart.
93624......... ............ C........... Electrophysiologic 0.00 0.00 0.00 NA NA 0.00 000
study.
93624......... TC.......... C........... Electrophysiologic 0.00 0.00 0.00 NA NA 0.00 000
study.
93624......... 26.......... A........... Electrophysiologic 4.80 2.60 2.40 2.60 2.40 0.33 000
study.
93631......... ............ C........... Heart pacing, 0.00 0.00 0.00 NA NA 0.00 000
mapping.
93631......... TC.......... C........... Heart pacing, 0.00 0.00 0.00 NA NA 0.00 000
mapping.
93631......... 26.......... A........... Heart pacing, 7.59 2.75 2.76 2.75 2.76 0.97 000
mapping.
93640......... ............ C........... Evaluation heart 0.00 0.00 0.00 NA NA 0.00 000
device.
93640......... TC.......... C........... Evaluation heart 0.00 0.00 0.00 NA NA 0.00 000
device.
93640......... 26.......... A........... Evaluation heart 3.51 1.82 1.59 1.82 1.59 0.24 000
device.
93641......... ............ C........... Electrophysiology 0.00 0.00 0.00 NA NA 0.00 000
evaluation.
93641......... TC.......... C........... Electrophysiology 0.00 0.00 0.00 NA NA 0.00 000
evaluation.
93641......... 26.......... A........... Electrophysiology 5.92 3.11 2.71 3.11 2.71 0.41 000
evaluation.
93642......... ............ C........... Electrophysiology 0.00 0.00 0.00 NA NA 0.00 000
evaluation.
93642......... TC.......... A........... Electrophysiology 0.00 4.77 5.97 NA NA 0.42 000
evaluation.
93642......... 26.......... A........... Electrophysiology 4.88 2.60 2.41 2.60 2.41 0.15 000
evaluation.
93650......... ............ A........... Ablate heart 10.49 NA NA 5.80 5.12 0.73 000
dysrhythm focus.
93651......... ............ A........... Ablate heart 16.23 NA NA 8.53 7.43 1.13 000
dysrhythm focus.
93652......... ............ A........... Ablate heart 17.65 NA NA 9.35 8.12 1.23 000
dysrhythm focus.
93660......... ............ A........... Tilt table 1.89 3.01 2.71 NA NA 0.08 000
evaluation.
93660......... TC.......... A........... Tilt table 0.00 2.04 1.86 NA NA 0.02 000
evaluation.
93660......... 26.......... A........... Tilt table 1.89 0.97 0.85 0.97 0.85 0.06 000
evaluation.
93662......... ............ C........... Intracardiac ecg 0.00 0.00 0.00 NA NA 0.00 ZZZ
(ice).
93662......... TC.......... C........... Intracardiac ecg 0.00 0.00 0.00 NA NA 0.00 ZZZ
(ice).
93662......... 26.......... A........... Intracardiac ecg 2.80 1.47 1.29 1.47 1.29 0.09 ZZZ
(ice).
93668......... ............ N........... Peripheral 0.00 0.41 0.41 NA NA 0.01 XXX
vascular rehab.
93701......... ............ A........... Bioimpedance, 0.17 0.70 0.84 NA NA 0.02 XXX
thoracic.
93701......... TC.......... A........... Bioimpedance, 0.00 0.64 0.77 NA NA 0.01 XXX
thoracic.
93701......... 26.......... A........... Bioimpedance, 0.17 0.06 0.07 0.06 0.07 0.01 XXX
thoracic.
[[Page 2690]]
93720......... ............ A........... Total body 0.17 1.17 0.97 NA NA 0.07 XXX
plethysmography.
93721......... ............ A........... Plethysmography 0.00 1.13 0.92 NA NA 0.06 XXX
tracing.
93722......... ............ A........... Plethysmography 0.17 0.04 0.05 0.04 0.05 0.01 XXX
report.
93724......... ............ A........... Analyze pacemaker 4.88 3.23 4.55 NA NA 0.39 000
system.
93724......... TC.......... A........... Analyze pacemaker 0.00 0.88 2.42 NA NA 0.24 000
system.
93724......... 26.......... A........... Analyze pacemaker 4.88 2.35 2.13 2.35 2.13 0.15 000
system.
93727......... ............ A........... Analyze ilr system 0.52 0.64 0.42 0.64 0.42 0.02 XXX
93731......... ............ A........... Analyze pacemaker 0.45 0.79 0.72 NA NA 0.05 XXX
system.
93731......... TC.......... A........... Analyze pacemaker 0.00 0.55 0.52 NA NA 0.04 XXX
system.
93731......... 26.......... A........... Analyze pacemaker 0.45 0.24 0.20 0.24 0.20 0.01 XXX
system.
93732......... ............ A........... Analyze pacemaker 0.92 1.15 1.01 NA NA 0.07 XXX
system.
93732......... TC.......... A........... Analyze pacemaker 0.00 0.67 0.59 NA NA 0.04 XXX
system.
93732......... 26.......... A........... Analyze pacemaker 0.92 0.48 0.42 0.48 0.42 0.03 XXX
system.
93733......... ............ A........... Telephone analy, 0.17 0.93 0.86 NA NA 0.07 XXX
pacemaker.
93733......... TC.......... A........... Telephone analy, 0.00 0.85 0.79 NA NA 0.06 XXX
pacemaker.
93733......... 26.......... A........... Telephone analy, 0.17 0.08 0.07 0.08 0.07 0.01 XXX
pacemaker.
93734......... ............ A........... Analyze pacemaker 0.38 0.69 0.60 NA NA 0.03 XXX
system.
93734......... TC.......... A........... Analyze pacemaker 0.00 0.50 0.43 NA NA 0.02 XXX
system.
93734......... 26.......... A........... Analyze pacemaker 0.38 0.19 0.17 0.19 0.17 0.01 XXX
system.
93735......... ............ A........... Analyze pacemaker 0.74 0.96 0.84 NA NA 0.06 XXX
system.
93735......... TC.......... A........... Analyze pacemaker 0.00 0.57 0.51 NA NA 0.04 XXX
system.
93735......... 26.......... A........... Analyze pacemaker 0.74 0.39 0.33 0.39 0.33 0.02 XXX
system.
93736......... ............ A........... Telephonic analy, 0.15 0.91 0.79 NA NA 0.07 XXX
pacemaker.
93736......... TC.......... A........... Telephonic analy, 0.00 0.84 0.73 NA NA 0.06 XXX
pacemaker.
93736......... 26.......... A........... Telephonic analy, 0.15 0.07 0.06 0.07 0.06 0.01 XXX
pacemaker.
93740......... ............ B........... Temperature 0.16 0.04 0.11 NA NA 0.02 XXX
gradient studies.
93740......... TC.......... B........... Temperature 0.00 0.00 0.07 NA NA 0.01 XXX
gradient studies.
93740......... 26.......... B........... Temperature 0.16 0.04 0.04 0.04 0.04 0.01 XXX
gradient studies.
93741......... ............ A........... Analyze ht pace 0.80 1.02 0.99 NA NA 0.07 XXX
device sngl.
93741......... TC.......... A........... Analyze ht pace 0.00 0.60 0.63 NA NA 0.04 XXX
device sngl.
93741......... 26.......... A........... Analyze ht pace 0.80 0.42 0.36 0.42 0.36 0.03 XXX
device sngl.
93742......... ............ A........... Analyze ht pace 0.91 1.15 1.09 NA NA 0.07 XXX
device sngl.
93742......... TC.......... A........... Analyze ht pace 0.00 0.67 0.67 NA NA 0.04 XXX
device sngl.
93742......... 26.......... A........... Analyze ht pace 0.91 0.48 0.42 0.48 0.42 0.03 XXX
device sngl.
93743......... ............ A........... Analyze ht pace 1.03 1.19 1.16 NA NA 0.07 XXX
device dual.
93743......... TC.......... A........... Analyze ht pace 0.00 0.64 0.69 NA NA 0.04 XXX
device dual.
93743......... 26.......... A........... Analyze ht pace 1.03 0.55 0.47 0.55 0.47 0.03 XXX
device dual.
93744......... ............ A........... Analyze ht pace 1.18 1.35 1.23 NA NA 0.08 XXX
device dual.
93744......... TC.......... A........... Analyze ht pace 0.00 0.72 0.69 NA NA 0.04 XXX
device dual.
93744......... 26.......... A........... Analyze ht pace 1.18 0.63 0.54 0.63 0.54 0.04 XXX
device dual.
93745......... ............ C........... Set-up cardiovert- 0.00 0.00 0.00 NA NA 0.00 XXX
defibrill.
93745......... TC.......... C........... Set-up cardiovert- 0.00 0.00 0.00 NA NA 0.00 XXX
defibrill.
93745......... 26.......... C........... Set-up cardiovert- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
defibrill.
93760......... ............ N........... Cephalic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thermogram.
93762......... ............ N........... Peripheral 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thermogram.
93770......... ............ B........... Measure venous 0.16 0.04 0.05 NA NA 0.02 XXX
pressure.
93770......... TC.......... B........... Measure venous 0.00 0.00 0.01 NA NA 0.01 XXX
pressure.
93770......... 26.......... B........... Measure venous 0.16 0.04 0.04 0.04 0.04 0.01 XXX
pressure.
93784......... ............ A........... Ambulatory BP 0.38 1.39 1.47 NA NA 0.03 XXX
monitoring.
93786......... ............ A........... Ambulatory BP 0.00 0.81 0.86 NA NA 0.01 XXX
recording.
93788......... ............ A........... Ambulatory BP 0.00 0.45 0.48 NA NA 0.01 XXX
analysis.
93790......... ............ A........... Review/report BP 0.38 0.13 0.13 0.13 0.13 0.01 XXX
recording.
93797......... ............ A........... Cardiac rehab..... 0.18 0.32 0.31 0.09 0.08 0.01 000
93798......... ............ A........... Cardiac rehab/ 0.28 0.44 0.45 0.13 0.12 0.01 000
monitor.
93799......... ............ C........... Cardiovascular 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
93799......... TC.......... C........... Cardiovascular 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
93799......... 26.......... C........... Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
93875......... ............ A........... Extracranial study 0.22 2.55 2.44 NA NA 0.12 XXX
93875......... TC.......... A........... Extracranial study 0.00 2.48 2.37 NA NA 0.11 XXX
93875......... 26.......... A........... Extracranial study 0.22 0.07 0.07 0.07 0.07 0.01 XXX
93880......... ............ A........... Extracranial study 0.60 6.16 5.85 NA NA 0.39 XXX
93880......... TC.......... A........... Extracranial study 0.00 5.95 5.65 NA NA 0.35 XXX
93880......... 26.......... A........... Extracranial study 0.60 0.21 0.20 0.21 0.20 0.04 XXX
93882......... ............ A........... Extracranial study 0.40 4.12 3.82 NA NA 0.26 XXX
93882......... TC.......... A........... Extracranial study 0.00 4.01 3.69 NA NA 0.22 XXX
93882......... 26.......... A........... Extracranial study 0.40 0.11 0.13 0.11 0.13 0.04 XXX
93886......... ............ A........... Intracranial study 0.94 7.03 6.88 NA NA 0.45 XXX
93886......... TC.......... A........... Intracranial study 0.00 6.75 6.56 NA NA 0.39 XXX
93886......... 26.......... A........... Intracranial study 0.94 0.28 0.32 0.28 0.32 0.06 XXX
93888......... ............ A........... Intracranial study 0.62 4.92 4.57 NA NA 0.32 XXX
93888......... TC.......... A........... Intracranial study 0.00 4.72 4.36 NA NA 0.27 XXX
93888......... 26.......... A........... Intracranial study 0.62 0.20 0.21 0.20 0.21 0.05 XXX
[[Page 2691]]
93890......... ............ A........... Tcd, 1.00 6.44 5.68 NA NA 0.45 XXX
vasoreactivity
study.
93890......... TC.......... A........... Tcd, 0.00 6.13 5.32 NA NA 0.39 XXX
vasoreactivity
study.
93890......... 26.......... A........... Tcd, 1.00 0.31 0.36 0.31 0.36 0.06 XXX
vasoreactivity
study.
93892......... ............ A........... Tcd, emboli detect 1.15 6.85 6.00 NA NA 0.45 XXX
w/o inj.
93892......... TC.......... A........... Tcd, emboli detect 0.00 6.53 5.61 NA NA 0.39 XXX
w/o inj.
93892......... 26.......... A........... Tcd, emboli detect 1.15 0.32 0.39 0.32 0.39 0.06 XXX
w/o inj.
93893......... ............ A........... Tcd, emboli detect 1.15 7.00 6.01 NA NA 0.45 XXX
w/inj.
93893......... TC.......... A........... Tcd, emboli detect 0.00 6.67 5.62 NA NA 0.39 XXX
w/inj.
93893......... 26.......... A........... Tcd, emboli detect 1.15 0.33 0.39 0.33 0.39 0.06 XXX
w/inj.
93922......... ............ A........... Extremity study... 0.25 3.11 2.90 NA NA 0.15 XXX
93922......... TC.......... A........... Extremity study... 0.00 3.03 2.82 NA NA 0.13 XXX
93922......... 26.......... A........... Extremity study... 0.25 0.08 0.08 0.08 0.08 0.02 XXX
93923......... ............ A........... Extremity study... 0.45 4.68 4.35 NA NA 0.26 XXX
93923......... TC.......... A........... Extremity study... 0.00 4.54 4.21 NA NA 0.22 XXX
93923......... 26.......... A........... Extremity study... 0.45 0.14 0.14 0.14 0.14 0.04 XXX
93924......... ............ A........... Extremity study... 0.50 5.94 5.36 NA NA 0.30 XXX
93924......... TC.......... A........... Extremity study... 0.00 5.77 5.19 NA NA 0.25 XXX
93924......... 26.......... A........... Extremity study... 0.50 0.17 0.17 0.17 0.17 0.05 XXX
93925......... ............ A........... Lower extremity 0.58 8.02 7.40 NA NA 0.39 XXX
study.
93925......... TC.......... A........... Lower extremity 0.00 7.83 7.21 NA NA 0.35 XXX
study.
93925......... 26.......... A........... Lower extremity 0.58 0.19 0.19 0.19 0.19 0.04 XXX
study.
93926......... ............ A........... Lower extremity 0.39 5.14 4.60 NA NA 0.27 XXX
study.
93926......... TC.......... A........... Lower extremity 0.00 5.03 4.48 NA NA 0.23 XXX
study.
93926......... 26.......... A........... Lower extremity 0.39 0.11 0.12 0.11 0.12 0.04 XXX
study.
93930......... ............ A........... Upper extremity 0.46 6.25 5.80 NA NA 0.41 XXX
study.
93930......... TC.......... A........... Upper extremity 0.00 6.10 5.65 NA NA 0.37 XXX
study.
93930......... 26.......... A........... Upper extremity 0.46 0.15 0.15 0.15 0.15 0.04 XXX
study.
93931......... ............ A........... Upper extremity 0.31 4.18 3.83 NA NA 0.27 XXX
study.
93931......... TC.......... A........... Upper extremity 0.00 4.08 3.73 NA NA 0.24 XXX
study.
93931......... 26.......... A........... Upper extremity 0.31 0.10 0.10 0.10 0.10 0.03 XXX
study.
93965......... ............ A........... Extremity study... 0.35 3.01 2.90 NA NA 0.14 XXX
93965......... TC.......... A........... Extremity study... 0.00 2.90 2.79 NA NA 0.12 XXX
93965......... 26.......... A........... Extremity study... 0.35 0.11 0.11 0.11 0.11 0.02 XXX
93970......... ............ A........... Extremity study... 0.68 6.20 5.73 NA NA 0.46 XXX
93970......... TC.......... A........... Extremity study... 0.00 5.99 5.51 NA NA 0.40 XXX
93970......... 26.......... A........... Extremity study... 0.68 0.21 0.22 0.21 0.22 0.06 XXX
93971......... ............ A........... Extremity study... 0.45 4.07 3.83 NA NA 0.30 XXX
93971......... TC.......... A........... Extremity study... 0.00 3.92 3.68 NA NA 0.27 XXX
93971......... 26.......... A........... Extremity study... 0.45 0.15 0.15 0.15 0.15 0.03 XXX
93975......... ............ A........... Vascular study.... 1.80 8.46 8.04 NA NA 0.56 XXX
93975......... TC.......... A........... Vascular study.... 0.00 7.83 7.43 NA NA 0.43 XXX
93975......... 26.......... A........... Vascular study.... 1.80 0.63 0.61 0.63 0.61 0.13 XXX
93976......... ............ A........... Vascular study.... 1.21 4.58 4.45 NA NA 0.35 XXX
93976......... TC.......... A........... Vascular study.... 0.00 4.16 4.04 NA NA 0.30 XXX
93976......... 26.......... A........... Vascular study.... 1.21 0.42 0.41 0.42 0.41 0.05 XXX
93978......... ............ A........... Vascular study.... 0.65 6.03 5.28 NA NA 0.43 XXX
93978......... TC.......... A........... Vascular study.... 0.00 5.82 5.06 NA NA 0.37 XXX
93978......... 26.......... A........... Vascular study.... 0.65 0.21 0.22 0.21 0.22 0.06 XXX
93979......... ............ A........... Vascular study.... 0.44 4.16 3.69 NA NA 0.27 XXX
93979......... TC.......... A........... Vascular study.... 0.00 4.02 3.54 NA NA 0.24 XXX
93979......... 26.......... A........... Vascular study.... 0.44 0.14 0.15 0.14 0.15 0.03 XXX
93980......... ............ A........... Penile vascular 1.25 3.48 3.16 NA NA 0.42 XXX
study.
93980......... TC.......... A........... Penile vascular 0.00 3.02 2.73 NA NA 0.34 XXX
study.
93980......... 26.......... A........... Penile vascular 1.25 0.46 0.43 0.46 0.43 0.08 XXX
study.
93981......... ............ A........... Penile vascular 0.44 2.84 2.86 NA NA 0.33 XXX
study.
93981......... TC.......... A........... Penile vascular 0.00 2.68 2.71 NA NA 0.31 XXX
study.
93981......... 26.......... A........... Penile vascular 0.44 0.16 0.15 0.16 0.15 0.02 XXX
study.
93982......... ............ R........... Aneurysm pressure 0.30 0.80 0.80 NA NA 0.01 XXX
sens study.
93990......... ............ A........... Doppler flow 0.25 5.22 4.61 NA NA 0.26 XXX
testing.
93990......... TC.......... A........... Doppler flow 0.00 5.16 4.53 NA NA 0.23 XXX
testing.
93990......... 26.......... A........... Doppler flow 0.25 0.06 0.08 0.06 0.08 0.03 XXX
testing.
94002......... ............ A........... Vent mgmt inpat, 1.99 NA NA 0.35 0.34 0.09 XXX
init day.
94003......... ............ A........... Vent mgmt inpat, 1.37 NA NA 0.32 0.32 0.06 XXX
subq day.
94004......... ............ A........... Vent mgmt nf per 1.00 NA NA 0.23 0.23 0.04 XXX
day.
94005......... ............ B........... Home vent mgmt 1.50 0.70 0.70 NA NA 0.06 XXX
supervision.
94010......... ............ A........... Breathing capacity 0.17 0.74 0.71 NA NA 0.03 XXX
test.
94010......... TC.......... A........... Breathing capacity 0.00 0.70 0.66 NA NA 0.02 XXX
test.
94010......... 26.......... A........... Breathing capacity 0.17 0.04 0.05 0.04 0.05 0.01 XXX
test.
94014......... ............ A........... Patient recorded 0.52 0.81 0.78 NA NA 0.03 XXX
spirometry.
94015......... ............ A........... Patient recorded 0.00 0.67 0.63 NA NA 0.01 XXX
spirometry.
94016......... ............ A........... Review patient 0.52 0.14 0.15 0.14 0.15 0.02 XXX
spirometry.
94060......... ............ A........... Evaluation of 0.31 1.32 1.19 NA NA 0.07 XXX
wheezing.
[[Page 2692]]
94060......... TC.......... A........... Evaluation of 0.00 1.24 1.11 NA NA 0.06 XXX
wheezing.
94060......... 26.......... A........... Evaluation of 0.31 0.08 0.08 0.08 0.08 0.01 XXX
wheezing.
94070......... ............ A........... Evaluation of 0.60 1.00 0.90 NA NA 0.13 XXX
wheezing.
94070......... TC.......... A........... Evaluation of 0.00 0.85 0.74 NA NA 0.10 XXX
wheezing.
94070......... 26.......... A........... Evaluation of 0.60 0.15 0.16 0.15 0.16 0.03 XXX
wheezing.
94150......... ............ B........... Vital capacity 0.07 0.48 0.47 NA NA 0.02 XXX
test.
94150......... TC.......... B........... Vital capacity 0.00 0.46 0.45 NA NA 0.01 XXX
test.
94150......... 26.......... B........... Vital capacity 0.07 0.02 0.02 0.02 0.02 0.01 XXX
test.
94200......... ............ A........... Lung function test 0.11 0.51 0.47 NA NA 0.03 XXX
(MBC/MVV).
94200......... TC.......... A........... Lung function test 0.00 0.48 0.44 NA NA 0.02 XXX
(MBC/MVV).
94200......... 26.......... A........... Lung function test 0.11 0.03 0.03 0.03 0.03 0.01 XXX
(MBC/MVV).
94240......... ............ A........... Residual lung 0.26 0.82 0.74 NA NA 0.06 XXX
capacity.
94240......... TC.......... A........... Residual lung 0.00 0.76 0.67 NA NA 0.05 XXX
capacity.
94240......... 26.......... A........... Residual lung 0.26 0.06 0.07 0.06 0.07 0.01 XXX
capacity.
94250......... ............ A........... Expired gas 0.11 0.51 0.58 NA NA 0.02 XXX
collection.
94250......... TC.......... A........... Expired gas 0.00 0.48 0.55 NA NA 0.01 XXX
collection.
94250......... 26.......... A........... Expired gas 0.11 0.03 0.03 0.03 0.03 0.01 XXX
collection.
94260......... ............ A........... Thoracic gas 0.13 0.76 0.66 NA NA 0.05 XXX
volume.
94260......... TC.......... A........... Thoracic gas 0.00 0.73 0.63 NA NA 0.04 XXX
volume.
94260......... 26.......... A........... Thoracic gas 0.13 0.03 0.03 0.03 0.03 0.01 XXX
volume.
94350......... ............ A........... Lung nitrogen 0.26 0.61 0.69 NA NA 0.05 XXX
washout curve.
94350......... TC.......... A........... Lung nitrogen 0.00 0.55 0.62 NA NA 0.04 XXX
washout curve.
94350......... 26.......... A........... Lung nitrogen 0.26 0.06 0.07 0.06 0.07 0.01 XXX
washout curve.
94360......... ............ A........... Measure airflow 0.26 0.95 0.82 NA NA 0.07 XXX
resistance.
94360......... TC.......... A........... Measure airflow 0.00 0.89 0.75 NA NA 0.06 XXX
resistance.
94360......... 26.......... A........... Measure airflow 0.26 0.06 0.07 0.06 0.07 0.01 XXX
resistance.
94370......... ............ A........... Breath airway 0.26 0.60 0.66 NA NA 0.03 XXX
closing volume.
94370......... TC.......... A........... Breath airway 0.00 0.53 0.59 NA NA 0.02 XXX
closing volume.
94370......... 26.......... A........... Breath airway 0.26 0.07 0.07 0.07 0.07 0.01 XXX
closing volume.
94375......... ............ A........... Respiratory flow 0.31 0.73 0.66 NA NA 0.03 XXX
volume loop.
94375......... TC.......... A........... Respiratory flow 0.00 0.65 0.58 NA NA 0.02 XXX
volume loop.
94375......... 26.......... A........... Respiratory flow 0.31 0.08 0.08 0.08 0.08 0.01 XXX
volume loop.
94400......... ............ A........... CO2 breathing 0.40 1.03 0.94 NA NA 0.09 XXX
response curve.
94400......... TC.......... A........... CO2 breathing 0.00 0.93 0.83 NA NA 0.06 XXX
response curve.
94400......... 26.......... A........... CO2 breathing 0.40 0.10 0.11 0.10 0.11 0.03 XXX
response curve.
94450......... ............ A........... Hypoxia response 0.40 1.01 0.92 NA NA 0.04 XXX
curve.
94450......... TC.......... A........... Hypoxia response 0.00 0.92 0.82 NA NA 0.02 XXX
curve.
94450......... 26.......... A........... Hypoxia response 0.40 0.09 0.10 0.09 0.10 0.02 XXX
curve.
94452......... ............ A........... Hast w/report..... 0.31 1.27 1.14 NA NA 0.04 XXX
94452......... TC.......... A........... Hast w/report..... 0.00 1.20 1.06 NA NA 0.02 XXX
94452......... 26.......... A........... Hast w/report..... 0.31 0.07 0.08 0.07 0.08 0.02 XXX
94453......... ............ A........... Hast w/oxygen 0.40 1.69 1.60 NA NA 0.04 XXX
titrate.
94453......... TC.......... A........... Hast w/oxygen 0.00 1.59 1.49 NA NA 0.02 XXX
titrate.
94453......... 26.......... A........... Hast w/oxygen 0.40 0.10 0.11 0.10 0.11 0.02 XXX
titrate.
94610......... ............ A........... Surfactant admin 1.16 0.34 0.34 0.34 0.34 0.26 XXX
thru tube.
94620......... ............ A........... Pulmonary stress 0.64 0.79 1.64 NA NA 0.13 XXX
test/simple.
94620......... TC.......... A........... Pulmonary stress 0.00 0.63 1.46 NA NA 0.10 XXX
test/simple.
94620......... 26.......... A........... Pulmonary stress 0.64 0.16 0.18 0.16 0.18 0.03 XXX
test/simple.
94621......... ............ A........... Pulm stress test/ 1.42 3.18 2.69 NA NA 0.16 XXX
complex.
94621......... TC.......... A........... Pulm stress test/ 0.00 2.73 2.25 NA NA 0.10 XXX
complex.
94621......... 26.......... A........... Pulm stress test/ 1.42 0.45 0.44 0.45 0.44 0.06 XXX
complex.
94640......... ............ A........... Airway inhalation 0.00 0.38 0.34 NA NA 0.02 XXX
treatment.
94642......... ............ C........... Aerosol inhalation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
94644......... ............ A........... Cbt, 1st hour..... 0.00 0.96 0.96 NA NA 0.02 XXX
94645......... ............ A........... Cbt, each addl 0.00 0.35 0.35 NA NA 0.02 XXX
hour.
94660......... ............ A........... Pos airway 0.76 0.81 0.73 0.19 0.21 0.04 XXX
pressure, CPAP.
94662......... ............ A........... Neg press 0.76 NA NA 0.20 0.21 0.03 XXX
ventilation, cnp.
94664......... ............ A........... Evaluate pt use of 0.00 0.40 0.36 NA NA 0.04 XXX
inhaler.
94667......... ............ A........... Chest wall 0.00 0.54 0.53 NA NA 0.05 XXX
manipulation.
94668......... ............ A........... Chest wall 0.00 0.51 0.48 NA NA 0.02 XXX
manipulation.
94680......... ............ A........... Exhaled air 0.26 1.06 1.46 NA NA 0.07 XXX
analysis, o2.
94680......... TC.......... A........... Exhaled air 0.00 1.00 1.39 NA NA 0.06 XXX
analysis, o2.
94680......... 26.......... A........... Exhaled air 0.26 0.06 0.07 0.06 0.07 0.01 XXX
analysis, o2.
94681......... ............ A........... Exhaled air 0.20 1.07 1.79 NA NA 0.13 XXX
analysis, o2/co2.
94681......... TC.......... A........... Exhaled air 0.00 1.02 1.74 NA NA 0.12 XXX
analysis, o2/co2.
94681......... 26.......... A........... Exhaled air 0.20 0.05 0.05 0.05 0.05 0.01 XXX
analysis, o2/co2.
94690......... ............ A........... Exhaled air 0.07 1.04 1.52 NA NA 0.05 XXX
analysis.
94690......... TC.......... A........... Exhaled air 0.00 1.02 1.50 NA NA 0.04 XXX
analysis.
94690......... 26.......... A........... Exhaled air 0.07 0.02 0.02 0.02 0.02 0.01 XXX
analysis.
94720......... ............ A........... Monoxide diffusing 0.26 1.15 1.08 NA NA 0.07 XXX
capacity.
94720......... TC.......... A........... Monoxide diffusing 0.00 1.09 1.01 NA NA 0.06 XXX
capacity.
94720......... 26.......... A........... Monoxide diffusing 0.26 0.06 0.07 0.06 0.07 0.01 XXX
capacity.
[[Page 2693]]
94725......... ............ A........... Membrane diffusion 0.26 0.98 1.94 NA NA 0.13 XXX
capacity.
94725......... TC.......... A........... Membrane diffusion 0.00 0.91 1.87 NA NA 0.12 XXX
capacity.
94725......... 26.......... A........... Membrane diffusion 0.26 0.07 0.07 0.07 0.07 0.01 XXX
capacity.
94750......... ............ A........... Pulmonary 0.23 1.77 1.55 NA NA 0.05 XXX
compliance study.
94750......... TC.......... A........... Pulmonary 0.00 1.71 1.49 NA NA 0.04 XXX
compliance study.
94750......... 26.......... A........... Pulmonary 0.23 0.06 0.06 0.06 0.06 0.01 XXX
compliance study.
94760......... ............ T........... Measure blood 0.00 0.06 0.05 NA NA 0.02 XXX
oxygen level.
94761......... ............ T........... Measure blood 0.00 0.11 0.09 NA NA 0.06 XXX
oxygen level.
94762......... ............ A........... Measure blood 0.00 0.84 0.66 NA NA 0.10 XXX
oxygen level.
94770......... ............ A........... Exhaled carbon 0.15 0.81 0.78 NA NA 0.08 XXX
dioxide test.
94770......... TC.......... A........... Exhaled carbon 0.00 0.77 0.74 NA NA 0.07 XXX
dioxide test.
94770......... 26.......... A........... Exhaled carbon 0.15 0.04 0.04 0.04 0.04 0.01 XXX
dioxide test.
94772......... ............ C........... Breath recording, 0.00 0.00 0.00 NA NA 0.00 XXX
infant.
94772......... TC.......... C........... Breath recording, 0.00 0.00 0.00 NA NA 0.00 XXX
infant.
94772......... 26.......... C........... Breath recording, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infant.
94774......... ............ C........... Ped home apnea 0.00 0.00 0.00 0.00 0.00 0.00 YYY
rec, compl.
94775......... ............ C........... Ped home apnea 0.00 0.00 0.00 0.00 0.00 0.00 YYY
rec, hk-up.
94776......... ............ C........... Ped home apnea 0.00 0.00 0.00 0.00 0.00 0.00 YYY
rec, downld.
94777......... ............ C........... Ped home apnea 0.00 0.00 0.00 0.00 0.00 0.00 YYY
rec, report.
94799......... ............ C........... Pulmonary service/ 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
94799......... TC.......... C........... Pulmonary service/ 0.00 0.00 0.00 NA NA 0.00 XXX
procedure.
94799......... 26.......... C........... Pulmonary service/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
95004......... ............ A........... Percut allergy 0.01 0.15 0.13 NA NA 0.01 XXX
skin tests.
95010......... ............ A........... Percut allergy 0.15 0.31 0.32 NA NA 0.01 XXX
titrate test.
95012......... ............ A........... Exhaled nitric 0.00 0.49 0.49 NA NA 0.01 XXX
oxide meas.
95015......... ............ A........... Id allergy titrate- 0.15 0.21 0.18 NA NA 0.01 XXX
drug/bug.
95024......... ............ A........... Id allergy test, 0.01 0.17 0.16 NA NA 0.01 XXX
drug/bug.
95027......... ............ A........... Id allergy titrate- 0.01 0.10 0.12 NA NA 0.01 XXX
airborne.
95028......... ............ A........... Id allergy test- 0.00 0.31 0.27 NA NA 0.01 XXX
delayed type.
95044......... ............ A........... Allergy patch 0.00 0.15 0.18 NA NA 0.01 XXX
tests.
95052......... ............ A........... Photo patch test.. 0.00 0.16 0.20 NA NA 0.01 XXX
95056......... ............ A........... Photosensitivity 0.00 1.25 0.71 NA NA 0.01 XXX
tests.
95060......... ............ A........... Eye allergy tests. 0.00 0.73 0.54 0.73 0.54 0.02 XXX
95065......... ............ A........... Nose allergy test. 0.00 0.70 0.45 0.70 0.45 0.01 XXX
95070......... ............ A........... Bronchial allergy 0.00 0.81 1.55 NA NA 0.02 XXX
tests.
95071......... ............ A........... Bronchial allergy 0.00 0.98 1.95 NA NA 0.02 XXX
tests.
95075......... ............ A........... Ingestion 0.95 0.68 0.75 0.26 0.32 0.03 XXX
challenge test.
95115......... ............ A........... Immunotherapy, one 0.00 0.23 0.31 NA NA 0.02 XXX
injection.
95117......... ............ A........... Immunotherapy 0.00 0.28 0.39 NA NA 0.02 XXX
injections.
95120......... ............ I........... Immunotherapy, one 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
95125......... ............ I........... Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
many antigens.
95130......... ............ I........... Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venom.
95131......... ............ I........... Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venoms.
95132......... ............ I........... Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venoms.
95133......... ............ I........... Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venoms.
95134......... ............ I........... Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venoms.
95144......... ............ A........... Antigen therapy 0.06 0.27 0.23 0.02 0.02 0.01 XXX
services.
95145......... ............ A........... Antigen therapy 0.06 0.36 0.34 0.02 0.02 0.01 XXX
services.
95146......... ............ A........... Antigen therapy 0.06 0.68 0.56 0.02 0.02 0.01 XXX
services.
95147......... ............ A........... Antigen therapy 0.06 0.66 0.54 0.02 0.02 0.01 XXX
services.
95148......... ............ A........... Antigen therapy 0.06 0.98 0.78 0.02 0.02 0.01 XXX
services.
95149......... ............ A........... Antigen therapy 0.06 1.30 1.05 0.02 0.02 0.01 XXX
services.
95165......... ............ A........... Antigen therapy 0.06 0.26 0.23 0.02 0.02 0.01 XXX
services.
95170......... ............ A........... Antigen therapy 0.06 0.20 0.17 0.02 0.02 0.01 XXX
services.
95180......... ............ A........... Rapid 2.01 1.66 1.85 0.77 0.85 0.04 XXX
desensitization.
95199......... ............ C........... Allergy immunology 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
95250......... ............ A........... Glucose 0.00 3.50 3.80 NA NA 0.01 XXX
monitoring, cont.
95251......... ............ A........... Gluc monitor, 0.85 0.26 0.22 0.26 0.22 0.02 XXX
cont, phys i&r.
95805......... ............ A........... Multiple sleep 1.88 7.02 12.14 NA NA 0.43 XXX
latency test.
95805......... TC.......... A........... Multiple sleep 0.00 6.51 11.56 NA NA 0.34 XXX
latency test.
95805......... 26.......... A........... Multiple sleep 1.88 0.51 0.58 0.51 0.58 0.09 XXX
latency test.
95806......... ............ A........... Sleep study, 1.66 3.93 3.64 NA NA 0.39 XXX
unattended.
95806......... TC.......... A........... Sleep study, 0.00 3.46 3.13 NA NA 0.31 XXX
unattended.
95806......... 26.......... A........... Sleep study, 1.66 0.47 0.51 0.47 0.51 0.08 XXX
unattended.
95807......... ............ A........... Sleep study, 1.66 12.31 12.08 NA NA 0.50 XXX
attended.
95807......... TC.......... A........... Sleep study, 0.00 11.90 11.61 NA NA 0.42 XXX
attended.
95807......... 26.......... A........... Sleep study, 1.66 0.41 0.47 0.41 0.47 0.08 XXX
attended.
95808......... ............ A........... Polysomnography, 1- 2.65 15.76 14.48 NA NA 0.55 XXX
3.
95808......... TC.......... A........... Polysomnography, 1- 0.00 15.06 13.67 NA NA 0.42 XXX
3.
95808......... 26.......... A........... Polysomnography, 1- 2.65 0.70 0.81 0.70 0.81 0.13 XXX
3.
95810......... ............ A........... Polysomnography, 4 3.52 17.70 17.60 NA NA 0.59 XXX
or more.
95810......... TC.......... A........... Polysomnography, 4 0.00 16.80 16.56 NA NA 0.42 XXX
or more.
[[Page 2694]]
95810......... 26.......... A........... Polysomnography, 4 3.52 0.90 1.04 0.90 1.04 0.17 XXX
or more.
95811......... ............ A........... Polysomnography w/ 3.79 19.70 19.45 NA NA 0.61 XXX
cpap.
95811......... TC.......... A........... Polysomnography w/ 0.00 18.74 18.34 NA NA 0.43 XXX
cpap.
95811......... 26.......... A........... Polysomnography w/ 3.79 0.96 1.11 0.96 1.11 0.18 XXX
cpap.
95812......... ............ A........... Eeg, 41-60 minutes 1.08 5.90 4.97 NA NA 0.17 XXX
95812......... TC.......... A........... Eeg, 41-60 minutes 0.00 5.60 4.59 NA NA 0.11 XXX
95812......... 26.......... A........... Eeg, 41-60 minutes 1.08 0.30 0.38 0.30 0.38 0.06 XXX
95813......... ............ A........... Eeg, over 1 hour.. 1.73 6.52 5.77 NA NA 0.20 XXX
95813......... TC.......... A........... Eeg, over 1 hour.. 0.00 6.04 5.18 NA NA 0.11 XXX
95813......... 26.......... A........... Eeg, over 1 hour.. 1.73 0.48 0.59 0.48 0.59 0.09 XXX
95816......... ............ A........... Eeg, awake and 1.08 5.28 4.49 NA NA 0.16 XXX
drowsy.
95816......... TC.......... A........... Eeg, awake and 0.00 4.98 4.11 NA NA 0.10 XXX
drowsy.
95816......... 26.......... A........... Eeg, awake and 1.08 0.30 0.38 0.30 0.38 0.06 XXX
drowsy.
95819......... ............ A........... Eeg, awake and 1.08 6.13 4.56 NA NA 0.16 XXX
asleep.
95819......... TC.......... A........... Eeg, awake and 0.00 5.83 4.18 NA NA 0.10 XXX
asleep.
95819......... 26.......... A........... Eeg, awake and 1.08 0.30 0.38 0.30 0.38 0.06 XXX
asleep.
95822......... ............ A........... Eeg, coma or sleep 1.08 5.52 5.06 NA NA 0.19 XXX
only.
95822......... TC.......... A........... Eeg, coma or sleep 0.00 5.22 4.68 NA NA 0.13 XXX
only.
95822......... 26.......... A........... Eeg, coma or sleep 1.08 0.30 0.38 0.30 0.38 0.06 XXX
only.
95824......... ............ C........... Eeg, cerebral 0.00 0.00 0.00 NA NA 0.00 XXX
death only.
95824......... TC.......... C........... Eeg, cerebral 0.00 0.00 0.00 NA NA 0.00 XXX
death only.
95824......... 26.......... A........... Eeg, cerebral 0.74 0.21 0.26 0.21 0.26 0.04 XXX
death only.
95827......... ............ A........... Eeg, all night 1.08 11.54 7.12 NA NA 0.19 XXX
recording.
95827......... TC.......... A........... Eeg, all night 0.00 11.24 6.77 NA NA 0.14 XXX
recording.
95827......... 26.......... A........... Eeg, all night 1.08 0.30 0.35 0.30 0.35 0.05 XXX
recording.
95829......... ............ A........... Surgery 6.20 24.77 27.90 NA NA 0.50 XXX
electrocorticogra
m.
95829......... TC.......... A........... Surgery 0.00 23.01 25.86 NA NA 0.02 XXX
electrocorticogra
m.
95829......... 26.......... A........... Surgery 6.20 1.76 2.04 1.76 2.04 0.48 XXX
electrocorticogra
m.
95830......... ............ A........... Insert electrodes 1.70 2.97 3.13 0.41 0.57 0.11 XXX
for EEG.
95831......... ............ A........... Limb muscle 0.28 0.40 0.43 0.09 0.11 0.01 XXX
testing, manual.
95832......... ............ A........... Hand muscle 0.29 0.37 0.35 0.10 0.11 0.02 XXX
testing, manual.
95833......... ............ A........... Body muscle 0.47 0.50 0.54 0.14 0.18 0.02 XXX
testing, manual.
95834......... ............ A........... Body muscle 0.60 0.54 0.58 0.17 0.23 0.03 XXX
testing, manual.
95851......... ............ A........... Range of motion 0.16 0.26 0.31 0.04 0.06 0.01 XXX
measurements.
95852......... ............ A........... Range of motion 0.11 0.24 0.25 0.04 0.04 0.01 XXX
measurements.
95857......... ............ A........... Tensilon test..... 0.53 0.58 0.59 0.16 0.19 0.02 XXX
95860......... ............ A........... Muscle test, one 0.96 1.16 1.29 NA NA 0.07 XXX
limb.
95860......... TC.......... A........... Muscle test, one 0.00 0.84 0.92 NA NA 0.02 XXX
limb.
95860......... 26.......... A........... Muscle test, one 0.96 0.32 0.37 0.32 0.37 0.05 XXX
limb.
95861......... ............ A........... Muscle test, 2 1.54 1.66 1.53 NA NA 0.13 XXX
limbs.
95861......... TC.......... A........... Muscle test, 2 0.00 1.15 0.94 NA NA 0.06 XXX
limbs.
95861......... 26.......... A........... Muscle test, 2 1.54 0.51 0.59 0.51 0.59 0.07 XXX
limbs.
95863......... ............ A........... Muscle test, 3 1.87 1.92 1.82 NA NA 0.15 XXX
limbs.
95863......... TC.......... A........... Muscle test, 3 0.00 1.35 1.14 NA NA 0.06 XXX
limbs.
95863......... 26.......... A........... Muscle test, 3 1.87 0.57 0.68 0.57 0.68 0.09 XXX
limbs.
95864......... ............ A........... Muscle test, 4 1.99 2.14 2.40 NA NA 0.21 XXX
limbs.
95864......... TC.......... A........... Muscle test, 4 0.00 1.53 1.66 NA NA 0.12 XXX
limbs.
95864......... 26.......... A........... Muscle test, 4 1.99 0.61 0.74 0.61 0.74 0.09 XXX
limbs.
95865......... ............ A........... Muscle test, 1.57 1.39 1.42 NA NA 0.11 XXX
larynx.
95865......... TC.......... A........... Muscle test, 0.00 0.90 0.79 NA NA 0.03 XXX
larynx.
95865......... 26.......... A........... Muscle test, 1.57 0.49 0.63 0.49 0.63 0.08 XXX
larynx.
95866......... ............ A........... Muscle test, 1.25 1.32 1.03 NA NA 0.10 XXX
hemidiaphragm.
95866......... TC.......... A........... Muscle test, 0.00 0.93 0.56 NA NA 0.03 XXX
hemidiaphragm.
95866......... 26.......... A........... Muscle test, 1.25 0.39 0.47 0.39 0.47 0.07 XXX
hemidiaphragm.
95867......... ............ A........... Muscle test cran 0.79 1.15 1.04 NA NA 0.07 XXX
nerv unilat.
95867......... TC.......... A........... Muscle test cran 0.00 0.91 0.75 NA NA 0.04 XXX
nerv unilat.
95867......... 26.......... A........... Muscle test cran 0.79 0.24 0.29 0.24 0.29 0.03 XXX
nerv unilat.
95868......... ............ A........... Muscle test cran 1.18 1.47 1.35 NA NA 0.10 XXX
nerve bilat.
95868......... TC.......... A........... Muscle test cran 0.00 1.11 0.91 NA NA 0.05 XXX
nerve bilat.
95868......... 26.......... A........... Muscle test cran 1.18 0.36 0.44 0.36 0.44 0.05 XXX
nerve bilat.
95869......... ............ A........... Muscle test, thor 0.37 1.03 0.70 NA NA 0.04 XXX
paraspinal.
95869......... TC.......... A........... Muscle test, thor 0.00 0.91 0.56 NA NA 0.02 XXX
paraspinal.
95869......... 26.......... A........... Muscle test, thor 0.37 0.12 0.14 0.12 0.14 0.02 XXX
paraspinal.
95870......... ............ A........... Muscle test, 0.37 0.99 0.68 NA NA 0.04 XXX
nonparaspinal.
95870......... TC.......... A........... Muscle test, 0.00 0.87 0.54 NA NA 0.02 XXX
nonparaspinal.
95870......... 26.......... A........... Muscle test, 0.37 0.12 0.14 0.12 0.14 0.02 XXX
nonparaspinal.
95872......... ............ A........... Muscle test, one 2.88 1.64 1.43 NA NA 0.13 XXX
fiber.
95872......... TC.......... A........... Muscle test, one 0.00 0.76 0.68 NA NA 0.05 XXX
fiber.
95872......... 26.......... A........... Muscle test, one 2.88 0.88 0.75 0.88 0.75 0.08 XXX
fiber.
95873......... ............ A........... Guide nerv destr, 0.37 1.02 0.69 NA NA 0.04 ZZZ
elec stim.
95873......... TC.......... A........... Guide nerv destr, 0.00 0.88 0.54 NA NA 0.02 ZZZ
elec stim.
95873......... 26.......... A........... Guide nerv destr, 0.37 0.14 0.15 0.14 0.15 0.02 ZZZ
elec stim.
[[Page 2695]]
95874......... ............ A........... Guide nerv destr, 0.37 0.95 0.67 NA NA 0.04 ZZZ
needle emg.
95874......... TC.......... A........... Guide nerv destr, 0.00 0.83 0.52 NA NA 0.02 ZZZ
needle emg.
95874......... 26.......... A........... Guide nerv destr, 0.37 0.12 0.15 0.12 0.15 0.02 ZZZ
needle emg.
95875......... ............ A........... Limb exercise test 1.10 1.48 1.46 NA NA 0.11 XXX
95875......... TC.......... A........... Limb exercise test 0.00 1.09 1.03 NA NA 0.06 XXX
95875......... 26.......... A........... Limb exercise test 1.10 0.39 0.43 0.39 0.43 0.05 XXX
95900......... ............ A........... Motor nerve 0.42 0.92 1.09 NA NA 0.04 XXX
conduction test.
95900......... TC.......... A........... Motor nerve 0.00 0.78 0.93 NA NA 0.02 XXX
conduction test.
95900......... 26.......... A........... Motor nerve 0.42 0.14 0.16 0.14 0.16 0.02 XXX
conduction test.
95903......... ............ A........... Motor nerve 0.60 1.00 1.10 NA NA 0.05 XXX
conduction test.
95903......... TC.......... A........... Motor nerve 0.00 0.83 0.88 NA NA 0.02 XXX
conduction test.
95903......... 26.......... A........... Motor nerve 0.60 0.17 0.22 0.17 0.22 0.03 XXX
conduction test.
95904......... ............ A........... Sense nerve 0.34 0.84 0.97 NA NA 0.04 XXX
conduction test.
95904......... TC.......... A........... Sense nerve 0.00 0.74 0.84 NA NA 0.02 XXX
conduction test.
95904......... 26.......... A........... Sense nerve 0.34 0.10 0.13 0.10 0.13 0.02 XXX
conduction test.
95920......... ............ A........... Intraop nerve test 2.11 1.72 1.99 NA NA 0.23 ZZZ
add-on.
95920......... TC.......... A........... Intraop nerve test 0.00 1.10 1.21 NA NA 0.07 ZZZ
add-on.
95920......... 26.......... A........... Intraop nerve test 2.11 0.62 0.78 0.62 0.78 0.16 ZZZ
add-on.
95921......... ............ A........... Autonomic nerv 0.90 1.16 0.94 NA NA 0.06 XXX
function test.
95921......... TC.......... A........... Autonomic nerv 0.00 0.91 0.65 NA NA 0.02 XXX
function test.
95921......... 26.......... A........... Autonomic nerv 0.90 0.25 0.29 0.25 0.29 0.04 XXX
function test.
95922......... ............ A........... Autonomic nerv 0.96 1.61 1.19 NA NA 0.07 XXX
function test.
95922......... TC.......... A........... Autonomic nerv 0.00 1.35 0.86 NA NA 0.02 XXX
function test.
95922......... 26.......... A........... Autonomic nerv 0.96 0.26 0.33 0.26 0.33 0.05 XXX
function test.
95923......... ............ A........... Autonomic nerv 0.90 2.33 2.14 NA NA 0.07 XXX
function test.
95923......... TC.......... A........... Autonomic nerv 0.00 2.08 1.82 NA NA 0.02 XXX
function test.
95923......... 26.......... A........... Autonomic nerv 0.90 0.25 0.32 0.25 0.32 0.05 XXX
function test.
95925......... ............ A........... Somatosensory 0.54 3.07 2.10 NA NA 0.10 XXX
testing.
95925......... TC.......... A........... Somatosensory 0.00 2.92 1.91 NA NA 0.06 XXX
testing.
95925......... 26.......... A........... Somatosensory 0.54 0.15 0.19 0.15 0.19 0.04 XXX
testing.
95926......... ............ A........... Somatosensory 0.54 3.00 2.07 NA NA 0.09 XXX
testing.
95926......... TC.......... A........... Somatosensory 0.00 2.85 1.88 NA NA 0.06 XXX
testing.
95926......... 26.......... A........... Somatosensory 0.54 0.15 0.19 0.15 0.19 0.03 XXX
testing.
95927......... ............ A........... Somatosensory 0.54 3.13 2.15 NA NA 0.10 XXX
testing.
95927......... TC.......... A........... Somatosensory 0.00 2.97 1.94 NA NA 0.06 XXX
testing.
95927......... 26.......... A........... Somatosensory 0.54 0.16 0.21 0.16 0.21 0.04 XXX
testing.
95928......... ............ A........... C motor evoked, 1.50 3.94 3.48 NA NA 0.09 XXX
uppr limbs.
95928......... TC.......... A........... C motor evoked, 0.00 3.50 2.94 NA NA 0.03 XXX
uppr limbs.
95928......... 26.......... A........... C motor evoked, 1.50 0.44 0.54 0.44 0.54 0.06 XXX
uppr limbs.
95929......... ............ A........... C motor evoked, 1.50 4.26 3.74 NA NA 0.09 XXX
lwr limbs.
95929......... TC.......... A........... C motor evoked, 0.00 3.82 3.19 NA NA 0.03 XXX
lwr limbs.
95929......... 26.......... A........... C motor evoked, 1.50 0.44 0.55 0.44 0.55 0.06 XXX
lwr limbs.
95930......... ............ A........... Visual evoked 0.35 2.64 2.45 NA NA 0.03 XXX
potential test.
95930......... TC.......... A........... Visual evoked 0.00 2.54 2.32 NA NA 0.01 XXX
potential test.
95930......... 26.......... A........... Visual evoked 0.35 0.10 0.13 0.10 0.13 0.02 XXX
potential test.
95933......... ............ A........... Blink reflex test. 0.59 1.11 1.07 NA NA 0.10 XXX
95933......... TC.......... A........... Blink reflex test. 0.00 0.94 0.86 NA NA 0.06 XXX
95933......... 26.......... A........... Blink reflex test. 0.59 0.17 0.21 0.17 0.21 0.04 XXX
95934......... ............ A........... H-reflex test..... 0.51 0.85 0.64 NA NA 0.04 XXX
95934......... TC.......... A........... H-reflex test..... 0.00 0.70 0.45 NA NA 0.02 XXX
95934......... 26.......... A........... H-reflex test..... 0.51 0.15 0.19 0.15 0.19 0.02 XXX
95936......... ............ A........... H-reflex test..... 0.55 0.59 0.52 NA NA 0.05 XXX
95936......... TC.......... A........... H-reflex test..... 0.00 0.43 0.32 NA NA 0.02 XXX
95936......... 26.......... A........... H-reflex test..... 0.55 0.16 0.20 0.16 0.20 0.03 XXX
95937......... ............ A........... Neuromuscular 0.65 0.92 0.76 NA NA 0.10 XXX
junction test.
95937......... TC.......... A........... Neuromuscular 0.00 0.72 0.53 NA NA 0.02 XXX
junction test.
95937......... 26.......... A........... Neuromuscular 0.65 0.20 0.23 0.20 0.23 0.08 XXX
junction test.
95950......... ............ A........... Ambulatory eeg 1.51 4.93 4.43 NA NA 0.51 XXX
monitoring.
95950......... TC.......... A........... Ambulatory eeg 0.00 4.50 3.90 NA NA 0.43 XXX
monitoring.
95950......... 26.......... A........... Ambulatory eeg 1.51 0.43 0.53 0.43 0.53 0.08 XXX
monitoring.
95951......... ............ C........... EEG monitoring/ 0.00 0.00 0.00 NA NA 0.00 XXX
videorecord.
95951......... TC.......... C........... EEG monitoring/ 0.00 0.00 0.00 NA NA 0.00 XXX
videorecord.
95951......... 26.......... A........... EEG monitoring/ 5.99 1.68 2.12 1.68 2.12 0.32 XXX
videorecord.
95953......... ............ A........... EEG monitoring/ 3.30 7.22 7.43 NA NA 0.60 XXX
computer.
95953......... TC.......... A........... EEG monitoring/ 0.00 6.29 6.32 NA NA 0.43 XXX
computer.
95953......... 26.......... A........... EEG monitoring/ 3.30 0.93 1.11 0.93 1.11 0.17 XXX
computer.
95954......... ............ A........... EEG monitoring/ 2.45 4.38 4.30 NA NA 0.19 XXX
giving drugs.
95954......... TC.......... A........... EEG monitoring/ 0.00 3.96 3.57 NA NA 0.06 XXX
giving drugs.
95954......... 26.......... A........... EEG monitoring/ 2.45 0.42 0.73 0.42 0.73 0.13 XXX
giving drugs.
95955......... ............ A........... EEG during surgery 1.01 2.76 2.54 NA NA 0.22 XXX
95955......... TC.......... A........... EEG during surgery 0.00 2.48 2.22 NA NA 0.17 XXX
95955......... 26.......... A........... EEG during surgery 1.01 0.28 0.32 0.28 0.32 0.05 XXX
[[Page 2696]]
95956......... ............ A........... Eeg monitoring, 3.08 16.30 15.86 NA NA 0.59 XXX
cable/radio.
95956......... TC.......... A........... Eeg monitoring, 0.00 15.44 14.78 NA NA 0.43 XXX
cable/radio.
95956......... 26.......... A........... Eeg monitoring, 3.08 0.86 1.08 0.86 1.08 0.16 XXX
cable/radio.
95957......... ............ A........... EEG digital 1.98 5.85 4.20 NA NA 0.23 XXX
analysis.
95957......... TC.......... A........... EEG digital 0.00 5.30 3.50 NA NA 0.12 XXX
analysis.
95957......... 26.......... A........... EEG digital 1.98 0.55 0.70 0.55 0.70 0.11 XXX
analysis.
95958......... ............ A........... EEG monitoring/ 4.24 6.70 5.10 NA NA 0.34 XXX
function test.
95958......... TC.......... A........... EEG monitoring/ 0.00 5.47 3.61 NA NA 0.13 XXX
function test.
95958......... 26.......... A........... EEG monitoring/ 4.24 1.23 1.49 1.23 1.49 0.21 XXX
function test.
95961......... ............ A........... Electrode 2.97 3.05 2.84 NA NA 0.55 XXX
stimulation,
brain.
95961......... TC.......... A........... Electrode 0.00 2.18 1.74 NA NA 0.07 XXX
stimulation,
brain.
95961......... 26.......... A........... Electrode 2.97 0.87 1.10 0.87 1.10 0.48 XXX
stimulation,
brain.
95962......... ............ A........... Electrode stim, 3.21 2.21 2.45 NA NA 0.39 ZZZ
brain add-on.
95962......... TC.......... A........... Electrode stim, 0.00 1.30 1.30 NA NA 0.07 ZZZ
brain add-on.
95962......... 26.......... A........... Electrode stim, 3.21 0.91 1.15 0.91 1.15 0.32 ZZZ
brain add-on.
95965......... ............ C........... Meg, spontaneous.. 0.00 0.00 0.00 NA NA 0.00 XXX
95965......... TC.......... C........... Meg, spontaneous.. 0.00 0.00 0.00 NA NA 0.00 XXX
95965......... 26.......... A........... Meg, spontaneous.. 7.99 2.39 2.91 2.39 2.91 0.46 XXX
95966......... ............ C........... Meg, evoked, 0.00 0.00 0.00 NA NA 0.00 XXX
single.
95966......... TC.......... C........... Meg, evoked, 0.00 0.00 0.00 NA NA 0.00 XXX
single.
95966......... 26.......... A........... Meg, evoked, 3.99 1.19 1.45 1.19 1.45 0.19 XXX
single.
95967......... ............ C........... Meg, evoked, each 0.00 0.00 0.00 NA NA 0.00 ZZZ
add[AElig]l.
95967......... TC.......... C........... Meg, evoked, each 0.00 0.00 0.00 NA NA 0.00 ZZZ
add[AElig]l.
95967......... 26.......... A........... Meg, evoked, each 3.49 1.01 1.09 1.01 1.09 0.16 ZZZ
add[AElig]l.
95970......... ............ A........... Analyze neurostim, 0.45 0.90 0.87 0.13 0.13 0.03 XXX
no prog.
95971......... ............ A........... Analyze neurostim, 0.78 0.58 0.63 0.18 0.20 0.07 XXX
simple.
95972......... ............ A........... Analyze neurostim, 1.50 1.15 1.18 0.44 0.46 0.14 XXX
complex.
95973......... ............ A........... Analyze neurostim, 0.92 0.49 0.55 0.22 0.28 0.07 ZZZ
complex.
95974......... ............ A........... Cranial neurostim, 3.00 1.44 1.57 0.78 1.04 0.16 XXX
complex.
95975......... ............ A........... Cranial neurostim, 1.70 0.73 0.81 0.47 0.60 0.12 ZZZ
complex.
95978......... ............ A........... Analyze neurostim 3.50 1.86 1.90 1.02 1.16 0.18 XXX
brain/1h.
95979......... ............ A........... Analyz neurostim 1.64 0.72 0.80 0.46 0.58 0.08 ZZZ
brain addon.
95980......... ............ A........... Io anal gast n- 0.80 NA NA 0.25 0.25 0.07 XXX
stim init.
95981......... ............ A........... Io anal gast n- 0.30 0.44 0.44 0.12 0.12 0.02 XXX
stim subsq.
95982......... ............ A........... Io ga n-stim subsq 0.65 0.47 0.47 0.18 0.18 0.05 XXX
w/reprog.
95990......... ............ A........... Spin/brain pump 0.00 1.62 1.56 NA NA 0.06 XXX
refil & main.
95991......... ............ A........... Spin/brain pump 0.77 1.61 1.55 0.17 0.17 0.06 XXX
refil & main.
95999......... ............ C........... Neurological 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
96000......... ............ A........... Motion analysis, 1.80 NA NA 0.44 0.48 0.11 XXX
video/3d.
96001......... ............ A........... Motion test w/ft 2.15 NA NA 0.56 0.61 0.10 XXX
press meas.
96002......... ............ A........... Dynamic surface 0.41 NA NA 0.10 0.13 0.02 XXX
emg.
96003......... ............ A........... Dynamic fine wire 0.37 NA NA 0.09 0.10 0.02 XXX
emg.
96004......... ............ A........... Phys review of 2.14 0.65 0.79 0.65 0.79 0.11 XXX
motion tests.
96020......... ............ C........... Functional brain 0.00 0.00 0.00 NA NA 0.00 XXX
mapping.
96020......... TC.......... C........... Functional brain 0.00 0.00 0.00 NA NA 0.00 XXX
mapping.
96020......... 26.......... A........... Functional brain 3.43 1.07 1.07 1.07 1.07 0.17 XXX
mapping.
96040......... ............ B........... Genetic 0.00 0.98 0.98 NA NA 0.01 XXX
counseling, 30
min.
96101......... ............ A........... Psycho testing by 1.86 0.35 0.50 0.33 0.48 0.05 XXX
psych/phys.
96102......... ............ A........... Psycho testing by 0.50 1.10 0.88 0.09 0.13 0.01 XXX
technician.
96103......... ............ A........... Psycho testing 0.51 0.92 0.56 0.10 0.14 0.02 XXX
admin by comp.
96105......... ............ A........... Assessment of 0.00 1.66 1.71 NA NA 0.18 XXX
aphasia.
96110......... ............ A........... Developmental 0.00 0.19 0.18 NA NA 0.18 XXX
test, lim.
96111......... ............ A........... Developmental 2.60 0.69 0.87 0.58 0.81 0.18 XXX
test, extend.
96116......... ............ A........... Neurobehavioral 1.86 0.53 0.68 0.40 0.52 0.18 XXX
status exam.
96118......... ............ A........... Neuropsych tst by 1.86 0.84 1.11 0.33 0.48 0.18 XXX
psych/phys.
96119......... ............ A........... Neuropsych testing 0.55 1.53 1.27 0.10 0.14 0.18 XXX
by tec.
96120......... ............ A........... Neuropsych tst 0.51 1.69 1.21 0.10 0.13 0.02 XXX
admin w/comp.
96125......... ............ A........... Cognitive test by 1.70 0.76 0.76 0.37 0.37 0.16 XXX
hc pro.
96150......... ............ A........... Assess hlth/ 0.50 0.10 0.14 0.09 0.13 0.01 XXX
behave, init.
96151......... ............ A........... Assess hlth/ 0.48 0.10 0.14 0.09 0.13 0.01 XXX
behave, subseq.
96152......... ............ A........... Intervene hlth/ 0.46 0.09 0.13 0.08 0.12 0.01 XXX
behave, indiv.
96153......... ............ A........... Intervene hlth/ 0.10 0.02 0.03 0.02 0.02 0.01 XXX
behave, group.
96154......... ............ A........... Interv hlth/behav, 0.45 0.09 0.13 0.08 0.12 0.01 XXX
fam w/pt.
96155......... ............ N........... Interv hlth/behav 0.44 0.10 0.14 0.10 0.14 0.02 XXX
fam no pt.
96401......... ............ A........... Chemo, anti-neopl, 0.21 1.86 1.51 NA NA 0.01 XXX
sq/im.
96402......... ............ A........... Chemo hormon 0.19 0.78 0.89 NA NA 0.01 XXX
antineopl sq/im.
96405......... ............ A........... Chemo 0.52 3.69 3.06 0.24 0.24 0.03 000
intralesional, up
to 7.
96406......... ............ A........... Chemo 0.80 3.62 3.31 0.32 0.31 0.03 000
intralesional
over 7.
96409......... ............ A........... Chemo, iv push, 0.24 2.80 2.86 NA NA 0.06 XXX
sngl drug.
96411......... ............ A........... Chemo, iv push, 0.20 1.50 1.55 NA NA 0.06 ZZZ
addl drug.
96413......... ............ A........... Chemo, iv 0.28 3.64 3.91 NA NA 0.08 XXX
infusion, 1 hr.
96415......... ............ A........... Chemo, iv 0.19 0.66 0.71 NA NA 0.07 ZZZ
infusion, addl hr.
[[Page 2697]]
96416......... ............ A........... Chemo prolong 0.21 4.09 4.34 NA NA 0.08 XXX
infuse w/pump.
96417......... ............ A........... Chemo iv infus 0.21 1.73 1.84 NA NA 0.07 ZZZ
each addl seq.
96420......... ............ A........... Chemo, ia, push 0.17 2.78 2.72 NA NA 0.08 XXX
tecnique.
96422......... ............ A........... Chemo ia infusion 0.17 4.50 4.66 NA NA 0.08 XXX
up to 1 hr.
96423......... ............ A........... Chemo ia infuse 0.17 1.99 1.94 NA NA 0.02 ZZZ
each addl hr.
96425......... ............ A........... Chemotherapy,infus 0.17 4.67 4.57 NA NA 0.08 XXX
ion method.
96440......... ............ A........... Chemotherapy, 2.37 5.56 6.84 0.98 1.10 0.17 000
intracavitary.
96445......... ............ A........... Chemotherapy, 2.20 5.42 6.73 0.96 1.07 0.14 000
intracavitary.
96450......... ............ A........... Chemotherapy, into 1.53 4.99 5.97 0.83 1.06 0.09 000
CNS.
96521......... ............ A........... Refill/maint, 0.21 3.16 3.46 NA NA 0.06 XXX
portable pump.
96522......... ............ A........... Refill/maint pump/ 0.21 2.78 2.71 NA NA 0.06 XXX
resvr syst.
96523......... ............ T........... Irrig drug 0.04 0.64 0.67 NA NA 0.01 XXX
delivery device.
96542......... ............ A........... Chemotherapy 0.75 3.56 3.90 0.32 0.49 0.07 XXX
injection.
96549......... ............ C........... Chemotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unspecified.
96567......... ............ A........... Photodynamic tx, 0.00 3.74 2.85 NA NA 0.04 XXX
skin.
96570......... ............ A........... Photodynamic tx, 1.10 0.40 0.38 0.40 0.38 0.11 ZZZ
30 min.
96571......... ............ A........... Photodynamic tx, 0.55 0.19 0.19 0.19 0.19 0.03 ZZZ
addl 15 min.
96900......... ............ A........... Ultraviolet light 0.00 0.57 0.50 NA NA 0.02 XXX
therapy.
96902......... ............ B........... Trichogram........ 0.41 0.11 0.15 0.09 0.13 0.01 XXX
96904......... ............ R........... Whole body 0.00 1.90 1.90 NA NA 0.01 XXX
photography.
96910......... ............ A........... Photochemotherapy 0.00 2.01 1.50 NA NA 0.04 XXX
with UV-B.
96912......... ............ A........... Photochemotherapy 0.00 2.58 1.92 NA NA 0.05 XXX
with UV-A.
96913......... ............ A........... Photochemotherapy, 0.00 3.47 2.57 NA NA 0.10 XXX
UV-A or B.
96920......... ............ A........... Laser tx, skin < 1.15 3.58 3.06 0.56 0.56 0.02 000
250 sq cm.
96921......... ............ A........... Laser tx, skin 250- 1.17 3.33 2.97 0.51 0.54 0.03 000
500 sq cm.
96922......... ............ A........... Laser tx, skin > 2.10 4.64 4.06 1.04 0.83 0.04 000
500 sq cm.
96999......... ............ C........... Dermatological 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
97001......... ............ A........... Pt evaluation..... 1.20 0.65 0.70 NA NA 0.05 XXX
97002......... ............ A........... Pt re-evaluation.. 0.60 0.41 0.42 NA NA 0.02 XXX
97003......... ............ A........... Ot evaluation..... 1.20 0.76 0.82 NA NA 0.06 XXX
97004......... ............ A........... Ot re-evaluation.. 0.60 0.54 0.61 NA NA 0.02 XXX
97005......... ............ I........... Athletic train 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eval.
97006......... ............ I........... Athletic train 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reeval.
97010......... ............ B........... Hot or cold packs 0.06 0.07 0.06 NA NA 0.01 XXX
therapy.
97012......... ............ A........... Mechanical 0.25 0.14 0.14 NA NA 0.01 XXX
traction therapy.
97014......... ............ I........... Electric 0.18 0.18 0.18 NA NA 0.01 XXX
stimulation
therapy.
97016......... ............ A........... Vasopneumatic 0.18 0.24 0.21 NA NA 0.01 XXX
device therapy.
97018......... ............ A........... Paraffin bath 0.06 0.17 0.13 NA NA 0.01 XXX
therapy.
97022......... ............ A........... Whirlpool therapy. 0.17 0.33 0.27 NA NA 0.01 XXX
97024......... ............ A........... Diathermy eg, 0.06 0.08 0.07 NA NA 0.01 XXX
microwave.
97026......... ............ A........... Infrared therapy.. 0.06 0.07 0.06 NA NA 0.01 XXX
97028......... ............ A........... Ultraviolet 0.08 0.08 0.08 NA NA 0.01 XXX
therapy.
97032......... ............ A........... Electrical 0.25 0.20 0.18 NA NA 0.01 XXX
stimulation.
97033......... ............ A........... Electric current 0.26 0.44 0.36 NA NA 0.01 XXX
therapy.
97034......... ............ A........... Contrast bath 0.21 0.20 0.17 NA NA 0.01 XXX
therapy.
97035......... ............ A........... Ultrasound therapy 0.21 0.10 0.10 NA NA 0.01 XXX
97036......... ............ A........... Hydrotherapy...... 0.28 0.44 0.38 NA NA 0.01 XXX
97039......... ............ C........... Physical therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
97110......... ............ A........... Therapeutic 0.45 0.32 0.29 NA NA 0.02 XXX
exercises.
97112......... ............ A........... Neuromuscular 0.45 0.34 0.33 NA NA 0.01 XXX
reeducation.
97113......... ............ A........... Aquatic therapy/ 0.44 0.53 0.46 NA NA 0.01 XXX
exercises.
97116......... ............ A........... Gait training 0.40 0.27 0.26 NA NA 0.01 XXX
therapy.
97124......... ............ A........... Massage therapy... 0.35 0.27 0.25 NA NA 0.01 XXX
97139......... ............ C........... Physical medicine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
97140......... ............ A........... Manual therapy.... 0.43 0.29 0.27 NA NA 0.01 XXX
97150......... ............ A........... Group therapeutic 0.27 0.22 0.20 NA NA 0.01 XXX
procedures.
97530......... ............ A........... Therapeutic 0.44 0.38 0.35 NA NA 0.01 XXX
activities.
97532......... ............ A........... Cognitive skills 0.44 0.22 0.21 NA NA 0.01 XXX
development.
97533......... ............ A........... Sensory 0.44 0.27 0.25 NA NA 0.01 XXX
integration.
97535......... ............ A........... Self care mngment 0.45 0.37 0.35 NA NA 0.01 XXX
training.
97537......... ............ A........... Community/work 0.45 0.28 0.27 NA NA 0.01 XXX
reintegration.
97542......... ............ A........... Wheelchair mngment 0.45 0.29 0.28 NA NA 0.01 XXX
training.
97545......... ............ R........... Work hardening.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
97546......... ............ R........... Work hardening add- 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
on.
97597......... ............ A........... Active wound care/ 0.58 1.10 0.88 0.12 0.39 0.05 XXX
20 cm or <.
97598......... ............ A........... Active wound care 0.80 1.27 1.03 0.17 0.48 0.05 XXX
> 20 cm.
97602......... ............ B........... Wound(s) care non- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
selective.
97605......... ............ A........... Neg press wound 0.55 0.40 0.37 0.11 0.17 0.02 XXX
tx, < 50 cm.
97606......... ............ A........... Neg press wound 0.60 0.41 0.38 0.13 0.18 0.03 XXX
tx, > 50 cm.
97750......... ............ A........... Physical 0.45 0.33 0.32 NA NA 0.02 XXX
performance test.
97755......... ............ A........... Assistive 0.62 0.27 0.28 NA NA 0.02 XXX
technology assess.
97760......... ............ A........... Orthotic mgmt and 0.45 0.42 0.38 NA NA 0.03 XXX
training.
[[Page 2698]]
97761......... ............ A........... Prosthetic 0.45 0.33 0.30 NA NA 0.02 XXX
training.
97762......... ............ A........... C/o for orthotic/ 0.25 0.73 0.58 NA NA 0.02 XXX
prosth use.
97799......... ............ C........... Physical medicine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
97802......... ............ A........... Medical nutrition, 0.45 0.14 0.30 0.11 0.29 0.01 XXX
indiv, in.
97803......... ............ A........... Med nutrition, 0.37 0.12 0.29 0.09 0.28 0.01 XXX
indiv, subseq.
97804......... ............ A........... Medical nutrition, 0.25 0.08 0.13 0.07 0.12 0.01 XXX
group.
97810......... ............ N........... Acupunct w/o 0.60 0.26 0.32 0.14 0.18 0.03 XXX
stimul 15 min.
97811......... ............ N........... Acupunct w/o 0.50 0.15 0.20 0.11 0.15 0.03 ZZZ
stimul addl 15m.
97813......... ............ N........... Acupunct w/stimul 0.65 0.27 0.33 0.15 0.20 0.03 XXX
15 min.
97814......... ............ N........... Acupunct w/stimul 0.55 0.19 0.24 0.13 0.17 0.03 ZZZ
addl 15m.
98925......... ............ A........... Osteopathic 0.45 0.29 0.30 0.12 0.13 0.02 000
manipulation.
98926......... ............ A........... Osteopathic 0.65 0.37 0.39 0.17 0.21 0.03 000
manipulation.
98927......... ............ A........... Osteopathic 0.87 0.45 0.48 0.22 0.26 0.03 000
manipulation.
98928......... ............ A........... Osteopathic 1.03 0.51 0.55 0.26 0.30 0.04 000
manipulation.
98929......... ............ A........... Osteopathic 1.19 0.57 0.62 0.30 0.33 0.05 000
manipulation.
98940......... ............ A........... Chiropractic 0.45 0.21 0.22 0.12 0.12 0.01 000
manipulation.
98941......... ............ A........... Chiropractic 0.65 0.27 0.29 0.17 0.17 0.01 000
manipulation.
98942......... ............ A........... Chiropractic 0.87 0.33 0.35 0.24 0.23 0.02 000
manipulation.
98943......... ............ N........... Chiropractic 0.40 0.17 0.21 0.09 0.13 0.01 XXX
manipulation.
98960......... ............ B........... Self-mgmt educ & 0.00 0.58 0.58 NA NA 0.01 XXX
train, 1 pt.
98961......... ............ B........... Self-mgmt educ/ 0.00 0.28 0.28 NA NA 0.01 XXX
train, 2-4 pt.
98962......... ............ B........... Self-mgmt educ/ 0.00 0.20 0.20 NA NA 0.01 XXX
train, 5-8 pt.
98966......... ............ N........... Hc pro phone call 0.25 0.09 0.09 0.06 0.06 0.01 XXX
5-10 min.
98967......... ............ N........... Hc pro phone call 0.50 0.14 0.14 0.11 0.11 0.02 XXX
11-20 min.
98968......... ............ N........... Hc pro phone call 0.75 0.20 0.20 0.17 0.17 0.03 XXX
21-30 min.
98969......... ............ N........... Online service by 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hc pro.
99000......... ............ B........... Specimen handling. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99001......... ............ B........... Specimen handling. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99002......... ............ B........... Device handling... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99024......... ............ B........... Postop follow-up 0.00 0.00 0.00 0.00 0.00 0.00 XXX
visit.
99026......... ............ N........... In-hospital on 0.00 0.00 0.00 0.00 0.00 0.00 XXX
call service.
99027......... ............ N........... Out-of-hosp on 0.00 0.00 0.00 0.00 0.00 0.00 XXX
call service.
99050......... ............ B........... Medical services 0.00 0.00 0.00 0.00 0.00 0.00 XXX
after hrs.
99051......... ............ B........... Med serv, eve/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wkend/holiday.
99053......... ............ B........... Med serv 10pm-8am, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
24 hr fac.
99056......... ............ B........... Med service out of 0.00 0.00 0.00 0.00 0.00 0.00 XXX
office.
99058......... ............ B........... Office emergency 0.00 0.00 0.00 0.00 0.00 0.00 XXX
care.
99060......... ............ B........... Out of office 0.00 0.00 0.00 0.00 0.00 0.00 XXX
emerg med serv.
99070......... ............ B........... Special supplies.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99071......... ............ B........... Patient education 0.00 0.00 0.00 0.00 0.00 0.00 XXX
materials.
99075......... ............ N........... Medical testimony. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99078......... ............ B........... Group health 0.00 0.00 0.00 0.00 0.00 0.00 XXX
education.
99080......... ............ B........... Special reports or 0.00 0.00 0.00 0.00 0.00 0.00 XXX
forms.
99082......... ............ C........... Unusual physician 0.00 0.00 0.00 0.00 0.00 0.00 XXX
travel.
99090......... ............ B........... Computer data 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis.
99091......... ............ B........... Collect/review 1.10 0.25 0.25 NA NA 0.04 XXX
data from pt.
99100......... ............ B........... Special anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
service.
99116......... ............ B........... Anesthesia with 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
hypothermia.
99135......... ............ B........... Special anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
procedure.
99140......... ............ B........... Emergency 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
anesthesia.
99143......... ............ C........... Mod cs by same 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phys, < 5 yrs.
99144......... ............ C........... Mod cs by same 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phys, 5 yrs +.
99145......... ............ C........... Mod cs by same 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
phys add-on.
99148......... ............ C........... Mod cs diff phys < 0.00 0.00 0.00 0.00 0.00 0.00 XXX
5 yrs.
99149......... ............ C........... Mod cs diff phys 5 0.00 0.00 0.00 0.00 0.00 0.00 XXX
yrs +.
99150......... ............ C........... Mod cs diff phys 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
add-on.
99170......... ............ A........... Anogenital exam, 1.75 1.83 1.80 0.61 0.58 0.08 000
child.
99172......... ............ N........... Ocular function 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
99173......... ............ N........... Visual acuity 0.00 0.06 0.06 NA NA 0.01 XXX
screen.
99174......... ............ N........... Ocular 0.00 0.00 0.00 0.00 0.00 0.00 XXX
photoscreening.
99175......... ............ A........... Induction of 0.00 0.36 0.87 NA NA 0.10 XXX
vomiting.
99183......... ............ A........... Hyperbaric oxygen 2.34 2.60 2.92 0.57 0.65 0.16 XXX
therapy.
99185......... ............ A........... Regional 0.00 1.67 1.15 NA NA 0.04 XXX
hypothermia.
99186......... ............ A........... Total body 0.00 1.63 1.71 NA NA 0.45 XXX
hypothermia.
99190......... ............ X........... Special pump 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99191......... ............ X........... Special pump 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99192......... ............ X........... Special pump 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99195......... ............ A........... Phlebotomy........ 0.00 2.56 1.50 NA NA 0.02 XXX
99199......... ............ C........... Special service/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proc/report.
99201......... ............ A........... Office/outpatient 0.45 0.55 0.52 0.16 0.15 0.03 XXX
visit, new.
99202......... ............ A........... Office/outpatient 0.88 0.84 0.81 0.29 0.30 0.05 XXX
visit, new.
99203......... ............ A........... Office/outpatient 1.34 1.11 1.12 0.43 0.45 0.09 XXX
visit, new.
[[Page 2699]]
99204......... ............ A........... Office/outpatient 2.30 1.49 1.49 0.71 0.71 0.12 XXX
visit, new.
99205......... ............ A........... Office/outpatient 3.00 1.79 1.78 0.91 0.93 0.15 XXX
visit, new.
99211......... ............ A........... Office/outpatient 0.17 0.32 0.36 0.06 0.06 0.01 XXX
visit, est.
99212......... ............ A........... Office/outpatient 0.45 0.55 0.55 0.15 0.15 0.03 XXX
visit, est.
99213......... ............ A........... Office/outpatient 0.92 0.76 0.73 0.28 0.26 0.03 XXX
visit, est.
99214......... ............ A........... Office/outpatient 1.42 1.10 1.06 0.44 0.42 0.05 XXX
visit, est.
99215......... ............ A........... Office/outpatient 2.00 1.38 1.35 0.61 0.63 0.08 XXX
visit, est.
99217......... ............ A........... Observation care 1.28 NA NA 0.50 0.51 0.06 XXX
discharge.
99218......... ............ A........... Observation care.. 1.28 NA NA 0.38 0.41 0.06 XXX
99219......... ............ A........... Observation care.. 2.14 NA NA 0.59 0.65 0.10 XXX
99220......... ............ A........... Observation care.. 2.99 NA NA 0.84 0.93 0.14 XXX
99221......... ............ A........... Initial hospital 1.88 NA NA 0.54 0.50 0.07 XXX
care.
99222......... ............ A........... Initial hospital 2.56 NA NA 0.71 0.72 0.10 XXX
care.
99223......... ............ A........... Initial hospital 3.78 NA NA 1.07 1.05 0.13 XXX
care.
99231......... ............ A........... Subsequent 0.76 NA NA 0.24 0.23 0.03 XXX
hospital care.
99232......... ............ A........... Subsequent 1.39 NA NA 0.42 0.40 0.04 XXX
hospital care.
99233......... ............ A........... Subsequent 2.00 NA NA 0.59 0.56 0.06 XXX
hospital care.
99234......... ............ A........... Observ/hosp same 2.56 NA NA 0.78 0.83 0.13 XXX
date.
99235......... ............ A........... Observ/hosp same 3.41 NA NA 0.98 1.07 0.16 XXX
date.
99236......... ............ A........... Observ/hosp same 4.26 NA NA 1.21 1.32 0.19 XXX
date.
99238......... ............ A........... Hospital discharge 1.28 NA NA 0.49 0.52 0.05 XXX
day.
99239......... ............ A........... Hospital discharge 1.90 NA NA 0.67 0.70 0.07 XXX
day.
99241......... ............ A........... Office 0.64 0.66 0.65 0.22 0.22 0.05 XXX
consultation.
99242......... ............ A........... Office 1.34 1.08 1.06 0.48 0.47 0.10 XXX
consultation.
99243......... ............ A........... Office 1.88 1.45 1.42 0.67 0.65 0.13 XXX
consultation.
99244......... ............ A........... Office 3.02 1.93 1.88 1.08 1.00 0.16 XXX
consultation.
99245......... ............ A........... Office 3.77 2.26 2.27 1.31 1.27 0.21 XXX
consultation.
99251......... ............ A........... Inpatient 1.00 NA NA 0.31 0.27 0.05 XXX
consultation.
99252......... ............ A........... Inpatient 1.50 NA NA 0.49 0.50 0.09 XXX
consultation.
99253......... ............ A........... Inpatient 2.27 NA NA 0.80 0.74 0.11 XXX
consultation.
99254......... ............ A........... Inpatient 3.29 NA NA 1.19 1.08 0.13 XXX
consultation.
99255......... ............ A........... Inpatient 4.00 NA NA 1.39 1.37 0.18 XXX
consultation.
99281......... ............ A........... Emergency dept 0.45 NA NA 0.09 0.09 0.02 XXX
visit.
99282......... ............ A........... Emergency dept 0.88 NA NA 0.17 0.15 0.04 XXX
visit.
99283......... ............ A........... Emergency dept 1.34 NA NA 0.25 0.28 0.09 XXX
visit.
99284......... ............ A........... Emergency dept 2.56 NA NA 0.46 0.47 0.14 XXX
visit.
99285......... ............ A........... Emergency dept 3.80 NA NA 0.67 0.69 0.23 XXX
visit.
99288......... ............ B........... Direct advanced 0.00 0.00 0.00 0.00 0.00 0.00 XXX
life support.
99289......... ............ A........... Ped crit care 4.79 NA NA 1.08 1.26 0.24 XXX
transport.
99290......... ............ A........... Ped crit care 2.40 NA NA 0.89 0.85 0.12 ZZZ
transport addl.
99291......... ............ A........... Critical care, 4.50 2.26 2.42 1.10 1.19 0.21 XXX
first hour.
99292......... ............ A........... Critical care, 2.25 0.80 0.85 0.56 0.60 0.11 ZZZ
add[AElig]l 30
min.
99293......... ............ A........... Ped critical care, 15.98 NA NA 3.78 4.27 1.12 XXX
initial.
99294......... ............ A........... Ped critical care, 7.99 NA NA 1.65 2.03 0.45 XXX
subseq.
99295......... ............ A........... Neonate crit care, 18.46 NA NA 4.57 4.97 1.16 XXX
initial.
99296......... ............ A........... Neonate critical 7.99 NA NA 2.06 2.30 0.32 XXX
care subseq.
99298......... ............ A........... Ic for lbw infant 2.75 NA NA 0.68 0.80 0.17 XXX
< 1500 gm.
99299......... ............ A........... Ic, lbw infant 2.50 NA NA 0.58 0.72 0.16 XXX
1500-2500 gm.
99300......... ............ A........... Ic, infant pbw 2.40 NA NA 0.71 0.77 0.15 XXX
2501-5000 gm.
99304......... ............ A........... Nursing facility 1.61 0.57 0.53 0.57 0.53 0.05 XXX
care, init.
99305......... ............ A........... Nursing facility 2.30 0.74 0.68 0.74 0.68 0.07 XXX
care, init.
99306......... ............ A........... Nursing facility 3.00 0.91 0.83 0.91 0.83 0.09 XXX
care, init.
99307......... ............ A........... Nursing fac care, 0.76 0.31 0.29 0.31 0.29 0.03 XXX
subseq.
99308......... ............ A........... Nursing fac care, 1.16 0.47 0.46 0.47 0.46 0.04 XXX
subseq.
99309......... ............ A........... Nursing fac care, 1.55 0.61 0.61 0.61 0.61 0.06 XXX
subseq.
99310......... ............ A........... Nursing fac care, 2.35 0.87 0.82 0.87 0.82 0.08 XXX
subseq.
99315......... ............ A........... Nursing fac 1.13 0.41 0.43 0.41 0.43 0.05 XXX
discharge day.
99316......... ............ A........... Nursing fac 1.50 0.51 0.55 0.51 0.55 0.06 XXX
discharge day.
99318......... ............ A........... Annual nursing fac 1.71 0.56 0.53 0.56 0.53 0.05 XXX
assessmnt.
99324......... ............ A........... Domicil/r-home 1.01 0.43 0.46 NA NA 0.05 XXX
visit new pat.
99325......... ............ A........... Domicil/r-home 1.52 0.55 0.62 NA NA 0.07 XXX
visit new pat.
99326......... ............ A........... Domicil/r-home 2.63 0.82 0.87 NA NA 0.10 XXX
visit new pat.
99327......... ............ A........... Domicil/r-home 3.46 1.02 1.09 NA NA 0.13 XXX
visit new pat.
99328......... ............ A........... Domicil/r-home 4.09 1.16 1.29 NA NA 0.16 XXX
visit new pat.
99334......... ............ A........... Domicil/r-home 1.07 0.43 0.42 NA NA 0.04 XXX
visit est pat.
99335......... ............ A........... Domicil/r-home 1.72 0.59 0.58 NA NA 0.06 XXX
visit est pat.
99336......... ............ A........... Domicil/r-home 2.46 0.77 0.79 NA NA 0.09 XXX
visit est pat.
99337......... ............ A........... Domicil/r-home 3.58 1.03 1.09 NA NA 0.13 XXX
visit est pat.
99339......... ............ B........... Domicil/r-home 1.25 0.58 0.58 NA NA 0.06 XXX
care supervis.
99340......... ............ B........... Domicil/r-home 1.80 0.77 0.77 NA NA 0.07 XXX
care supervis.
99341......... ............ A........... Home visit, new 1.01 0.43 0.45 NA NA 0.05 XXX
patient.
99342......... ............ A........... Home visit, new 1.52 0.56 0.62 NA NA 0.07 XXX
patient.
[[Page 2700]]
99343......... ............ A........... Home visit, new 2.53 0.82 0.88 NA NA 0.10 XXX
patient.
99344......... ............ A........... Home visit, new 3.38 1.00 1.09 NA NA 0.13 XXX
patient.
99345......... ............ A........... Home visit, new 4.09 1.15 1.29 NA NA 0.16 XXX
patient.
99347......... ............ A........... Home visit, est 1.00 0.42 0.41 NA NA 0.04 XXX
patient.
99348......... ............ A........... Home visit, est 1.56 0.56 0.57 NA NA 0.06 XXX
patient.
99349......... ............ A........... Home visit, est 2.33 0.73 0.78 NA NA 0.09 XXX
patient.
99350......... ............ A........... Home visit, est 3.28 0.96 1.07 NA NA 0.13 XXX
patient.
99354......... ............ A........... Prolonged service, 1.77 0.65 0.71 0.50 0.58 0.08 ZZZ
office.
99355......... ............ A........... Prolonged service, 1.77 0.62 0.68 0.47 0.54 0.07 ZZZ
office.
99356......... ............ A........... Prolonged service, 1.71 NA NA 0.50 0.56 0.07 ZZZ
inpatient.
99357......... ............ A........... Prolonged service, 1.71 NA NA 0.50 0.56 0.08 ZZZ
inpatient.
99358......... ............ B........... Prolonged serv, w/ 2.10 0.51 0.51 0.51 0.51 0.09 ZZZ
o contact.
99359......... ............ B........... Prolonged serv, w/ 1.00 0.26 0.26 0.26 0.26 0.04 ZZZ
o contact.
99360......... ............ X........... Physician standby 1.20 0.28 0.28 0.28 0.28 0.05 XXX
services.
99363......... ............ B........... Anticoag mgmt, 1.65 1.30 1.30 0.38 0.38 0.07 XXX
init.
99364......... ............ B........... Anticoag mgmt, 0.63 0.38 0.38 0.14 0.14 0.04 XXX
subseq.
99366......... ............ B........... Team conf w/pat by 0.82 0.20 0.20 0.19 0.19 0.06 XXX
hc pro.
99367......... ............ B........... Team conf w/o pat 1.10 0.25 0.25 0.25 0.25 0.05 XXX
by phys.
99368......... ............ B........... Team conf w/o pat 0.72 0.16 0.16 0.16 0.16 0.03 XXX
by hc pro.
99374......... ............ B........... Home health care 1.10 0.55 0.62 0.25 0.34 0.05 XXX
supervision.
99375......... ............ I........... Home health care 1.73 0.75 1.15 0.40 0.97 0.07 XXX
supervision.
99377......... ............ B........... Hospice care 1.10 0.55 0.62 0.25 0.34 0.05 XXX
supervision.
99378......... ............ I........... Hospice care 1.73 0.75 1.35 0.40 1.17 0.07 XXX
supervision.
99379......... ............ B........... Nursing fac care 1.10 0.55 0.62 0.25 0.34 0.04 XXX
supervision.
99380......... ............ B........... Nursing fac care 1.73 0.75 0.87 0.40 0.53 0.06 XXX
supervision.
99381......... ............ N........... Init pm e/m, new 1.19 1.00 1.25 0.27 0.36 0.05 XXX
pat, inf.
99382......... ............ N........... Init pm e/m, new 1.36 1.04 1.29 0.31 0.42 0.05 XXX
pat 1-4 yrs.
99383......... ............ N........... Prev visit, new, 1.36 1.03 1.25 0.31 0.42 0.05 XXX
age 5-11.
99384......... ............ N........... Prev visit, new, 1.53 1.07 1.31 0.35 0.47 0.06 XXX
age 12-17.
99385......... ............ N........... Prev visit, new, 1.53 1.07 1.31 0.35 0.47 0.06 XXX
age 18-39.
99386......... ............ N........... Prev visit, new, 1.88 1.15 1.45 0.43 0.58 0.07 XXX
age 40-64.
99387......... ............ N........... Init pm e/m, new 2.06 1.28 1.58 0.47 0.63 0.07 XXX
pat 65+ yrs.
99391......... ............ N........... Per pm reeval, est 1.02 0.86 0.94 0.24 0.31 0.04 XXX
pat, inf.
99392......... ............ N........... Prev visit, est, 1.19 0.90 1.00 0.27 0.36 0.05 XXX
age 1-4.
99393......... ............ N........... Prev visit, est, 1.19 0.90 0.98 0.27 0.36 0.05 XXX
age 5-11.
99394......... ............ N........... Prev visit, est, 1.36 0.93 1.03 0.31 0.42 0.05 XXX
age 12-17.
99395......... ............ N........... Prev visit, est, 1.36 0.94 1.05 0.31 0.42 0.05 XXX
age 18-39.
99396......... ............ N........... Prev visit, est, 1.53 0.98 1.11 0.35 0.47 0.06 XXX
age 40-64.
99397......... ............ N........... Per pm reeval est 1.71 1.12 1.24 0.39 0.53 0.06 XXX
pat 65+ yr.
99401......... ............ N........... Preventive 0.48 0.36 0.49 0.11 0.15 0.01 XXX
counseling, indiv.
99402......... ............ N........... Preventive 0.98 0.48 0.67 0.22 0.30 0.02 XXX
counseling, indiv.
99403......... ............ N........... Preventive 1.46 0.59 0.84 0.34 0.45 0.04 XXX
counseling, indiv.
99404......... ............ N........... Preventive 1.95 0.70 1.01 0.45 0.60 0.05 XXX
counseling, indiv.
99406......... ............ A........... Behav chng smoking 0.24 0.11 0.10 0.07 0.08 0.01 XXX
3-10 min.
99407......... ............ A........... Behav chng smoking 0.50 0.18 0.18 0.13 0.15 0.01 XXX
< 10 min.
99408......... ............ N........... Audit/dast, 15-30 0.65 0.19 0.19 0.15 0.15 0.01 XXX
min.
99409......... ............ N........... Audit/dast, over 1.30 0.34 0.34 0.30 0.30 0.03 XXX
30 min.
99411......... ............ N........... Preventive 0.15 0.22 0.20 0.03 0.05 0.01 XXX
counseling, group.
99412......... ............ N........... Preventive 0.25 0.24 0.25 0.06 0.08 0.01 XXX
counseling, group.
99420......... ............ N........... Health risk 0.00 0.22 0.22 NA NA 0.01 XXX
assessment test.
99429......... ............ N........... Unlisted 0.00 0.00 0.00 0.00 0.00 0.00 XXX
preventive
service.
99431......... ............ A........... Initial care, 1.17 NA NA 0.27 0.32 0.05 XXX
normal newborn.
99432......... ............ A........... Newborn care, not 1.26 1.01 0.97 0.29 0.34 0.07 XXX
in hosp.
99433......... ............ A........... Normal newborn 0.62 NA NA 0.17 0.19 0.02 XXX
care/hospital.
99435......... ............ A........... Newborn discharge 1.50 NA NA 0.50 0.54 0.06 XXX
day hosp.
99436......... ............ A........... Attendance, birth. 1.50 NA NA 0.33 0.40 0.06 XXX
99440......... ............ A........... Newborn 2.93 NA NA 0.67 0.80 0.12 XXX
resuscitation.
99441......... ............ N........... Phone e/m by phys 0.25 0.09 0.09 0.06 0.06 0.02 XXX
5-10 min.
99442......... ............ N........... Phone e/m by phys 0.50 0.14 0.14 0.11 0.11 0.02 XXX
11-20 min.
99443......... ............ N........... Phone e/m by phys 0.75 0.20 0.20 0.17 0.17 0.03 XXX
21-30 min.
99444......... ............ N........... Online e/m by phys 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99450......... ............ N........... Basic life 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disability exam.
99455......... ............ R........... Work related 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disability exam.
99456......... ............ R........... Disability 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
99477......... ............ A........... Init day hosp 7.00 1.98 1.98 1.98 1.98 0.32 XXX
neonate care.
99499......... ............ C........... Unlisted e&m 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
99500......... ............ I........... Home visit, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prenatal.
99501......... ............ I........... Home visit, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
postnatal.
99502......... ............ I........... Home visit, nb 0.00 0.00 0.00 0.00 0.00 0.00 XXX
care.
99503......... ............ I........... Home visit, resp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
99504......... ............ I........... Home visit mech 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ventilator.
99505......... ............ I........... Home visit, stoma 0.00 0.00 0.00 0.00 0.00 0.00 XXX
care.
[[Page 2701]]
99506......... ............ I........... Home visit, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
99507......... ............ I........... Home visit, cath 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maintain.
99509......... ............ I........... Home visit day 0.00 0.00 0.00 0.00 0.00 0.00 XXX
life activity.
99510......... ............ I........... Home visit, sing/m/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fam couns.
99511......... ............ I........... Home visit, fecal/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enema mgmt.
99512......... ............ I........... Home visit for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemodialysis.
99600......... ............ I........... Home visit nos.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99601......... ............ I........... Home infusion/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
visit, 2 hrs.
99602......... ............ I........... Home infusion, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
each addtl hr.
99605......... ............ X........... Mtms by pharm, np, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
15 min.
99606......... ............ X........... Mtms by pharm, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
est, 15 min.
99607......... ............ X........... Mtms by pharm, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
addl 15 min.
A4890......... ............ R........... Repair/maint cont 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemo equip.
G0008......... ............ X........... Admin influenza 0.00 0.00 0.00 0.00 0.00 0.00 XXX
virus vac.
G0009......... ............ X........... Admin pneumococcal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
G0010......... ............ X........... Admin hepatitis b 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
G0027......... ............ X........... Semen analysis.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
G0101......... ............ A........... CA screen;pelvic/ 0.45 0.48 0.50 NA NA 0.02 XXX
breast exam.
G0102......... ............ A........... Prostate ca 0.17 0.32 0.36 0.06 0.06 0.01 XXX
screening; dre.
G0103......... ............ X........... PSA screening..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
G0104......... ............ A........... CA screen;flexi 0.96 2.52 2.40 0.62 0.56 0.08 000
sigmoidscope.
G0105......... ............ A........... Colorectal scrn; 3.69 6.39 6.27 1.82 1.65 0.30 000
hi risk ind.
G0105......... 53.......... A........... Colorectal scrn; 0.96 2.52 2.40 0.62 0.56 0.08 000
hi risk ind.
G0106......... ............ A........... Colon CA 0.99 4.95 3.75 NA NA 0.17 XXX
screen;barium
enema.
G0106......... TC.......... A........... Colon CA 0.00 4.60 3.42 NA NA 0.13 XXX
screen;barium
enema.
G0106......... 26.......... A........... Colon CA 0.99 0.35 0.33 0.35 0.33 0.04 XXX
screen;barium
enema.
G0108......... ............ A........... Diab manage trn 0.00 0.59 0.71 NA NA 0.01 XXX
per indiv.
G0109......... ............ A........... Diab manage trn 0.00 0.31 0.40 NA NA 0.01 XXX
ind/group.
G0117......... ............ T........... Glaucoma scrn hgh 0.45 0.76 0.74 NA NA 0.01 XXX
risk direc.
G0118......... ............ T........... Glaucoma scrn hgh 0.17 0.71 0.62 NA NA 0.01 XXX
risk direc.
G0120......... ............ A........... Colon ca scrn; 0.99 4.95 3.75 NA NA 0.17 XXX
barium enema.
G0120......... TC.......... A........... Colon ca scrn; 0.00 4.60 3.42 NA NA 0.13 XXX
barium enema.
G0120......... 26.......... A........... Colon ca scrn; 0.99 0.35 0.33 0.35 0.33 0.04 XXX
barium enema.
G0121......... ............ A........... Colon ca scrn not 3.69 6.39 6.27 1.82 1.65 0.30 000
hi rsk ind.
G0121......... 53.......... A........... Colon ca scrn not 0.96 2.52 2.40 0.62 0.56 0.08 000
hi rsk ind.
G0122......... ............ N........... Colon ca scrn; 0.99 5.65 4.11 NA NA 0.18 XXX
barium enema.
G0122......... TC.......... N........... Colon ca scrn; 0.00 5.42 3.81 NA NA 0.13 XXX
barium enema.
G0122......... 26.......... N........... Colon ca scrn; 0.99 0.23 0.30 0.23 0.30 0.05 XXX
barium enema.
G0123......... ............ X........... Screen cerv/vag 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thin layer.
G0124......... ............ A........... Screen c/v thin 0.42 0.38 0.26 0.38 0.26 0.02 XXX
layer by MD.
G0127......... ............ R........... Trim nail(s)...... 0.17 0.38 0.32 0.04 0.06 0.01 000
G0128......... ............ R........... CORF skilled 0.08 0.02 0.02 0.02 0.02 0.01 XXX
nursing service.
G0130......... ............ A........... Single energy x- 0.22 0.55 0.72 NA NA 0.06 XXX
ray study.
G0130......... TC.......... A........... Single energy x- 0.00 0.49 0.65 NA NA 0.05 XXX
ray study.
G0130......... 26.......... A........... Single energy x- 0.22 0.06 0.07 0.06 0.07 0.01 XXX
ray study.
G0141......... ............ A........... Scr c/v 0.42 0.38 0.26 0.38 0.26 0.02 XXX
cyto,autosys and
md.
G0143......... ............ X........... Scr c/v 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cyto,thinlayer,re
scr.
G0144......... ............ X........... Scr c/v 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cyto,thinlayer,re
scr.
G0145......... ............ X........... Scr c/v 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cyto,thinlayer,re
scr.
G0147......... ............ X........... Scr c/v cyto, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
automated sys.
G0148......... ............ X........... Scr c/v cyto, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
autosys, rescr.
G0166......... ............ A........... Extrnl 0.07 4.50 4.04 NA NA 0.01 XXX
counterpulse, per
tx.
G0168......... ............ A........... Wound closure by 0.45 1.58 1.76 0.21 0.21 0.03 000
adhesive.
G0173......... ............ X........... Linear acc stereo 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radsur com.
G0175......... ............ X........... OPPS Service,sched 0.00 0.00 0.00 0.00 0.00 0.00 XXX
team conf.
G0176......... ............ X........... OPPS/PHP;activity 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
G0177......... ............ X........... OPPS/PHP; train & 0.00 0.00 0.00 0.00 0.00 0.00 XXX
educ serv.
G0179......... ............ A........... MD recertification 0.45 0.48 0.75 NA NA 0.02 XXX
HHA PT.
G0180......... ............ A........... MD certification 0.67 0.56 0.91 NA NA 0.03 XXX
HHA patient.
G0181......... ............ A........... Home health care 1.73 0.80 1.14 NA NA 0.07 XXX
supervision.
G0182......... ............ A........... Hospice care 1.73 0.82 1.24 NA NA 0.07 XXX
supervision.
G0186......... ............ C........... Dstry eye lesn,fdr 0.00 0.00 0.00 0.00 0.00 0.00 YYY
vssl tech.
G0202......... ............ A........... Screeningmammograp 0.70 2.81 2.79 NA NA 0.10 XXX
hydigital.
G0202......... TC.......... A........... Screeningmammograp 0.00 2.57 2.56 NA NA 0.07 XXX
hydigital.
G0202......... 26.......... A........... Screeningmammograp 0.70 0.24 0.23 0.24 0.23 0.03 XXX
hydigital.
G0204......... ............ A........... Diagnosticmammogra 0.87 3.40 3.09 NA NA 0.11 XXX
phydigital.
G0204......... TC.......... A........... Diagnosticmammogra 0.00 3.10 2.80 NA NA 0.07 XXX
phydigital.
G0204......... 26.......... A........... Diagnosticmammogra 0.87 0.30 0.29 0.30 0.29 0.04 XXX
phydigital.
G0206......... ............ A........... Diagnosticmammogra 0.70 2.67 2.46 NA NA 0.09 XXX
phydigital.
G0206......... TC.......... A........... Diagnosticmammogra 0.00 2.43 2.23 NA NA 0.06 XXX
phydigital.
G0206......... 26.......... A........... Diagnosticmammogra 0.70 0.24 0.23 0.24 0.23 0.03 XXX
phydigital.
G0219......... ............ N........... PET img wholbod 0.00 0.00 0.00 NA NA 0.00 XXX
melano nonco.
[[Page 2702]]
G0219......... TC.......... N........... PET img wholbod 0.00 0.00 0.00 NA NA 0.00 XXX
melano nonco.
G0219......... 26.......... N........... PET img wholbod 0.00 0.00 0.00 0.00 0.00 0.00 XXX
melano nonco.
G0235......... ............ N........... PET not otherwise 0.00 0.00 0.00 NA NA 0.00 XXX
specified.
G0235......... TC.......... N........... PET not otherwise 0.00 0.00 0.00 NA NA 0.00 XXX
specified.
G0235......... 26.......... N........... PET not otherwise 0.00 0.00 0.00 0.00 0.00 0.00 XXX
specified.
G0237......... ............ A........... Therapeutic procd 0.00 0.21 0.34 NA NA 0.02 XXX
strg endur.
G0238......... ............ A........... Oth resp proc, 0.00 0.23 0.36 NA NA 0.02 XXX
indiv.
G0239......... ............ A........... Oth resp proc, 0.00 0.31 0.32 NA NA 0.02 XXX
group.
G0245......... ............ R........... Initial foot exam 0.88 0.84 0.81 0.29 0.30 0.04 XXX
pt lops.
G0246......... ............ R........... Followup eval of 0.45 0.55 0.55 0.15 0.15 0.02 XXX
foot pt lop.
G0247......... ............ R........... Routine footcare 0.50 0.68 0.60 0.16 0.18 0.02 ZZZ
pt w lops.
G0248......... ............ R........... Demonstrate use 0.00 3.41 5.01 NA NA 0.01 XXX
home inr mon.
G0249......... ............ R........... Provide test 0.00 3.40 3.68 NA NA 0.01 XXX
material,equipm.
G0250......... ............ R........... MD review 0.18 0.08 0.07 NA NA 0.01 XXX
interpret of test.
G0251......... ............ E........... Linear acc based 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stero radio.
G0252......... ............ N........... PET imaging 0.00 0.00 0.00 NA NA 0.00 XXX
initial dx.
G0252......... TC.......... N........... PET imaging 0.00 0.00 0.00 NA NA 0.00 XXX
initial dx.
G0252......... 26.......... N........... PET imaging 1.50 0.00 0.60 0.00 0.60 0.04 XXX
initial dx.
G0255......... ............ N........... Current percep 0.00 0.00 0.00 NA NA 0.00 XXX
threshold tst.
G0255......... TC.......... N........... Current percep 0.00 0.00 0.00 NA NA 0.00 XXX
threshold tst.
G0255......... 26.......... N........... Current percep 0.00 0.00 0.00 0.00 0.00 0.00 XXX
threshold tst.
G0257......... ............ E........... Unsched dialysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ESRD pt hos.
G0259......... ............ E........... Inject for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sacroiliac joint.
G0260......... ............ E........... Inj for sacroiliac 0.00 0.00 0.00 0.00 0.00 0.00 XXX
jt anesth.
G0268......... ............ A........... Removal of 0.61 0.66 0.65 0.20 0.22 0.02 000
impacted wax md.
G0269......... ............ B........... Occlusive device 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in vein art.
G0270......... ............ A........... MNT subs tx for 0.37 0.12 0.29 0.09 0.28 0.01 XXX
change dx.
G0271......... ............ A........... Group MNT 2 or 0.25 0.08 0.13 0.07 0.12 0.01 XXX
more 30 mins.
G0275......... ............ A........... Renal angio, 0.25 NA NA 0.13 0.12 0.01 ZZZ
cardiac cath.
G0278......... ............ A........... Iliac art 0.25 NA NA 0.13 0.12 0.01 ZZZ
angio,cardiac
cath.
G0281......... ............ A........... Elec stim unattend 0.18 0.14 0.12 NA NA 0.01 XXX
for press.
G0282......... ............ N........... Elect stim wound 0.00 0.00 0.00 0.00 0.00 0.00 XXX
care not pd.
G0283......... ............ A........... Elec stim other 0.18 0.14 0.12 NA NA 0.01 XXX
than wound.
G0288......... ............ A........... Recon, CTA for 0.00 1.03 5.83 NA NA 0.18 XXX
surg plan.
G0289......... ............ A........... Arthro, loose body 1.48 NA NA 0.58 0.69 0.26 ZZZ
+ chondro.
G0290......... ............ E........... Drug-eluting 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stents, single.
G0291......... ............ E........... Drug-eluting 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stents,each add.
G0293......... ............ E........... Non-cov surg 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proc,clin trial.
G0294......... ............ E........... Non-cov proc, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
clinical trial.
G0295......... ............ N........... Electromagnetic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy onc.
G0297......... ............ X........... Insert single 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chamber/cd.
G0300......... ............ X........... Insert reposit 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lead dual+gen.
G0302......... ............ X........... Pre-op service 0.00 0.00 0.00 0.00 0.00 0.00 XXX
LVRS complete.
G0303......... ............ X........... Pre-op service 0.00 0.00 0.00 0.00 0.00 0.00 XXX
LVRS 10-15dos.
G0304......... ............ X........... Pre-op service 0.00 0.00 0.00 0.00 0.00 0.00 XXX
LVRS 1-9 dos.
G0305......... ............ X........... Post op service 0.00 0.00 0.00 0.00 0.00 0.00 XXX
LVRS min 6.
G0306......... ............ X........... CBC/diffwbc w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
platelet.
G0307......... ............ X........... CBC without 0.00 0.00 0.00 0.00 0.00 0.00 XXX
platelet.
G0308......... ............ A........... ESRD related svc 12.74 5.57 7.06 5.57 7.06 0.42 XXX
4+mo < 2yrs.
G0309......... ............ A........... ESRD related svc 2- 10.61 4.16 5.63 4.16 5.63 0.36 XXX
3mo <2yrs.
G0310......... ............ A........... ESRD related svc 1 8.49 2.78 4.24 2.78 4.24 0.28 XXX
vst <2yrs.
G0311......... ............ A........... ESRD related svs 9.73 3.55 4.13 3.55 4.13 0.34 XXX
4+mo 2-11yr.
G0312......... ............ A........... ESRD relate svs 2- 8.11 2.70 3.31 2.70 3.31 0.29 XXX
3 mo 2-11y.
G0313......... ............ A........... ESRD related svs 1 6.49 1.84 2.49 1.84 2.49 0.22 XXX
mon 2-11y.
G0314......... ............ A........... ESRD related svs 8.28 3.39 3.90 3.39 3.90 0.27 XXX
4+ mo 12-19.
G0315......... ............ A........... ESRD related svs 2- 6.90 2.56 3.12 2.56 3.12 0.23 XXX
3mo/12-19.
G0316......... ............ A........... ESRD related svs 5.52 1.66 2.30 1.66 2.30 0.17 XXX
1vis/12-19y.
G0317......... ............ A........... ESRD related svs 5.09 2.25 2.56 2.25 2.56 0.17 XXX
4+mo 20+yrs.
G0318......... ............ A........... ESRD related svs 2- 4.24 1.69 2.04 1.69 2.04 0.14 XXX
3 mo 20+y.
G0319......... ............ A........... ESRD related svs 3.39 1.13 1.52 1.13 1.52 0.11 XXX
1visit 20+y.
G0320......... ............ A........... ESD related svs 10.61 2.69 4.90 2.69 4.90 0.36 XXX
home undr 2.
G0321......... ............ A........... ESRDrelatedsvs 8.11 1.99 2.95 1.99 2.95 0.29 XXX
home mo 2-11y.
G0322......... ............ A........... ESRD related svs 6.90 1.71 2.69 1.71 2.69 0.23 XXX
hom mo12-19.
G0323......... ............ A........... ESRD related svs 4.24 1.14 1.76 1.14 1.76 0.14 XXX
home mo 20+.
G0324......... ............ A........... ESRD relate svs 0.35 0.16 0.20 0.16 0.20 0.01 XXX
home/dy <2yr.
G0325......... ............ A........... ESRD relate home/ 0.23 0.09 0.10 0.09 0.10 0.01 XXX
day/ 2-11yr.
G0326......... ............ A........... ESRD relate home/ 0.27 0.10 0.11 0.10 0.11 0.01 XXX
dy 12-19yr.
G0327......... ............ A........... ESRD relate home/ 0.14 0.06 0.07 0.06 0.07 0.01 XXX
dy 20+yrs.
G0328......... ............ X........... Fecal blood scrn 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunoassay.
G0329......... ............ A........... Electromagntic tx 0.06 0.15 0.15 NA NA 0.01 XXX
for ulcers.
G0332......... ............ A........... Preadmin IV 0.00 0.00 1.97 NA NA 0.00 XXX
immunoglobulin.
G0333......... ............ X........... Dispense fee 0.00 0.00 0.00 0.00 0.00 0.00 XXX
initial 30 day.
[[Page 2703]]
G0337......... ............ X........... Hospice evaluation 1.34 0.31 0.41 0.31 0.41 0.09 XXX
preelecti.
G0339......... ............ C........... Robot lin-radsurg 0.00 0.00 0.00 0.00 0.00 0.00 XXX
com, first.
G0340......... ............ C........... Robt lin-radsurg 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fractx 2-5.
G0341......... ............ A........... Percutaneous islet 6.98 NA NA 2.36 2.48 0.48 000
celltrans.
G0342......... ............ A........... Laparoscopy islet 11.92 NA NA 5.07 5.18 1.46 090
cell trans.
G0343......... ............ A........... Laparotomy islet 19.85 NA NA 8.55 8.66 2.07 090
cell transp.
G0344......... ............ A........... Initial preventive 1.34 1.11 1.12 0.43 0.45 0.10 XXX
exam.
G0364......... ............ A........... Bone marrow 0.16 0.16 0.15 0.07 0.06 0.04 ZZZ
aspirate &biopsy.
G0365......... ............ A........... Vessel mapping 0.25 5.22 4.61 NA NA 0.25 XXX
hemo access.
G0365......... TC.......... A........... Vessel mapping 0.00 5.16 4.53 NA NA 0.23 XXX
hemo access.
G0365......... 26.......... A........... Vessel mapping 0.25 0.06 0.08 0.06 0.08 0.02 XXX
hemo access.
G0366......... ............ A........... EKG for initial 0.17 0.35 0.42 NA NA 0.03 XXX
prevent exam.
G0367......... ............ A........... EKG tracing for 0.00 0.28 0.36 NA NA 0.02 XXX
initial prev.
G0368......... ............ A........... EKG interpret & 0.17 0.07 0.06 0.07 0.06 0.01 XXX
report preve.
G0372......... ............ A........... MD service 0.17 0.04 0.22 0.04 0.05 0.01 XXX
required for PMD.
G0377......... ............ X........... Administra Part D 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
G0378......... ............ X........... Hospital 0.00 0.00 0.00 0.00 0.00 0.00 XXX
observation per
hr.
G0379......... ............ X........... Direct admit 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hospital observ.
G0389......... ............ A........... Ultrasound exam 0.58 2.41 2.41 NA NA 0.11 XXX
AAA screen.
G0389......... TC.......... A........... Ultrasound exam 0.00 2.21 2.21 NA NA 0.08 XXX
AAA screen.
G0389......... 26.......... A........... Ultrasound exam 0.58 0.20 0.20 0.20 0.20 0.03 XXX
AAA screen.
G0392......... ............ A........... AV fistula or 9.48 48.69 52.41 3.39 3.47 0.62 000
graft arterial.
G0393......... ............ A........... AV fistula or 6.03 37.15 40.96 2.23 2.29 0.34 000
graft venous.
G0394......... ............ X........... Blood occult 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test,colorectal.
G0396......... ............ A........... Alcohol/subs 0.65 0.19 0.19 0.15 0.15 0.01 XXX
interv 15-30mn.
G0397......... ............ A........... Alcohol/subs 1.30 0.34 0.34 0.29 0.29 0.03 XXX
interv >30 min.
G3001......... ............ X........... Admin + supply, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tositumomab.
G9001......... ............ X........... MCCD, initial rate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
G9002......... ............ X........... MCCD,maintenance 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rate.
G9003......... ............ X........... MCCD, risk adj hi, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
initial.
G9004......... ............ X........... MCCD, risk adj lo, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
initial.
G9005......... ............ X........... MCCD, risk adj, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maintenance.
G9006......... ............ X........... MCCD, Home 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monitoring.
G9007......... ............ X........... MCCD, sch team 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conf.
G9008......... ............ X........... Mccd,phys coor- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
care ovrsght.
G9009......... ............ X........... MCCD, risk adj, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
level 3.
G9010......... ............ X........... MCCD, risk adj, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
level 4.
G9011......... ............ X........... MCCD, risk adj, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
level 5.
G9012......... ............ X........... Other Specified 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Case Mgmt.
G9013......... ............ N........... ESRD demo bundle 0.00 0.00 0.00 0.00 0.00 0.00 XXX
level I.
G9014......... ............ N........... ESRD demo bundle- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
level II.
G9016......... ............ N........... Demo-smoking 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cessation coun.
G9017......... ............ X........... Amantadine HCL 0.00 0.00 0.00 0.00 0.00 0.00 XXX
100mg oral.
G9018......... ............ X........... Zanamivir,inhalati 0.00 0.00 0.00 0.00 0.00 0.00 XXX
on pwd 10m.
G9019......... ............ X........... Oseltamivir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphate 75mg.
G9020......... ............ X........... Rimantadine HCL 0.00 0.00 0.00 0.00 0.00 0.00 XXX
100mg oral.
G9033......... ............ X........... Amantadine HCL 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral brand.
G9034......... ............ X........... Zanamivir, inh 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pwdr, brand.
G9035......... ............ X........... Oseltamivir phosp, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
brand.
G9036......... ............ X........... Rimantadine HCL, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
brand.
G9041......... ............ A........... Low vision rehab 0.44 0.10 0.20 0.10 0.20 0.01 XXX
occupationa.
G9042......... ............ A........... Low vision rehab 0.10 0.02 0.16 0.02 0.16 0.01 XXX
orient/mobi.
G9043......... ............ A........... Low vision 0.10 0.02 0.16 0.02 0.16 0.01 XXX
lowvision therapi.
G9044......... ............ A........... Low vision 0.10 0.02 0.13 0.02 0.13 0.01 XXX
rehabilate teache.
G9140......... ............ X........... Frontier extended 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stay demo.
M0064......... ............ A........... Visit for drug 0.37 0.91 0.62 0.07 0.09 0.01 XXX
monitoring.
P3001......... ............ A........... Screening pap 0.42 0.38 0.26 0.38 0.26 0.02 XXX
smear by phys.
Q0035......... ............ A........... Cardiokymography.. 0.17 0.30 0.37 NA NA 0.03 XXX
Q0035......... TC.......... A........... Cardiokymography.. 0.00 0.25 0.32 NA NA 0.02 XXX
Q0035......... 26.......... A........... Cardiokymography.. 0.17 0.05 0.05 0.05 0.05 0.01 XXX
Q0091......... ............ A........... Obtaining screen 0.37 0.75 0.71 0.10 0.12 0.02 XXX
pap smear.
Q0092......... ............ A........... Set up port xray 0.00 0.47 0.40 0.47 0.40 0.01 XXX
equipment.
Q3001......... ............ C........... Brachytherapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Radioelements.
Q3014......... ............ X........... Telehealth 0.00 0.00 0.00 0.00 0.00 0.00 XXX
facility fee.
R0070......... ............ C........... Transport portable 0.00 0.00 0.00 0.00 0.00 0.00 XXX
x-ray.
R0075......... ............ C........... Transport port x- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ray multipl.
R0076......... ............ B........... Transport portable 0.00 0.00 0.00 0.00 0.00 0.00 XXX
EKG.
V5299......... ............ R........... Hearing service... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public
and are not used for Medicare payment.
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 /
Rules and Regulations
[[Page 2704]]
2. On pages 66543 through 66545, Addendum C, Codes with Interim
RVUs, the table is corrected to read as follows:
--------------------
\1\ CPT codes and descriptions only are copyright 2007 American Medical
Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ If values are reflected for codes not payable by Medicare, please
note that these values have been established as a courtesy to the
general public and are not used for Medicare payment.
Addendum C.--Codes With Interim RVUS
--------------------------------------------------------------------------------------------------------------------------------------------------------
Fully Year 2008
Physician implemented transitional Fully Year 2008 Mal-
CPT \1\/ HCPCS Mod Status Description work RVUs non- non- implemented transitional practice Global
\2\ facility facility PE facility facility RVUs \2\
PE RVUs \2\ RVUs \2\ PE RVUs \2\ PE RVUs \2\
--------------------------------------------------------------------------------------------------------------------------------------------------------
20555......... ....... A Place ndl musc/tis 6.00 NA NA 2.18 2.18 0.43 000
for rt.
20660......... ....... A Apply, rem 4.00 2.28 2.28 1.55 1.55 0.59 000
fixation device.
20690......... ....... A Apply bone 8.65 NA NA 3.71 3.71 0.59 090
fixation device.
20692......... ....... A Apply bone 16.00 NA NA 6.79 6.79 1.05 090
fixation device.
20985......... ....... A Cptr-asst dir ms 2.50 0.99 0.99 0.99 0.99 0.48 ZZZ
px.
20986......... ....... C Cptr-asst dir ms 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
px io img.
20987......... ....... C Cptr-asst dir ms 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
px pre img.
21073......... ....... A Mnpj of tmj w/ 3.33 5.50 5.50 2.31 2.31 0.43 090
anesth.
22206......... ....... A Cut spine 3 col, 37.00 NA NA 17.73 17.73 6.23 090
thor.
22207......... ....... A Cut spine 3 col, 36.50 NA NA 17.61 17.61 6.07 090
lumb.
22208......... ....... A Cut spine 3 col, 9.66 3.73 3.73 3.73 3.73 2.07 ZZZ
addl seg.
23515......... ....... A Treat clavicle 9.53 NA NA 6.78 6.78 1.28 090
fracture.
23585......... ....... A Treat scapula 14.07 NA NA 8.08 8.08 1.54 090
fracture.
23615......... ....... A Treat humerus 12.12 NA NA 8.45 8.45 1.62 090
fracture.
23616......... ....... A Treat humerus 18.19 NA NA 12.30 12.30 3.70 090
fracture.
23630......... ....... A Treat humerus 10.39 NA NA 7.00 7.00 1.27 090
fracture.
23670......... ....... A Treat dislocation/ 12.12 NA NA 7.38 7.38 1.36 090
fracture.
23680......... ....... A Treat dislocation/ 12.99 NA NA 8.17 8.17 1.76 090
fracture.
24357......... ....... A Repair elbow, perc 5.32 NA NA 5.15 5.15 0.87 090
24358......... ....... A Repair elbow w/ 6.54 NA NA 5.73 5.73 1.07 090
deb, open.
24359......... ....... A Repair elbow deb/ 8.86 NA NA 6.20 6.20 1.41 090
attch open.
24545......... ....... A Treat humerus 12.99 NA NA 8.37 8.37 1.83 090
fracture.
24546......... ....... A Treat humerus 14.73 NA NA 10.22 10.22 2.74 090
fracture.
24575......... ....... A Treat humerus 9.53 NA NA 7.69 7.69 1.87 090
fracture.
24579......... ....... A Treat humerus 11.26 NA NA 8.29 8.29 2.03 090
fracture.
24635......... ....... A Treat elbow 8.64 NA NA 10.31 10.31 2.29 090
fracture.
24685......... ....... A Treat ulnar 8.21 NA NA 7.02 7.02 1.52 090
fracture.
25515......... ....... A Treat fracture of 8.64 NA NA 6.97 6.97 1.59 090
radius.
25525......... ....... A Treat fracture of 10.37 NA NA 8.71 8.71 2.13 090
radius.
25526......... ....... A Treat fracture of 12.96 NA NA 11.10 11.10 2.20 090
radius.
25545......... ....... A Treat fracture of 7.78 NA NA 6.95 6.95 1.53 090
ulna.
25574......... ....... A Treat fracture 8.64 NA NA 6.88 6.88 1.21 090
radius & ulna.
25575......... ....... A Treat fracture 12.10 NA NA 8.94 8.94 1.82 090
radius/ulna.
25628......... ....... A Treat wrist bone 9.51 NA NA 7.34 7.34 1.37 090
fracture.
26615......... ....... A Treat metacarpal 6.91 NA NA 5.66 5.66 0.86 090
fracture.
26650......... ....... A Treat thumb 5.19 NA NA 5.79 5.79 0.94 090
fracture.
26665......... ....... A Treat thumb 7.78 NA NA 6.47 6.47 0.90 090
fracture.
26685......... ....... A Treat hand 6.91 NA NA 6.06 6.06 1.09 090
dislocation.
26715......... ....... A Treat knuckle 6.87 NA NA 5.76 5.76 0.91 090
dislocation.
26735......... ....... A Treat finger 7.26 NA NA 5.84 5.84 0.95 090
fracture, each.
26746......... ....... A Treat finger 9.59 NA NA 6.38 6.38 0.91 090
fracture, each.
26765......... ....... A Treat finger 5.70 NA NA 4.93 4.93 0.66 090
fracture, each.
26785......... ....... A Treat finger 6.44 NA NA 5.15 5.15 0.68 090
dislocation.
27248......... ....... A Treat thigh 10.64 NA NA 7.30 7.30 1.82 090
fracture.
27267......... ....... A Cltx thigh fx..... 5.38 NA NA 4.40 4.40 0.89 090
27268......... ....... A Cltx thigh fx w/ 7.00 NA NA 5.02 5.02 1.16 090
mnpj.
27269......... ....... A Optx thigh fx..... 18.75 NA NA 9.89 9.89 2.93 090
27416......... ....... A Osteochondral knee 14.00 NA NA 8.39 8.39 2.32 090
autograft.
27511......... ....... A Treatment of thigh 14.97 NA NA 9.66 9.66 2.38 090
fracture.
27513......... ....... A Treatment of thigh 19.11 NA NA 11.82 11.82 3.13 090
fracture.
27514......... ....... A Treatment of thigh 14.46 NA NA 10.62 10.62 3.01 090
fracture.
27519......... ....... A Treat thigh fx 13.11 NA NA 9.49 9.49 2.56 090
growth plate.
27535......... ....... A Treat knee 13.27 NA NA 8.78 8.78 2.01 090
fracture.
27540......... ....... A Treat knee 11.16 NA NA 8.45 8.45 2.28 090
fracture.
27556......... ....... A Treat knee 12.86 NA NA 9.46 9.46 2.51 090
dislocation.
27557......... ....... A Treat knee 15.76 NA NA 10.79 10.79 2.98 090
dislocation.
27558......... ....... A Treat knee 18.25 NA NA 11.17 11.17 3.09 090
dislocation.
27726......... ....... A Repair fibula 14.20 NA NA 7.68 7.68 1.43 090
nonunion.
27766......... ....... A Optx medial ankle 7.73 NA NA 6.68 6.68 1.44 090
fx.
27767......... ....... A Cltx post ankle fx 2.50 3.62 3.62 3.65 3.65 0.30 090
27768......... ....... A Cltx post ankle fx 5.00 NA NA 4.30 4.30 0.79 090
w/mnpj.
27769......... ....... A Optx post ankle fx 10.00 NA NA 6.08 6.08 1.45 090
27784......... ....... A Treatment of 9.51 NA NA 6.66 6.66 1.23 090
fibula fracture.
27792......... ....... A Treatment of ankle 9.55 NA NA 6.89 6.89 1.32 090
fracture.
27814......... ....... A Treatment of ankle 10.46 NA NA 7.90 7.90 1.86 090
fracture.
27822......... ....... A Treatment of ankle 11.03 NA NA 9.43 9.43 1.92 090
fracture.
27823......... ....... A Treatment of ankle 12.98 NA NA 10.21 10.21 2.26 090
fracture.
27826......... ....... A Treat lower leg 10.92 NA NA 8.52 8.52 1.47 090
fracture.
27827......... ....... A Treat lower leg 14.56 NA NA 11.48 11.48 2.44 090
fracture.
27828......... ....... A Treat lower leg 18.20 NA NA 12.76 12.76 2.82 090
fracture.
[[Page 2705]]
27829......... ....... A Treat lower leg 8.64 NA NA 6.88 6.88 0.95 090
joint.
27832......... ....... A Treat lower leg 10.01 NA NA 6.50 6.50 1.03 090
dislocation.
28415......... ....... A Treat heel 15.96 NA NA 11.77 11.77 2.67 090
fracture.
28420......... ....... A Treat/graft heel 17.29 NA NA 11.60 11.60 2.81 090
fracture.
28445......... ....... A Treat ankle 15.53 NA NA 10.26 10.26 2.59 090
fracture.
28446......... ....... A Osteochondral 17.50 NA NA 10.36 10.36 2.45 090
talus autogrft.
28465......... ....... A Treat midfoot 8.64 NA NA 6.19 6.19 1.10 090
fracture, each.
28485......... ....... A Treat metatarsal 7.28 NA NA 5.51 5.51 0.83 090
fracture.
28505......... ....... A Treat big toe 7.28 8.28 8.28 4.36 4.36 0.56 090
fracture.
28525......... ....... A Treat toe fracture 5.46 7.82 7.82 3.88 3.88 0.49 090
28555......... ....... A Repair foot 9.49 10.36 10.36 5.99 5.99 1.04 090
dislocation.
28585......... ....... A Repair foot 10.92 9.45 9.45 6.41 6.41 1.25 090
dislocation.
28615......... ....... A Repair foot 10.46 NA NA 8.09 8.09 1.30 090
dislocation.
28645......... ....... A Repair toe 7.28 6.65 6.65 3.95 3.95 0.57 090
dislocation.
28675......... ....... A Repair of toe 5.46 7.69 7.69 3.90 3.90 0.45 090
dislocation.
29828......... ....... A Arthroscopy biceps 13.00 NA NA 8.18 8.18 2.17 090
tenodesis.
29904......... ....... A Subtalar arthro w/ 8.50 NA NA 5.89 5.89 1.25 090
fb rmvl.
29905......... ....... A Subtalar arthro w/ 9.00 NA NA 6.52 6.52 1.32 090
exc.
29906......... ....... A Subtalar arthro w/ 9.47 NA NA 6.88 6.88 1.39 090
deb.
29907......... ....... A Subtalar arthro w/ 12.00 NA NA 7.87 7.87 1.90 090
fusion.
31500......... ....... A Insert emergency 2.33 NA NA 0.48 0.48 0.17 000
airway.
33257......... ....... A Ablate atria, 9.63 NA NA 5.47 5.47 0.89 ZZZ
lmtd, add-on.
33258......... ....... A Ablate atria, 11.00 NA NA 5.99 5.99 1.09 ZZZ
x10sv, add-on.
33259......... ....... A Ablate atria w/ 14.14 NA NA 7.80 7.80 1.78 ZZZ
bypass add-on.
33864......... ....... A Ascending aortic 60.00 NA NA 20.11 20.11 6.73 090
graft.
34806......... ....... A Aneurysm press 2.06 0.51 0.51 0.51 0.51 0.30 ZZZ
sensor add-on.
35523......... ....... A Artery bypass 24.00 NA NA 9.22 9.22 2.14 090
graft.
36591......... ....... T Draw blood off 0.00 0.54 0.54 NA NA 0.01 XXX
venous device.
36592......... ....... T Collect blood from 0.00 0.67 0.67 NA NA 0.01 XXX
picc.
36593......... ....... A Declot vascular 0.00 0.60 0.60 NA NA 0.37 XXX
device.
36620......... ....... A Insertion 1.15 NA NA 0.19 0.19 0.07 000
catheter, artery.
41019......... ....... A Place needles h&n 8.84 NA NA 3.28 3.28 0.59 000
for rt.
43760......... ....... A Change gastrostomy 0.90 4.04 4.04 0.39 0.39 0.09 000
tube.
49203......... ....... A Exc abd tum 5 cm 20.00 NA NA 7.66 7.66 2.27 090
or less.
49204......... ....... A Exc abd tum over 5 26.00 NA NA 9.27 9.27 2.94 090
cm.
49205......... ....... A Exc abd tum over 30.00 NA NA 10.35 10.35 3.40 090
10 cm.
49440......... ....... A Place gastrostomy 4.18 25.06 25.06 1.81 1.81 0.49 010
tube perc.
49441......... ....... A Place duod/jej 4.77 30.13 30.13 2.01 2.01 0.29 010
tube perc.
49442......... ....... A Place cecostomy 4.00 24.46 24.46 1.63 1.63 0.24 010
tube perc.
49446......... ....... A Change g-tube to g- 3.31 25.78 25.78 1.15 1.15 0.18 000
j perc.
49450......... ....... A Replace g/c tube 1.36 18.97 18.97 0.44 0.44 0.08 000
perc.
49451......... ....... A Replace duod/jej 1.84 19.71 19.71 0.64 0.64 0.11 000
tube perc.
49452......... ....... A Replace g-j tube 2.86 23.51 23.51 1.00 1.00 0.18 000
perc.
49460......... ....... A Fix g/colon tube w/ 0.96 20.59 20.59 0.31 0.31 0.05 000
device.
49465......... ....... A Fluoro exam of g/ 0.62 3.89 3.89 0.22 0.22 0.03 000
colon tube.
50385......... ....... A Change stent via 4.44 30.64 30.64 2.05 2.05 0.27 000
transureth.
50386......... ....... A Remove stent via 3.30 19.38 19.38 1.61 1.61 0.20 000
transureth.
50593......... ....... A Perc cryo ablate 9.08 114.62 114.62 3.45 3.45 0.58 010
renal tum.
51797......... 26 A Intraabdominal 0.80 0.41 0.41 0.41 0.41 0.12 ZZZ
pressure test.
52649......... ....... A 2Prostate laser 17.16 NA NA 9.32 9.32 1.11 090
enucleation.
55920......... ....... A Place needles 8.31 NA NA 3.14 3.14 0.58 000
pelvic for rt.
57284......... ....... A Repair paravag 14.25 NA NA 6.57 6.57 1.41 090
defect, open.
57285......... ....... A Repair paravag 11.52 NA NA 5.16 5.16 0.63 090
defect, vag.
57423......... ....... A Repair paravag 16.00 NA NA 6.52 6.52 1.65 090
defect, lap.
58570......... ....... A Tlh, uterus 250 g 15.75 NA NA 6.46 6.46 1.82 090
or less.
58571......... ....... A Tlh w/t/o 250 g or 17.56 NA NA 6.95 6.95 1.81 090
less.
58572......... ....... A Tlh, uterus over 19.96 NA NA 7.60 7.60 2.31 090
250 g.
58573......... ....... A Tlh w/t/o uterus 22.98 NA NA 8.42 8.42 2.28 090
over 250 g.
67041......... ....... A Vit for macular 19.00 NA NA 10.37 10.37 0.86 090
pucker.
67042......... ....... A Vit for macular 22.13 NA NA 11.49 11.49 1.00 090
hole.
67043......... ....... A Vit for membrane 22.94 NA NA 12.35 12.35 1.04 090
dissect.
67113......... ....... A Repair retinal 25.00 NA NA 13.75 13.75 1.13 090
detach, cplx.
67229......... ....... A Tr retinal les 16.00 NA NA 9.52 9.52 0.71 090
preterm inf.
68816......... ....... A Probe nl duct w/ 3.00 12.75 12.75 2.51 2.51 0.16 010
balloon.
75557......... 26 A Cardiac mri for 2.35 0.94 0.94 0.94 0.94 0.10 XXX
morph.
75558......... 26 N Cardiac mri flow/ 2.60 0.60 0.60 0.60 0.60 0.11 XXX
velocity.
75559......... 26 A Cardiac mri w/ 2.95 1.27 1.27 1.27 1.27 0.10 XXX
stress img.
75560......... 26 N Cardiac mri flow/ 3.00 0.69 0.69 0.69 0.69 0.11 XXX
vel/stress.
75561......... 26 A Cardiac mri for 2.60 1.04 1.04 1.04 1.04 0.11 XXX
morph w/dye.
75562......... 26 N Card mri flow/vel 2.86 0.66 0.66 0.66 0.66 0.11 XXX
w/dye.
75563......... 26 A Card mri w/stress 3.00 1.38 1.38 1.38 1.38 0.11 XXX
img & dye.
75564......... 26 N Ht mri w/flo/vel/ 3.35 0.77 0.77 0.77 0.77 0.13 XXX
strs & dye.
78811......... 26 A Pet image, ltd 1.54 0.53 0.53 0.53 0.53 0.11 XXX
area.
[[Page 2706]]
78812......... 26 A Pet image, skull- 1.93 0.66 0.66 0.66 0.66 0.11 XXX
thigh.
78813......... 26 A Pet image, full 2.00 0.69 0.69 0.69 0.69 0.11 XXX
body.
78814......... 26 A Pet image w/ct, 2.20 0.75 0.75 0.75 0.75 0.11 XXX
lmtd.
78815......... 26 A Pet image w/ct, 2.44 0.84 0.84 0.84 0.84 0.11 XXX
skull-thigh.
78816......... 26 A Pet image w/ct, 2.50 0.86 0.86 0.86 0.86 0.11 XXX
full body.
86486......... ....... A Skin test, nos 0.00 0.13 0.13 NA NA 0.02 XXX
antigen.
88380......... 26 A Microdissection, 1.56 0.43 0.43 0.43 0.43 0.07 XXX
laser.
88381......... 26 A Microdissection, 1.18 0.32 0.32 0.32 0.32 0.06 XXX
manual.
90769......... ....... A Sc ther infusion, 0.21 3.93 3.93 NA NA 0.06 XXX
up to 1 hr.
90770......... ....... A Sc ther infusion, 0.18 0.22 0.22 NA NA 0.04 ZZZ
addl hr.
90771......... ....... A Sc ther infusion, 0.00 1.86 1.86 NA NA 0.01 ZZZ
reset pump.
93503......... ....... A Insert/place heart 2.91 NA NA NA NA 0.20 000
catheter.
93982......... ....... R Aneurysm pressure 0.30 0.80 0.80 NA NA 0.01 XXX
sens study.
95004......... ....... A Percut allergy 0.01 0.13 0.13 NA NA 0.01 XXX
skin tests.
95024......... ....... A Id allergy test, 0.01 0.16 0.16 NA NA 0.01 XXX
drug/bug.
95027......... ....... A Id allergy titrate- 0.01 0.12 0.12 NA NA 0.01 XXX
airborne.
95980......... ....... A Io anal gast n- 0.80 NA NA 0.25 0.25 0.07 XXX
stim init.
95981......... ....... A Io anal gast n- 0.30 0.44 0.44 0.12 0.12 0.02 XXX
stim subsq.
95982......... ....... A Io ga n-stim subsq 0.65 0.47 0.47 0.18 0.18 0.05 XXX
w/reprog.
96125......... ....... A Cognitive test by 1.70 0.76 0.76 0.37 0.37 0.16 XXX
hc pro.
98966......... ....... N Hc pro phone call 0.25 0.09 0.09 0.06 0.06 0.01 XXX
5-10 min.
98967......... ....... N Hc pro phone call 0.50 0.14 0.14 0.11 0.11 0.02 XXX
11-20 min.
98968......... ....... N Hc pro phone call 0.75 0.20 0.20 0.17 0.17 0.03 XXX
21-30 min.
98969......... ....... N Online service by 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hc pro.
99174......... ....... N Ocular 0.00 0.00 0.00 0.00 0.00 0.00 XXX
photoscreening.
99366......... ....... B Team conf w/pat by 0.82 0.20 0.20 0.19 0.19 0.06 XXX
hc pro.
99367......... ....... B Team conf w/o pat 1.10 0.25 0.25 0.25 0.25 0.05 XXX
by phys.
99368......... ....... B Team conf w/o pat 0.72 0.16 0.16 0.16 0.16 0.03 XXX
by hc pro.
99406......... ....... A Behav chng smoking 0.24 0.10 0.10 0.08 0.08 0.01 XXX
3-10 min.
99407......... ....... A Behav chng smoking 0.50 0.18 0.18 0.15 0.15 0.01 XXX
< 10 min.
99408......... ....... N Audit/dast, 15-30 0.65 0.19 0.19 0.15 0.15 0.01 XXX
min.
99409......... ....... N Audit/dast, over 1.30 0.34 0.34 0.30 0.30 0.03 XXX
30 min.
99441......... ....... N Phone e/m by phys 0.25 0.09 0.09 0.06 0.06 0.02 XXX
5-10 min.
99442......... ....... N Phone e/m by phys 0.50 0.14 0.14 0.11 0.11 0.02 XXX
11-20 min.
99443......... ....... N Phone e/m by phys 0.75 0.20 0.20 0.17 0.17 0.03 XXX
21-30 min.
99444......... ....... N Online e/m by phys 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99477......... ....... A Init day hosp 7.00 1.98 1.98 1.98 1.98 0.32 XXX
neonate care.
G0396......... ....... A Alcohol/subs 0.65 0.19 0.19 0.15 0.15 0.01 XXX
interv 15-30mn.
G0397......... ....... A Alcohol/subs 1.30 0.34 0.34 0.29 0.29 0.03 XXX
interv > 30 min.
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public
and are not used for Medicare payment.
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 /
Rules and Regulations
3. On pages 66545 through 66546, Addendum D, 2008 Geographic
Adjustment Factors (GAFs), the table is corrected to read as follows:
Addendum D.--2008 Geographic Adjustment Factors (GAFs) by Medicare
Locality
------------------------------------------------------------------------
Carrier Locality Locality name GAF
------------------------------------------------------------------------
31140............... 06............... San Mateo, CA......... 1.231
31140............... 05............... San Francisco, CA..... 1.228
31140............... 09............... Santa Clara, CA....... 1.207
00803............... 01............... Manhattan, NY......... 1.174
00803............... 02............... NYC Suburbs/Long I., 1.171
NY.
31140............... 07............... Oakland/Berkeley, CA.. 1.154
31143............... 01............... Metropolitan Boston... 1.143
14330............... 04............... Queens, NY............ 1.137
31140............... 03............... Marin/Napa/Solano, CA. 1.133
00805............... 01............... Northern NJ........... 1.130
00903............... 01............... DC + MD/VA Suburbs.... 1.126
31146............... 26............... Anaheim/Santa Ana, CA. 1.124
31146............... 17............... Ventura, CA........... 1.102
31146............... 18............... Los Angeles, CA....... 1.100
00591............... 00............... Connecticut........... 1.096
00952............... 16............... Chicago, IL........... 1.093
00590............... 04............... Miami, FL............. 1.092
00953............... 01............... Detroit, MI........... 1.090
00805............... 99............... Rest of New Jersey.... 1.078
00952............... 15............... Suburban Chicago, IL.. 1.074
00865............... 01............... Metropolitan 1.072
Philadelphia, PA.
00833............... 01............... Hawaii/Guam........... 1.050
00831............... 01............... Alaska................ 1.045
[[Page 2707]]
00836............... 02............... Seattle (King Cnty), 1.045
WA.
31143............... 99............... Rest of Massachusetts. 1.042
00803............... 03............... Poughkpsie/N NYC 1.040
Suburbs, NY.
00901............... 01............... Baltimore/Surr. Cntys, 1.037
MD.
00590............... 03............... Fort Lauderdale, FL... 1.033
00524............... 01............... Rhode Island.......... 1.031
00511............... 01............... Atlanta, GA........... 1.024
00900............... 11............... Dallas, TX............ 1.022
00900............... 18............... Houston, TX........... 1.021
00834............... 00............... Nevada................ 1.019
31140............... 99............... Rest of California *.. 1.014
31146............... 99............... Rest of California *.. 1.014
00902............... 01............... Delaware.............. 1.012
00900............... 31............... Austin, TX............ 1.001
00835............... 01............... Portland, OR.......... 0.996
31144............... 40............... New Hampshire......... 0.994
00900............... 09............... Brazoria, TX.......... 0.994
00528............... 01............... New Orleans, LA....... 0.993
00952............... 12............... East St. Louis, IL.... 0.992
00900............... 28............... Fort Worth, TX........ 0.989
00973............... 50............... Virgin Islands........ 0.989
00900............... 15............... Galveston, TX......... 0.986
00824............... 01............... Colorado.............. 0.983
31142............... 03............... Southern Maine........ 0.981
00901............... 99............... Rest of Maryland...... 0.981
03102............... 00............... Arizona............... 0.980
00740............... 02............... Metropolitan Kansas 0.980
City, MO.
00590............... 99............... Rest of Florida....... 0.977
00953............... 99............... Rest of Michigan...... 0.976
00836............... 99............... Rest of Washington.... 0.973
00523............... 01............... Metropolitan St Louis, 0.971
MO.
00883............... 00............... Ohio.................. 0.970
00954............... 00............... Minnesota............. 0.967
00865............... 99............... Rest of Pennsylvania.. 0.956
31145............... 50............... Vermont............... 0.953
00904............... 00............... Virginia.............. 0.950
03502............... 09............... Utah.................. 0.948
00900............... 20............... Beaumont, TX.......... 0.946
00801............... 99............... Rest of New York...... 0.945
00951............... 00............... Wisconsin............. 0.943
00952............... 99............... Rest of Illinois...... 0.941
05535............... 00............... North Carolina........ 0.937
00521............... 05............... New Mexico............ 0.936
00630............... 00............... Indiana............... 0.935
00511............... 99............... Rest of Georgia....... 0.931
00900............... 99............... Rest of Texas......... 0.931
00835............... 99............... Rest of Oregon........ 0.930
00884............... 16............... West Virginia......... 0.925
00528............... 99............... Rest of Louisiana..... 0.923
05440............... 35............... Tennessee............. 0.923
00880............... 01............... South Carolina........ 0.920
00650............... 00............... Kansas *.............. 0.917
00740............... 04............... Kansas *.............. 0.917
31142............... 99............... Rest of Maine......... 0.915
00660............... 00............... Kentucky.............. 0.912
00510............... 00............... Alabama............... 0.910
05130............... 00............... Idaho................. 0.909
03602............... 21............... Wyoming............... 0.907
00826............... 00............... Iowa.................. 0.906
00512............... 00............... Mississippi........... 0.902
00655............... 00............... Nebraska.............. 0.902
03202............... 01............... Montana............... 0.898
00522............... 00............... Oklahoma.............. 0.898
00523............... 99............... Rest of Missouri *.... 0.889
00740............... 99............... Rest of Missouri *.... 0.889
03402............... 02............... South Dakota.......... 0.889
00520............... 13............... Arkansas.............. 0.888
03302............... 01............... North Dakota.......... 0.887
00973............... 20............... Puerto Rico........... 0.789
------------------------------------------------------------------------
* Indicates multiple carriers.
[[Page 2708]]
4. On pages 66546 through 66547, Addendum E, 2008*** Geographic
Practice Cost Indices by State and Medicare Locality, the table is
corrected to read as follows:
Addendum E.--2008\**\ Geographic Practice Cost Indices by State and
Medicare Locality
------------------------------------------------------------------------
2008 GPCIs
Carrier Locality Locality name --------------------------
Work PE MP
------------------------------------------------------------------------
00510......... 00......... Alabama......... 0.982 0.850 0.617
00831......... 01......... Alaska.......... 1.017 1.098 0.828
03102......... 00......... Arizona......... 0.988 0.975 0.936
00520......... 13......... Arkansas........ 0.961 0.839 0.439
31146......... 26......... Anaheim/Santa 1.034 1.254 0.874
Ana, CA.
31146......... 18......... Los Angeles, CA. 1.041 1.192 0.871
31140......... 03......... Marin/Napa/ 1.034 1.304 0.535
Solano, CA.
31140......... 07......... Oakland/ 1.053 1.330 0.531
Berkeley, CA.
31140......... 05......... San Francisco, 1.059 1.494 0.526
CA.
31140......... 06......... San Mateo, CA... 1.072 1.486 0.510
31140......... 09......... Santa Clara, CA. 1.083 1.419 0.485
31146......... 17......... Ventura, CA..... 1.027 1.223 0.749
31140......... 99......... Rest of 1.007 1.056 0.634
California *.
31146......... 99......... Rest of 1.007 1.056 0.634
California *.
00824......... 01......... Colorado........ 0.986 1.004 0.715
00591......... 00......... Connecticut..... 1.038 1.179 0.934
00903......... 01......... DC + MD/VA 1.047 1.235 0.972
Suburbs.
00902......... 01......... Delaware........ 1.011 1.033 0.777
00590......... 03......... Fort Lauderdale, 0.989 1.004 1.965
FL.
00590......... 04......... Miami, FL....... 1.000 1.059 2.703
00590......... 99......... Rest of Florida. 0.973 0.937 1.489
00511......... 01......... Atlanta, GA..... 1.009 1.053 0.892
00511......... 99......... Rest of Georgia. 0.979 0.878 0.889
00833......... 01......... Hawaii/Guam..... 1.001 1.137 0.726
05130......... 00......... Idaho........... 0.967 0.876 0.500
00952......... 12......... East St. Louis, 0.989 0.929 1.757
IL.
00952......... 15......... Suburban 1.017 1.093 1.628
Chicago, IL.
00952......... 16......... Chicago, IL..... 1.025 1.104 1.888
00952......... 99......... Rest of Illinois 0.975 0.877 1.196
00630......... 00......... Indiana......... 0.986 0.912 0.514
00826......... 00......... Iowa............ 0.966 0.869 0.506
00650......... 00......... Kansas *........ 0.968 0.881 0.632
00740......... 04......... Kansas *........ 0.968 0.881 0.632
00660......... 00......... Kentucky........ 0.969 0.857 0.754
00528......... 01......... New Orleans, LA. 0.986 0.995 1.066
00528......... 99......... Rest of 0.970 0.863 0.965
Louisiana.
31142......... 03......... Southern Maine.. 0.980 1.020 0.558
31142......... 99......... Rest of Maine... 0.962 0.889 0.558
00901......... 01......... Baltimore/Surr. 1.012 1.069 1.010
Cntys, MD.
00901......... 99......... Rest of Maryland 0.994 0.981 0.812
31143......... 01......... Metropolitan 1.029 1.311 0.787
Boston.
31143......... 99......... Rest of 1.007 1.106 0.787
Massachusetts.
00953......... 01......... Detroit, MI..... 1.036 1.048 2.300
00953......... 99......... Rest of Michigan 0.998 0.922 1.287
00954......... 00......... Minnesota....... 0.992 0.994 0.324
00512......... 00......... Mississippi..... 0.959 0.847 0.760
00523......... 01......... Metropolitan St 0.993 0.943 1.001
Louis, MO.
00740......... 02......... Metropolitan 0.990 0.960 1.061
Kansas City, MO.
00523......... 99......... Rest of Missouri 0.949 0.812 0.938
*.
00740......... 99......... Rest of Missouri 0.949 0.812 0.938
*.
03202......... 01......... Montana......... 0.950 0.846 0.780
00655......... 00......... Nebraska........ 0.959 0.882 0.345
00834......... 00......... Nevada.......... 1.002 1.036 1.067
31144......... 40......... New Hampshire... 0.982 1.034 0.693
00805......... 01......... Northern NJ..... 1.057 1.225 1.038
00805......... 99......... Rest of New 1.042 1.124 1.038
Jersey.
00521......... 05......... New Mexico...... 0.973 0.888 0.989
00803......... 01......... Manhattan, NY... 1.064 1.299 1.243
00803......... 02......... NYC Suburbs/Long 1.051 1.286 1.493
I., NY.
00803......... 03......... Poughkpsie/N NYC 1.014 1.077 0.983
Suburbs, NY.
14330......... 04......... Queens, NY...... 1.032 1.235 1.449
00801......... 99......... Rest of New York 0.997 0.919 0.544
05535......... 00......... North Carolina.. 0.972 0.923 0.632
03302......... 01......... North Dakota.... 0.946 0.852 0.490
00883......... 00......... Ohio............ 0.993 0.930 1.097
00522......... 00......... Oklahoma........ 0.964 0.853 0.503
[[Page 2709]]
00835......... 01......... Portland, OR.... 1.002 1.037 0.453
00835......... 99......... Rest of Oregon.. 0.968 0.926 0.453
00865......... 01......... Metropolitan 1.016 1.102 1.492
Philadelphia,
PA.
00865......... 99......... Rest of 0.993 0.914 0.938
Pennsylvania.
00973......... 20......... Puerto Rico..... 0.905 0.696 0.254
00524......... 01......... Rhode Island.... 1.029 1.040 0.946
00880......... 01......... South Carolina.. 0.975 0.899 0.417
03402......... 02......... South Dakota.... 0.942 0.870 0.390
05440......... 35......... Tennessee....... 0.978 0.884 0.615
00900......... 31......... Austin, TX...... 0.991 1.016 0.969
00900......... 20......... Beaumont, TX.... 0.984 0.868 1.311
00900......... 09......... Brazoria, TX.... 1.019 0.942 1.250
00900......... 11......... Dallas, TX...... 1.009 1.033 1.077
00900......... 28......... Fort Worth, TX.. 0.998 0.971 1.077
00900......... 15......... Galveston, TX... 0.991 0.956 1.250
00900......... 18......... Houston, TX..... 1.016 1.001 1.310
00900......... 99......... Rest of Texas... 0.968 0.872 1.092
03502......... 09......... Utah............ 0.977 0.922 0.841
31145......... 50......... Vermont......... 0.968 0.976 0.497
00904......... 00......... Virginia........ 0.982 0.941 0.614
00973......... 50......... Virgin Islands.. 0.982 0.996 0.998
00836......... 02......... Seattle (King 1.014 1.109 0.755
Cnty), WA.
00836......... 99......... Rest of 0.987 0.976 0.748
Washington.
00951......... 00......... Wisconsin....... 0.988 0.920 0.592
00884......... 16......... West Virginia... 0.973 0.823 1.436
03602......... 21......... Wyoming......... 0.956 0.848 0.904
------------------------------------------------------------------------
* Indicates multiple carriers.
** 2008 GPCIs are the first year of the update transition.
5. On page 66551, Addendum F, CPT/HCPCS Imaging Codes Defined by
DRA 5102(B), the descriptors for the following CPT codes are corrected
to read as follows:
Addendum F.--CPT/HCPCS Imaging Codes Defined by DRA 5102(B)
------------------------------------------------------------------------
HCPCS/CPT* Short descriptor
------------------------------------------------------------------------
92135..................................... Ophth dx imaging post seg.
92235..................................... Eye exam with photos.
92240..................................... Icg angiography.
92250..................................... Eye exam with photos.
92285..................................... Eye photography.
92286..................................... Internal eye photography.
------------------------------------------------------------------------
6. On pages 66575 through 66578, Addendum I, List of CPT \1\/HCPCS
Codes Used to Describe Certain Designated Health Service Categories \2\
Under Section 1877 of the Social Security Act, the table is corrected
by--
a. Correcting the following entries:
------------------------------------------------------------------------
------------------------------------------------------------------------
Radiology and Certain Other Imaging Services
------------------------------------------------------------------------
0146T............................... Ccta w/wo dye.
0147T............................... Ccta w/wo, quan calcium.
71010............................... Chest x-ray.
71015............................... Chest x-ray.
76801............................... Ob us < 14 wks, single fetus.
A9501............................... Technetium TC-99m teboroxime.
Q9953............................... Inj Fe-based MR contrast, 1ml.
------------------------------------------------------------------------
Radiation Therapy Services and Supplies
------------------------------------------------------------------------
C1716............................... Brachytx, non-str, Gold-198.
C1717............................... Brachytx, non-str, HDR Ir-192.
C1719............................... Brachytx, NS, Non-HDRIr-192.
C2616............................... Brachytx, non-str, Yttrium-90.
C2634............................... Brachytx, non-str, HA, I-125.
C2635............................... Brachytx, non-str, HA, P-103.
C2636............................... Brachy linear, non-str, P-103.
C2640............................... Brachytx, stranded, P-103.
C2641............................... Brachytx, non-stranded, P-103.
G0103............................... PSA screening.
------------------------------------------------------------------------
b. Deleting the following entries:
------------------------------------------------------------------------
------------------------------------------------------------------------
Radiology and Certain Other Imaging Services
------------------------------------------------------------------------
75558............................... Cardiac MRI flow/velocity.
75560............................... Cardiac MRI flo/vel/stress.
75562............................... Card MRI flow/vel w/dye.
75564............................... Ht MRI w/flow/vel/strs & dye.
------------------------------------------------------------------------
Radiation Therapy Services and Supplies
------------------------------------------------------------------------
C2637............................... Brachytx, Ytterbium-169.
------------------------------------------------------------------------
IV. Waiver of Proposed Rulemaking and Delay in Effective Date
We ordinarily publish a notice of proposed rulemaking in the
Federal Register to provide a period for public comment before the
provisions of a rule take effect in accordance with section 553(b) of
the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we
can waive the notice and comment procedures if the Secretary finds, for
good cause, that the notice and comment process is impracticable,
unnecessary or contrary to the public interest, and incorporates a
statement of the finding and the reasons therefore in the rule.
Section 553(d) of the APA ordinarily requires a 30-day delay in
effective date of final rules after the date of their publication. This
30-day delay in effective date can be waived, however, if an agency
finds for good cause that the delay is impracticable, unnecessary, or
contrary to the public interest, and the agency incorporates a
statement of the findings and its reasons in the rule issued.
This correction notice addresses typographical and technical errors
made in FR Doc. 07-5506, the CY 2008 PFS final rule with comment
period, which appeared in the November 27, 2007 Federal Register (72 FR
66222), and is, with limited exceptions as noted in that rule,
effective January 1, 2008. The provisions of the final rule with
comment period have been subjected previously to notice and comment
procedures. These corrections contained in this correction notice are
consistent with, and do not make substantive
[[Page 2710]]
changes to, the payment methodologies and policies adopted in the CY
2008 PFS final rule with comment period. As such, this correction
notice is intended to ensure the CY 2008 PFS final rule with comment
period accurately reflects the policies adopted in that rule. We find,
therefore, for good cause that it is unnecessary and would be contrary
to the public interest to undertake further notice and comment
procedures to incorporate these corrections into the final rule with
comment period.
For the same reasons, we are also waiving the 30-day delay in
effective date for this correction notice. We believe that it is in the
public interest to ensure that the CY 2008 PFS final rule with comment
period accurately states our policies as of the date they take effect.
Therefore, we find that delaying the effective date of these
corrections beyond the effective date of the final rule with comment
period would be contrary to the public interest. In so doing, we find
good cause to waive the 30-day delay in the effective date.
Authority: (Catalog of Federal Domestic Assistance Program No.
93.774, Medicare--Supplementary Medical Insurance Program)
Dated: December 31, 2007.
Ashley Files Flory,
Deputy Executive Secretary to the Department.
[FR Doc. 07-6308 Filed 12-31-07; 4:47 pm]
BILLING CODE 4120-01-P