The PFS is the primary method of payment for enrolled health care providers. Medicare uses the PFS when paying:
Professional services of physicians and other health care providers in private practice Services covered incident to physicians’ services (other than certain drugs covered as incident to services) Diagnostic tests (other than clinical laboratory tests) Radiology services
2026 National Physician Fee Schedule Relative Value File April Release CPT codes and descriptions only are copyright 2026 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. Dental codes (D codes) are copyright 2025/26 American Dental Association. All Rights Reserved.
RELEASED 03/10/2026
00000’s
| HCPCS Code | Modifier | Short Description | Proc Stat. | PCTC | Not Used for Medicare | Work RVU | NA Flag for Trans Non-FAC PE RVU | Transitioned Non-FAC PE RVU | NA Flag for Fully IMP Non-FAC PE RVU | Fully Implemented Non-FAC PE RVU | NA Flag for Trans Facility PE RVU | Transitioned Facility PE RVU | NA Flag for Fully IMP FAC PE RVU | Fully Implemented Facility PE RVU | MP RVU | Non-FAC PE Used for OPPS PMT AMT | Facility PE Used for OPPS PMT AMT | Malpractice Used for OPPS PMT AMT |
- 0001F Heart failure composite I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0005F Osteoarthritis composite I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00100 Anes px salivary gland w/bx J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00102 Anes px plstc rpr cleft lip J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00103 Anes rcnstv px eyelid J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00104 Anes electroconvulsive ther J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00120 Anes px ear w/bx nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00124 Anes px ear otoscopy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00126 Anes px ear tympanotomy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0012F Cap bacterial assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00140 Anes procedures on eye nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00142 Anes px on eye lens surgery J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00144 Anes px eye corneal trnspl J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00145 Anes px eye vitreortnl surg J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00147 Anes px on eye iridectomy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00148 Anes px eye ophthalmoscopy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0014F Comp preop assess cat surg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0015F Melan follow-up complete I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00160 Anes px nose&sinus nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00162 Anes px nose&sinus rad surg J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00164 Anes px nose&sins bx sft tis J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00170 Anes intraoral px nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00172 Anes ntroral px rpr clft pal J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00174 Anes ntrorl exc rtrphrng tum J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00176 Anes intraoral px rad surg J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00190 Anes px facial b1/skull nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00192 Anes px fcl b1/skl rad surg J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00210 Anes intracranial px nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00211 Anes icr px crnec/crnot hmtm J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00212 Anes icr px subdural taps J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00214 Anes icr px burr holes J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00215 Anes icr px crnop/elvtn fx J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00216 Anes icr px vascular px J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00218 Anes icr px in sitting pos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00220 Anes icr px csf shunting px J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00222 Anes icr px ecoag icr nrv J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00300 Anes all px integ h/n/ptrunk J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00320 Anes all px neck nos 1yr/> J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00322 Anes all px nck ndl bx thyr J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00326 Anes all px larynx&trach<1yr J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00350 Anes px major vsl neck nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00352 Anes px maj vsl nck smpl lig J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00400 Anes integumentary sys nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00402 Anes integ sys rcnstv breast J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00404 Anes integ sys rad/modf brst J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00406 Anes integ sys rad brst dsj J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00410 Anes integ sys conv arrhyt J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00450 Anes px clav&scapula nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00454 Anes px clav&scapula bx clav J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00470 Anes partial rib rescj nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00472 Anes prtl rib rescj thoracop J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00474 Anes prtl rib rescj rad px J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00500 Anes all px on esophagus J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00520 Anes closed chest px nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00522 Anes clsd ch px ndl bx pleur J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00524 Anes clsd ch px pneumocents J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00528 Anes clsd ch mediast&thrc wo J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00529 Anes clsd ch mediast&thrc w/ J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00530 Anes perm transvns pm insj J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00532 Anes access ctr venous crcj J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00534 Anes insertion/rplcmt cvdfb J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00537 Anes cardiac ep procedures J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00539 Anes tracheobronchial rcnstj J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00540 Anes thoracotomy px nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00541 Anes thrcm px 1 lung vntj J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00542 Anes thrcm px decortication J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00546 Anes thrcm px pulm rescj J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00548 Anes thrcm px trach&bronchi J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0054T Bone srgry cmptr fluor image C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 00550 Anes for sternal debridement J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0055T Bone srgry cmptr ct/mri imag C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 00560 Anes px heart w/o pump oxtj J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00561 Anes px heart w/pump<1 yr J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00562 Anes px hrt w/pump age 1yr+ J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00563 Anes px heart w/pmp crc arst J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00566 Anes direct cabg w/o pump J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00567 Anes direct cabg w/pump J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00580 Anes heart/lung transplant J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00600 Anes px crv spine&cord nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00604 Anes px crv spn&cord sitting J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00620 Anes px thrc spine&cord nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00625 Anes thrc spine wo 1lng vent J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00626 Anes thrc spine w/1 lng vent J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00630 Anes px lumbar region nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00632 Anes px lumbar sympathectomy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00635 Anes dx/ther lumbar pnxr J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00640 Anes spine manipulation J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00670 Anes xtnsv sp&spi cord px J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00700 Anes px upr ant abd wall nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00702 Anes upr ant abd wall lvr bx J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0071T Us leiomyomata ablate <200 C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0072T Fcsd us abltj leiomyom>=200 C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 00730 Anes px upper pst abdl wall J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00731 Anes upr gi ndsc px nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00732 Anes upr gi ndsc px ercp J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00750 Anes hrna rpr upr abd nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00752 Anes hrna rpr lmbr&vnt&/dehs J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00754 Anes hrna rpr omphalocele J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00756 Anes hrna rpr diphrg hrna J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0075T Perq stent/chest vert art C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0075T 26Perq stent/chest vert art C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0075T TCPerq stent/chest vert art C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0076T S&i stent/chest vert art C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0076T 26S&i stent/chest vert art C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0076T TCS&i stent/chest vert art C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 00770 Anes px maj abd blood vessel J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00790 Anes iper upr abd nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00792 Anes iper upr abd prtl hptc J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00794 Anes iper upr abd pncrtect J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00796 Anes iper upr abd lvr trnspl J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00797 Anes iper upr abd gstr px mo J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00800 Anes px lwr ant abdl wal nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00802 Anes px lwr abdl wal pannic J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00811 Anes lwr intst ndsc nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00812 Anes lwr intst scr colsc J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00813 Anes upr lwr gi ndsc px J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00820 Anes px lwr post abdl wall J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00830 Anes hernia rpr lwr abd nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00832 Anes hernia repair vnt&incal J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00834 Anes hernia repair<1 yr age J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00836 Anes hrna rpr<37wk brth<50 J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00840 Anes iper px lower abd nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00842 Anes iper px amniocentesis J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00844 Anes iper px abdmnprnl rescj J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00846 Anes iper px rad hystrectomy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00848 Anes iper px pel exentration J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00851 Anes iper px tubal ligation J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00860 Anes xtrprtl px lwr abd nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00862 Anes xtrprtl lwr abd rnl px J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00864 Anes xtrprt lwr abd tot cstc J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00865 Anes xtrprt lwr abd prst8ect J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00866 Anes xtrprt lw abd adrnlctmy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00868 Anes xtrprtl px rnl transpl J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00870 Anes xtrprtl cystolithotomy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00872 Anes lithotrp esw water bath J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00873 Anes lithotrp esw wo wtr bth J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00880 Anes maj lwr abd vessel nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00882 Anes maj lwr adb vsl ivc lig J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00902 Anes anorectal px J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00904 Anes radical perineal px J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00906 Anes vulvectomy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00908 Anes perineal prostatectomy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00910 Anes transurethral px nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00912 Anes trurl px rescj bldr tum J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00914 Anes trurl px rescj prst8 J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00916 Anes trurl px rescj bleeding J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00918 Anes trurl px urtrl cal rmvl J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00920 Anes px male genitalia nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00921 Anes px male genitalia vasec J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00922 Anes px male gent sem ves J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00924 Anes male gent undscnd tstis J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00926 Anes male gent rad orch ing J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00928 Anes male gent rad orch abd J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00930 Anes px male gent orchiopexy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00932 Anes male gent compl amp pns J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00934 Anes rad amp penis ingun lym J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00936 Anes rad amp pns ingun&ilac J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00938 Anes insj penile prosthesis J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00940 Anes vaginal px nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00942 Anes vag px clptmy vgnc clpr J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00944 Anes vag px vag hysterectomy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00948 Anes vag px crv cerclage J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00950 Anes vag px culdoscopy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 00952 Anes vag px hystsc&/hsg J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0095T Rmvl artific disc addl crvcl C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0098T Rev artific disc addl C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0100T Prosth retina receive&gen C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0101T Esw muscskel sys nos C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0102T Esw phy anes lat hmrl epcndl C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0106T Touch quant sensory test C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0107T Vibrate quant sensory test C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0108T Cool quant sensory test C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0109T Heat quant sensory test C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0110T Nos quant sensory test C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 01112 Anes bone marrow aspir&/bx J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01120 Anes px on bony pelvis J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01130 Anes body cast appl/revj J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01140 Anes ntrplvabdmnl amputation J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01150 Anes rad px tumor of pelvis J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01160 Anes clsd px symph pub/si jt J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01170 Anes opn px symph pub/si jt J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01173 Anes opn rpr fx disrpj plvs J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01200 Anes all closed px hip joint J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01202 Anes arthroscopic px hip jt J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01210 Anes open px hip joint nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01212 Anes open px hip jt disrtcj J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01214 Anes open px tot hip arthrp J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01215 Anes opn revj tot hip arthrp J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01220 Anes clsd px upper 2/3 femur J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01230 Anes opn upper 2/3 femur nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01232 Anes opn px upr 2/3 fem amp J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01234 Anes opn upr 2/3 fem rad res J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01250 Anes all px nrv musc upr leg J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01260 Anes all px veins upper leg J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01270 Anes px arteries upr leg nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01272 Anes px art femoral art lig J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01274 Anes px art fem art emblc J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01320 Anes all px nrv msc kne&/[[prolapse|pop]] J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01340 Anes clsd px lower 1/3 femur J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01360 Anes open px lower 1/3 femur J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01380 Anes all clsd px knee joint J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01382 Anes dx arthrs px knee jt J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01390 Anes cls px upr tib fib&/pat J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01392 Anes opn px upr tib fib&/pat J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01400 Anes opn/arthrs knee jt nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01402 Anes opn/arth tot kne arthrp J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01404 Anes opn/arthrs disrtcj knee J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01420 Anes cst appl rmv/rpr kne jt J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01430 Anes px veins knee&pop nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01432 Anes px vn knee&pop av fstl J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01440 Anes px art knee&pop nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01442 Anes px art knee&pop teaec J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01444 Anes px art knee&pop exc&grf J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01462 Anes clsd px lower l/a/f J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01464 Anes arthrs px ankle&/foot J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01470 Anes px nrv msc lw l/a/f nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01472 Anes rpr rpt achilles tendon J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01474 Anes gastrocnemius recession J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01480 Anes open px lower l/a/f nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01482 Anes opn lwr l/a/f rad rescj J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01484 Anes opn lw l/a/f oste/ostpl J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01486 Anes open total ankle rplcmt J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01490 Anes lwr leg cst app rmv/rpr J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01500 Anes px art lower leg nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01502 Anes px art lower leg emblc J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01520 Anes px veins lower leg nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01522 Anes px vn lwr leg ven thrmb J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01610 Anes all px nrv musc sho&ax J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01620 Anes clsd px shoulder joint J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01622 Anes dx arthr px shoulder jt J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01630 Anes opn/arthr px sho jt nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01634 Anes open/arthrs sho disrtcj J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01636 Anes open/arthr ntrthrc amp J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01638 Anes opn/arthr tot sho rplcm J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0164T Remove lumb artif disc addl C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 01650 Anes art sho&ax nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01652 Anes art sho&ax ax-brch arsm J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01654 Anes art sho&ax bypass grf J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01656 Anes art sho&ax ax-fem bpg J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0165T Revise lumb artif disc addl C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 01670 Anes all px vn shoulder&ax J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01680 Anes sho cast appl rmvl/rpr J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01710 Anes px nrv musc upr a&e nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01712 Anes px nrv msc upr a&e tnot J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01714 Anes nrv msc upr a&e tnplsty J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01716 Anes nrv msc upr a&e tndsis J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01730 Anes clsd px humerus&elbow J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01732 Anes dx arthrs px elbow jt J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01740 Anes opn/arthrs px elbw nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01742 Anes opn/arthrs elbw osteot J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01744 Anes opn/arthrs elbw rpr hum J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0174T Cad cxr with interp C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 01756 Anes opn/arthrs elbw rad px J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01758 Anes opn/arthrs elbw exc cst J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0175T Cad cxr remote C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 01760 Anes opn/arthr elb tot rplct J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01770 Anes px art upr arm&elbw nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01772 Anes art upr arm&elbw emblc J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01780 Anes px vn upr arm&elbw nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01782 Anes vn upr arm&elbw phlbrpy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01810 Anes px nrv musc f/arm wrst J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01820 Anes clsd px rds u/w/h bones J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01829 Anes dx arthroscopic px wrst J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01830 Anes arthr/ndsc wrst/hnd nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01832 Anes arthr/ndsc tot wrst rpl J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01840 Anes art f/arm wrst&hnd nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01842 Anes art farm wrst&hnd emblc J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01844 Anes vasc shunt/shunt revj J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0184T Exc rectal tumor endoscopic C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 01850 Anes vein f/arm wrst&hnd nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01852 Anes px vn f/arm phlbrrhaphy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01860 Anes forearm wrist/hand cast J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01916 Anes dx arteriography/vngrph J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01920 Anes cardiac catheterization J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01922 Anes n-invas img/radj ther J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01924 Anes ther ivntl rad artl nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01925 Anes ivntl rad artl crtd/c J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01926 Anes ivntl rad icr icar/aort J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01930 Anes ther ivntl rad ven nos J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01931 Anes ivnt rad ntrhpt/prt crc J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01932 Anes th ivnt rad ntrthrc/jug J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01933 Anes ther ivntl rad px icr J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01937 Anes drg/aspir crv/thrc J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01938 Anes drg/aspir lmbr/sac J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01939 Anes nulyt agt crv/thrc J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01940 Anes nulyt agt lmbr/sac J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01941 Anes neuromd/ntrvrt crv/thrc J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01942 Anes neuromd/ntrvrt lmbr/sac J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01951 Anes 2&3 burn less 4 % tbsa J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01952 Anes 2&3 burn 4-9% tbsa J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01953 Anes 2&3 burn ea add 9% tbsa J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01958 Anes xtrnl cephalic version J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01960 Anes vaginal delivery only J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01961 Anes cesarean delivery only J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01962 Anes urgent hysterectomy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01963 Anes cesarean hysterectomy J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01965 Anes incompl/missed ab px J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01966 Anes induced abortion px J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01967 Neuraxl lbr anes vag dlvr J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01968 Anes/analg cs dlvr neuraxial J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01969 Anes c hyst flwg neuraxial J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0198T Ocular blood flow measure C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 01990 Physiol support hrvg organs J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01991 Anes dx/ther nrv blk&inj oth J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01992 Anes dx/ther nrv blk&inj prn J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01996 Dly hosp mgmt edrl rx admin J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 01999 Unlisted anes procedure J 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0200T Perq sacral augmt unilat inj C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 0201T Perq sacral augmt bilat inj C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 0202T Post vert arthrplst 1 lumbar C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0207T Clear eyelid gland w/heat C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0208T Audiometry air only C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0209T Audiometry air & bone C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0210T Speech audiometry threshold C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0211T Speech audiom thresh & recog C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0212T Compre audiometry evaluation C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0213T Njx paravert w/us cer/thor C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 0214T Njx paravert w/us cer/thor C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 0215T Njx paravert w/us cer/thor C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 0216T Njx paravert w/us lumb/sac C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 0217T Njx paravert w/us lumb/sac C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 0218T Njx paravert w/us lumb/sac C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 0219T Plmt post facet implt cerv C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0220T Plmt post facet implt thor C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0221T Plmt post facet implt lumb C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0222T Plmt post facet implt addl C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0232T Njx platelet plasma C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 0234T Trluml perip athrc renal art C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0235T Trluml perip athrc visceral C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0236T Trluml perip athrc abd aorta C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0237T Trluml perip athrc brchiocph C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0238T Trluml perip athrc iliac art C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0253T Insert aqueous drain device C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0263T Im b1 mrw cel ther cmpl C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0264T Im b1 mrw cel ther xcl hrvst C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0265T Im b1 mrw cel ther hrvst onl C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0274T Prq lamot/lam dcmpr crv/thrc C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0278T Tempr C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0308T Insj ocular telescope prosth C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0329T Mntr io press 24hrs/> uni/bi C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0330T Tear film img uni/bi w/i&r C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0331T Heart symp image plnr C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0332T Heart symp image plnr spect C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0333T Visual ep scr acuity auto C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0335T Insj sinus tarsi implant C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0338T Trnscth renal symp denrv unl C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0339T Trnscth renal symp denrv bil C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0342T Thxp apheresis w/hdl delip C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0345T Transcath mtral vlve repair C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0347T Ins bone device for rsa C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0348T Rsa spine exam C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0349T Rsa upper extr exam C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0350T Rsa lower extr exam C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0351T Intraop oct brst/node spec C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0352T Oct brst/node i&r per spec C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0353T Intraop oct breast cavity C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0354T Oct breast surg cavity i&r C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0358T Bia whole body C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0362T Bhv id suprt assmt ea 15 min C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0373T Adapt bhv tx ea 15 min C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0378T Visual field assmnt rev/rprt C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0379T Vis field assmnt tech suppt C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0395T Hdr elctr ntrst/ntrcv brchtx C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0397T Ercp w/optical endomicroscpy C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0402T Colgn crs-link crn&pachymtry C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0403T Diabetes prev standard curr C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0408T Insj/rplc cardiac modulj sys C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0409T Insj/rplc car modulj pls gn C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0410T Insj/rplc car modulj atr elt C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0411T Insj/rplc car modulj vnt elt C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0412T Rmvl cardiac modulj pls gen C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0413T Rmvl car modulj tranvns elt C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0414T Rmvl & rpl car modulj pls gn C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0415T Repos car modulj tranvns elt C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0416T Reloc skin pocket pls gen C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0417T Prgrmg eval cardiac modulj C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0417T 26Prgrmg eval cardiac modulj C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0417T TCPrgrmg eval cardiac modulj C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 020 99 0.00 0.00 0.00
- 0418T Interro eval cardiac modulj C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0418T 26Interro eval cardiac modulj C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0418T TCInterro eval cardiac modulj C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 020 99 0.00 0.00 0.00
- 0419T Dstrj neurofibroma xtnsv C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0420T Dstrj neurofibroma xtnsv C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0422T Tactile breast img uni/bi C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0437T Impltj synth rnfcmt abdl wal C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0439T Myocrd contrast prfuj echo C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0440T Abltj perc uxtr/perph nrv C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0441T Abltj perc lxtr/perph nrv C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0442T Abltj perc plex/trncl nrv C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0443T R-t spctrl alys prst8 tiss C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0444T 1st plmt drug elut oc ins C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0445T Sbsqt plmt drug elut oc ins C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0446T Insj impltbl glucose sensor A 1.11 188.02 0.26 0.09 189.22 1.460000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0447T Rmvl impltbl glucose sensor A 1.31 1.63 0.30 0.08 3.02 1.690000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0448T Remvl insj impltbl gluc sens A 1.86 184.18 0.43 0.17 186.21 2.460000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0449T Insj aqueous drain dev 1st C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0450T Insj aqueous drain dev each C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0464T Visual ep test for glaucoma C 0.00 0.00 0.00 0.00 0.00 0.009YYY.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0469T Rta polarize scan oc scr bi N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0472T Prgrmg io rta eltrd ra C 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0473T Reprgrmg io rta eltrd ra C 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0474T Insj aqueous drg dev io rsvr C 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0479T Fxjl abl lsr 1st 100 sq cm C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0480T Fxjl abl lsr ea addl 100sqcm C 0.00 0.00 0.00 0.00 0.00 0.009ZZZ.00.00.00099999 33.4009 090 99 0.00 0.00 0.00
- 0481T Njx autol wbc concentrate C 0.00 0.00 0.00 0.00 0.00 0.009000.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0483T Tmvi percutaneous approach C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00202219 33.4009 090 99 0.00 0.00 0.00
- 0484T Tmvi transthoracic exposure C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00200219 33.4009 090 99 0.00 0.00 0.00
- 0485T Oct mid ear i&r unilateral C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00919999 33.4009 090 99 0.00 0.00 0.00
- 0485T 26Oct mid ear i&r unilateral C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00919999 33.4009 090 99 0.00 0.00 0.00
- 0485T TCOct mid ear i&r unilateral C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00919999 33.4009 090 99 0.00 0.00 0.00
- 0486T Oct mid ear i&r bilateral C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00929999 33.4009 090 99 0.00 0.00 0.00
- 0486T 26Oct mid ear i&r bilateral C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00929999 33.4009 090 99 0.00 0.00 0.00
- 0486T TCOct mid ear i&r bilateral C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00929999 33.4009 090 99 0.00 0.00 0.00
- 0488T Diabetes prev online/elec C 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0489T Regn cell tx scldr hands C 0.00 0.00 0.00 0.00 0.00 0.009000.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0490T Regn cell tx scldr h mlt inj C 0.00 0.00 0.00 0.00 0.00 0.009000.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0494T Prep & cannulj cdvr don lung C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00222109 33.4009 090 99 0.00 0.00 0.00
- 0495T Mntr cdvr don lng 1st 2 hrs C 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0496T Mntr cdvr don lng ea addl hr C 0.00 0.00 0.00 0.00 0.00 0.009ZZZ.00.00.00099999 33.4009 090 99 0.00 0.00 0.00
- 0500F Initial prenatal care visit M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0501F Prenatal flow sheet I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0502F Subsequent prenatal care I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0503F Postpartum care visit I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0505F Hemodialysis plan docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0505T Ev fempop artl revsc C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0506T Mac pgmt opt dns meas hfp C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00700009 33.4009 090 99 0.00 0.00 0.00
- 0506T 26Mac pgmt opt dns meas hfp C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00700009 33.4009 090 99 0.00 0.00 0.00
- 0506T TCMac pgmt opt dns meas hfp C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00700009 33.4009 010 99 0.00 0.00 0.00
- 0507F Periton dialysis plan docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0507T Near ifr 2img mibmn glnd i&r C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00700009 33.4009 090 99 0.00 0.00 0.00
- 0507T 26Near ifr 2img mibmn glnd i&r C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00700009 33.4009 090 99 0.00 0.00 0.00
- 0507T TCNear ifr 2img mibmn glnd i&r C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00700009 33.4009 010 99 0.00 0.00 0.00
- 0509F Urine incon plan docd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0509T Pattern erg w/i&r A 0.39 1.92 1.92NA 0.02 2.33 2.331XXX.00.00.00720009 33.4009 090 99 0.00 0.00 0.00
- 0509T 26Pattern erg w/i&r A 0.39 0.23 0.23 0.01 0.63 0.631XXX.00.00.00720009 33.4009 090 99 0.00 0.00 0.00
- 0509T TCPattern erg w/i&r A 0.00 1.69 1.69NA 0.01 1.70 1.701XXX.00.00.00720009 33.4009 010 99 0.00 0.00 0.00
- 0510T Rmvl sinus tarsi implant C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0511T Rmvl&rinsj sinus tarsi implt C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0512T Esw integ wnd hlg 1st wnd C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0513F Elev bp plan of care docd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0513T Esw integ wnd hlg ea addl C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0514F Care plan hgb docd esa pt I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0515T Insj wcs lv compl sys C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0516F Anemia plan of care docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0516T Insj wcs lv eltrd only C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0517F Glaucoma plan of care docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0517T Insj wcs lv both compnt pg C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0518F Fall plan of care docd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0518T Rmvl pg wcs lv battery only C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0519F Pland chemo docd b/4 txmnt I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0519T Rmv&rplcmt pg wcs lv both C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0520F Rad dos limts b/4 3d rad M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0520T Rmv&rplcmt pg wcs lv battery C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0521F Plan of care 4 pain docd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0521T Interrog dev eval wcs ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0521T 26Interrog dev eval wcs ip C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0521T TCInterrog dev eval wcs ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00999999 33.4009 020 99 0.00 0.00 0.00
- 0522T Prgrmg dev eval wcs ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0522T 26Prgrmg dev eval wcs ip C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0522T TCPrgrmg dev eval wcs ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00999999 33.4009 020 99 0.00 0.00 0.00
- 0523T Ntrapx c ffr w/3d funcjl map C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0524T Ev cath dir chem abltj w/img C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0525F Initial visit for episode I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0525T Insj/rplcmt compl iims C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0526F Subs visit for episode M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0526T Insj/rplcmt iims eltrd only C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0527T Insj/rplcmt iims implt mntr C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0528F Rcmnd flw-up 10 yrs docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0528T Prgrmg dev eval iims ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0528T 26Prgrmg dev eval iims ip C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0528T TCPrgrmg dev eval iims ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00999999 33.4009 020 99 0.00 0.00 0.00
- 0529F Intrvl 3/>yr pts clnscp docd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0529T Interrog dev eval iims ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0529T 26Interrog dev eval iims ip C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0529T TCInterrog dev eval iims ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00999999 33.4009 020 99 0.00 0.00 0.00
- 0530T Removal complete iims C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0531T Removal iims electrode only C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0532T Removal iims implt mntr only C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0535F Dyspnea mngmnt plan docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0540F Gluco mngmnt plan docd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0541T Myocardial imaging mcg C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0542T Myocardial imaging mcg i&r C 0.00 0.00 0.00 0.00 0.00 0.002XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0543T Ta mv rpr w/artif chord tend C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0544T Tcat mv annulus rcnstj C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 0545F Follow up care plan mdd docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0545T Tcat tv annulus rcnstj C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 0546T Rf spectrsc ntraop mrgn asmt C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0547T B1 matrl qual tst mcrind tib C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0550F Cytopath report nongyn spcmn I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0551F Cytopath report non routine I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0552T Low-level laser therapy C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0554T B1 str & fx rsk analysis C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0555F Symptom mgmnt plan care docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0555T B1 str&fx rsk transmis data C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0556F Plan care lipid control docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0556T B1 str & fx rsk assessment C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0557F Plan caremng angnl symptdocd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0557T B1 str & fx rsk i&r C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0558T Ct scan f/biomchn ct alys C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0559T Antmc mdl 3d print 1st cmpnt C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0560T Antmc mdl 3d print ea addl C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0561T Antmc guide 3d print 1st gd C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0562T Antmc guide 3d print ea addl C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0563T Evac meibomian glnd heat bi C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0565T Autol cell implt adps hrvg C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0566T Autol cell implt adps njx C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0569T Ttvr perq appr 1st prosth C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 0570T Ttvr perq ea addl prosth C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 0571T Insj/rplcmt icds ss eltrd C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0572T Insertion ss dfb electrode C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0573T Removal ss dfb electrode C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0574T Repos prev ss impl dfb eltrd C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0575F Hiv rna plan care docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0575T Prgrmg dev eval icds ss ip C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0576T Interrog dev eval icds ss ip C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0577T Ephys eval icds ss C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0578T Rem interrog dev icds phys C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0579T Rem interrog dev icds tech C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0580F Multidisciplinary care plan I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0580T Rmvl ss impl dfb pg only C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0581F Pt trnsfrd from anesth to cc M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0581T Abltj mal brst tum perq crtx C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0582F No trnsfr from anesth to cc I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0582T Trurl abltj mal prst8 tiss C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0583F Transfer care checklist used M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0583T Tmpst auto tube dlvr sys A 2.63 42.27 0.97 0.16 45.06 3.760000.00.00.00312009 31231 33.4009 090 99 0.00 0.00 0.00
- 0584F No transfercare chklist used I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0584T Perq islet cell transplant C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0585T Laps islet cell transplant C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0586T Open islet cell transplant C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0587T Perq impltj/rplcmt isdns ptn C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0588T Revision/removal isdns ptn C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0589T Elec alys smpl prgrmg iins C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0590T Elec alys cplx prgrmg iins C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0591T Hlth&wb coaching indiv 1st C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0592T Hlth&wb coaching indiv f-up C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0593T Hlth&wb coaching group C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0594T Osteot hum xtrnl lngth dev C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0596T Temp fml iu vlv-pmp 1st insj A 2.37 57.93 0.82 0.15 60.45 3.340000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0597T Temp fml iu valve-pmp rplcmt A 1.02 16.78 0.52 0.06 17.86 1.600000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0598T R-t fluor wound img 1st site C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0599T R-t fluor wound img ea addl C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0600T Ablt ire 1+ o/t lv/prst8 prq C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0601T Abltj ire 1+tumors open C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0602T Transdermal gfr measurements C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0603T Transdermal gfr monitoring C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0604T Rem oct rta dev setup&educaj C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0605T Rem oct rta techl sprt min 8 A 0.00 22.64 22.64NA 0.07 22.71 22.713XXX.00.00.00600009 33.4009 010 99 0.00 0.00 0.00
- 0606T Rem oct rta phys/qhp ea 30d C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0607T Rem mntr pulm flu mntr setup C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0608T Rem mntr pulm flu mntr alys C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0609T Mrs disc pain acquisj data C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0610T Mrs disc pain transmis data C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0611T Mrs disc pain alg alys data C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0612T Mrs discogenic pain i&r C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0613T Perq tcat intratrl septl sht C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0614T Rmvl&rplcmt ss impl dfb pg C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0615T Auto alys binocular eye mvmt C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0620T Evasc ven artlz tibl/prnl vn C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 0621T Trabeculostomy interno laser C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 0622T Trabeculostomy int lsr w/scp C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 0627T Perq njx algc fluor lmbr 1st C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00220009 33.4009 090 99 0.00 0.00 0.00
- 0628T Perq njx algc fluor lmbr ea C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 0629T Perq njx algc ct lmbr 1st C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00220009 33.4009 090 99 0.00 0.00 0.00
- 0630T Perq njx algc ct lmbr ea C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 0632T Perq tcat us abltj nrv p-art C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0633T Ct breast w/3d uni c- C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0633T 26Ct breast w/3d uni c- C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0633T TCCt breast w/3d uni c- C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 3.19 3.19 0.01
- 0634T Ct breast w/3d uni c+ C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0634T 26Ct breast w/3d uni c+ C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0634T TCCt breast w/3d uni c+ C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00030009 33.4009 020 99 5.36 5.36 0.01
- 0635T Ct breast w/3d uni c-/c+ C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0635T 26Ct breast w/3d uni c-/c+ C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0635T TCCt breast w/3d uni c-/c+ C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00030009 33.4009 020 99 5.36 5.36 0.01
- 0636T Ct breast w/3d bi c- C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0636T 26Ct breast w/3d bi c- C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0636T TCCt breast w/3d bi c- C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 7.29 7.29 0.01
- 0637T Ct breast w/3d bi c+ C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0637T 26Ct breast w/3d bi c+ C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0637T TCCt breast w/3d bi c+ C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00030009 33.4009 020 99 10.66 10.66 0.01
- 0638T Ct breast w/3d bi c-/c+ C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0638T 26Ct breast w/3d bi c-/c+ C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0638T TCCt breast w/3d bi c-/c+ C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00030009 33.4009 020 99 10.66 10.66 0.01
- 0639T Wrls skn snr anisotropy meas C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0640T Ncntc ifr spctrsc o/t pad 1 C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0640T 26Ncntc ifr spctrsc o/t pad 1 C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0640T TCNcntc ifr spctrsc o/t pad 1 C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 020 88 1.13 1.13 0.01
- 0643T Tcat l ventr rstrj dev implt C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0644T Tcat rmvl/dblk icar mas perq C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0645T Tcat impltj c sins rdctj dev C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0646T Ttvi/rplcmt w/prstc vlv perq C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202219 33.4009 090 99 0.00 0.00 0.00
- 0647T Insj gtube perq mag gastrpxy C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0648T Quan mr tis wo mri 1orgn C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 0648T 26Quan mr tis wo mri 1orgn C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 0648T TCQuan mr tis wo mri 1orgn C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00430009 33.4009 010 88 28.45 28.45 0.01
- 0649T Quan mr tiss w/mri 1orgn C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0649T 26Quan mr tiss w/mri 1orgn C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0649T TCQuan mr tiss w/mri 1orgn C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 28.45 28.45 0.01
- 0650T Prgrmg dev eval scrms remote C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0650T 26Prgrmg dev eval scrms remote C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0650T TCPrgrmg dev eval scrms remote C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0651T Mag ctrld capsule endoscopy C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0652T Egd flx transnasal dx br/wa C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0653T Egd flx transnasal bx 1/mlt C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00301009 0652T 33.4009 090 99 0.00 0.00 0.00
- 0654T Egd flx transnasal tube/cath C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00301009 0652T 33.4009 090 99 0.00 0.00 0.00
- 0655T Tprnl focal abltj mal prst8 C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0656T Ant lmbr vrt bdy teth <7 seg C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 0657T Ant lmbr vrt bdy teth 8+ seg C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 0658T Elec impd spectrsc 1+skn les C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0659T Tcat intra-c nfs supersat o2 C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00900009 33.4009 090 99 0.00 0.00 0.00
- 0660T Implt ant sgm io nbio rx sys C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0661T Rmvl&rimpltj ant sgm implt C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0664T Don hysterectomy open cdvr N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0665T Don hysterectomy open liv N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0666T Don hysterectomy laps liv N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0667T Don hysterectomy rcp uter N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0668T Bkbench prep don uter algrft C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 0669T Bkbench rcnstj don uter ven C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 0670T Bkbench rcnstj don uter artl C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 0671T Insj ant sgm aq drg dev 1+ C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0672T Ndovag cryg rf remdl tiss C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0673T Abltj b9 thyr ndul perq lasr C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0674T Laps insj nw/rpcmt prm isdss C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0675T Laps insj nw/rpcmt isdss 1ld C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0676T Laps insj nw/rpcmt isdss ea C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 0677T Laps repos lead isdss 1st ld C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0678T Laps repos lead isdss ea add C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 0679T Laps rmvl lead isdss C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0680T Insj/rplcmt pg only isdss C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0681T Rlcj pulse gen only isdss C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0682T Removal pulse gen only isdss C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0683T Prgrmg dev eval isdss ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0683T 26Prgrmg dev eval isdss ip C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0683T TCPrgrmg dev eval isdss ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 020 99 0.00 0.00 0.00
- 0684T Peri-px dev eval isdss ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0684T 26Peri-px dev eval isdss ip C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0684T TCPeri-px dev eval isdss ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 020 99 0.00 0.00 0.00
- 0685T Interrog dev eval isdss ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0685T 26Interrog dev eval isdss ip C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0685T TCInterrog dev eval isdss ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 020 99 0.00 0.00 0.00
- 0686T Histotripsy mal hepatcel tis C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0687T Tx amblyopia dev setup 1st C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0688T Tx amblyopia assmt w/report C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0689T Quan us tis charac w/o dx us C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0689T 26Quan us tis charac w/o dx us C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0689T TCQuan us tis charac w/o dx us C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 010 88 2.65 2.65 0.01
- 0690T Quan us tis charac w/dx us C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0690T 26Quan us tis charac w/dx us C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0690T TCQuan us tis charac w/dx us C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0691T Auto alys xst ct std vrt fx C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0691T 26Auto alys xst ct std vrt fx C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0691T TCAuto alys xst ct std vrt fx C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0692T Therapeutic ultrafiltration C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0693T Compre ful bdy 3d mtn alys C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0694T 3d vol img&rcnstj brst/ax C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0694T 263d vol img&rcnstj brst/ax C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0694T TC3d vol img&rcnstj brst/ax C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0695T Bdy srf mpg pm/cvdfb tm impl C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0696T Bdy surf mapg pm/cvdfb f/up C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0697T Quan mr tis wo mri mlt orgn C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0697T 26Quan mr tis wo mri mlt orgn C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0697T TCQuan mr tis wo mri mlt orgn C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 020 88 0.00 0.00 0.00
- 0698T Quan mr tiss w/mri mlt orgn C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0698T 26Quan mr tiss w/mri mlt orgn C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0698T TCQuan mr tiss w/mri mlt orgn C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 020 99 0.00 0.00 0.00
- 0699T Njx pst chmbr eye medication C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0700T Molec fluor img sus nev 1st C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0700T 26Molec fluor img sus nev 1st C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0700T TCMolec fluor img sus nev 1st C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 020 99 0.00 0.00 0.00
- 0701T Molec fluor img sus nev ea C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0701T 26Molec fluor img sus nev ea C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 0701T TCMolec fluor img sus nev ea C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00030009 33.4009 020 99 0.00 0.00 0.00
- 0704T Rem tx amblyopia setup&edu C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00929999 33.4009 090 99 0.00 0.00 0.00
- 0705T Rem tx amblyopia tech sprt C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00929999 33.4009 090 99 0.00 0.00 0.00
- 0706T Rem tx amblyopia i&r phy/qhp C 0.00 0.00 0.00 0.00 0.00 0.002XXX.00.00.00929999 33.4009 090 99 0.00 0.00 0.00
- 0707T Njx b1 sub mtrl sbchdrl dfct C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0708T Id ca immntx prep & 1st njx C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0709T Id ca immntx each addl njx C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 0710T N-invas artl plaq alys C 0.00 0.00 0.00 0.00 0.00 0.004XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0711T N-nvs artl plaq alys dat prp C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0712T N-nvs artl plaq alys quan C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0713T N-nvs artl plaq alys rvw i&r C 0.00 0.00 0.00 0.00 0.00 0.002XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0714T Tpla b9 prst8 hyprplsa<50ml C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0716T Car acous wavfrm rec cad rsk C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0717T Adrc ther prtl rc tear C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 0718T Adrc ther prtl rc tear njx C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 0719T Pst vrt jt rplcmt lmbr 1 sgm C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 0721T Quan ct tiss charac w/o ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 0721T 26Quan ct tiss charac w/o ct C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 0721T TCQuan ct tiss charac w/o ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00430009 33.4009 010 88 0.00 0.00 0.00
- 0722T Quan ct tiss charac w/ct C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0722T 26Quan ct tiss charac w/ct C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0722T TCQuan ct tiss charac w/ct C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0723T Qmrcp w/o dx mri sm anat ses C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 0723T 26Qmrcp w/o dx mri sm anat ses C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 0723T TCQmrcp w/o dx mri sm anat ses C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00430009 33.4009 010 88 0.00 0.00 0.00
- 0724T Qmrcp w/dx mri same anatomy C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0724T 26Qmrcp w/dx mri same anatomy C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0724T TCQmrcp w/dx mri same anatomy C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0725T Vestibular dev impltj uni C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 0726T Rmvl implt vstibular dev uni C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 0727T Rmvl&rplcmt implt vstblr dev C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 0728T Dx alys vstblr implt uni 1st C 0.00 0.00 0.00 0.00 0.00 0.007XXX.00.00.00010009 33.4009 020 99 0.00 0.00 0.00
- 0729T Dx alys vstblr implt uni sbq C 0.00 0.00 0.00 0.00 0.00 0.007XXX.00.00.00010009 33.4009 020 99 0.00 0.00 0.00
- 0730T Trabeculotomy lsr w/oct gdn C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0731T Augmnt ai-based fcl phnt a/r C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0732T Immntx admn electroporatn im C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0733T Rem r-t mtn nrehab ther sply C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0734T Rem r-t mtn nrehab tx mgmt C 0.00 0.00 0.00 0.00 0.00 0.002XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0735T Prep tum cav iort prim crnot C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 0736T Colonic lavage 35+l water C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0737T Xenograft impltj artclr surf C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0738T Tx pln mag fld abltj prst8 C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0739T Abltj mal prst8 mag fld ndct C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 0740T Rem auton alg nsln cal setup C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0741T Rem auton alg nsln data coll C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0742T Aqmbf spect xers/strs & rest C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0742T 26Aqmbf spect xers/strs & rest C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0742T TCAqmbf spect xers/strs & rest C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0743T B1 str & fx rsk vrt fx assmt C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0743T 26B1 str & fx rsk vrt fx assmt C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0743T TCB1 str & fx rsk vrt fx assmt C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0744T Insj bioprostc vlv fem vn C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212109 33.4009 090 99 0.00 0.00 0.00
- 0745T Car ablt rad arr n-invas loc C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0746T Car ablt rad arr cnv loc map C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0747T Car ablt rad arrhyt dlvr rad C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0748T Njx stm cl prdct anl sft tis C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0749T B1 str&fx rsk assmt dxr-bmd N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0750T B1 str&fx rsk asmt dxrbmd1vw N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0751T Dgtz gls mcrscp sld level ii C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0752T Dgtz gls mcrscp sld lvl iii C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0753T Dgtz gls mcrscp sld level iv C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0754T Dgtz gls mcrscp sld level v C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0755T Dgtz gls mcrscp sld level vi C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0756T Dgtz gls mcrscp sld spc grpi C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0757T Dgtz gls mcrscp sl spc grpii C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0758T Dgtz gls mcrscp sl spc hchem C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0759T Dgtz gls mcrscp sl sp grpiii C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0760T Dgtz gls mcrscp sl imm 1st C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0761T Dgtz gls mcrscp sl imm ea 1 C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0762T Dgtz gls mcrscp sl imm ea m C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0763T Dgtz gls mcrscp mphmtrc alys C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0764T Asstv alg ecg rsk asmt cncrt C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0765T Asstv alg ecg rsk asmt prev C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0766T Tc mag stimj pn 1st nerve C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0767T Tc mag stimj pn ea addl nrv C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0770T Vr technology assist therapy C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0771T Vr px dissoc svc sm phy 1st C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0772T Vr px dissoc svc sm phy ea C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0773T Vr px dissoc svc oth phy 1st C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0774T Vr px dissoc svc oth phy ea C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0776T Ther indctj ntrabrn hypthrm C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0777T R-t prs sensing edrl gdn sys C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0777T26R-t prs sensing edrl gdn sys C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0777TTCR-t prs sensing edrl gdn sys C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 0778T Smmg cncrnt appl imu snr C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 0779T Gi myoelectrical actv study C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0779T26Gi myoelectrical actv study C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0779TTCGi myoelectrical actv study C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0780T Instlj fecal microbiota ssp C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0781T Brnchsc rf dstrj pulm nrv bi C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00321009 31622 33.4009 090 99 0.00 0.00 0.00
- 0782T Brnchsc rf dstrj plm nrv uni C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 0783T Tc auriculr neurostimulation C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0784T Ins/rplmt eltrd ra spi nstim C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0785T Revj/rmvl nea spi w/nstim C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0786T Insj/rplcmt prq ra sac nstim C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0787T Revj/rmvl nea sac w/nstim C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0788T Elec aly smp iins sp/sac nrv C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0789T Elec aly cpx iins sp/sac nrv C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0790T Revj rplcmt/rmvl vrt tethrg C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 0791T Motr cog vr gait train ea 15 C 0.00 0.00 0.00 0.00 0.00 0.007ZZZ.00.00.00501009 33.4009 090 99 0.00 0.00 0.00
- 0792T Appl slvr diamn fluoride 38% N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0793T Prq tcat thrm ablt nrv p-art C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0794T Pt spec alg rx-onc tx option C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 0795T Tcat ins 2chmbr ldls pm cmpl C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201209 33.4009 090 99 0.00 0.00 0.00
- 0796T Tcat ins 2chmbr ldls pm ra C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201209 33.4009 090 99 0.00 0.00 0.00
- 0797T Tcat ins 2chmbr ldls pm rv C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201209 33.4009 090 99 0.00 0.00 0.00
- 0798T Tcat rmv 2chmbr ldls pm cmpl C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0799T Tcat rmvl 2chmbr ldls pm ra C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0800T Tcat rmvl 2chmbr ldls pm rv C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0801T Tcat rmv&rpl 2chmbr ldls pm C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201209 33.4009 090 99 0.00 0.00 0.00
- 0802T Tcat rmv&rpl2chmb ldls pm ra C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201209 33.4009 090 99 0.00 0.00 0.00
- 0803T Tcat rmv&rpl2chmb ldls pm rv C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201209 33.4009 090 99 0.00 0.00 0.00
- 0804T Prgrmg evl ldls pm 2chmbr ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0804T 26Prgrmg evl ldls pm 2chmbr ip C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0804T TCPrgrmg evl ldls pm 2chmbr ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 020 99 0.00 0.00 0.00
- 0805T Tcat s&ivc prstc vl impl prq C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200219 33.4009 090 99 0.00 0.00 0.00
- 0806T Tcat s&ivc prstc vl impl opn C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200219 33.4009 090 99 0.00 0.00 0.00
- 0807T Pulm tiss vntj alys prev ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00401009 33.4009 090 88 0.00 0.00 0.00
- 0807T 26Pulm tiss vntj alys prev ct C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00401009 33.4009 090 88 0.00 0.00 0.00
- 0807T TCPulm tiss vntj alys prev ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00401009 33.4009 010 88 0.00 0.00 0.00
- 0808T Pulm tiss vntj alys w/ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00401009 33.4009 090 88 0.00 0.00 0.00
- 0808T 26Pulm tiss vntj alys w/ct C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00401009 33.4009 090 88 0.00 0.00 0.00
- 0808T TCPulm tiss vntj alys w/ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00401009 33.4009 010 88 0.00 0.00 0.00
- 0810T Subrta njx rx agt w/vtrc C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212109 33.4009 090 99 0.00 0.00 0.00
- 0811T Rem mlt day uroflow setup C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0812T Rem mlt day uroflow dev sply C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0813T Egd vol adjmt bariatric balo C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 0814T Prq njx biod osteo matrl fem C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 0815T Us rems b1 dns hips plvs/spi C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0815T 26Us rems b1 dns hips plvs/spi C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0815T TCUs rems b1 dns hips plvs/spi C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0816T Opn insj/rplcmt ins ptn subq C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0817T Opn insj/rplcmt ins ptn subf C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0818T Revj/rmvl ins ptn subq C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0819T Revj/rmvl ins ptn subf C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0820T Mntr psychdlc med 1stphy/qhp C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0821T Mntr psychdlc med 2ndphy/qhp C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0822T Mntr psychdlc med cln staff C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0823T Tcat ins 1chmbr ldls pm ra C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201209 33.4009 090 99 0.00 0.00 0.00
- 0824T Tcat rmv 1chmbr ldls pm ra C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0825T Tcat rmv&rpl1chmb ldls pm ra C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0826T Prgrmg evl ldls pm 1chmbr ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0826T 26Prgrmg evl ldls pm 1chmbr ip C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0826T TCPrgrmg evl ldls pm 1chmbr ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 020 99 0.00 0.00 0.00
- 0827T Dgtz gls mcrscp cytp smears C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0828T Dgtz gls mcrscp cytp smpl fl C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0829T Dgtz gls mcrscp cytp conctrj C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0830T Dgtz gls mcrscp cytp slctv C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0831T Dgtz gls mcrscp cytp c/v C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0832T Dgtz gls mcrscp cytp oth scr C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0833T Dgtz gls mcrscp cytp oth prp C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0834T Dgtz gls mcrscp cytp oth xtn C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0835T Dgtz gls mcrscp fna 1st ea C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0836T Dgtz gls mcrscp fna ea addl C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0837T Dgtz gls mcrscp fna i&r C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0838T Dgtz gls mcrscp cslt sld els C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0839T Dgtz gls mcrscp cslt mat prp C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0840T Dgtz gls mcrscp cslt compre C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0841T Dgtz gls mcrscp pth cslt 1st C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0842T Dgtz gls mcrscp pth cslt ea C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0843T Dgtz gls mcrscp cslt cyt 1st C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0844T Dgtz gls mcrscp cslt cyt ea C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0845T Dgtz gls mcrscp imfluor 1st C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0846T Dgtz gls mcrscp imfluor ea C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0847T Dgtz gls mcrscp xm arch tiss C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0848T Dgtz gls mcrscp ish 1st C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0849T Dgtz gls mcrscp ish ea adl 1 C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0850T Dgtz gls mcrscp ish ea mult C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0851T Dgtz gls mcrscp mphmtrc 1st C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0852T Dgtz gls mcrscp mphmtrc ea 1 C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0853T Dgtz gls mcrscp mphmtrc ea m C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0854T Dgtz gls mcrscp bld smr prph C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0855T Dgtz gls mcrscp b1 marow smr C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0856T Dgtz gls mcrscp electron mic C 0.00 0.00 0.00 0.00 0.00 0.003ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0857T Opto-acoustic img breast uni C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 0857T26Opto-acoustic img breast uni C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 0857TTCOpto-acoustic img breast uni C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00010009 33.4009 010 99 0.00 0.00 0.00
- 0858T Ext trnscranl mag stimj meas C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0858T26Ext trnscranl mag stimj meas C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0858TTCExt trnscranl mag stimj meas C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0859T Ncntc ifr spctrsc o/t pad ea C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0859T26Ncntc ifr spctrsc o/t pad ea C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0859TTCNcntc ifr spctrsc o/t pad ea C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 020 99 0.00 0.00 0.00
- 0860T Ncntc ifr spctrsc scr pad N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0861T Rmvl pg wcs lv both compnt C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0862T Rlcj pg wcs lv battery only C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0863T Rlcj pg wcs lv trnsmtr only C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0864T Low ntsty eswt corpus cvrnsm C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0865T Quan mri alys brn w/o dx mri C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0865T26Quan mri alys brn w/o dx mri C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0865TTCQuan mri alys brn w/o dx mri C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 010 88 0.00 0.00 0.00
- 0866T Quan mri alys brn w/dx mri C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0866T26Quan mri alys brn w/dx mri C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0866TTCQuan mri alys brn w/dx mri C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0867T Tpla b9 prst8 hyprplsa>=50ml C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0868T Hi-res gastric ep mapping C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0868T26Hi-res gastric ep mapping C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0868TTCHi-res gastric ep mapping C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 11.40 11.40 0.01
- 0869T Njx b1 sub mtrl hw fixj aug C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0870T Imp subq prtl ascts pmp sys C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0871T Rplcmt subq prtl ascites pmp C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0872T Rplcmt ndwllg bldr&prtl cath C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0873T Revj subq prtl asct pmp sys C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0874T Rmvl pertl ascites pmp sys C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0875T Prgrm subq prtl asct pmp sys C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0876T Duplex scan hemo fstl lmtd C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00410009 33.4009 090 88 0.00 0.00 0.00
- 0876T26Duplex scan hemo fstl lmtd C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00410009 33.4009 090 88 0.00 0.00 0.00
- 0876TTCDuplex scan hemo fstl lmtd C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00410009 33.4009 010 88 0.00 0.00 0.00
- 0877T Augmnt alys ch ct ild w/o ct C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0878T Augmnt alys ch ct ild w/ct C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0879T Augmnt alys ch ct ild prep C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0880T Augmnt alys ch ct ild i&r C 0.00 0.00 0.00 0.00 0.00 0.002XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0881T Cryotherapy oral cavity C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0882T Intraop ther estim pn ue 1st C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 0883T Intraop ther estim pn ue ea C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 0884T Esphgsc flx 1st tndsc dilat C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 0885T Colsc flx 1st tndsc dilat C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 0886T Sgmdsc flx 1st tndsc dilat C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 0887T End-tidal ctrl inhaled anes C 0.00 0.00 0.00 0.00 0.00 0.009ZZZ.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0888T Histotripsy mal renal tissue C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0889T Prsnlz trgt dvl arhfcmrigtbs C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 0890T Arhfcmrigtbs 1st tx day C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 0891T Arhfcmrigtbs sbsq tx day C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 0892T Arhfcmrigtbs sbsq per tx day C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 0893T N-invas assmt bld oxygnation C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 0893T26N-invas assmt bld oxygnation C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 0893TTCN-invas assmt bld oxygnation C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00001009 33.4009 010 99 0.00 0.00 0.00
- 0894T Cannulation liver allograft C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 0895T Connj lvr algrft prfu dev 1 C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00200109 33.4009 090 99 0.00 0.00 0.00
- 0896T Connj lvr algrft prfu dev ea C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000109 33.4009 090 99 0.00 0.00 0.00
- 0897T N-invas augmnt arrhyt alys C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0897T26N-invas augmnt arrhyt alys C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0897TTCN-invas augmnt arrhyt alys C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 010 99 0.00 0.00 0.00
- 0898T N-invas prst8 cancer est map C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0898T26N-invas prst8 cancer est map C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0898TTCN-invas prst8 cancer est map C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 010 88 0.00 0.00 0.00
- 0899T N-invas deter aqmbf aug cmr C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0899T26N-invas deter aqmbf aug cmr C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0899TTCN-invas deter aqmbf aug cmr C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0900T N-invas est aqmbf asstv cmr C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0900T26N-invas est aqmbf asstv cmr C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0900TTCN-invas est aqmbf asstv cmr C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0901T Plmt bone marrow smplg port C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0902T Qtc ntrvl augmnt alg aly ecg C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0903T Ecg alg 12 lead reduced i&r C 0.00 0.00 0.00 0.00 0.00 0.004XXX.00.00.00600009 33.4009 010 99 0.00 0.00 0.00
- 0904T Ecg alg 12 ld rdcd trcg only C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00600009 33.4009 010 99 0.00 0.00 0.00
- 0905T Ecg alg 12 ld rdcd i&r only C 0.00 0.00 0.00 0.00 0.00 0.002XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0906T Coms ther 1st appl<=50 sq cm C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0907T Coms ther ea addl<=50 sq cm C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0908T Opn imp int nstm sys vgs nrv C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 0909T Rplcmt int nstim sys vgs nrv C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 0910T Rmvl int nstim sys vagus nrv C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 0911T Elec aly nstm sys vgs nrv wo C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0912T Elec alys nstim sys vgs smpl C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0913T Prq tcat ther rx ntrac balo1 C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0914T Prq tcat thr rx ntrc bal sep C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0915T Insj perm ccm-d sys pg&eltrd C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0916T Insj perm ccm-d sys pg only C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0917T Insj perm ccm-d sys 1 lead C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0918T Insj perm ccm-d sys dual ld C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0919T Rmvl perm ccm-d sys pg only C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0920T Rmvl perm ccm-d sys 1 pac ld C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0921T Rmvl perm ccm-d sys 1 dfb ld C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0922T Rmvl perm ccm-d sys dual ld C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0923T Rmvl&rplcmt perm ccm-d pg C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0924T Rpos prv ccm-d trnsvns eltrd C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0925T Rlcj skin pocket ccm-d pg C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0926T Prgrmg dev eval ccm-d ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0926T26Prgrmg dev eval ccm-d ip C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0926TTCPrgrmg dev eval ccm-d ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 020 99 0.00 0.00 0.00
- 0927T Interrog dev eval ccm-d ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0927T26Interrog dev eval ccm-d ip C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0927TTCInterrog dev eval ccm-d ip C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 020 99 0.00 0.00 0.00
- 0928T Rem interrog dev ccm-d phys C 0.00 0.00 0.00 0.00 0.00 0.002XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0929T Rem interrog dev ccm-d tech C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0930T Ephys eval ccm-d ld 1st impl C 0.00 0.00 0.00NA 0.00 0.00 0.001000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0930T26Ephys eval ccm-d ld 1st impl C 0.00 0.00 0.00 0.00 0.00 0.001000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0930TTCEphys eval ccm-d ld 1st impl C 0.00 0.00 0.00NA 0.00 0.00 0.001000.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 0931T Ephys eval ccm-d ld separate C 0.00 0.00 0.00NA 0.00 0.00 0.001000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0931T26Ephys eval ccm-d ld separate C 0.00 0.00 0.00 0.00 0.00 0.001000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0931TTCEphys eval ccm-d ld separate C 0.00 0.00 0.00NA 0.00 0.00 0.001000.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 0932T N-invs det hrt fail aug echo C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0932T26N-invs det hrt fail aug echo C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0932TTCN-invs det hrt fail aug echo C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0933T Tcat impl wrls l atr prs snr C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0934T Rem mntr wrls l atr prs snr C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0935T Cysto w/rnl pel symp dnrvtj C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00321009 52000 33.4009 090 99 0.00 0.00 0.00
- 0936T Photobiomodulation ther rta C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0937T Xtrnl ecg rec>15d<30d C 0.00 0.00 0.00 0.00 0.00 0.004XXX.00.00.00600009 33.4009 010 99 0.00 0.00 0.00
- 0938T Xtrnl ecg rec>15d<30d rec C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00600009 33.4009 010 99 0.00 0.00 0.00
- 0939T Xtrnl ecg rec>15d<30d scan C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00600009 33.4009 010 99 0.00 0.00 0.00
- 0940T Xtrnl ecg rec>15d<30d r&i C 0.00 0.00 0.00 0.00 0.00 0.002XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0941T Cysto flx ins&xpns urtl scaf C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 0942T Cysto flx rmv&rplc urtl scaf C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 0943T Cysto flx rmvl urtl scaffold C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 0944T 3d cntr simula trgt lvr les C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0944T263d cntr simula trgt lvr les C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0944TTC3d cntr simula trgt lvr les C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 030 88 7.29 7.29 0.01
- 0945T Intraop assmt abnl tum tiss C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0946T Ortho impl mvmt alys pair ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 0946T26Ortho impl mvmt alys pair ct C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 0946TTCOrtho impl mvmt alys pair ct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00430009 33.4009 010 88 3.19 3.19 0.01
- 0947T Mrgfus strtctc bl-br disrpj C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0947T26Mrgfus strtctc bl-br disrpj C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0947TTCMrgfus strtctc bl-br disrpj C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 030 88 0.00 0.00 0.00
- 0948T Rem interrog dev ccm phys C 0.00 0.00 0.00 0.00 0.00 0.002XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0949T Rem interrog dev ccm tech C 0.00 0.00 0.00 0.00 0.00 0.003XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0950T Abltj b9 prst8 tissue hifu C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0951T Tot impl amei 1st plmt N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0952T Tot impl amei rev/rplc mstdc N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0953T Tot impl amei rev/rplc w/o N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0954T Tot impl amei rplc snd proc N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0955T Tot impl amei removal N 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 0956T Prt crn ch cr&tun elt s-sclp C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00222109 33.4009 090 99 0.00 0.00 0.00
- 0957T Rev s-sclp eltr ra rcvr&tlmt C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212109 33.4009 090 99 0.00 0.00 0.00
- 0958T Rmv s-sclp eltr ra rcvr&tlmt C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212109 33.4009 090 99 0.00 0.00 0.00
- 0959T Rmv/rplc magnet coil assem C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212109 33.4009 090 99 0.00 0.00 0.00
- 0960T Rpl s-sclp eltr ra rcvr&tlmt C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212109 33.4009 090 99 0.00 0.00 0.00
- 0961T Shortwave ifr radiation img C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0961T26Shortwave ifr radiation img C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0961TTCShortwave ifr radiation img C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0962T Asstv alg alys acous&ecg rec C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0962T26Asstv alg alys acous&ecg rec C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00600009 33.4009 090 99 0.00 0.00 0.00
- 0962TTCAsstv alg alys acous&ecg rec C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00600009 33.4009 010 99 0.00 0.00 0.00
- 0963T Anosc sbmcsl njx bulking agt C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00301009 46600 33.4009 090 99 0.00 0.00 0.00
- 0964T I&cust prep jaw xpnsj 1arch C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0965T I&cst prp jw xpn dl arch non C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0966T I&cst prp jw xpn dl arch fxd C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0967T Tranal ins tmp clrc anst dev C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 0968T Insj/rplcmt epcrnl nstim sys C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 0969T Removal epicranial nstim sys C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 0970T Ablt b9 brst tum perq lsr ea C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0971T Ablt mal brst tum pq lsr uni C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0972T Asstv alg clsfctn burn hlg C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0972T26Asstv alg clsfctn burn hlg C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 0972TTCAsstv alg clsfctn burn hlg C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00400009 33.4009 010 88 0.00 0.00 0.00
- 0973T Slctv nzmtc dbrdmt t/a/l 1st C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0974T Slctv nzmtc dbrdmt t/a/l ea C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0975T Slctv nzmtc dbrdmt s/n/hf 1 C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0976T Slctv nzmtc dbrdmt s/n/hf ea C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0977T Upr gi bld detcj snr capsule C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0977T26Upr gi bld detcj snr capsule C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0977TTCUpr gi bld detcj snr capsule C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0978T Submucosal cryolysis therapy C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0979T Sbmcsl crylys ther sft palt C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0980T Sbmcsl crylys ther tng&tnsl C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0981T Tcat impl wrls ivc snr C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0982T Rem mntr impl ivc snr set-up C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0983T Rem mntr impl ivc snr phys C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0984T Iv img xtrc cere vsl oct 1st C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0984T26Iv img xtrc cere vsl oct 1st C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0984TTCIv img xtrc cere vsl oct 1st C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0985T Iv img xtrc cere vsl oct ea C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0985T26Iv img xtrc cere vsl oct ea C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0985TTCIv img xtrc cere vsl oct ea C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0986T Iv img icr cere vsl oct 1st C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0986T26Iv img icr cere vsl oct 1st C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0986TTCIv img icr cere vsl oct 1st C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0987T Iv img icr cere vsl oct ea C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0987T26Iv img icr cere vsl oct ea C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0987TTCIv img icr cere vsl oct ea C 0.00 0.00 0.00NA 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0988T Opn ins/rplc ins ptn sbq&sbf C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 0989T Revj/rmvl ins ptn subq&subf C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0990T Trncrv inst biod hydrgl mtrl C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0991T Cysto lo-nrg lithtrp&mcrsphr C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00311009 52351 33.4009 090 99 0.00 0.00 0.00
- 0992T N-invas assmt car rsk w/o ct C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0992T26N-invas assmt car rsk w/o ct C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0992TTCN-invas assmt car rsk w/o ct C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0993T N-invas assmt car rsk w/ct C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0993T26N-invas assmt car rsk w/ct C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0993TTCN-invas assmt car rsk w/ct C 0.00 0.00 0.00 0.00 0.00 0.001ZZZ.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 0994T Evasc dlvr a-wal stbl rx prq C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0995T Evasc dlvr a-wal stbl rx opn C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 0996T Ins&sclr fix caps bag prosth C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 0997T Precuneus mag stimj tx plng C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0998T Precuneus mag stimj tx dlvr C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 0999T Autol musc cell therapy hrvg C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.0010000’s
| HCPCS Code | Modifier | Short Description | Proc Stat. | PCTC | Not Used for Medicare | Work RVU | NA Flag for Trans Non-FAC PE RVU | Transitioned Non-FAC PE RVU | NA Flag for Fully IMP Non-FAC PE RVU | Fully Implemented Non-FAC PE RVU | NA Flag for Trans Facility PE RVU | Transitioned Facility PE RVU | NA Flag for Fully IMP FAC PE RVU | Fully Implemented Facility PE RVU | MP RVU | Non-FAC PE Used for OPPS PMT AMT | Facility PE Used for OPPS PMT AMT | Malpractice Used for OPPS PMT AMT |
- 10004 Fna bx w/o img gdn ea addl A 0.78 0.68 0.19 0.13 1.59 1.100ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 10005 Fna bx w/us gdn 1st les A 1.42 2.37 0.28 0.17 3.96 1.870XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 10006 Fna bx w/us gdn ea addl A 0.98 0.71 0.20 0.11 1.80 1.290ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 10007 Fna bx w/fluor gdn 1st les A 1.76 8.28 0.37 0.27 10.31 2.400XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 10008 Fna bx w/fluor gdn ea addl A 1.15 2.93 0.11 0.15 4.23 1.410ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 10009 Fna bx w/ct gdn 1st les A 2.20 9.92 0.36 0.23 12.35 2.790XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 1000F Tobacco use assessed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1000T Autol musc cell therapy admn C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 10010 Fna bx w/ct gdn ea addl A 1.61 5.22 0.15 0.21 7.04 1.970ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 10011 Fna bx w/mr gdn 1st les C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 10012 Fna bx w/mr gdn ea addl C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 1001T Autol musc cell therapy njx C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 10021 Fna bx w/o img gdn 1st les A 1.00 1.88 0.24 0.14 3.02 1.380XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 1002F Assess anginal symptom/level I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1002T Air displacmnt plethysmograp C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 1002T26Air displacmnt plethysmograp C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00009009 33.4009 090 99 0.00 0.00 0.00
- 1002T TC Air displacmnt plethysmograp C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00009009 33.4009 010 99 0.00 0.00 0.00
- 10030 Img gid flu coll drg sft tis A 2.68 15.56 0.51 0.35 18.59 3.549000.00.00.00290009 33.4009 090 99 0.00 0.00 0.00
- 10035 Plmt sft tiss loclzj dev 1st A 1.66 8.51 0.30 0.17 10.34 2.130000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 10036 Plmt sft tiss loclzj dev ea A 0.83 7.76 0.16 0.11 8.70 1.100ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 1003F Level of activity assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1003T Arthrp 1st crp/mtcrpl prostc C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212109 33.4009 090 99 0.00 0.00 0.00
- 10040 Extraction A 0.89 2.42 0.30 0.08 3.39 1.270010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 1004F Clin symp vol ovrld assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1004T Elec alys s-scl eeg wo prgrm C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 1005F Asthma symptoms evaluate I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1005T Elec alys s-scl eeg prgr 1st C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 10060 I&d abscess simple/single A 1.19 2.53 1.69 0.13 3.85 3.010010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 10061 I&d abscess comp/multiple A 2.39 3.87 2.47 0.33 6.59 5.190010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 1006F Osteoarthritis assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1006T Elec alys s-scl eeg prgrm ea C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 1007F Anti-inflm/anlgsc otc assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1007T Eeg impl s-sclp eeg w/o vid C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 10080 I&d pilonidal cyst simple A 1.19 6.68 1.76 0.20 8.07 3.150010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 10081 I&d pilonidal cyst comp A 2.44 8.46 2.13 0.48 11.38 5.050010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 1008F Gi/renal risk assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1008T Rem mntr s-scl eeg sys setup C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 1009T Rem mntr s-sclp cont eeg sys C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 1010F Severity angina by actvty I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1010T Cptr oph alys monoc eye mvmt C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00720009 33.4009 090 99 0.00 0.00 0.00
- 1010T26Cptr oph alys monoc eye mvmt C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00720009 33.4009 090 99 0.00 0.00 0.00
- 1010TTCCptr oph alys monoc eye mvmt C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00720009 33.4009 010 99 0.00 0.00 0.00
- 1011F Angina present I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1011T Pbm therapy of oral cavity C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 10120 Inc&rmvl fb subq tiss smpl A 1.19 3.38 1.73 0.14 4.71 3.060010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 10121 Inc&rmvl fb subq tiss comp A 2.67 5.19 2.09 0.38 8.24 5.140010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 1012F Angina absent I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1012T Mtrz ab ntrno trph scl/tr mw C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 1013T Lap srg imp/rpl eso nea&pg/r C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 10140 I&d hmtma seroma/fluid collj A 1.54 3.47 1.71 0.21 5.22 3.460010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 1014T Lap rv/rmv eso sph nstm eltr C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 1015F Copd symptoms assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1015T Rev/rmv lw esoph sphnc npg/r C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 10160 Pnxr aspir absc hmtma bulla A 1.22 2.56 1.36 0.16 3.94 2.740010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 1016T Elec alys npgs esoph intraop C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 1017T Elec aly npgs esoph sbsq w/o C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 10180 I&d complex po wound infctj A 2.24 5.89 2.52 0.50 8.63 5.260010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 1018F Assess dyspnea not present I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1018T Elec alys npgs esoph sbsq w/ C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 1019F Assess dyspnea present I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1019T Lymphovenous bypass per xtr C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 1020T Raman spectroscopy 1+skn les C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 1021T Active thrc irrigation spx C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 1022F Pneumo imm status assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1022T Prq tis dsplmt ntra-abdl/pel C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 1023T Prq tis dsplmt intrathoracic C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 1024T Perq tiss dsplmt soft tissue C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 1025T Alt elec fld dos&dlv sim mdl C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 1025T26Alt elec fld dos&dlv sim mdl C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 1025TTCAlt elec fld dos&dlv sim mdl C 0.00 0.00 0.00 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 1026F Co-morbid condition assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1030F Influenza imm status assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1031F Smoking & 2nd hand assessed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1032F Smoker/exposed 2nd hnd smoke I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1033F Tobacco nonsmoker nor 2ndhnd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1034F Current tobacco smoker I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1035F Smokeless tobacco user I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1036F Tobacco non-user M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1038F Persistent asthma M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1039F Intermittent asthma M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1040F Dsm-5 info mdd docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1050F History of mole changes I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1052F Type location activityassess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1055F Visual funct status assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1060F Doc perm/cont/parox atr fib I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1061F Doc lack perm&cont&parox fib I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1065F Ischm stroke symp lt3 hrsb/4 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1066F Ischm stroke sx onset>=3hr I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1070F Alarm symp assessed-absent I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1071F Alarm symp assessed-1+ prsnt I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1090F Pres/absn urine incon assess M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1091F Urine incon characterized I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 11000 Dbrdmt ecz/infected skin<10% A 0.59 1.13 0.09 0.05 1.77 0.730000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11001 Dbrdmt ecz/infct skn ea addl A 0.29 0.49 0.06 0.03 0.81 0.380ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 11004 Dbrdmt skin xtrnl gent&per A 10.53 2.46NA 2.46 2.12 15.11 15.110000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11005 Dbrdmt skin abdominal wall A 13.88 3.41NA 3.41 3.45 20.74 20.740000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 11006 Dbrdmt skin xtrnl gent per A 12.77 3.09NA 3.09 2.82 18.68 18.680000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11008 Rmv prstc mtrl/mesh abd wall A 4.88 1.19NA 1.19 1.25 7.32 7.320ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 1100F Ptfalls assess-docd ge2>/yr M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 11010 Debride skin at fx site A 4.09 9.21 2.63 0.75 14.05 7.470010.10.80.10221009 33.4009 090 99 0.00 0.00 0.00
- 11011 Debride skin musc at fx site A 4.82 10.33 2.16 0.95 16.10 7.930000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 11012 Deb skin bone at fx site A 6.70 12.54 2.83 1.32 20.56 10.850000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 1101F Pt falls assess-docd le1/yr I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 11042 Dbrdmt subq tis 1st 20sqcm/< A 0.98 2.86 0.56 0.13 3.97 1.670000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11043 Dbrdmt musc&/fsca 1st 20/< A 2.63 4.12 1.09 0.42 7.17 4.140000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11044 Dbrdmt bone 1st 20 sq cm/< A 4.00 4.96 1.38 0.64 9.60 6.020000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11045 Dbrdmt subq tiss each addl A 0.49 0.69 0.10 0.07 1.25 0.660ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 11046 Dbrdmt musc&/fsca ea addl A 1.00 1.10 0.24 0.19 2.29 1.430ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 11047 Dbrdmt bone each addl A 1.76 1.74 0.44 0.35 3.85 2.550ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 11055 Paring/cutg b9 hyprker les 1 R 0.34 1.73 0.04 0.03 2.10 0.410000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11056 Parng/cutg b9 hyprkr les 2-4 R 0.49 1.90 0.06 0.04 2.43 0.590000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11057 Parng/cutg b9 hyprkr les >4 R 0.63 1.98 0.08 0.05 2.66 0.760000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11102 Tangntl bx skin single les A 0.64 2.16 0.20 0.06 2.86 0.900000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11103 Tangntl bx skin ea sep/addl A 0.37 1.05 0.12 0.04 1.46 0.530ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 11104 Punch bx skin single lesion A 0.81 2.73 0.24 0.09 3.63 1.140000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11105 Punch bx skin ea sep/addl A 0.44 1.30 0.13 0.07 1.81 0.640ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 11106 Incal bx skn single les A 0.98 3.43 0.29 0.12 4.53 1.390000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11107 Incal bx skn ea sep/addl A 0.53 1.53 0.16 0.06 2.12 0.750ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 1110F Pt lft inpt fac w/in 60 days I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1111F Dschrg med/current med merge I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1116F Auric/peri pain assessed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1118F Gerd symps assessed 12 month I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1119F Init eval for condition I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 11200 Rmvl skin tags up to&inc 15 A 0.80 1.88 1.19 0.08 2.76 2.070010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11201 Rmvl skin tags ea addl 10 A 0.28 0.24 0.08 0.03 0.55 0.390ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 1121F Subs eval for condition I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1123F Acp discuss/dscn mkr docd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1124F Acp discuss-no dscnmkr docd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1125F Amnt pain noted pain prsnt M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1126F Amnt pain noted none prsnt M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1127F New episode for condition I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1128F Subs episode for condition I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 11300 Shave skin lesion 0.5 cm/< A 0.59 2.24 0.18 0.06 2.89 0.830000.00.00.00290009 33.4009 090 99 0.00 0.00 0.00
- 11301 Shave skin lesion 0.6-1.0 cm A 0.88 2.52 0.29 0.08 3.48 1.250000.00.00.00290009 33.4009 090 99 0.00 0.00 0.00
- 11302 Shave skin lesion 1.1-2.0 cm A 1.02 2.83 0.34 0.09 3.94 1.450000.00.00.00290009 33.4009 090 99 0.00 0.00 0.00
- 11303 Shave skin lesion >2.0 cm A 1.22 3.06 0.38 0.13 4.41 1.730000.00.00.00290009 33.4009 090 99 0.00 0.00 0.00
- 11305 Shave skin lesion 0.5 cm/< A 0.78 2.18 0.13 0.07 3.03 0.980000.00.00.00290009 33.4009 090 99 0.00 0.00 0.00
- 11306 Shave skin lesion 0.6-1.0 cm A 0.94 2.51 0.20 0.08 3.53 1.220000.00.00.00290009 33.4009 090 99 0.00 0.00 0.00
- 11307 Shave skin lesion 1.1-2.0 cm A 1.17 2.68 0.26 0.11 3.96 1.540000.00.00.00290009 33.4009 090 99 0.00 0.00 0.00
- 11308 Shave skin lesion >2.0 cm A 1.42 2.66 0.24 0.13 4.21 1.790000.00.00.00290009 33.4009 090 99 0.00 0.00 0.00
- 1130F Bk pain & fxn assessed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 11310 Shave skin lesion 0.5 cm/< A 0.78 2.49 0.24 0.07 3.34 1.090000.00.00.00290009 33.4009 090 99 0.00 0.00 0.00
- 11311 Shave skin lesion 0.6-1.0 cm A 1.07 2.78 0.34 0.11 3.96 1.520000.00.00.00290009 33.4009 090 99 0.00 0.00 0.00
- 11312 Shave skin lesion 1.1-2.0 cm A 1.27 3.11 0.41 0.13 4.51 1.810000.00.00.00290009 33.4009 090 99 0.00 0.00 0.00
- 11313 Shave skin lesion >2.0 cm A 1.64 3.48 0.50 0.17 5.29 2.310000.00.00.00290009 33.4009 090 99 0.00 0.00 0.00
- 1134F Epsd bk pain for 6 wks/< I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1135F Epsd bk pain for >6 wks I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1136F Epsd bk pain for 12 wks/< I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1137F Epsd bk pain for >12 wks I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 11400 Exc tr-ext b9+marg 0.5 cm< A 0.88 2.84 1.30 0.11 3.83 2.290010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11401 Exc tr-ext b9+marg 0.6-1 cm A 1.25 3.23 1.42 0.16 4.64 2.830010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11402 Exc tr-ext b9+marg 1.1-2 cm A 1.41 3.53 1.48 0.18 5.12 3.070010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11403 Exc tr-ext b9+marg 2.1-3cm A 1.79 3.94 2.02 0.25 5.98 4.060010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11404 Exc tr-ext b9+marg 3.1-4 cm A 2.06 4.50 2.13 0.36 6.92 4.550010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11406 Exc tr-ext b9+marg >4.0 cm A 3.43 5.92 2.75 0.64 9.99 6.820010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11420 Exc h-f-nk-sp b9+marg 0.5/< A 1.00 2.63 1.17 0.11 3.74 2.280010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11421 Exc h-f-nk-sp b9+marg 0.6-1 A 1.43 3.17 1.36 0.17 4.77 2.960010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11422 Exc h-f-nk-sp b9+marg 1.1-2 A 1.64 3.53 1.87 0.21 5.38 3.720010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11423 Exc h-f-nk-sp b9+marg 2.1-3 A 2.01 3.97 2.02 0.27 6.25 4.300010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11424 Exc h-f-nk-sp b9+marg 3.1-4 A 2.42 4.51 2.15 0.37 7.30 4.940010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11426 Exc h-f-nk-sp b9+marg >4 cm A 3.99 5.55 2.70 0.64 10.18 7.330010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11440 Exc face-mm b9+marg 0.5 cm/< A 1.02 3.12 1.80 0.11 4.25 2.930010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11441 Exc face-mm b9+marg 0.6-1 cm A 1.49 3.52 1.92 0.19 5.20 3.600010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11442 Exc face-mm b9+marg 1.1-2 cm A 1.73 3.86 2.00 0.22 5.81 3.950010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11443 Exc face-mm b9+marg 2.1-3 cm A 2.28 4.31 2.19 0.30 6.89 4.770010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11444 Exc face-mm b9+marg 3.1-4 cm A 3.11 5.09 2.45 0.43 8.63 5.990010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11446 Exc face-mm b9+marg >4 cm A 4.68 6.57 3.10 0.68 11.93 8.460010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11450 Exc skn hdrdnt ax smpl/ntrm A 3.14 9.95 3.77 0.72 13.81 7.630090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 11451 Exc skn hdrdnt ax complex A 4.32 11.87 4.26 1.00 17.19 9.580090.10.71.19210009 33.4009 090 99 0.00 0.00 0.00
- 11462 Exc skn hdrdnt ing smpl/ntrm A 2.93 9.89 3.70 0.64 13.46 7.270090.10.71.19210009 33.4009 090 99 0.00 0.00 0.00
- 11463 Exc skn hdrdnt ing complex A 4.32 11.99 4.25 0.88 17.19 9.450090.10.71.19210009 33.4009 090 99 0.00 0.00 0.00
- 11470 Exc skn h/p/p/u smpl/ntrm A 3.65 10.57 3.97 0.79 15.01 8.410090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 11471 Exc skn h/p/p/u complex A 4.77 11.84 4.24 0.92 17.53 9.930090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 1150F Doc pt rsk death w/in 1yr I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1151F Doc no pt rsk death w/in 1yr I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1152F Doc advncd dis comfort 1st I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1153F Doc advncd dis cmfrt not 1st I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1157F Advnc care plan in rcrd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1158F Advnc care plan tlk docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1159F Med list docd in rcrd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 11600 Exc tr-ext mal+marg 0.5 cm/< A 1.59 4.14 1.45 0.21 5.94 3.250010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11601 Exc tr-ext mal+marg 0.6-1 cm A 2.02 4.54 1.58 0.24 6.80 3.840010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11602 Exc tr-ext mal+marg 1.1-2 cm A 2.21 4.76 1.65 0.23 7.20 4.090010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11603 Exc tr-ext mal+marg 2.1-3 cm A 2.75 5.19 1.81 0.33 8.27 4.890010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11604 Exc tr-ext mal+marg 3.1-4 cm A 3.09 5.82 1.93 0.40 9.31 5.420010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11606 Exc tr-ext mal+marg >4 cm A 4.89 8.15 2.51 0.84 13.88 8.240010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 1160F Rvw meds by rx/dr in rcrd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 11620 Exc h-f-nk-sp mal+marg 0.5/< A 1.60 4.14 1.46 0.21 5.95 3.270010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11621 Exc s/n/h/f/g mal+mrg 0.6-1 A 2.03 4.57 1.60 0.24 6.84 3.870010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11622 Exc s/n/h/f/g mal+mrg 1.1-2 A 2.35 4.87 1.70 0.26 7.48 4.310010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11623 Exc s/n/h/f/g mal+mrg 2.1-3 A 3.03 5.43 1.91 0.38 8.84 5.320010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11624 Exc s/n/h/f/g mal+mrg 3.1-4 A 3.53 6.15 2.07 0.48 10.16 6.080010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11626 Exc s/n/h/f/g mal+mrg >4 cm A 4.49 7.30 2.36 0.76 12.55 7.610010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11640 Exc f/e/e/n/l mal+mrg 0.5cm< A 1.63 4.23 1.49 0.20 6.06 3.320010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11641 Exc f/e/e/n/l mal+mrg 0.6-1 A 2.12 4.72 1.65 0.26 7.10 4.030010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11642 Exc f/e/e/n/l mal+mrg 1.1-2 A 2.55 5.14 1.78 0.30 7.99 4.630010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11643 Exc f/e/e/n/l mal+mrg 2.1-3 A 3.33 5.70 2.03 0.43 9.46 5.790010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11644 Exc f/e/e/n/l mal+mrg 3.1-4 A 4.23 6.94 2.36 0.59 11.76 7.180010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11646 Exc f/e/e/n/l mal+mrg >4 cm A 6.10 8.38 2.92 0.95 15.43 9.970010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 1170F Fxnl status assessed M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 11719 Trim nail(s) any number R 0.17 0.25 0.02 0.01 0.43 0.200000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11720 Debride nail 1-5 A 0.31 0.64 0.04 0.03 0.98 0.380000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 11721 Debride nail 6 or more A 0.53 0.77 0.06 0.05 1.35 0.640000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 11730 Avulsion nail plate simple 1 A 1.02 2.24 0.36 0.08 3.34 1.460000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11732 Avlsn nail plate simple each A 0.37 0.57 0.05 0.03 0.97 0.450ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 11740 Evacuation subungual hmtma A 0.36 1.33 0.55 0.03 1.72 0.940000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11750 Excision nail&nail matrix A 1.54 3.04 1.14 0.14 4.72 2.820010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11755 Biopsy nail unit A 1.22 2.25 0.30 0.11 3.58 1.630000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 1175F Function stat assessed rvwd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 11760 Repair of nail bed A 1.59 3.81 1.33 0.19 5.59 3.110010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11762 Reconstruction of nail bed A 2.87 5.60 2.03 0.34 8.81 5.240010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11765 Wedge excision skn nail fold A 1.19 3.60 1.39 0.09 4.88 2.670010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11770 Exc pilonidal cyst simple A 2.59 8.48 2.22 0.61 11.68 5.420010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 11771 Exc pilonidal cyst xtnsv A 5.94 13.36 5.86 1.43 20.73 13.230090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 11772 Exc pilonidal cyst comp A 7.17 16.50 8.30 1.70 25.37 17.170090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 1180F Thromboemb risk assessed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1181F Neuropsychia sympts assessed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1182F Neuropsychi sympt 1+present I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1183F Neuropsychiatric symp absent I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 11900 Inject skin lesions </w 7 A 0.51 1.14 0.16 0.05 1.70 0.720000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11901 Inject skin lesions >7 A 0.78 1.21 0.24 0.07 2.06 1.090000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11920 Correct skin color 6.0 cm/< R 1.57 4.63 1.22 0.28 6.48 3.070000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 11921 Correct skn color 6.1-20.0cm R 1.88 4.76 1.24 0.35 6.99 3.470000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 11922 Correct skin color ea 20.0cm R 0.48 1.42 0.17 0.08 1.98 0.730ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 11950 Subq njx filling matrl 1cc/< R 0.82 1.67 0.36 0.15 2.64 1.330000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 11951 Subq njx fil matrl 1.1-5.0cc R 1.16 2.14 0.49 0.21 3.51 1.860000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 11952 Subq njx fil matrl 5.1-10cc R 1.65 2.74 0.67 0.30 4.69 2.620000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 11954 Subq njx fil matrl>10.0 cc R 1.80 3.04 0.73 0.35 5.19 2.880000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 11960 Insert tissue expander(s) A 11.20 15.21NA 15.21 1.98 28.39 28.390090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 11970 Rplcmt tiss xpndr perm implt A 7.30 6.84NA 6.84 1.35 15.49 15.490090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 11971 Rmvl tis xpndr wo insj implt A 6.84 7.32NA 7.32 1.28 15.44 15.440090.10.71.19210009 33.4009 090 99 0.00 0.00 0.00
- 11976 Remove contraceptive capsule R 1.74 2.35 0.36 0.30 4.39 2.400000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 11980 Implant hormone pellet(s) A 1.07 1.67 0.23 0.15 2.89 1.450000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 11981 Insertion drug dlvr implant A 1.11 1.90 0.32 0.21 3.22 1.640000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 11982 Remove drug implant device A 1.31 1.89 0.35 0.23 3.43 1.890000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 11983 Remove/insert drug implant A 1.86 2.13 0.46 0.34 4.33 2.660000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 12001 Rpr s/n/ax/gen/trnk 2.5cm/< A 0.82 2.41 0.32 0.18 3.41 1.320000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm A 1.11 2.82 0.37 0.24 4.17 1.720000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 12004 Rpr s/n/ax/gen/trk7.6-12.5cm A 1.40 3.12 0.43 0.33 4.85 2.160000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 12005 Rpr s/n/a/gen/trk12.6-20.0cm A 1.92 3.97 0.34 0.43 6.32 2.690000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 12006 Rpr s/n/a/gen/trk20.1-30.0cm A 2.33 4.35 0.43 0.51 7.19 3.270000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 12007 Rpr s/n/ax/gen/trnk >30.0 cm A 2.83 4.21 0.56 0.62 7.66 4.010000.00.00.00201109 33.4009 090 99 0.00 0.00 0.00
- 1200F Seizure type& frequ docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 12011 Rpr f/e/e/n/l/m 2.5 cm/< A 1.04 2.91 0.36 0.23 4.18 1.630000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 12013 Rpr f/e/e/n/l/m 2.6-5.0 cm A 1.19 2.90 0.21 0.27 4.36 1.670000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 12014 Rpr f/e/e/n/l/m 5.1-7.5 cm A 1.53 3.27 0.27 0.36 5.16 2.160000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 12015 Rpr f/e/e/n/l/m 7.6-12.5 cm A 1.93 3.94 0.33 0.44 6.31 2.700000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 12016 Rpr fe/e/en/l/m 12.6-20.0 cm A 2.61 4.79 0.44 0.61 8.01 3.660000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 12017 Rpr fe/e/en/l/m 20.1-30.0 cm A 3.10 0.74NA 0.74 0.78 4.62 4.620000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 12018 Rpr f/e/e/n/l/m >30.0 cm A 3.52 0.81NA 0.81 0.88 5.21 5.210000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 12020 Tx supfc wnd dehsn smpl clsr A 2.60 6.45 2.32 0.43 9.48 5.350010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12021 Tx supfc wnd dehsn w/packing A 1.84 3.39 1.86 0.33 5.56 4.030010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12031 Intmd rpr s/a/t/ext 2.5 cm/< A 1.95 5.60 1.81 0.23 7.78 3.990010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12032 Intmd rpr s/a/t/ext 2.6-7.5 A 2.46 6.26 2.22 0.26 8.98 4.940010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12034 Intmd rpr s/tr/ext 7.6-12.5 A 2.90 6.73 2.10 0.39 10.02 5.390010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12035 Intmd rpr s/a/t/ext 12.6-20 A 3.41 8.37 2.69 0.62 12.40 6.720010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12036 Intmd rpr s/a/t/ext 20.1-30 A 4.12 9.35 3.07 0.90 14.37 8.090010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12037 Intmd rpr s/tr/ext >30.0 cm A 4.88 10.10 3.26 1.07 16.05 9.210010.10.80.10200109 33.4009 090 99 0.00 0.00 0.00
- 12041 Intmd rpr n-hf/genit 2.5cm/< A 2.05 5.57 1.57 0.25 7.87 3.870010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12042 Intmd rpr n-hf/genit2.6-7.5 A 2.72 6.11 2.02 0.30 9.13 5.040010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12044 Intmd rpr n-hf/genit7.6-12.5 A 3.11 8.07 2.16 0.44 11.62 5.710010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12045 Intmd rpr n-hf/genit12.6-20 A 3.66 9.22 3.68 0.70 13.58 8.040010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12046 Intmd rpr n-hf/genit20.1-30 A 4.19 11.37 4.07 1.12 16.68 9.380010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 12047 Intmd rpr n-hf/genit >30.0cm A 4.83 12.15 4.23 1.29 18.27 10.350010.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 12051 Intmd rpr face/mm 2.5 cm/< A 2.27 5.91 1.91 0.29 8.47 4.470010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12052 Intmd rpr face/mm 2.6-5.0 cm A 2.80 6.20 2.03 0.34 9.34 5.170010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12053 Intmd rpr face/mm 5.1-7.5 cm A 3.09 7.33 2.12 0.39 10.81 5.600010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12054 Intmd rpr face/mm 7.6-12.5cm A 3.41 7.80 1.98 0.51 11.72 5.900010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12055 Intmd rpr face/mm 12.6-20 cm A 4.39 11.07 3.54 0.88 16.34 8.810010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 12056 Intmd rpr face/mm 20.1-30.0 A 5.17 12.54 4.31 0.96 18.67 10.440010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 12057 Intmd rpr face/mm >30.0 cm A 5.85 12.48 4.51 1.09 19.42 11.450010.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 1205F Epi etiol synd rvwd and docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1220F Pt screened for depression I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 13100 Cmplx rpr trunk 1.1-2.5 cm A 2.93 6.83 1.84 0.36 10.12 5.130010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 13101 Cmplx rpr trunk 2.6-7.5 cm A 3.41 7.88 2.48 0.40 11.69 6.290010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 13102 Cmplx rpr trunk addl 5cm/< A 1.21 2.19 0.38 0.20 3.60 1.790ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 13120 Cmplx rpr s/a/l 1.1-2.5 cm A 3.15 6.98 2.41 0.38 10.51 5.940010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 13121 Cmplx rpr s/a/l 2.6-7.5 cm A 3.90 8.17 2.11 0.44 12.51 6.450010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 13122 Cmplx rpr s/a/l addl 5 cm/> A 1.40 2.23 0.42 0.21 3.84 2.030ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 13131 Cmplx rpr f/c/c/m/n/ax/g/h/f A 3.64 7.44 2.04 0.43 11.51 6.110010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 13132 Cmplx rpr f/c/c/m/n/ax/g/h/f A 4.66 8.67 2.35 0.51 13.84 7.520010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 13133 Cmplx rpr f/c/c/m/n/ax/g/h/f A 2.14 2.62 0.65 0.27 5.03 3.060ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 13151 Cmplx rpr e/n/e/l 1.1-2.5 cm A 4.23 7.82 2.25 0.50 12.55 6.980010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 13152 Cmplx rpr e/n/e/l 2.6-7.5 cm A 5.21 8.87 2.52 0.61 14.69 8.340010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 13153 Cmplx rpr e/n/e/l addl 5cm/< A 2.32 2.98 0.72 0.36 5.66 3.400ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 13160 Sec clsr surg wnd/dehsn xtn A 11.74 8.34NA 8.34 2.10 22.18 22.180090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 14000 Tis trnfr trunk 10 sq cm/< A 6.21 12.68 6.63 1.09 19.98 13.930090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 14001 Tis trnfr trunk 10.1-30sqcm A 8.56 15.49 7.83 1.63 25.68 18.020090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 1400F Prkns diag rviewed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 14020 Tis trnfr s/a/l 10 sq cm/< A 7.04 13.44 7.07 1.00 21.48 15.110090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 14021 Tis trnfr s/a/l 10.1-30 sqcm A 9.48 15.64 7.78 1.31 26.43 18.570090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 14040 Tis trnfr f/c/c/m/n/a/g/h/f A 8.39 13.51 6.89 1.07 22.97 16.350090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 14041 Tis trnfr f/c/c/m/n/a/g/h/f A 10.56 15.89 7.70 1.28 27.73 19.540090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 14060 Tis trnfr e/n/e/l 10 sq cm/< A 9.00 13.04 7.10 1.07 23.11 17.170090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 14061 Tis trnfr e/n/e/l10.1-30sqcm A 11.19 17.36 8.40 1.33 29.88 20.920090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 14301 Tis trnfr any 30.1-60 sq cm A 12.33 19.17 8.63 2.04 33.54 23.000090.10.71.19202009 33.4009 090 99 0.00 0.00 0.00
- 14302 Tis trnfr addl 30 sq cm A 3.64 2.35 1.17 0.66 6.65 5.470ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 14350 Filleted finger/toe flap A 10.77 6.53NA 6.53 1.11 18.41 18.410090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 1450F Symptoms improved/consist I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1451F Sympt show clin import drop I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1460F Qual card diag prior 12 mons M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1461F No qual card diag prior12mon M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1490F Dem severity classified mild I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1491F Dem severity classified mod I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1493F Dem severity class severe I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1494F Cognit assessed and reviewed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 15002 Wound prep trk/arm/leg A 3.56 6.66 1.69 0.65 10.87 5.900000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 15003 Wound prep addl 100 cm A 0.78 1.28 0.23 0.18 2.24 1.190ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 15004 Wound prep f/n/hf/g A 4.47 7.02 1.76 0.62 12.11 6.850000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 15005 Wnd prep f/n/hf/g addl cm A 1.56 1.83 0.44 0.34 3.73 2.340ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 1500F Symptom&sign symm polyneuro I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 15011 Hrv skn cll ssp agrft 1st 25 C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 15012 Hrv skn cll ssp agrft ea add C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15013 Prepj skn cll ssp agrft 1st C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 15014 Prepj skn cll ssp agrft ea C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15015 App skn cl ssp agrft t/a/l 1 C 0.00 0.00 0.00 0.00 0.00 0.000090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15016 App skn cl ssp agrf t/a/l ea C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15017 App skn cll ssp f/n/g/hf 1st C 0.00 0.00 0.00 0.00 0.00 0.000090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15018 App skn cll ssp f/n/g/hf ea C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 1501F Not initial eval for cond I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1502F Pt queried pain fxn w/ instr I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 1503F Pt queried symp resp insuff I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 15040 Harvest cultured skin graft A 1.95 5.86 1.08 0.38 8.19 3.410000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 1504F Pt has resp insufficiency I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 15050 Pinch graft up to 2 cm diam A 5.43 11.79 6.48 0.92 18.14 12.830090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 1505F Pt has no resp insufficiency I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 15100 Splt agrft t/a/l 1st 100sqcm A 9.65 16.06 8.21 1.91 27.62 19.770090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15101 Splt agrft t/a/l ea addl 100 A 1.68 3.97 0.95 0.38 6.03 3.010ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15110 Epidrm agrft t/a/l 1st 100 A 10.70 14.05 7.21 2.19 26.94 20.100090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15111 Epidrm agrft t/a/l ea addl A 1.80 1.42 0.49 0.42 3.64 2.710ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15115 Epdrm agrft f/s/n/h/f/g/m 1 A 11.00 12.92 6.58 1.91 25.83 19.490090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15116 Epdrm agrft f/s/n/h/f/g/m ea A 2.44 1.93 0.67 0.56 4.93 3.670ZZZ.00.00.00001109 33.4009 090 99 0.00 0.00 0.00
- 15120 Splt agrft f/s/n/h/f/g/m 1st A 9.90 14.64 6.88 1.63 26.17 18.410090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15121 Splt agrft f/s/n/h/f/g/m ea A 1.95 4.25 1.20 0.42 6.62 3.570ZZZ.00.00.00001109 33.4009 090 99 0.00 0.00 0.00
- 15130 Drm agrft t/a/l 1st 100 sqcm A 7.34 14.40 7.79 1.35 23.09 16.480090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15131 Drm agrft t/a/l ea addl A 1.46 1.37 0.53 0.26 3.09 2.250ZZZ.00.00.00001109 33.4009 090 99 0.00 0.00 0.00
- 15135 Drm agrft f/s/n/h/f/g/m 1st A 10.75 14.63 7.82 1.61 26.99 20.180090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15136 Drm agrft f/s/n/h/f/g/m ea A 1.46 1.32 0.53 0.26 3.04 2.250ZZZ.00.00.00001109 33.4009 090 99 0.00 0.00 0.00
- 15150 Tis cltr skn agrft t/a/l 1st A 9.16 11.24 6.86 2.46 22.86 18.480090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15151 Tis cltr skn agrft t/a/l add A 1.95 1.30 0.47 0.50 3.75 2.920ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15152 Tis cltr skn agrft t/a/l ea A 2.44 1.54 0.59 0.64 4.62 3.670ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15155 Tis cltr agrft f/s/n/h/f/g 1 A 9.89 13.68 7.95 1.83 25.40 19.670090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15156 Tis clt agrft f/s/n/h/f/g ad A 2.68 1.66 0.65 0.71 5.05 4.040ZZZ.00.00.00001109 33.4009 090 99 0.00 0.00 0.00
- 15157 Tis clt agrft f/s/n/h/f/g ea A 2.93 1.94 0.71 0.79 5.66 4.430ZZZ.00.00.00001109 33.4009 090 99 0.00 0.00 0.00
- 15200 Fth/gft fr trnk 20 sq cm/< A 8.92 15.80 7.70 1.50 26.22 18.120090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15201 Fth/gft fr trnk each addl A 1.29 2.92 0.42 0.23 4.44 1.940ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15220 Fth/gft fr s/a/l 20 sq cm/< A 7.89 14.43 7.09 1.12 23.44 16.100090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15221 Fth/gft fr s/a/l each addl A 1.16 2.65 0.37 0.20 4.01 1.730ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15240 Fth/gft f/c/c/m/n/ax/g/h/f20 A 10.15 16.59 9.42 1.33 28.07 20.900090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15241 Fth/gft f/c/c/m/n/a/g/h/f ea A 1.81 3.28 0.58 0.29 5.38 2.680ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15260 Fth/gft fr n/e/e/l 20 sqcm/< A 11.35 17.31 9.12 1.31 29.97 21.780090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15261 Fth/gft fr n/e/e/l each addl A 2.17 3.75 0.90 0.30 6.22 3.370ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15271 Skin sub graft trnk/arm/leg A 1.46 3.06 0.58 0.21 4.73 2.250000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 15272 Skin sub graft t/a/l add-on A 0.32 0.40 0.07 0.05 0.77 0.440ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15273 Skin sub grft t/arm/lg child A 3.41 5.61 1.11 0.62 9.64 5.140000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 15274 Skn sub grft t/a/l child add A 0.78 1.65 0.22 0.17 2.60 1.170ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15275 Skin sub graft face/nk/hf/g A 1.78 2.82 0.54 0.20 4.80 2.520000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 15276 Skin sub graft f/n/hf/g addl A 0.49 0.45 0.10 0.07 1.01 0.660ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15277 Skn sub grft f/n/hf/g child A 3.90 6.20 1.30 0.71 10.81 5.910000.00.00.00201109 33.4009 090 99 0.00 0.00 0.00
- 15278 Skn sub grft f/n/hf/g ch add A 0.98 1.85 0.28 0.20 3.03 1.460ZZZ.00.00.00001109 33.4009 090 99 0.00 0.00 0.00
- 15570 Skin pedicle flap trunk A 9.95 17.44 8.20 1.99 29.38 20.140090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15572 Skin pedicle flap arms/legs A 9.87 16.35 8.43 1.76 27.98 20.060090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15574 Pedcle fh/ch/ch/m/n/ax/g/h/f A 10.43 14.25 7.19 1.53 26.21 19.150090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15576 Pedicle e/n/e/l/ntroral A 9.14 13.52 6.60 1.13 23.79 16.870090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15600 Delay flap trunk A 1.96 8.85 4.04 0.37 11.18 6.370090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15610 Delay flap arms/legs A 2.46 8.84 4.17 0.42 11.72 7.050090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15620 Delay flap f/c/c/n/ax/g/h/f A 3.66 9.64 4.88 0.58 13.88 9.120090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15630 Delay flap eye/nos/ear/lip A 3.98 9.55 4.80 0.54 14.07 9.320090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15650 Transfer skin pedicle flap A 4.65 12.13 5.94 0.87 17.65 11.460090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15730 Mdfc flap w/prsrv vasc pedcl A 13.16 28.48 8.77 1.49 43.13 23.420090.10.71.19201109 33.4009 090 99 0.00 0.00 0.00
- 15731 Forehead flap w/vasc pedicle A 14.02 18.22 10.11 2.14 34.38 26.270090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15733 Musc myoq/fscq flp h&n pedcl A 15.29 9.32NA 9.32 2.58 27.19 27.190090.10.71.19201109 33.4009 090 99 0.00 0.00 0.00
- 15734 Muscle-skin graft trunk A 22.43 14.11NA 14.11 4.98 41.52 41.520090.10.71.19202109 33.4009 090 99 0.00 0.00 0.00
- 15736 Muscle-skin graft arm A 16.61 13.35NA 13.35 3.31 33.27 33.270090.10.71.19201109 33.4009 090 99 0.00 0.00 0.00
- 15738 Muscle-skin graft leg A 18.56 12.20NA 12.20 3.62 34.38 34.380090.10.71.19202109 33.4009 090 99 0.00 0.00 0.00
- 15740 Island pedicle flap graft A 11.51 18.07 9.14 1.84 31.42 22.490090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15750 Neurovascular pedicle flap A 12.64 10.10NA 10.10 2.40 25.14 25.140090.10.71.19202009 33.4009 090 99 0.00 0.00 0.00
- 15756 Free myo/skin flap microvasc A 36.02 16.83NA 16.83 5.89 58.74 58.740090.10.71.19202209 33.4009 090 99 0.00 0.00 0.00
- 15757 Free skin flap microvasc A 36.22 16.32NA 16.32 5.71 58.25 58.250090.10.71.19202209 33.4009 090 99 0.00 0.00 0.00
- 15758 Free fascial flap microvasc A 35.98 16.41NA 16.41 5.73 58.12 58.120090.10.71.19202209 33.4009 090 99 0.00 0.00 0.00
- 15760 Composite skin graft A 9.61 14.73 7.36 1.33 25.67 18.300090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15769 Grfg autol soft tiss dir exc A 6.51 5.77NA 5.77 1.33 13.61 13.610090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 15770 Derma-fat-fascia graft A 8.74 8.00NA 8.00 1.41 18.15 18.150090.10.71.19202109 33.4009 090 99 0.00 0.00 0.00
- 15771 Grfg autol fat lipo 50 cc/< A 6.56 12.05 6.39 1.23 19.84 14.180090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 15772 Grfg autol fat lipo ea addl A 2.44 3.27 0.89 0.45 6.16 3.780ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15773 Grfg autol fat lipo 25 cc/< A 6.66 10.97 5.82 1.12 18.75 13.600090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 15774 Gfrg autol fat lipo ea addl A 2.35 3.23 0.86 0.43 6.01 3.640ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15775 Hair trnspl 1-15 punch grfts R 3.85 7.48 2.12 0.71 12.04 6.680000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 15776 Hair trnspl >15 punch grafts R 5.39 9.89 2.68 1.02 16.30 9.090000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 15777 Acellular derm matrix implt A 3.56 2.48 1.23 0.67 6.71 5.460ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 15778 Impl absrb msh/prsth dly cls A 6.87 2.01NA 2.01 1.70 10.58 10.580000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 15780 Dermabrasion total face A 8.51 15.44 7.54 0.84 24.79 16.890090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15781 Dermabrasion segmental face A 4.89 10.11 5.56 0.58 15.58 11.030090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15782 Dermabrasion other than face A 4.33 9.48 4.83 0.43 14.24 9.590090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15783 Dermabrasion suprfl any site A 4.30 8.49 4.46 0.43 13.22 9.190090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15786 Abrasion lesion single A 2.03 4.72 1.33 0.20 6.95 3.560010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 15787 Abrasion lesions add-on A 0.32 0.60 0.09 0.02 0.94 0.430ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15788 Chemical peel facial epidrm R 2.04 9.17 3.60 0.22 11.43 5.860090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15789 Chemical peel facial dermal R 4.79 10.42 5.42 0.50 15.71 10.710090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15792 Chem peel nonfacial epidrm R 1.81 7.85 3.73 0.21 9.87 5.750090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15793 Chemical peel nonfacial drm A 3.86 9.78 5.21 0.45 14.09 9.520090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15820 Blepharoplasty lower eyelid A 6.11 11.02 6.90 0.48 17.61 13.490090.10.71.19210009 33.4009 090 99 0.00 0.00 0.00
- 15821 Blepharp lwr eyelid fat pad A 6.67 11.67 7.16 0.65 18.99 14.480090.10.71.19210009 33.4009 090 99 0.00 0.00 0.00
- 15822 Blepharoplasty upper eyelid A 4.50 9.13 5.66 0.49 14.12 10.650090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 15823 Blepharp upr eyelid xcsv skn A 6.64 11.73 7.20 0.58 18.95 14.420090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 15824 Rhytidectomy forehead R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 15825 Rhytdct nck pltysml tghtg R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 15826 Rhytidectomy glblr frn lines R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 15828 Rhytidectomy cheek chn & nck R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 15829 Rhytidectomy smas flap R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 15830 Exc excessive skin abdomen R 16.68 11.92NA 11.92 3.35 31.95 31.950090.10.71.19202109 33.4009 090 99 0.00 0.00 0.00
- 15832 Exc excessive skin thigh A 12.53 10.33NA 10.33 2.36 25.22 25.220090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 15833 Exc excessive skin leg A 11.60 10.14NA 10.14 2.15 23.89 23.890090.10.71.19210009 33.4009 090 99 0.00 0.00 0.00
- 15834 Exc excessive skin hip A 11.87 10.24NA 10.24 2.19 24.30 24.300090.10.71.19210009 33.4009 090 99 0.00 0.00 0.00
- 15835 Exc excessive skin buttock A 12.67 10.27NA 10.27 2.35 25.29 25.290090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15836 Exc excessive skin arm A 10.34 9.56NA 9.56 1.92 21.82 21.820090.10.71.19210009 33.4009 090 99 0.00 0.00 0.00
- 15837 Exc excsv skin forearm/hand A 9.31 17.02 8.67 1.73 28.06 19.710090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15838 Exc excsv submental fat pad A 8.04 8.44NA 8.44 1.48 17.96 17.960090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15839 Exc excessive skn other area A 10.24 16.54 8.25 1.93 28.71 20.420090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15840 Nerve palsy fascial graft A 14.62 9.65NA 9.65 2.27 26.54 26.540090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15841 Nerve palsy muscle graft A 25.34 17.28NA 17.28 4.71 47.33 47.330090.10.71.19202109 33.4009 090 99 0.00 0.00 0.00
- 15842 Nerve palsy microsurg graft A 39.98 23.36NA 23.36 7.43 70.77 70.770090.10.71.19202109 33.4009 090 99 0.00 0.00 0.00
- 15845 Skin and muscle repair face A 13.96 12.42NA 12.42 2.59 28.97 28.970090.10.71.19202009 33.4009 090 99 0.00 0.00 0.00
- 15847 Exc skin abd add-on C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 15851 Removal sutr/staple req anes A 1.07 0.55NA 0.55 0.13 1.75 1.750000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 15852 Dressing change not for burn A 0.84 0.20NA 0.20 0.12 1.16 1.160000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 15853 Removal sutr/stapl xreq anes A 0.00 0.39 0.39NA 0.01 0.40 0.405ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15854 Removal sutr&stapl xreq anes A 0.00 0.52 0.52NA 0.01 0.53 0.535ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 15860 Iv njx tst vasc flo flap/grf A 1.90 0.52NA 0.52 0.37 2.79 2.790000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 15876 Suction lipectomy head&neck R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 15877 Suction lipectomy trunk R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 15878 Suction lipectomy upr extrem R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 15879 Suction lipectomy lwr extrem R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 15920 Exc coccygl pr ulc prim sutr A 8.08 8.57NA 8.57 2.16 18.81 18.810090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15922 Exc coccygl pr ulc flap clsr A 10.12 9.89NA 9.89 1.88 21.89 21.890090.10.71.19202109 33.4009 090 99 0.00 0.00 0.00
- 15931 Exc sacral pr ulc prim sutr A 9.82 7.93NA 7.93 2.41 20.16 20.160090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15933 Exc sac pr ulc prim str ostc A 11.48 10.51NA 10.51 2.65 24.64 24.640090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15934 Exc sacral pr ulc skn flap A 13.34 10.78NA 10.78 2.48 26.60 26.600090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15935 Exc sac pr ulc skn flp ostc A 15.39 13.04NA 13.04 2.86 31.29 31.290090.10.71.19202109 33.4009 090 99 0.00 0.00 0.00
- 15936 Exc sac pr ulc prep mus flap A 12.83 9.28NA 9.28 2.98 25.09 25.090090.10.71.19201109 33.4009 090 99 0.00 0.00 0.00
- 15937 Exc sac pr ulc prep mus ostc A 14.76 10.05NA 10.05 2.72 27.53 27.530090.10.71.19201109 33.4009 090 99 0.00 0.00 0.00
- 15940 Exc ischial pr ulc prim sutr A 9.95 7.67NA 7.67 2.27 19.89 19.890090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15941 Exc isch pr ulc prm sut ostc A 12.10 11.58NA 11.58 2.25 25.93 25.930090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15944 Exc isch pr ulc skn flp clsr A 12.13 11.10NA 11.10 2.25 25.48 25.480090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15945 Exc isch pr ulc skn flp ostc A 13.41 11.85NA 11.85 2.49 27.75 27.750090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 15946 Exc isch pr ulc prep mus flp A 23.52 15.33NA 15.33 4.88 43.73 43.730090.10.71.19201109 33.4009 090 99 0.00 0.00 0.00
- 15950 Exc trchntr pr ulc prim sutr A 7.83 8.34NA 8.34 1.45 17.62 17.620090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 15951 Exc trchntr pr ulc ostc A 11.29 11.28NA 11.28 2.09 24.66 24.660090.10.71.19200109 33.4009 090 99 0.00 0.00 0.00
- 15952 Exc trchntr pr ulc flp clsr A 12.00 10.72NA 10.72 2.22 24.94 24.940090.10.71.19202109 33.4009 090 99 0.00 0.00 0.00
- 15953 Exc trchntr pr ulc flp ostc A 13.23 11.79NA 11.79 2.47 27.49 27.490090.10.71.19201109 33.4009 090 99 0.00 0.00 0.00
- 15956 Exc trchntr pr ulc prep flap A 16.37 12.71NA 12.71 3.65 32.73 32.730090.10.71.19201109 33.4009 090 99 0.00 0.00 0.00
- 15958 Exc trchntr pr ulc prep ostc A 16.33 12.90NA 12.90 3.22 32.45 32.450090.10.71.19201109 33.4009 090 99 0.00 0.00 0.00
- 15999 Unlisted px exc pressure ulc C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 16000 Initial treatment of burn(s) A 0.87 1.68 0.24 0.15 2.70 1.260000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 16020 Dress/debrid p-thick burn s A 0.69 1.97 0.82 0.12 2.78 1.630000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 16025 Dress/debrid p-thick burn m A 1.70 2.99 1.08 0.27 4.96 3.050000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 16030 Dress/debrid p-thick burn l A 2.03 3.94 1.22 0.43 6.40 3.680000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 16035 Escharotomy 1st incision A 3.65 1.05NA 1.05 0.65 5.35 5.350000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 16036 Escharotomy ea addl incision A 1.46 0.38NA 0.38 0.36 2.20 2.200ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 17000 Destruct premalg lesion A 0.59 1.34 0.78 0.06 1.99 1.430010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17003 Destruct premalg les 2-14 A 0.04 0.15 0.01 0.00 0.19 0.050ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 17004 Destroy premal lesions 15/> A 1.34 3.39 1.01 0.13 4.86 2.480010.10.80.10001009 33.4009 090 99 0.00 0.00 0.00
- 17106 Dstr cut vsc prlf les<10sqcm A 3.60 6.22 3.15 0.42 10.24 7.170090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 17107 Dstr cut vsc prlf les10-50sq A 4.67 8.10 4.09 0.49 13.26 9.250090.10.71.19201009 33.4009 090 99 0.00 0.00 0.00
- 17108 Dstr cut vsc prlf les>50sqcm A 7.30 10.72 5.37 0.91 18.93 13.580090.10.71.19200009 33.4009 090 99 0.00 0.00 0.00
- 17110 Destruction b9 les up to 14 A 0.68 2.58 1.12 0.07 3.33 1.870010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17111 Destruction b9 lesions 15/> A 0.95 2.86 1.18 0.08 3.89 2.210010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17250 Chem caut of granltj tissue A 0.49 2.14 0.50 0.07 2.70 1.060000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 17260 Dstrj mal les t/a/l 0.5 cm/< A 0.94 1.88 0.75 0.08 2.90 1.770010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17261 Dstrj mal les t/a/l .6-1.0cm A 1.19 3.01 0.92 0.12 4.32 2.230010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17262 Dstrj mal les t/a/l 1.1-2.0 A 1.59 3.45 1.04 0.16 5.20 2.790010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17263 Dstrj mal les t/a/l 2.1-3.0 A 1.79 3.67 1.10 0.18 5.64 3.070010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17264 Dstrj mal les t/a/l 3.1-4.0 A 1.94 3.92 1.14 0.19 6.05 3.270010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17266 Dstrj mal les t/a/l >4.0 cm A 2.33 4.34 1.26 0.23 6.90 3.820010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17270 Dstr mal les s/n/h/f/g .5 /< A 1.34 2.93 0.96 0.13 4.40 2.430010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17271 Dstr mal les s/n/h/f/g 0.6-1 A 1.50 3.21 1.02 0.15 4.86 2.670010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17272 Dstr mal les s/n/h/f/g 1.1-2 A 1.77 3.54 1.09 0.18 5.49 3.040010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17273 Dstr mal les s/n/h/f/g 2.1-3 A 2.05 3.86 1.18 0.20 6.11 3.430010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17274 Dstr mal les s/n/h/f/g 3.1-4 A 2.57 4.34 1.34 0.25 7.16 4.160010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17276 Dstr mal les s/n/h/f/g >4.0 A 3.17 4.85 1.51 0.34 8.36 5.020010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17280 Dstr mal ls f/e/e/n/l/m .5/< A 1.19 2.83 0.92 0.12 4.14 2.230010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17281 Dstr mal ls f/e/e/n/l/m .6-1 A 1.73 3.35 1.08 0.17 5.25 2.980010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17282 Dstr mal ls f/e/e/n/l/m1.1-2 A 2.04 3.76 1.17 0.20 6.00 3.410010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17283 Dstr mal ls f/e/e/n/l/m2.1-3 A 2.62 4.24 1.35 0.25 7.11 4.220010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17284 Dstr mal ls f/e/e/n/l/m3.1-4 A 3.12 4.69 1.50 0.33 8.14 4.950010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17286 Dstr mal ls f/e/e/n/l/m>4.0 A 4.37 5.71 1.89 0.46 10.54 6.720010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17311 Mohs 1 stage h/n/hf/g A 6.05 13.33 1.95 0.59 19.97 8.590000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 17312 Mohs addl stage A 3.22 8.51 1.03 0.33 12.06 4.580ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 17313 Mohs 1 stage t/a/l A 5.42 12.80 1.76 0.53 18.75 7.710000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 17314 Mohs addl stage t/a/l A 2.98 8.27 0.91 0.29 11.54 4.180ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 17315 Mohs surg addl block A 0.85 1.45 0.28 0.07 2.37 1.200ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 17340 Cryotherapy for acne A 0.75 0.76 0.44 0.07 1.58 1.260010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17360 Chemical exfoliation acne A 1.42 2.06 0.76 0.14 3.62 2.320010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 17380 Electrolysis epilation ea 30 R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 17999 Unlistd px skn muc memb subq C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 19000 Puncture aspir cyst breast A 0.82 1.95 0.16 0.11 2.88 1.090000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 19001 Puncture aspir cyst brst ea A 0.41 0.33 0.08 0.05 0.79 0.540ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 19020 Mastotomy expl drg absc dp A 3.73 10.75 4.82 0.92 15.40 9.470090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 19030 Njx px only mam ducto/glcto A 1.49 3.13 0.28 0.15 4.77 1.920000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 19081 Bx breast 1st lesion strtctc A 3.21 10.76 0.58 0.35 14.32 4.140000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 19082 Bx breast add lesion strtctc A 1.61 9.10 0.30 0.17 10.88 2.080ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 19083 Bx breast 1st lesion us imag A 3.02 10.88 0.55 0.34 14.24 3.910000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 19084 Bx breast add lesion us imag A 1.51 9.03 0.28 0.16 10.70 1.950ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 19085 Bx breast 1st lesion mr imag A 3.55 17.62 0.63 0.35 21.52 4.530000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 19086 Bx breast add lesion mr imag A 1.77 14.62 0.32 0.17 16.56 2.260ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 19100 Bx breast percut w/o image A 1.24 3.35 0.31 0.30 4.89 1.850000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 19101 Biopsy of breast open A 3.15 6.55 2.54 0.79 10.49 6.480010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 19105 Cryosurg ablate fa each A 3.60 71.34 1.22 0.98 75.92 5.800000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 19110 Nipple exploration A 4.33 10.54 5.19 1.13 16.00 10.650090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 19112 Excise breast duct fistula A 3.71 10.42 5.19 1.01 15.14 9.910090.10.71.19210009 33.4009 090 99 0.00 0.00 0.00
- 19120 Removal of breast lesion A 5.77 9.94 4.99 1.45 17.16 12.210090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 19125 Excision breast lesion A 6.52 10.81 5.35 1.68 19.01 13.550090.10.71.19211109 33.4009 090 99 0.00 0.00 0.00
- 19126 Excision addl breast lesion A 2.86 0.72NA 0.72 0.73 4.31 4.310ZZZ.00.00.00001109 33.4009 090 99 0.00 0.00 0.00
- 19281 Perq device breast 1st imag A 1.95 4.89 0.35 0.19 7.03 2.490000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 19282 Perq device breast ea imag A 0.98 3.87 0.18 0.08 4.93 1.240ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 19283 Perq dev breast 1st strtctc A 1.95 5.33 0.36 0.21 7.49 2.520000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 19284 Perq dev breast add strtctc A 0.98 4.35 0.18 0.11 5.44 1.270ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 19285 Perq dev breast 1st us imag A 1.66 8.65 0.31 0.18 10.49 2.150000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 19286 Perq dev breast add us imag A 0.83 7.66 0.16 0.09 8.58 1.080ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 19287 Perq dev breast 1st mr guide A 2.49 15.22 0.45 0.23 17.94 3.170000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 19288 Perq dev breast add mr guide A 1.25 12.31 0.23 0.12 13.68 1.600ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 19294 Prepj tum cav iort prtl mast A 2.93 0.74NA 0.74 0.76 4.43 4.430ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 19296 Place po breast cath for rad A 3.54 115.12 1.36 0.90 119.56 5.800000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 19297 Place breast cath for rad A 1.68 0.40NA 0.40 0.41 2.49 2.490ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 19298 Place breast rad tube/caths A 5.61 19.44 1.84 0.44 25.49 7.890000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 19300 Mastectomy for gynecomastia A 5.18 12.69 6.36 1.21 19.08 12.750090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 19301 Partial mastectomy A 9.88 6.52NA 6.52 2.54 18.94 18.940090.10.71.19210009 33.4009 090 99 0.00 0.00 0.00
- 19302 P-mastectomy w/ln removal A 13.64 8.82NA 8.82 3.51 25.97 25.970090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 19303 Mast simple complete A 14.63 9.04NA 9.04 3.75 27.42 27.420090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 19305 Mast radical A 17.02 11.42NA 11.42 4.39 32.83 32.830090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 19306 Mast rad urban type A 17.68 12.83NA 12.83 4.73 35.24 35.240090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 19307 Mast mod rad A 17.54 11.66NA 11.66 4.53 33.73 33.730090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 19316 Mastopexy A 10.81 8.89NA 8.89 2.13 21.83 21.830090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 19318 Breast reduction A 15.63 10.76NA 10.76 2.96 29.35 29.350090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 19325 Breast augmentation w/implt A 7.92 7.55NA 7.55 1.48 16.95 16.950090.10.71.19210009 33.4009 090 99 0.00 0.00 0.00
- 19328 Rmvl intact breast implant A 7.25 6.72NA 6.72 1.40 15.37 15.370090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 19330 Rmvl ruptured breast implant A 8.78 7.27NA 7.27 1.69 17.74 17.740090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 19340 Insj breast implt sm d mast A 10.22 8.76NA 8.76 2.01 20.99 20.990090.10.71.19211109 33.4009 090 99 0.00 0.00 0.00
- 19342 Insj/rplcmt brst implt sep d A 10.22 8.66NA 8.66 1.91 20.79 20.790090.10.71.19210109 33.4009 090 99 0.00 0.00 0.00
- 19350 Nipple/areola reconstruction A 8.88 16.21 7.89 1.67 26.76 18.440090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 19355 Correct inverted nipple(s) A 8.31 14.53 6.99 1.53 24.37 16.830090.10.71.19210009 33.4009 090 99 0.00 0.00 0.00
- 19357 Tiss xpndr plmt brst rcnstj A 14.47 14.93NA 14.93 2.72 32.12 32.120090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 19361 Brst rcnstj latsms drsi flap A 22.78 14.31NA 14.31 4.29 41.38 41.380090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 19364 Brst rcnstj free flap A 41.52 21.49NA 21.49 7.93 70.94 70.940090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 19367 Brst rcnstj 1 pdcl tram flap A 26.13 15.70NA 15.70 4.85 46.68 46.680090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 19368 Brst rcnstj 1pdcl tram anast A 33.05 17.28NA 17.28 6.15 56.48 56.480090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 19369 Brst rcnstj 2 pdcl tram flap A 30.53 16.36NA 16.36 5.68 52.57 52.570090.10.71.19212109 33.4009 090 99 0.00 0.00 0.00
- 19370 Revj peri-implt capsule brst A 8.94 7.82NA 7.82 1.68 18.44 18.440090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 19371 Peri-implt capslc brst compl A 9.73 7.87NA 7.87 1.84 19.44 19.440090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 19380 Revj reconstructed breast A 10.89 9.09NA 9.09 2.05 22.03 22.030090.10.71.19211009 33.4009 090 99 0.00 0.00 0.00
- 19396 Design custom breast implant A 2.12 6.22 1.27 0.39 8.73 3.780000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 19499 Unlisted procedure breast C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210119 33.4009 090 99 0.00 0.00 0.0020000’s
| HCPCS Code | Modifier | Short Description | Proc Stat. | PCTC | Not Used for Medicare | Work RVU | NA Flag for Trans Non-FAC PE RVU | Transitioned Non-FAC PE RVU | NA Flag for Fully IMP Non-FAC PE RVU | Fully Implemented Non-FAC PE RVU | NA Flag for Trans Facility PE RVU | Transitioned Facility PE RVU | NA Flag for Fully IMP FAC PE RVU | Fully Implemented Facility PE RVU | MP RVU | Non-FAC PE Used for OPPS PMT AMT | Facility PE Used for OPPS PMT AMT | Malpractice Used for OPPS PMT AMT |
- 2000F Blood pressure measure M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2001F Weight record I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2002F Clin sign vol ovrld assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2004F Initial exam involved joints I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 20100 Expl pentrg wound neck A 10.12 4.00NA 4.00 2.22 16.34 16.340010.10.80.10212009 33.4009 090 99 0.00 0.00 0.00
- 20101 Expl pentrg wound chest A 3.15 14.76 2.05 0.84 18.75 6.040010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 20102 Expl pentrg wnd abd/flnk/bk A 3.88 14.95 2.47 0.99 19.82 7.340010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 20103 Expl pentrg wound extremity A 5.21 11.49 3.24 1.03 17.73 9.480010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 2010F Vital signs recorded I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2014F Mental status assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 20150 Excision epiphyseal bar A 14.38 10.14NA 10.14 3.05 27.57 27.570090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 2015F Asthma impairment assessed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2016F Asthma risk assessed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2018F Hydration status assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2019F Dilated macul exam done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 20200 Muscle biopsy superficial A 1.42 5.45 0.91 0.37 7.24 2.700000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 20205 Deep muscle biopsy A 2.29 7.20 1.46 0.65 10.14 4.400000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 20206 Biopsy muscle perq needle A 0.97 5.20 0.45 0.11 6.28 1.530000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 2020F Dilated fundus eval done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2021F Dilat macular exam done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 20220 Bone biopsy trocar/ndl supfc A 1.61 4.90 0.51 0.17 6.68 2.290000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 20225 Bone biopsy trocar/ndl deep A 2.39 8.27 0.74 0.26 10.92 3.390000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 2022F Dilat rta xm evc rtnopthy M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2023F Dilat rta xm w/o rtnopthy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 20240 Bone biopsy open superficial A 2.54 0.95NA 0.95 0.30 3.79 3.790000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 20245 Bone biopsy open deep A 5.85 2.18NA 2.18 1.05 9.08 9.080000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 2024F 7 fld rta photo evc rtnopthy M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 20250 Biopsy vrt bdy open thoracic A 5.06 5.08NA 5.08 1.46 11.60 11.600010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 20251 Biopsy vrt bdy open lmbr/crv A 5.58 5.37NA 5.37 1.66 12.61 12.610010.10.80.10202009 33.4009 090 99 0.00 0.00 0.00
- 2025F 7 fld rta photo w/o rtnopthy M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2026F Eye img valid evc rtnopthy M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2027F Optic nerve head eval done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2028F Foot exam performed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2029F Complete phys skin exam done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2030F H2o stat docd normal I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2031F H2o stat docd dehydrated I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2033F Eye img valid w/o rtnopthy M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2035F Tymp memb motion examd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2040F Bk pn xm on init visit date I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 2044F Doc mntl tst b/4 bk trxmnt I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 20500 Njx sinus tract therapeutic A 1.25 2.45 1.10 0.15 3.85 2.500010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 20501 Njx sinus tract diagnostic A 0.74 3.25 0.12 0.07 4.06 0.930000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 2050F Wound char size etc docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 20520 Rmvl fb musc/tdn simple A 1.85 4.76 2.13 0.27 6.88 4.250010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 20525 Rmvl fb musc/tdn deep/comp A 3.45 10.77 2.87 0.66 14.88 6.980010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 20526 Ther injection carp tunnel A 0.92 1.55 0.39 0.17 2.64 1.480000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 20527 Njx nzm palmar fascial cord A 0.98 1.65 0.58 0.19 2.82 1.750000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 20550 Njx 1 tendon sheath/ligament A 0.73 0.99 0.18 0.09 1.81 1.000000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 20551 Njx 1 tendon origin/insj A 0.73 1.00 0.18 0.08 1.81 0.990000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 20552 Njx 1/mlt trigger point 1/2 A 0.64 0.84 0.36 0.07 1.55 1.070000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 20553 Njx 1/mlt trigger points 3/> A 0.73 0.98 0.41 0.08 1.79 1.220000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 20555 Place ndl musc/tis for rt A 5.85 2.06NA 2.06 0.46 8.37 8.370000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 20560 Ndl insj w/o njx 1 or 2 musc A 0.31 0.42 0.05 0.01 0.74 0.370XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 20561 Ndl insj w/o njx 3+ musc A 0.47 0.64 0.09 0.03 1.14 0.590XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 20600 Drain/inj joint/bursa w/o us A 0.64 0.96 0.22 0.08 1.68 0.940000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 20604 Drain/inj joint/bursa w/us A 0.87 1.63 0.21 0.11 2.61 1.190000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 20605 Drain/inj joint/bursa w/o us A 0.66 0.97 0.22 0.08 1.71 0.960000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 20606 Drain/inj joint/bursa w/us A 0.98 1.72 0.24 0.12 2.82 1.340000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 2060F Pt intrvwd on/before dx mdd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 20610 Drain/inj joint/bursa w/o us A 0.77 1.16 0.29 0.13 2.06 1.190000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 20611 Drain/inj joint/bursa w/us A 1.07 1.91 0.29 0.14 3.12 1.500000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 20612 Aspirate/inj ganglion cyst A 0.68 1.26 0.33 0.09 2.03 1.100000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 20615 Treatment of bone cyst A 2.27 4.95 1.80 0.25 7.47 4.320010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 20650 Insert and remove bone pin A 2.22 4.87 2.19 0.38 7.47 4.790010.10.80.10201109 33.4009 090 99 0.00 0.00 0.00
- 20660 Apply rem fixation device A 3.90 1.27NA 1.27 1.26 6.43 6.430000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 20661 Application halo cranial A 5.13 9.68NA 9.68 1.76 16.57 16.570090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 20662 Application halo pelvic A 6.22 7.46NA 7.46 1.32 15.00 15.000090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 20663 Application halo femoral A 5.60 7.11NA 7.11 1.21 13.92 13.920090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 20664 Appl halo cranial 6+pins A 9.81 14.26NA 14.26 4.13 28.20 28.200090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 20665 Rmvl tongs/halo anthr indiv A 1.33 2.09 1.13 0.11 3.53 2.570010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 20670 Removal implant superficial A 1.75 9.07 2.17 0.27 11.09 4.190010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 20680 Removal of implant deep A 5.81 12.05 4.94 1.06 18.92 11.810090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 20690 Appl unipln uni ext fixj sys A 8.56 6.05NA 6.05 1.73 16.34 16.340090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 20692 Appl mltpln uni ext fixj sys A 15.86 12.56NA 12.56 2.93 31.35 31.350090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 20693 Adjmt/revj ext fixj sys anes A 5.91 5.91NA 5.91 1.05 12.87 12.870090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 20694 Rmvl ext fixj sys under anes A 4.17 8.87 4.87 0.79 13.83 9.830090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 20696 App mltpln uni xtrnl fix 1st A 17.12 11.66NA 11.66 3.01 31.79 31.790090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 20697 App mltpln uni xtrnl fix xch A 0.00 57.17 57.17NA 0.03 57.20 57.203000.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 20700 Mnl prep&insj dp rx dlvr dev A 1.46 0.82 0.40 0.26 2.54 2.120ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 20701 Rmvl deep rx delivery device A 1.10 0.66 0.33 0.21 1.97 1.640ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 20702 Mnl prep&insj imed rx dev A 2.44 1.50 0.75 0.49 4.43 3.680ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 20703 Rmvl imed rx delivery device A 1.76 1.11 0.56 0.38 3.25 2.700ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 20704 Mnl prep&insj i-artic rx dev A 2.54 1.61 0.80 0.51 4.66 3.850ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 20705 Rmvl i-artic rx delivery dev A 2.10 1.31 0.65 0.43 3.84 3.180ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 20802 Replantation arm complete A 41.55 23.01NA 23.01 8.86 73.42 73.420090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 20805 Replant forearm complete A 50.17 25.91NA 25.91 10.72 86.80 86.800090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 20808 Replantation hand complete A 61.51 29.52NA 29.52 13.14 104.17104.170090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 20816 Replantation digit complete A 31.15 17.18NA 17.18 6.63 54.96 54.960090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 20822 Replantation digit complete A 25.99 16.45NA 16.45 5.54 47.98 47.980090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 20824 Replantation thumb complete A 31.15 17.34NA 17.34 6.63 55.12 55.120090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 20827 Replantation thumb complete A 26.79 16.71NA 16.71 5.71 49.21 49.210090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 20838 Replantation foot complete A 41.81 23.93NA 23.93 8.93 74.67 74.670090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 20900 Removal of bone for graft A 2.93 8.51 1.40 0.48 11.92 4.810000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 20902 Removal of bone for graft A 4.47 1.94NA 1.94 0.83 7.24 7.240000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 20910 Remove cartilage for graft A 5.39 7.35NA 7.35 1.15 13.89 13.890090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 20912 Remove cartilage for graft A 6.38 5.65NA 5.65 1.00 13.03 13.030090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 20920 Removal of fascia for graft A 5.37 4.55NA 4.55 0.79 10.71 10.710090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 20922 Removal of fascia for graft A 6.76 11.41 5.82 1.51 19.68 14.090090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 20924 Removal of tendon for graft A 6.51 6.33NA 6.33 1.23 14.07 14.070090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 20930 Sp bone algrft morsel add-on B 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 20931 Sp bone algrft struct add-on A 1.76 0.59NA 0.59 0.59 2.94 2.940ZZZ.00.00.00001109 33.4009 090 99 0.00 0.00 0.00
- 20932 Osteoart algrft w/surf & b1 A 12.68 4.04NA 4.04 2.70 19.42 19.420ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 20933 Hemicrt intrclry algrft prtl A 11.64 3.71NA 3.71 2.48 17.83 17.830ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 20934 Intercalary algrft compl A 12.68 4.04NA 4.04 2.70 19.42 19.420ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 20936 Sp bone agrft local add-on B 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 20937 Sp bone agrft morsel add-on A 2.72 0.90NA 0.90 0.79 4.41 4.410ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 20938 Sp bone agrft struct add-on A 2.94 0.99NA 0.99 0.96 4.89 4.890ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 20939 Bone marrow aspir bone grfg A 1.13 0.37NA 0.37 0.34 1.84 1.840ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 20950 Mntr intrstitial fluid press A 1.23 6.88 1.05 0.22 8.33 2.500000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 20955 Fibula bone graft microvasc A 39.25 21.35NA 21.35 7.30 67.90 67.900090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 20956 Iliac bone graft microvasc A 40.15 21.79NA 21.79 8.58 70.52 70.520090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 20957 Mt bone graft microvasc A 41.54 23.14NA 23.14 8.86 73.54 73.540090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 20962 Other bone graft microvasc A 38.23 26.32NA 26.32 8.15 72.70 72.700090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 20969 Bone/skin graft microvasc A 44.29 18.42NA 18.42 6.82 69.53 69.530090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 20970 Bone/skin graft iliac crest A 43.47 23.32NA 23.32 9.28 76.07 76.070090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 20972 Bone/skin graft metatarsal A 43.40 23.14NA 23.14 9.26 75.80 75.800090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 20973 Bone/skin graft great toe A 46.09 24.00NA 24.00 9.86 79.95 79.950090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 20974 Estim aid bone healg n-invas A 0.60 2.09 0.76 0.16 2.85 1.520000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 20975 Estim aid bone healg invasiv A 2.54 1.76NA 1.76 0.75 5.05 5.050000.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 20979 Lw ntsty us stimj bone healg A 0.60 0.97 0.12 0.07 1.64 0.790000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 20982 Ablate bone tumor(s) perq A 6.84 96.34 1.71 1.08 104.26 9.630000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 20983 Ablate bone tumor(s) perq A 6.71 139.34 1.52 0.83 146.88 9.060000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 20985 Cptr-asst dir ms px A 2.44 0.77NA 0.77 0.50 3.71 3.710ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 20999 Unlisted px muscskel general C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 21010 Incision of jaw joint A 10.76 7.82NA 7.82 1.56 20.14 20.140090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 21011 Exc face les sc <2 cm A 2.92 8.38 4.04 0.53 11.83 7.490090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21012 Exc face les sbq 2 cm/> A 4.34 4.45NA 4.45 0.91 9.70 9.700090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21013 Exc face tum deep < 2 cm A 5.28 10.67 4.87 0.98 16.93 11.130090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21014 Exc face tum deep 2 cm/> A 6.95 6.11NA 6.11 1.32 14.38 14.380090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21015 Resect face/scalp tum < 2 cm A 9.64 7.82NA 7.82 1.69 19.15 19.150090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21016 Resect face/scalp tum 2 cm/> A 14.88 9.36NA 9.36 2.75 26.99 26.990090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21025 Excision of bone lower jaw A 9.78 14.06 7.28 1.31 25.15 18.370090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21026 Excision of facial bone(s) A 5.56 10.94 6.07 0.75 17.25 12.380090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21029 Contour of face bone lesion A 8.18 14.83 7.57 1.35 24.36 17.100090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21030 Excise max/zygoma b9 tumor A 4.79 8.87 4.70 0.59 14.25 10.080090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 21031 Remove exostosis mandible A 3.22 8.01 3.93 0.43 11.66 7.580090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 21032 Remove exostosis maxilla A 3.26 7.80 3.62 0.43 11.49 7.310090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21034 Excise max/zygoma mal tumor A 16.95 19.64 10.13 2.50 39.09 29.580090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21040 Excise mandible lesion A 4.79 8.99 4.73 0.59 14.37 10.110090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21044 Removal of jaw bone lesion A 12.48 8.57NA 8.57 1.85 22.90 22.900090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21045 Extensive jaw surgery A 17.91 11.15NA 11.15 2.71 31.77 31.770090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21046 Remove mandible cyst complex A 13.85 11.32NA 11.32 1.76 26.93 26.930090.10.69.21200109 33.4009 090 99 0.00 0.00 0.00
- 21047 Excise lwr jaw cyst w/repair A 19.57 10.05NA 10.05 2.61 32.23 32.230090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21048 Remove maxilla cyst complex A 14.34 11.05NA 11.05 1.76 27.15 27.150090.10.69.21200109 33.4009 090 99 0.00 0.00 0.00
- 21049 Excis uppr jaw cyst w/repair A 18.84 9.27NA 9.27 2.46 30.57 30.570090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21050 Removal of jaw joint A 11.47 10.70NA 10.70 1.66 23.83 23.830090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 21060 Remove jaw joint cartilage A 10.79 9.13NA 9.13 1.56 21.48 21.480090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21070 Remove coronoid process A 8.40 6.54NA 6.54 1.23 16.17 16.170090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 21073 Mnpj of tmj w/anesth A 3.36 9.03 2.85 0.48 12.87 6.690090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 21076 Impres&prep surg obt prosth A 13.07 12.80 4.07 1.67 27.54 18.810010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 21077 Impres&prep orbital prosth A 32.86 29.07 9.15 3.75 65.68 45.760090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 21079 Impres&prep intrm obt prosth A 21.75 21.26 6.72 2.55 45.56 31.020090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21080 Impres&prep def obt prosth A 24.43 24.45 7.48 2.91 51.79 34.820090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21081 Impres&prep mndbl res prosth A 22.28 22.71 6.95 2.68 47.67 31.910090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21082 Impres&prep paltl aug prosth A 20.32 22.14 7.02 2.40 44.86 29.740090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21083 Impres&prep paltl lft prosth A 18.79 21.33 6.49 2.14 42.26 27.420090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21084 Impres&prep sp aid prosth A 21.92 23.80 7.22 2.50 48.22 31.640090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21085 Impres&prep oral surg splint A 8.77 11.42 3.03 1.07 21.26 12.870010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 21086 Impres&prep auricular prosth A 24.26 21.70 6.71 2.76 48.72 33.730090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 21087 Impres&prep nasal prosth A 24.26 21.70 6.71 2.76 48.72 33.730090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21088 Impres&prep facial prosth C 0.00 0.00 0.00 0.00 0.00 0.000090.10.69.21000009 33.4009 090 99 0.00 0.00 0.00
- 21089 Unlisted maxlfcl prosth px C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00001119 33.4009 090 99 0.00 0.00 0.00
- 21100 Maxillofacial fixation A 4.61 13.77 4.83 0.51 18.89 9.950090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21110 Interdental fixation A 5.84 19.58 13.65 0.71 26.13 20.200090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21116 Injection jaw joint x-ray A 0.79 5.75 0.25 0.12 6.66 1.160000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 21120 Genioplasty augmentation A 4.97 15.53 8.74 0.92 21.42 14.630090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 21121 Geniop sldg osteot 1 A 7.61 10.98 6.10 0.87 19.46 14.580090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21122 Geniop sldg osteot 2/> A 8.49 10.90NA 10.90 1.57 20.96 20.960090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21123 Geniop sldg augmentation A 11.06 10.62NA 10.62 1.61 23.29 23.290090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21125 Augmentation mndblr prostc A 10.53 65.97 6.39 1.21 77.71 18.130090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21127 Augmentation mndblr b1 grf A 12.13 105.28 7.31 1.39 118.80 20.830090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21137 Rdctj forehead cntrg only A 9.98 8.68NA 8.68 1.85 20.51 20.510090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21138 Rdctj forehead cntrg&prostc A 12.55 9.86NA 9.86 2.34 24.75 24.750090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21139 Rdctj forehead cntrg&setback A 14.64 12.11NA 12.11 2.72 29.47 29.470090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21141 Rcnstj midface lefort i 1pc A 19.08 14.34NA 14.34 2.76 36.18 36.180090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21142 Rcnstj midface lefort i 2pcs A 19.77 14.43NA 14.43 2.87 37.07 37.070090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21143 Rcnstj mdface lefort i 3/>pc A 20.52 14.63NA 14.63 2.98 38.13 38.130090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21145 Rcnstj mdfc lefort i 1 w/grf A 23.34 14.92NA 14.92 3.38 41.64 41.640090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21146 Rcnstj mdfc lefort i 2 w/grf A 24.25 15.74NA 15.74 3.51 43.50 43.500090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21147 Rcnstj mdfc lefort i 3/>grf A 25.81 16.11NA 16.11 3.75 45.67 45.670090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21150 Rcnstj mdfc lefrtii ant ntru A 25.31 13.37NA 13.37 3.69 42.37 42.370090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21151 Rcnstj mdfc lefrtii w/b1 grf A 28.29 14.10NA 14.10 4.13 46.52 46.520090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21154 Rcnstj mdfc lefort iii w/o i A 30.51 15.14NA 15.14 4.46 50.11 50.110090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21155 Rcnstj mdfc lefort iii w/i A 34.34 16.08NA 16.08 5.01 55.43 55.430090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21159 Rcnst mdfc lfrtiii advm wo i A 42.06 17.96NA 17.96 6.15 66.17 66.170090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21160 Rcnst mdfc lfrtiii advm w/i A 46.01 18.92NA 18.92 6.71 71.64 71.640090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21172 Rcnst supr-lat orb rm&lw fhd A 27.50 23.42NA 23.42 11.63 62.55 62.550090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21175 Rcnst bfrnt sp orb rm&lw fhd A 32.72 19.04NA 19.04 6.08 57.84 57.840090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21179 Rcnstj forehead with grafts A 22.08 14.03NA 14.03 4.10 40.21 40.210090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21180 Rcnstj forehead w/autograft A 24.94 15.21NA 15.21 4.63 44.78 44.780090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21181 Rcnst cntrg b9 tum crnl xtrc A 10.02 8.26NA 8.26 1.86 20.14 20.140090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21182 Reconstruct cranial bone A 31.77 17.69NA 17.69 5.90 55.36 55.360090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21183 Reconstruct cranial bone A 34.81 18.81NA 18.81 6.46 60.08 60.080090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21184 Reconstruct cranial bone A 37.65 19.84NA 19.84 7.01 64.50 64.500090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21188 Reconstruction of midface A 22.57 16.94NA 16.94 3.27 42.78 42.780090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21193 Reconst lwr jaw w/o graft A 18.43 12.08NA 12.08 2.68 33.19 33.190090.10.69.21222109 33.4009 090 99 0.00 0.00 0.00
- 21194 Reconst lwr jaw w/graft A 21.27 13.97NA 13.97 3.07 38.31 38.310090.10.69.21222009 33.4009 090 99 0.00 0.00 0.00
- 21195 Reconst lwr jaw w/o fixation A 18.68 15.06NA 15.06 2.71 36.45 36.450090.10.69.21222009 33.4009 090 99 0.00 0.00 0.00
- 21196 Reconst lwr jaw w/fixation A 20.31 15.56NA 15.56 2.95 38.82 38.820090.10.69.21222109 33.4009 090 99 0.00 0.00 0.00
- 21198 Reconstr lwr jaw segment A 15.32 9.88NA 9.88 2.01 27.21 27.210090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21199 Reconstr lwr jaw w/advance A 16.31 8.45NA 8.45 2.37 27.13 27.130090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21206 Reconstruct upper jaw bone A 15.20 9.19NA 9.19 1.76 26.15 26.150090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21208 Augmentation of facial bones A 11.13 37.17 7.64 1.31 49.61 20.080090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21209 Reduction of facial bones A 7.62 15.46 8.02 0.93 24.01 16.570090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21210 Face bone graft A 11.40 40.96 8.01 1.34 53.70 20.750090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21215 Lower jaw bone graft A 11.92 110.02 8.24 1.41 123.35 21.570090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 21230 Rib cartilage graft A 10.89 7.11NA 7.11 1.75 19.75 19.750090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21235 Ear cartilage graft A 7.31 13.74 6.82 1.02 22.07 15.150090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21240 Reconstruction of jaw joint A 15.67 10.48NA 10.48 2.10 28.25 28.250090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21242 Reconstruction of jaw joint A 14.23 11.35NA 11.35 2.06 27.64 27.640090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21243 Reconstruction of jaw joint A 23.92 16.40NA 16.40 3.28 43.60 43.600090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21244 Reconstruction of lower jaw A 13.28 11.65NA 11.65 1.94 26.87 26.870090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21245 Reconstruction of jaw A 12.79 23.87 11.31 1.85 38.51 25.950090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21246 Reconstruction of jaw A 12.60 8.56NA 8.56 1.83 22.99 22.990090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21247 Reconstruct lower jaw bone A 23.76 15.28NA 15.28 3.45 42.49 42.490090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21248 Reconstruction of jaw A 12.42 16.71 7.79 1.51 30.64 21.720090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21249 Reconstruction of jaw A 18.30 21.44 9.64 2.31 42.05 30.250090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21255 Reconstruct lower jaw bone A 18.00 15.95NA 15.95 2.61 36.56 36.560090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21256 Reconstruction of orbit A 17.22 12.97NA 12.97 3.19 33.38 33.380090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21260 Revise eye sockets A 17.45 16.80NA 16.80 3.23 37.48 37.480090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21261 Revise eye sockets A 33.22 25.75NA 25.75 6.17 65.14 65.140090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21263 Revise eye sockets A 30.23 24.66NA 24.66 5.61 60.50 60.500090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21267 Revise eye sockets A 20.17 19.99NA 19.99 3.75 43.91 43.910090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21268 Revise eye sockets A 26.39 23.25NA 23.25 4.89 54.53 54.530090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21270 Augmentation cheek bone A 10.36 20.78 7.94 1.92 33.06 20.220090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21275 Revision orbitofacial bones A 11.47 9.28NA 9.28 2.13 22.88 22.880090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21280 Medial canthopexy A 6.95 8.04NA 8.04 0.71 15.70 15.700090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 21282 Lateral canthopexy A 4.16 6.39NA 6.39 0.51 11.06 11.060090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 21295 Revision of jaw muscle/bone A 1.85 3.43NA 3.43 0.26 5.54 5.540090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 21296 Revision of jaw muscle/bone A 4.66 5.74NA 5.74 0.67 11.07 11.070090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 21299 Unlisted cranfcl&maxlfcl px C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 21315 Clsd tx nsl fx mnpj wo stblj A 0.94 3.69 0.51 0.16 4.79 1.610000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 21320 Clsd tx nsl fx w/mnpj&stablj A 1.55 4.83 0.67 0.23 6.61 2.450000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 21325 Open tx nose fx uncomplicatd A 4.08 7.71NA 7.71 0.59 12.38 12.380090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21330 Open tx nose fx w/skele fixj A 5.65 8.20NA 8.20 0.83 14.68 14.680090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21335 Open tx nose & septal fx A 8.79 9.31NA 9.31 1.33 19.43 19.430090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21336 Open tx septal fx w/wo stabj A 6.60 9.88NA 9.88 0.98 17.46 17.460090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21337 Closed tx septal&nose fx A 3.31 8.96 4.63 0.50 12.77 8.440090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21338 Open nasoethmoid fx w/o fixj A 6.70 11.08NA 11.08 0.99 18.77 18.770090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21339 Open nasoethmoid fx w/ fixj A 8.29 11.46NA 11.46 1.21 20.96 20.960090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21340 Perq tx nasoethmoid fx A 11.20 6.93NA 6.93 1.63 19.76 19.760090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21343 Open tx dprsd front sinus fx A 13.96 13.17NA 13.17 2.05 29.18 29.180090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21344 Open tx compl front sinus fx A 21.03 12.31NA 12.31 3.05 36.39 36.390090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 21345 Closed tx nose/jaw fx A 8.83 13.81 6.89 1.29 23.93 17.010090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21346 Opn tx nasomax fx w/fixj A 11.16 14.57NA 14.57 1.63 27.36 27.360090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 21347 Opn tx nasomax fx multple A 13.19 13.01NA 13.01 1.92 28.12 28.120090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21348 Opn tx nasomax fx w/graft A 17.08 8.81NA 8.81 2.49 28.38 28.380090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 21355 Perq tx malar fracture A 4.34 8.38 3.85 0.62 13.34 8.810010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 21356 Opn tx dprsd zygomatic arch A 4.71 12.17 5.78 0.88 17.76 11.370010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 21360 Opn tx dprsd malar fracture A 7.01 5.98NA 5.98 1.04 14.03 14.030090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 21365 Opn tx complx malar fx A 16.35 9.88NA 9.88 2.59 28.82 28.820090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21366 Opn tx complx malar w/grft A 18.14 12.59NA 12.59 3.36 34.09 34.090090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 21385 Opn tx orbit fx transantral A 9.33 9.13NA 9.13 1.73 20.19 20.190090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21386 Opn tx orbit fx periorbital A 9.33 7.83NA 7.83 1.73 18.89 18.890090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 21387 Opn tx orbit fx combined A 9.86 9.33NA 9.33 1.83 21.02 21.020090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 21390 Opn tx orbit periorbtl implt A 10.95 8.79NA 8.79 1.47 21.21 21.210090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21395 Opn tx orbit periorbt w/grft A 14.33 9.87NA 9.87 2.65 26.85 26.850090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21400 Closed tx orbit w/o manipulj A 1.46 5.43 3.48 0.25 7.14 5.190090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 21401 Closed tx orbit w/manipulj A 3.59 12.28 5.20 0.66 16.53 9.450090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 21406 Opn tx orbit fx w/o implant A 7.23 7.68NA 7.68 1.33 16.24 16.240090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21407 Opn tx orbit fx w/implant A 8.79 7.29NA 7.29 1.21 17.29 17.290090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21408 Opn tx orbit fx w/bone grft A 12.46 9.60NA 9.60 2.32 24.38 24.380090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 21421 Cltx palatal/max fx wire fix A 5.87 13.23 8.85 0.66 19.76 15.380090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21422 Optx palatal/max fracture A 8.51 7.92NA 7.92 1.24 17.67 17.670090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21423 Optx palatal/max fx comp A 10.58 9.07NA 9.07 1.96 21.61 21.610090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 21431 Cltx craniofacial separation A 7.70 10.79NA 10.79 0.88 19.37 19.370090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21432 Optx cranfcl sep w/wiring A 8.60 9.93NA 9.93 1.59 20.12 20.120090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21433 Optx cranfcl sep comp mlt A 25.63 15.31NA 15.31 4.76 45.70 45.700090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21435 Optx crnfc sep comp int&/xtr A 19.75 14.36NA 14.36 3.66 37.77 37.770090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21436 Optx crnfcl sep comp mlt int A 29.54 19.00NA 19.00 5.49 54.03 54.030090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 21440 Cltx mndblr/max alv ridge fx A 3.35 19.95 14.18 0.48 23.78 18.010090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21445 Optx mndblr/max alv ridge fx A 6.10 15.76 10.18 0.69 22.55 16.970090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21450 Cltx mndblr fx w/o mnpj A 3.62 13.87 9.74 0.41 17.90 13.770090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21451 Cltx mndblr fx w/mnpj A 5.51 17.22 12.08 0.62 23.35 18.210090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21452 Perq tx mndblr fx xtrnl fixj A 2.34 20.23 11.06 0.35 22.92 13.750090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21453 Cltx mndblr fx ntrdntl fixj A 6.47 26.10 19.25 0.98 33.55 26.700090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21454 Optx mndblr fx xtrnl fixj A 7.18 5.49NA 5.49 0.82 13.49 13.490090.10.69.21200109 33.4009 090 99 0.00 0.00 0.00
- 21461 Optx mndblr fx wo ntrdntl A 9.08 43.24 18.66 1.31 53.63 29.050090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 21462 Optx mndblr fx w/ntrdntl A 10.73 48.58 20.79 1.61 60.92 33.130090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21465 Optx mndblr cndylr fx A 12.79 7.42NA 7.42 1.46 21.67 21.670090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21470 Optx complicated mndblr fx A 17.10 11.46NA 11.46 2.56 31.12 31.120090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21480 Cltx tmprmand dislc 1st/sbsq A 0.59 4.43 0.19 0.13 5.15 0.910000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 21485 Cltx tmprmand dislc comp A 4.65 24.67 17.77 0.67 29.99 23.090090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 21490 Optx tmprmand dislocation A 12.63 7.29NA 7.29 1.44 21.36 21.360090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21497 Interdental wirg oth/thn fx A 4.52 16.45 11.80 0.50 21.47 16.820090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21499 Unlisted muscskel px head C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 21501 I&d dp absc/hmtma sft ts nck A 3.88 10.79 5.10 0.83 15.50 9.810090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21502 I&d dp abs/hmtm nck rib ostc A 7.36 6.11NA 6.11 1.85 15.32 15.320090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21510 Inc deep opng b1 crtx thorax A 6.05 6.30NA 6.30 1.51 13.86 13.860090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 21550 Biopsy of neck/chest A 2.06 5.78 1.94 0.30 8.14 4.300010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 21552 Exc neck les sc 3 cm/> A 6.33 5.02NA 5.02 1.50 12.85 12.850090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21554 Exc neck tum deep 5 cm/> A 10.85 7.14NA 7.14 2.39 20.38 20.380090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21555 Exc neck les sc < 3 cm A 3.86 9.17 4.23 0.82 13.85 8.910090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21556 Exc neck tum deep < 5 cm A 7.47 5.76NA 5.76 1.48 14.71 14.710090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21557 Resect neck thorax tumor<5cm A 14.38 8.92NA 8.92 3.12 26.42 26.420090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21558 Resect neck tumor 5 cm/> A 21.04 11.03NA 11.03 4.50 36.57 36.570090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21600 Partial removal of rib A 7.08 8.24NA 8.24 1.68 17.00 17.000090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21601 Exc chest wall tumor w/ribs A 17.34 11.50NA 11.50 4.44 33.28 33.280090.10.71.19202109 33.4009 090 99 0.00 0.00 0.00
- 21602 Exc ch wal tum w/o lymphadec A 21.64 18.83NA 18.83 5.31 45.78 45.780090.10.71.19202109 33.4009 090 99 0.00 0.00 0.00
- 21603 Exc ch wal tum w/lymphadec A 24.54 19.34NA 19.34 6.18 50.06 50.060090.10.71.19202109 33.4009 090 99 0.00 0.00 0.00
- 21610 Costotransversectomy A 15.51 14.38NA 14.38 6.54 36.43 36.430090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21615 Excision 1st &/cervical rib A 10.19 4.71NA 4.71 2.54 17.44 17.440090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 21616 Exc 1st&/crv rib w/sympth A 12.37 4.41NA 4.41 3.16 19.94 19.940090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 21620 Ostectomy sternum partial A 7.10 6.16NA 6.16 1.72 14.98 14.980090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21627 Sternal debridement A 7.12 7.81NA 7.81 1.70 16.63 16.630090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21630 Radical resection sternum A 18.70 12.88NA 12.88 3.47 35.05 35.050090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21685 Hyoid myotomy & suspension A 14.88 8.72NA 8.72 2.22 25.82 25.820090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 21700 Revision of neck muscle A 6.15 2.23NA 2.23 1.57 9.95 9.950090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 21705 Revision of neck muscle/rib A 9.67 2.65NA 2.65 2.48 14.80 14.800090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 21720 Revision of neck muscle A 5.66 9.16NA 9.16 2.38 17.20 17.200090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21725 Revision of neck muscle A 7.01 6.94NA 6.94 1.48 15.43 15.430090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21740 Reconstruction of sternum A 17.13 8.19NA 8.19 4.31 29.63 29.630090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21742 Repair stern/nuss w/o scope C 0.00 0.00 0.00 0.00 0.00 0.000090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21743 Repair sternum/nuss w/scope C 0.00 0.00 0.00 0.00 0.00 0.000090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21750 Repair of sternum separation A 11.12 5.93NA 5.93 2.73 19.78 19.780090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21811 Optx of rib fx w/fixj scope A 10.52 3.19NA 3.19 2.60 16.31 16.310000.00.00.00212009 33.4009 090 99 0.00 0.00 0.00
- 21812 Treatment of rib fracture A 12.68 3.87NA 3.87 3.07 19.62 19.620000.00.00.00212009 33.4009 090 99 0.00 0.00 0.00
- 21813 Treatment of rib fracture A 17.17 4.92NA 4.92 4.60 26.69 26.690000.00.00.00212009 33.4009 090 99 0.00 0.00 0.00
- 21820 Treat sternum fracture A 1.33 3.76 3.44 0.29 5.38 5.060090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21825 Treat sternum fracture A 7.57 7.44NA 7.44 1.87 16.88 16.880090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 21899 Unlisted px neck/thorax C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 21920 Biopsy soft tissue of back A 2.06 5.54 1.90 0.30 7.90 4.260010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 21925 Biopsy soft tissue of back A 4.51 10.72 5.62 1.03 16.26 11.160090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21930 Exc back les sc < 3 cm A 4.82 10.30 4.63 1.07 16.19 10.520090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 21931 Exc back les sc 3 cm/> A 6.71 5.21NA 5.21 1.66 13.58 13.580090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21932 Exc back tum deep < 5 cm A 9.57 6.96NA 6.96 2.25 18.78 18.780090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21933 Exc back tum deep 5 cm/> A 10.85 7.47NA 7.47 2.64 20.96 20.960090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 21935 Resect back tum < 5 cm A 15.33 9.68NA 9.68 3.61 28.62 28.620090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 21936 Resect back tum 5 cm/> A 21.99 11.94NA 11.94 5.23 39.16 39.160090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22010 I&d p-spine c/t/cerv-thor A 12.43 12.05NA 12.05 3.99 28.47 28.470090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 22015 I&d abscess p-spine l/s/ls A 12.32 11.66NA 11.66 3.62 27.60 27.600090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 22100 Remove part of neck vertebra A 10.73 14.53NA 14.53 4.51 29.77 29.770090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22101 Remove part thorax vertebra A 10.80 11.75NA 11.75 3.43 25.98 25.980090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22102 Remove part lumbar vertebra A 10.80 8.47NA 8.47 1.75 21.02 21.020090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22103 Remove extra spine segment A 2.28 0.69NA 0.69 0.50 3.47 3.470ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 22110 Remove part of neck vertebra A 13.65 12.46NA 12.46 4.40 30.51 30.510090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22112 Remove part thorax vertebra A 13.72 15.57NA 15.57 5.77 35.06 35.060090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22114 Remove part lumbar vertebra A 13.72 15.57NA 15.57 5.77 35.06 35.060090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22116 Remove extra spine segment A 2.26 0.75NA 0.75 0.76 3.77 3.770ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 22206 Incis spine 3 column thorac A 36.25 20.14NA 20.14 12.03 68.42 68.420090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22207 Incis spine 3 column lumbar A 35.76 19.61NA 19.61 10.93 66.30 66.300090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22208 Incis spine 3 column adl seg A 9.42 3.19NA 3.19 3.20 15.81 15.810ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 22210 Incis 1 vertebral seg cerv A 24.75 18.44NA 18.44 8.11 51.30 51.300090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22212 Incis 1 vertebral seg thorac A 20.47 16.78NA 16.78 6.34 43.59 43.590090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22214 Incis 1 vertebral seg lumbar A 20.49 16.58NA 16.58 6.17 43.24 43.240090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22216 Incis addl spine segment A 5.88 1.95NA 1.95 1.77 9.60 9.600ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 22220 Osteot dsc ant 1 vrt sgm crv A 22.37 17.24NA 17.24 7.06 46.67 46.670090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22222 Osteot dsc ant 1vrt sgm thrc A 22.51 21.11NA 21.11 9.50 53.12 53.120090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22224 Osteot dsc ant 1vrt sgm lmbr A 22.51 16.07NA 16.07 5.74 44.32 44.320090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22226 Osteot dsc ant 1vrt sgm ea A 5.88 1.93NA 1.93 1.76 9.57 9.570ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 22310 Closed tx vert fx w/o manj A 3.36 6.07 4.58 0.79 10.22 8.730090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 22315 Closed tx vert fx w/manj A 9.86 17.69 10.23 2.54 30.09 22.630090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 22318 Treat odontoid fx w/o graft A 22.15 17.52NA 17.52 8.97 48.64 48.640090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22319 Treat odontoid fx w/graft A 24.70 19.05NA 19.05 10.43 54.18 54.180090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22325 Treat spine fracture A 19.37 17.07NA 17.07 6.80 43.24 43.240090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22326 Treat neck spine fracture A 20.32 16.37NA 16.37 7.43 44.12 44.120090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22327 Treat thorax spine fracture A 20.25 17.55NA 17.55 7.21 45.01 45.010090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22328 Treat each add spine fx A 4.49 1.51NA 1.51 1.56 7.56 7.560ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 22505 Manipulation of spine A 1.82 2.00NA 2.00 0.78 4.60 4.600010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 22510 Perq cervicothoracic inject A 7.70 43.93 2.61 1.16 52.79 11.470010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 22511 Perq lumbosacral injection A 7.15 44.89 2.60 1.07 53.11 10.820010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 22512 Vertebroplasty addl inject A 3.90 17.53 0.81 0.72 22.15 5.430ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 22513 Perq vertebral augmentation A 8.43 163.68 3.58 1.57 173.68 13.580010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 22514 Perq vertebral augmentation A 7.79 164.59 3.47 1.44 173.82 12.700010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 22515 Perq vertebral augmentation A 3.90 84.46 0.97 0.79 89.15 5.660ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 22526 Idet single level N+ 5.70 51.76 2.36 0.60 58.06 8.669010.10.80.10999999 33.4009 090 99 0.00 0.00 0.00
- 22527 Idet 1 or more levels N+ 2.95 44.50 0.64 0.33 47.78 3.929ZZZ.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 22532 Arthrd lat xtrcvtry tq thrc A 25.34 17.77NA 17.77 8.75 51.86 51.860090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22533 Arthrd lat xtrcvtry tq lmbr A 24.17 15.51NA 15.51 6.66 46.34 46.340090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22534 Arthrd lat xtrcvtry tq ea ad A 5.84 1.94NA 1.94 1.91 9.69 9.690ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22548 Arthrd ant toral/xoral c1-c2 A 26.38 20.66NA 20.66 11.15 58.19 58.190090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22551 Arthrd ant ntrbdy cervical A 24.38 15.43NA 15.43 8.24 48.05 48.050090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22552 Arthrd ant ntrbd cervical ea A 6.34 2.13NA 2.13 2.10 10.57 10.570ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22554 Arthrd ant ntrbd min dsc crv A 17.25 13.35NA 13.35 5.80 36.40 36.400090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22556 Arthrd ant ntrbd min dsc thc A 24.08 16.08NA 16.08 7.71 47.87 47.870090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22558 Arthrd ant ntrbd min dsc lum A 22.94 13.20NA 13.20 6.49 42.63 42.630090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22585 Arthrd ant ntrbd min dsc ea A 5.38 1.62NA 1.62 1.61 8.61 8.610ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22586 Arthrd pre-sac ntrbdy l5-s1 A 27.42 21.11NA 21.11 11.59 60.12 60.120090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22590 Arthrd pst tq craniocervical A 21.22 17.41NA 17.41 8.05 46.68 46.680090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22595 Arthrd pst tq atlas-axis A 20.12 17.09NA 17.09 7.67 44.88 44.880090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22600 Arthrd pst tq 1ntrspc crv A 16.97 15.37NA 15.37 6.07 38.41 38.410090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22610 Arthrd pst tq 1ntrspc thrc A 16.85 14.96NA 14.96 5.78 37.59 37.590090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22612 Arthrd pst tq 1ntrspc lumbar A 22.94 14.38NA 14.38 6.62 43.94 43.940090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22614 Arthrd pst tq 1ntrspc ea add A 6.27 2.11NA 2.11 2.08 10.46 10.460ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22630 Arthrd pst tq 1ntrspc lum A 21.54 15.81NA 15.81 7.88 45.23 45.230090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22632 Arthrd pst tq 1ntrspc lm ea A 5.09 1.73NA 1.73 1.79 8.61 8.610ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22633 Arthrd cmbn 1ntrspc lumbar A 26.13 16.31NA 16.31 8.46 50.90 50.900090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22634 Arthrd cmbn 1ntrspc ea addl A 7.76 2.61NA 2.61 2.58 12.95 12.950ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22800 Arthrd pst dfrm<6 vrt sgm A 19.01 14.54NA 14.54 5.76 39.31 39.310090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22802 Arthrd pst dfrm 7-12 vrt sgm A 31.31 17.86NA 17.86 8.80 57.97 57.970090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22804 Arthrd pst dfrm 13+ vrt sgm A 36.56 19.62NA 19.62 10.36 66.54 66.540090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22808 Arthrd ant dfrm 2-3 vrt sgm A 26.82 17.22NA 17.22 8.49 52.53 52.530090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22810 Arthrd ant dfrm 4-7 vrt sgm A 30.71 16.51NA 16.51 6.55 53.77 53.770090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22812 Arthrd ant dfrm 8+ vrt sgm A 33.39 18.50NA 18.50 7.12 59.01 59.010090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22818 Kyphectomy 1-2 segments A 33.47 16.63NA 16.63 7.14 57.24 57.240090.11.76.13202229 33.4009 090 99 0.00 0.00 0.00
- 22819 Kyphectomy 3 or more A 38.40 19.34NA 19.34 8.18 65.92 65.920090.11.76.13202229 33.4009 090 99 0.00 0.00 0.00
- 22830 Exploration of spinal fusion A 10.94 9.42NA 9.42 3.34 23.70 23.700090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22836 Ant thrc vrt body tethrg <7 A 31.20 16.33NA 16.33 6.64 54.17 54.170090.10.69.21200219 33.4009 090 99 0.00 0.00 0.00
- 22837 Ant thrc vrt body tethrg 8+ A 34.61 11.46NA 11.46 3.69 49.76 49.760090.10.69.21200219 33.4009 090 99 0.00 0.00 0.00
- 22838 Rev rplc/rmv thrc vrt tethrg A 35.10 11.57NA 11.57 3.75 50.42 50.420090.10.69.21200219 33.4009 090 99 0.00 0.00 0.00
- 22840 Insert spine fixation device A 12.21 4.04NA 4.04 3.76 20.01 20.010ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 22841 Insert spine fixation device B 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 22842 Insert spine fixation device A 12.25 4.10NA 4.10 4.01 20.36 20.360ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22843 Insert spine fixation device A 13.10 4.40NA 4.40 4.31 21.81 21.810ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22844 Insert spine fixation device A 16.01 5.32NA 5.32 4.87 26.20 26.200ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22845 Insert spine fixation device A 11.64 3.90NA 3.90 3.85 19.39 19.390ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22846 Insert spine fixation device A 12.09 4.06NA 4.06 4.01 20.16 20.160ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22847 Insert spine fixation device A 13.44 4.28NA 4.28 2.86 20.58 20.580ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22848 Insert pelv fixation device A 5.84 1.93NA 1.93 1.74 9.51 9.510ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22849 Reinsert spinal fixation A 18.69 12.26NA 12.26 5.78 36.73 36.730090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22850 Remove spine fixation device A 9.57 8.88NA 8.88 3.01 21.46 21.460090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22852 Remove spine fixation device A 9.14 8.73NA 8.73 2.85 20.72 20.720090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22853 Insj biomechanical device A 4.14 1.38NA 1.38 1.33 6.85 6.850ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22854 Insj biomechanical device A 5.36 1.80NA 1.80 1.84 9.00 9.000ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22855 Removal anterior instrmj A 15.46 11.10NA 11.10 4.90 31.46 31.460090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22856 Tot disc arthrp 1ntrspc crv A 23.45 14.72NA 14.72 7.40 45.57 45.570090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22857 Tot disc arthrp 1ntrspc lmbr A 26.45 14.89NA 14.89 5.63 46.97 46.970090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22858 Tot disc arthrp 2nd lvl crv A 8.19 2.72NA 2.72 2.54 13.45 13.450ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22859 Insj biomechanical device A 5.36 1.81NA 1.81 1.82 8.99 8.990ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22860 Tot disc arthrp 2ntrspc lmbr A 6.71 1.92NA 1.92 1.68 10.31 10.310ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22861 Rev rplcm arthrp 1ntrspc crv A 32.53 21.07NA 21.07 13.73 67.33 67.330090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22862 Rev rplcm rthrp 1ntrspc lmbr R 31.81 22.64NA 22.64 13.45 67.90 67.900090.10.71.19202229 33.4009 090 99 0.00 0.00 0.00
- 22864 Rmvl tot arthrp 1ntrspc crv A 28.67 19.72NA 19.72 12.12 60.51 60.510090.10.69.21202209 33.4009 090 99 0.00 0.00 0.00
- 22865 Rmvl tot arthrp 1ntrspc lmbr R 30.96 22.35NA 22.35 13.08 66.39 66.390090.10.71.19202229 33.4009 090 99 0.00 0.00 0.00
- 22867 Insj stablj dev w/dcmprn A 14.63 11.34NA 11.34 4.33 30.30 30.300090.10.80.10202009 33.4009 090 99 0.00 0.00 0.00
- 22868 Insj stablj dev w/dcmprn A 3.90 1.31NA 1.31 1.22 6.43 6.430ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22869 Insj stablj dev w/o dcmprn A 6.85 4.32NA 4.32 0.66 11.83 11.830090.10.80.10202009 33.4009 090 99 0.00 0.00 0.00
- 22870 Insj stablj dev w/o dcmprn A 2.28 0.53NA 0.53 0.21 3.02 3.020ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 22899 Unlisted procedure spine C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202119 33.4009 090 99 0.00 0.00 0.00
- 22900 Exc abdl tum deep < 5 cm A 8.11 6.30NA 6.30 1.98 16.39 16.390090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22901 Exc abdl tum deep 5 cm/> A 9.86 6.88NA 6.88 2.47 19.21 19.210090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22902 Exc abd les sc < 3 cm A 4.31 10.11 4.54 1.07 15.49 9.920090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22903 Exc abd les sc 3 cm/> A 6.23 5.05NA 5.05 1.56 12.84 12.840090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 22904 Radical resect abd tumor<5cm A 16.27 9.45NA 9.45 3.78 29.50 29.500090.09.81.10202119 33.4009 090 99 0.00 0.00 0.00
- 22905 Rad resect abd tumor 5 cm/> A 21.04 11.18NA 11.18 4.83 37.05 37.050090.09.81.10202119 33.4009 090 99 0.00 0.00 0.00
- 22999 Unlisted px abdomen muscskel C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 23000 Rmvl sbdltd clcreous dep opn A 4.37 12.04 4.99 0.70 17.11 10.060090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23020 Capsular contracture release A 9.13 8.44NA 8.44 1.91 19.48 19.480090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 23030 I&d shoulder deep absc/hmtma A 3.38 10.11 3.22 0.70 14.19 7.300010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 23031 I&d shoulder infected bursa A 2.72 10.63 3.17 0.57 13.92 6.460010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 23035 Incision bone cortex sho A 8.93 8.23NA 8.23 1.84 19.00 19.000090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 23040 Arthrt gh jt expl/drg/rmv fb A 9.51 8.68NA 8.68 1.96 20.15 20.150090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23044 Arthrt ac sc jt exp/rmvl fb A 7.40 7.22NA 7.22 1.64 16.26 16.260090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 23065 Biopsy shoulder tissues A 2.24 4.34 1.80 0.35 6.93 4.390010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 23066 Biopsy shoulder tissues A 4.19 13.62 5.86 0.92 18.73 10.970090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23071 Exc shoulder les sc 3 cm/> A 5.76 5.06NA 5.06 1.37 12.19 12.190090.10.80.10212009 33.4009 090 99 0.00 0.00 0.00
- 23073 Exc shoulder tum deep 5 cm/> A 9.88 7.57NA 7.57 2.27 19.72 19.720090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 23075 Exc shoulder les sc < 3 cm A 4.10 11.59 4.60 0.92 16.61 9.620090.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 23076 Exc shoulder tum deep < 5 cm A 7.22 6.82NA 6.82 1.63 15.67 15.670090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23077 Rad rescj tum shoulder<5 cm A 17.22 10.33NA 10.33 3.93 31.48 31.480090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23078 Rad rescj tum shoulder 5cm/> A 21.99 12.68NA 12.68 5.02 39.69 39.690090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23100 Arthrotomy glenhumrl jt w/bx A 6.05 7.37NA 7.37 1.29 14.71 14.710090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23101 Arthrt acrmclv/strnclav jt A 5.58 6.50NA 6.50 1.20 13.28 13.280090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 23105 Arthrotomy glenohumeral jt A 8.27 8.13NA 8.13 1.72 18.12 18.120090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23106 Arthrotomy strnclav joint A 5.98 7.35NA 7.35 1.28 14.61 14.610090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 23107 Arthrt glenhumrl jt w/expl A 8.65 8.30NA 8.30 1.80 18.75 18.750090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23120 Claviculectomy partial A 7.21 8.22NA 8.22 1.48 16.91 16.910090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23125 Claviculectomy total A 9.40 8.63NA 8.63 2.00 20.03 20.030090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23130 Acromp/acromionectomy prtl A 7.58 8.52NA 8.52 1.59 17.69 17.690090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 23140 Removal of bone lesion A 6.94 7.50NA 7.50 1.47 15.91 15.910090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23145 Removal of bone lesion A 9.17 8.55NA 8.55 1.95 19.67 19.670090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23146 Removal of bone lesion A 7.88 8.29NA 8.29 1.68 17.85 17.850090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 23150 Removal of humerus lesion A 8.69 8.40NA 8.40 1.85 18.94 18.940090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23155 Removal of humerus lesion A 10.59 9.57NA 9.57 2.25 22.41 22.410090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23156 Removal of humerus lesion A 8.88 8.46NA 8.46 1.90 19.24 19.240090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 23170 Sequestrectomy clavicle A 7.03 7.68NA 7.68 1.48 16.19 16.190090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23172 Sequestrectomy scapula A 7.13 7.71NA 7.71 1.50 16.34 16.340090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 23174 Sqstrctmy humrl head srg nck A 9.80 9.81NA 9.81 2.09 21.70 21.700090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23180 Prtl excision bone clavicle A 8.77 8.98NA 8.98 1.86 19.61 19.610090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 23182 Prtl excision bone scapula A 8.39 9.02NA 9.02 1.78 19.19 19.190090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 23184 Prtl excision bone prox hum A 9.65 9.16NA 9.16 2.04 20.85 20.850090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23190 Ostectomy scapula partial A 7.28 7.60NA 7.60 1.54 16.42 16.420090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23195 Resection humeral head A 10.10 9.00NA 9.00 2.15 21.25 21.250090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23200 Radical rescj tumor clavicle A 22.14 14.01NA 14.01 4.73 40.88 40.880090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23210 Radical rescj tumor scapula A 26.53 15.41NA 15.41 5.64 47.58 47.580090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23220 Radical rescj tumor prox hum A 29.45 16.31NA 16.31 6.26 52.02 52.020090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23330 Remove shoulder foreign body A 1.85 7.58 2.73 0.40 9.83 4.980010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 23333 Remove shoulder fb deep A 5.85 6.66NA 6.66 1.25 13.76 13.760090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 23334 Shoulder prosthesis removal A 15.11 11.05NA 11.05 3.06 29.22 29.220090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 23335 Shoulder prosthesis removal A 18.53 12.10NA 12.10 3.75 34.38 34.380090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 23350 Injection for shoulder x-ray A 0.98 3.63 0.19 0.09 4.70 1.260000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 23395 Muscle transfer shoulder/arm A 18.08 13.46NA 13.46 3.72 35.26 35.260090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 23397 Muscle transfers A 16.34 11.40NA 11.40 3.48 31.22 31.220090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 23400 Fixation of shoulder blade A 13.52 10.50NA 10.50 2.89 26.91 26.910090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23405 Incision of tendon & muscle A 8.33 7.31NA 7.31 1.56 17.20 17.200090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 23406 Incise tendon(s) & muscle(s) A 10.73 7.97NA 7.97 1.48 20.18 20.180090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 23410 Repair rotator cuff acute A 11.11 9.49NA 9.49 2.30 22.90 22.900090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23412 Repair rotator cuff chronic A 11.63 9.66NA 9.66 2.41 23.70 23.700090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23415 Release of shoulder ligament A 9.00 8.86NA 8.86 1.85 19.71 19.710090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 23420 Repair of shoulder A 13.20 11.17NA 11.17 2.77 27.14 27.140090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23430 Repair biceps tendon A 9.92 8.94NA 8.94 1.99 20.85 20.850090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23440 Remove/transplant tendon A 10.37 8.46NA 8.46 2.17 21.00 21.000090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23450 Repair shoulder capsule A 13.36 9.89NA 9.89 2.85 26.10 26.100090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23455 Repair shoulder capsule A 14.30 9.33NA 9.33 2.73 26.36 26.360090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23460 Repair shoulder capsule A 15.42 11.26NA 11.26 3.28 29.96 29.960090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23462 Repair shoulder capsule A 15.33 10.67NA 10.67 3.26 29.26 29.260090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23465 Repair shoulder capsule A 15.89 11.41NA 11.41 3.38 30.68 30.680090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23466 Repair shoulder capsule A 15.41 12.43NA 12.43 3.14 30.98 30.980090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23470 Reconstruct shoulder joint A 17.44 11.57NA 11.57 3.56 32.57 32.570090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23472 Reconstruct shoulder joint A 21.58 12.99NA 12.99 4.36 38.93 38.930090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23473 Revis reconst shoulder joint A 24.38 13.85NA 13.85 4.89 43.12 43.120090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23474 Revis reconst shoulder joint A 26.53 14.56NA 14.56 5.38 46.47 46.470090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23480 Revision of collar bone A 11.25 9.22NA 9.22 2.40 22.87 22.870090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 23485 Revision of collar bone A 13.56 9.77NA 9.77 2.76 26.09 26.090090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23490 Reinforce clavicle A 11.86 9.58NA 9.58 2.53 23.97 23.970090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 23491 Reinforce shoulder bones A 14.18 10.87NA 10.87 3.02 28.07 28.070090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23500 Cltx clavicular fx w/o mnpj A 2.15 5.13 4.74 0.45 7.73 7.340090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23505 Cltx clavicular fx w/mnpj A 3.73 7.70 5.80 0.81 12.24 10.340090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23515 Optx clavicular fx w/int fix A 9.45 8.94NA 8.94 1.94 20.33 20.330090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23520 Cltx strnclav dislc w/o mnpj A 2.23 5.40 4.68 0.47 8.10 7.380090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 23525 Cltx strnclav dislc w/mnpj A 3.70 8.87 6.50 0.79 13.36 10.990090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 23530 Optx strnclav dislc aqt/chrn A 7.29 7.61NA 7.61 1.54 16.44 16.440090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 23532 Optx strclv dslc aq/chrn grf A 8.00 8.18NA 8.18 1.70 17.88 17.880090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 23540 Cltx acromclav dislc wo mnpj A 2.30 5.49 4.90 0.49 8.28 7.690090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23545 Cltx acromclav dislc w/mnpj A 3.34 10.86 8.59 0.83 15.03 12.760090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 23550 Optx acromclv dislc aqt/chrn A 7.40 7.33NA 7.33 1.46 16.19 16.190090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23552 Optx acrclv dslc aq/chrn grf A 8.60 8.04NA 8.04 1.69 18.33 18.330090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23570 Cltx scapular fx w/o mnpj A 2.30 5.19 4.80 0.47 7.96 7.570090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23575 Cltx scap fx w/mnpj +-tractj A 4.12 8.74 6.35 0.88 13.74 11.350090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 23585 Optx scapular fx w/int fixj A 13.87 10.12NA 10.12 2.82 26.81 26.810090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23600 Cltx prox humrl fx w/o mnpj A 2.93 7.87 6.40 0.61 11.41 9.940090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23605 Cltx prx hmrl fx mnpj+-tract A 4.93 10.00 7.19 1.08 16.01 13.200090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23615 Optx prox humrl fx w/int fix A 11.99 10.18NA 10.18 2.49 24.66 24.660090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23616 Optx prx hmrl fx fix rpr rpl A 17.91 11.97NA 11.97 3.70 33.58 33.580090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 23620 Cltx gr hmrl tbrs fx wo mnpj A 2.49 6.28 5.14 0.50 9.27 8.130090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23625 Cltx gr hmrl tbrs fx w/mnpj A 4.00 8.54 6.42 0.88 13.42 11.300090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23630 Optx gr hmrl tbrs fx int fix A 10.31 9.56NA 9.56 2.11 21.98 21.980090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23650 Cltx sho dslc w/mnpj wo anes A 3.44 8.73 6.75 0.82 12.99 11.010090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23655 Cltx sho dslc w/mnpj w/anes A 4.64 6.88NA 6.88 1.02 12.54 12.540090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23660 Optx acute shoulder dislc A 7.47 7.55NA 7.55 1.48 16.50 16.500090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23665 Cltx sho dslc fx gr hmrl tbr A 4.54 9.38 6.93 1.00 14.92 12.470090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23670 Optx sho dislc fx A 11.97 9.99NA 9.99 2.52 24.48 24.480090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23675 Cltx sho dislc neck fx mnpj A 6.11 11.40 7.86 1.33 18.84 15.300090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23680 Optx sho dislc neck fx fixj A 12.82 10.35NA 10.35 2.73 25.90 25.900090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23700 Mnpj anes sho jt fixj aprats A 2.51 2.53NA 2.53 0.49 5.53 5.530010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 23800 Arthrodesis glenohumeral jt A 14.36 10.93NA 10.93 3.05 28.34 28.340090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23802 Arthrd glenohumeral jt w/grf A 17.96 13.61NA 13.61 3.83 35.40 35.400090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23900 Interthoracoscplr amputation A 20.20 13.13NA 13.13 4.30 37.63 37.630090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 23920 Disarticulation shoulder A 15.82 11.79NA 11.79 3.36 30.97 30.970090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 23921 Disarticulation sho sec clsr A 5.58 6.97NA 6.97 1.20 13.75 13.750090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 23929 Unlisted procedure shoulder C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202119 33.4009 090 99 0.00 0.00 0.00
- 23930 I&d upr a/e dp absc/hmtma A 2.92 7.88 2.61 0.61 11.41 6.140010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 23931 I&d upr a/e bursa A 1.79 7.56 2.61 0.35 9.70 4.750010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 23935 Inc dp opn b1 crtx hum/elbw A 6.22 7.31NA 7.31 1.30 14.83 14.830090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 24000 Arthrt elbw expl drg/rmvl fb A 5.93 6.66NA 6.66 1.22 13.81 13.810090.10.69.21210109 33.4009 090 99 0.00 0.00 0.00
- 24006 Arthrt elbw capsl exc rls A 9.50 8.46NA 8.46 1.93 19.89 19.890090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 24065 Biopsy arm/elbow soft tissue A 2.08 5.49 2.09 0.28 7.85 4.450010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 24066 Biopsy arm/elbow soft tissue A 5.22 14.13 6.03 1.20 20.55 12.450090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24071 Exc arm/elbow les sc 3 cm/> A 5.56 4.86NA 4.86 1.31 11.73 11.730090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24073 Ex arm/elbow tum deep 5 cm/> A 9.88 7.43NA 7.43 2.25 19.56 19.560090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24075 Exc arm/elbow les sc < 3 cm A 4.13 12.02 4.57 0.90 17.05 9.600090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24076 Ex arm/elbow tum deep < 5 cm A 7.22 6.82NA 6.82 1.56 15.60 15.600090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24077 Rad rescj tum tiss a/e <5cm A 15.33 9.82NA 9.82 3.53 28.68 28.680090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 24079 Rad rescj tum tiss a/e 5 cm+ A 20.09 12.00NA 12.00 4.62 36.71 36.710090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24100 Arthrt elbw synovial bx only A 4.94 6.30NA 6.30 1.07 12.31 12.310090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24101 Arthrt elbw jt expl bx rmvl A 6.14 7.06NA 7.06 1.25 14.45 14.450090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24102 Arthrt elbow w/synovectomy A 8.05 7.66NA 7.66 1.62 17.33 17.330090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24105 Excision olecranon bursa A 3.69 6.28NA 6.28 0.75 10.72 10.720090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24110 Exc/curtg b1 cst/b9 tum hum A 7.39 7.99NA 7.99 1.57 16.95 16.950090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 24115 Exc/crtg b1 cst/tum hum agrf A 9.87 8.78NA 8.78 2.10 20.75 20.750090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24116 Exc/crtg b1 cst/tum hum algr A 11.92 9.43NA 9.43 2.54 23.89 23.890090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24120 Exc/crtg b1 cst/b9 tum rds A 6.65 7.20NA 7.20 1.34 15.19 15.190090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 24125 Exc/crtg b1 cst/tum rds agrf A 7.94 8.17NA 8.17 1.69 17.80 17.800090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24126 Exc/crtg b1 cst/tum rds algr A 8.40 8.31NA 8.31 1.78 18.49 18.490090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24130 Excision radial head A 6.26 7.04NA 7.04 1.23 14.53 14.530090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 24134 Sequestrectomy shft/dstl hum A 9.96 8.97NA 8.97 2.12 21.05 21.050090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24136 Sequestrectomy radial h/n A 8.19 8.05NA 8.05 1.74 17.98 17.980090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24138 Sequestrectomy olecrn proces A 8.29 9.74NA 9.74 1.76 19.79 19.790090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24140 Partial exc bone humerus A 9.31 8.42NA 8.42 1.91 19.64 19.640090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24145 Prtl exc bone radial h/n A 7.61 7.71NA 7.71 1.63 16.95 16.950090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 24147 Prtl exc bone olecrn process A 7.64 8.69NA 8.69 1.53 17.86 17.860090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 24149 Radical resection of elbow A 15.81 13.65NA 13.65 3.18 32.64 32.640090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24150 Rad rescj tum dstl/shft hum A 22.87 14.09NA 14.09 4.87 41.83 41.830090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24152 Rad resection tum radial h/n A 19.49 13.01NA 13.01 4.15 36.65 36.650090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24155 Resection of elbow joint A 11.79 9.39NA 9.39 2.51 23.69 23.690090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24160 Rmvl prosthhumrl&ulnar cmpnt A 18.16 12.34NA 12.34 3.88 34.38 34.380090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 24164 Removal prosth radial head A 9.75 8.60NA 8.60 2.08 20.43 20.430090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 24200 Rmvl fb upper arm/elbw subq A 1.76 5.16 2.17 0.36 7.28 4.290010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 24201 Rmvl fb upper arm/elbw deep A 4.58 14.41 6.18 0.99 19.98 11.750090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24220 Injection px for elbow arthg A 1.28 4.17 0.27 0.13 5.58 1.680000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 24300 Mnpj elbow under anes A 3.94 8.66NA 8.66 0.76 13.36 13.360090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24301 Musc/tdn transfer upr a/e 1 A 10.12 8.75NA 8.75 2.11 20.98 20.980090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 24305 Tendon lngth upr a/e ea tdn A 7.43 7.35NA 7.35 1.41 16.19 16.190090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 24310 Tnot opn elbw to sho ea tdn A 5.97 6.12NA 6.12 1.15 13.24 13.240090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 24320 Tenoplasty elbow to sho 1 A 10.59 9.00NA 9.00 2.25 21.84 21.840090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 24330 Flexor-plasty elbow A 9.55 8.68NA 8.68 2.04 20.27 20.270090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24331 Flexor-plasty elbw w/advmnt A 10.68 9.03NA 9.03 2.27 21.98 21.980090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24332 Tenolysis triceps A 7.71 8.31NA 8.31 1.64 17.66 17.660090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24340 Tenodesis biceps tdn at elbw A 7.88 7.97NA 7.97 1.62 17.47 17.470090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24341 Rpr tdn/musc upr a/e each A 9.25 10.12NA 10.12 1.83 21.20 21.200090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24342 Repair of ruptured tendon A 10.59 8.74NA 8.74 2.11 21.44 21.440090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24343 Repr elbow lat ligmnt w/tiss A 8.93 9.55NA 9.55 1.78 20.26 20.260090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24344 Reconstruct elbow lat ligmnt A 14.83 12.86NA 12.86 3.16 30.85 30.850090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24345 Repr elbw med ligmnt w/tissu A 8.93 9.45NA 9.45 1.82 20.20 20.200090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24346 Reconstruct elbow med ligmnt A 14.83 12.86NA 12.86 3.16 30.85 30.850090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24357 Repair elbow perc A 5.30 5.59NA 5.59 0.62 11.51 11.510090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 24358 Repair elbow w/deb open A 6.49 7.20NA 7.20 1.28 14.97 14.970090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 24359 Repair elbow deb/attch open A 8.76 7.97NA 7.97 1.74 18.47 18.470090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 24360 Reconstruct elbow joint A 12.35 10.11NA 10.11 2.62 25.08 25.080090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24361 Reconstruct elbow joint A 14.05 10.81NA 10.81 3.00 27.86 27.860090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24362 Reconstruct elbow joint A 14.94 11.10NA 11.10 3.18 29.22 29.220090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24363 Replace elbow joint A 21.45 13.16NA 13.16 4.33 38.94 38.940090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24365 Reconstruct head of radius A 8.40 7.95NA 7.95 1.78 18.13 18.130090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24366 Reconstruct head of radius A 9.13 8.04NA 8.04 1.85 19.02 19.020090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24370 Revise reconst elbow joint A 22.96 13.65NA 13.65 4.61 41.22 41.220090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24371 Revise reconst elbow joint A 26.81 14.88NA 14.88 5.36 47.05 47.050090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24400 Osteot humerus w/wo int fixj A 11.05 9.81NA 9.81 2.34 23.20 23.200090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24410 Mlt osteot rlgnm imed rd hum A 14.73 11.39NA 11.39 3.13 29.25 29.250090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24420 Osteoplasty humerus A 13.39 13.75NA 13.75 2.85 29.99 29.990090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24430 Rpr non/mal humerus wo graft A 14.87 11.10NA 11.10 3.06 29.03 29.030090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24435 Rpr non/mal hum with agrft A 14.62 12.39NA 12.39 3.05 30.06 30.060090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24470 Hemiepiphyseal arrest A 8.71 8.56NA 8.56 1.85 19.12 19.120090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24495 Decompression fasct forearm A 8.20 17.20NA 17.20 1.74 27.14 27.140090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 24498 Proph tx w/wo mthylmthcrylt A 11.97 9.53NA 9.53 2.52 24.02 24.020090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24500 Cltx humrl shft fx w/o mnpj A 3.32 8.41 6.42 0.70 12.43 10.440090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24505 Cltx humrl shft fx w/mnpj A 5.26 10.98 7.73 1.19 17.43 14.180090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24515 Optx humrl shft fx plate/scr A 11.82 10.33NA 10.33 2.47 24.62 24.620090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24516 Tx humrl shaft fx imed implt A 11.89 9.49NA 9.49 2.50 23.88 23.880090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 24530 Cltx sprcndylr humeral fx wo A 3.60 8.65 6.41 0.75 13.00 10.760090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24535 Cltx sprcndylr humeral fx w/ A 6.93 12.26 8.51 1.47 20.66 16.910090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24538 Prq skel fix sprcndlr hum fx A 9.53 10.94NA 10.94 2.04 22.51 22.510090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24545 Optx hum fx wo ntrcndylr xtn A 12.82 10.27NA 10.27 2.67 25.76 25.760090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24546 Optx hum fx w/ntrcndylr xtn A 14.54 11.01NA 11.01 3.00 28.55 28.550090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 24560 Cltx hum epcndylr fx wo mnpj A 2.91 8.17 6.05 0.62 11.70 9.580090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24565 Cltx hum epcndylr fx w/mnpj A 5.64 11.16 7.74 1.21 18.01 14.590090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24566 Prq skel fix epcndylr hum fx A 8.83 9.97NA 9.97 1.88 20.68 20.680090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24575 Optx humeral epcndylr fx A 9.47 9.39NA 9.39 1.94 20.80 20.800090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24576 Cltx humrl cndylr fx wo mnpj A 2.98 8.65 6.49 0.64 12.27 10.110090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24577 Cltx humrl cndylr fx w/mnpj A 5.86 11.39 7.81 1.25 18.50 14.920090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24579 Optx humrl cndylr fracture A 11.15 9.91NA 9.91 2.30 23.36 23.360090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24582 Prq skel fix humrl cndylr fx A 9.89 11.45NA 11.45 2.10 23.44 23.440090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24586 Optx partclr fx&/dislc elbow A 15.39 11.09NA 11.09 3.14 29.62 29.620090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24587 Optx partclr fx&/dslc elbw w A 15.40 11.25NA 11.25 3.27 29.92 29.920090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24600 Tx clsd elbow dislc w/o anes A 4.26 8.99 6.76 1.02 14.27 12.040090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24605 Tx clsd elbow dislc req anes A 5.50 7.65NA 7.65 1.20 14.35 14.350090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24615 Optx aqt/chrnc elbow dislc A 9.58 8.36NA 8.36 1.96 19.90 19.900090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24620 Cltx monteggia fx dislc elbw A 7.04 8.47NA 8.47 1.49 17.00 17.000090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 24635 Optx monteggia fx dislc elbw A 8.58 8.84NA 8.84 1.74 19.16 19.160090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24640 Cltx rdl head sublxtj nrsemd A 1.22 1.83 0.85 0.07 3.12 2.140010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 24650 Cltx rdl head/nck fx wo mnpj A 2.25 6.33 5.04 0.45 9.03 7.740090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24655 Cltx rdl head/nck fx w/mnpj A 4.50 10.42 7.70 1.03 15.95 13.230090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24665 Optx radial head/neck fx A 8.15 8.84NA 8.84 1.64 18.63 18.630090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24666 Optx radial head/nck fx rplc A 9.61 8.95NA 8.95 1.95 20.51 20.510090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24670 Cltx ulnar fx prox w/o mnpj A 2.62 6.92 5.27 0.54 10.08 8.430090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24675 Cltx ulnar fx prox w/mnpj A 4.79 9.67 6.88 1.01 15.47 12.680090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 24685 Optx ulnar fx prox end w/fix A 8.16 8.80NA 8.80 1.67 18.63 18.630090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24800 Arthrodesis elbw joint local A 11.12 9.89NA 9.89 2.37 23.38 23.380090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24802 Arthrd elbow jt autog graft A 13.96 10.80NA 10.80 2.98 27.74 27.740090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24900 Amputation of upper arm A 9.93 9.52NA 9.52 2.11 21.56 21.560090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24920 Amputation of upper arm A 9.88 8.59NA 8.59 2.10 20.57 20.570090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 24925 Amputation follow-up surgery A 7.12 7.71NA 7.71 1.50 16.33 16.330090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24930 Amputation follow-up surgery A 10.56 8.81NA 8.81 2.25 21.62 21.620090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24931 Amputate upper arm & implant A 13.10 9.81NA 9.81 2.78 25.69 25.690090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24935 Revision of amputation A 16.04 14.60NA 14.60 3.41 34.05 34.050090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 24940 Revision of upper arm C 0.00 0.00 0.00 0.00 0.00 0.000090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 24999 Unlisted px humerus/elbow C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210119 33.4009 090 99 0.00 0.00 0.00
- 25000 Incision of tendon sheath A 3.46 6.07NA 6.07 0.66 10.19 10.190090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25001 Incise flexor carpi radialis A 3.70 5.83NA 5.83 0.69 10.22 10.220090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25020 Decompress forearm 1 space A 5.91 14.56NA 14.56 1.14 21.61 21.610090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25023 Decompress forearm 1 space A 13.48 21.62NA 21.62 2.74 37.84 37.840090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25024 Decompress forearm 2 spaces A 10.52 9.05NA 9.05 2.19 21.76 21.760090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25025 Decompress forearm 2 spaces A 17.49 12.45NA 12.45 3.72 33.66 33.660090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25028 I&d f/arm&/wrst dp absc/hmtm A 5.26 14.27NA 14.27 1.07 20.60 20.600090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25031 I&d forearm&/wrist bursa A 4.15 5.86NA 5.86 0.89 10.90 10.900090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25035 Inc dp bone crtx f/arm&/wrst A 7.46 7.82NA 7.82 1.59 16.87 16.870090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25040 Arthrt rdcrpl/midcarpl jt A 7.31 6.95NA 6.95 1.45 15.71 15.710090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25065 Biopsy forearm soft tissues A 1.99 5.57 2.10 0.28 7.84 4.370010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 25066 Biopsy forearm soft tissues A 4.16 5.75NA 5.75 0.82 10.73 10.730090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25071 Exc forearm les sc 3 cm/> A 5.76 5.07NA 5.07 1.28 12.11 12.110090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25073 Exc forearm tum deep 3 cm/> A 6.95 6.79NA 6.79 1.47 15.21 15.210090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25075 Exc forearm les sc < 3 cm A 3.86 11.87 4.51 0.81 16.54 9.180090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25076 Exc forearm tum deep < 3 cm A 6.57 6.83NA 6.83 1.30 14.70 14.700090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25077 Resect forearm/wrist tum<3cm A 12.61 8.90NA 8.90 3.36 24.87 24.870090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25078 Resect forarm/wrist tum 3cm> A 17.25 11.26NA 11.26 3.89 32.40 32.400090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25085 Incision of wrist capsule A 5.50 6.20NA 6.20 1.06 12.76 12.760090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25100 Biopsy of wrist joint A 3.92 5.63NA 5.63 0.84 10.39 10.390090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25101 Explore/treat wrist joint A 4.71 6.11NA 6.11 0.92 11.74 11.740090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25105 Remove wrist joint lining A 5.87 6.89NA 6.89 1.14 13.90 13.900090.10.69.21210109 33.4009 090 99 0.00 0.00 0.00
- 25107 Remove wrist joint cartilage A 7.51 8.64NA 8.64 1.45 17.60 17.600090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25109 Excise tendon forearm/wrist A 6.77 7.09NA 7.09 1.29 15.15 15.150090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25110 Remove wrist tendon lesion A 3.94 5.39NA 5.39 0.78 10.11 10.110090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25111 Remove wrist tendon lesion A 3.44 5.51NA 5.51 0.66 9.61 9.610090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25112 Reremove wrist tendon lesion A 4.55 5.86NA 5.86 0.88 11.29 11.290090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25115 Remove wrist/forearm lesion A 9.84 9.34NA 9.34 1.88 21.06 21.060090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25116 Remove wrist/forearm lesion A 7.37 8.32NA 8.32 1.41 17.10 17.100090.10.69.21210109 33.4009 090 99 0.00 0.00 0.00
- 25118 Excise wrist tendon sheath A 4.40 5.83NA 5.83 0.84 11.07 11.070090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25119 Partial removal of ulna A 6.05 7.22NA 7.22 1.30 14.57 14.570090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25120 Removal of forearm lesion A 6.11 6.92NA 6.92 1.20 14.23 14.230090.10.69.21210109 33.4009 090 99 0.00 0.00 0.00
- 25125 Remove/graft forearm lesion A 7.48 8.02NA 8.02 1.59 17.09 17.090090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25126 Remove/graft forearm lesion A 7.55 8.04NA 8.04 1.61 17.20 17.200090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25130 Removal of wrist lesion A 5.29 6.60NA 6.60 1.01 12.90 12.900090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25135 Remove & graft wrist lesion A 6.90 7.83NA 7.83 1.47 16.20 16.200090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25136 Remove & graft wrist lesion A 5.99 7.20NA 7.20 1.28 14.47 14.470090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25145 Remove forearm bone lesion A 6.38 7.32NA 7.32 1.34 15.04 15.040090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25150 Partial removal of ulna A 7.20 7.37NA 7.37 1.44 16.01 16.010090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 25151 Partial removal of radius A 7.49 7.40NA 7.40 1.45 16.34 16.340090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25170 Resect radius/ulnar tumor A 21.65 13.55NA 13.55 4.61 39.81 39.810090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25210 Removal of wrist bone A 5.97 6.87NA 6.87 1.15 13.99 13.990090.10.69.21200109 33.4009 090 99 0.00 0.00 0.00
- 25215 Removal of wrist bones A 7.94 7.85NA 7.85 1.51 17.30 17.300090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25230 Partial removal of radius A 5.24 6.12NA 6.12 1.02 12.38 12.380090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 25240 Partial removal of ulna A 5.18 6.10NA 6.10 1.01 12.29 12.290090.10.69.21210109 33.4009 090 99 0.00 0.00 0.00
- 25246 Injection for wrist x-ray A 1.41 4.07 0.29 0.14 5.62 1.840000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 25248 Remove forearm foreign body A 5.18 5.92NA 5.92 1.12 12.22 12.220090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25250 Removal of wrist prosthesis A 6.60 7.38NA 7.38 1.40 15.38 15.380090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25251 Removal of wrist prosthesis A 9.57 8.67NA 8.67 2.05 20.29 20.290090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25259 Manipulate wrist w/anesthes A 3.94 8.36NA 8.36 0.79 13.09 13.090090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25260 Repair forearm tendon/muscle A 7.84 8.59NA 8.59 1.51 17.94 17.940090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 25263 Repair forearm tendon/muscle A 7.84 8.69NA 8.69 1.67 18.20 18.200090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 25265 Repair forearm tendon/muscle A 9.85 8.91NA 8.91 1.84 20.60 20.600090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 25270 Repair forearm tendon/muscle A 6.02 6.89NA 6.89 1.19 14.10 14.100090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 25272 Repair forearm tendon/muscle A 7.03 7.53NA 7.53 1.48 16.04 16.040090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 25274 Repair forearm tendon/muscle A 8.72 8.08NA 8.08 1.64 18.44 18.440090.10.69.21200109 33.4009 090 99 0.00 0.00 0.00
- 25275 Repair forearm tendon sheath A 8.74 8.28NA 8.28 1.66 18.68 18.680090.10.69.21210109 33.4009 090 99 0.00 0.00 0.00
- 25280 Revise wrist/forearm tendon A 7.21 7.32NA 7.32 1.41 15.94 15.940090.10.69.21200109 33.4009 090 99 0.00 0.00 0.00
- 25290 Incise wrist/forearm tendon A 5.29 6.11NA 6.11 1.01 12.41 12.410090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 25295 Release wrist/forearm tendon A 6.55 7.07NA 7.07 1.26 14.88 14.880090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 25300 Fusion of tendons at wrist A 8.79 8.99NA 8.99 1.87 19.65 19.650090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25301 Fusion of tendons at wrist A 8.38 7.93NA 7.93 1.63 17.94 17.940090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25310 Transplant forearm tendon A 8.78 9.56NA 9.56 1.67 20.01 20.010090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 25312 Transplant forearm tendon A 9.57 8.43NA 8.43 1.88 19.88 19.880090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 25315 Revise palsy hand tendon(s) A 10.41 8.96NA 8.96 2.21 21.58 21.580090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25316 Revise palsy hand tendon(s) A 12.58 10.21NA 10.21 2.68 25.47 25.470090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25320 Repair/revise wrist joint A 12.43 12.93NA 12.93 2.41 27.77 27.770090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25332 Revise wrist joint A 11.45 9.53NA 9.53 2.22 23.20 23.200090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25335 Centralization wrist on ulna A 13.06 10.36NA 10.36 2.77 26.19 26.190090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25337 Reconstruct ulna/radioulnar A 11.44 11.17NA 11.17 2.19 24.80 24.800090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25350 Revision of radius A 8.86 8.19NA 8.19 1.72 18.77 18.770090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25355 Revision of radius A 10.27 9.05NA 9.05 2.19 21.51 21.510090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25360 Revision of ulna A 8.52 8.07NA 8.07 1.67 18.26 18.260090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25365 Revise radius & ulna A 12.59 10.21NA 10.21 2.68 25.48 25.480090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25370 Revise radius or ulna A 13.75 11.48NA 11.48 2.93 28.16 28.160090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25375 Revise radius & ulna A 13.21 10.41NA 10.41 2.82 26.44 26.440090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25390 Shorten radius or ulna A 10.43 8.67NA 8.67 2.00 21.10 21.100090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25391 Lengthen radius or ulna A 13.92 10.63NA 10.63 2.97 27.52 27.520090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25392 Shorten radius & ulna A 14.22 10.72NA 10.72 3.03 27.97 27.970090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25393 Lengthen radius & ulna A 16.15 11.34NA 11.34 3.44 30.93 30.930090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25394 Repair carpal bone shorten A 10.58 9.19NA 9.19 2.25 22.02 22.020090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25400 Repair radius or ulna A 11.00 8.91NA 8.91 2.16 22.07 22.070090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25405 Repair/graft radius or ulna A 14.63 10.62NA 10.62 2.87 28.12 28.120090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25415 Repair radius & ulna A 13.46 10.48NA 10.48 2.87 26.81 26.810090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25420 Repair/graft radius & ulna A 16.61 11.84NA 11.84 3.54 31.99 31.990090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25425 Repair/graft radius or ulna A 13.38 10.45NA 10.45 2.85 26.68 26.680090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25426 Repair/graft radius & ulna A 16.04 11.30NA 11.30 3.41 30.75 30.750090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25430 Vasc graft into carpal bone A 9.47 9.33NA 9.33 2.02 20.82 20.820090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25431 Repair nonunion carpal bone A 10.62 9.24NA 9.24 2.26 22.12 22.120090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25440 Repair nonu scphd carpl b1 A 10.41 8.69NA 8.69 2.00 21.10 21.100090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25441 Arthrp w/prostc dstl rds A 12.96 10.31NA 10.31 2.75 26.02 26.020090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25442 Arthrp w/prostc dstl ulna A 10.84 9.28NA 9.28 2.05 22.17 22.170090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25443 Arthrp prostc dstl scph crpl A 10.39 9.49NA 9.49 2.20 22.08 22.080090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25444 Arthrp w/prostc lunate A 11.13 9.46NA 9.46 2.15 22.74 22.740090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25445 Arthrp w/prostc trapezium A 9.63 8.39NA 8.39 1.86 19.88 19.880090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 25446 Arthrp w/prostc dst rds&crps A 16.87 11.34NA 11.34 3.28 31.49 31.490090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25447 Arthrp ntrcrp/crp/mtcr ntrps A 10.24 10.07NA 10.07 1.96 22.27 22.270090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25448 Arthrp ntrcrpl/crp/mtcrp ssp A 11.55 10.78NA 10.78 2.20 24.53 24.530090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25449 Revj arthrp wrist joint A 14.57 10.53NA 10.53 2.81 27.91 27.910090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25450 Epiphysl arrst dstl rds/ulna A 7.86 8.14NA 8.14 1.67 17.67 17.670090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25455 Epiphysl arrst dstl rds&ulna A 9.47 9.21NA 9.21 2.02 20.70 20.700090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25490 Prophylactic tx radius A 9.49 8.81NA 8.81 2.02 20.32 20.320090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25491 Prophylactic tx ulna A 9.90 8.79NA 8.79 2.11 20.80 20.800090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25492 Prophylactic tx radius&ulna A 12.34 10.29NA 10.29 2.62 25.25 25.250090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25500 Cltx rdl shft fx w/o mnpj A 2.54 6.73 5.12 0.51 9.78 8.170090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25505 Cltx rdl shft fx w/mnpj A 5.31 11.16 8.18 1.20 17.67 14.690090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25515 Optx radial shaft fracture A 8.58 8.66NA 8.66 1.74 18.98 18.980090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25520 Cltx rdl shft fx&dislc A 6.34 11.38 8.25 1.34 19.06 15.930090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25525 Optx rdl shft fx&cltx rad/ul A 10.29 9.71NA 9.71 2.06 22.06 22.060090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 25526 Optx rdl shft fx&dstl rad/ul A 12.82 11.25NA 11.25 2.73 26.80 26.800090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 25530 Cltx ulnar shft fx w/o mnpj A 2.18 6.42 4.99 0.44 9.04 7.610090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25535 Cltx ulnar shft fx w/mnpj A 5.23 10.10 7.26 1.08 16.41 13.570090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25545 Optx ulnar shft fx int fixj A 7.74 8.51NA 8.51 1.56 17.81 17.810090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25560 Cltx rdl&uln shft fx wo mnpj A 2.53 6.90 5.15 0.51 9.94 8.190090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25565 Cltx rdl&uln shft fx w/mnpj A 5.70 11.66 8.25 1.31 18.67 15.260090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25574 Optx rdl&uln shft fx rds/uln A 8.58 8.86NA 8.86 1.75 19.19 19.190090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 25575 Optx rdl&uln shft fx rds&uln A 11.98 10.86NA 10.86 2.48 25.32 25.320090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25600 Cltx dst rdl fx/ephys sep wo A 2.71 8.28 6.98 0.55 11.54 10.240090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25605 Cltx dst rdl fx/ephys sep w/ A 6.09 11.54 8.99 1.37 19.00 16.450090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25606 Perq skel fixj dstl rdl fx A 8.10 9.42NA 9.42 1.69 19.21 19.210090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25607 Optx dst rd xartc fx/epi sep A 9.32 9.68NA 9.68 1.88 20.88 20.880090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25608 Optx dst rd xart fx/epi sep2 A 10.79 10.15NA 10.15 2.17 23.11 23.110090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25609 Optx dst rd xart fx/ep sep3+ A 14.02 12.22NA 12.22 2.75 28.99 28.990090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25622 Cltx carpl scphd fx w/o mnpj A 2.72 7.24 5.60 0.54 10.50 8.860090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25624 Cltx carpl scphd fx w/mnpj A 4.65 10.79 7.71 1.00 16.44 13.360090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25628 Optx carpl scphd fx int fixj A 9.43 8.80NA 8.80 1.80 20.03 20.030090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25630 Cltx carpl fx w/o mnpj ea b1 A 2.95 6.80 5.17 0.58 10.33 8.700090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25635 Cltx carpl fx w/mnpj ea b1 A 4.49 10.14 7.22 0.96 15.59 12.670090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25645 Optx crpl fx oth/thn scph ea A 7.23 7.59NA 7.59 1.53 16.35 16.350090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25650 Cltx ulnar styloid fracture A 3.15 7.54 5.92 0.66 11.35 9.730090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25651 Perq skel fix ulnar styld fx A 5.67 7.38NA 7.38 1.13 14.18 14.180090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25652 Optx ulnar styloid fracture A 7.86 8.26NA 8.26 1.57 17.69 17.690090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 25660 Cltx rdcrpl/ntrcrpl dislc 1+ A 4.86 7.44NA 7.44 1.05 13.35 13.350090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25670 Optx rdcrpl/ntrcrpl dislc 1+ A 7.89 7.80NA 7.80 1.68 17.37 17.370090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25671 Perq skel fix rad/uln dislc A 6.30 8.02NA 8.02 1.33 15.65 15.650090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25675 Cltx dstl rad/uln dislc mnpj A 4.77 11.46 8.75 1.13 17.36 14.650090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25676 Optx rad/uln dislc aqt/chrnc A 8.08 8.13NA 8.13 1.61 17.82 17.820090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25680 Cltx trns-scphprlnr fx mnpj A 6.07 8.17NA 8.17 1.30 15.54 15.540090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25685 Optx trns-scphprlnr fx dislc A 9.84 8.77NA 8.77 2.09 20.70 20.700090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25690 Cltx lunate dislc w/mnpj A 5.58 7.66NA 7.66 1.20 14.44 14.440090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25695 Optx lunate dislocation A 8.30 7.93NA 7.93 1.76 17.99 17.990090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25800 Arthrd wrist complete wo grf A 9.82 8.46NA 8.46 1.88 20.16 20.160090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25805 Arthrd wrist w/sliding graft A 11.44 9.84NA 9.84 2.44 23.72 23.720090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25810 Arthrd wrst iliac/oth agrft A 11.65 9.92NA 9.92 2.20 23.77 23.770090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25820 Arthrd wrist lmtd w/o b1 grf A 7.45 9.52NA 9.52 1.45 18.42 18.420090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25825 Arthrd wrist with autograft A 9.45 11.03NA 11.03 1.79 22.27 22.270090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25830 Arthrd dst rad/ul jt sgm rsc A 10.61 16.37NA 16.37 2.08 29.06 29.060090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 25900 Amputation of forearm A 9.37 8.81NA 8.81 1.88 20.06 20.060090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25905 Amputation of forearm A 9.35 8.42NA 8.42 1.99 19.76 19.760090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25907 Amputation follow-up surgery A 7.89 7.96NA 7.96 1.68 17.53 17.530090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25909 Amputation follow-up surgery A 9.08 8.33NA 8.33 1.93 19.34 19.340090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25915 Amputation of forearm A 17.08 11.01NA 11.01 3.63 31.72 31.720090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25920 Amputate hand at wrist A 8.80 10.21NA 10.21 1.87 20.88 20.880090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25922 Amputate hand at wrist A 7.46 9.63NA 9.63 1.59 18.68 18.680090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25924 Amputation follow-up surgery A 8.59 9.99NA 9.99 1.83 20.41 20.410090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25927 Amputation of hand A 8.86 14.39NA 14.39 1.90 25.15 25.150090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 25929 Amputation follow-up surgery A 7.62 7.87NA 7.87 1.63 17.12 17.120090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 25931 Amputation follow-up surgery A 7.84 13.91NA 13.91 1.67 23.42 23.420090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 25999 Unlisted px forearm/wrist C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210119 33.4009 090 99 0.00 0.00 0.00
- 26010 Drainage of finger abscess A 1.55 9.40 2.51 0.28 11.23 4.340010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 26011 Drainage of finger abscess A 2.18 12.87 2.85 0.43 15.48 5.460010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 26020 Drain hand tendon sheath A 6.67 7.95NA 7.95 1.31 15.93 15.930090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26025 Drainage of palm bursa A 4.95 6.17NA 6.17 0.99 12.11 12.110090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 26030 Drainage of palm bursas A 6.09 6.67NA 6.67 1.19 13.95 13.950090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 26034 Treat hand bone lesion A 6.46 8.03NA 8.03 1.26 15.75 15.750090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26035 Decompress fingers/hand A 11.09 10.96NA 10.96 2.36 24.41 24.410090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26037 Decompress fingers/hand A 7.38 6.96NA 6.96 1.44 15.78 15.780090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 26040 Release palm contracture A 3.37 5.25NA 5.25 0.62 9.24 9.240090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 26045 Release palm contracture A 5.59 6.87NA 6.87 1.11 13.57 13.570090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 26055 Incise finger tendon sheath A 3.03 15.24 5.00 0.58 18.85 8.610090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26060 Incision of finger tendon A 2.84 4.00NA 4.00 0.45 7.29 7.290090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26070 Explore/treat hand joint A 3.71 4.98NA 4.98 0.68 9.37 9.370090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 26075 Explore/treat finger joint A 3.81 5.34NA 5.34 0.73 9.88 9.880090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 26080 Explore/treat finger joint A 4.36 6.41NA 6.41 0.84 11.61 11.610090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26100 Biopsy hand joint lining A 3.70 5.65NA 5.65 0.79 10.14 10.140090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 26105 Biopsy finger joint lining A 3.73 5.66NA 5.66 0.80 10.19 10.190090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 26110 Biopsy finger joint lining A 3.56 5.28NA 5.28 0.68 9.52 9.520090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26111 Exc hand les sc 1.5 cm/> A 5.28 5.45NA 5.45 1.04 11.77 11.770090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26113 Exc hand tum deep 1.5 cm/> A 6.95 7.07NA 7.07 1.31 15.33 15.330090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26115 Exc hand les sc < 1.5 cm A 3.86 13.00 5.01 0.75 17.61 9.620090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26116 Exc hand tum deep < 1.5 cm A 6.57 6.97NA 6.97 1.25 14.79 14.790090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26117 Rad resect hand tumor < 3 cm A 9.88 8.93NA 8.93 1.98 20.79 20.790090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26118 Rad resect hand tumor 3 cm/> A 14.44 11.81NA 11.81 2.91 29.16 29.160090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26121 Release palm contracture A 7.54 7.84NA 7.84 1.44 16.82 16.820090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 26123 Release palm contracture A 10.61 10.76NA 10.76 2.02 23.39 23.390090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 26125 Release palm contracture A 4.49 1.48NA 1.48 0.86 6.83 6.830ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 26130 Remove wrist joint lining A 5.45 7.11NA 7.11 1.17 13.73 13.730090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 26135 Revise finger joint each A 6.95 7.28NA 7.28 1.32 15.55 15.550090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26140 Revise finger joint each A 6.18 7.02NA 7.02 1.19 14.39 14.390090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26145 Tendon excision palm/finger A 6.33 7.04NA 7.04 1.21 14.58 14.580090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26160 Remove tendon sheath lesion A 3.48 15.55 5.10 0.66 19.69 9.240090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26170 Removal of palm tendon each A 4.79 6.02NA 6.02 0.92 11.73 11.730090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26180 Removal of finger tendon A 5.22 6.69NA 6.69 1.00 12.91 12.910090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26185 Remove finger bone A 6.36 8.69NA 8.69 1.34 16.39 16.390090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 26200 Remove hand bone lesion A 5.51 6.26NA 6.26 1.08 12.85 12.850090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26205 Remove/graft bone lesion A 7.73 7.88NA 7.88 1.64 17.25 17.250090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26210 Removal of finger lesion A 5.19 6.64NA 6.64 1.00 12.83 12.830090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26215 Remove/graft finger lesion A 7.09 7.67NA 7.67 1.50 16.26 16.260090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26230 Partial removal of hand bone A 6.31 6.59NA 6.59 1.22 14.12 14.120090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26235 Partial removal finger bone A 6.17 6.55NA 6.55 1.19 13.91 13.910090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26236 Partial removal finger bone A 5.32 6.28NA 6.28 1.04 12.64 12.640090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26250 Extensive hand surgery A 14.83 11.53NA 11.53 3.16 29.52 29.520090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26260 Resect prox finger tumor A 10.88 9.12NA 9.12 2.33 22.33 22.330090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26262 Resect distal finger tumor A 8.08 8.23NA 8.23 1.72 18.03 18.030090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26320 Removal of implant from hand A 4.00 5.33NA 5.33 0.78 10.11 10.110090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26340 Manipulate finger w/anesth A 2.73 7.71NA 7.71 0.50 10.94 10.940090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 26341 Manipulat palm cord post inj A 0.89 2.66 1.13 0.17 3.72 2.190010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 26350 Repair finger/hand tendon A 6.05 14.88NA 14.88 1.19 22.12 22.120090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26352 Repair/graft hand tendon A 7.67 14.94NA 14.94 1.48 24.09 24.090090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26356 Repair finger/hand tendon A 9.32 11.45NA 11.45 1.79 22.56 22.560090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26357 Repair finger/hand tendon A 10.73 12.54NA 12.54 2.28 25.55 25.550090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26358 Repair/graft hand tendon A 12.29 13.04NA 13.04 2.61 27.94 27.940090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26370 Repair finger/hand tendon A 7.10 14.31NA 14.31 1.34 22.75 22.750090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26372 Repair/graft hand tendon A 8.78 16.23NA 16.23 1.87 26.88 26.880090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26373 Repair finger/hand tendon A 8.20 16.06NA 16.06 1.74 26.00 26.000090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26390 Revise hand/finger tendon A 9.19 14.34NA 14.34 1.96 25.49 25.490090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26392 Repair/graft hand tendon A 10.24 16.70NA 16.70 2.18 29.12 29.120090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26410 Repair hand tendon A 4.65 12.37NA 12.37 0.90 17.92 17.920090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26412 Repair/graft hand tendon A 6.32 13.29NA 13.29 1.21 20.82 20.820090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26415 Excision hand/finger tendon A 8.30 14.89NA 14.89 1.76 24.95 24.950090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26416 Graft hand or finger tendon A 9.32 15.56NA 15.56 1.98 26.86 26.860090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26418 Repair finger tendon A 4.36 13.58NA 13.58 0.85 18.79 18.790090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26420 Repair/graft finger tendon A 6.77 13.45NA 13.45 1.28 21.50 21.500090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26426 Repair finger/hand tendon A 6.16 6.92NA 6.92 1.17 14.25 14.250090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26428 Repair/graft finger tendon A 7.22 14.89NA 14.89 1.52 23.63 23.630090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26432 Repair finger tendon A 4.06 11.40NA 11.40 0.79 16.25 16.250090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26433 Repair finger tendon A 4.58 11.53NA 11.53 0.89 17.00 17.000090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26434 Repair/graft finger tendon A 6.10 13.35NA 13.35 1.31 20.76 20.760090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26437 Realignment of tendons A 5.84 12.49NA 12.49 1.12 19.45 19.450090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26440 Release palm/finger tendon A 5.03 13.25NA 13.25 0.96 19.24 19.240090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26442 Release palm & finger tendon A 9.51 17.42NA 17.42 1.84 28.77 28.770090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26445 Release hand/finger tendon A 4.34 12.94NA 12.94 0.83 18.11 18.110090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26449 Release forearm/hand tendon A 8.38 9.84NA 9.84 1.56 19.78 19.780090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26450 Incision of palm tendon A 3.70 9.35NA 9.35 0.69 13.74 13.740090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26455 Incision of finger tendon A 3.67 9.38NA 9.38 0.69 13.74 13.740090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26460 Incise hand/finger tendon A 3.49 9.29NA 9.29 0.65 13.43 13.430090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26471 Fusion of finger tendons A 5.75 12.45NA 12.45 1.07 19.27 19.270090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26474 Fusion of finger tendons A 5.35 13.12NA 13.12 1.14 19.61 19.610090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26476 Tendon lengthening A 5.22 13.07NA 13.07 1.12 19.41 19.410090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26477 Tendon shortening A 5.19 12.20NA 12.20 0.99 18.38 18.380090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 26478 Lengthening of hand tendon A 5.82 12.54NA 12.54 1.13 19.49 19.490090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26479 Shortening of hand tendon A 5.76 13.25NA 13.25 1.23 20.24 20.240090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26480 Transplant hand tendon A 8.78 9.56NA 9.56 1.66 20.00 20.000090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26483 Transplant/graft hand tendon A 8.27 15.16NA 15.16 1.57 25.00 25.000090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26485 Transplant palm tendon A 7.69 15.00NA 15.00 1.47 24.16 24.160090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26489 Transplant/graft palm tendon A 9.61 16.50NA 16.50 2.05 28.16 28.160090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26490 Revise thumb tendon A 8.39 14.43NA 14.43 1.77 24.59 24.590090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26492 Tendon transfer with graft A 9.59 15.38NA 15.38 2.05 27.02 27.020090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26494 Hand tendon/muscle transfer A 8.44 14.44NA 14.44 1.79 24.67 24.670090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26496 Revise thumb tendon A 9.54 14.79NA 14.79 2.04 26.37 26.370090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26497 Finger tendon transfer A 9.52 14.78NA 14.78 2.04 26.34 26.340090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26498 Finger tendon transfer A 13.85 16.73NA 16.73 2.95 33.53 33.530090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26499 Correction claw finger other A 8.94 14.61NA 14.61 1.91 25.46 25.460090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26500 Hand tendon reconstruction A 5.98 13.31NA 13.31 1.28 20.57 20.570090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26502 Hand tendon reconstruction A 7.13 13.68NA 13.68 1.50 22.31 22.310090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26508 Release thumb contracture A 6.03 12.13NA 12.13 1.04 19.20 19.200090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 26510 Thumb tendon transfer A 5.46 12.28NA 12.28 1.05 18.79 18.790090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26516 Fusion of knuckle joint A 7.14 12.97NA 12.97 1.37 21.48 21.480090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 26517 Fusion of knuckle joints A 8.85 14.58NA 14.58 1.88 25.31 25.310090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 26518 Fusion of knuckle joints A 9.04 14.64NA 14.64 1.92 25.60 25.600090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 26520 Release knuckle contracture A 5.33 13.73NA 13.73 1.02 20.08 20.080090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26525 Release finger contracture A 5.36 13.87NA 13.87 1.04 20.27 20.270090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 26530 Revise knuckle joint A 6.71 7.27NA 7.27 1.28 15.26 15.260090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26531 Revise knuckle with implant A 7.93 8.19NA 8.19 1.49 17.61 17.610090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26535 Revise finger joint A 5.27 6.30NA 6.30 1.00 12.57 12.570090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26536 Revise/implant finger joint A 6.40 14.27NA 14.27 1.22 21.89 21.890090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26540 Repair hand joint A 6.44 12.66NA 12.66 1.24 20.34 20.340090.10.69.21200109 33.4009 090 99 0.00 0.00 0.00
- 26541 Repair hand joint with graft A 8.59 13.70NA 13.70 1.65 23.94 23.940090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26542 Repair hand joint with graft A 6.78 12.78NA 12.78 1.30 20.86 20.860090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26545 Reconstruct finger joint A 6.93 12.94NA 12.94 1.31 21.18 21.180090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26546 Repair nonunion hand A 10.56 17.16NA 17.16 2.02 29.74 29.740090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 26548 Reconstruct finger joint A 8.01 13.39NA 13.39 1.53 22.93 22.930090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26550 Pollicization digit A 21.14 20.42NA 20.42 4.50 46.06 46.060090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 26551 Great toe-hand transfer A 47.27 31.71NA 31.71 10.10 89.08 89.080090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 26553 Single transfer toe-hand A 46.97 31.45NA 31.45 10.05 88.47 88.470090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 26554 Double transfer toe-hand A 55.58 35.11NA 35.11 11.88 102.57102.570090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 26555 Positional change of finger A 16.65 18.99NA 18.99 3.55 39.19 39.190090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26556 Toe joint transfer A 48.51 33.33NA 33.33 10.37 92.21 92.210090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26560 Repair of web finger A 5.38 12.57NA 12.57 1.15 19.10 19.100090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26561 Repair of web finger A 10.82 15.20NA 15.20 2.31 28.33 28.330090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26562 Repair of web finger A 16.26 19.49NA 19.49 3.46 39.21 39.210090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26565 Correct metacarpal flaw A 6.74 12.62NA 12.62 1.31 20.67 20.670090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26567 Correct finger deformity A 6.82 12.81NA 12.81 1.33 20.96 20.960090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26568 Lengthen metacarpal/finger A 9.04 16.32NA 16.32 1.92 27.28 27.280090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26580 Repair cleft hand A 19.26 19.99NA 19.99 4.10 43.35 43.350090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 26587 Reconstruct extra finger A 14.14 11.93NA 11.93 3.01 29.08 29.080090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26590 Repair finger deformity A 18.20 18.03NA 18.03 3.88 40.11 40.110090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26591 Repair muscles of hand A 3.30 10.82NA 10.82 0.62 14.74 14.740090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26593 Release muscles of hand A 5.36 12.63NA 12.63 1.04 19.03 19.030090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26596 Excision constricting tissue A 8.91 12.91NA 12.91 1.91 23.73 23.730090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26600 Treat metacarpal fracture A 2.54 7.20 5.97 0.49 10.23 9.000090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26605 Treat metacarpal fracture A 2.95 7.71 5.78 0.61 11.27 9.340090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26607 Treat metacarpal fracture A 5.34 8.41NA 8.41 1.14 14.89 14.890090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26608 Treat metacarpal fracture A 5.41 7.42NA 7.42 1.07 13.90 13.900090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26615 Treat metacarpal fracture A 6.89 8.18NA 8.18 1.33 16.40 16.400090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26641 Treat thumb dislocation A 4.03 9.16 6.61 0.86 14.05 11.500090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 26645 Treat thumb fracture A 4.47 9.05 6.30 0.96 14.48 11.730090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 26650 Treat thumb fracture A 5.22 7.83NA 7.83 1.04 14.09 14.090090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 26665 Treat thumb fracture A 7.74 8.24NA 8.24 1.32 17.30 17.300090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 26670 Treat hand dislocation A 3.73 8.28 6.11 0.86 12.87 10.700090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26675 Treat hand dislocation A 4.71 9.70 6.82 1.02 15.43 12.550090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26676 Pin hand dislocation A 5.60 7.97NA 7.97 1.07 14.64 14.640090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26685 Treat hand dislocation A 6.89 7.95NA 7.95 1.19 16.03 16.030090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 26686 Treat hand dislocation A 7.97 8.08NA 8.08 1.69 17.74 17.740090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 26700 Treat knuckle dislocation A 3.73 7.62 5.87 0.83 12.18 10.430090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26705 Treat knuckle dislocation A 4.27 9.45 6.69 0.91 14.63 11.870090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26706 Pin knuckle dislocation A 5.18 6.45NA 6.45 0.89 12.52 12.520090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26715 Treat knuckle dislocation A 6.85 8.15NA 8.15 1.32 16.32 16.320090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26720 Treat finger fracture each A 1.72 4.97 4.06 0.36 7.05 6.140090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26725 Treat finger fracture each A 3.39 7.74 5.53 0.72 11.85 9.640090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26727 Treat finger fracture each A 5.28 7.36NA 7.36 1.04 13.68 13.680090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26735 Treat finger fracture each A 7.23 8.27NA 8.27 1.40 16.90 16.900090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26740 Treat finger fracture each A 2.02 5.44 4.36 0.39 7.85 6.770090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26742 Treat finger fracture each A 3.89 7.95 5.51 0.80 12.64 10.200090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26746 Treat finger fracture each A 9.56 9.23NA 9.23 1.82 20.61 20.610090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26750 Treat finger fracture each A 1.76 4.47 4.11 0.37 6.60 6.240090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26755 Treat finger fracture each A 3.15 7.58 5.13 0.68 11.41 8.960090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26756 Pin finger fracture each A 4.47 7.08NA 7.08 0.87 12.42 12.420090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26765 Treat finger fracture each A 5.71 7.74NA 7.74 1.12 14.57 14.570090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26770 Treat finger dislocation A 3.07 7.07 5.45 0.69 10.83 9.210090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26775 Treat finger dislocation A 3.80 8.59 6.14 0.76 13.15 10.700090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26776 Pin finger dislocation A 4.87 7.22NA 7.22 0.93 13.02 13.020090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26785 Treat finger dislocation A 6.44 8.01NA 8.01 1.25 15.70 15.700090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26820 Thumb fusion with graft A 8.24 14.38NA 14.38 1.75 24.37 24.370090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 26841 Fusion of thumb A 7.17 13.91NA 13.91 1.41 22.49 22.490090.10.69.21210109 33.4009 090 99 0.00 0.00 0.00
- 26842 Thumb fusion with graft A 8.28 14.39NA 14.39 1.76 24.43 24.430090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 26843 Fusion of hand joint A 7.59 13.83NA 13.83 1.62 23.04 23.040090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26844 Fusion/graft of hand joint A 8.76 14.55NA 14.55 1.86 25.17 25.170090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26850 Fusion of knuckle A 6.96 12.87NA 12.87 1.32 21.15 21.150090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26852 Fusion of knuckle with graft A 8.49 13.71NA 13.71 1.61 23.81 23.810090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26860 Fusion of finger joint A 4.76 12.49NA 12.49 0.91 18.16 18.160090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26861 Fusion of finger jnt add-on A 1.70 0.56NA 0.56 0.34 2.60 2.600ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 26862 Fusion/graft of finger joint A 7.37 13.32NA 13.32 1.39 22.08 22.080090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 26863 Fuse/graft added joint A 3.79 1.25NA 1.25 0.70 5.74 5.740ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 26910 Amputate metacarpal bone A 7.60 13.08NA 13.08 1.49 22.17 22.170090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26951 Amputation of finger/thumb A 5.89 13.88NA 13.88 1.17 20.94 20.940090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26952 Amputation of finger/thumb A 6.32 12.44NA 12.44 1.23 19.99 19.990090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26989 Unlisted px hands/fingers C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201119 33.4009 090 99 0.00 0.00 0.00
- 26990 Drainage of pelvis lesion A 7.75 10.35NA 10.35 1.68 19.78 19.780090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 26991 Drainage of pelvis bursa A 6.88 14.01 6.43 1.41 22.30 14.720090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 26992 Drainage of bone lesion A 13.14 12.28NA 12.28 2.87 28.29 28.290090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 27000 Tenotomy adductor hip perq A 5.60 4.67NA 4.67 0.58 10.85 10.850090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27001 Tenotomy adductor hip open A 6.96 6.96NA 6.96 1.47 15.39 15.390090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27003 Tnot adductr subq opn neurct A 7.61 7.87NA 7.87 1.63 17.11 17.110090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27005 Tenotomy hip flexor open A 9.82 8.35NA 8.35 2.01 20.18 20.180090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27006 Tenotomy abductor&/xtnsr hip A 9.86 8.20NA 8.20 1.48 19.54 19.540090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27025 Fasciotomy hip/thigh any typ A 12.57 11.10NA 11.10 2.65 26.32 26.320090.10.69.21210109 33.4009 090 99 0.00 0.00 0.00
- 27027 Dcmprn fasct pel compartment A 12.71 8.90NA 8.90 2.63 24.24 24.240090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27030 Arthrotomy hip w/drainage A 13.31 9.64NA 9.64 2.82 25.77 25.770090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27033 Arthrt hip expl/rmv loose/fb A 13.76 10.08NA 10.08 2.91 26.75 26.750090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27035 Denervation of hip joint A 16.94 13.17NA 13.17 0.89 31.00 31.000090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27036 Capsulectomy/capsulotomy hip A 14.02 11.24NA 11.24 2.97 28.23 28.230090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27040 Biopsy of soft tissues A 2.85 6.96 2.19 0.43 10.24 5.470010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 27041 Biopsy of soft tissues A 9.93 7.67NA 7.67 2.01 19.61 19.610090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27043 Exc hip pelvis les sc 3 cm/> A 6.71 5.23NA 5.23 1.65 13.59 13.590090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27045 Exc hip/pelv tum deep 5 cm/> A 10.85 7.43NA 7.43 2.43 20.71 20.710090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27047 Exc hip/pelvis les sc < 3 cm A 4.82 10.06 4.58 1.13 16.01 10.530090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27048 Exc hip/pelv tum deep < 5 cm A 8.63 6.93NA 6.93 2.01 17.57 17.570090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27049 Resect hip/pelv tum < 5 cm A 21.01 13.20NA 13.20 4.47 38.68 38.680090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27050 Biopsy of sacroiliac joint A 4.62 6.35NA 6.35 1.00 11.97 11.970090.10.69.21210109 33.4009 090 99 0.00 0.00 0.00
- 27052 Biopsy of hip joint A 7.23 7.90NA 7.90 1.53 16.66 16.660090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27054 Removal of hip joint lining A 8.98 8.61NA 8.61 1.91 19.50 19.500090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27057 Buttock fasciotomy w/dbrdmt A 14.54 9.94NA 9.94 3.09 27.57 27.570090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27059 Resect hip/pelv tum 5 cm/> A 28.62 14.36NA 14.36 6.23 49.21 49.210090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27060 Removal of ischial bursa A 5.72 6.55NA 6.55 1.22 13.49 13.490090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27062 Remove femur lesion/bursa A 5.61 6.23NA 6.23 1.12 12.96 12.960090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27065 Remove hip bone les super A 6.39 7.48NA 7.48 1.35 15.22 15.220090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27066 Remove hip bone les deep A 10.92 9.53NA 9.53 2.26 22.71 22.710090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27067 Remove/graft hip bone lesion A 14.35 11.26NA 11.26 3.05 28.66 28.660090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27070 Part remove hip bone super A 11.27 11.21NA 11.21 2.25 24.73 24.730090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27071 Part removal hip bone deep A 12.08 12.80NA 12.80 2.55 27.43 27.430090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27075 Resect hip tumor A 31.89 16.96NA 16.96 6.79 55.64 55.640090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 27076 Resect hip tum incl acetabul A 39.20 19.29NA 19.29 8.36 66.85 66.850090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 27077 Resect hip tum w/innom bone A 44.08 20.85NA 20.85 9.41 74.34 74.340090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 27078 Rsect hip tum incl femur A 31.40 16.81NA 16.81 6.69 54.90 54.900090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27080 Removal of tail bone A 6.72 6.58NA 6.58 1.69 14.99 14.990090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 27086 Remove hip foreign body A 1.87 7.90 2.74 0.40 10.17 5.010010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 27087 Remove hip foreign body A 8.61 7.26NA 7.26 1.99 17.86 17.860090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27090 Removal of hip prosthesis A 11.40 9.36NA 9.36 2.39 23.15 23.150090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27091 Removal of hip prosthesis A 23.74 14.26NA 14.26 5.03 43.03 43.030090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27093 Injection for hip x-ray A 1.27 5.54 0.31 0.15 6.96 1.730000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 27095 Injection for hip x-ray A 1.46 8.07 0.41 0.22 9.75 2.090000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 27096 Inject sacroiliac joint A 1.44 3.68 0.63 0.14 5.26 2.210000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 27097 Revision of hip tendon A 9.04 8.32NA 8.32 1.92 19.28 19.280090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27098 Transfer tendon to pelvis A 9.09 8.68NA 8.68 1.93 19.70 19.700090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27100 Transfer of abdominal muscle A 11.07 9.87NA 9.87 2.36 23.30 23.300090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27105 Transfer of spinal muscle A 11.74 10.09NA 10.09 2.50 24.33 24.330090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27110 Transfer of iliopsoas muscle A 13.43 10.63NA 10.63 2.86 26.92 26.920090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27111 Transfer of iliopsoas muscle A 12.29 10.27NA 10.27 2.61 25.17 25.170090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27120 Reconstruction of hip socket A 18.77 12.65NA 12.65 3.99 35.41 35.410090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27122 Reconstruction of hip socket A 15.69 11.24NA 11.24 3.33 30.26 30.260090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27125 Partial hip replacement A 16.22 11.36NA 11.36 3.43 31.01 31.010090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27130 Total hip arthroplasty A 19.11 11.63NA 11.63 4.05 34.79 34.790090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27132 Total hip arthroplasty A 25.05 14.67NA 14.67 5.31 45.03 45.030090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27134 Revise hip joint replacement A 29.52 14.96NA 14.96 6.28 50.76 50.760090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27137 Revise hip joint replacement A 22.13 12.61NA 12.61 4.71 39.45 39.450090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27138 Revise hip joint replacement A 23.11 12.92NA 12.92 4.90 40.93 40.930090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27140 Transplant femur ridge A 12.46 9.75NA 9.75 2.65 24.86 24.860090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27146 Incision of hip bone A 18.45 12.62NA 12.62 3.93 35.00 35.000090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27147 Revision of hip bone A 21.52 13.60NA 13.60 4.58 39.70 39.700090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27151 Incision of hip bones A 23.52 14.24NA 14.24 5.01 42.77 42.770090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27156 Revision of hip bones A 25.57 14.89NA 14.89 5.45 45.91 45.910090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27158 Revision of pelvis A 20.51 13.08NA 13.08 4.36 37.95 37.950090.10.69.21222009 33.4009 090 99 0.00 0.00 0.00
- 27161 Incision of neck of femur A 17.44 12.25NA 12.25 3.71 33.40 33.400090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27165 Incision/fixation of femur A 19.78 13.72NA 13.72 4.21 37.71 37.710090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27170 Repair/graft femur head/neck A 17.17 11.07NA 11.07 3.65 31.89 31.890090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27175 Treat slipped epiphysis A 9.15 7.49NA 7.49 1.95 18.59 18.590090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27176 Treat slipped epiphysis A 12.60 10.37NA 10.37 2.68 25.65 25.650090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27177 Treat slipped epiphysis A 15.69 11.70NA 11.70 3.34 30.73 30.730090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27178 Treat slipped epiphysis A 12.60 10.37NA 10.37 2.68 25.65 25.650090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27179 Revise head/neck of femur A 13.62 10.53NA 10.53 2.91 27.06 27.060090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27181 Treat slipped epiphysis A 15.78 11.78NA 11.78 3.35 30.91 30.910090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27185 Revision of femur epiphysis A 9.55 8.68NA 8.68 2.04 20.27 20.270090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27187 Reinforce hip bones A 13.87 10.73NA 10.73 2.94 27.54 27.540090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27197 Clsd tx pelvic ring fx A 1.49 1.91NA 1.91 0.30 3.70 3.700000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 27198 Clsd tx pelvic ring fx A 4.63 2.89NA 2.89 0.99 8.51 8.510000.00.00.00200209 33.4009 090 99 0.00 0.00 0.00
- 27200 Treat tail bone fracture A 1.87 4.12 3.75 0.39 6.38 6.010090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 27202 Treat tail bone fracture A 7.13 6.24NA 6.24 1.50 14.87 14.870090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 27215 Treat pelvic fracture(s) I+ 10.19 4.92NA 4.92 1.09 16.20 16.209090.10.69.21999999 33.4009 090 99 0.00 0.00 0.00
- 27216 Treat pelvic ring fracture I+ 15.34 6.89NA 6.89 1.63 23.86 23.869090.10.69.21999999 33.4009 090 99 0.00 0.00 0.00
- 27217 Treat pelvic ring fracture I+ 14.28 6.67NA 6.67 1.51 22.46 22.469090.10.69.21999999 33.4009 090 99 0.00 0.00 0.00
- 27218 Treat pelvic ring fracture I+ 20.41 8.01NA 8.01 2.18 30.60 30.609090.10.69.21999999 33.4009 090 99 0.00 0.00 0.00
- 27220 Treat hip socket fracture A 5.36 7.00 5.19 1.14 13.50 11.690090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27222 Treat hip socket fracture A 13.76 10.68NA 10.68 2.97 27.41 27.410090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27226 Treat hip wall fracture A 15.18 10.54NA 10.54 3.24 28.96 28.960090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27227 Treat hip fracture(s) A 24.77 14.56NA 14.56 5.26 44.59 44.590090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27228 Treat hip fracture(s) A 28.60 15.76NA 15.76 6.11 50.47 50.470090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27230 Treat thigh fracture A 5.66 9.18 7.28 1.22 16.06 14.160090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27232 Treat thigh fracture A 11.43 6.92NA 6.92 2.51 20.86 20.860090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27235 Treat thigh fracture A 12.68 9.72NA 9.72 2.64 25.04 25.040090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27236 Treat thigh fracture A 17.17 11.85NA 11.85 3.61 32.63 32.630090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27238 Treat thigh fracture A 5.61 6.88NA 6.88 1.21 13.70 13.700090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27240 Treat thigh fracture A 13.46 10.50NA 10.50 2.93 26.89 26.890090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27244 Treat thigh fracture A 17.73 12.09NA 12.09 3.75 33.57 33.570090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27245 Treat thigh fracture A 17.73 12.04NA 12.04 3.71 33.48 33.480090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27246 Treat thigh fracture A 4.71 7.09 5.58 1.01 12.81 11.300090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27248 Treat thigh fracture A 10.51 7.81NA 7.81 2.21 20.53 20.530090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27250 Treat hip dislocation A 3.72 0.61NA 0.61 0.90 5.23 5.230000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 27252 Treat hip dislocation A 10.75 8.40NA 8.40 2.36 21.51 21.510090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27253 Treat hip dislocation A 13.24 9.97NA 9.97 2.83 26.04 26.040090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27254 Treat hip dislocation A 18.47 12.24NA 12.24 3.93 34.64 34.640090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27256 Treat hip dislocation A 4.17 6.87 2.62 1.05 12.09 7.840010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 27257 Treat hip dislocation A 5.25 3.50NA 3.50 1.12 9.87 9.870010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 27258 Treat hip dislocation A 15.78 11.38NA 11.38 3.35 30.51 30.510090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27259 Treat hip dislocation A 22.68 14.42NA 14.42 4.83 41.93 41.930090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27265 Treat hip dislocation A 5.11 8.43NA 8.43 1.23 14.77 14.770090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27266 Treat hip dislocation A 7.59 7.49NA 7.49 1.62 16.70 16.700090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27267 Cltx thigh fx A 5.36 6.43NA 6.43 1.12 12.91 12.910090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27268 Cltx thigh fx w/mnpj A 6.94 7.05NA 7.05 1.47 15.46 15.460090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27269 Optx thigh fx A 18.42 11.26NA 11.26 3.89 33.57 33.570090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27275 Manipulation of hip joint A 2.26 2.63NA 2.63 0.46 5.35 5.350010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 27278 Arthrd si jt plmt iartic dev A 7.66 403.30 4.64 0.85 411.81 13.150090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27279 Arthrd si jt plmt tartclr dv A 11.83 8.26NA 8.26 2.62 22.71 22.710090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27280 Arthr si jt opn b1grf instrm A 19.50 12.89NA 12.89 6.04 38.43 38.430090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27282 Arthrodesis symphysis pubis A 11.55 10.03NA 10.03 2.47 24.05 24.050090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 27284 Arthrodesis hip joint A 24.43 13.38NA 13.38 5.19 43.00 43.000090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27286 Arthrd hip jt sbtrchc osteot A 24.54 14.57NA 14.57 5.22 44.33 44.330090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27290 Amputation of leg at hip A 23.94 14.88NA 14.88 5.09 43.91 43.910090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 27295 Amputation of leg at hip A 19.17 10.93NA 10.93 4.24 34.34 34.340090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27299 Unlisted px pelvis/hip joint C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212119 33.4009 090 99 0.00 0.00 0.00
- 27301 Drain thigh/knee lesion A 6.61 13.51 6.47 1.44 21.56 14.520090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27303 Drainage of bone lesion A 8.41 7.93NA 7.93 1.74 18.08 18.080090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27305 Incise thigh tendon & fascia A 6.03 6.62NA 6.62 1.25 13.90 13.900090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27306 Incision of thigh tendon A 4.62 4.64NA 4.64 0.47 9.73 9.730090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27307 Incision of thigh tendons A 5.91 4.78NA 4.78 0.57 11.26 11.260090.10.69.21210109 33.4009 090 99 0.00 0.00 0.00
- 27310 Exploration of knee joint A 9.75 8.83NA 8.83 2.05 20.63 20.630090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27323 Biopsy thigh soft tissues A 2.27 5.66 2.15 0.30 8.23 4.720010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 27324 Biopsy thigh soft tissues A 4.91 6.01NA 6.01 1.13 12.05 12.050090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27325 Neurectomy hamstring A 7.02 7.68NA 7.68 1.48 16.18 16.180090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27326 Neurectomy popliteal A 6.31 7.46NA 7.46 1.33 15.10 15.100090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27327 Exc thigh/knee les sc < 3 cm A 3.86 11.42 4.52 0.87 16.15 9.250090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27328 Exc thigh/knee tum deep <5cm A 8.63 7.08NA 7.08 1.96 17.67 17.670090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27329 Resect thigh/knee tum < 5 cm A 15.33 10.11NA 10.11 3.48 28.92 28.920090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27330 Biopsy knee joint lining A 4.98 6.31NA 6.31 1.07 12.36 12.360090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27331 Explore/treat knee joint A 5.87 6.66NA 6.66 1.23 13.76 13.760090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27332 Removal of knee cartilage A 8.25 8.41NA 8.41 1.75 18.41 18.410090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27333 Removal of knee cartilage A 7.36 7.98NA 7.98 1.56 16.90 16.900090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27334 Remove knee joint lining A 8.96 8.60NA 8.60 1.90 19.46 19.460090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27335 Remove knee joint lining A 10.29 9.05NA 9.05 2.19 21.53 21.530090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27337 Exc thigh/knee les sc 3 cm/> A 5.76 5.07NA 5.07 1.39 12.22 12.220090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27339 Exc thigh/knee tum dep 5cm/> A 10.85 8.02NA 8.02 2.52 21.39 21.390090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27340 Removal of kneecap bursa A 4.21 5.98NA 5.98 0.88 11.07 11.070090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27345 Removal of knee cyst A 5.94 6.82NA 6.82 1.26 14.02 14.020090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27347 Remove knee cyst A 6.56 7.31NA 7.31 1.34 15.21 15.210090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27350 Removal of kneecap A 8.44 8.37NA 8.37 1.76 18.57 18.570090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27355 Remove femur lesion A 7.80 7.85NA 7.85 1.64 17.29 17.290090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27356 Remove femur lesion/graft A 9.84 8.93NA 8.93 2.09 20.86 20.860090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27357 Remove femur lesion/graft A 10.88 9.76NA 9.76 2.31 22.95 22.950090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27358 Remove femur lesion/fixation A 4.61 1.47NA 1.47 1.00 7.08 7.080ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 27360 Partial removal leg bone(s) A 11.17 12.10NA 12.10 2.38 25.65 25.650090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27364 Resect thigh/knee tum 5 cm/> A 23.88 13.61NA 13.61 5.34 42.83 42.830090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27365 Resect femur/knee tumor A 31.40 16.89NA 16.89 6.71 55.00 55.000090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27369 Njx cntrst kne arthg/ct/mri A 0.75 4.61 0.19 0.08 5.44 1.020000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 27372 Removal of foreign body A 5.08 12.98 5.57 1.07 19.13 11.720090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27380 Repair of kneecap tendon A 7.26 9.14NA 9.14 1.50 17.90 17.900090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27381 Repair/graft kneecap tendon A 10.49 10.53NA 10.53 2.19 23.21 23.210090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27385 Repair of thigh muscle A 6.76 9.49NA 9.49 1.37 17.62 17.620090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27386 Repair/graft of thigh muscle A 10.85 11.10NA 11.10 2.22 24.17 24.170090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27390 Incision of thigh tendon A 5.39 6.16NA 6.16 1.05 12.60 12.600090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27391 Incision of thigh tendons A 7.30 7.70NA 7.70 1.52 16.52 16.520090.10.69.21200109 33.4009 090 99 0.00 0.00 0.00
- 27392 Incision of thigh tendons A 9.39 8.78NA 8.78 2.00 20.17 20.170090.10.69.21222109 33.4009 090 99 0.00 0.00 0.00
- 27393 Lengthening of thigh tendon A 6.43 6.58NA 6.58 1.27 14.28 14.280090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27394 Lengthening of thigh tendons A 8.57 8.15NA 8.15 1.82 18.54 18.540090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 27395 Lengthening of thigh tendons A 11.93 10.15NA 10.15 2.54 24.62 24.620090.10.69.21222109 33.4009 090 99 0.00 0.00 0.00
- 27396 Transplant of thigh tendon A 7.95 7.98NA 7.98 1.69 17.62 17.620090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27397 Transplants of thigh tendons A 12.34 10.68NA 10.68 2.62 25.64 25.640090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27400 Revise thigh muscles/tendons A 9.10 8.69NA 8.69 1.94 19.73 19.730090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27403 Repair of knee cartilage A 8.40 8.12NA 8.12 1.76 18.28 18.280090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27405 Repair of knee ligament A 8.85 8.43NA 8.43 1.80 19.08 19.080090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27407 Repair of knee ligament A 10.58 9.57NA 9.57 2.25 22.40 22.400090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27409 Repair of knee ligaments A 13.37 10.61NA 10.61 2.85 26.83 26.830090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27412 Autochondrocyte implant knee A 24.12 15.50NA 15.50 5.13 44.75 44.750090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27415 Osteochondral knee allograft A 19.50 14.03NA 14.03 4.15 37.68 37.680090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27416 Osteochondral knee autograft A 13.81 10.27NA 10.27 2.94 27.02 27.020090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27418 Repair degenerated kneecap A 11.31 9.28NA 9.28 2.26 22.85 22.850090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27420 Revision of unstable kneecap A 10.00 8.98NA 8.98 2.13 21.11 21.110090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27422 Revision of unstable kneecap A 9.95 8.89NA 8.89 2.08 20.92 20.920090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27424 Revision/removal of kneecap A 9.98 8.97NA 8.97 2.13 21.08 21.080090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27425 Lat retinacular release open A 5.26 6.89NA 6.89 1.11 13.26 13.260090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27427 Reconstruction knee A 9.55 8.42NA 8.42 1.87 19.84 19.840090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27428 Reconstruction knee A 15.19 12.73NA 12.73 3.23 31.15 31.150090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27429 Reconstruction knee A 17.10 14.35NA 14.35 3.64 35.09 35.090090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27430 Revision of thigh muscles A 9.91 8.92NA 8.92 2.10 20.93 20.930090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27435 Incision of knee joint A 10.61 9.95NA 9.95 2.21 22.77 22.770090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27437 Revise kneecap A 8.71 8.16NA 8.16 1.84 18.71 18.710090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27438 Revise kneecap with implant A 11.59 9.39NA 9.39 2.43 23.41 23.410090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27440 Revision of knee joint A 10.81 9.21NA 9.21 2.31 22.33 22.330090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27441 Revision of knee joint A 11.25 9.36NA 9.36 2.40 23.01 23.010090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27442 Revision of knee joint A 12.06 9.51NA 9.51 2.53 24.10 24.100090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27443 Revision of knee joint A 11.12 9.32NA 9.32 2.37 22.81 22.810090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27446 Revision of knee joint A 16.70 11.13NA 11.13 3.53 31.36 31.360090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27447 Total knee arthroplasty A 19.11 11.58NA 11.58 4.02 34.71 34.710090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27448 Incision of thigh A 11.31 9.11NA 9.11 2.41 22.83 22.830090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27450 Incision of thigh A 14.24 10.63NA 10.63 2.93 27.80 27.800090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27454 Realignment of thigh bone A 18.69 12.70NA 12.70 3.98 35.37 35.370090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27455 Realignment of knee A 13.03 10.93NA 10.93 2.77 26.73 26.730090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27457 Realignment of knee A 13.68 9.76NA 9.76 2.91 26.35 26.350090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27458 Osteot femur imed lngth dev A 26.65 20.06NA 20.06 5.13 51.84 51.840090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27465 Shortening of thigh bone A 20.60 13.74NA 13.74 4.39 38.73 38.730090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27466 Lengthening of thigh bone A 22.08 14.21NA 14.21 4.71 41.00 41.000090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27470 Repair of thigh A 16.71 12.23NA 12.23 3.55 32.49 32.490090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27472 Repair/graft of thigh A 18.25 12.48NA 12.48 3.88 34.61 34.610090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27475 Surgery to stop leg growth A 8.71 8.22NA 8.22 1.85 18.78 18.780090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27477 Surgery to stop leg growth A 9.89 8.59NA 8.59 2.10 20.58 20.580090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27479 Surgery to stop leg growth A 12.83 9.87NA 9.87 2.73 25.43 25.430090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27485 Surgery to stop leg growth A 8.90 8.16NA 8.16 1.90 18.96 18.960090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27486 Revise/replace knee joint A 20.59 13.23NA 13.23 4.35 38.17 38.170090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27487 Revise/replace knee joint A 26.43 15.11NA 15.11 5.60 47.14 47.140090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27488 Removal of knee prosthesis A 17.16 12.14NA 12.14 3.63 32.93 32.930090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27495 Reinforce thigh A 16.13 11.45NA 11.45 3.43 31.01 31.010090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27496 Decompression of thigh/knee A 6.61 7.89NA 7.89 1.40 15.90 15.900090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27497 Decompression of thigh/knee A 7.60 7.30NA 7.30 1.62 16.52 16.520090.10.69.21210209 33.4009 090 99 0.00 0.00 0.00
- 27498 Decompression of thigh/knee A 8.44 8.48NA 8.48 1.79 18.71 18.710090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27499 Decompression of thigh/knee A 9.19 8.72NA 8.72 1.96 19.87 19.870090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27500 Treatment of thigh fracture A 6.14 9.75 6.47 1.31 17.20 13.920090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27501 Treatment of thigh fracture A 6.29 8.87 6.75 1.32 16.48 14.360090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27502 Treatment of thigh fracture A 11.08 8.93NA 8.93 2.52 22.53 22.530090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27503 Treatment of thigh fracture A 10.99 9.12NA 9.12 2.36 22.47 22.470090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27506 Treatment of thigh fracture A 19.16 13.43NA 13.43 4.03 36.62 36.620090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27507 Treatment of thigh fracture A 14.12 9.34NA 9.34 2.99 26.45 26.450090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27508 Treatment of thigh fracture A 6.05 10.08 7.30 1.28 17.41 14.630090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27509 Treatment of thigh fracture A 7.94 9.94NA 9.94 1.66 19.54 19.540090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27510 Treatment of thigh fracture A 9.56 8.45NA 8.45 2.13 20.14 20.140090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27511 Treatment of thigh fracture A 14.73 9.13NA 9.13 3.11 26.97 26.970090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27513 Treatment of thigh fracture A 18.77 10.41NA 10.41 3.96 33.14 33.140090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27514 Treatment of thigh fracture A 14.24 8.96NA 8.96 3.00 26.20 26.200090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27516 Treat thigh fx growth plate A 5.45 10.54 7.68 1.17 17.16 14.300090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27517 Treat thigh fx growth plate A 8.89 8.78NA 8.78 1.90 19.57 19.570090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27519 Treat thigh fx growth plate A 12.92 8.61NA 8.61 2.75 24.28 24.280090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27520 Treat kneecap fracture A 2.96 7.50 5.74 0.61 11.07 9.310090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27524 Treat kneecap fracture A 10.11 8.89NA 8.89 2.11 21.11 21.110090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27530 Treat knee fracture A 2.58 7.34 5.90 0.53 10.45 9.010090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27532 Treat knee fracture A 7.36 11.43 7.74 1.54 20.33 16.640090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27535 Treat knee fracture A 13.07 8.59NA 8.59 2.75 24.41 24.410090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27536 Treat knee fracture A 16.96 12.10NA 12.10 3.60 32.66 32.660090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27538 Treat knee fracture(s) A 4.96 10.11 7.47 1.06 16.13 13.490090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27540 Treat knee fracture A 11.02 9.48NA 9.48 2.33 22.83 22.830090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27550 Treat knee dislocation A 5.83 11.35 8.50 1.33 18.51 15.660090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27552 Treat knee dislocation A 7.98 8.49NA 8.49 1.68 18.15 18.150090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27556 Treat knee dislocation A 12.68 8.53NA 8.53 2.70 23.91 23.910090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27557 Treat knee dislocation A 15.50 9.43NA 9.43 3.31 28.24 28.240090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27558 Treat knee dislocation A 17.93 10.20NA 10.20 3.83 31.96 31.960090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27560 Treat kneecap dislocation A 3.89 9.17 7.12 0.91 13.97 11.920090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27562 Treat kneecap dislocation A 5.83 7.18NA 7.18 1.25 14.26 14.260090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27566 Treat kneecap dislocation A 12.39 9.73NA 9.73 2.63 24.75 24.750090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27570 Fixation of knee joint A 1.75 2.37NA 2.37 0.37 4.49 4.490010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 27580 Fusion of knee A 20.57 15.63NA 15.63 4.36 40.56 40.560090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27590 Amputate leg at thigh A 13.13 5.19NA 5.19 3.27 21.59 21.590090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27591 Amputate leg at thigh A 13.59 10.12NA 10.12 2.91 26.62 26.620090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27592 Amputate leg at thigh A 10.71 5.49NA 5.49 2.61 18.81 18.810090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27594 Amputation follow-up surgery A 7.11 5.53NA 5.53 1.67 14.31 14.310090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27596 Amputation follow-up surgery A 11.01 6.11NA 6.11 2.64 19.76 19.760090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27598 Amputate lower leg at knee A 10.94 5.71NA 5.71 2.67 19.32 19.320090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27599 Unlisted px femur/knee C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212119 33.4009 090 99 0.00 0.00 0.00
- 27600 Decompression of lower leg A 5.88 4.15NA 4.15 1.22 11.25 11.250090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27601 Decompression of lower leg A 5.90 5.50NA 5.50 1.12 12.52 12.520090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27602 Decompression of lower leg A 7.62 3.79NA 3.79 1.88 13.29 13.290090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27603 Drain lower leg lesion A 5.10 10.29 5.10 0.92 16.31 11.120090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27604 Drain lower leg bursa A 4.48 9.00 4.18 0.82 14.30 9.480090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27605 Incision of achilles tendon A 2.85 6.96 2.06 0.28 10.09 5.190010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 27606 Incision of achilles tendon A 4.08 2.90NA 2.90 0.65 7.63 7.630010.10.80.10211109 33.4009 090 99 0.00 0.00 0.00
- 27607 Treat lower leg bone lesion A 8.40 6.93NA 6.93 1.65 16.98 16.980090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27610 Explore/treat ankle joint A 8.90 7.71NA 7.71 1.64 18.25 18.250090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27612 Exploration of ankle joint A 7.95 7.01NA 7.01 1.25 16.21 16.210090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27613 Biopsy lower leg soft tissue A 2.16 5.32 2.03 0.33 7.81 4.520010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 27614 Biopsy lower leg soft tissue A 5.66 11.69 5.15 0.92 18.27 11.730090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27615 Resect leg/ankle tum < 5 cm A 15.33 9.61NA 9.61 3.29 28.23 28.230090.10.69.21210109 33.4009 090 99 0.00 0.00 0.00
- 27616 Resect leg/ankle tum 5 cm/> A 19.14 11.38NA 11.38 4.17 34.69 34.690090.10.69.21210109 33.4009 090 99 0.00 0.00 0.00
- 27618 Exc leg/ankle tum < 3 cm A 3.86 10.88 4.29 0.78 15.52 8.930090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27619 Exc leg/ankle tum deep <5 cm A 6.74 5.19NA 5.19 1.13 13.06 13.060090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27620 Explore/treat ankle joint A 6.00 6.01NA 6.01 1.03 13.04 13.040090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27625 Remove ankle joint lining A 8.28 6.79NA 6.79 1.34 16.41 16.410090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27626 Remove ankle joint lining A 8.87 6.69NA 6.69 1.33 16.89 16.890090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27630 Removal of tendon lesion A 4.82 11.44 4.84 0.72 16.98 10.380090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27632 Exc leg/ankle les sc 3 cm/> A 5.76 4.79NA 4.79 1.22 11.77 11.770090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27634 Exc leg/ankle tum dep 5 cm/> A 9.88 6.86NA 6.86 1.92 18.66 18.660090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27635 Remove lower leg bone lesion A 7.83 7.12NA 7.12 1.39 16.34 16.340090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27637 Remove/graft leg bone lesion A 10.05 9.14NA 9.14 2.00 21.19 21.190090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27638 Remove/graft leg bone lesion A 10.72 8.26NA 8.26 1.94 20.92 20.920090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27640 Partial removal of tibia A 11.93 8.90NA 8.90 2.18 23.01 23.010090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27641 Partial removal of fibula A 9.59 7.13NA 7.13 1.54 18.26 18.260090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27645 Resect tibia tumor A 26.53 15.41NA 15.41 5.64 47.58 47.580090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27646 Resect fibula tumor A 22.63 14.16NA 14.16 4.82 41.61 41.610090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27647 Resect talus/calcaneus tum A 19.75 5.73NA 5.73 1.68 27.16 27.160090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27648 Injection for ankle x-ray A 0.94 5.11 0.23 0.14 6.19 1.310000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 27650 Repair achilles tendon A 8.98 8.26NA 8.26 1.45 18.69 18.690090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27652 Repair/graft achilles tendon A 10.51 6.56NA 6.56 1.39 18.46 18.460090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27654 Repair of achilles tendon A 10.27 8.35NA 8.35 1.62 20.24 20.240090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27656 Repair leg fascia defect A 4.59 10.72 4.41 0.61 15.92 9.610090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27658 Repair of leg tendon each A 4.99 4.94NA 4.94 0.76 10.69 10.690090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 27659 Repair of leg tendon each A 6.92 5.46NA 5.46 0.99 13.37 13.370090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 27664 Repair of leg tendon each A 4.61 4.98NA 4.98 0.71 10.30 10.300090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 27665 Repair of leg tendon each A 5.43 5.66NA 5.66 0.87 11.96 11.960090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 27675 Repair lower leg tendons A 7.17 5.81NA 5.81 1.07 14.05 14.050090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27676 Repair lower leg tendons A 8.51 7.20NA 7.20 1.48 17.19 17.190090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27680 Release of lower leg tendon A 5.73 5.54NA 5.54 0.96 12.23 12.230090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 27681 Release of lower leg tendons A 6.87 6.55NA 6.55 1.24 14.66 14.660090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27685 Revision of lower leg tendon A 6.52 12.97 5.84 0.92 20.41 13.280090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27686 Revise lower leg tendons A 7.56 6.28NA 6.28 1.22 15.06 15.060090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27687 Revision of calf tendon A 6.25 5.77NA 5.77 0.98 13.00 13.000090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27690 Revise lower leg tendon A 8.94 7.91NA 7.91 1.36 18.21 18.210090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27691 Revise lower leg tendon A 10.23 9.04NA 9.04 1.76 21.03 21.030090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27692 Revise additional leg tendon A 1.82 0.51NA 0.51 0.35 2.68 2.680ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 27695 Repair of ankle ligament A 6.53 6.34NA 6.34 1.07 13.94 13.940090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27696 Repair of ankle ligaments A 8.37 5.79NA 5.79 1.12 15.28 15.280090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27698 Repair of ankle ligament A 9.37 7.00NA 7.00 1.50 17.87 17.870090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27700 Revision of ankle joint A 9.42 8.62NA 8.62 2.00 20.04 20.040090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27702 Reconstruct ankle joint A 14.06 9.80NA 9.80 2.64 26.50 26.500090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27703 Reconstruction ankle joint A 16.52 10.82NA 10.82 3.13 30.47 30.470090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27704 Removal of ankle implant A 7.61 6.93NA 6.93 1.31 15.85 15.850090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27705 Osteotomy tibia A 10.59 8.19NA 8.19 1.96 20.74 20.740090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27707 Osteotomy fibula A 4.66 6.20NA 6.20 0.89 11.75 11.750090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27709 Osteotomy tibia & fibula A 17.04 11.06NA 11.06 3.37 31.47 31.470090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27712 Osteot mlt relignmt imed rod A 15.47 11.68NA 11.68 3.29 30.44 30.440090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27713 Osteot tibia imed lngth dev A 28.00 19.31NA 19.31 5.20 52.51 52.510090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27715 Ostpl tibfib lngth/shrt A 21.94 14.16NA 14.16 4.68 40.78 40.780090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27720 Repair of tibia A 12.05 9.83NA 9.83 2.41 24.29 24.290090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27722 Repair/graft of tibia A 12.14 10.22NA 10.22 2.59 24.95 24.950090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27724 Repair/graft of tibia A 18.83 11.18NA 11.18 3.96 33.97 33.970090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27725 Repair of lower leg A 16.97 13.06NA 13.06 3.61 33.64 33.640090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27726 Repair fibula nonunion A 13.98 9.46NA 9.46 2.76 26.20 26.200090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27727 Repair of lower leg A 14.47 11.15NA 11.15 3.06 28.68 28.680090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27730 Repair of tibia epiphysis A 7.51 7.68NA 7.68 1.61 16.80 16.800090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27732 Repair of fibula epiphysis A 5.32 6.77NA 6.77 1.14 13.23 13.230090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27734 Repair lower leg epiphyses A 8.61 8.19NA 8.19 1.83 18.63 18.630090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27740 Repair of leg epiphyses A 9.37 8.62NA 8.62 1.99 19.98 19.980090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27742 Repair of leg epiphyses A 10.36 9.31NA 9.31 2.20 21.87 21.870090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27745 Reinforce tibia A 10.23 8.18NA 8.18 1.91 20.32 20.320090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27750 Treatment of tibia fracture A 3.29 7.87 6.02 0.68 11.84 9.990090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27752 Treatment of tibia fracture A 6.11 10.76 7.54 1.34 18.21 14.990090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27756 Treatment of tibia fracture A 7.26 8.11NA 8.11 1.53 16.90 16.900090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27758 Treatment of tibia fracture A 12.23 10.15NA 10.15 2.57 24.95 24.950090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27759 Treatment of tibia fracture A 14.09 10.43NA 10.43 2.97 27.49 27.490090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27760 Cltx medial ankle fx A 3.13 7.55 5.85 0.59 11.27 9.570090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27762 Cltx med ankle fx w/mnpj A 5.33 11.10 8.15 1.21 17.64 14.690090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27766 Optx medial ankle fx A 7.69 8.18NA 8.18 1.49 17.36 17.360090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27767 Cltx post ankle fx A 2.57 6.58 5.95 0.48 9.63 9.000090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27768 Cltx post ankle fx w/mnpj A 5.01 7.16NA 7.16 1.07 13.24 13.240090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27769 Optx post ankle fx A 9.89 8.37NA 8.37 1.97 20.23 20.230090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27780 Treatment of fibula fracture A 2.76 7.26 5.60 0.56 10.58 8.920090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27781 Treatment of fibula fracture A 4.48 9.28 6.80 0.93 14.69 12.210090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27784 Treatment of fibula fracture A 9.43 8.86NA 8.86 1.86 20.15 20.150090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27786 Treatment of ankle fracture A 2.94 7.00 5.31 0.54 10.48 8.790090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27788 Treatment of ankle fracture A 4.52 9.42 6.89 0.99 14.93 12.400090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27792 Treatment of ankle fracture A 8.53 8.06NA 8.06 1.61 18.20 18.200090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27808 Treatment of ankle fracture A 2.95 7.92 6.05 0.58 11.45 9.580090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27810 Treatment of ankle fracture A 5.19 10.47 7.54 1.17 16.83 13.900090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27814 Treatment of ankle fracture A 10.35 9.00NA 9.00 2.04 21.39 21.390090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27816 Treatment of ankle fracture A 2.99 7.83 5.78 0.62 11.44 9.390090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27818 Treatment of ankle fracture A 5.55 10.71 7.46 1.25 17.51 14.260090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27822 Treatment of ankle fracture A 10.93 11.67NA 11.67 2.14 24.74 24.740090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27823 Treatment of ankle fracture A 12.83 12.28NA 12.28 2.53 27.64 27.640090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27824 Treat lower leg fracture A 3.23 6.80 5.63 0.65 10.68 9.510090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27825 Treat lower leg fracture A 6.52 10.22 6.47 1.35 18.09 14.340090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27826 Treat lower leg fracture A 10.82 11.43NA 11.43 2.09 24.34 24.340090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27827 Treat lower leg fracture A 14.42 14.17NA 14.17 2.94 31.53 31.530090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27828 Treat lower leg fracture A 17.97 15.22NA 15.22 3.64 36.83 36.830090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27829 Treat lower leg joint A 8.58 9.94NA 9.94 1.63 20.15 20.150090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 27830 Treat lower leg dislocation A 3.86 8.34 6.11 0.83 13.03 10.800090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27831 Treat lower leg dislocation A 4.61 6.45NA 6.45 1.00 12.06 12.060090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27832 Treat lower leg dislocation A 9.92 9.43NA 9.43 2.11 21.46 21.460090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27840 Treat ankle dislocation A 4.65 7.83NA 7.83 1.08 13.56 13.560090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27842 Treat ankle dislocation A 6.30 7.09NA 7.09 1.31 14.70 14.700090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27846 Treat ankle dislocation A 10.02 8.28NA 8.28 1.91 20.21 20.210090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27848 Treat ankle dislocation A 11.39 8.55NA 8.55 2.15 22.09 22.090090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27860 Fixation of ankle joint A 2.33 1.95NA 1.95 0.35 4.63 4.630010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 27870 Fusion of ankle joint open A 15.02 10.07NA 10.07 2.69 27.78 27.780090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27871 Fusion of tibiofibular joint A 9.30 8.22NA 8.22 1.85 19.37 19.370090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27880 Amputation of lower leg A 14.99 5.97NA 5.97 3.67 24.63 24.630090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27881 Amputation of lower leg A 13.13 6.41NA 6.41 3.18 22.72 22.720090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27882 Amputation of lower leg A 9.55 4.61NA 4.61 2.38 16.54 16.540090.10.69.21210109 33.4009 090 99 0.00 0.00 0.00
- 27884 Amputation follow-up surgery A 8.54 5.81NA 5.81 2.05 16.40 16.400090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 27886 Amputation follow-up surgery A 9.77 5.89NA 5.89 2.36 18.02 18.020090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27888 Amputation of foot at ankle A 10.11 3.27NA 3.27 2.58 15.96 15.960090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 27889 Ankle disarticulation A 10.59 5.00NA 5.00 2.30 17.89 17.890090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 27892 Decompression of leg A 7.74 6.14NA 6.14 1.63 15.51 15.510090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27893 Decompression of leg A 7.70 8.25NA 8.25 1.64 17.59 17.590090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 27894 Decompression of leg A 12.35 7.53NA 7.53 2.79 22.67 22.670090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 27899 Unlisted px leg/ankle C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210119 33.4009 090 99 0.00 0.00 0.00
- 28001 Drainage of bursa of foot A 1.95 2.88 0.47 0.18 5.01 2.600000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 28002 Treatment of foot infection A 2.72 4.28 0.84 0.25 7.25 3.810000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 28003 Treatment of foot infection A 5.15 5.49 1.22 0.54 11.18 6.910000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 28005 Treat foot bone lesion A 9.20 5.85NA 5.85 0.96 16.01 16.010090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28008 Incision of foot fascia A 4.48 7.73 3.36 0.43 12.64 8.270090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28010 Incision of toe tendon A 2.90 3.89 2.77 0.26 7.05 5.930090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28011 Incision of toe tendons A 4.17 5.02 3.34 0.41 9.60 7.920090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28020 Exploration of foot joint A 5.02 11.16 4.79 0.70 16.88 10.510090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 28022 Exploration of foot joint A 4.69 9.66 4.16 0.55 14.90 9.400090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28024 Exploration of toe joint A 4.41 9.27 4.02 0.49 14.17 8.920090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28035 Decompression of tibia nerve A 5.10 10.57 4.53 0.66 16.33 10.290090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28039 Exc foot/toe tum sc 1.5 cm/> A 5.28 8.40 3.57 0.59 14.27 9.440090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 28041 Exc foot/toe tum dep 1.5cm/> A 6.95 4.83NA 4.83 0.83 12.61 12.610090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28043 Exc foot/toe tum sc < 1.5 cm A 3.86 7.18 3.15 0.40 11.44 7.410090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28045 Exc foot/toe tum deep <1.5cm A 5.31 8.67 4.01 0.54 14.52 9.860090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28046 Resect foot/toe tumor < 3 cm A 12.07 6.28NA 6.28 1.46 19.81 19.810090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28047 Resect foot/toe tumor 3 cm/> A 17.01 8.94NA 8.94 2.71 28.66 28.660090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28050 Biopsy of foot joint lining A 4.28 7.54 3.23 0.37 12.19 7.880090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28052 Biopsy of foot joint lining A 3.96 7.10 2.95 0.35 11.41 7.260090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28054 Biopsy of toe joint lining A 3.48 6.94 2.89 0.29 10.71 6.660090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28055 Neurectomy foot A 6.13 4.31NA 4.31 0.69 11.13 11.130090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28060 Partial removal foot fascia A 5.27 9.84 4.41 0.61 15.72 10.290090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28062 Removal of foot fascia A 6.52 10.40 4.32 0.66 17.58 11.500090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28070 Removal of foot joint lining A 5.11 9.84 4.14 0.57 15.52 9.820090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28072 Removal of foot joint lining A 4.60 9.89 4.20 0.55 15.04 9.350090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28080 Removal of foot lesion A 4.74 11.10 5.78 0.55 16.39 11.070090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 28086 Excise foot tendon sheath A 4.80 10.73 4.60 0.65 16.18 10.050090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28088 Excise foot tendon sheath A 3.88 10.04 4.16 0.50 14.42 8.540090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28090 Removal of foot lesion A 4.44 9.13 3.90 0.48 14.05 8.820090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28092 Removal of toe lesions A 3.69 8.57 3.73 0.39 12.65 7.810090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28100 Removal of ankle/heel lesion A 5.68 12.75 5.51 0.89 19.32 12.080090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28102 Remove/graft foot lesion A 7.72 8.10NA 8.10 1.64 17.46 17.460090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 28103 Remove/graft foot lesion A 6.50 3.78NA 3.78 0.55 10.83 10.830090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 28104 Removal of foot lesion A 5.13 10.42 4.39 0.64 16.19 10.160090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 28106 Remove/graft foot lesion A 7.17 4.11NA 4.11 0.60 11.88 11.880090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 28107 Remove/graft foot lesion A 5.59 8.84 3.67 0.47 14.90 9.730090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 28108 Removal of toe lesions A 4.19 8.30 3.60 0.42 12.91 8.210090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28110 Part removal of metatarsal A 4.11 9.42 3.88 0.46 13.99 8.450090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28111 Part removal of metatarsal A 5.02 8.59 3.48 0.55 14.16 9.050090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28112 Part removal of metatarsal A 4.51 9.43 3.89 0.49 14.43 8.890090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28113 Part removal of metatarsal A 5.96 10.94 5.61 0.60 17.50 12.170090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28114 Removal of metatarsal heads A 11.70 19.94 10.49 1.69 33.33 23.880090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28116 Revision of foot A 8.91 10.42 4.87 0.76 20.09 14.540090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28118 Removal of heel bone A 5.98 12.08 5.31 0.86 18.92 12.150090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28119 Removal of heel spur A 5.42 9.87 4.35 0.59 15.88 10.360090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28120 Part removal of ankle/heel A 7.13 12.47 5.94 0.96 20.56 14.030090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28122 Partial removal of foot bone A 6.59 10.60 5.13 0.75 17.94 12.470090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28124 Partial removal of toe A 4.88 8.85 4.17 0.47 14.20 9.520090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28126 Partial removal of toe A 3.55 7.66 3.20 0.38 11.59 7.130090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28130 Removal of ankle bone A 9.26 7.28NA 7.28 1.39 17.93 17.930090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28140 Removal of metatarsal A 6.96 8.97 4.01 0.89 16.82 11.860090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 28150 Removal of toe A 4.12 7.85 3.40 0.43 12.40 7.950090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28153 Partial removal of toe A 3.71 7.86 3.44 0.36 11.93 7.510090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28160 Partial removal of toe A 3.78 8.01 3.48 0.39 12.18 7.650090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28171 Resect tarsal tumor A 16.00 10.91NA 10.91 3.40 30.31 30.310090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 28173 Resect metatarsal tumor A 13.81 4.93NA 4.93 1.19 19.93 19.930090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 28175 Resect phalanx of toe tumor A 8.08 4.32NA 4.32 0.68 13.08 13.080090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 28190 Removal of foot foreign body A 1.96 5.00 1.65 0.21 7.17 3.820010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 28192 Removal of foot foreign body A 4.66 8.56 3.67 0.46 13.68 8.790090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28193 Removal of foot foreign body A 5.75 9.02 3.93 0.53 15.30 10.210090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28200 Repair of foot tendon A 4.62 9.92 4.19 0.56 15.10 9.370090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 28202 Repair/graft of foot tendon A 6.89 10.58 4.54 0.75 18.22 12.180090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 28208 Repair of foot tendon A 4.40 9.96 4.31 0.56 14.92 9.270090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 28210 Repair/graft of foot tendon A 6.36 10.76 4.76 0.78 17.90 11.900090.10.69.21202009 33.4009 090 99 0.00 0.00 0.00
- 28220 Release of foot tendon A 4.55 8.38 3.65 0.44 13.37 8.640090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28222 Release of foot tendons A 5.62 10.03 4.21 0.62 16.27 10.450090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28225 Release of foot tendon A 3.69 8.21 3.44 0.39 12.29 7.520090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28226 Release of foot tendons A 4.55 14.39 6.17 0.98 19.92 11.700090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28230 Incision of foot tendon(s) A 4.25 8.21 3.40 0.43 12.89 8.080090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28232 Incision of toe tendon A 3.42 7.44 3.16 0.34 11.20 6.920090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28234 Incision of foot tendon A 3.45 8.51 3.99 0.37 12.33 7.810090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28238 Revision of foot tendon A 7.76 11.81 5.04 0.95 20.52 13.750090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28240 Release of big toe A 4.37 8.37 3.48 0.44 13.18 8.290090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28250 Revision of foot fascia A 5.91 11.20 4.84 0.83 17.94 11.580090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28260 Release of midfoot joint A 7.99 13.47 6.01 1.24 22.70 15.240090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28261 Revision of foot tendon A 12.78 18.67 8.56 2.19 33.64 23.530090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28262 Revision of foot and ankle A 16.78 24.34 10.97 3.20 44.32 30.950090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28264 Release of midfoot joint A 10.38 16.62 7.46 1.73 28.73 19.570090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 28270 Release of foot contracture A 4.81 9.32 4.21 0.50 14.63 9.520090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28272 Release of toe joint each A 3.82 7.12 3.00 0.35 11.29 7.170090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28280 Fusion of toes A 5.20 9.17 3.90 0.54 14.91 9.640090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28285 Repair of hammertoe A 5.48 10.32 5.00 0.62 16.42 11.100090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28286 Repair of hammertoe A 4.58 7.90 3.34 0.40 12.88 8.320090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28288 Partial removal of foot bone A 5.87 11.73 5.92 0.68 18.28 12.470090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28289 Corrj halux rigdus w/o implt A 6.73 13.47 5.57 0.84 21.04 13.140090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28291 Corrj halux rigdus w/implt A 7.81 11.54 4.73 0.72 20.07 13.260090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28292 Cor hlx vlgs rsc prx phlx bs A 7.25 13.02 5.74 0.78 21.05 13.770090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28295 Cor hlx vlgs prx mtar osteot A 8.36 22.31 7.27 1.22 31.89 16.850090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28296 Cor hlx vlgs dstl mtar osteo A 8.04 17.59 5.64 0.82 26.45 14.500090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28297 Cor hlx vlgs jt arthrd A 9.06 20.68 6.64 1.12 30.86 16.820090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28298 Cor hlx vlgs prx phlx osteot A 7.56 17.21 5.92 0.99 25.76 14.470090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28299 Cor hlx vlgs double osteot A 9.06 20.84 6.68 1.13 31.03 16.870090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28300 Incision of heel bone A 9.49 7.20NA 7.20 1.61 18.30 18.300090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28302 Incision of ankle bone A 9.50 8.66NA 8.66 2.02 20.18 20.180090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28304 Incision of midfoot bones A 9.17 15.47 6.78 1.46 26.10 17.410090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28305 Incise/graft midfoot bones A 10.50 6.70NA 6.70 1.52 18.72 18.720090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28306 Incision of metatarsal A 5.85 12.14 4.88 0.82 18.81 11.550090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28307 Incision of metatarsal A 6.34 17.61 7.21 1.34 25.29 14.890090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28308 Incision of metatarsal A 5.34 11.51 5.11 0.68 17.53 11.130090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28309 Incision of metatarsals A 13.81 8.96NA 8.96 2.25 25.02 25.020090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28310 Revision of big toe A 5.43 10.82 4.37 0.67 16.92 10.470090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28312 Revision of toe A 4.57 12.55 5.09 0.72 17.84 10.380090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 28313 Repair deformity of toe A 5.02 10.62 4.66 0.70 16.34 10.380090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28315 Removal of sesamoid bone A 4.88 8.99 3.89 0.54 14.41 9.310090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28320 Repair of foot bones A 9.14 6.77NA 6.77 1.39 17.30 17.300090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28322 Repair of metatarsals A 8.32 14.74 6.55 1.31 24.37 16.180090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 28340 Resect enlarged toe tissue A 6.97 9.12 3.84 0.59 16.68 11.400090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28341 Resect enlarged toe A 8.50 10.18 4.27 0.72 19.40 13.490090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28344 Repair extra toe(s) A 4.29 7.62 3.24 0.37 12.28 7.900090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28345 Repair webbed toe(s) A 5.94 8.62 3.71 0.49 15.05 10.140090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 28360 Reconstruct cleft foot A 14.55 13.05NA 13.05 3.09 30.69 30.690090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 28400 Cltx calcaneal fx w/o mnpj A 2.25 5.50 4.39 0.37 8.12 7.010090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28405 Cltx calcaneal fx w/mnpj A 4.62 9.41 6.35 1.00 15.03 11.970090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28406 Prq skel fix clcnl fx w/mnpj A 6.40 8.84NA 8.84 1.21 16.45 16.450090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28415 Optx calcaneal fracture A 15.79 12.90NA 12.90 2.71 31.40 31.400090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28420 Optx calcaneal fx w/bone grf A 17.08 15.48NA 15.48 3.63 36.19 36.190090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28430 Cltx talus fracture w/o mnpj A 2.16 5.43 3.96 0.37 7.96 6.490090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28435 Cltx talus fracture w/mnpj A 3.45 8.21 5.67 0.73 12.39 9.850090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28436 Prq skel fix talus fx w/mnpj A 4.78 9.07NA 9.07 1.03 14.88 14.880090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28445 Optx talus fracture A 15.37 11.08NA 11.08 2.78 29.23 29.230090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28446 Opn osteochondrl agrft talus A 17.27 12.76NA 12.76 3.67 33.70 33.700090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28450 Tx tarsal b1 fx w/o mnpj ea A 1.98 4.67 3.56 0.28 6.93 5.820090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28455 Tx tarsal b1 fx w/mnpj each A 3.16 4.37 3.20 0.26 7.79 6.620090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 28456 Prq skel fix tarsl fx w/mnpj A 2.79 8.10NA 8.10 0.59 11.48 11.480090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28465 Optx tarsal bone fx each A 8.58 8.61NA 8.61 1.36 18.55 18.550090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28470 Cltx metatarsal fx wo mnp ea A 1.98 4.83 3.98 0.29 7.10 6.250090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28475 Cltx metatarsal fx w/mnpj ea A 2.93 4.94 3.40 0.39 8.26 6.720090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28476 Prq skel fix metar fx w/mnpj A 3.51 7.55NA 7.55 0.55 11.61 11.610090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 28485 Optx metatarsal fx each A 7.25 7.96NA 7.96 1.02 16.23 16.230090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 28490 Treat big toe fracture A 1.14 3.44 2.65 0.17 4.75 3.960090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28495 Treat big toe fracture A 1.64 4.02 2.78 0.20 5.86 4.620090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28496 Treat big toe fracture A 2.42 13.50 5.49 0.50 16.42 8.410090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28505 Treat big toe fracture A 7.25 11.81 5.89 0.95 20.01 14.090090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 28510 Treatment of toe fracture A 1.14 2.63 2.45 0.15 3.92 3.740090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28515 Treatment of toe fracture A 1.52 3.52 2.64 0.18 5.22 4.340090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28525 Treat toe fracture A 5.48 11.00 5.38 0.69 17.17 11.550090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 28530 Treat sesamoid bone fracture A 1.08 2.50 1.89 0.12 3.70 3.090090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28531 Treat sesamoid bone fracture A 2.51 6.96 2.51 0.21 9.68 5.230090.10.69.21211209 33.4009 090 99 0.00 0.00 0.00
- 28540 Treat foot dislocation A 2.14 3.64 2.80 0.18 5.96 5.120090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28545 Treat foot dislocation A 2.54 7.33 5.23 0.53 10.40 8.300090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28546 Treat foot dislocation A 3.32 15.07 6.69 0.70 19.09 10.710090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28555 Repair foot dislocation A 9.41 15.57 7.42 1.49 26.47 18.320090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28570 Treat foot dislocation A 1.72 5.91 4.05 0.37 8.00 6.140090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28575 Treat foot dislocation A 3.40 8.53 6.11 0.72 12.65 10.230090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28576 Treat foot dislocation A 4.49 6.12NA 6.12 0.96 11.57 11.570090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28585 Repair foot dislocation A 10.85 16.05 7.87 1.51 28.41 20.230090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28600 Treat foot dislocation A 1.97 3.56 2.59 0.17 5.70 4.730090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 28605 Treat foot dislocation A 2.82 8.08 5.94 0.59 11.49 9.350090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 28606 Treat foot dislocation A 4.96 5.71NA 5.71 0.92 11.59 11.590090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28615 Repair foot dislocation A 10.43 11.48NA 11.48 1.84 23.75 23.750090.10.69.21202109 33.4009 090 99 0.00 0.00 0.00
- 28630 Treat toe dislocation A 1.71 3.14 1.32 0.29 5.14 3.320010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 28635 Treat toe dislocation A 1.91 3.10 1.55 0.22 5.23 3.680010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 28636 Treat toe dislocation A 2.70 8.35 3.24 0.57 11.62 6.510010.10.80.10201209 33.4009 090 99 0.00 0.00 0.00
- 28645 Repair toe dislocation A 7.25 11.80 5.66 0.90 19.95 13.810090.10.69.21201109 33.4009 090 99 0.00 0.00 0.00
- 28660 Treat toe dislocation A 1.25 2.97 1.52 0.25 4.47 3.020010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 28665 Treat toe dislocation A 1.92 2.53 1.48 0.19 4.64 3.590010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 28666 Treat toe dislocation A 2.59 2.11NA 2.11 0.21 4.91 4.910010.10.80.10201209 33.4009 090 99 0.00 0.00 0.00
- 28675 Repair of toe dislocation A 5.48 11.42 5.62 0.70 17.60 11.800090.10.69.21201009 33.4009 090 99 0.00 0.00 0.00
- 28705 Arthrodesis pantalar A 19.82 10.20NA 10.20 3.11 33.13 33.130090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28715 Arthrodesis triple A 13.08 11.02NA 11.02 2.36 26.46 26.460090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28725 Arthrodesis subtalar A 10.94 9.04NA 9.04 1.85 21.83 21.830090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28730 Fusion of foot bones A 10.43 8.26NA 8.26 1.62 20.31 20.310090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28735 Fusion of foot bones A 11.92 8.07NA 8.07 1.82 21.81 21.810090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28737 Revision of foot bones A 10.75 6.83NA 6.83 1.34 18.92 18.920090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28740 Fusion of foot bones A 9.06 15.05 6.94 1.29 25.40 17.290090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28750 Fusion of big toe joint A 8.53 21.44 6.36 1.17 31.14 16.060090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28755 Fusion of big toe joint A 7.31 19.27 5.77 0.91 27.49 13.990090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28760 Fusion of big toe joint A 8.91 13.51 6.11 1.05 23.47 16.070090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28800 Amputation of midfoot A 8.57 5.12NA 5.12 1.02 14.71 14.710090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 28805 Amputation thru metatarsal A 12.39 5.49NA 5.49 1.56 19.44 19.440090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 28810 Amputation toe & metatarsal A 6.47 4.45NA 4.45 0.96 11.88 11.880090.10.69.21200009 33.4009 090 99 0.00 0.00 0.00
- 28820 Amputation of toe A 3.42 5.06 1.00 0.42 8.90 4.840000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 28825 Partial amputation of toe A 3.32 4.97 0.97 0.39 8.68 4.680000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 28890 Hi enrgy eswt plantar fascia A 3.36 5.45 2.51 0.29 9.10 6.160090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 28899 Unlisted px foot/toes C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 29000 Appl halo type body cast A 2.19 10.81 3.19 0.92 13.92 6.300000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 29010 Appl risser jacket body only A 2.01 7.06 2.15 0.43 9.50 4.590000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 29015 Appl rissr jacket bdy w/head A 2.35 7.28 2.26 0.48 10.11 5.090000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 29035 Appl body cast sho to hips A 1.73 6.88 2.06 0.37 8.98 4.160000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 29040 Appl bdy cst sho to hip head A 2.16 7.55 2.33 0.45 10.16 4.940000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 29044 Appl bdy cst sho to hip 1thi A 2.07 7.50 2.30 0.43 10.00 4.800000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 29046 Appl bdy cst sho to hip b th A 2.35 8.07 2.52 0.48 10.90 5.350000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 29049 Appl cast figure-of-eight A 0.87 2.35 0.95 0.19 3.41 2.010000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 29055 Appl cast shoulder spica A 1.74 5.62 1.82 0.37 7.73 3.930000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 29058 Appl cast plaster velpeau A 1.28 2.60 1.08 0.26 4.14 2.620000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 29065 Appl cst sho to hand lng arm A 0.85 2.22 0.91 0.17 3.24 1.930000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29075 Appl cst elbw fngr short arm A 0.75 2.03 0.87 0.14 2.92 1.760000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29085 Appl cast hand&lwr forearm A 0.85 2.19 0.89 0.16 3.20 1.900000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29086 Application cast finger A 0.60 1.82 0.73 0.05 2.47 1.380000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29105 Application long arm splint A 0.78 1.96 0.18 0.17 2.91 1.130000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29125 Appl short arm splint static A 0.49 1.79 0.65 0.09 2.37 1.230000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29126 Appl short arm splint dyn A 0.66 1.81 0.61 0.09 2.56 1.360000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29130 Appl finger splint static A 0.49 0.81 0.20 0.08 1.38 0.770000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29131 Appl finger splint dynamic A 0.54 1.16 0.31 0.08 1.78 0.930000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29200 Strapping thorax A 0.38 0.55 0.07 0.01 0.94 0.460000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 29240 Strapping of shoulder A 0.38 0.47 0.07 0.01 0.86 0.460000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29260 Strapping of elbow or wrist A 0.38 0.46 0.07 0.02 0.86 0.470000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29280 Strapping of hand or finger A 0.38 0.48 0.09 0.04 0.90 0.510000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29305 Appl hip spica cast 1 leg A 1.98 6.12 2.14 0.42 8.52 4.540000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 29325 Appl hip spica cast1&1/2 A 2.26 6.65 2.31 0.47 9.38 5.040000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 29345 Application of long leg cast A 1.37 2.83 1.11 0.26 4.46 2.740000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29355 Appl long leg cast walker A 1.49 2.86 1.13 0.28 4.63 2.900000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29358 Appl long leg cast brace A 1.39 3.80 1.19 0.29 5.48 2.870000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29365 Appl cylinder cast A 1.15 2.78 1.08 0.23 4.16 2.460000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29405 Appl short leg cast A 0.78 1.72 0.76 0.13 2.63 1.670000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29425 Appl short leg cast walking A 0.78 1.55 0.66 0.09 2.42 1.530000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29435 Appl patllr tdn bearing cast A 1.15 2.78 1.04 0.24 4.17 2.430000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29440 Adding walker to prev cast A 0.56 0.71 0.16 0.05 1.32 0.770000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29445 Appl rigid tot cntc leg cast A 1.74 2.02 0.77 0.20 3.96 2.710000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29450 Application clubfoot cast A 2.03 2.12 0.75 0.21 4.36 2.990000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29505 Application long leg splint A 0.67 2.48 0.84 0.13 3.28 1.640000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29515 Application short leg splint A 0.71 1.64 0.66 0.12 2.47 1.490000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29520 Strapping of hip A 0.38 0.65 0.07 0.01 1.04 0.460000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 29530 Strapping of knee A 0.38 0.47 0.07 0.01 0.86 0.460000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29540 Strapping ankle &/foot A 0.38 0.43 0.05 0.03 0.84 0.460000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29550 Strapping of toes A 0.24 0.32 0.03 0.02 0.58 0.290000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29580 Strapping unna boot A 0.54 1.28 0.09 0.07 1.89 0.700000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29581 Appl multlayer cmprn sys leg A 0.59 1.90 0.09 0.01 2.50 0.690000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 29584 Appl mltlay cmprn sys up arm A 0.34 1.88 0.05 0.01 2.23 0.400000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 29700 Rmvl/bivlv gauntlet boot/cst A 0.56 1.42 0.25 0.09 2.07 0.900000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 29705 Rmvl/bivlv full arm/leg cast A 0.74 1.21 0.35 0.13 2.08 1.220000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 29710 Rmvl/bivlv sho/hip spica A 1.31 2.51 0.59 0.27 4.09 2.170000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 29720 Repair spica body cst/jacket A 0.66 2.14 0.36 0.14 2.94 1.160000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 29730 Windowing of cast A 0.73 1.16 0.31 0.12 2.01 1.160000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 29740 Wedging of cast A 1.09 1.97 0.50 0.22 3.28 1.810000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 29750 Wedging of clubfoot cast A 1.23 2.05 0.54 0.25 3.53 2.020000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 29799 Unlisted px casting/strpg C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 29800 Jaw arthroscopy/surgery A 6.67 7.14NA 7.14 1.42 15.23 15.230090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 29804 Jaw arthroscopy/surgery A 8.65 6.43NA 6.43 1.14 16.22 16.220090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 29805 Sho arthrs dx +- synovial bx A 5.88 6.35NA 6.35 1.21 13.44 13.440090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 29806 Sho arthrs srg capsulorraphy A 14.76 11.35NA 11.35 3.02 29.13 29.130090.10.69.21311109 29805 33.4009 090 99 0.00 0.00 0.00
- 29807 Sho arthrs srg rpr slap les A 14.30 11.27NA 11.27 2.93 28.50 28.500090.10.69.21311109 29805 33.4009 090 99 0.00 0.00 0.00
- 29819 Sho arthrs srg rmvl loose/fb A 7.60 7.37NA 7.37 1.50 16.47 16.470090.10.69.21311109 29805 33.4009 090 99 0.00 0.00 0.00
- 29820 Sho arthrs srg prtl synvct A 7.03 6.64NA 6.64 1.35 15.02 15.020090.10.69.21312109 29805 33.4009 090 99 0.00 0.00 0.00
- 29821 Sho arthrs srg compl synvct A 7.69 7.46NA 7.46 1.54 16.69 16.690090.10.69.21312109 29805 33.4009 090 99 0.00 0.00 0.00
- 29822 Sho arthrs srg lmtd dbrdmt A 6.85 7.19NA 7.19 1.41 15.45 15.450090.10.69.21312009 29805 33.4009 090 99 0.00 0.00 0.00
- 29823 Sho arthrs srg xtnsv dbrdmt A 7.78 7.39NA 7.39 1.56 16.73 16.730090.10.69.21312109 29805 33.4009 090 99 0.00 0.00 0.00
- 29824 Sho arthrs srg dstl claviclc A 8.76 8.61NA 8.61 1.76 19.13 19.130090.10.69.21312109 29805 33.4009 090 99 0.00 0.00 0.00
- 29825 Sho arthrs srg lss&rescj ads A 7.60 7.45NA 7.45 1.52 16.57 16.570090.10.69.21312109 29805 33.4009 090 99 0.00 0.00 0.00
- 29826 Sho arthrs srg decompression A 2.93 0.91NA 0.91 0.58 4.42 4.420ZZZ.00.00.00012109 33.4009 090 99 0.00 0.00 0.00
- 29827 Sho arthrs srg rt8tr cuf rpr A 15.20 10.98NA 10.98 3.05 29.23 29.230090.10.69.21312109 29805 33.4009 090 99 0.00 0.00 0.00
- 29828 Sho arthrs srg bicp tenodsis A 12.83 9.85NA 9.85 2.58 25.26 25.260090.10.69.21312109 29805 33.4009 090 99 0.00 0.00 0.00
- 29830 Elbow arthroscopy A 5.73 6.19NA 6.19 1.23 13.15 13.150090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 29834 Elbow arthroscopy/surgery A 6.26 6.51NA 6.51 1.26 14.03 14.030090.10.69.21312109 29830 33.4009 090 99 0.00 0.00 0.00
- 29835 Elbow arthroscopy/surgery A 6.45 6.77NA 6.77 1.36 14.58 14.580090.10.69.21312109 29830 33.4009 090 99 0.00 0.00 0.00
- 29836 Elbow arthroscopy/surgery A 7.53 7.43NA 7.43 1.45 16.41 16.410090.10.69.21312109 29830 33.4009 090 99 0.00 0.00 0.00
- 29837 Elbow arthroscopy/surgery A 6.83 6.89NA 6.89 1.45 15.17 15.170090.10.69.21312109 29830 33.4009 090 99 0.00 0.00 0.00
- 29838 Elbow arthroscopy/surgery A 7.68 7.50NA 7.50 1.54 16.72 16.720090.10.69.21310009 29830 33.4009 090 99 0.00 0.00 0.00
- 29840 Wrist arthroscopy A 5.54 6.48NA 6.48 1.19 13.21 13.210090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 29843 Wrist arthroscopy/surgery A 6.00 6.78NA 6.78 1.28 14.06 14.060090.10.69.21312109 29840 33.4009 090 99 0.00 0.00 0.00
- 29844 Wrist arthroscopy/surgery A 6.35 6.50NA 6.50 1.25 14.10 14.100090.10.69.21312009 29840 33.4009 090 99 0.00 0.00 0.00
- 29845 Wrist arthroscopy/surgery A 7.50 7.42NA 7.42 1.45 16.37 16.370090.10.69.21312109 29840 33.4009 090 99 0.00 0.00 0.00
- 29846 Wrist arthroscopy/surgery A 6.72 6.60NA 6.60 1.29 14.61 14.610090.10.69.21310009 29840 33.4009 090 99 0.00 0.00 0.00
- 29847 Wrist arthroscopy/surgery A 7.04 6.95NA 6.95 1.49 15.48 15.480090.10.69.21312009 29840 33.4009 090 99 0.00 0.00 0.00
- 29848 Wrist endoscopy/surgery A 6.23 7.10NA 7.10 1.21 14.54 14.540090.10.69.21211009 33.4009 090 99 0.00 0.00 0.00
- 29850 Knee arthroscopy/surgery A 8.06 8.00NA 8.00 1.71 17.77 17.770090.10.69.21210209 33.4009 090 99 0.00 0.00 0.00
- 29851 Knee arthroscopy/surgery A 12.93 10.12NA 10.12 2.75 25.80 25.800090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 29855 Tibial arthroscopy/surgery A 10.49 9.20NA 9.20 2.16 21.85 21.850090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 29856 Tibial arthroscopy/surgery A 13.92 10.59NA 10.59 2.97 27.48 27.480090.10.69.21212209 33.4009 090 99 0.00 0.00 0.00
- 29860 Hip arthroscopy dx A 8.78 7.95NA 7.95 1.69 18.42 18.420090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 29861 Hip arthro w/fb removal A 9.85 8.01NA 8.01 1.82 19.68 19.680090.10.69.21312109 29860 33.4009 090 99 0.00 0.00 0.00
- 29862 Hip arthr0 w/debridement A 10.89 9.69NA 9.69 2.17 22.75 22.750090.10.69.21312109 29860 33.4009 090 99 0.00 0.00 0.00
- 29863 Hip arthr0 w/synovectomy A 10.89 9.66NA 9.66 2.12 22.67 22.670090.10.69.21312109 29860 33.4009 090 99 0.00 0.00 0.00
- 29866 Autgrft implnt knee w/scope A 14.30 11.98NA 11.98 3.04 29.32 29.320090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 29867 Allgrft implnt knee w/scope A 17.93 13.53NA 13.53 3.83 35.29 35.290090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 29868 Meniscal trnspl knee w/scpe A 24.47 15.62NA 15.62 5.19 45.28 45.280090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 29870 Arthrs knee dx w/wo syn bx A 5.06 11.96 5.88 1.03 18.05 11.970090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 29871 Arthrs knee surg for infctj A 6.52 6.84NA 6.84 1.35 14.71 14.710090.10.69.21311009 29870 33.4009 090 99 0.00 0.00 0.00
- 29873 Arthrs knee surg w/lat rls A 6.08 8.26NA 8.26 1.26 15.60 15.600090.10.69.21311109 29870 33.4009 090 99 0.00 0.00 0.00
- 29874 Arthrs knee surg rmv loos/fb A 7.01 6.72NA 6.72 1.42 15.15 15.150090.10.69.21310009 29870 33.4009 090 99 0.00 0.00 0.00
- 29875 Arthrs knee surg synvct lmtd A 6.29 6.60NA 6.60 1.31 14.20 14.200090.10.69.21310009 29870 33.4009 090 99 0.00 0.00 0.00
- 29876 Arthrs knee surg synvct maj A 8.65 7.99NA 7.99 1.77 18.41 18.410090.10.69.21311009 29870 33.4009 090 99 0.00 0.00 0.00
- 29877 Arthrs knee surg dbrdmt/shvg A 8.09 7.82NA 7.82 1.66 17.57 17.570090.10.69.21310009 29870 33.4009 090 99 0.00 0.00 0.00
- 29879 Arthrs kne srg abrasj arthrp A 8.77 8.07NA 8.07 1.82 18.66 18.660090.10.69.21310009 29870 33.4009 090 99 0.00 0.00 0.00
- 29880 Arthrs kne srg mnisectmy m&l A 7.21 7.28NA 7.28 1.47 15.96 15.960090.10.69.21310109 29870 33.4009 090 99 0.00 0.00 0.00
- 29881 Arthrs kne srg mnisectmy m/l A 6.85 7.19NA 7.19 1.40 15.44 15.440090.10.69.21310009 29870 33.4009 090 99 0.00 0.00 0.00
- 29882 Arthrs kne srg mnisc rpr m/l A 9.36 8.00NA 8.00 1.86 19.22 19.220090.10.69.21311009 29870 33.4009 090 99 0.00 0.00 0.00
- 29883 Arthrs kne srg mnisc rpr m&l A 11.48 9.64NA 9.64 2.41 23.53 23.530090.10.69.21310009 29870 33.4009 090 99 0.00 0.00 0.00
- 29884 Arthrs knee surg lysis ads A 8.07 7.82NA 7.82 1.66 17.55 17.550090.10.69.21312109 29870 33.4009 090 99 0.00 0.00 0.00
- 29885 Arthrs kne srg drlg ost diss A 9.95 9.26NA 9.26 2.12 21.33 21.330090.10.69.21312109 29870 33.4009 090 99 0.00 0.00 0.00
- 29886 Arthrs knee surg drlg od les A 8.28 8.07NA 8.07 1.76 18.11 18.110090.10.69.21311009 29870 33.4009 090 99 0.00 0.00 0.00
- 29887 Arthrs knee srg drlg od fixj A 9.91 9.25NA 9.25 2.11 21.27 21.270090.10.69.21312109 29870 33.4009 090 99 0.00 0.00 0.00
- 29888 Arthrs aid acl rpr/agmntj A 13.94 9.95NA 9.95 2.74 26.63 26.630090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 29889 Arthrs aid pcl rpr/agmntj A 16.97 13.32NA 13.32 3.61 33.90 33.900090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 29891 Arthr ank ostchn df tal&/tib A 9.43 7.98NA 7.98 1.57 18.98 18.980090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 29892 Arthrs aid rpr od les/tib fx A 10.01 6.62NA 6.62 1.26 17.89 17.890090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 29893 Endoscopic plantr fasciotomy A 6.16 13.20 5.79 0.56 19.92 12.510090.10.69.21211109 33.4009 090 99 0.00 0.00 0.00
- 29894 Ankle arthroscopy/surgery A 7.17 5.85NA 5.85 1.20 14.22 14.220090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 29895 Ankle arthroscopy/surgery A 6.95 5.04NA 5.04 0.99 12.98 12.980090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 29897 Ankle arthroscopy/surgery A 7.14 5.62NA 5.62 1.16 13.92 13.920090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 29898 Ankle arthroscopy/surgery A 8.28 6.14NA 6.14 1.26 15.68 15.680090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 29899 Ankle arthroscopy/surgery A 15.02 9.86NA 9.86 2.70 27.58 27.580090.10.69.21212109 33.4009 090 99 0.00 0.00 0.00
- 29900 Mcp joint arthroscopy dx A 5.73 7.83NA 7.83 1.23 14.79 14.790090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 29901 Mcp joint arthroscopy surg A 6.43 7.90NA 7.90 1.35 15.68 15.680090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 29902 Mcp joint arthroscopy surg A 6.98 8.08NA 8.08 1.48 16.54 16.540090.10.69.21210009 33.4009 090 99 0.00 0.00 0.00
- 29904 Subtalar arthro w/fb rmvl A 8.43 7.82NA 7.82 1.78 18.03 18.030090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 29905 Subtalar arthro w/exc A 8.95 4.57NA 4.57 0.78 14.30 14.300090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 29906 Subtalar arthro w/deb A 9.41 7.74NA 7.74 1.59 18.74 18.740090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 29907 Subtalar arthro w/fusion A 11.88 10.14NA 10.14 2.53 24.55 24.550090.10.69.21212009 33.4009 090 99 0.00 0.00 0.00
- 29914 Hip arthro w/femoroplasty A 14.30 10.27NA 10.27 2.83 27.40 27.400090.10.69.21312109 29860 33.4009 090 99 0.00 0.00 0.00
- 29915 Hip arthro acetabuloplasty A 14.63 10.37NA 10.37 2.91 27.91 27.910090.10.69.21312109 29860 33.4009 090 99 0.00 0.00 0.00
- 29916 Hip arthro w/labral repair A 14.63 10.33NA 10.33 2.90 27.86 27.860090.10.69.21312109 29860 33.4009 090 99 0.00 0.00 0.00
- 29999 Unlisted px arthroscopy C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00210119 33.4009 090 99 0.00 0.00 0.0030000’s
| HCPCS Code | Modifier | Short Description | Proc Stat. | PCTC | Not Used for Medicare | Work RVU | NA Flag for Trans Non-FAC PE RVU | Transitioned Non-FAC PE RVU | NA Flag for Fully IMP Non-FAC PE RVU | Fully Implemented Non-FAC PE RVU | NA Flag for Trans Facility PE RVU | Transitioned Facility PE RVU | NA Flag for Fully IMP FAC PE RVU | Fully Implemented Facility PE RVU | MP RVU | Non-FAC PE Used for OPPS PMT AMT | Facility PE Used for OPPS PMT AMT | Malpractice Used for OPPS PMT AMT |
- 30000 Drainage of nose lesion A 1.44 6.18 1.66 0.21 7.83 3.310010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 30020 Drainage of nose lesion A 1.44 6.35 1.69 0.21 8.00 3.340010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 3006F Cxr doc rev I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3008F Body mass index docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30100 Intranasal biopsy A 0.92 3.18 0.78 0.13 4.23 1.830000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 30110 Removal of nose polyp(s) A 1.64 5.52 1.72 0.23 7.39 3.590010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 30115 Removal of nose polyp(s) A 4.33 8.03NA 8.03 0.62 12.98 12.980090.10.76.14211009 33.4009 090 99 0.00 0.00 0.00
- 30117 Removal of intranasal lesion A 3.81 24.13 6.85 0.55 28.49 11.210090.10.76.14201009 33.4009 090 99 0.00 0.00 0.00
- 30118 Removal of intranasal lesion A 7.56 10.38NA 10.38 1.11 19.05 19.050090.10.76.14201109 33.4009 090 99 0.00 0.00 0.00
- 3011F Lipid panel doc rev I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30120 Revision of nose A 5.26 9.52 5.20 0.75 15.53 11.210090.10.76.14201009 33.4009 090 99 0.00 0.00 0.00
- 30124 Removal of nose lesion A 3.12 4.80NA 4.80 0.45 8.37 8.370090.10.76.14201009 33.4009 090 99 0.00 0.00 0.00
- 30125 Removal of nose lesion A 7.12 9.52NA 9.52 1.05 17.69 17.690090.10.76.14202009 33.4009 090 99 0.00 0.00 0.00
- 30130 Excise inferior turbinate A 3.38 7.91NA 7.91 0.48 11.77 11.770090.10.76.14211009 33.4009 090 99 0.00 0.00 0.00
- 30140 Resect inferior turbinate A 2.93 5.44 1.23 0.43 8.80 4.590000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 3014F Screen mammo doc rev I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30150 Rhinectomy partial A 9.31 10.76NA 10.76 1.41 21.48 21.480090.10.76.14201109 33.4009 090 99 0.00 0.00 0.00
- 3015F Cerv cancer screen docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30160 Rhinectomy total A 9.74 10.64NA 10.64 1.42 21.80 21.800090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 3016F Pt scrnd unhlthy oh use I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3017F Colorectal ca screen doc rev M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3018F Pre-prxd rsk et al docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3019F Lvef assess planpost dschrge I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30200 Injection treatment of nose A 0.76 2.47 0.75 0.11 3.34 1.620000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 3020F Lvf assess I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30210 Nasal sinus therapy A 1.10 3.41 1.64 0.15 4.66 2.890010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 3021F Lvef mod/sever deprs syst I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30220 Insert nasal septal button A 1.55 7.19 1.70 0.22 8.96 3.470010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 3022F Lvef >=40% systolic M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3023F Spirom doc rev I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3025F Spirom fev/fvc <70% w/copd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3027F Spirom fev/fvc>=70%/w/ocopd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3028F O2 saturation doc rev I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30300 Remove nasal foreign body A 1.06 5.15 2.24 0.16 6.37 3.460010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 30310 Remove nasal foreign body A 1.96 3.46NA 3.46 0.28 5.70 5.700010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 30320 Remove nasal foreign body A 4.52 8.40NA 8.40 0.65 13.57 13.570090.10.76.14200009 33.4009 090 99 0.00 0.00 0.00
- 3035F O2 saturation<=88%/pao<=55 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3037F O2 saturation >88%/pao>55 hg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3038F Pulm fx w/in 12 mon b/4 surg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30400 Reconstruction of nose R 10.59 23.26NA 23.26 1.96 35.81 35.810090.10.76.14200009 33.4009 090 99 0.00 0.00 0.00
- 3040F Fev <40% predicted value I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30410 Reconstruction of nose R 13.65 24.37NA 24.37 2.53 40.55 40.550090.10.76.14202009 33.4009 090 99 0.00 0.00 0.00
- 30420 Reconstruction of nose R 16.48 20.31NA 20.31 2.50 39.29 39.290090.10.76.14201009 33.4009 090 99 0.00 0.00 0.00
- 3042F Fev >=40% predicted value I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30430 Revision of nose R 8.03 22.32NA 22.32 1.48 31.83 31.830090.10.76.14202009 33.4009 090 99 0.00 0.00 0.00
- 30435 Revision of nose R 12.41 23.92NA 23.92 2.31 38.64 38.640090.10.76.14202009 33.4009 090 99 0.00 0.00 0.00
- 3044F Hg a1c level lt 7.0% I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30450 Revision of nose R 19.17 26.39NA 26.39 3.56 49.12 49.120090.10.76.14202009 33.4009 090 99 0.00 0.00 0.00
- 30460 Revision of nose A 10.06 11.05NA 11.05 1.87 22.98 22.980090.10.76.14202209 33.4009 090 99 0.00 0.00 0.00
- 30462 Revision of nose A 19.77 20.32NA 20.32 3.67 43.76 43.760090.10.76.14202209 33.4009 090 99 0.00 0.00 0.00
- 30465 Repair nasal stenosis A 12.05 13.79NA 13.79 1.79 27.63 27.630090.10.76.14200009 33.4009 090 99 0.00 0.00 0.00
- 30468 Rpr nsl vlv collapse w/implt A 2.73 68.55 1.23 0.40 71.68 4.360000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 30469 Rpr nsl vlv collapse w/rmdlg A 2.38 66.80 1.14 0.36 69.54 3.880000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 3046F Hemoglobin a1c level >9.0% I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3048F Ldl-c <100 mg/dl I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3049F Ldl-c 100-129 mg/dl I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3050F Ldl-c >= 130 mg/dl I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3051F Hg a1c>equal 7.0%<8.0% I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30520 Repair of nasal septum A 6.83 10.52NA 10.52 1.01 18.36 18.360090.10.76.14201009 33.4009 090 99 0.00 0.00 0.00
- 3052F Hg a1c>equal 8.0%<equal 9.0% I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30540 Rpr choanal atresia ntranasl A 7.72 11.29NA 11.29 1.13 20.14 20.140090.10.76.14202009 33.4009 090 99 0.00 0.00 0.00
- 30545 Rpr choanal atresia trsnpltn A 11.33 14.03NA 14.03 1.65 27.01 27.010090.10.76.14202009 33.4009 090 99 0.00 0.00 0.00
- 3055F Lvef less than/equal to 35% I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30560 Lysis intranasal synechia A 1.28 7.97 2.71 0.19 9.44 4.180010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 3056F Lvef greater than 35% I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30580 Repair upper jaw fistula A 6.71 11.16 5.00 0.86 18.73 12.570090.10.76.14201009 33.4009 090 99 0.00 0.00 0.00
- 30600 Repair mouth/nose fistula A 6.01 11.28 4.67 0.86 18.15 11.540090.10.76.14200009 33.4009 090 99 0.00 0.00 0.00
- 3060F Pos microalbuminuria rev I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3061F Neg microalbuminuria rev I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30620 Intranasal reconstruction A 6.01 11.60NA 11.60 0.88 18.49 18.490090.10.76.14201009 33.4009 090 99 0.00 0.00 0.00
- 3062F Pos macroalbuminuria rev I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30630 Repair nasal septum defect A 7.11 10.02NA 10.02 1.07 18.20 18.200090.10.76.14200009 33.4009 090 99 0.00 0.00 0.00
- 3066F Nephropathy doc tx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3072F Low risk for retinopathy M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3073F Pre-surg eye measures docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3074F Syst bp lt 130 mm hg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3075F Syst bp ge 130 - 139mm hg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3077F Syst bp >= 140 mm hg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3078F Diast bp <80 mm hg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3079F Diast bp 80-89 mm hg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30801 Ablate inf turbinate superf A 1.11 5.28 2.93 0.16 6.55 4.200010.10.80.10221009 33.4009 090 99 0.00 0.00 0.00
- 30802 Ablate inf turbinate submuc A 2.03 6.02 3.17 0.29 8.34 5.490010.10.80.10221009 33.4009 090 99 0.00 0.00 0.00
- 3080F Diast bp >= 90 mm hg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3082F Kt/v <1.2 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3083F Kt/v =/> 1.2 & <1.7 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3084F Kt/v >= 1.7 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3085F Suicide risk assessed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3088F Mdd mild I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3089F Mdd moderate I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30901 Control of nosebleed A 1.07 3.70 0.23 0.19 4.96 1.490000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 30903 Control of nosebleed A 1.50 6.18 0.31 0.28 7.96 2.090000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 30905 Control of nosebleed A 1.92 9.53 0.66 0.39 11.84 2.970000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 30906 Repeat control of nosebleed A 2.39 9.37 0.75 0.43 12.19 3.570000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 3090F Mdd severe w/o psych I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30915 Ligation nasal sinus artery A 7.25 7.87NA 7.87 1.07 16.19 16.190090.10.76.14201009 33.4009 090 99 0.00 0.00 0.00
- 3091F Mdd severe w/psych I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30920 Ligation upper jaw artery A 10.86 10.79NA 10.79 1.58 23.23 23.230090.10.76.14201009 33.4009 090 99 0.00 0.00 0.00
- 3092F Mdd in remission I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30930 Ther fx nasal inf turbinate A 1.28 1.80NA 1.80 0.18 3.26 3.260010.10.80.10221009 33.4009 090 99 0.00 0.00 0.00
- 3093F Doc new diag 1st/addl mdd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3095F Central dexa results docd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3096F Central dexa ordered I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 30999 Unlisted procedure nose C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 31000 Irrigation maxillary sinus A 1.17 4.30 1.73 0.16 5.63 3.060010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 31002 Irrigation sphenoid sinus A 1.91 2.91NA 2.91 0.19 5.01 5.010010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 3100F Image test ref carot diam I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 31020 Exploration maxillary sinus A 2.99 9.57 6.43 0.37 12.93 9.790090.10.76.14211009 33.4009 090 99 0.00 0.00 0.00
- 31030 Exploration maxillary sinus A 5.86 12.89 7.56 0.78 19.53 14.200090.10.76.14211009 33.4009 090 99 0.00 0.00 0.00
- 31032 Explore sinus remove polyps A 6.52 9.07NA 9.07 0.93 16.52 16.520090.10.76.14211009 33.4009 090 99 0.00 0.00 0.00
- 31040 Exploration behind upper jaw A 9.53 10.65NA 10.65 1.43 21.61 21.610090.10.76.14211109 33.4009 090 99 0.00 0.00 0.00
- 31050 Exploration sphenoid sinus A 5.24 8.26NA 8.26 0.78 14.28 14.280090.10.76.14211009 33.4009 090 99 0.00 0.00 0.00
- 31051 Sphenoid sinus surgery A 7.07 10.90NA 10.90 1.05 19.02 19.020090.10.76.14211009 33.4009 090 99 0.00 0.00 0.00
- 31070 Exploration of frontal sinus A 4.29 8.35NA 8.35 0.62 13.26 13.260090.10.76.14211009 33.4009 090 99 0.00 0.00 0.00
- 31075 Exploration of frontal sinus A 9.27 11.83NA 11.83 1.34 22.44 22.440090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 31080 Removal of frontal sinus A 12.42 15.20NA 15.20 1.80 29.42 29.420090.10.76.14212009 33.4009 090 99 0.00 0.00 0.00
- 31081 Removal of frontal sinus A 13.84 15.54NA 15.54 2.02 31.40 31.400090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 31084 Removal of frontal sinus A 14.58 15.72NA 15.72 2.13 32.43 32.430090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 31085 Removal of frontal sinus A 15.25 15.89NA 15.89 2.21 33.35 33.350090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 31086 Removal of frontal sinus A 14.00 15.58NA 15.58 2.05 31.63 31.630090.10.76.14212009 33.4009 090 99 0.00 0.00 0.00
- 31087 Removal of frontal sinus A 14.21 13.68NA 13.68 2.07 29.96 29.960090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 31090 Exploration of sinuses A 10.89 17.80NA 17.80 1.59 30.28 30.280090.10.76.14211009 33.4009 090 99 0.00 0.00 0.00
- 3110F Pres/absn hmrhg/lesion docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3111F Ct/mri brain done w/in 24hrs I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3112F Ct/mri brain done 24 hrs I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3115F Quant results activity &symp I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3117F Hf assessment tool completed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3118F Ny heart assoc class docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3119F No eval activity clin symp I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 31200 Removal of ethmoid sinus A 5.01 12.05NA 12.05 0.43 17.49 17.490090.10.76.14211009 33.4009 090 99 0.00 0.00 0.00
- 31201 Removal of ethmoid sinus A 8.39 11.62NA 11.62 1.23 21.24 21.240090.10.76.14211009 33.4009 090 99 0.00 0.00 0.00
- 31205 Removal of ethmoid sinus A 10.32 13.94NA 13.94 0.92 25.18 25.180090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 3120F 12-lead ecg performed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 31225 Removal of upper jaw A 26.03 17.40NA 17.40 3.80 47.23 47.230090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 31230 Removal of upper jaw A 30.05 17.80NA 17.80 4.38 52.23 52.230090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 31231 Nasal endoscopy dx A 1.07 4.56 0.41 0.16 5.79 1.640000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 31233 Nsl/sins ndsc dx max sinusc A 2.13 5.73 1.08 0.30 8.16 3.510000.00.00.00310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31235 Nsl/sins ndsc dx sphn sinusc A 2.57 6.35 1.19 0.37 9.29 4.130000.00.00.00310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31237 Nsl/sins ndsc surg bx polypc A 2.54 5.07 1.23 0.37 7.98 4.140000.00.00.00311009 31231 33.4009 090 99 0.00 0.00 0.00
- 31238 Nsl/sins ndsc srg nsl hemrrg A 2.67 4.73 1.26 0.39 7.79 4.320000.00.00.00310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31239 Nsl/sinus endoscopy surg dcr A 8.81 5.91NA 5.91 0.99 15.71 15.710010.10.80.10310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31240 Nsl/sns ndsc cnch bull rescj A 2.54 1.18NA 1.18 0.37 4.09 4.090000.00.00.00310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31241 Nsl/sns ndsc lig sphnptn art A 7.80 2.23NA 2.23 1.14 11.17 11.170000.00.00.00310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31242 Nsl/sinus ndsc rf abltj pnn A 2.63 68.70 1.02 0.39 71.72 4.040000.00.00.00321009 31231 33.4009 090 99 0.00 0.00 0.00
- 31243 Nsl/sinus ndsc cryoabltj pnn A 2.63 66.62 1.02 0.39 69.64 4.040000.00.00.00321009 31231 33.4009 090 99 0.00 0.00 0.00
- 31253 Nsl/sins ndsc total A 8.78 2.51NA 2.51 1.29 12.58 12.580000.00.00.00311009 31231 33.4009 090 99 0.00 0.00 0.00
- 31254 Nsl/sins ndsc w/prtl ethmdct A 4.16 8.31 1.40 0.60 13.07 6.160000.00.00.00311009 31231 33.4009 090 99 0.00 0.00 0.00
- 31255 Nsl/sins ndsc w/tot ethmdct A 5.61 1.75NA 1.75 0.82 8.18 8.180000.00.00.00311009 31231 33.4009 090 99 0.00 0.00 0.00
- 31256 Exploration maxillary sinus A 3.03 1.11NA 1.11 0.43 4.57 4.570000.00.00.00311009 31231 33.4009 090 99 0.00 0.00 0.00
- 31257 Nsl/sins ndsc tot w/sphendt A 7.80 2.29NA 2.29 1.14 11.23 11.230000.00.00.00311009 31231 33.4009 090 99 0.00 0.00 0.00
- 31259 Nsl/sins ndsc sphn tiss rmvl A 8.27 2.40NA 2.40 1.22 11.89 11.890000.00.00.00311009 31231 33.4009 090 99 0.00 0.00 0.00
- 31267 Endoscopy maxillary sinus A 4.56 1.49NA 1.49 0.66 6.71 6.710000.00.00.00311009 31231 33.4009 090 99 0.00 0.00 0.00
- 3126F Esoph bx rprt w/dyspl info M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 31276 Nsl/sins ndsc frnt tiss rmvl A 6.58 1.98NA 1.98 0.96 9.52 9.520000.00.00.00311009 31231 33.4009 090 99 0.00 0.00 0.00
- 31287 Nasal/sinus endoscopy surg A 3.41 1.21NA 1.21 0.48 5.10 5.100000.00.00.00310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31288 Nasal/sinus endoscopy surg A 4.00 1.35NA 1.35 0.58 5.93 5.930000.00.00.00310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31290 Nasal/sinus endoscopy surg A 18.14 8.73NA 8.73 2.84 29.71 29.710010.10.80.10310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31291 Nasal/sinus endoscopy surg A 19.07 9.50NA 9.50 3.67 32.24 32.240010.10.80.10310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31292 Nsl/sins ndsc med/inf dcmprn A 15.50 7.80NA 7.80 2.28 25.58 25.580010.10.80.10310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31293 Nsl/sins ndsc med&inf dcmprn A 17.03 8.12NA 8.12 2.49 27.64 27.640010.10.80.10310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31294 Nsl/sins ndsc surg on dcmprn A 19.80 8.80NA 8.80 2.90 31.50 31.500010.10.80.10310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31295 Nsl/sins ndsc surg max sins A 2.63 44.21 1.02 0.39 47.23 4.040000.00.00.00312009 31231 33.4009 090 99 0.00 0.00 0.00
- 31296 Nsl/sins ndsc surg frnt sins A 3.02 44.55 1.11 0.43 48.00 4.560000.00.00.00312009 31231 33.4009 090 99 0.00 0.00 0.00
- 31297 Nsl/sins ndsc surg sphn sins A 2.38 44.10 0.96 0.36 46.84 3.700000.00.00.00310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31298 Nsl/sins ndsc surg frnt&sphn A 4.39 83.78 1.45 0.62 88.79 6.460000.00.00.00310009 31231 33.4009 090 99 0.00 0.00 0.00
- 31299 Unlisted px accessory sinus C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 31300 Removal of larynx lesion A 15.51 15.81NA 15.81 2.26 33.58 33.580090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 3130F Upper gi endoscopy performed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3132F Doc ref upper gi endoscopy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 31360 Removal of larynx A 29.16 20.60NA 20.60 4.30 54.06 54.060090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31365 Removal of larynx A 37.84 22.82NA 22.82 5.69 66.35 66.350090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31367 Partial removal of larynx A 29.81 23.39NA 23.39 4.34 57.54 57.540090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31368 Partial removal of larynx A 33.34 25.22NA 25.22 4.87 63.43 63.430090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31370 Partial removal of larynx A 26.88 23.47NA 23.47 3.92 54.27 54.270090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31375 Partial removal of larynx A 25.42 22.56NA 22.56 3.70 51.68 51.680090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31380 Partial removal of larynx A 24.93 22.44NA 22.44 3.63 51.00 51.000090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31382 Partial removal of larynx A 27.86 23.71NA 23.71 4.06 55.63 55.630090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31390 Removal of larynx & pharynx A 41.45 25.28NA 25.28 6.05 72.78 72.780090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31395 Reconstruct larynx & pharynx A 42.71 27.52NA 27.52 6.24 76.47 76.470090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31400 Revision of larynx A 11.31 15.00NA 15.00 1.65 27.96 27.960090.10.76.14202009 33.4009 090 99 0.00 0.00 0.00
- 3140F Upper gi endo shows barrtts I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3141F Upper gi endo not barrtts I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 31420 Epiglottidectomy A 11.14 9.43NA 9.43 1.63 22.20 22.200090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 3142F Barium swallow test ordered I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 31500 Insert emergency airway A 2.93 0.57NA 0.57 0.48 3.98 3.980000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 31502 Change of windpipe airway A 0.63 0.20NA 0.20 0.08 0.91 0.910000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31505 Diagnostic laryngoscopy A 0.59 1.99 0.68 0.07 2.65 1.340000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 3150F Forceps esoph biopsy done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 31510 Laryngoscopy with biopsy A 1.87 4.31 1.02 0.26 6.44 3.150000.00.00.00300009 31505 33.4009 090 99 0.00 0.00 0.00
- 31511 Remove foreign body larynx A 2.11 3.90 1.08 0.30 6.31 3.490000.00.00.00301009 31505 33.4009 090 99 0.00 0.00 0.00
- 31512 Removal of larynx lesion A 2.02 4.18 1.06 0.29 6.49 3.370000.00.00.00300009 31505 33.4009 090 99 0.00 0.00 0.00
- 31513 Injection into vocal cord A 2.05 1.06NA 1.06 0.29 3.40 3.400000.00.00.00300009 31505 33.4009 090 99 0.00 0.00 0.00
- 31515 Laryngoscopy for aspiration A 1.76 4.85 1.02 0.26 6.87 3.040000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31520 Dx laryngoscopy newborn A 2.50 1.17NA 1.17 0.37 4.04 4.040000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 31525 Dx laryngoscopy excl nb A 2.56 4.58 1.18 0.38 7.52 4.120000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31526 Dx laryngoscopy w/oper scope A 2.51 1.17NA 1.17 0.37 4.05 4.050000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31527 Laryngoscopy for treatment A 3.19 1.34NA 1.34 0.46 4.99 4.990000.00.00.00300009 31525 33.4009 090 99 0.00 0.00 0.00
- 31528 Laryngoscopy and dilation A 2.31 1.08NA 1.08 0.35 3.74 3.740000.00.00.00300009 31525 33.4009 090 99 0.00 0.00 0.00
- 31529 Laryngoscopy and dilation A 2.61 1.14NA 1.14 0.38 4.13 4.130000.00.00.00300009 31525 33.4009 090 99 0.00 0.00 0.00
- 31530 Laryngoscopy w/fb removal A 3.30 1.37NA 1.37 0.51 5.18 5.180000.00.00.00301009 31525 33.4009 090 99 0.00 0.00 0.00
- 31531 Laryngoscopy w/fb & op scope A 3.49 1.45NA 1.45 0.50 5.44 5.440000.00.00.00300009 31526 33.4009 090 99 0.00 0.00 0.00
- 31535 Laryngoscopy w/biopsy A 3.08 1.32NA 1.32 0.45 4.85 4.850000.00.00.00301009 31525 33.4009 090 99 0.00 0.00 0.00
- 31536 Laryngoscopy w/bx & op scope A 3.46 1.41NA 1.41 0.49 5.36 5.360000.00.00.00301009 31526 33.4009 090 99 0.00 0.00 0.00
- 31540 Laryngoscopy w/exc of tumor A 4.02 1.55NA 1.55 0.58 6.15 6.150000.00.00.00301009 31525 33.4009 090 99 0.00 0.00 0.00
- 31541 Larynscop w/tumr exc + scope A 4.41 1.64NA 1.64 0.64 6.69 6.690000.00.00.00301009 31526 33.4009 090 99 0.00 0.00 0.00
- 31545 Remove vc lesion w/scope A 6.14 2.11NA 2.11 0.90 9.15 9.150000.00.00.00311009 31526 33.4009 090 99 0.00 0.00 0.00
- 31546 Remove vc lesion scope/graft A 9.49 2.93NA 2.93 1.37 13.79 13.790000.00.00.00311009 31526 33.4009 090 99 0.00 0.00 0.00
- 31551 Laryngoplasty laryngeal sten A 20.96 17.05NA 17.05 3.05 41.06 41.060090.10.76.14200109 33.4009 090 99 0.00 0.00 0.00
- 31552 Laryngoplasty laryngeal sten A 19.99 16.84NA 16.84 2.92 39.75 39.750090.10.76.14200109 33.4009 090 99 0.00 0.00 0.00
- 31553 Laryngoplasty laryngeal sten A 21.45 20.33NA 20.33 3.12 44.90 44.900090.10.76.14200109 33.4009 090 99 0.00 0.00 0.00
- 31554 Laryngoplasty laryngeal sten A 21.45 20.35NA 20.35 3.12 44.92 44.920090.10.76.14200109 33.4009 090 99 0.00 0.00 0.00
- 3155F Cytogen test marrow b/4 tx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 31560 Laryngoscop w/arytenoidectom A 5.31 1.80NA 1.80 0.79 7.90 7.900000.00.00.00300009 31525 33.4009 090 99 0.00 0.00 0.00
- 31561 Larynscop remve cart + scop A 5.84 1.93NA 1.93 0.85 8.62 8.620000.00.00.00300009 31526 33.4009 090 99 0.00 0.00 0.00
- 31570 Laryngoscope w/vc inj A 3.76 5.95 1.52 0.60 10.31 5.880000.00.00.00301009 31525 33.4009 090 99 0.00 0.00 0.00
- 31571 Laryngoscop w/vc inj + scope A 4.15 1.58NA 1.58 0.60 6.33 6.330000.00.00.00301009 31526 33.4009 090 99 0.00 0.00 0.00
- 31572 Largsc w/laser dstrj les A 2.93 11.96 1.28 0.43 15.32 4.640000.00.00.00310009 31575 33.4009 090 99 0.00 0.00 0.00
- 31573 Largsc w/ther injection A 2.37 5.87 1.13 0.36 8.60 3.860000.00.00.00310009 31575 33.4009 090 99 0.00 0.00 0.00
- 31574 Largsc w/njx augmentation A 2.37 24.27 1.14 0.36 27.00 3.870000.00.00.00310009 31575 33.4009 090 99 0.00 0.00 0.00
- 31575 Diagnostic laryngoscopy A 0.92 2.76 0.78 0.13 3.81 1.830000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31576 Laryngoscopy with biopsy A 1.84 5.94 1.01 0.26 8.04 3.110000.00.00.00301009 31575 33.4009 090 99 0.00 0.00 0.00
- 31577 Largsc w/rmvl foreign bdy(s) A 2.14 5.87 1.08 0.34 8.35 3.560000.00.00.00300009 31575 33.4009 090 99 0.00 0.00 0.00
- 31578 Largsc w/removal lesion A 2.37 6.38 1.14 0.36 9.11 3.870000.00.00.00300009 31575 33.4009 090 99 0.00 0.00 0.00
- 31579 Laryngoscopy telescopic A 1.83 3.77 1.04 0.24 5.84 3.110000.00.00.00301009 31575 33.4009 090 99 0.00 0.00 0.00
- 31580 Laryngoplasty laryngeal web A 14.24 18.58NA 18.58 2.08 34.90 34.900090.10.76.14200109 33.4009 090 99 0.00 0.00 0.00
- 31584 Laryngoplasty fx rdctj fixj A 17.14 18.28NA 18.28 2.50 37.92 37.920090.10.76.14200109 33.4009 090 99 0.00 0.00 0.00
- 31587 Laryngoplasty cricoid split A 14.89 15.59NA 15.59 2.17 32.65 32.650090.10.76.14200109 33.4009 090 99 0.00 0.00 0.00
- 31590 Reinnervate larynx A 7.65 17.64NA 17.64 1.12 26.41 26.410090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31591 Laryngoplasty medialization A 13.22 14.78NA 14.78 1.93 29.93 29.930090.10.76.14210109 33.4009 090 99 0.00 0.00 0.00
- 31592 Cricotracheal resection A 24.38 17.90NA 17.90 3.56 45.84 45.840090.10.76.14200109 33.4009 090 99 0.00 0.00 0.00
- 31599 Unlisted procedure larynx C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 31600 Planned tracheostomy A 5.42 1.69NA 1.69 1.07 8.18 8.180000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31601 Planned tracheostomy<2 yrs A 7.80 2.42NA 2.42 1.14 11.36 11.360000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 31603 Emer tracheostomy ttrach A 5.85 1.41NA 1.41 1.08 8.34 8.340000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31605 Emer tracheostomy cthyr mem A 6.29 1.40NA 1.40 1.37 9.06 9.060000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 3160F Doc fe+ stores b/4 epo thx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 31610 Tracheostomy fenest skin flp A 11.70 12.15NA 12.15 1.92 25.77 25.770090.10.76.14201009 33.4009 090 99 0.00 0.00 0.00
- 31611 Constj trachesophgl fstl A 5.85 7.98NA 7.98 0.87 14.70 14.700090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31612 Perq trchl pnxr ttrach aspir A 0.89 1.81 0.22 0.14 2.84 1.250000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 31613 Tracheostoma revj simple A 4.59 6.52NA 6.52 0.75 11.86 11.860090.10.76.14201009 33.4009 090 99 0.00 0.00 0.00
- 31614 Tracheostoma revj complex A 8.41 9.59NA 9.59 1.23 19.23 19.230090.10.76.14201009 33.4009 090 99 0.00 0.00 0.00
- 31615 Trcheobrnchsc est trachs inc A 1.79 3.14 1.01 0.25 5.18 3.050000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31622 Dx bronchoscope/wash A 2.47 5.68 0.83 0.30 8.45 3.600000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31623 Dx bronchoscope/brush A 2.56 6.27 0.77 0.24 9.07 3.570000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31624 Dx bronchoscope/lavage A 2.56 5.77 0.82 0.24 8.57 3.620000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31625 Bronchoscopy w/biopsy(s) A 3.03 8.17 0.88 0.30 11.50 4.210000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31626 Bronchoscopy w/markers A 3.81 21.78 1.08 0.44 26.03 5.330000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 31627 Navigational bronchoscopy A 1.95 32.44 0.40 0.20 34.59 2.550ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 31628 Bronchoscopy/lung bx each A 3.46 8.44 0.96 0.33 12.23 4.750000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31629 Bronchoscopy/needle bx each A 3.66 10.86 1.02 0.36 14.88 5.040000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31630 Bronchoscopy dilate/fx repr A 3.71 1.14NA 1.14 0.44 5.29 5.290000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31631 Bronchoscopy dilate w/stent A 4.25 1.25NA 1.25 0.48 5.98 5.980000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31632 Bronchoscopy/lung bx addl A 1.00 0.98 0.21 0.08 2.06 1.290ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 31633 Bronchoscopy/needle bx addl A 1.29 1.17 0.27 0.12 2.58 1.680ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 31634 Bronch w/balloon occlusion A 3.66 44.07 1.08 0.36 48.09 5.100000.00.00.00302009 31622 33.4009 090 99 0.00 0.00 0.00
- 31635 Bronchoscopy w/fb removal A 3.33 6.01 1.05 0.36 9.70 4.740000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31636 Bronchoscopy bronch stents A 4.19 1.22NA 1.22 0.44 5.85 5.850000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31637 Bronchoscopy stent add-on A 1.54 0.32NA 0.32 0.15 2.01 2.010ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 31638 Bronchoscopy revise stent A 4.76 1.32NA 1.32 0.48 6.56 6.560000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31640 Bronchoscopy w/tumor excise A 4.81 1.28NA 1.28 0.44 6.53 6.530000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31641 Bronchoscopy treat blockage A 4.89 1.34NA 1.34 0.49 6.72 6.720000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31643 Diag bronchoscope/catheter A 3.40 0.88NA 0.88 0.28 4.56 4.560000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31645 Brnchsc w/ther aspir 1st A 2.81 6.13 0.89 0.29 9.23 3.990000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31646 Brnchsc w/ther aspir sbsq A 2.71 0.88NA 0.88 0.27 3.86 3.860000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31647 Bronchial valve init insert A 4.05 1.11NA 1.11 0.38 5.54 5.540000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31648 Bronchial valve remov init A 3.85 1.08NA 1.08 0.37 5.30 5.300000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31649 Bronchial valve remov addl A 1.40 0.61 0.31 0.14 2.15 1.850ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 31651 Bronchial valve addl insert A 1.54 0.64 0.32 0.15 2.33 2.010ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 31652 Bronch ebus samplng 1/2 node A 4.35 35.80 1.15 0.43 40.58 5.930000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31653 Bronch ebus samplng 3/> node A 4.84 36.58 1.25 0.47 41.89 6.560000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31654 Bronch ebus ivntj perph les A 1.37 2.43 0.29 0.13 3.93 1.790ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 31660 Bronch thermoplsty 1 lobe A 3.90 0.84NA 0.84 0.34 5.08 5.080000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 31661 Bronch thermoplsty 2/> lobes A 4.14 0.85NA 0.85 0.36 5.35 5.350000.00.00.00301009 31622 33.4009 090 99 0.00 0.00 0.00
- 3170F Baselin flo cytometry b/4 tx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 31717 Bronchial brush biopsy A 2.07 6.93 0.64 0.18 9.18 2.890000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31720 Clearance of airways A 1.03 0.24NA 0.24 0.09 1.36 1.360000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31725 Clearance of airways A 1.67 0.30NA 0.30 0.14 2.11 2.110000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31730 Intro windpipe wire/tube A 2.78 31.85 0.66 0.55 35.18 3.990000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 31750 Tracheoplasty cervical A 15.01 20.00NA 20.00 2.33 37.34 37.340090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31755 Trachplsty trchphryngl fstlj A 17.10 28.11NA 28.11 2.50 47.71 47.710090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31760 Tracheoplasty intrathoracic A 22.89 10.70NA 10.70 5.75 39.34 39.340090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31766 Carinal reconstruction A 30.88 11.31NA 11.31 7.77 49.96 49.960090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31770 Repair/graft of bronchus A 22.95 8.80NA 8.80 5.77 37.52 37.520090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31775 Reconstruct bronchus A 23.98 9.57NA 9.57 6.04 39.59 39.590090.10.76.14202009 33.4009 090 99 0.00 0.00 0.00
- 31780 Reconstruct windpipe A 19.34 8.69NA 8.69 2.82 30.85 30.850090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31781 Reconstruct windpipe A 24.23 8.91NA 8.91 3.54 36.68 36.680090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31785 Remove windpipe lesion A 17.89 7.01NA 7.01 2.61 27.51 27.510090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31786 Remove windpipe lesion A 24.78 9.72NA 9.72 6.24 40.74 40.740090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31800 Repair of windpipe injury A 7.98 10.15NA 10.15 1.17 19.30 19.300090.10.76.14200009 33.4009 090 99 0.00 0.00 0.00
- 31805 Repair of windpipe injury A 13.08 7.43NA 7.43 3.29 23.80 23.800090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 31820 Closure of windpipe lesion A 4.52 8.14 3.78 0.69 13.35 8.990090.10.76.14200009 33.4009 090 99 0.00 0.00 0.00
- 31825 Repair of windpipe defect A 6.89 10.36 4.95 1.04 18.29 12.880090.10.76.14200009 33.4009 090 99 0.00 0.00 0.00
- 31830 Revise windpipe scar A 4.50 9.51 4.76 0.65 14.66 9.910090.10.76.14200009 33.4009 090 99 0.00 0.00 0.00
- 31899 Unlisted px trachea bronchi C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 3200F Barium swallow test not req I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32035 Thoracostomy w/rib resection A 11.01 8.01NA 8.01 2.76 21.78 21.780090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 32036 Thoracostomy w/flap drainage A 11.99 8.18NA 8.18 3.02 23.19 23.190090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 32096 Open wedge/bx lung infiltr A 13.41 6.14NA 6.14 3.33 22.88 22.880090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32097 Open wedge/bx lung nodule A 13.41 6.32NA 6.32 3.32 23.05 23.050090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32098 Open biopsy of lung pleura A 12.59 5.95NA 5.95 3.06 21.60 21.600090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32100 Exploration of chest A 13.41 6.55NA 6.55 3.31 23.27 23.270090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 3210F Grp a strep test performed M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32110 Explore/repair chest A 24.65 11.04NA 11.04 6.10 41.79 41.790090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32120 Re-exploration of chest A 14.03 7.90NA 7.90 3.49 25.42 25.420090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32124 Explore chest free adhesions A 15.06 8.12NA 8.12 3.74 26.92 26.920090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32140 Removal of lung lesion(s) A 16.24 8.28NA 8.28 4.08 28.60 28.600090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32141 Remove/treat lung lesions A 26.50 9.84NA 9.84 6.58 42.92 42.920090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32150 Removal of lung lesion(s) A 16.40 8.73NA 8.73 4.08 29.21 29.210090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32151 Remove lung foreign body A 16.52 8.33NA 8.33 4.15 29.00 29.000090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 3215F Pt immunity to hep a docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32160 Open chest heart massage A 12.77 7.25NA 7.25 3.10 23.12 23.120090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 3216F Pt immunity to hep b docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3218F Rna tstng hep c docd done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32200 Drain open lung lesion A 18.21 10.41NA 10.41 4.58 33.20 33.200090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 3220F Hep c quant rna tstng docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32215 Treat chest lining A 12.72 7.55NA 7.55 3.19 23.46 23.460090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 32220 Release of lung A 25.98 13.61NA 13.61 6.47 46.06 46.060090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 32225 Partial release of lung A 16.33 8.27NA 8.27 4.07 28.67 28.670090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 3230F Note hring tst w/in 6 mon I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32310 Removal of chest lining A 14.90 7.98NA 7.98 3.75 26.63 26.630090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32320 Free/remove chest lining A 26.57 12.72NA 12.72 6.60 45.89 45.890090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32400 Needle biopsy chest lining A 1.72 3.08 0.27 0.18 4.98 2.170000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 32408 Core ndl bx lng/med perq A 3.10 20.64 0.47 0.34 24.08 3.910000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 32440 Remove lung pneumonectomy A 26.60 11.31NA 11.31 6.69 44.60 44.600090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32442 Sleeve pneumonectomy A 55.06 15.67NA 15.67 13.89 84.62 84.620090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32445 Removal of lung extrapleural A 62.24 20.72NA 20.72 15.69 98.65 98.650090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32480 Partial removal of lung A 25.17 10.53NA 10.53 6.29 41.99 41.990090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32482 Bilobectomy A 26.75 11.58NA 11.58 6.70 45.03 45.030090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32484 Segmentectomy A 24.75 9.55NA 9.55 6.21 40.51 40.510090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32486 Sleeve lobectomy A 41.81 12.79NA 12.79 10.55 65.15 65.150090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32488 Completion pneumonectomy A 41.92 14.55NA 14.55 10.57 67.04 67.040090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32491 Lung volume reduction R 24.61 11.33NA 11.33 6.20 42.14 42.140090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 32501 Repair bronchus add-on A 4.56 0.90NA 0.90 1.15 6.61 6.610ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 32503 Resect apical lung tumor A 30.95 11.93NA 11.93 7.81 50.69 50.690090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32504 Resect apical lung tum/chest A 35.63 12.85NA 12.85 8.99 57.47 57.470090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32505 Wedge resect of lung initial A 15.36 7.62NA 7.62 3.81 26.79 26.790090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32506 Wedge resect of lung add-on A 2.93 0.58NA 0.58 0.72 4.23 4.230ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 32507 Wedge resect of lung diag A 2.93 0.58NA 0.58 0.72 4.23 4.230ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 3250F Nonprim loc anat bx site tum M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32540 Removal of lung lesion A 29.59 11.87NA 11.87 7.45 48.91 48.910090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32550 Insert pleural cath A 3.82 19.13 1.10 0.51 23.46 5.430000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 32551 Insertion of chest tube A 2.96 0.77NA 0.77 0.55 4.28 4.280000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 32552 Remove lung catheter A 2.47 2.88 1.59 0.36 5.71 4.420010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 32553 Ins mark thor for rt perq A 3.46 10.87 0.71 0.38 14.71 4.550000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 32554 Aspirate pleura w/o imaging A 1.77 5.82 0.39 0.21 7.80 2.370000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 32555 Aspirate pleura w/ imaging A 2.21 6.88 0.38 0.22 9.31 2.810000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 32556 Insert cath pleura w/o image A 2.44 22.37 0.54 0.37 25.18 3.350000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 32557 Insert cath pleura w/ image A 3.04 16.03 0.50 0.33 19.40 3.870000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 32560 Treat pleurodesis w/agent A 1.50 6.54 0.32 0.23 8.27 2.050000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 32561 Lyse chest fibrin init day A 1.36 1.52 0.29 0.15 3.03 1.800000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 32562 Lyse chest fibrin subq day A 1.21 1.41 0.27 0.13 2.75 1.610000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 32601 Thoracoscopy diagnostic A 5.36 1.96NA 1.96 1.31 8.63 8.630000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 32604 Thoracoscopy wbx sac A 8.55 2.65NA 2.65 2.15 13.35 13.350000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 32606 Thoracoscopy w/bx med space A 8.18 2.60NA 2.60 2.05 12.83 12.830000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 32607 Thoracoscopy w/bx infiltrate A 5.36 1.97NA 1.97 1.33 8.66 8.660000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 32608 Thoracoscopy w/bx nodule A 6.67 2.23NA 2.23 1.67 10.57 10.570000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 32609 Thoracoscopy w/bx pleura A 4.47 1.73NA 1.73 0.95 7.15 7.150000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 3260F Pt cat/pn cat/hist grd docd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32650 Thoracoscopy w/pleurodesis A 10.56 6.35NA 6.35 2.56 19.47 19.470090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 32651 Thoracoscopy remove cortex A 18.31 8.27NA 8.27 4.55 31.13 31.130090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 32652 Thoracoscopy rem totl cortex A 28.40 11.49NA 11.49 7.11 47.00 47.000090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 32653 Thoracoscopy remov fb/fibrin A 17.72 8.18NA 8.18 4.23 30.13 30.130090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32654 Thoracoscopy contrl bleeding A 20.01 8.93NA 8.93 4.83 33.77 33.770090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 32655 Thoracoscopy resect bullae A 15.77 7.70NA 7.70 3.95 27.42 27.420090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 32656 Thoracoscopy w/pleurectomy A 12.93 7.16NA 7.16 3.24 23.33 23.330090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 32658 Thoracoscopy w/sac fb remove A 11.42 6.53NA 6.53 2.87 20.82 20.820090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 32659 Thoracoscopy w/sac drainage A 11.64 6.90NA 6.90 2.91 21.45 21.450090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3265F Rna tstng hepc vir ord/docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32661 Thoracoscopy w/pericard exc A 13.00 6.84NA 6.84 3.26 23.10 23.100090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 32662 Thoracoscopy w/mediast exc A 14.62 7.49NA 7.49 3.66 25.77 25.770090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 32663 Thoracoscopy w/lobectomy A 24.02 9.43NA 9.43 6.03 39.48 39.480090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 32664 Thoracoscopy w/ th nrv exc A 13.92 7.02NA 7.02 3.50 24.44 24.440090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 32665 Thoracoscop w/esoph musc exc A 20.99 8.69NA 8.69 5.27 34.95 34.950090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 32666 Thoracoscopy w/wedge resect A 14.14 7.42NA 7.42 3.56 25.12 25.120090.10.76.14212109 33.4009 090 99 0.00 0.00 0.00
- 32667 Thoracoscopy w/w resect addl A 2.93 0.58NA 0.58 0.73 4.24 4.240ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 32668 Thoracoscopy w/w resect diag A 2.93 0.59NA 0.59 0.73 4.25 4.250ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 32669 Thoracoscopy remove segment A 22.94 9.24NA 9.24 5.77 37.95 37.950090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3266F Hepc gn tstng docd b/4txmnt I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32670 Thoracoscopy bilobectomy A 27.81 10.16NA 10.16 6.94 44.91 44.910090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32671 Thoracoscopy pneumonectomy A 31.12 10.73NA 10.73 7.85 49.70 49.700090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32672 Thoracoscopy for lvrs A 26.33 9.78NA 9.78 6.62 42.73 42.730090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32673 Thoracoscopy w/thymus resect A 20.60 8.70NA 8.70 5.16 34.46 34.460090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 32674 Thoracoscopy lymph node exc A 4.02 0.81NA 0.81 1.02 5.85 5.850ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 3267F Path rprt w/ pt pn cat et al M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3268F Psa/t/glsc docd b/4 txmnt I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3269F Bone scn b/4 txmnt/aftr dx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32701 Thorax stereo rad targetw/tx A 4.08 0.82NA 0.82 0.73 5.63 5.632XXX.00.00.00000109 33.4009 090 99 0.00 0.00 0.00
- 3270F No bone scn b/4 txmnt/aftrdx M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3271F Low risk prostate cancer I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3272F Med risk prostate cancer I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3273F High risk prostate cancer I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3274F Prost cncr rsk not lw/md/hgh I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3278F Serum lvls ca/ipth/lpd ord I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3279F Hgb lvl >= 13 g/dl I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32800 Repair lung hernia A 15.32 8.35NA 8.35 3.79 27.46 27.460090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 3280F Hgb lvl 11-12.9 g/dl I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32810 Close chest after drainage A 14.58 7.92NA 7.92 3.66 26.16 26.160090.10.76.14202009 33.4009 090 99 0.00 0.00 0.00
- 32815 Close bronchial fistula A 48.78 17.61NA 17.61 12.32 78.71 78.710090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 3281F Hgb lvl <11 g/dl I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32820 Reconstruct injured chest A 21.95 11.90NA 11.90 5.49 39.34 39.340090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 3284F Iop red >=15% pre-ntrv lvl I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32850 Donor pneumonectomy X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32851 Lung transplant single A 58.15 18.51NA 18.51 14.61 91.27 91.270090.10.76.14202129 33.4009 090 99 0.00 0.00 0.00
- 32852 Lung transplant with bypass A 63.86 20.44NA 20.44 15.33 99.63 99.630090.10.76.14202129 33.4009 090 99 0.00 0.00 0.00
- 32853 Lung transplant double A 82.37 23.94NA 23.94 20.60 126.91126.910090.10.76.14222129 33.4009 090 99 0.00 0.00 0.00
- 32854 Lung transplant with bypass A 87.75 24.82NA 24.82 22.00 134.57134.570090.10.76.14222129 33.4009 090 99 0.00 0.00 0.00
- 32855 Prepare donor lung single C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 32856 Prepare donor lung double C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 3285F Iop down <15% of pre-svc lvl I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3288F Fall risk assessment docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32900 Removal of rib(s) A 23.21 9.62NA 9.62 5.85 38.68 38.680090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32905 Revise & repair chest wall A 22.71 9.52NA 9.52 5.72 37.95 37.950090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 32906 Revise & repair chest wall A 28.57 10.67NA 10.67 7.21 46.45 46.450090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 3290F Pt=d(rh)- and unsensitized I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3291F Pt=d(rh)+ or sensitized I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3292F Hiv tstng asked/docd/revwd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3293F Abo rh blood typing docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32940 Revision of lung A 20.81 9.14NA 9.14 5.23 35.18 35.180090.10.76.14202109 33.4009 090 99 0.00 0.00 0.00
- 3294F Grp b strep screening docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 32960 Therapeutic pneumothorax A 1.79 2.08 0.52 0.15 4.02 2.460000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 32994 Ablate pulm tumor perq crybl A 8.80 126.26 1.60 1.00 136.06 11.400000.00.00.00212009 33.4009 090 99 0.00 0.00 0.00
- 32997 Total lung lavage A 7.13 1.27NA 1.27 0.59 8.99 8.990000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 32998 Ablate pulm tumor perq rf A 8.80 77.68 1.58 1.02 87.50 11.400000.00.00.00212009 33.4009 090 99 0.00 0.00 0.00
- 32999 Unlisted px lungs & pleura C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201119 33.4009 090 99 0.00 0.00 0.00
- 3300F Ajcc stage docd b/4 thxpy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33016 Pericardiocentesis w/imaging A 4.29 0.83NA 0.83 0.99 6.11 6.110000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 33017 Prcrd drg 6yr+ w/o cgen car A 4.50 0.87NA 0.87 1.04 6.41 6.410000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 33018 Prcrd drg 0-5yr or w/anomly A 5.27 0.99NA 0.99 1.27 7.53 7.530000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 33019 Perq prcrd drg insj cath ct A 4.18 0.68NA 0.68 0.51 5.37 5.370000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 3301F Cancer stage docd metast I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33020 Incision of heart sac A 13.95 6.10NA 6.10 3.41 23.46 23.460090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33025 Incision of heart sac A 12.87 6.11NA 6.11 3.18 22.16 22.160090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33030 Partial removal of heart sac A 35.10 12.42NA 12.42 8.70 56.22 56.220090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33031 Partial removal of heart sac A 43.88 14.45NA 14.45 10.88 69.21 69.210090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33050 Resect heart sac lesion A 16.55 8.30NA 8.30 4.17 29.02 29.020090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33120 Exc icar tum resc w/card byp A 37.49 11.70NA 11.70 9.24 58.43 58.430090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33130 Rescj external cardiac tumor A 23.57 10.02NA 10.02 5.63 39.22 39.220090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33140 Heart revascularize (tmr) A 27.63 9.87NA 9.87 6.61 44.11 44.110090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33141 Heart tmr w/other procedure A 2.48 0.48NA 0.48 0.62 3.58 3.580ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 3315F Er+ or pr+ breast cancer I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3316F Er- or pr- breast cancer I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3317F Path rpt malig cancer docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3318F Path rpt malig cancer docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3319F X-ray/ct/ultrsnd et al ord M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33202 Insert epicard eltrd open A 12.87 6.15NA 6.15 3.17 22.19 22.190090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33203 Insert epicard eltrd endo A 13.62 6.04NA 6.04 3.43 23.09 23.090090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33206 Insert heart pm atrial A 6.96 3.45NA 3.45 1.63 12.04 12.040090.09.84.07201209 33.4009 090 99 0.00 0.00 0.00
- 33207 Insert heart pm ventricular A 7.61 3.25NA 3.25 1.78 12.64 12.640090.09.84.07201209 33.4009 090 99 0.00 0.00 0.00
- 33208 Insrt heart pm atrial & vent A 8.31 3.39NA 3.39 1.95 13.65 13.650090.09.84.07201209 33.4009 090 99 0.00 0.00 0.00
- 3320F No xray/ct/ et al ordd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33210 Insert electrd/pm cath sngl A 2.97 0.59NA 0.59 0.65 4.21 4.210000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 33211 Insert card electrodes dual A 3.06 0.63NA 0.63 0.67 4.36 4.360000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 33212 Insert pulse gen sngl lead A 4.88 2.71NA 2.71 1.16 8.75 8.750090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33213 Insert pulse gen dual leads A 5.15 2.72NA 2.72 1.22 9.09 9.090090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33214 Upgrade of pacemaker system A 7.40 3.63NA 3.63 1.71 12.74 12.740090.09.84.07200209 33.4009 090 99 0.00 0.00 0.00
- 33215 Reposition pacing-defib lead A 4.80 2.30NA 2.30 1.14 8.24 8.240090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33216 Insert 1 electrode pm-defib A 5.48 3.15NA 3.15 1.29 9.92 9.920090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33217 Insert 2 electrode pm-defib A 5.45 3.15NA 3.15 1.29 9.89 9.890090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33218 Repair lead pace-defib one A 5.67 3.43NA 3.43 1.33 10.43 10.430090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 3321F Ajcc cncr 0/ia melan docd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33220 Repair lead pace-defib dual A 5.75 3.11NA 3.11 1.36 10.22 10.220090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33221 Insert pulse gen mult leads A 5.41 2.84NA 2.84 1.29 9.54 9.540090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33222 Relocation pocket pacemaker A 4.73 3.44NA 3.44 1.12 9.29 9.290090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33223 Relocate pocket for defib A 6.14 3.32NA 3.32 1.44 10.90 10.900090.09.84.07200009 33.4009 090 99 0.00 0.00 0.00
- 33224 Insert pacing lead & connect A 8.81 2.33NA 2.33 2.08 13.22 13.220000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 33225 L ventric pacing lead add-on A 8.12 1.78NA 1.78 1.91 11.81 11.810ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 33226 Reposition l ventric lead A 8.46 2.20NA 2.20 2.01 12.67 12.670000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 33227 Remove&replace pm gen singl A 5.12 2.71NA 2.71 1.21 9.04 9.040090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33228 Remv&replc pm gen dual lead A 5.38 2.78NA 2.78 1.28 9.44 9.440090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33229 Remv&replc pm gen mult leads A 5.65 2.89NA 2.89 1.33 9.87 9.870090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 3322F Melanomaajcc stage 0 or ia M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33230 Insrt pulse gen w/dual leads A 5.92 2.64NA 2.64 1.41 9.97 9.970090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33231 Insrt pulse gen w/mult leads A 6.18 3.00NA 3.00 1.45 10.63 10.630090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33233 Removal of pm generator A 3.06 2.58NA 2.58 0.72 6.36 6.360090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33234 Removal of pacemaker system A 7.47 3.62NA 3.62 1.76 12.85 12.850090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33235 Removal pacemaker electrode A 9.65 5.07NA 5.07 2.28 17.00 17.000090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33236 Remove electrode/thoracotomy A 12.41 7.92NA 7.92 2.97 23.30 23.300090.09.84.07200209 33.4009 090 99 0.00 0.00 0.00
- 33237 Remove electrode/thoracotomy A 13.49 8.15NA 8.15 3.22 24.86 24.860090.09.84.07200209 33.4009 090 99 0.00 0.00 0.00
- 33238 Remove electrode/thoracotomy A 15.02 9.44NA 9.44 3.60 28.06 28.060090.09.84.07200209 33.4009 090 99 0.00 0.00 0.00
- 3323F Clin node stgng docdb/4 surg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33240 Insrt pulse gen w/singl lead A 5.66 2.59NA 2.59 1.34 9.59 9.590090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33241 Remove pulse generator A 2.96 2.26NA 2.26 0.70 5.92 5.920090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33243 Remove eltrd/thoracotomy A 22.98 10.42NA 10.42 5.61 39.01 39.010090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33244 Remove elctrd transvenously A 13.40 6.37NA 6.37 3.18 22.95 22.950090.09.84.07201109 33.4009 090 99 0.00 0.00 0.00
- 33249 Insj/rplcmt defib w/lead(s) A 14.55 5.91NA 5.91 3.43 23.89 23.890090.09.84.07201109 33.4009 090 99 0.00 0.00 0.00
- 3324F Mri ct scan ord rvwd rqstd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33250 Ablate heart dysrhythm focus A 25.25 10.37NA 10.37 6.05 41.67 41.670090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33251 Ablate heart dysrhythm focus A 28.20 10.60NA 10.60 7.10 45.90 45.900090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33254 Ablate atria lmtd A 23.12 9.92NA 9.92 5.68 38.72 38.720090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33255 Ablate atria w/o bypass ext A 28.31 11.34NA 11.34 6.77 46.42 46.420090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33256 Ablate atria w/bypass exten A 34.03 12.52NA 12.52 8.15 54.70 54.700090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33257 Ablate atria lmtd add-on A 9.39 5.32NA 5.32 2.33 17.04 17.040ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 33258 Ablate atria x10sv add-on A 10.73 5.75NA 5.75 2.57 19.05 19.050ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 33259 Ablate atria w/bypass add-on A 13.79 7.43NA 7.43 3.36 24.58 24.580ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 3325F Preop asses 4 cataract surg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33261 Ablate heart dysrhythm focus A 28.20 10.97NA 10.97 6.75 45.92 45.920090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33262 Rmvl& replc pulse gen 1 lead A 5.66 2.87NA 2.87 1.33 9.86 9.860090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33263 Rmvl & rplcmt dfb gen 2 lead A 5.93 2.92NA 2.92 1.40 10.25 10.250090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33264 Rmvl & rplcmt dfb gen mlt ld A 6.19 2.99NA 2.99 1.46 10.64 10.640090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33265 Ablate atria lmtd endo A 23.12 9.94NA 9.94 5.69 38.75 38.750090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33266 Ablate atria x10sv endo A 32.21 11.93NA 11.93 7.98 52.12 52.120090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33267 Excl laa open any method A 18.04 7.13NA 7.13 4.43 29.60 29.600090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33268 Excl laa opn oth px any meth A 2.44 0.48NA 0.48 0.59 3.51 3.510ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 33269 Excl laa thrscp any method A 13.95 6.42NA 6.42 3.46 23.83 23.830090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 33270 Ins/rep subq defibrillator A 8.87 3.81NA 3.81 2.08 14.76 14.760090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33271 Insj subq impltbl dfb elctrd A 7.31 3.10NA 3.10 1.75 12.16 12.160090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33272 Rmvl of subq defibrillator A 5.28 2.78NA 2.78 1.23 9.29 9.290090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33273 Repos prev impltbl subq dfb A 6.34 2.91NA 2.91 1.50 10.75 10.750090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33274 Tcat insj/rpl perm ldls pm A 7.61 3.18NA 3.18 1.77 12.56 12.560090.09.84.07201209 33.4009 090 99 0.00 0.00 0.00
- 33275 Tcat rmvl perm ldls pm w/img A 8.38 3.01NA 3.01 2.00 13.39 13.390090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33276 Insj phrnc nrv stim sys A 9.26 3.76NA 3.76 2.11 15.13 15.130090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33277 Insj phrnc nrv stim transvns A 5.29 1.09NA 1.09 1.27 7.65 7.650ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 33278 Rmvl phrnc nrv stim sys A 9.31 3.51NA 3.51 2.06 14.88 14.880090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33279 Rmvl phrnc nrv stim transvns A 5.28 2.67NA 2.67 1.29 9.24 9.240090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33280 Rmvl phrnc nrv stim pg only A 2.96 2.09NA 2.09 0.70 5.75 5.750090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33281 Reposg phrnc nrv stim trnsvn A 5.85 2.89NA 2.89 1.40 10.14 10.140090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33285 Insj subq car rhythm mntr A 1.49 118.27 0.42 0.36 120.12 2.270000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 33286 Rmvl subq car rhythm mntr A 1.46 2.04 0.42 0.36 3.86 2.240000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 33287 Rmv&rplcmt phrnc nrv stim pg A 5.90 2.97NA 2.97 1.34 10.21 10.210090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33288 Rmv&rplcmt phrnc nrv stim ld A 8.30 3.52NA 3.52 1.84 13.66 13.660090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33289 Tcat impl wrls p-art prs snr A 5.85 1.47NA 1.47 1.19 8.51 8.510000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 3328F Prfrmnc docd 2 wks b/4 surg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33300 Repair of heart wound A 43.85 13.23NA 13.23 10.85 67.93 67.930090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33305 Repair of heart wound A 75.01 19.13NA 19.13 18.66 112.80112.800090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3330F Imaging study ordered (bkp) I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33310 Exploratory heart surgery A 19.83 9.25NA 9.25 4.75 33.83 33.830090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33315 Exploratory heart surgery A 34.13 10.92NA 10.92 8.35 53.40 53.400090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3331F Bk imaging tst not ordered I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33320 Repair major blood vessel(s) A 18.08 7.83NA 7.83 4.55 30.46 30.460090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33321 Repair major vessel A 20.29 9.10NA 9.10 4.86 34.25 34.250090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33322 Repair major blood vessel(s) A 23.81 10.03NA 10.03 5.93 39.77 39.770090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33330 Insert major vessel graft A 24.66 10.25NA 10.25 5.91 40.82 40.820090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33335 Insert major vessel graft A 33.06 11.97NA 11.97 7.93 52.96 52.960090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33340 Perq clsr tcat l atr apndge A 9.99 6.18NA 6.18 2.35 18.52 18.520000.00.00.00200219 33.4009 090 99 0.00 0.00 0.00
- 33361 Replace aortic valve perq A 21.91 5.14NA 5.14 5.26 32.31 32.310000.00.00.00200219 33.4009 090 99 0.00 0.00 0.00
- 33362 Replace aortic valve open A 23.93 5.48NA 5.48 5.78 35.19 35.190000.00.00.00200219 33.4009 090 99 0.00 0.00 0.00
- 33363 Replace aortic valve open A 24.83 5.71NA 5.71 6.02 36.56 36.560000.00.00.00200219 33.4009 090 99 0.00 0.00 0.00
- 33364 Replace aortic valve open A 25.32 6.48NA 6.48 6.07 37.87 37.870000.00.00.00200219 33.4009 090 99 0.00 0.00 0.00
- 33365 Replace aortic valve open A 25.93 5.94NA 5.94 6.28 38.15 38.150000.00.00.00200219 33.4009 090 99 0.00 0.00 0.00
- 33366 Trcath replace aortic valve A 28.62 6.45NA 6.45 6.86 41.93 41.930000.00.00.00200219 33.4009 090 99 0.00 0.00 0.00
- 33367 Replace aortic valve w/byp A 11.58 2.38NA 2.38 2.76 16.72 16.720ZZZ.00.00.00000019 33.4009 090 99 0.00 0.00 0.00
- 33368 Replace aortic valve w/byp A 14.03 2.88NA 2.88 3.35 20.26 20.260ZZZ.00.00.00000019 33.4009 090 99 0.00 0.00 0.00
- 33369 Replace aortic valve w/byp A 18.53 3.80NA 3.80 4.44 26.77 26.770ZZZ.00.00.00000019 33.4009 090 99 0.00 0.00 0.00
- 33370 Tcat plmt&rmvl cepd perq A 2.44 0.46NA 0.46 0.57 3.47 3.470ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 33390 Valvuloplasty aortic valve A 34.13 10.62NA 10.62 8.31 53.06 53.060090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33391 Valvuloplasty aortic valve A 40.46 13.28NA 13.28 9.71 63.45 63.450090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33404 Prepare heart-aorta conduit A 30.59 11.92NA 11.92 7.33 49.84 49.840090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33405 Replacement aortic valve opn A 40.29 13.38NA 13.38 9.98 63.65 63.650090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33406 Replacement aortic valve opn A 51.36 15.89NA 15.89 12.97 80.22 80.220090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3340F Mammo assess inc xray docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33410 Replacement aortic valve opn A 45.25 14.84NA 14.84 11.28 71.37 71.370090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33411 Replacement of aortic valve A 60.52 17.88NA 17.88 14.94 93.34 93.340090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33412 Replacement of aortic valve A 57.53 16.47NA 16.47 13.82 87.82 87.820090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33413 Replacement of aortic valve A 58.37 17.90NA 17.90 14.00 90.27 90.270090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33414 Repair of aortic valve A 38.39 11.69NA 11.69 9.70 59.78 59.780090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33415 Revision subvalvular tissue A 36.34 11.67NA 11.67 9.00 57.01 57.010090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33416 Revise ventricle muscle A 35.65 12.53NA 12.53 8.77 56.95 56.950090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33417 Repair of aortic valve A 28.60 11.49NA 11.49 7.22 47.31 47.310090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33418 Repair tcat mitral valve A 31.44 8.46NA 8.46 7.43 47.33 47.330090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33419 Repair tcat mitral valve A 7.73 1.47NA 1.47 1.82 11.02 11.020ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 3341F Mammo assess negative docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33420 Revision of mitral valve A 25.15 10.36NA 10.36 6.02 41.53 41.530090.09.84.07201109 33.4009 090 99 0.00 0.00 0.00
- 33422 Revision of mitral valve A 28.99 11.60NA 11.60 6.96 47.55 47.550090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33425 Repair of mitral valve A 48.71 15.64NA 15.64 11.99 76.34 76.340090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33426 Repair of mitral valve A 42.20 14.19NA 14.19 10.43 66.82 66.820090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33427 Repair of mitral valve A 43.71 13.84NA 13.84 10.51 68.06 68.060090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3342F Mammo assess bengn docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33430 Replacement of mitral valve A 49.66 16.62NA 16.62 12.25 78.53 78.530090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3343F Mammo probably bengn docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33440 Rplcmt a-valve tlcj autol pv A 62.40 17.47NA 17.47 14.98 94.85 94.850090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3344F Mammo assess susp docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3345F Mammo assess hghlymalig doc I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33460 Revision of tricuspid valve A 43.58 13.15NA 13.15 10.46 67.19 67.190090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33463 Valvuloplasty tricuspid A 55.65 16.58NA 16.58 13.56 85.79 85.790090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33464 Valvuloplasty tricuspid A 43.50 14.11NA 14.11 10.43 68.04 68.040090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33465 Replace tricuspid valve A 49.45 15.21NA 15.21 12.10 76.76 76.760090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33468 Revision of tricuspid valve A 44.00 12.89NA 12.89 11.12 68.01 68.010090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33474 Revision of pulmonary valve A 38.42 12.88NA 12.88 9.71 61.01 61.010090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33475 Replacement pulmonary valve A 41.34 13.19NA 13.19 9.80 64.33 64.330090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33476 Revision of heart chamber A 25.91 10.93NA 10.93 6.53 43.37 43.370090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33477 Implant tcat pulm vlv perq A 24.38 5.11NA 5.11 4.23 33.72 33.720000.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 33478 Revision of heart chamber A 26.85 11.11NA 11.11 6.75 44.71 44.710090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33496 Repair prosth valve clot A 29.09 11.43NA 11.43 6.98 47.50 47.500090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33500 Repair heart vessel fistula A 27.24 10.78NA 10.78 6.53 44.55 44.550090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33501 Repair heart vessel fistula A 19.02 8.62NA 8.62 4.55 32.19 32.190090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 33502 Coronary artery correction A 21.30 10.02NA 10.02 5.36 36.68 36.680090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33503 Coronary artery graft A 21.95 10.77NA 10.77 5.53 38.25 38.250090.09.84.07200109 33.4009 090 99 0.00 0.00 0.00
- 33504 Coronary artery graft A 24.82 10.75NA 10.75 6.25 41.82 41.820090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33505 Repair artery w/tunnel A 37.44 9.96NA 9.96 9.43 56.83 56.830090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33506 Repair artery translocation A 36.90 10.72NA 10.72 9.29 56.91 56.910090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33507 Repair art intramural A 30.62 9.67NA 9.67 7.72 48.01 48.010090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33508 Endoscopic vein harvest A 0.30 0.06NA 0.06 0.07 0.43 0.430ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 33509 Ndsc hrv uxtr art 1 sgm cab A 3.26 0.66NA 0.66 0.81 4.73 4.730ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 3350F Mammo bx proven malig docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33510 Cabg vein single A 34.11 11.85NA 11.85 8.37 54.33 54.330090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33511 Cabg vein two A 37.49 12.97NA 12.97 9.26 59.72 59.720090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33512 Cabg vein three A 42.88 14.21NA 14.21 10.52 67.61 67.610090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33513 Cabg vein four A 44.24 13.97NA 13.97 10.76 68.97 68.970090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33514 Cabg vein five A 46.88 15.27NA 15.27 11.27 73.42 73.420090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33516 Cabg vein six or more A 48.52 15.86NA 15.86 11.66 76.04 76.040090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33517 Cabg artery-vein single A 3.52 0.71NA 0.71 0.87 5.10 5.100ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 33518 Cabg artery-vein two A 7.73 1.55NA 1.55 1.91 11.19 11.190ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 33519 Cabg artery-vein three A 10.23 2.04NA 2.04 2.52 14.79 14.790ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 3351F Neg scrn dep symp by deptool I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33521 Cabg artery-vein four A 12.28 2.45NA 2.45 3.03 17.76 17.760ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 33522 Cabg artery-vein five A 13.79 2.74NA 2.74 3.39 19.92 19.920ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 33523 Cabg art-vein six or more A 15.68 3.22NA 3.22 3.75 22.65 22.650ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 3352F No sig dep symp by dep tool I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33530 Coronary artery bypass/reop A 9.88 1.99NA 1.99 2.42 14.29 14.290ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 33533 Cabg arterial single A 32.91 11.59NA 11.59 8.13 52.63 52.630090.09.82.09202009 33.4009 090 99 0.00 0.00 0.00
- 33534 Cabg arterial two A 38.88 13.22NA 13.22 9.61 61.71 61.710090.09.82.09202009 33.4009 090 99 0.00 0.00 0.00
- 33535 Cabg arterial three A 43.63 14.08NA 14.08 10.72 68.43 68.430090.09.82.09202009 33.4009 090 99 0.00 0.00 0.00
- 33536 Cabg arterial four or more A 47.22 14.80NA 14.80 11.65 73.67 73.670090.09.82.09202009 33.4009 090 99 0.00 0.00 0.00
- 3353F Mild-mod dep symp by deptool I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33542 Removal of heart lesion A 47.00 14.90NA 14.90 11.62 73.52 73.520090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33545 Repair of heart damage A 55.63 16.88NA 16.88 13.36 85.87 85.870090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33548 Restore/remodel ventricle A 52.79 17.63NA 17.63 12.68 83.10 83.100090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3354F Clin sig dep sym by dep tool I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33572 Open coronary endarterectomy A 4.33 0.87NA 0.87 1.07 6.27 6.270ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 33600 Closure of valve A 29.55 11.68NA 11.68 7.44 48.67 48.670090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33602 Closure of valve A 28.61 11.49NA 11.49 7.22 47.32 47.320090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33606 Anastomosis/artery-aorta A 30.74 11.74NA 11.74 7.74 50.22 50.220090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33608 Repair anomaly w/conduit A 31.08 11.98NA 11.98 7.84 50.90 50.900090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33610 Repair by enlargement A 30.62 11.88NA 11.88 7.72 50.22 50.220090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33611 Repair double ventricle A 34.68 10.96NA 10.96 8.74 54.38 54.380090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33612 Repair double ventricle A 35.66 11.15NA 11.15 9.00 55.81 55.810090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33615 Repair modified fontan A 34.99 12.25NA 12.25 8.82 56.06 56.060090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33617 Repair single ventricle A 38.11 12.86NA 12.86 9.62 60.59 60.590090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33619 Repair single ventricle A 47.54 17.60NA 17.60 12.00 77.14 77.140090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33620 Apply r&l pulm art bands A 29.25 9.40NA 9.40 7.38 46.03 46.030090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33621 Transthor cath for stent A 15.78 6.75NA 6.75 3.97 26.50 26.500090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33622 Redo compl cardiac anomaly A 62.40 16.44NA 16.44 15.74 94.58 94.580090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33641 Repair heart septum defect A 28.84 9.81NA 9.81 7.28 45.93 45.930090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33645 Revision of heart veins A 30.52 10.24NA 10.24 7.69 48.45 48.450090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33647 Repair heart septum defects A 32.18 10.46NA 10.46 8.11 50.75 50.750090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33660 Repair of heart defects A 31.03 10.25NA 10.25 7.83 49.11 49.110090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33665 Repair of heart defects A 33.98 10.82NA 10.82 8.58 53.38 53.380090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33670 Repair of heart chambers A 35.71 9.74NA 9.74 9.00 54.45 54.450090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33675 Close mult vsd A 35.05 11.06NA 11.06 8.84 54.95 54.950090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33676 Close mult vsd w/resection A 36.03 11.24NA 11.24 9.09 56.36 56.360090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33677 Cl mult vsd w/rem pul band A 37.49 11.53NA 11.53 9.44 58.46 58.460090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33681 Closure 1 vsd w/wo patch A 31.53 12.79NA 12.79 7.95 52.27 52.270090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33684 Clsr 1 vsd w/wo patch w/vlvt A 33.51 10.73NA 10.73 8.46 52.70 52.700090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33688 Clsr 1vsd w/wo ptch rmvl bnd A 33.88 9.74NA 9.74 8.55 52.17 52.170090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33690 Banding pulmonary artery A 19.85 9.76NA 9.76 4.99 34.60 34.600090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33692 Comp rpr tof wo pulm atresia A 35.25 10.01NA 10.01 8.90 54.16 54.160090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33694 Cmp rpr tof wo plm atrs ptch A 34.68 10.96NA 10.96 8.74 54.38 54.380090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33697 Compl rpr tof w/pulm atresia A 36.63 11.34NA 11.34 9.24 57.21 57.210090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33702 Repair of heart defects A 26.56 10.58NA 10.58 6.68 43.82 43.820090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3370F Ajcc brst cncr stage 0 docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33710 Repair of heart defects A 36.56 11.33NA 11.33 9.22 57.11 57.110090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33720 Repair of heart defect A 26.58 10.59NA 10.59 6.69 43.86 43.860090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33724 Repair venous anomaly A 26.94 9.45NA 9.45 6.78 43.17 43.170090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33726 Repair pul venous stenosis A 36.19 11.27NA 11.27 9.14 56.60 56.600090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3372F Ajcc brst cncr stage 1 docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33730 Repair heart-vein defect(s) A 35.24 12.12NA 12.12 8.89 56.25 56.250090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33732 Repair heart-vein defect A 28.24 11.42NA 11.42 7.11 46.77 46.770090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33735 Revision of heart chamber A 21.65 10.12NA 10.12 5.45 37.22 37.220090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33736 Revision of heart chamber A 23.71 10.53NA 10.53 5.98 40.22 40.220090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33741 Tas congenital car anomal A 13.65 2.54NA 2.54 3.26 19.45 19.450000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33745 Tis cgen car anomal 1st shnt A 19.50 3.64NA 3.64 4.68 27.82 27.820000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33746 Tis cgen car anomal ea addl A 7.80 1.45NA 1.45 1.86 11.11 11.110ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 3374F Ajcc brst cncr stage 1 docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33750 Shunt subclavian to pulm art A 21.66 8.62NA 8.62 5.45 35.73 35.730090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33755 Shunt as-aort to pulm art A 22.04 10.20NA 10.20 5.55 37.79 37.790090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33762 Shunt desc aorta to pulm art A 22.04 8.69NA 8.69 5.55 36.28 36.280090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33764 Shunt central w/prostc graft A 22.04 10.20NA 10.20 5.55 37.79 37.790090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33766 Shunt supr v/c p-art 1 lung A 22.98 8.88NA 8.88 5.78 37.64 37.640090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33767 Shunt supr v/c p-art bth lng A 24.67 9.21NA 9.21 6.21 40.09 40.090090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33768 Anast cavopulm sec sup v/c A 7.80 1.54NA 1.54 1.96 11.30 11.300ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 3376F Ajcc brstcncr stage 2 docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33770 Rpr tga w/o surg enlgmnt vsd A 38.09 10.96NA 10.96 9.61 58.66 58.660090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33771 Rpr tga w/surg enlgmnt vsd A 39.61 10.39NA 10.39 10.02 60.02 60.020090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33774 Rpr tga atrial baffle px A 30.94 12.25NA 12.25 7.81 51.00 51.000090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33775 Rpr tga atr bfl rmvl plm bnd A 32.17 12.02NA 12.02 8.11 52.30 52.300090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33776 Rpr tga atr bfl clsr vsd A 33.88 12.95NA 12.95 8.55 55.38 55.380090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33777 Rpr tga bfl rpr sbpulm obstr A 33.32 11.21NA 11.21 8.39 52.92 52.920090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33778 Rpr tga aortic pulm art rcns A 41.68 13.39NA 13.39 10.52 65.59 65.590090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33779 Rpr tga rcnstj rmvl plm bnd A 42.15 11.37NA 11.37 10.64 64.16 64.160090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33780 Rpr tga rcnstj clsr vsd A 42.80 11.88NA 11.88 10.80 65.48 65.480090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33781 Rpr tga rcnstj rpr sbpl obst A 42.13 10.89NA 10.89 10.63 63.65 63.650090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33782 Nikaidoh proc A 58.58 15.69NA 15.69 14.79 89.06 89.060090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33783 Nikaidoh proc w/ostia implt A 63.45 16.65NA 16.65 16.01 96.11 96.110090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33786 Repair arterial trunk A 40.82 12.03NA 12.03 10.29 63.14 63.140090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33788 Revision of pulmonary artery A 26.73 9.62NA 9.62 6.71 43.06 43.060090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3378F Ajcc brstcncr stage 3 docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33800 Aortic suspension A 16.85 6.94NA 6.94 4.24 28.03 28.030090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 33802 Division aberrant vessel A 17.91 8.88NA 8.88 4.51 31.30 31.300090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33803 Div aberrant vsl w/reanast A 19.80 7.76NA 7.76 4.97 32.53 32.530090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3380F Ajcc brstcncr stage 4 docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33814 Obltrj a-pulm sep def w/byp A 25.91 10.96NA 10.96 6.53 43.40 43.400090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33820 Repair pda by ligation A 16.27 7.34NA 7.34 4.09 27.70 27.700090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33822 Repair pda div<18 years A 17.27 7.53NA 7.53 4.33 29.13 29.130090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33824 Repair pda div 18 yrs&older A 19.72 9.20NA 9.20 4.95 33.87 33.870090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3382F Ajcc cln cncr stage 0 docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33840 Exc coa w/direct anastomosis A 20.81 9.45NA 9.45 5.23 35.49 35.490090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33845 Excision coa w/graft A 22.36 10.26NA 10.26 5.62 38.24 38.240090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 3384F Ajcc cln cncr stage 1 docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33851 Exc coa rpr l subcl art/prst A 21.43 9.58NA 9.58 5.39 36.40 36.400090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33852 Rpr hypopl a-arch wo byp A 23.80 10.04NA 10.04 6.00 39.84 39.840090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 33853 Rpr hypopl a-arch w/byp A 31.70 12.10NA 12.10 7.99 51.79 51.790090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33858 As-aort grf f/aortic dsj A 61.82 16.69NA 16.69 15.31 93.82 93.820090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33859 As-aort grf f/ds oth/thn dsj A 44.00 12.86NA 12.86 10.86 67.72 67.720090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33863 Ascending aortic graft A 57.32 15.54NA 15.54 14.14 87.00 87.000090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33864 Ascending aortic graft A 58.58 15.81NA 15.81 14.42 88.81 88.810090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33866 Aortic hemiarch graft A 17.31 3.47NA 3.47 4.27 25.05 25.050ZZZ.00.00.00000019 33.4009 090 99 0.00 0.00 0.00
- 3386F Ajcc cln cncr stage 2 docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33871 Transvrs a-arch grf hypthrm A 59.36 15.84NA 15.84 14.72 89.92 89.920090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33875 Thoracic aortic graft A 49.45 14.17NA 14.17 12.33 75.95 75.950090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 33877 Thoracoabdominal graft A 67.30 14.21NA 14.21 17.06 98.57 98.570090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 33880 Evasc rpr ta ndgft cov lsa A 26.33 5.63NA 5.63 6.58 38.54 38.540090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 33881 Evasc rpr ta ndgft xcov lsa A 21.97 4.90NA 4.90 5.49 32.36 32.360090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 33882 Evasc rpr ta dplmt mltpc sys A 35.00 9.71NA 9.71 8.07 52.78 52.780090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 33883 Delayed plmt prox xtn prosth A 19.41 4.60NA 4.60 4.78 28.79 28.790090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 33886 Delayed plmt dstl xtn prosth A 19.41 4.51NA 4.51 4.84 28.76 28.760090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 3388F Ajcc cln cncr stage 3 docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33894 Evasc st rpr thrc/aa acrs br A 17.81 3.32NA 3.32 4.26 25.39 25.390000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33895 Evasc st rpr thrc/aa x crsg A 14.18 2.64NA 2.64 3.39 20.21 20.210000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33897 Perq trluml angp nt/recr coa A 10.54 1.96NA 1.96 2.52 15.02 15.020000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33900 Perq p-art revsc 1 nm nt uni A 10.75 2.00NA 2.00 2.57 15.32 15.320000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33901 Perq p-art revsc 1 nm nt bi A 14.14 2.63NA 2.63 3.38 20.15 20.150000.00.00.00220009 33.4009 090 99 0.00 0.00 0.00
- 33902 Perq p-art revsc 1 abnor uni A 13.65 2.54NA 2.54 3.26 19.45 19.450000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33903 Perq p-art revsc 1 abnor bi A 16.09 3.00NA 3.00 3.86 22.95 22.950000.00.00.00220009 33.4009 090 99 0.00 0.00 0.00
- 33904 Perq p-art revsc each addl A 5.39 1.01NA 1.01 1.30 7.70 7.700ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 3390F Ajcc cln cncr stage 4 docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33910 Remove lung artery emboli A 47.00 15.20NA 15.20 11.29 73.49 73.490090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33915 Remove lung artery emboli A 24.33 8.86NA 8.86 5.83 39.02 39.020090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33916 Surgery of great vessel A 76.05 20.45NA 20.45 18.87 115.37115.370090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33917 Repair pulmonary artery A 24.67 10.72NA 10.72 6.21 41.60 41.600090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33920 Repair pulmonary atresia A 31.92 10.63NA 10.63 8.05 50.60 50.600090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33922 Transect pulmonary artery A 23.61 10.00NA 10.00 5.96 39.57 39.570090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33924 Remove pulmonary shunt A 5.35 1.06NA 1.06 1.33 7.74 7.740ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 33925 Rpr pul art unifocal w/o cpb A 30.52 9.65NA 9.65 7.69 47.86 47.860090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33926 Repr pul art unifocal w/cpb A 43.61 12.23NA 12.23 11.01 66.85 66.850090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 33927 Impltj tot rplcmt hrt sys A 47.78 9.42NA 9.42 12.06 69.26 69.260XXX.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33928 Rmvl & rplcmt tot hrt sys C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33929 Rmvl rplcmt hrt sys f/trnspl C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 33930 Removal of donor heart/lung X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33933 Prepare donor heart/lung C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 33935 Transplantation heart/lung R 89.49 26.95NA 26.95 21.46 137.90137.900090.09.84.07202129 33.4009 090 99 0.00 0.00 0.00
- 33940 Removal of donor heart X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33944 Prepare donor heart C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 33945 Transplantation of heart R 87.26 26.39NA 26.39 21.58 135.23135.230090.09.84.07202129 33.4009 090 99 0.00 0.00 0.00
- 33946 Ecmo/ecls initiation venous A 5.85 1.26NA 1.26 1.26 8.37 8.370XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 33947 Ecmo/ecls initiation artery A 6.46 1.36NA 1.36 1.41 9.23 9.230XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 33948 Ecmo/ecls daily mgmt-venous A 4.61 1.08NA 1.08 0.81 6.50 6.500XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 33949 Ecmo/ecls daily mgmt artery A 4.49 1.02NA 1.02 0.75 6.26 6.260XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 3394F Quant her2 ihc eval brst cx M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33951 Ecmo/ecls insj prph cannula A 7.95 1.79NA 1.79 1.91 11.65 11.650000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33952 Ecmo/ecls insj prph cannula A 7.95 1.75NA 1.75 1.82 11.52 11.520000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33953 Ecmo/ecls insj prph cannula A 8.88 1.97NA 1.97 2.12 12.97 12.970000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33954 Ecmo/ecls insj prph cannula A 8.88 1.95NA 1.95 2.10 12.93 12.930000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33955 Ecmo/ecls insj ctr cannula A 15.60 3.35NA 3.35 3.74 22.69 22.690000.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 33956 Ecmo/ecls insj ctr cannula A 15.60 3.28NA 3.28 3.76 22.64 22.640000.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 33957 Ecmo/ecls repos perph cnula A 3.42 0.85NA 0.85 0.82 5.09 5.090000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33958 Ecmo/ecls repos perph cnula A 3.42 0.85NA 0.85 0.82 5.09 5.090000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33959 Ecmo/ecls repos perph cnula A 4.36 1.05NA 1.05 1.06 6.47 6.470000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 3395F Quant nonher2 ihc brst cx M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 33962 Ecmo/ecls repos perph cnula A 4.36 1.05NA 1.05 1.06 6.47 6.470000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33963 Ecmo/ecls repos perph cnula A 8.78 1.95NA 1.95 2.10 12.83 12.830000.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 33964 Ecmo/ecls repos perph cnula A 9.26 2.05NA 2.05 2.21 13.52 13.520000.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 33965 Ecmo/ecls rmvl perph cannula A 3.42 0.85NA 0.85 0.82 5.09 5.090000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33966 Ecmo/ecls rmvl prph cannula A 4.39 1.04NA 1.04 1.03 6.46 6.460000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33967 Insert i-aort percut device A 4.72 0.92NA 0.92 1.09 6.73 6.730000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33968 Remove aortic assist device A 0.62 0.13NA 0.13 0.14 0.89 0.890000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 33969 Ecmo/ecls rmvl perph cannula A 5.09 1.19NA 1.19 1.22 7.50 7.500000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33970 Aortic circulation assist A 6.57 1.27NA 1.27 1.57 9.41 9.410000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 33971 Aortic circulation assist A 11.69 5.64NA 5.64 2.77 20.10 20.100090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33973 Insert balloon device A 9.51 1.95NA 1.95 2.27 13.73 13.730000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 33974 Remove intra-aortic balloon A 14.65 7.95NA 7.95 3.50 26.10 26.100090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 33975 Implant ventricular device A 24.38 4.87NA 4.87 6.02 35.27 35.270XXX.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33976 Implant ventricular device A 29.98 6.15NA 6.15 7.20 43.33 43.330XXX.00.00.00222009 33.4009 090 99 0.00 0.00 0.00
- 33977 Remove ventricular device A 20.34 5.71NA 5.71 4.95 31.00 31.000XXX.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33978 Remove ventricular device A 24.38 6.81NA 6.81 5.84 37.03 37.030XXX.00.00.00222009 33.4009 090 99 0.00 0.00 0.00
- 33979 Insert intracorporeal device A 36.56 7.38NA 7.38 9.01 52.95 52.950XXX.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33980 Remove intracorporeal device A 32.66 8.26NA 8.26 8.07 48.99 48.990XXX.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33981 Replace vad pump ext A 15.71 3.23NA 3.23 3.75 22.69 22.690XXX.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33982 Replace vad intra w/o bp A 36.91 7.57NA 7.57 8.85 53.33 53.330XXX.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33983 Replace vad intra w/bp A 43.43 8.92NA 8.92 10.43 62.78 62.780XXX.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33984 Ecmo/ecls rmvl prph cannula A 5.32 1.11NA 1.11 1.31 7.74 7.740000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 33985 Ecmo/ecls rmvl ctr cannula A 9.64 2.13NA 2.13 2.32 14.09 14.090000.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 33986 Ecmo/ecls rmvl ctr cannula A 9.75 2.13NA 2.13 2.41 14.29 14.290000.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 33987 Artery expos/graft artery A 3.94 0.81NA 0.81 0.95 5.70 5.700ZZZ.00.00.00000119 33.4009 090 99 0.00 0.00 0.00
- 33988 Insertion of left heart vent A 14.63 3.16NA 3.16 3.49 21.28 21.280000.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 33989 Removal of left heart vent A 9.26 2.05NA 2.05 2.21 13.52 13.520000.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 33990 Insj perq vad l hrt arterial A 6.58 1.26NA 1.26 1.53 9.37 9.370000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33991 Insj perq vad l hrt artl&ven A 8.62 1.77NA 1.77 2.06 12.45 12.450000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33992 Rmvl perq left heart vad A 3.46 0.66NA 0.66 0.82 4.94 4.940000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33993 Reposg perq r/l hrt vad A 3.02 0.66NA 0.66 0.58 4.26 4.260000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33995 Insj perq vad r hrt venous A 6.58 1.28NA 1.28 1.50 9.36 9.360000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33997 Rmvl perq right heart vad A 2.93 0.58NA 0.58 0.67 4.18 4.180000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 33999 Unlisted px cardiac surgery C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202119 33.4009 090 99 0.00 0.00 0.00
- 34001 Removal of artery clot A 17.43 3.11NA 3.11 4.46 25.00 25.000090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 34051 Removal of artery clot A 16.57 8.37NA 8.37 3.96 28.90 28.900090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 34101 Removal of artery clot A 10.66 2.90NA 2.90 2.72 16.28 16.280090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 34111 Removal of arm artery clot A 10.66 2.93NA 2.93 2.70 16.29 16.290090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 34151 Removal of artery clot A 25.86 5.40NA 5.40 6.56 37.82 37.820090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 34201 Removal of artery clot A 18.99 3.93NA 3.93 4.84 27.76 27.760090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 34203 Removal of leg artery clot A 17.41 3.97NA 3.97 4.44 25.82 25.820090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 34401 Removal of vein clot A 25.86 4.03NA 4.03 6.60 36.49 36.490090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 34421 Removal of vein clot A 13.04 2.66NA 2.66 3.32 19.02 19.020090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 34451 Removal of vein clot A 27.81 4.19NA 4.19 7.11 39.11 39.110090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 34471 Removal of vein clot A 20.58 3.62NA 3.62 5.25 29.45 29.450090.09.84.07211109 33.4009 090 99 0.00 0.00 0.00
- 34490 Removal of vein clot A 10.64 2.44NA 2.44 2.72 15.80 15.800090.09.84.07211009 33.4009 090 99 0.00 0.00 0.00
- 34501 Repair valve femoral vein A 16.43 3.95NA 3.95 4.19 24.57 24.570090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 34502 Reconstruct vena cava A 27.37 8.62NA 8.62 6.42 42.41 42.410090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 3450F Dyspnea scrnd no-mild dysp I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 34510 Transposition of vein valve A 19.41 3.53NA 3.53 4.95 27.89 27.890090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3451F Dyspnea scrnd mod-high dysp I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 34520 Cross-over vein graft A 18.70 3.57NA 3.57 4.77 27.04 27.040090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3452F Dyspnea not screened I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 34530 Leg vein fusion A 17.48 3.83NA 3.83 4.46 25.77 25.770090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3455F Tb scr pfrmd&interpd 6 mo I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 34701 Evasc rpr a-ao ndgft A 23.12 4.51NA 4.51 5.78 33.41 33.410090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 34702 Evasc rpr a-ao ndgft rpt A 35.10 4.64NA 4.64 8.99 48.73 48.730090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 34703 Evasc rpr a-unilac ndgft A 25.86 4.71NA 4.71 6.49 37.06 37.060090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 34704 Evasc rpr a-unilac ndgft rpt A 43.88 5.33NA 5.33 11.25 60.46 60.460090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 34705 Evac rpr a-biiliac ndgft A 28.84 5.10NA 5.10 7.22 41.16 41.160090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 34706 Evasc rpr a-biiliac rpt A 43.88 6.44NA 6.44 11.08 61.40 61.400090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 34707 Evasc rpr ilio-iliac ndgft A 21.72 4.31NA 4.31 5.43 31.46 31.460090.09.84.07212209 33.4009 090 99 0.00 0.00 0.00
- 34708 Evasc rpr ilio-iliac rpt A 35.59 4.67NA 4.67 9.12 49.38 49.380090.09.84.07212209 33.4009 090 99 0.00 0.00 0.00
- 34709 Plmt xtn prosth evasc rpr A 6.34 0.71NA 0.71 1.59 8.64 8.640ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 3470F Ra disease activity low I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 34710 Dlyd plmt xtn prosth 1st vsl A 14.63 3.35NA 3.35 3.65 21.63 21.630090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 34711 Dlyd plmt xtn prosth ea addl A 5.85 0.60NA 0.60 1.46 7.91 7.910ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 34712 Tcat dlvr enhncd fixj dev A 11.70 3.17NA 3.17 2.91 17.78 17.780090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 34713 Perq access & clsr fem art A 2.44 0.26NA 0.26 0.60 3.30 3.300ZZZ.00.00.00012209 33.4009 090 99 0.00 0.00 0.00
- 34714 Opn fem art expos cndt crtj A 5.12 0.94NA 0.94 1.28 7.34 7.340ZZZ.00.00.00012209 33.4009 090 99 0.00 0.00 0.00
- 34715 Opn ax/subcla art expos A 5.85 0.74NA 0.74 1.48 8.07 8.070ZZZ.00.00.00012209 33.4009 090 99 0.00 0.00 0.00
- 34716 Opn ax/subcla art expos cndt A 7.01 1.39NA 1.39 1.73 10.13 10.130ZZZ.00.00.00012209 33.4009 090 99 0.00 0.00 0.00
- 34717 Evasc rpr a-iliac ndgft A 8.78 0.89NA 0.89 2.21 11.88 11.880ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 34718 Evasc rpr n/a a-iliac ndgft A 23.40 4.02NA 4.02 5.89 33.31 33.310090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 3471F Ra disease activity mod I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3472F Ra disease activity high I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3475F Disease progn ra poor docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3476F Disease progn ra good docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 34808 Endovas iliac a device addon A 4.02 0.39NA 0.39 1.03 5.44 5.440ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 34812 Opn fem art expos A 4.03 0.47NA 0.47 1.04 5.54 5.540ZZZ.00.00.00012209 33.4009 090 99 0.00 0.00 0.00
- 34813 Femoral endovas graft add-on A 4.67 0.46NA 0.46 1.21 6.34 6.340ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 34820 Opn iliac art expos A 6.83 0.54NA 0.54 1.74 9.11 9.110ZZZ.00.00.00012209 33.4009 090 99 0.00 0.00 0.00
- 34830 Open aortic tube prosth repr A 34.35 4.80NA 4.80 8.79 47.94 47.940090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 34831 Open aortoiliac prosth repr A 37.03 6.07NA 6.07 9.42 52.52 52.520090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 34832 Open aortofemor prosth repr A 37.03 5.01NA 5.01 9.47 51.51 51.510090.09.84.07202209 33.4009 090 99 0.00 0.00 0.00
- 34833 Opn ilac art expos cndt crtj A 7.96 0.63NA 0.63 2.04 10.63 10.630ZZZ.00.00.00012209 33.4009 090 99 0.00 0.00 0.00
- 34834 Opn brach art expos A 2.58 0.26NA 0.26 0.65 3.49 3.490ZZZ.00.00.00012209 33.4009 090 99 0.00 0.00 0.00
- 34839 Plnning pt spec fenest graft B 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 34841 Endovasc visc aorta 1 graft C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202209 33.4009 090 99 0.00 0.00 0.00
- 34842 Endovasc visc aorta 2 graft C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202209 33.4009 090 99 0.00 0.00 0.00
- 34843 Endovasc visc aorta 3 graft C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202209 33.4009 090 99 0.00 0.00 0.00
- 34844 Endovasc visc aorta 4 graft C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202209 33.4009 090 99 0.00 0.00 0.00
- 34845 Visc & infraren abd 1 prosth C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202209 33.4009 090 99 0.00 0.00 0.00
- 34846 Visc & infraren abd 2 prosth C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202209 33.4009 090 99 0.00 0.00 0.00
- 34847 Visc & infraren abd 3 prosth C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202209 33.4009 090 99 0.00 0.00 0.00
- 34848 Visc & infraren abd 4+ prost C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202209 33.4009 090 99 0.00 0.00 0.00
- 3490F History aids-defining cond I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3491F Hiv unsure baby of hiv+moms I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3492F History cd4+ cell count <350 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3493F No hist cd4+ cell count <350 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3494F Cd4+cell count <200cells/mm3 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3495F Cd4+cell cnt 200-499 cells I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3496F Cd4+ cell count >= 500 cells I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3497F Cd4+ cell percentage <15% I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3498F Cd4+ cell >=15% (hiv) I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35001 Repair defect of artery A 20.29 4.72NA 4.72 5.13 30.14 30.140090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35002 Repair artery rupture neck A 21.67 3.83NA 3.83 5.54 31.04 31.040090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35005 Repair defect of artery A 18.81 3.60NA 3.60 4.80 27.21 27.210090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3500F Cd4+cell cnt/% docd as done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35011 Repair defect of artery A 18.12 4.56NA 4.56 4.69 27.37 27.370090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35013 Repair artery rupture arm A 22.65 3.88NA 3.88 5.78 32.31 32.310090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35021 Repair defect of artery A 21.62 9.42NA 9.42 5.16 36.20 36.200090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35022 Repair artery rupture chest A 25.06 10.12NA 10.12 6.01 41.19 41.190090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3502F Hiv rna vrl ld <lmts quantif I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3503F Hiv rna vrl ldnot<lmts quntf I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35045 Repair defect of arm artery A 17.56 4.12NA 4.12 4.40 26.08 26.080090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35081 Repair defect of artery A 32.69 6.10NA 6.10 8.33 47.12 47.120090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35082 Repair artery rupture aorta A 41.04 7.09NA 7.09 10.41 58.54 58.540090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35091 Repair defect of artery A 34.47 4.80NA 4.80 8.75 48.02 48.020090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35092 Repair artery rupture aorta A 49.70 6.19NA 6.19 12.71 68.60 68.600090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35102 Repair defect of artery A 35.62 6.23NA 6.23 9.07 50.92 50.920090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35103 Repair artery rupture aorta A 42.53 5.45NA 5.45 10.89 58.87 58.870090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3510F Doc tb scrng-rslts interpd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35111 Repair defect of artery A 25.62 4.01NA 4.01 6.55 36.18 36.180090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35112 Repair artery rupture spleen A 31.76 4.60NA 4.60 8.12 44.48 44.480090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3511F Chlmyd/gonrh tsts docd done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35121 Repair defect of artery A 30.73 4.42NA 4.42 7.87 43.02 43.020090.09.84.07212009 33.4009 090 99 0.00 0.00 0.00
- 35122 Repair artery rupture belly A 36.94 5.01NA 5.01 9.44 51.39 51.390090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3512F Syph scrng docd as done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35131 Repair defect of artery A 25.74 5.40NA 5.40 6.56 37.70 37.700090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35132 Repair artery rupture groin A 31.76 4.60NA 4.60 8.12 44.48 44.480090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3513F Hep b scrng docd as done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35141 Repair defect of artery A 20.39 4.10NA 4.10 5.17 29.66 29.660090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35142 Repair artery rupture thigh A 24.53 5.01NA 5.01 6.23 35.77 35.770090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3514F Hep c scrng docd as done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35151 Repair defect of artery A 23.13 4.59NA 4.59 5.90 33.62 33.620090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35152 Repair ruptd popliteal art A 26.97 4.21NA 4.21 6.87 38.05 38.050090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3515F Pt has docd immun to hep c I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3517F Hbv assess&results intrp 1yr I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35180 Rpr cgen av fistula head&nck A 14.72 3.00NA 3.00 3.75 21.47 21.470090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35182 Rpr cgen av fistula thrx&abd A 30.92 11.85NA 11.85 7.78 50.55 50.550090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35184 Rpr cgen av fistula xtr A 18.35 3.30NA 3.30 4.69 26.34 26.340090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35188 Rpr acq av fistula head&neck A 17.55 12.86NA 12.86 7.41 37.82 37.820090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35189 Rpr acq av fistula thrx&abd A 29.23 4.40NA 4.40 7.46 41.09 41.090090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35190 Repair acq av fistula xtr A 13.08 4.12NA 4.12 3.34 20.54 20.540090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35201 Repair blood vessel dir neck A 16.51 4.79NA 4.79 4.02 25.32 25.320090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35206 Repair blood vessel dir uxtr A 13.49 5.06NA 5.06 3.13 21.68 21.680090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35207 Rpr bld vsl dir hand finger A 10.67 7.73NA 7.73 2.06 20.46 20.460090.09.84.07211109 33.4009 090 99 0.00 0.00 0.00
- 3520F Cdifficile testing performed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35211 Rpr blvsl dir ntrathrc w/byp A 23.97 9.63NA 9.63 5.93 39.53 39.530090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35216 Rpr blvsl dir ntrthrc wo byp A 35.69 12.82NA 12.82 8.60 57.11 57.110090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35221 Rpr bld vsl dir intra-abdl A 25.95 7.58NA 7.58 6.54 40.07 40.070090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35226 Repair blood vessel dir lxtr A 14.92 3.98NA 3.98 3.75 22.65 22.650090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35231 Repair blvsl vn grf neck A 20.63 8.07NA 8.07 3.79 32.49 32.490090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35236 Repair blvsl vn grf uxtr A 17.57 5.66NA 5.66 4.23 27.46 27.460090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35241 Rpr blvsl vn grf ntrthrc w/b A 24.94 10.10NA 10.10 5.98 41.02 41.020090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35246 Rpr blvsl vn grf ntrthrc w/o A 27.52 10.32NA 10.32 6.59 44.43 44.430090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35251 Rpr blvsl vn grf intra-abdl A 31.11 7.91NA 7.91 7.85 46.87 46.870090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35256 Repair blvsl vn grf lxtr A 18.58 4.67NA 4.67 4.52 27.77 27.770090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35261 Rpr blvsl grf oth/thn vn nck A 18.49 3.65NA 3.65 4.73 26.87 26.870090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35266 Rpr blvsl grf oth/th vn uxtr A 15.43 4.24NA 4.24 3.92 23.59 23.590090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35271 Rpr blvs gr ot/th vn ntrth w A 23.97 9.89NA 9.89 5.73 39.59 39.590090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35276 Rpr blvs gr ot/t vn ntrth wo A 25.18 10.54NA 10.54 6.03 41.75 41.750090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35281 Rpr blvsl gr ot/th vn ntr-ab A 29.31 7.70NA 7.70 7.47 44.48 44.480090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35286 Rpr blvsl grf oth/th vn lxtr A 16.76 4.18NA 4.18 4.26 25.20 25.200090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35301 Rechanneling of artery A 20.63 4.72NA 4.72 5.36 30.71 30.710090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35302 Rechanneling of artery A 20.82 4.19NA 4.19 5.30 30.31 30.310090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35303 Rechanneling of artery A 23.01 4.48NA 4.48 5.85 33.34 33.340090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35304 Rechanneling of artery A 23.99 4.45NA 4.45 6.16 34.60 34.600090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35305 Rechanneling of artery A 23.01 4.09NA 4.09 5.86 32.96 32.960090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35306 Rechanneling of artery A 9.02 0.72NA 0.72 2.31 12.05 12.050ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 35311 Rechanneling of artery A 27.89 9.21NA 9.21 6.67 43.77 43.770090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35321 Rechanneling of artery A 16.18 4.41NA 4.41 4.14 24.73 24.730090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35331 Rechanneling of artery A 27.03 4.12NA 4.12 6.90 38.05 38.050090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35341 Rechanneling of artery A 25.55 5.23NA 5.23 6.46 37.24 37.240090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35351 Rechanneling of artery A 23.99 4.87NA 4.87 6.16 35.02 35.020090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35355 Rechanneling of artery A 19.36 3.63NA 3.63 4.93 27.92 27.920090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35361 Rechanneling of artery A 29.48 4.42NA 4.42 7.54 41.44 41.440090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35363 Rechanneling of artery A 31.54 4.58NA 4.58 8.07 44.19 44.190090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35371 Rechanneling of artery A 14.93 3.42NA 3.42 3.80 22.15 22.150090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35372 Rechanneling of artery A 18.12 3.77NA 3.77 4.62 26.51 26.510090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35390 Reoperation carotid add-on A 3.11 0.39NA 0.39 0.79 4.29 4.290ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 35400 Angioscopy A 2.93 0.24NA 0.24 0.75 3.92 3.920ZZZ.00.00.00000109 33.4009 090 99 0.00 0.00 0.00
- 35500 Harvest vein for bypass A 6.28 0.73NA 0.73 1.58 8.59 8.590ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 35501 Art byp grft ipsilat carotid A 28.36 4.11NA 4.11 7.26 39.73 39.730090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35506 Art byp grft subclav-carotid A 24.70 3.69NA 3.69 6.31 34.70 34.700090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35508 Art byp grft carotid-vertbrl A 25.44 4.33NA 4.33 6.49 36.26 36.260090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35509 Art byp grft contral carotid A 27.39 4.06NA 4.06 7.01 38.46 38.460090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3550F Low rsk thromboembolism I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35510 Art byp grft carotid-brchial A 23.78 3.63NA 3.63 6.08 33.49 33.490090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35511 Art byp grft subclav-subclav A 21.65 3.35NA 3.35 5.53 30.53 30.530090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35512 Art byp grft subclav-brchial A 23.29 3.60NA 3.60 5.96 32.85 32.850090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35515 Art byp grft subclav-vertbrl A 25.44 4.33NA 4.33 6.49 36.26 36.260090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35516 Art byp grft subclav-axilary A 23.60 3.60NA 3.60 6.03 33.23 33.230090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35518 Art byp grft axillary-axilry A 22.08 3.38NA 3.38 5.63 31.09 31.090090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3551F Intrmed rsk thromboembolism I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35521 Art byp grft axill-femoral A 23.53 3.95NA 3.95 6.02 33.50 33.500090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35522 Art byp grft axill-brachial A 22.57 3.54NA 3.54 5.76 31.87 31.870090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35523 Art byp grft brchl-ulnr-rdl A 23.53 3.98NA 3.98 6.02 33.53 33.530090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35525 Art byp grft brachial-brchl A 21.15 3.42NA 3.42 5.40 29.97 29.970090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35526 Art byp grft aor/carot/innom A 30.76 10.80NA 10.80 7.38 48.94 48.940090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3552F Hgh risk for thromboembolism I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35531 Art byp grft aorcel/aormesen A 38.13 5.10NA 5.10 9.77 53.00 53.000090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35533 Art byp grft axill/fem/fem A 29.17 4.39NA 4.39 7.45 41.01 41.010090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35535 Art byp grft hepatorenal A 37.18 5.04NA 5.04 9.52 51.74 51.740090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35536 Art byp grft splenorenal A 32.89 4.68NA 4.68 8.40 45.97 45.970090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35537 Art byp grft aortoiliac A 40.83 5.35NA 5.35 10.46 56.64 56.640090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35538 Art byp grft aortobi-iliac A 45.85 5.82NA 5.82 11.75 63.42 63.420090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35539 Art byp grft aortofemoral A 43.01 5.52NA 5.52 11.01 59.54 59.540090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35540 Art byp grft aortbifemoral A 48.10 5.93NA 5.93 12.33 66.36 66.360090.09.84.07211109 33.4009 090 99 0.00 0.00 0.00
- 35556 Art byp grft fem-popliteal A 26.08 5.08NA 5.08 6.62 37.78 37.780090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35558 Art byp grft fem-femoral A 22.55 4.80NA 4.80 5.68 33.03 33.030090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3555F Pt inr measurement performed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35560 Art byp grft aortorenal A 33.18 4.70NA 4.70 8.50 46.38 46.380090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35563 Art byp grft ilioiliac A 25.47 4.09NA 4.09 6.50 36.06 36.060090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35565 Art byp grft iliofemoral A 24.50 4.01NA 4.01 6.26 34.77 34.770090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35566 Art byp fem-ant-post tib/prl A 31.54 5.36NA 5.36 8.06 44.96 44.960090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35570 Art byp tibial-tib/peroneal A 28.42 4.44NA 4.44 7.28 40.14 40.140090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35571 Art byp pop-tibl-prl-other A 24.88 4.69NA 4.69 6.37 35.94 35.940090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35572 Harvest femoropopliteal vein A 6.64 0.87NA 0.87 1.68 9.19 9.190ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 35583 Vein byp grft fem-popliteal A 27.06 5.03NA 5.03 6.89 38.98 38.980090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35585 Vein byp fem-tibial peroneal A 31.54 5.55NA 5.55 8.06 45.15 45.150090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35587 Vein byp pop-tibl peroneal A 25.55 4.22NA 4.22 6.53 36.30 36.300090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35600 Open hrv uxtr art 1 sgm cab A 3.50 0.70NA 0.70 0.86 5.06 5.060ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 35601 Bpg com crtd-ipsi int crtd A 26.41 4.80NA 4.80 6.79 38.00 38.000090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35602 Bpg crtd-clat crtd A 23.53 5.13NA 5.13 5.95 34.61 34.610090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35606 Bpg carotid-subclavian A 21.90 4.41NA 4.41 5.57 31.88 31.880090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35612 Bpg subclavian-subclavian A 19.84 3.64NA 3.64 5.06 28.54 28.540090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35616 Bpg subclavian-axillary A 21.27 3.32NA 3.32 5.43 30.02 30.020090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35621 Bpg axillary-femoral A 20.50 3.93NA 3.93 5.22 29.65 29.650090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35623 Bpg axillary-pop/-tibial A 25.27 4.08NA 4.08 6.45 35.80 35.800090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35626 Bpg aor-subcla/innom/carotid A 28.41 8.89NA 8.89 7.05 44.35 44.350090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35631 Bpg aor-celiac-msn-renal A 35.13 6.06NA 6.06 8.93 50.12 50.120090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35632 Bpg ilio-celiac A 35.23 4.88NA 4.88 9.01 49.12 49.120090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35633 Bpg ilio-mesenteric A 38.13 6.11NA 6.11 9.72 53.96 53.960090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35634 Bpg iliorenal A 34.45 4.82NA 4.82 8.81 48.08 48.080090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35636 Bpg splenorenal A 30.96 4.53NA 4.53 7.92 43.41 43.410090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35637 Bpg aortoiliac A 32.22 4.67NA 4.67 8.25 45.14 45.140090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35638 Bpg aortobi-iliac A 32.76 6.30NA 6.30 8.28 47.34 47.340090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35642 Bpg carotid-vertebral A 18.47 3.90NA 3.90 4.72 27.09 27.090090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35645 Bpg subclavian-vertebral A 17.97 3.31NA 3.31 4.60 25.88 25.880090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35646 Bpg aortobifemoral A 32.16 5.87NA 5.87 8.17 46.20 46.200090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35647 Bpg aortofemoral A 28.99 4.28NA 4.28 7.42 40.69 40.690090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35650 Bpg axillary-axillary A 19.66 3.20NA 3.20 5.02 27.88 27.880090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35654 Bpg axillary-femoral-femoral A 25.62 4.88NA 4.88 6.52 37.02 37.020090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35656 Bpg femoral-popliteal A 19.96 4.07NA 4.07 5.07 29.10 29.100090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35661 Bpg femoral-femoral A 19.84 4.53NA 4.53 5.04 29.41 29.410090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35663 Bpg ilioiliac A 23.33 3.93NA 3.93 5.97 33.23 33.230090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35665 Bpg iliofemoral A 21.79 4.62NA 4.62 5.51 31.92 31.920090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35666 Bpg fem-ant tib pst tib/prnl A 23.07 6.00NA 6.00 5.89 34.96 34.960090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35671 Bpg pop-tibl/-prnl artery A 20.25 5.39NA 5.39 5.16 30.80 30.800090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35681 Composite byp grft pros&vein A 1.56 0.19NA 0.19 0.40 2.15 2.150ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 35682 Composite byp grft 2 veins A 7.01 0.65NA 0.65 1.78 9.44 9.440ZZZ.00.00.00000109 33.4009 090 99 0.00 0.00 0.00
- 35683 Composite byp grft 3/> segmt A 8.28 0.66NA 0.66 2.11 11.05 11.050ZZZ.00.00.00000109 33.4009 090 99 0.00 0.00 0.00
- 35685 Bypass graft patency/patch A 3.94 0.39NA 0.39 1.02 5.35 5.350ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 35686 Bypass graft/av fist patency A 3.26 0.26NA 0.26 0.83 4.35 4.350ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 35691 Art trnsposj vertbrl carotid A 17.95 3.31NA 3.31 4.58 25.84 25.840090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35693 Art trnsposj subclavian A 15.34 3.73NA 3.73 3.91 22.98 22.980090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35694 Art trnsposj subclav carotid A 18.80 3.38NA 3.38 4.80 26.98 26.980090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35695 Art trnsposj carotid subclav A 19.56 3.44NA 3.44 4.98 27.98 27.980090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35697 Reimplant artery each A 2.93 0.29NA 0.29 0.73 3.95 3.950ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 35700 Reoperation bypass graft A 3.00 0.31NA 0.31 0.78 4.09 4.090ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 35701 Expl n/flwd surg neck art A 7.31 2.87NA 2.87 1.30 11.48 11.480090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35702 Expl n/flwd surg uxtr art A 6.94 2.55NA 2.55 1.65 11.14 11.140090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35703 Expl n/flwd surg lxtr art A 7.31 2.30NA 2.30 1.76 11.37 11.370090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 3570F Rprt bone scint xref w xray I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3572F Pt consid poss risk fx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3573F Pt not consid poss risk fx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 35800 Explore neck vessels A 11.70 5.76NA 5.76 2.34 19.80 19.800090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35820 Explore chest vessels A 35.97 11.22NA 11.22 8.82 56.01 56.010090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35840 Explore abdominal vessels A 20.23 8.38NA 8.38 5.02 33.63 33.630090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35860 Explore limb vessels A 14.87 4.66NA 4.66 3.69 23.22 23.220090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35870 Repair vessel graft defect A 23.89 4.00NA 4.00 6.11 34.00 34.000090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35875 Removal of clot in graft A 10.45 3.03NA 3.03 2.64 16.12 16.120090.09.84.07201109 33.4009 090 99 0.00 0.00 0.00
- 35876 Removal of clot in graft A 17.37 3.94NA 3.94 4.33 25.64 25.640090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35879 Revise graft w/vein A 16.97 3.89NA 3.89 4.32 25.18 25.180090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35881 Revise graft w/vein A 18.87 4.35NA 4.35 4.76 27.98 27.980090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35883 Revj fem anast nonautog grf A 22.57 4.13NA 4.13 5.74 32.44 32.440090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35884 Revj fem anast autog vn grf A 24.03 3.57NA 3.57 6.15 33.75 33.750090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 35901 Excision graft neck A 8.17 2.89NA 2.89 2.08 13.14 13.140090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35903 Excision graft extremity A 9.29 3.85NA 3.85 2.37 15.51 15.510090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35905 Excision graft thorax A 32.68 4.67NA 4.67 8.35 45.70 45.700090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 35907 Excision graft abdomen A 36.34 6.01NA 6.01 9.24 51.59 51.590090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 36000 Place needle in vein B+ 0.18 0.74 0.04 0.02 0.94 0.249XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 36002 Pseudoaneurysm injection trt A 1.91 2.32 0.54 0.30 4.53 2.750000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36005 Injection ext venography A 0.93 6.23 0.16 0.16 7.32 1.250000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 36010 Place catheter in vein A 2.13 12.80 0.31 0.41 15.34 2.850XXX.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36011 Place catheter in vein A 3.06 19.81 0.49 0.54 23.41 4.090XXX.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36012 Place catheter in vein A 3.42 20.16 0.56 0.62 24.20 4.600XXX.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36013 Place catheter in artery A 2.46 20.35 0.50 0.40 23.21 3.360XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36014 Place catheter in artery A 2.94 19.06 0.49 0.48 22.48 3.910XXX.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36015 Place catheter in artery A 3.42 19.87 0.55 0.49 23.78 4.460XXX.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36100 Establish access to artery A 2.94 11.81 0.37 0.70 15.45 4.010XXX.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36140 Intro ndl icath upr/lxtr art A 1.72 12.87 0.27 0.37 14.96 2.360XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36160 Establish access to aorta A 2.46 13.51 0.38 0.36 16.33 3.200XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36200 Place catheter in aorta A 2.70 13.64 0.36 0.62 16.96 3.680000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36215 Place catheter in artery A 4.07 27.17 0.94 0.62 31.86 5.630000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36216 Place catheter in artery A 5.14 26.08 1.02 1.13 32.35 7.290000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36217 Place catheter in artery A 6.13 51.50 1.37 1.53 59.16 9.030000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36218 Place catheter in artery A 0.98 5.69 0.20 0.21 6.88 1.390ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36221 Place cath thoracic aorta A 3.82 23.81 0.61 0.90 28.53 5.330000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 36222 Place cath carotid/inom art A 5.15 31.25 1.10 1.31 37.71 7.560000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36223 Place cath carotid/inom art A 5.61 50.03 1.58 1.71 57.35 8.900000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36224 Place cath carotd art A 6.09 62.32 1.89 1.96 70.37 9.940000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36225 Place cath subclavian art A 5.61 46.36 1.51 1.69 53.66 8.810000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36226 Place cath vertebral art A 6.09 60.43 1.85 1.92 68.44 9.860000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36227 Place cath xtrnl carotid A 2.04 5.50 0.55 0.65 8.19 3.240ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 36228 Place cath intracranial art A 4.14 40.57 1.16 1.43 46.14 6.730ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 36245 Ins cath abd/l-ext art 1st A 4.53 30.50 0.81 0.86 35.89 6.200XXX.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36246 Ins cath abd/l-ext art 2nd A 4.89 17.95 0.69 1.05 23.89 6.630000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36247 Ins cath abd/l-ext art 3rd A 5.89 33.72 0.87 0.99 40.60 7.750000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36248 Ins cath abd/l-ext art addl A 0.98 2.26 0.14 0.12 3.36 1.240ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36251 Ins cath ren art 1st unilat A 4.97 30.79 0.80 0.95 36.71 6.720000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36252 Ins cath ren art 1st bilat A 6.57 32.17 1.22 1.48 40.22 9.270000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 36253 Ins cath ren art 2nd+ unilat A 7.12 48.81 1.13 0.88 56.81 9.130000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36254 Ins cath ren art 2nd+ bilat A 7.70 47.75 1.42 1.73 57.18 10.850000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 36260 Insertion of infusion pump A 9.66 6.72NA 6.72 2.58 18.96 18.960090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 36261 Revision of infusion pump A 5.49 5.25NA 5.25 1.46 12.20 12.200090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 36262 Removal of infusion pump A 4.01 4.38NA 4.38 1.08 9.47 9.470090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 36299 Unlisted px vascular njx C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 36400 Vnpnxr<3yrs phy/qhp fem/jug A 0.37 0.43 0.08 0.02 0.82 0.470XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36405 Vnpnxr<3yrs phy/qhp scalp vn A 0.30 0.40 0.06 0.02 0.72 0.380XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36406 Vnpnxr<3yrs phy/qhp other vn A 0.18 0.36 0.04 0.01 0.55 0.230XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36410 Vnpnxr 3yr/> phy/qhp dx/ther A 0.18 0.37 0.04 0.02 0.57 0.240XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36415 Coll venous bld venipuncture X 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 36416 Collj capillary blood spec B 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 36420 Venipuncture cutdown < 1 yr A 0.98 0.16NA 0.16 0.24 1.38 1.380XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 36425 Venipuncture cutdown 1 yr/> A 0.74 0.16NA 0.16 0.09 0.99 0.990XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36430 Transfusion bld/bld compnt A 0.00 1.39 1.39NA 0.03 1.42 1.425XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36440 Bld push tfuj 2 yr/< A 1.00 0.20NA 0.20 0.06 1.26 1.260XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 36450 Bld exchange truj newborn A 3.41 0.69NA 0.69 0.21 4.31 4.310XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 36455 Bld exchange truj oth thn nb A 2.37 0.46NA 0.46 0.59 3.42 3.420XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36456 Prtl exchange transfuse nb A 1.95 0.39NA 0.39 0.12 2.46 2.460XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 36460 Intrauterine transfusion ftl A 6.42 1.36NA 1.36 1.13 8.91 8.910XXX.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 36465 Njx noncmpnd sclrsnt 1 vein A 2.29 35.75 0.39 0.48 38.52 3.160000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36466 Njx noncmpnd sclrsnt mlt vn A 2.93 36.57 0.47 0.59 40.09 3.990000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36468 Njx sclrsnt spider veins R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 36470 Njx sclrsnt 1 incmptnt vein A 0.73 2.74 0.13 0.15 3.62 1.010000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36471 Njx sclrsnt mlt incmptnt vn A 1.46 4.39 0.25 0.29 6.14 2.000000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36473 Endovenous mchnchem 1st vein A 3.41 30.99 0.58 0.75 35.15 4.740000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36474 Endovenous mchnchem add-on A 1.71 5.11 0.25 0.38 7.20 2.340ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 36475 Endovenous rf 1st vein A 5.17 25.30 1.06 1.15 31.62 7.380000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36476 Endovenous rf vein add-on A 2.58 5.20 0.37 0.57 8.35 3.520ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 36478 Endovenous laser 1st vein A 5.17 23.09 1.13 1.09 29.35 7.390000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36479 Endovenous laser vein addon A 2.58 6.17 0.45 0.54 9.29 3.570ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 36481 Insertion of catheter vein A 6.56 41.76 1.11 0.75 49.07 8.420000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36482 Endoven ther chem adhes 1st A 3.41 45.46 0.59 0.75 49.62 4.750000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 36483 Endoven ther chem adhes sbsq A 1.71 2.12 0.27 0.40 4.23 2.380ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 36500 Insertion of catheter vein A 3.42 0.71NA 0.71 0.67 4.80 4.800000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 3650F Eeg ordered rvwd reqstd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 36510 Insertion of catheter vein A 1.06 1.45 0.22 0.07 2.58 1.350000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 36511 Apheresis wbc A 1.95 0.65NA 0.65 0.13 2.73 2.730000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36512 Apheresis rbc A 1.95 0.50NA 0.50 0.12 2.57 2.570000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36513 Apheresis platelets A 1.95 0.53NA 0.53 0.16 2.64 2.640000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36514 Apheresis plasma A 1.76 19.47 0.42 0.16 21.39 2.340000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36516 Apheresis immunoads slctv A 1.52 64.83 0.36 0.35 66.70 2.230000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36522 Photopheresis A 1.71 38.95 0.50 0.13 40.79 2.340000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36555 Insert non-tunnel cv cath A 1.88 4.35 0.33 0.16 6.39 2.370000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36556 Insert non-tunnel cv cath A 1.71 5.18 0.38 0.23 7.12 2.320000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36557 Insert tunneled cv cath A 4.77 31.74 3.18 1.28 37.79 9.230010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 36558 Insert tunneled cv cath A 4.48 18.46 1.84 0.64 23.58 6.960010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 36560 Insert tunneled cv cath A 5.89 32.76 3.45 1.57 40.22 10.910010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 36561 Insert tunneled cv cath A 5.65 22.22 2.38 0.95 28.82 8.980010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 36563 Insert tunneled cv cath A 5.84 27.62 3.00 1.41 34.87 10.250010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 36565 Insert tunneled cv cath A 5.65 18.89 2.50 1.22 25.76 9.370010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 36566 Insert tunneled cv cath A 6.13 124.58 2.68 1.19 131.90 10.000010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 36568 Insj picc <5 yr w/o imaging A 2.06 0.19NA 0.19 0.26 2.51 2.510000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36569 Insj picc 5 yr+ w/o imaging A 1.85 0.40NA 0.40 0.33 2.58 2.580000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36570 Insert picvad cath A 4.98 41.19 3.23 1.33 47.50 9.540010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 36571 Insert picvad cath A 4.96 34.12 2.77 1.07 40.15 8.800010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 36572 Insj picc rs&i <5 yr A 1.77 8.93 0.21 0.22 10.92 2.200000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36573 Insj picc rs&i 5 yr+ A 1.66 9.11 0.32 0.18 10.95 2.160000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36575 Repair tunneled cv cath A 0.65 3.70 0.17 0.07 4.42 0.890000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 36576 Repair tunneled cv cath A 2.92 7.12 1.62 0.57 10.61 5.110010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 36578 Replace tunneled cv cath A 3.21 9.20 1.80 0.65 13.06 5.660010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 36580 Replace cvad cath A 1.28 4.32 0.26 0.18 5.78 1.720000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36581 Replace tunneled cv cath A 3.15 19.11 1.35 0.43 22.69 4.930010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 36582 Replace tunneled cv cath A 4.87 19.98 2.06 0.83 25.68 7.760010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 36583 Replace tunneled cv cath A 4.91 31.54 3.22 1.31 37.76 9.440010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 36584 Compl rplcmt picc rs&i A 1.17 7.91 0.22 0.13 9.21 1.520000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36585 Replace picvad cath A 4.48 39.02 3.11 1.21 44.71 8.800010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 36589 Removal tunneled cv cath A 2.22 2.41 1.18 0.35 4.98 3.750010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 36590 Removal tunneled cv cath A 3.02 3.19 1.62 0.53 6.74 5.170010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 36591 Draw blood off venous device T 0.00 0.90 0.90NA 0.01 0.91 0.913XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 36592 Collect blood from picc T 0.00 1.00 1.00NA 0.01 1.01 1.013XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 36593 Declot vascular device A 0.00 1.12 1.12NA 0.02 1.14 1.143XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 36595 Mech remov tunneled cv cath A 3.50 13.45 0.80 0.42 17.37 4.720000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36596 Mech remov tunneled cv cath A 0.73 2.68 0.39 0.11 3.52 1.230000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36597 Reposition venous catheter A 1.18 2.05 0.23 0.15 3.38 1.560000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36598 Inj w/fluor eval cv device T 0.72 2.68 0.12 0.07 3.47 0.919000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 36600 Withdrawal of arterial blood A 0.31 0.49 0.06 0.02 0.82 0.390XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36620 Insertion catheter artery A 0.98 0.16NA 0.16 0.08 1.22 1.220000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36625 Insertion catheter artery A 2.06 0.47NA 0.47 0.33 2.86 2.860000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36640 Insertion catheter artery A 2.05 0.83NA 0.83 0.14 3.02 3.020000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36660 Insertion catheter artery A 1.37 0.28NA 0.28 0.07 1.72 1.720000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 36680 Insert needle bone cavity A 1.17 0.33NA 0.33 0.23 1.73 1.730000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 36800 Insertion of cannula A 2.37 0.58NA 0.58 0.27 3.22 3.220000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36810 Insertion of cannula A 3.86 1.11NA 1.11 0.34 5.31 5.310000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36815 Insertion of cannula A 2.55 0.50NA 0.50 0.64 3.69 3.690000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36818 Av fuse uppr arm cephalic A 12.08 3.69NA 3.69 3.05 18.82 18.820090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 36819 Av fuse uppr arm basilic A 12.96 3.60NA 3.60 3.31 19.87 19.870090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 36820 Av fusion/forearm vein A 12.74 3.89NA 3.89 3.24 19.87 19.870090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 36821 Av fusion direct any site A 11.60 3.44NA 3.44 2.95 17.99 17.990090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 36823 Insertion of cannula(s) A 22.41 11.02NA 11.02 6.00 39.43 39.430090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 36825 Artery-vein autograft A 13.82 4.22NA 4.22 3.55 21.59 21.590090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 36830 Artery-vein nonautograft A 11.73 3.45NA 3.45 3.00 18.18 18.180090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 36831 Open thrombect av fistula A 10.73 3.46NA 3.46 2.75 16.94 16.940090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 36832 Av fistula revision open A 13.16 4.13NA 4.13 3.32 20.61 20.610090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 36833 Av fistula revision A 14.14 4.30NA 4.30 3.61 22.05 22.050090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 36835 Insertion thomas shunt A 7.32 5.11NA 5.11 1.84 14.27 14.270090.09.84.07201009 33.4009 090 99 0.00 0.00 0.00
- 36836 Prq av fstl crtj uxtr 1 acs A 7.02 232.45 1.34 1.03 240.50 9.390000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 36837 Prq av fstl crt uxtr sep acs A 9.07 261.75 1.52 1.41 272.23 12.000000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 36838 Dist revas ligation hemo A 21.15 4.31NA 4.31 5.39 30.85 30.850090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 36860 External cannula declotting A 1.96 5.26 0.47 0.51 7.73 2.940000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36861 Cannula declotting A 2.46 0.59NA 0.59 0.65 3.70 3.700000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36901 Intro cath dialysis circuit A 3.28 16.76 0.62 0.51 20.55 4.410000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36902 Intro cath dialysis circuit A 4.71 30.22 0.86 0.72 35.65 6.290000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36903 Intro cath dialysis circuit A 6.23 136.52 1.05 1.03 143.78 8.310000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 36904 Thrmbc/nfs dialysis circuit A 7.31 43.68 1.16 1.13 52.12 9.600000.00.00.00201109 33.4009 090 99 0.00 0.00 0.00
- 36905 Thrmbc/nfs dialysis circuit A 8.78 55.95 1.48 1.29 66.02 11.550000.00.00.00201109 33.4009 090 99 0.00 0.00 0.00
- 36906 Thrmbc/nfs dialysis circuit A 10.16 165.43 1.67 1.50 177.09 13.330000.00.00.00201109 33.4009 090 99 0.00 0.00 0.00
- 36907 Balo angiop ctr dialysis seg A 2.93 13.94 0.44 0.45 17.32 3.820ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36908 Stent plmt ctr dialysis seg A 4.14 36.82 0.61 0.69 41.65 5.440ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 36909 Dialysis circuit embolj A 4.02 49.70 0.57 0.67 54.39 5.260ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 3700F Psych disorders assessed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 37140 Revision of circulation A 39.00 14.55NA 14.55 10.45 64.00 64.000090.09.84.07201109 33.4009 090 99 0.00 0.00 0.00
- 37145 Revision of circulation A 36.08 13.70NA 13.70 9.67 59.45 59.450090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 37160 Revision of circulation A 37.05 14.07NA 14.07 9.93 61.05 61.050090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 37180 Revision of circulation A 35.59 13.59NA 13.59 9.54 58.72 58.720090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 37181 Splice spleen/kidney veins A 39.00 14.55NA 14.55 10.45 64.00 64.000090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 37182 Insert hepatic shunt (tips) A 16.55 2.59NA 2.59 1.85 20.99 20.990000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 37183 Revision tips A 7.55 153.40 1.24 0.85 161.80 9.640000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 37184 Prim art m-thrmbc 1st vsl A 8.20 39.12 1.56 1.51 48.83 11.270000.00.00.00211209 33.4009 090 99 0.00 0.00 0.00
- 37185 Prim art m-thrmbc sbsq vsl A 3.20 9.95 0.44 0.59 13.74 4.230ZZZ.00.00.00021209 33.4009 090 99 0.00 0.00 0.00
- 37186 Sec art thrombectomy add-on A 4.80 28.79 0.66 1.06 34.65 6.520ZZZ.00.00.00021209 33.4009 090 99 0.00 0.00 0.00
- 37187 Venous mech thrombectomy A 7.59 39.01 1.45 1.31 47.91 10.350000.00.00.00211209 33.4009 090 99 0.00 0.00 0.00
- 37188 Ven mechnl thrmbc repeat tx A 5.32 34.86 1.12 1.06 41.24 7.500000.00.00.00011209 33.4009 090 99 0.00 0.00 0.00
- 37191 Ins endovas vena cava filtr A 4.35 51.45 0.73 0.64 56.44 5.720000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 37192 Redo endovas vena cava filtr A 6.92 27.14 0.64 1.76 35.82 9.320000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 37193 Rem endovas vena cava filter A 6.92 34.29 1.05 1.07 42.28 9.040000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 37195 Thrombolytic therapy stroke C 0.00 0.00 0.00 0.00 0.00 0.005XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 37197 Remove intrvas foreign body A 5.89 37.33 0.97 1.06 44.28 7.920000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 37200 Transcatheter biopsy A 4.44 0.62NA 0.62 0.48 5.54 5.540000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 3720F Cognit impairment assessed M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 37211 Thrombolytic art therapy A 7.56 1.07NA 1.07 1.50 10.13 10.130000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37212 Thrombolytic venous therapy A 6.64 0.97NA 0.97 1.21 8.82 8.820000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37213 Thromblytic art/ven therapy A 4.63 0.58NA 0.58 0.85 6.06 6.060000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 37214 Cessj therapy cath removal A 2.43 0.31NA 0.31 0.47 3.21 3.210000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 37215 Transcath stent cca w/eps R 17.31 4.70NA 4.70 4.62 26.63 26.630090.09.84.07210109 33.4009 090 99 0.00 0.00 0.00
- 37216 Transcath stent cca w/o eps N+ 17.53 6.34NA 6.34 1.87 25.74 25.749090.09.84.07999999 33.4009 090 99 0.00 0.00 0.00
- 37217 Stent placemt retro carotid A 19.87 4.43NA 4.43 5.02 29.32 29.320090.09.84.07210009 33.4009 090 99 0.00 0.00 0.00
- 37218 Stent placemt ante carotid A 14.38 4.25NA 4.25 3.58 22.21 22.210090.09.84.07210009 33.4009 090 99 0.00 0.00 0.00
- 37236 Open/perq place stent 1st A 8.53 67.32 1.18 1.97 77.82 11.680000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 37237 Open/perq place stent ea add A 4.14 31.27 0.48 1.00 36.41 5.620ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 37238 Open/perq place stent same A 5.89 90.91 0.98 1.24 98.04 8.110000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 37239 Open/perq place stent ea add A 2.90 46.20 0.45 0.59 49.69 3.940ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 37241 Vasc embolize/occlude venous A 8.53 121.73 1.31 1.27 131.53 11.110000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 37242 Vasc embolize/occlude artery A 9.56 188.81 1.34 1.48 199.85 12.380000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 37243 Vasc embolize/occlude organ A 11.45 226.62 1.69 1.30 239.37 14.440000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 37244 Vasc embolize/occlude bleed A 13.41 167.90 2.01 1.53 182.84 16.950000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 37246 Trluml balo angiop 1st art A 6.83 44.12 1.06 1.34 52.29 9.230000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 37247 Trluml balo angiop addl art A 3.41 13.91 0.52 0.62 17.94 4.550ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 37248 Trluml balo angiop 1st vein A 5.85 32.30 1.01 0.93 39.08 7.790000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 37249 Trluml balo angiop addl vein A 2.90 9.36 0.40 0.54 12.80 3.840ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 37252 Intrvasc us noncoronary 1st A 1.76 24.68 0.24 0.37 26.81 2.370ZZZ.00.00.00000109 33.4009 090 99 0.00 0.00 0.00
- 37253 Intrvasc us noncoronary addl A 1.40 3.40 0.19 0.28 5.08 1.870ZZZ.00.00.00000109 33.4009 090 99 0.00 0.00 0.00
- 37254 Revsc evasc ivt angio sf 1st A 7.30 53.04 1.04 1.71 62.05 10.050000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37255 Revsc evasc ivt angio sf ea A 3.00 11.56 0.36 0.71 15.27 4.070ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37256 Revsc evasc ivt angio cplx 1 A 10.75 59.50 1.47 2.51 72.76 14.730000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37257 Revsc evsc ivt angio cplx ea A 3.89 12.54 0.46 0.92 17.35 5.270ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37258 Revsc evasc ivt stent sf 1st A 8.75 95.81 1.17 2.09 106.65 12.010000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37259 Revsc evasc ivt stent sf ea A 4.00 31.12 0.45 0.98 36.10 5.430ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 3725F Screen depression performed M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 37260 Revsc evasc ivt st cplx 1st A 12.69 236.79 1.65 3.02 252.50 17.360000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37261 Revsc evasc ivt st cplx ea A 4.25 95.35 0.48 1.04 100.64 5.770ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37262 Iv lithotrp ivt w/in sm art A 3.00 98.47 0.47 0.60 102.07 4.070ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37263 Revsc evasc fpvt angio sf 1 A 7.75 152.98 1.08 1.83 162.56 10.660000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37264 Revsc evasc fpvt angio sf ea A 3.00 61.67 0.38 0.70 65.37 4.080ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37265 Revsc evsc fpvt angio cplx 1 A 10.50 191.45 1.44 2.48 204.43 14.420000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37266 Rvsc evsc fpvt angio cplx ea A 4.00 68.15 0.50 0.93 73.08 5.430ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37267 Revsc evsc fpvt stent sf 1st A 8.75 145.10 1.18 2.09 155.94 12.020000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37268 Revsc evasc fpvt stent sf ea A 3.73 95.98 0.46 0.89 100.60 5.080ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37269 Revsc evasc fpvt st cplx 1st A 14.75 327.62 1.92 3.53 345.90 20.200000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37270 Revsc evasc fpvt st cplx ea A 5.00 98.46 0.62 1.20 104.66 6.820ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37271 Revsc evsc fpvt athrc sf 1st A 9.00 305.24 1.32 2.00 316.24 12.320000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37272 Revsc evsc fpvt athrc sf ea A 4.00 65.08 0.54 0.89 69.97 5.430ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37273 Revsc evsc fpvt athrc cplx 1 A 12.63 380.61 1.81 2.81 396.05 17.250000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37274 Rvsc evsc fpvt athrc cplx ea A 5.50 67.72 0.75 1.23 74.45 7.480ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37275 Rvsc evsc fpvt st athrc sf 1 A 11.00 294.14 1.50 2.51 307.65 15.010000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37276 Rvsc evsc fpvt st athr sf ea A 4.25 98.32 0.54 0.98 103.55 5.770ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37277 Rvsc evsc fpvt st athr cpx 1 A 15.00 443.28 2.00 3.41 461.69 20.410000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37278 Rvsc evsc fpvt st ath cpx ea A 6.00 108.64 0.76 1.35 115.99 8.110ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37279 Iv lithotrp fpvt w/in sm art A 4.00 133.99 0.63 0.81 138.80 5.440ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37280 Revsc evsc tpvt angio sf 1st A 9.80 68.64 1.29 2.31 80.75 13.400000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37281 Revsc evsc tpvt angio sf ea A 3.00 18.38 0.37 0.66 22.04 4.030ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37282 Rvsc evsc tpvt angio cplx 1 A 12.31 167.37 1.60 2.90 182.58 16.810000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37283 Rvsc evsc tpvt angio cplx ea A 4.26 20.63 0.53 0.95 25.84 5.740ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37284 Revsc evasc tpvt st sf 1st A 10.00 156.29 1.52 2.30 168.59 13.820000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37285 Revsc evasc tpvt st sf ea A 3.34 79.40 0.49 0.73 83.47 4.560ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37286 Revsc evasc tpvt st cplx 1st A 13.46 293.82 2.00 3.07 310.35 18.530000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37287 Revsc evasc tpvt st cplx ea A 5.00 141.79 0.74 1.12 147.91 6.860ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37288 Revsc evsc tpvt athrc sf 1st A 13.50 217.06 1.91 2.84 233.40 18.250000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37289 Revsc evsc tpvt athrc sf ea A 4.75 21.83 0.67 1.01 27.59 6.430ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37290 Revsc evsc tpvt athrc cplx 1 A 17.00 298.16 2.38 3.58 318.74 22.960000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37291 Revsc evsc tpvt athr cplx ea A 6.50 24.35 0.92 1.35 32.20 8.770ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37292 Rvsc evsc tpvt st athrc sf 1 A 15.00 288.29 2.29 3.04 306.33 20.330000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37293 Rvsc evsc tpvt st athr sf ea A 6.50 97.22 1.10 1.34 105.06 8.940ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37294 Rvsc evsc tpvt st athr cpx 1 A 18.00 433.39 2.72 3.65 455.04 24.370000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37295 Rvsc evsc tpvt st ath cpx ea A 8.16 169.81 1.39 1.72 179.69 11.270ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37296 Revsc evasc imvt angio sf 1 A 11.00 77.24 1.44 2.57 90.81 15.010000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37297 Revsc evasc imvt angio sf ea A 4.00 19.92 0.50 0.88 24.80 5.380ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37298 Revsc evsc imvt angio cplx 1 A 13.70 85.36 1.77 3.05 102.11 18.520000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 37299 Revsc evsc imvt angio cpx ea A 5.00 20.83 0.63 1.07 26.90 6.700ZZZ.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 37501 Unlisted vasc endoscopy px C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00211119 33.4009 090 99 0.00 0.00 0.00
- 3750F Ptnotrcvngsteroid>=10mg/day I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3751F Electrodiag polyneuro 6 mn I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3752F No electrodiag polyneuro 6mn I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3753F Pt has symp&signs neuropathy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3754F Screening tests dm done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3755F Cog&behav imprmnt scrng done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 37565 Ligation int jugular vein A 11.75 5.27NA 5.27 2.48 19.50 19.500090.09.84.07210109 33.4009 090 99 0.00 0.00 0.00
- 3756F Pt w/pseudobulb affect/als I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3757F Pt w/o pseudobulbaffect/als I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3758F Pt ref pulm fx test/peakflow I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3759F Pt scrn dysphag/wt loss/nutr I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 37600 Ligation xtrnl carotid art A 12.11 5.59NA 5.59 2.13 19.83 19.830090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 37605 Ligation int/com carotid art A 13.92 2.74NA 2.74 3.56 20.22 20.220090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 37606 Lig int/com carotid art occl A 8.59 10.54NA 10.54 3.61 22.74 22.740090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 37607 Lig/banding angioacs av fstl A 6.09 2.79NA 2.79 1.48 10.36 10.360090.09.84.07201109 33.4009 090 99 0.00 0.00 0.00
- 37609 Ligation/bx temporal artery A 2.97 5.83 2.01 0.65 9.45 5.630010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 3760F Pt w/dysphag/wt loss/nutr I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 37615 Ligation major artery neck A 7.61 4.81NA 4.81 1.43 13.85 13.850090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 37616 Ligation major artery chest A 18.50 9.00NA 9.00 4.56 32.06 32.060090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 37617 Ligation major artery abd A 23.20 7.37NA 7.37 5.49 36.06 36.060090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 37618 Ligation major artery xtr A 5.88 3.76NA 3.76 1.42 11.06 11.060090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 37619 Ligation of inf vena cava A 29.25 10.30NA 10.30 7.84 47.39 47.390090.09.84.07202009 33.4009 090 99 0.00 0.00 0.00
- 3761F Pt w/o dysphag/wt loss/nutr I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3762F Patient is dysarthric I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 3763F Patient is not dysarthric I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 37650 Ligation of femoral vein A 8.28 2.29NA 2.29 2.11 12.68 12.680090.09.84.07211109 33.4009 090 99 0.00 0.00 0.00
- 37660 Ligation common iliac vein A 21.72 9.02NA 9.02 5.80 36.54 36.540090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 37700 Ligation&div long saph vein A 3.72 2.15NA 2.15 0.95 6.82 6.820090.09.84.07211009 33.4009 090 99 0.00 0.00 0.00
- 37718 Lig div&strpg short saph vn A 6.95 2.15NA 2.15 1.76 10.86 10.860090.09.84.07211109 33.4009 090 99 0.00 0.00 0.00
- 37722 Lig div&strpg long saph vein A 7.96 2.70NA 2.70 2.04 12.70 12.700090.09.84.07211109 33.4009 090 99 0.00 0.00 0.00
- 37735 Lig&div&compl strpg saph vn A 10.63 2.67NA 2.67 2.71 16.01 16.010090.09.84.07211109 33.4009 090 99 0.00 0.00 0.00
- 3775F Adenoma detected screening I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 37760 Lig prfratr vn radical 1 leg A 10.51 2.66NA 2.66 2.68 15.85 15.850090.09.84.07211109 33.4009 090 99 0.00 0.00 0.00
- 37761 Ligate leg veins open A 8.90 3.48NA 3.48 2.22 14.60 14.600090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 37765 Stab phleb veins xtr 10-20 A 4.68 6.63 1.58 1.09 12.40 7.350010.10.80.10211109 33.4009 090 99 0.00 0.00 0.00
- 37766 Phleb veins - extrem 20+ A 5.85 7.53 1.81 1.37 14.75 9.030010.10.80.10211109 33.4009 090 99 0.00 0.00 0.00
- 3776F Adenoma not detect screening I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 37780 Revision of leg vein A 3.83 1.79NA 1.79 0.99 6.61 6.610090.09.84.07211109 33.4009 090 99 0.00 0.00 0.00
- 37785 Ligate/divide/excise vein A 3.83 5.33 2.22 0.96 10.12 7.010090.09.84.07211009 33.4009 090 99 0.00 0.00 0.00
- 37788 Revascularization penis A 22.75 8.03NA 8.03 2.93 33.71 33.710090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 37790 Penile venous occlusion A 8.22 3.95NA 3.95 1.07 13.24 13.240090.08.83.09200009 33.4009 090 99 0.00 0.00 0.00
- 37799 Unlisted px vascular surgery C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 38100 Removal of spleen total A 19.06 8.29NA 8.29 4.80 32.15 32.150090.11.73.16202109 33.4009 090 99 0.00 0.00 0.00
- 38101 Removal of spleen partial A 19.06 8.39NA 8.39 5.08 32.53 32.530090.11.73.16202109 33.4009 090 99 0.00 0.00 0.00
- 38102 Removal of spleen total A 4.67 1.27NA 1.27 1.13 7.07 7.070ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 38115 Repair of ruptured spleen A 21.33 8.95NA 8.95 5.70 35.98 35.980090.11.73.16202109 33.4009 090 99 0.00 0.00 0.00
- 38120 Laparoscopy splenectomy A 16.64 9.02NA 9.02 4.24 29.90 29.900090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 38129 Unlisted laps px spleen C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202119 33.4009 090 99 0.00 0.00 0.00
- 38200 Injection for spleen x-ray A 2.57 0.46NA 0.46 0.24 3.27 3.270000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 38204 Bl donor search management B+ 1.95 0.42NA 0.42 0.21 2.58 2.589XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 38205 Harvest allogeneic stem cell R 1.46 0.52NA 0.52 0.08 2.06 2.060000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 38206 Harvest auto stem cells R 1.46 0.47NA 0.47 0.09 2.02 2.020000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 38207 Cryopreserve stem cells I+ 0.87 0.19NA 0.19 0.08 1.14 1.149XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 38208 Thaw preserved stem cells I+ 0.55 0.12NA 0.12 0.06 0.73 0.739XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 38209 Wash harvest stem cells I+ 0.23 0.05NA 0.05 0.03 0.31 0.319XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 38210 T-cell depletion of harvest I+ 1.53 0.34NA 0.34 0.16 2.03 2.039XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 38211 Tumor cell deplete of harvst I+ 1.38 0.31NA 0.31 0.15 1.84 1.849XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 38212 Rbc depletion of harvest I+ 0.92 0.20NA 0.20 0.09 1.21 1.219XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 38213 Platelet deplete of harvest I+ 0.23 0.05NA 0.05 0.03 0.31 0.319XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 38214 Volume deplete of harvest I+ 0.79 0.18NA 0.18 0.07 1.04 1.049XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 38215 Harvest stem cell concentrte I+ 0.92 0.20NA 0.20 0.09 1.21 1.219XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 38220 Dx bone marrow aspirations A 1.17 3.76 0.40 0.09 5.02 1.660XXX.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 38221 Dx bone marrow biopsies A 1.25 3.64 0.37 0.11 5.00 1.730XXX.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 38222 Dx bone marrow bx & aspir A 1.40 3.77 0.34 0.13 5.30 1.870XXX.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 38225 Car-t hrv bld-drv t lymphcyt B+ 1.89 0.41NA 0.41 0.20 2.50 2.509XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 38226 Car-t prep t lymphcyt f/trns B+ 0.77 0.17NA 0.17 0.07 1.01 1.019XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 38227 Car-t receipt&prepj admn B+ 0.78 0.17NA 0.17 0.07 1.02 1.029XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 38228 Car-t admn autologous A 3.00 6.35 1.29 0.20 9.55 4.490XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 38230 Bone marrow harvest allogen A 3.41 1.08NA 1.08 0.72 5.21 5.210000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 38232 Bone marrow harvest autolog A 3.41 0.87NA 0.87 0.45 4.73 4.730000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 38240 Transplt allo hct/donor R 3.90 1.89NA 1.89 0.25 6.04 6.040XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 38241 Transplt autol hct/donor R 2.93 1.33NA 1.33 0.20 4.46 4.460XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 38242 Transplt allo lymphocytes A 2.06 0.97NA 0.97 0.14 3.17 3.170000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 38243 Transplj hematopoietic boost A 2.08 0.82NA 0.82 0.14 3.04 3.040000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 38300 Drainage lymph node lesion A 2.30 8.42 3.56 0.61 11.33 6.470010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 38305 Drainage lymph node lesion A 6.51 6.46NA 6.46 1.74 14.71 14.710090.11.73.16201009 33.4009 090 99 0.00 0.00 0.00
- 38308 Incision of lymph channels A 6.64 5.25NA 5.25 1.51 13.40 13.400090.11.73.16202109 33.4009 090 99 0.00 0.00 0.00
- 38380 Thoracic duct procedure A 8.25 5.94NA 5.94 1.33 15.52 15.520090.11.73.16202109 33.4009 090 99 0.00 0.00 0.00
- 38381 Thoracic duct procedure A 13.05 6.84NA 6.84 3.21 23.10 23.100090.11.73.16202109 33.4009 090 99 0.00 0.00 0.00
- 38382 Thoracic duct procedure A 10.38 7.16NA 7.16 2.61 20.15 20.150090.11.73.16202109 33.4009 090 99 0.00 0.00 0.00
- 38500 Biopsy/removal lymph nodes A 3.70 6.46 2.75 0.90 11.06 7.350010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 38505 Needle biopsy lymph nodes A 1.55 3.38 0.52 0.17 5.10 2.240000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 38510 Biopsy/removal lymph nodes A 6.57 8.66 3.48 1.27 16.50 11.320010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 38520 Biopsy/removal lymph nodes A 6.85 4.86NA 4.86 1.49 13.20 13.200090.11.73.16211009 33.4009 090 99 0.00 0.00 0.00
- 38525 Biopsy/removal lymph nodes A 6.27 5.01NA 5.01 1.61 12.89 12.890090.11.73.16211009 33.4009 090 99 0.00 0.00 0.00
- 38530 Biopsy/removal lymph nodes A 8.13 6.04NA 6.04 1.72 15.89 15.890090.11.73.16212109 33.4009 090 99 0.00 0.00 0.00
- 38531 Open bx/exc inguinofem nodes A 6.57 4.75NA 4.75 1.63 12.95 12.950090.11.73.16210009 33.4009 090 99 0.00 0.00 0.00
- 38542 Explore deep node(s) neck A 7.75 4.98NA 4.98 1.33 14.06 14.060090.11.73.16212109 33.4009 090 99 0.00 0.00 0.00
- 38550 Removal neck/armpit lesion A 6.93 6.72NA 6.72 1.85 15.50 15.500090.11.73.16200009 33.4009 090 99 0.00 0.00 0.00
- 38555 Removal neck/armpit lesion A 15.20 10.18NA 10.18 4.06 29.44 29.440090.11.73.16202109 33.4009 090 99 0.00 0.00 0.00
- 38562 Removal pelvic lymph nodes A 10.78 7.02NA 7.02 2.25 20.05 20.050090.11.73.16222109 33.4009 090 99 0.00 0.00 0.00
- 38564 Removal abdomen lymph nodes A 11.10 6.26NA 6.26 2.47 19.83 19.830090.11.73.16202109 33.4009 090 99 0.00 0.00 0.00
- 38570 Laparoscopy lymph node biop A 8.28 4.38NA 4.38 1.73 14.39 14.390010.10.80.10302209 49320 33.4009 090 99 0.00 0.00 0.00
- 38571 Laparoscopy lymphadenectomy A 11.70 4.49NA 4.49 1.67 17.86 17.860010.10.80.10322209 49320 33.4009 090 99 0.00 0.00 0.00
- 38572 Laparoscopy lymphadenectomy A 15.21 6.59NA 6.59 2.92 24.72 24.720010.10.80.10322209 49320 33.4009 090 99 0.00 0.00 0.00
- 38573 Laps pelvic lymphadec A 19.50 8.64NA 8.64 4.22 32.36 32.360010.10.80.10322209 49320 33.4009 090 99 0.00 0.00 0.00
- 38589 Unlisted laps px lymphtc sys C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212119 33.4009 090 99 0.00 0.00 0.00
- 38700 Removal of lymph nodes neck A 12.49 6.84NA 6.84 1.93 21.26 21.260090.11.73.16212109 33.4009 090 99 0.00 0.00 0.00
- 38720 Removal of lymph nodes neck A 21.40 10.57NA 10.57 3.81 35.78 35.780090.11.73.16212109 33.4009 090 99 0.00 0.00 0.00
- 38724 Removal of lymph nodes neck A 23.35 10.76NA 10.76 3.69 37.80 37.800090.11.73.16212109 33.4009 090 99 0.00 0.00 0.00
- 38740 Remove armpit lymph nodes A 10.43 7.06NA 7.06 2.68 20.17 20.170090.11.73.16212109 33.4009 090 99 0.00 0.00 0.00
- 38745 Remove armpit lymph nodes A 13.52 8.22NA 8.22 3.41 25.15 25.150090.11.73.16212109 33.4009 090 99 0.00 0.00 0.00
- 38746 Remove thoracic lymph nodes A 4.02 0.81NA 0.81 1.02 5.85 5.850ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 38747 Remove abdominal lymph nodes A 4.76 1.22NA 1.22 1.19 7.17 7.170ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 38760 Remove groin lymph nodes A 13.28 7.16NA 7.16 2.93 23.37 23.370090.11.73.16212109 33.4009 090 99 0.00 0.00 0.00
- 38765 Remove groin lymph nodes A 21.36 10.50NA 10.50 4.83 36.69 36.690090.11.73.16212109 33.4009 090 99 0.00 0.00 0.00
- 38770 Remove pelvis lymph nodes A 13.71 6.11NA 6.11 2.31 22.13 22.130090.11.73.16212109 33.4009 090 99 0.00 0.00 0.00
- 38780 Remove abdomen lymph nodes A 17.26 8.48NA 8.48 3.57 29.31 29.310090.11.73.16202109 33.4009 090 99 0.00 0.00 0.00
- 38790 Inject for lymphatic x-ray A 1.26 0.81NA 0.81 0.20 2.27 2.270000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 38792 Ra tracer id of sentinl node A 0.63 1.76 0.12 0.07 2.46 0.820000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 38794 Access thoracic lymph duct A 4.50 2.71NA 2.71 0.53 7.74 7.740090.11.73.16200009 33.4009 090 99 0.00 0.00 0.00
- 38900 Io map of sent lymph node A 2.44 1.31 0.65 0.59 4.34 3.680ZZZ.00.00.00012109 33.4009 090 99 0.00 0.00 0.00
- 38999 Unlistd px hemic/lymphtc sys C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 39000 Exploration of chest A 7.38 5.66NA 5.66 1.69 14.73 14.730090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 39010 Exploration of chest A 12.86 6.82NA 6.82 3.14 22.82 22.820090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 39200 Resect mediastinal cyst A 14.71 6.49NA 6.49 3.70 24.90 24.900090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 39220 Resect mediastinal tumor A 19.06 8.47NA 8.47 4.44 31.97 31.970090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 39401 Mediastinoscpy w/medstnl bx A 5.30 2.14NA 2.14 1.32 8.76 8.760000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 39402 Mediastinoscpy w/lmph nod bx A 7.07 2.48NA 2.48 1.76 11.31 11.310000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 39499 Unlisted px mediastinum C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202119 33.4009 090 99 0.00 0.00 0.00
- 39501 Repair diaphragm laceration A 13.63 7.31NA 7.31 3.31 24.25 24.250090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 39503 Repair of diaphragm hernia A 106.19 27.29NA 27.29 26.77 160.25160.250090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 39540 Repair of diaphragm hernia A 14.21 6.68NA 6.68 3.61 24.50 24.500090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 39541 Repair of diaphragm hernia A 15.36 7.25NA 7.25 3.98 26.59 26.590090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 39545 Revision of diaphragm A 14.30 8.24NA 8.24 3.59 26.13 26.130090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 39560 Resect diaphragm simple A 12.73 6.96NA 6.96 3.03 22.72 22.720090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 39561 Resect diaphragm complex A 19.49 12.01NA 12.01 4.96 36.46 36.460090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 39599 Unlisted px diaphragm C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202119 33.4009 090 99 0.00 0.00 0.0040000’s
| HCPCS Code | Modifier | Short Description | Proc Stat. | PCTC | Not Used for Medicare | Work RVU | NA Flag for Trans Non-FAC PE RVU | Transitioned Non-FAC PE RVU | NA Flag for Fully IMP Non-FAC PE RVU | Fully Implemented Non-FAC PE RVU | NA Flag for Trans Facility PE RVU | Transitioned Facility PE RVU | NA Flag for Fully IMP FAC PE RVU | Fully Implemented Facility PE RVU | MP RVU | Non-FAC PE Used for OPPS PMT AMT | Facility PE Used for OPPS PMT AMT | Malpractice Used for OPPS PMT AMT |
- 4000F Tobacco use txmnt counseling I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4001F Tobacco use txmnt pharmacol I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4003F Pt ed write/oral pts w/ hf I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4004F Pt tobacco screen rcvd tlk I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4005F Pharm thx for op rxd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4008F Beta-blocker therapy rxd/tkn M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4010F Ace/arb therapy rxd/taken I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4011F Oral antiplatelet therapy rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4012F Warfarin therapy rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4013F Statin therapy/currently tkn I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4014F Written discharge instr prvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4015F Persist asthma medicine ctrl I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4016F Anti-inflm/anlgsc agent rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4017F Gi prophylaxis for nsaid rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4018F Therapy exercise joint rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4019F Doc recpt counsl vit d/calc+ I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4025F Inhaled bronchodilator rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4030F Oxygen therapy rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4033F Pulmonary rehab rec I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4035F Influenza imm rec I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4037F Influenza imm order/admin I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4040F Pneumoc vac/admin/rcvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4041F Doc order cefazolin/cefurox I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4042F Doc antibio not given I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4043F Doc order given stop antibio I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4044F Doc order given vte prophylx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4045F Empiric antibiotic rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4046F Doc antibio given b/4 surg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4047F Doc antibio given b/4 surg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4048F Doc antibio given b/4 surg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 40490 Biopsy of lip A 1.19 2.29 0.37 0.12 3.60 1.680000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 4049F Doc order given stop antibio I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 40500 Partial excision of lip A 4.36 10.87 5.04 0.57 15.80 9.970090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 4050F Ht care plan doc I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 40510 Partial excision of lip A 4.70 9.53 4.11 0.69 14.92 9.500090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 4051F Referred for an av fistula I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 40520 Partial excision of lip A 4.67 10.16 4.40 0.72 15.55 9.790090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 40525 Reconstruct lip with flap A 7.53 6.18NA 6.18 1.20 14.91 14.910090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 40527 Reconstruct lip with flap A 9.09 6.16NA 6.16 1.32 16.57 16.570090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 4052F Hemodialysis via av fistula I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 40530 Partial removal of lip A 5.40 10.68 4.73 0.86 16.94 10.990090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 4053F Hemodialysis via av graft I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4054F Hemodialysis via catheter I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4055F Pt rcvng periton dialysis I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4056F Approp oral rehyd recommd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4058F Ped gastro ed given caregvr I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4060F Psych svcs provided I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4062F Pt referral psych docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4063F Antidepres rxthxpy not rxd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4064F Antidepressant rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 40650 Rpr lip fth vermilion only A 3.69 12.66 5.96 0.82 17.17 10.470090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 40652 Rpr lip fth<half ver height A 4.32 12.01 5.70 0.82 17.15 10.840090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 40654 Rpr lip fth>1half ver ht/cpx A 5.34 12.26 5.63 0.86 18.46 11.830090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 4065F Antipsychotic rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4066F Ect provided I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4067F Pt referral for ect docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4069F Vte prophylaxis rcvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 40700 Repair cleft lip/nasal A 13.82 10.90NA 10.90 2.57 27.29 27.290090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 40701 Repair cleft lip/nasal A 16.80 11.98NA 11.98 3.11 31.89 31.890090.09.81.10222009 33.4009 090 99 0.00 0.00 0.00
- 40702 Repair cleft lip/nasal A 13.91 10.44NA 10.44 2.58 26.93 26.930090.09.81.10222009 33.4009 090 99 0.00 0.00 0.00
- 4070F Dvt prophylx recvd day 2 I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 40720 Repair cleft lip/nasal A 14.35 10.60NA 10.60 2.67 27.62 27.620090.09.81.10210009 33.4009 090 99 0.00 0.00 0.00
- 4073F Oral antiplat thx rx dischrg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4075F Anticoag thx rx at dischrg I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 40761 Repair cleft lip/nasal A 15.44 10.51NA 10.51 2.87 28.82 28.820090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 4077F Doc t-pa admin considered I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 40799 Unlisted procedure lips C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202119 33.4009 090 99 0.00 0.00 0.00
- 4079F Doc rehab svcs considered I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 40800 Drainage of mouth lesion A 1.20 4.92 2.11 0.16 6.28 3.470010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 40801 Drainage of mouth lesion A 2.56 6.30 2.77 0.34 9.20 5.670010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 40804 Removal foreign body mouth A 1.27 4.80 2.00 0.19 6.26 3.460010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 40805 Removal foreign body mouth A 2.72 5.71 2.49 0.30 8.73 5.510010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 40806 Incision of lip fold A 0.30 2.67 0.50 0.06 3.03 0.860000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 40808 Biopsy of mouth lesion A 1.02 3.87 1.31 0.14 5.03 2.470010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 40810 Excision of mouth lesion A 1.33 4.96 1.93 0.18 6.47 3.440010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 40812 Excise/repair mouth lesion A 2.31 5.82 2.44 0.29 8.42 5.040010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 40814 Excise/repair mouth lesion A 3.43 7.57 4.05 0.44 11.44 7.920090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 40816 Excision of mouth lesion A 3.68 8.06 4.21 0.49 12.23 8.380090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 40818 Excise oral mucosa for graft A 2.76 7.80 4.27 0.35 10.91 7.380090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 40819 Excise lip or cheek fold A 2.45 5.57 2.93 0.27 8.29 5.650090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 40820 Treatment of mouth lesion A 1.31 6.09 3.13 0.15 7.55 4.590010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 40830 Repair mouth laceration A 1.77 4.94 2.15 0.23 6.94 4.150010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 40831 Repair mouth laceration A 2.51 6.51 2.94 0.34 9.36 5.790010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 40840 Reconstruction of mouth R 8.92 16.17 6.58 1.36 26.45 16.860090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 40842 Reconstruction of mouth R 8.92 14.84 6.05 1.33 25.09 16.300090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 40843 Reconstruction of mouth R 12.47 23.96 8.52 2.32 38.75 23.310090.09.81.10222009 33.4009 090 99 0.00 0.00 0.00
- 40844 Reconstruction of mouth R 16.38 29.14 12.31 3.04 48.56 31.730090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 40845 Reconstruction of mouth R 18.88 22.59 9.78 2.75 44.22 31.410090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 4084F Aspirin recvd w/in 24 hrs I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4086F Aspirin/clopidogrel rxd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 40899 Unlisted px vestibule mouth C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 4090F Pt rcvng epo thxpy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4095F Pt not rcvng epo thxpy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 41000 Drainage of mouth lesion A 1.32 3.27 1.58 0.18 4.77 3.080010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 41005 Drainage of mouth lesion A 1.28 5.48 1.91 0.16 6.92 3.350010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 41006 Drainage of mouth lesion A 3.26 6.81 2.81 0.38 10.45 6.450090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 41007 Drainage of mouth lesion A 3.12 6.60 2.70 0.36 10.08 6.180090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 41008 Drainage of mouth lesion A 3.37 8.55 3.47 0.49 12.41 7.330090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 41009 Drainage of mouth lesion A 3.62 8.86 3.81 0.48 12.96 7.910090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 4100F Biphos thxpy vein ord/recvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 41010 Incision of tongue fold A 1.08 5.07 1.83 0.16 6.31 3.070010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 41015 Drainage of mouth lesion A 3.98 7.86 3.95 0.45 12.29 8.380090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 41016 Drainage of mouth lesion A 4.09 9.83 5.09 0.56 14.48 9.740090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 41017 Drainage of mouth lesion A 4.09 9.70 4.98 0.55 14.34 9.620090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 41018 Drainage of mouth lesion A 5.09 10.62 5.42 0.71 16.42 11.220090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 41019 Place needles h&n for rt A 8.62 2.85NA 2.85 0.68 12.15 12.150000.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 41100 Biopsy of tongue A 1.38 4.06 1.35 0.19 5.63 2.920010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 41105 Biopsy of tongue A 1.43 4.04 1.38 0.20 5.67 3.010010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 41108 Biopsy of floor of mouth A 1.07 3.87 1.30 0.15 5.09 2.520010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 4110F Int mam art used for cabg M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 41110 Excision of tongue lesion A 1.52 5.06 1.83 0.21 6.79 3.560010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 41112 Excision of tongue lesion A 2.76 7.11 3.62 0.38 10.25 6.760090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 41113 Excision of tongue lesion A 3.21 7.38 3.69 0.43 11.02 7.330090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 41114 Excision of tongue lesion A 8.60 6.56NA 6.56 1.26 16.42 16.420090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 41115 Excision of tongue fold A 1.75 5.66 1.99 0.25 7.66 3.990010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 41116 Excision of mouth lesion A 2.46 7.22 3.21 0.36 10.04 6.030090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 41120 Partial removal of tongue A 10.86 16.80NA 16.80 1.61 29.27 29.270090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 41130 Partial removal of tongue A 15.35 17.84NA 17.84 2.28 35.47 35.470090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 41135 Tongue and neck surgery A 29.39 23.64NA 23.64 4.36 57.39 57.390090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 41140 Removal of tongue A 28.42 25.14NA 25.14 4.14 57.70 57.700090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 41145 Tongue removal neck surgery A 36.98 29.96NA 29.96 5.40 72.34 72.340090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 41150 Tongue mouth jaw surgery A 29.11 24.73NA 24.73 4.31 58.15 58.150090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 41153 Tongue mouth neck surgery A 32.75 25.33NA 25.33 4.84 62.92 62.920090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 41155 Tongue jaw & neck surgery A 43.19 28.61NA 28.61 6.44 78.24 78.240090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 4115F Beta blckr admin w/in 24 hrs I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4120F Antibiot rxd/given M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4124F Antibiot not rxd/given M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 41250 Repair tongue laceration A 1.91 7.75 2.66 0.42 10.08 4.990010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 41251 Repair tongue laceration A 2.26 10.00 3.98 0.55 12.81 6.790010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 41252 Repair tongue laceration A 2.94 6.87 2.41 0.50 10.31 5.850010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 4130F Topical prep rx aoe I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4131F Syst antimicrobial thx rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4132F No syst antimicrobial thx rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4133F Antihist/decong rx/recom I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4134F No antihist/decong rx/recom I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4135F Systemic corticosteroids rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4136F Syst corticosteroids not rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4140F Inhaled corticosteroids rxd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4142F Corticoster sparng thrpy rxd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4144F Alt long-term cntrl med rxd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4145F 2+ anti-hyprtnsv agents tkn I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4148F Hep a vac injxn admin/recvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4149F Hep b vac injxn admin/recvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4150F Pt recvng antivir txmnt hepc I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 41510 Tongue to lip surgery A 3.42 9.00NA 9.00 0.48 12.90 12.900090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 41512 Tongue suspension A 6.69 10.85NA 10.85 0.99 18.53 18.530090.10.76.14200009 33.4009 090 99 0.00 0.00 0.00
- 4151F Pt not recvng antiv hep c I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 41520 Reconstruction tongue fold A 2.76 7.65 3.74 0.40 10.81 6.900090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 41530 Tongue base vol reduction A 3.41 23.64 6.94 0.48 27.53 10.830000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 4153F Combo pegintf/rib rx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4155F Hep a vac series prev recvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4157F Hep b vac series prev recvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4158F Pt edu re alcoh drnkng done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 41599 Unlisted px tongue flr mouth C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 4159F Contrcp talk b/4 antiv txmnt I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4163F Pt couns 4 txmnt opt prost I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4164F Adjv hrmnl thxpy rxd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4165F 3d-crt/imrt received I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4167F Hd bed tilted 1st day vent I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4168F Pt care icu&vent w/in 24hrs I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4169F No pt care icu/vent in 24hrs I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4171F Pt rcvng esa thxpy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4172F Pt not rcvng esa thxpy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4174F Couns potent glauc impct I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4175F Vis 20/40/> w/in 90 days M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4176F Talk re uv light pt/crgvr I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4177F Talk pt/crgvr re areds prev M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4178F Antid glbln rcvd w/in 26wks I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4179F Tamoxifen/ai prescribed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 41800 Drainage of gum lesion A 1.24 9.98 4.16 0.26 11.48 5.660010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 41805 Removal foreign body gum A 1.31 8.05 4.24 0.19 9.55 5.740010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 41806 Removal foreign body jawbone A 2.72 9.64 4.74 0.40 12.76 7.860010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 4180F Adjv thxpyrxd/rcvd colon ca I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4181F Conformal radn thxpy rcvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 41820 Excision gum each quadrant R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 41821 Excision of gum flap R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 41822 Excision of gum lesion R 2.35 8.66 2.86 0.43 11.44 5.640010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 41823 Excision of gum lesion R 3.68 12.84 6.32 0.68 17.20 10.680090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 41825 Excision of gum lesion A 1.37 4.90 1.77 0.18 6.45 3.320010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 41826 Excision of gum lesion A 2.35 6.35 2.72 0.29 8.99 5.360010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 41827 Excision of gum lesion A 3.73 8.77 3.71 0.47 12.97 7.910090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 41828 Excision of gum lesion R 3.06 7.74 2.38 0.56 11.36 6.000010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 4182F No conformal radn thxpy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 41830 Removal of gum tissue R 3.36 11.12 4.85 0.62 15.10 8.830010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 41850 Treatment of gum lesion R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 4185F Continuous ppi or h2ra rcvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4186F No cont ppi or h2ra rcvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 41870 Periodontal mucosal grafting R 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 41872 Gingivoplasty each quadrant R 2.93 11.90 5.48 0.54 15.37 8.950090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 41874 Alveoloplasty each quadrant R 3.11 8.17 3.23 0.41 11.69 6.750090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 4187F Anti rheum drugthxpyrxd/gvn I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4188F Approp ace/arb tstng done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 41899 Unlisted px dentalvlr strux C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 4189F Approp digoxin tstng done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4190F Approp diuretic tstng done I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4191F Approp anticonvuls tstng I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4192F Pt not rcvng glucoco thxpy M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4193F Pt rcv <10mg daily predniso I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4194F Pt rcv >=10mg daily predniso M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4195F Pt rcvng anti-rheum thxpy ra I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4196F Ptnot rcvng anti-rhm thxpyra M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42000 Drainage mouth roof lesion A 1.25 3.36 1.54 0.18 4.79 2.970010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 4200F External beam to prost only I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4201F Extrnl beam other than prost I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42100 Biopsy roof of mouth A 1.33 2.98 1.53 0.18 4.49 3.040010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 42104 Excision lesion mouth roof A 1.65 4.67 1.80 0.22 6.54 3.670010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 42106 Excision lesion mouth roof A 2.10 5.46 2.12 0.27 7.83 4.490010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 42107 Excision lesion mouth roof A 4.45 9.05 4.08 0.59 14.09 9.120090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 4210F Ace/arb thxpy for mos/> I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42120 Remove palate/lesion A 11.56 14.06NA 14.06 1.69 27.31 27.310090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 42140 Excision of uvula A 1.66 7.24 2.66 0.23 9.13 4.550090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 42145 Repair palate pharynx/uvula A 9.54 7.29NA 7.29 1.39 18.22 18.220090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 42160 Treatment mouth roof lesion A 1.80 4.94 1.84 0.22 6.96 3.860010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 42180 Repair lac palate<2 cm A 2.49 4.78 2.20 0.36 7.63 5.050010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 42182 Repair palate A 3.77 5.54 2.51 0.54 9.85 6.820010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 42200 Reconstruct cleft palate A 12.22 10.74NA 10.74 2.27 25.23 25.230090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 42205 Reconstruct cleft palate A 13.32 10.19NA 10.19 2.48 25.99 25.990090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 4220F Digoxin thxpy for 6 mos/> I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42210 Reconstruct cleft palate A 14.65 11.68NA 11.68 2.72 29.05 29.050090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 42215 Reconstruct cleft palate A 8.77 9.03NA 9.03 1.63 19.43 19.430090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 4221F Diuretic thxpy for 6 mos/> I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42220 Reconstruct cleft palate A 6.98 7.87NA 7.87 1.30 16.15 16.150090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 42225 Reconstruct cleft palate A 9.53 17.73NA 17.73 1.76 29.02 29.020090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 42226 Lengthening of palate A 10.09 13.43NA 13.43 1.47 24.99 24.990090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 42227 Lengthening of palate A 9.65 12.15NA 12.15 1.40 23.20 23.200090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 42235 Repair palate A 7.81 11.70NA 11.70 1.14 20.65 20.650090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 42260 Repair nose to lip fistula A 9.96 14.12 6.17 1.45 25.53 17.580090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 42280 Preparation palate mold A 1.55 3.77 1.17 0.22 5.54 2.940010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 42281 Insertion palate prosthesis A 1.93 5.03 2.40 0.27 7.23 4.600010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 42299 Unlisted px palate uvula C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202119 33.4009 090 99 0.00 0.00 0.00
- 42300 Drainage of salivary gland A 1.93 4.23 2.05 0.26 6.42 4.240010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 42305 Drainage of salivary gland A 6.15 4.47NA 4.47 0.90 11.52 11.520090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 4230F Anticonv thxpy for 6 mos/> I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42310 Drainage of salivary gland A 1.57 3.69 2.04 0.22 5.48 3.830010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 42320 Drainage of salivary gland A 2.34 5.14 2.16 0.35 7.83 4.850010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 42330 Removal of salivary stone A 2.20 4.59 1.97 0.33 7.12 4.500010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 42335 Removal of salivary stone A 3.32 9.03 3.37 0.48 12.83 7.170090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 42340 Removal of salivary stone A 4.60 10.48 3.99 0.66 15.74 9.250090.09.81.10210009 33.4009 090 99 0.00 0.00 0.00
- 42400 Biopsy of salivary gland A 0.76 1.99 0.59 0.08 2.83 1.430000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 42405 Biopsy of salivary gland A 3.26 5.47 2.33 0.46 9.19 6.050010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 42408 Excision of salivary cyst A 4.54 11.88 4.52 0.65 17.07 9.710090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 42409 Drainage of salivary cyst A 2.84 8.33 3.04 0.42 11.59 6.300090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 4240F Instr xrcz back pain 12 wks I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42410 Excise parotid gland/lesion A 9.33 5.90NA 5.90 1.45 16.68 16.680090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 42415 Excise parotid gland/lesion A 16.73 8.31NA 8.31 2.51 27.55 27.550090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 42420 Excise parotid gland/lesion A 19.04 8.84NA 8.84 2.83 30.71 30.710090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 42425 Excise parotid gland/lesion A 13.08 6.85NA 6.85 1.94 21.87 21.870090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 42426 Excise parotid gland/lesion A 22.09 9.34NA 9.34 3.48 34.91 34.910090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 4242F Sprvsd xrcz back pn >12 wks I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42440 Excise submaxillary gland A 5.99 4.21NA 4.21 0.89 11.09 11.090090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 42450 Excise sublingual gland A 4.62 8.85 4.58 0.66 14.13 9.860090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 4245F Pt instr nrml activities I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4248F Pt instr no bd rest 4 days/> I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42500 Repair salivary duct A 4.31 8.51 4.45 0.62 13.44 9.380090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 42505 Repair salivary duct A 6.16 10.13 5.22 0.90 17.19 12.280090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 42507 Parotid duct diversion A 6.09 6.24NA 6.24 0.89 13.22 13.220090.09.81.10222009 33.4009 090 99 0.00 0.00 0.00
- 42509 Parotid duct diversion A 11.47 8.38NA 8.38 1.67 21.52 21.520090.09.81.10220009 33.4009 090 99 0.00 0.00 0.00
- 4250F Wrmng 4 surg normothermia I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42510 Parotid duct diversion A 8.14 6.75NA 6.75 1.20 16.09 16.090090.09.81.10222109 33.4009 090 99 0.00 0.00 0.00
- 42550 Injection for salivary x-ray A 1.22 3.06 0.22 0.12 4.40 1.560000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 4255F Anesth 60 min/> as docd M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4256F Anesthe <60 min as docd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42600 Closure of salivary fistula A 4.82 10.63 4.04 0.70 16.15 9.560090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 4260F Wound srfc culturetech used I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4261F Tech other than surfc cultr I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42650 Dilation of salivary duct A 0.75 1.44 0.74 0.11 2.30 1.600000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 4265F Wet-dry dressings rx recmd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42660 Dilation of salivary duct A 1.10 1.80 0.84 0.16 3.06 2.100000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 42665 Ligation of salivary duct A 2.56 8.09 2.97 0.38 11.03 5.910090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 4266F No wet-dry drssings rx recmd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4267F Comprssion thxpy prescribed I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4268F Pt ed re comp thxpy rcvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42699 Unlisted px salivry glnd/dux C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202119 33.4009 090 99 0.00 0.00 0.00
- 4269F Appropos mthd offloading rxd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42700 I&d abscess peritonsillar A 1.63 4.07 1.95 0.26 5.96 3.840010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 4270F Pt rcvng anti r-viral thxpy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4271F Pt rcvng anti r-viral thxpy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42720 I&d absc phrngl ntraorl appr A 6.15 6.31 2.94 0.91 13.37 10.000010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 42725 I&d absc phrngl xtrnl appr A 12.10 7.18NA 7.18 1.92 21.20 21.200090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 4274F Flu immuno admind rcvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4276F Potent antivir thxpy rxd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4279F Pcp prophylaxis rxd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42800 Biopsy of throat A 1.40 3.17 1.57 0.21 4.78 3.180010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 42804 Biopsy of upper nose/throat A 1.26 5.01 1.94 0.18 6.45 3.380010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 42806 Biopsy of upper nose/throat A 1.59 5.39 2.04 0.22 7.20 3.850010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 42808 Excise pharynx lesion A 2.29 4.38 1.80 0.35 7.02 4.440010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 42809 Remove pharynx foreign body A 1.81 4.33 1.41 0.28 6.42 3.500010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 4280F Pcp prophylax rxd 3mon low % I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42810 Excision of neck cyst A 3.30 7.79 3.95 0.47 11.56 7.720090.09.81.10212009 33.4009 090 99 0.00 0.00 0.00
- 42815 Excision of neck cyst A 7.13 6.14NA 6.14 1.05 14.32 14.320090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 42820 Remove tonsils and adenoids A 4.11 3.11NA 3.11 0.59 7.81 7.810090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 42821 Remove tonsils and adenoids A 4.25 3.29NA 3.29 0.61 8.15 8.150090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 42825 Removal of tonsils A 3.42 3.39NA 3.39 0.48 7.29 7.290090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 42826 Removal of tonsils A 3.36 3.09NA 3.09 0.48 6.93 6.930090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 42830 Removal of adenoids A 2.58 2.89NA 2.89 0.38 5.85 5.850090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 42831 Removal of adenoids A 2.74 3.23NA 3.23 0.40 6.37 6.370090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 42835 Removal of adenoids A 2.32 2.82NA 2.82 0.35 5.49 5.490090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 42836 Removal of adenoids A 3.18 3.03NA 3.03 0.46 6.67 6.670090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 42842 Extensive surgery of throat A 11.92 13.58NA 13.58 1.77 27.27 27.270090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 42844 Extensive surgery of throat A 17.34 16.83NA 16.83 2.61 36.78 36.780090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 42845 Extensive surgery of throat A 31.75 21.39NA 21.39 4.64 57.78 57.780090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 42860 Excision of tonsil tags A 2.24 2.80NA 2.80 0.34 5.38 5.380090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 42870 Excision of lingual tonsil A 5.38 10.25NA 10.25 0.79 16.42 16.420090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 42890 Limited pharyngectomy A 18.65 16.17NA 16.17 2.76 37.58 37.580090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 42892 Revision of pharyngeal walls A 25.38 20.06NA 20.06 3.70 49.14 49.140090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 42894 Revision of pharyngeal walls A 33.07 24.14NA 24.14 4.84 62.05 62.050090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 42900 Repair throat wound A 5.16 2.73NA 2.73 0.76 8.65 8.650010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 4290F Pt scrned for inj drug use I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4293F Pt scrnd hgh-risk sex behav I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 42950 Reconstruction of throat A 8.06 12.69NA 12.69 1.20 21.95 21.950090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 42953 Repair throat esophagus A 9.21 16.13NA 16.13 1.43 26.77 26.770090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 42955 Surgical opening of throat A 7.81 11.91NA 11.91 1.14 20.86 20.860090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 42960 Control throat bleeding A 2.32 1.67NA 1.67 0.37 4.36 4.360010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 42961 Control throat bleeding A 5.63 4.71NA 4.71 0.82 11.16 11.160090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 42962 Control throat bleeding A 7.22 5.43NA 5.43 1.06 13.71 13.710090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 42970 Control nose/throat bleeding A 5.67 4.41NA 4.41 0.83 10.91 10.910090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 42971 Control nose/throat bleeding A 6.44 4.60NA 4.60 0.93 11.97 11.970090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 42972 Control nose/throat bleeding A 7.40 4.83NA 4.83 1.08 13.31 13.310090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 42975 Dise eval slp do brth flx dx A 1.54 0.75NA 0.75 0.21 2.50 2.500000.00.00.00301009 31575 33.4009 090 99 0.00 0.00 0.00
- 42999 Unlisted px phrnx adnd/tnsl C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 4300F Pt rcvng warf thxpy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4301F Pt not rcvng warf thxpy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 43020 Incision of esophagus A 8.02 6.36NA 6.36 2.14 16.52 16.520090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43030 Cricopharyngeal myotomy A 7.79 4.96NA 4.96 1.22 13.97 13.970090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43045 Esophagotomy thrc rmvl fb A 21.33 10.98NA 10.98 5.37 37.68 37.680090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 4305F Pt ed re ft care inspct rcvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4306F Pt tlk psych & rx opd addic I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 43100 Excision of esophagus lesion A 9.42 5.93NA 5.93 1.36 16.71 16.710090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43101 Excision of esophagus lesion A 16.64 8.17NA 8.17 4.19 29.00 29.000090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43107 Removal of esophagus A 50.75 19.03NA 19.03 12.82 82.60 82.600090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43108 Removal of esophagus A 80.80 21.57NA 21.57 20.37 122.74122.740090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43112 Esphg tot w/thrcm A 60.45 20.08NA 20.08 15.24 95.77 95.770090.09.81.10202209 33.4009 090 99 0.00 0.00 0.00
- 43113 Removal of esophagus A 78.06 22.93NA 22.93 19.70 120.69120.690090.09.81.10202209 33.4009 090 99 0.00 0.00 0.00
- 43116 Partial removal of esophagus A 90.67 23.52NA 23.52 22.88 137.07137.070090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43117 Partial removal of esophagus A 56.06 20.48NA 20.48 14.13 90.67 90.670090.09.81.10202209 33.4009 090 99 0.00 0.00 0.00
- 43118 Partial removal of esophagus A 65.39 18.54NA 18.54 16.49 100.42100.420090.09.81.10202209 33.4009 090 99 0.00 0.00 0.00
- 43121 Partial removal of esophagus A 50.14 17.40NA 17.40 12.66 80.20 80.200090.09.81.10202209 33.4009 090 99 0.00 0.00 0.00
- 43122 Partial removal of esophagus A 43.08 16.00NA 16.00 10.87 69.95 69.950090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43123 Partial removal of esophagus A 81.04 23.52NA 23.52 20.45 125.01125.010090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43124 Removal of esophagus A 67.36 22.05NA 22.05 16.98 106.39106.390090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43130 Removal of esophagus pouch A 12.22 6.95NA 6.95 2.22 21.39 21.390090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43135 Removal of esophagus pouch A 25.52 9.62NA 9.62 6.43 41.57 41.570090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43180 Esophagoscopy rigid trnso A 8.80 4.23NA 4.23 1.31 14.34 14.340090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 43191 Esophagoscopy rigid trnso dx A 2.43 1.26NA 1.26 0.37 4.06 4.060000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 43192 Esophagoscp rig trnso inject A 2.72 1.28NA 1.28 0.40 4.40 4.400000.00.00.00301009 43191 33.4009 090 99 0.00 0.00 0.00
- 43193 Esophagoscp rig trnso biopsy A 2.72 1.30NA 1.30 0.41 4.43 4.430000.00.00.00301009 43191 33.4009 090 99 0.00 0.00 0.00
- 43194 Esophagoscp rig trnso rem fb A 3.42 0.94NA 0.94 0.48 4.84 4.840000.00.00.00301009 43191 33.4009 090 99 0.00 0.00 0.00
- 43195 Esophagoscopy rigid balloon A 2.99 1.35NA 1.35 0.43 4.77 4.770000.00.00.00301009 43191 33.4009 090 99 0.00 0.00 0.00
- 43196 Esophagoscp guide wire dilat A 3.23 1.46NA 1.46 0.45 5.14 5.140000.00.00.00301009 43191 33.4009 090 99 0.00 0.00 0.00
- 43197 Esophagoscopy flex dx brush A 1.48 4.21 0.36 0.21 5.90 2.050000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 43198 Esophagosc flex trnsn biopsy A 1.77 4.51 0.43 0.25 6.53 2.450000.00.00.00301009 43197 33.4009 090 99 0.00 0.00 0.00
- 43200 Esophagoscopy flexible brush A 1.38 7.00 0.79 0.21 8.59 2.380000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 43201 Esoph scope w/submucous inj A 1.68 6.43 0.86 0.22 8.33 2.760000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43202 Esophagoscopy flex biopsy A 1.68 9.88 0.90 0.21 11.77 2.790000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43204 Esoph scope w/sclerosis inj A 2.27 1.09NA 1.09 0.25 3.61 3.610000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43205 Esophagus endoscopy/ligation A 2.38 1.13NA 1.13 0.26 3.77 3.770000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43206 Esoph optical endomicroscopy A 2.23 7.72 1.08 0.24 10.19 3.550000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 4320F Pt talk psychsoc&rx oh dpnd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 43210 Egd esophagogastrc fndoplsty A 7.56 2.70NA 2.70 1.10 11.36 11.360000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43211 Esophagoscop mucosal resect A 4.10 1.64NA 1.64 0.45 6.19 6.190000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43212 Esophagoscop stent placement A 3.32 1.25NA 1.25 0.51 5.08 5.080000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43213 Esophagoscopy retro balloon A 4.51 32.37 1.57 0.67 37.55 6.750000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43214 Esophagosc dilate balloon 30 A 3.32 1.22NA 1.22 0.50 5.04 5.040000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43215 Esophagoscopy flex remove fb A 2.38 10.33 1.08 0.36 13.07 3.820000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43216 Esophagoscopy lesion removal A 2.24 11.13 1.09 0.24 13.61 3.570000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43217 Esophagoscopy snare les remv A 2.73 10.98 1.23 0.30 14.01 4.260000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43220 Esophagoscopy balloon <30mm A 1.95 26.47 0.96 0.26 28.68 3.170000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43226 Esoph endoscopy dilation A 2.18 9.89 0.97 0.36 12.43 3.510000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43227 Esophagoscopy control bleed A 2.82 16.44 1.22 0.36 19.62 4.400000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 43229 Esophagoscopy lesion ablate A 3.40 19.60 1.42 0.41 23.41 5.230000.00.00.00301009 43200 33.4009 090 99 0.00 0.00 0.00
- 4322F Crgvr prov w/ ed addl rsrcs M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 43231 Esophagoscop ultrasound exam A 2.73 1.13NA 1.13 0.27 4.13 4.130000.00.00.00301209 43200 33.4009 090 99 0.00 0.00 0.00
- 43232 Esophagoscopy w/us needle bx A 3.50 1.42NA 1.42 0.39 5.31 5.310000.00.00.00301209 43200 33.4009 090 99 0.00 0.00 0.00
- 43233 Egd balloon dil esoph30 mm/> A 3.97 1.52NA 1.52 0.62 6.11 6.110000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43235 Egd diagnostic brush wash A 2.04 7.38 1.03 0.24 9.66 3.310000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 43236 Uppr gi scope w/submuc inj A 2.33 10.76 1.10 0.27 13.36 3.700000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43237 Endoscopic us exam esoph A 3.38 1.42NA 1.42 0.38 5.18 5.180000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43238 Egd us fine needle bx/aspir A 4.06 1.62NA 1.62 0.44 6.12 6.120000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43239 Egd biopsy single/multiple A 2.33 9.94 1.10 0.27 12.54 3.700000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43240 Egd w/transmural drain cyst A 6.97 2.48NA 2.48 0.79 10.24 10.240000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43241 Egd tube/cath insertion A 2.43 1.07NA 1.07 0.30 3.80 3.800000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43242 Egd us fine needle bx/aspir A 4.61 1.78NA 1.78 0.49 6.88 6.880000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43243 Egd injection varices A 4.16 1.57NA 1.57 0.53 6.26 6.260000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43244 Egd varices ligation A 4.29 1.69NA 1.69 0.47 6.45 6.450000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43245 Egd dilate stricture A 3.00 16.19 1.28 0.42 19.61 4.700000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43246 Egd place gastrostomy tube A 3.47 1.34NA 1.34 0.53 5.34 5.340000.00.00.00300209 43235 33.4009 090 99 0.00 0.00 0.00
- 43247 Egd remove foreign body A 3.03 9.35 1.30 0.38 12.76 4.710000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43248 Egd guide wire insertion A 2.84 10.53 1.25 0.34 13.71 4.430000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43249 Esoph egd dilation <30 mm A 2.60 32.44 1.18 0.30 35.34 4.080000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 4324F Pt queried prkns complic I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 43250 Egd cautery tumor polyp A 2.90 11.61 1.25 0.42 14.93 4.570000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43251 Egd remove lesion snare A 3.38 12.57 1.41 0.39 16.34 5.180000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43252 Egd optical endomicroscopy A 2.89 8.05 1.25 0.35 11.29 4.490000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43253 Egd us transmural injxn/mark A 4.61 1.78NA 1.78 0.50 6.89 6.890000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43254 Egd endo mucosal resection A 4.75 1.81NA 1.81 0.53 7.09 7.090000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43255 Egd control bleeding any A 3.47 16.77 1.44 0.39 20.63 5.300000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43257 Egd w/thrml txmnt gerd A 4.05 1.62NA 1.62 0.45 6.12 6.120000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43259 Egd us exam duodenum/jejunum A 3.94 1.58NA 1.58 0.43 5.95 5.950000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 4325F Med txmnt options rvwd w/pt M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 43260 Ercp w/specimen collection A 5.70 2.09NA 2.09 0.62 8.41 8.410000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 43261 Endo cholangiopancreatograph A 6.00 2.18NA 2.18 0.67 8.85 8.850000.00.00.00301009 43260 33.4009 090 99 0.00 0.00 0.00
- 43262 Endo cholangiopancreatograph A 6.34 2.28NA 2.28 0.70 9.32 9.320000.00.00.00301009 43260 33.4009 090 99 0.00 0.00 0.00
- 43263 Ercp sphincter pressure meas A 6.34 2.30NA 2.30 0.70 9.34 9.340000.00.00.00301009 43260 33.4009 090 99 0.00 0.00 0.00
- 43264 Ercp remove duct calculi A 6.46 2.32NA 2.32 0.72 9.50 9.500000.00.00.00301009 43260 33.4009 090 99 0.00 0.00 0.00
- 43265 Ercp lithotripsy calculi A 7.73 2.68NA 2.68 0.87 11.28 11.280000.00.00.00301009 43260 33.4009 090 99 0.00 0.00 0.00
- 43266 Egd endoscopic stent place A 3.82 1.46NA 1.46 0.48 5.76 5.760000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 4326F Pt asked re symp auto dysfxn I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 43270 Egd lesion ablation A 3.91 19.68 1.57 0.44 24.03 5.920000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43273 Endoscopic pancreatoscopy A 2.18 0.64NA 0.64 0.23 3.05 3.050ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 43274 Ercp duct stent placement A 8.27 2.85NA 2.85 0.92 12.04 12.040000.00.00.00301009 43260 33.4009 090 99 0.00 0.00 0.00
- 43275 Ercp remove forgn body duct A 6.69 2.38NA 2.38 0.76 9.83 9.830000.00.00.00301009 43260 33.4009 090 99 0.00 0.00 0.00
- 43276 Ercp stent exchange w/dilate A 8.62 2.95NA 2.95 0.98 12.55 12.550000.00.00.00301009 43260 33.4009 090 99 0.00 0.00 0.00
- 43277 Ercp ea duct/ampulla dilate A 6.73 2.40NA 2.40 0.75 9.88 9.880000.00.00.00301009 43260 33.4009 090 99 0.00 0.00 0.00
- 43278 Ercp lesion ablate w/dilate A 7.72 2.68NA 2.68 0.87 11.27 11.270000.00.00.00301009 43260 33.4009 090 99 0.00 0.00 0.00
- 43279 Lap myotomy heller A 21.55 8.79NA 8.79 5.58 35.92 35.920090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43280 Laparoscopy fundoplasty A 17.65 8.05NA 8.05 4.60 30.30 30.300090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43281 Lap paraesophag hern repair A 25.94 9.97NA 9.97 6.75 42.66 42.660090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43282 Lap paraesoph her rpr w/mesh A 29.35 10.91NA 10.91 7.70 47.96 47.960090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43283 Lap esoph lengthening A 2.88 0.64NA 0.64 0.73 4.25 4.250ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 43284 Laps esophgl sphnctr agmntj A 9.88 6.25NA 6.25 2.63 18.76 18.760090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43285 Rmvl esophgl sphnctr dev A 10.21 6.33NA 6.33 2.73 19.27 19.270090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43286 Esphg tot w/laps moblj A 53.63 20.84NA 20.84 13.71 88.18 88.180090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43287 Esphg dstl 2/3 w/laps moblj A 61.43 21.65NA 21.65 15.54 98.62 98.620090.09.81.10202209 33.4009 090 99 0.00 0.00 0.00
- 43288 Esphg thrsc moblj A 64.76 22.49NA 22.49 16.45 103.70103.700090.09.81.10202209 33.4009 090 99 0.00 0.00 0.00
- 43289 Unlisted laps px esoph C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212119 33.4009 090 99 0.00 0.00 0.00
- 4328F Pt asked re sleep disturb I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 43290 Egd flx trnsorl dplmnt balo A 3.03 76.51 1.32 0.36 79.90 4.710000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43291 Egd flx trnsorl rmvl balo A 2.73 12.14 1.23 0.30 15.17 4.260000.00.00.00301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43300 Repair of esophagus A 9.10 6.10NA 6.10 1.32 16.52 16.520090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43305 Repair esophagus and fistula A 17.65 8.02NA 8.02 2.58 28.25 28.250090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 4330F Cnslng epi spec sfty issues I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 43310 Repair of esophagus A 25.60 9.89NA 9.89 6.44 41.93 41.930090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43312 Repair esophagus and fistula A 28.52 8.55NA 8.55 7.20 44.27 44.270090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43313 Esophagoplasty congenital A 47.24 21.21NA 21.21 12.66 81.11 81.110090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43314 Tracheo-esophagoplasty cong A 52.09 19.92NA 19.92 13.96 85.97 85.970090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43320 Fuse esophagus & stomach A 22.73 10.35NA 10.35 6.08 39.16 39.160090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43325 Revise esophagus & stomach A 22.04 10.18NA 10.18 5.89 38.11 38.110090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43327 Esoph fundoplasty lap A 13.02 7.20NA 7.20 3.47 23.69 23.690090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43328 Esoph fundoplasty thor A 19.41 7.48NA 7.48 4.88 31.77 31.770090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43330 Esophagomyotomy abdominal A 21.64 10.08NA 10.08 5.77 37.49 37.490090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43331 Esophagomyotomy thoracic A 22.48 10.25NA 10.25 5.66 38.39 38.390090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43332 Transab esoph hiat hern rpr A 19.13 8.26NA 8.26 4.88 32.27 32.270090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43333 Transab esoph hiat hern rpr A 20.92 8.87NA 8.87 5.41 35.20 35.200090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43334 Transthor diaphrag hern rpr A 21.57 7.91NA 7.91 5.45 34.93 34.930090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43335 Transthor diaphrag hern rpr A 23.37 8.26NA 8.26 5.88 37.51 37.510090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43336 Thorabd diaphr hern repair A 25.16 9.34NA 9.34 6.34 40.84 40.840090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43337 Thorabd diaphr hern repair A 26.96 9.70NA 9.70 6.78 43.44 43.440090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43338 Esoph lengthening A 2.15 0.42NA 0.42 0.53 3.10 3.100ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 43340 Fuse esophagus & intestine A 22.42 10.27NA 10.27 6.00 38.69 38.690090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43341 Fuse esophagus & intestine A 23.62 10.47NA 10.47 5.96 40.05 40.050090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43351 Surgical opening esophagus A 21.50 11.28NA 11.28 5.41 38.19 38.190090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43352 Surgical opening esophagus A 17.36 9.24NA 9.24 4.36 30.96 30.960090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43360 Gastrointestinal repair A 39.11 14.54NA 14.54 9.87 63.52 63.520090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43361 Gastrointestinal repair A 44.54 18.60NA 18.60 11.94 75.08 75.080090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43400 Ligate esophagus veins A 24.96 10.89NA 10.89 6.67 42.52 42.520090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43405 Ligate/staple esophagus A 24.11 11.80NA 11.80 6.07 41.98 41.980090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 4340F Cnslng chldbrng women epi M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 43410 Repair esophagus wound A 16.00 8.67NA 8.67 2.34 27.01 27.010090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43415 Repair esophagus wound A 43.76 17.52NA 17.52 11.01 72.29 72.290090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43420 Repair esophagus opening A 16.36 7.56NA 7.56 2.39 26.31 26.310090.09.81.10200109 33.4009 090 99 0.00 0.00 0.00
- 43425 Repair esophagus opening A 24.41 10.62NA 10.62 6.16 41.19 41.190090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43450 Dilate esophagus 1/mult pass A 1.25 4.95 0.79 0.15 6.35 2.190000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 43453 Dilate esophagus A 1.37 23.35 0.77 0.18 24.90 2.320000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 43460 Pressure treatment esophagus A 3.70 1.50NA 1.50 0.42 5.62 5.620000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 43496 Free jejunum flap microvasc C 0.00 0.00 0.00 0.00 0.00 0.000090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43497 Transorl lwr esophgl myotomy A 12.96 6.75NA 6.75 1.80 21.51 21.510090.09.81.10301009 43235 33.4009 090 99 0.00 0.00 0.00
- 43499 Unlisted procedure esophagus C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201119 33.4009 090 99 0.00 0.00 0.00
- 43500 Surgical opening of stomach A 12.47 6.79NA 6.79 3.25 22.51 22.510090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43501 Surgical repair of stomach A 22.04 10.11NA 10.11 5.83 37.98 37.980090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43502 Surgical repair of stomach A 25.05 10.87NA 10.87 6.69 42.61 42.610090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 4350F Cnslng provided symp mngmnt I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 43510 Surgical opening of stomach A 14.76 8.37NA 8.37 3.93 27.06 27.060090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43520 Incision of pyloric muscle A 11.01 6.44NA 6.44 2.94 20.39 20.390090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43605 Biopsy of stomach A 13.38 7.01NA 7.01 3.58 23.97 23.970090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43610 Excision of stomach lesion A 15.93 7.54NA 7.54 4.07 27.54 27.540090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43611 Excision of stomach lesion A 19.87 9.57NA 9.57 4.96 34.40 34.400090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43620 Removal of stomach A 33.19 12.84NA 12.84 8.89 54.92 54.920090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43621 Removal of stomach A 38.54 14.30NA 14.30 9.78 62.62 62.620090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43622 Removal of stomach A 39.03 14.26NA 14.26 10.46 63.75 63.750090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43631 Removal of stomach partial A 23.90 10.55NA 10.55 6.14 40.59 40.590090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43632 Removal of stomach partial A 34.26 13.17NA 13.17 8.72 56.15 56.150090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43633 Removal of stomach partial A 32.31 12.65NA 12.65 8.21 53.17 53.170090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43634 Removal of stomach partial A 35.72 13.45NA 13.45 9.57 58.74 58.740090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43635 Removal of stomach partial A 2.01 0.48NA 0.48 0.53 3.02 3.020ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 43640 Vagotomy & pylorus repair A 19.07 9.42NA 9.42 5.09 33.58 33.580090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43641 Vagotomy & pylorus repair A 19.31 9.48NA 9.48 5.15 33.94 33.940090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43644 Lap gastric bypass/roux-en-y A 28.67 12.14NA 12.14 7.64 48.45 48.450090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43645 Lap gastr bypass incl smll i A 30.74 12.59NA 12.59 8.11 51.44 51.440090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43647 Lap impl electrode antrum C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 43648 Lap revise/remv eltrd antrum C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 43651 Laparoscopy vagus nerve A 9.88 6.47NA 6.47 2.63 18.98 18.980090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 43652 Laparoscopy vagus nerve A 11.83 6.94NA 6.94 3.16 21.93 21.930090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 43653 Laparoscopy gastrostomy A 8.27 6.49NA 6.49 2.16 16.92 16.920090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43659 Unlisted laps px stomach C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212119 33.4009 090 99 0.00 0.00 0.00
- 43752 Nasal/orogastric w/tube plmt A 0.79 0.15NA 0.15 0.09 1.03 1.030000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 43753 Tx gastro intub w/asp A 0.44 0.09NA 0.09 0.08 0.61 0.610000.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 43754 Dx gastr intub w/asp spec A 0.44 9.61 0.88 0.11 10.16 1.430000.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 43755 Dx gastr intub w/asp specs A 0.92 5.71 0.64 0.09 6.72 1.650000.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 43756 Dx duod intub w/asp spec A 0.75 8.26 0.59 0.07 9.08 1.410000.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 43757 Dx duod intub w/asp specs A 1.23 10.84 0.73 0.14 12.21 2.100000.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 43761 Reposition gastrostomy tube A 1.96 1.44 0.41 0.28 3.68 2.650000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 43762 Rplc gtube no revj trc A 0.73 7.27 0.15 0.15 8.15 1.030000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 43763 Rplc gtube revj gstrst trc A 1.37 9.50 0.84 0.28 11.15 2.490000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 43770 Lap place gastr adj device A 17.55 9.75NA 9.75 4.70 32.00 32.000090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43771 Lap revise gastr adj device A 20.27 10.42NA 10.42 5.42 36.11 36.110090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 43772 Lap rmvl gastr adj device A 15.31 7.51NA 7.51 3.97 26.79 26.790090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43773 Lap replace gastr adj device A 20.27 10.42NA 10.42 5.42 36.11 36.110090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43774 Lap rmvl gastr adj all parts A 15.37 7.73NA 7.73 4.07 27.17 27.170090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 43775 Lap sleeve gastrectomy A 19.87 4.81NA 4.81 5.26 29.94 29.940090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43800 Pyloroplasty A 15.04 7.30NA 7.30 3.74 26.08 26.080090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43810 Gastroduodenostomy A 16.46 7.76NA 7.76 4.40 28.62 28.620090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43820 Gastrojejunostomy wo vagotmy A 21.97 10.11NA 10.11 5.54 37.62 37.620090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43825 Gastrojejunostomy w/vagotomy A 21.22 9.94NA 9.94 5.68 36.84 36.840090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43830 Gstrst open wo constj tube A 10.58 6.98NA 6.98 2.68 20.24 20.240090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43831 Gastrostomy open neonatal A 8.28 7.45NA 7.45 2.20 17.93 17.930090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43832 Gstrst open w/constj tube A 16.91 8.23NA 8.23 4.38 29.52 29.520090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43840 Gstrrphy sutr duol/gstr ulcr A 22.26 10.11NA 10.11 5.73 38.10 38.100090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43842 Gstr rstcv px v-banded gstp N+ 20.50 7.80NA 7.80 2.19 30.49 30.499090.09.81.10999999 33.4009 090 99 0.00 0.00 0.00
- 43843 Gstr rstcv oth/thn v-band A 20.68 9.91NA 9.91 5.53 36.12 36.120090.09.81.10202209 33.4009 090 99 0.00 0.00 0.00
- 43845 Gastroplasty duodenal switch A 32.47 13.66NA 13.66 8.57 54.70 54.700090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43846 Gstr rstcv px shrt roux-en-y A 26.72 12.45NA 12.45 7.16 46.33 46.330090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43847 Gstr rstcv px sm int rcnstj A 29.52 13.12NA 13.12 7.90 50.54 50.540090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43848 Revj open gstr rstcv px A 31.93 13.40NA 13.40 8.32 53.65 53.650090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43860 Revj gstr/jj anast w/o vgtmy A 27.19 11.29NA 11.29 6.91 45.39 45.390090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43865 Revj gstr/jj anast w/vgtmy A 28.32 11.66NA 11.66 7.57 47.55 47.550090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43870 Closure gastrostomy surgical A 11.15 6.30NA 6.30 2.72 20.17 20.170090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43880 Closure gastrocolic fistula A 26.50 11.22NA 11.22 7.09 44.81 44.810090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43881 Impl/rplcmt gstr nstim eltrd C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 43882 Rev/rmvl gstr nstim eltrd C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 43886 Gstr rstcv px opn revj port A 4.52 5.43NA 5.43 1.21 11.16 11.160090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 43887 Gstr rstcv px opn rmvl port A 4.21 4.70NA 4.70 1.13 10.04 10.040090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 43888 Gstr rstcv px opn rmvl&rplc A 6.28 5.86NA 5.86 1.67 13.81 13.810090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 43889 Gstr rstcv px trnsorl esg A 12.56 7.00NA 7.00 1.99 21.55 21.550090.09.84.07300009 43235 33.4009 090 99 0.00 0.00 0.00
- 43999 Unlisted procedure stomach C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 44005 Freeing of bowel adhesion A 18.00 8.01NA 8.01 4.54 30.55 30.550090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 4400F Rehab thxpy options w/pt I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 44010 Incision of small bowel A 13.90 6.89NA 6.89 2.64 23.43 23.430090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44015 Insert needle cath bowel A 2.55 0.62NA 0.62 0.62 3.79 3.790ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 44020 Explore small intestine A 15.81 7.56NA 7.56 4.03 27.40 27.400090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44021 Decompress small bowel A 15.90 7.35NA 7.35 3.96 27.21 27.210090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44025 Incision of large bowel A 16.10 7.50NA 7.50 3.93 27.53 27.530090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44050 Reduce bowel obstruction A 15.13 7.39NA 7.39 3.87 26.39 26.390090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44055 Correct malrotation of bowel A 24.99 9.92NA 9.92 6.34 41.25 41.250090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44100 Biopsy of bowel A 1.96 0.57NA 0.57 0.21 2.74 2.740000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 44110 Excise intestine lesion(s) A 13.69 7.00NA 7.00 3.18 23.87 23.870090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44111 Excision of bowel lesion(s) A 16.11 7.57NA 7.57 3.43 27.11 27.110090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44120 Removal of small intestine A 20.30 8.62NA 8.62 5.10 34.02 34.020090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44121 Removal of small intestine A 4.33 1.08NA 1.08 1.07 6.48 6.480ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 44125 Removal of small intestine A 19.53 8.63NA 8.63 4.70 32.86 32.860090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44126 Enterectomy w/o taper cong A 41.17 16.20NA 16.20 11.05 68.42 68.420090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44127 Enterectomy w/taper cong A 48.07 17.73NA 17.73 12.87 78.67 78.670090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44128 Enterectomy cong add-on A 4.33 1.05NA 1.05 1.16 6.54 6.540ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 44130 Bowel to bowel fusion A 21.56 9.95NA 9.95 5.34 36.85 36.850090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44132 Enterectomy cadaver donor R 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 44133 Enterectomy live donor R 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 44135 Intestine transplnt cadaver R 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 44136 Intestine transplant live R 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 44137 Remove intestinal allograft C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 44139 Mobilization of colon A 2.17 0.54NA 0.54 0.49 3.20 3.200ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 44140 Partial removal of colon A 22.03 10.00NA 10.00 5.40 37.43 37.430090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44141 Partial removal of colon A 29.16 14.31NA 14.31 7.16 50.63 50.630090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44143 Partial removal of colon A 27.10 12.13NA 12.13 6.60 45.83 45.830090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44144 Partial removal of colon A 29.16 12.76NA 12.76 7.02 48.94 48.940090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44145 Partial removal of colon A 27.87 11.33NA 11.33 6.17 45.37 45.370090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44146 Partial removal of colon A 34.42 15.82NA 15.82 7.90 58.14 58.140090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44147 Partial removal of colon A 32.85 12.46NA 12.46 7.35 52.66 52.660090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44150 Removal of colon A 29.43 15.59NA 15.59 6.79 51.81 51.810090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44151 Removal of colon/ileostomy A 34.05 17.03NA 17.03 9.13 60.21 60.210090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44155 Removal of colon/ileostomy A 33.56 16.46NA 16.46 7.47 57.49 57.490090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44156 Removal of colon/ileostomy A 36.48 18.03NA 18.03 9.79 64.30 64.300090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44157 Colectomy w/ileoanal anast A 34.81 17.01NA 17.01 9.32 61.14 61.140090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44158 Colectomy w/neo-rectum pouch A 35.78 17.25NA 17.25 9.58 62.61 62.610090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44160 Removal of colon A 20.37 9.38NA 9.38 4.90 34.65 34.650090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44180 Lap enterolysis A 14.89 7.20NA 7.20 3.79 25.88 25.880090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44186 Lap jejunostomy A 10.12 6.00NA 6.00 2.59 18.71 18.710090.09.84.07202109 33.4009 090 99 0.00 0.00 0.00
- 44187 Lap ileo/jejuno-stomy A 16.97 10.31NA 10.31 3.40 30.68 30.680090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44188 Lap colostomy A 18.87 11.04NA 11.04 4.21 34.12 34.120090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44202 Lap enterectomy A 22.81 10.19NA 10.19 5.59 38.59 38.590090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44203 Lap resect s/intestine addl A 4.33 1.07NA 1.07 1.07 6.47 6.470ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 44204 Laparo partial colectomy A 25.76 10.80NA 10.80 5.75 42.31 42.310090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44205 Lap colectomy part w/ileum A 22.38 9.55NA 9.55 4.78 36.71 36.710090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44206 Lap part colectomy w/stoma A 29.05 12.31NA 12.31 6.56 47.92 47.920090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44207 L colectomy/coloproctostomy A 31.12 11.90NA 11.90 6.36 49.38 49.380090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44208 L colectomy/coloproctostomy A 33.14 14.10NA 14.10 6.71 53.95 53.950090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44210 Laparo total proctocolectomy A 29.34 13.86NA 13.86 5.53 48.73 48.730090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44211 Lap colectomy w/proctectomy A 36.15 16.36NA 16.36 5.19 57.70 57.700090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44212 Laparo total proctocolectomy A 33.72 16.01NA 16.01 6.02 55.75 55.750090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44213 Lap mobil splenic fl add-on A 3.41 0.83NA 0.83 0.70 4.94 4.940ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 44227 Lap close enterostomy A 27.90 11.39NA 11.39 6.20 45.49 45.490090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44238 Unlisted laps px intestine C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212119 33.4009 090 99 0.00 0.00 0.00
- 44300 Open bowel to skin A 13.41 7.04NA 7.04 3.39 23.84 23.840090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44310 Ileostomy/jejunostomy A 17.15 7.97NA 7.97 3.85 28.97 28.970090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44312 Revision of ileostomy A 9.19 5.83NA 5.83 1.99 17.01 17.010090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 44314 Revision of ileostomy A 16.32 8.33NA 8.33 3.36 28.01 28.010090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44316 Devise bowel pouch A 23.00 10.49NA 10.49 6.16 39.65 39.650090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44320 Colostomy A 19.41 9.68NA 9.68 4.50 33.59 33.590090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44322 Colostomy with biopsies A 12.99 12.99NA 12.99 3.46 29.44 29.440090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44340 Revision of colostomy A 9.05 7.12NA 7.12 2.01 18.18 18.180090.09.81.10201109 33.4009 090 99 0.00 0.00 0.00
- 44345 Revision of colostomy A 16.79 9.00NA 9.00 3.75 29.54 29.540090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44346 Revision of colostomy A 19.14 9.58NA 9.58 4.22 32.94 32.940090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44360 Small bowel endoscopy A 2.43 1.13NA 1.13 0.26 3.82 3.820000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 44361 Small bowel endoscopy/biopsy A 2.70 1.22NA 1.22 0.29 4.21 4.210000.00.00.00301009 44360 33.4009 090 99 0.00 0.00 0.00
- 44363 Small bowel endoscopy A 3.31 1.39NA 1.39 0.38 5.08 5.080000.00.00.00300009 44360 33.4009 090 99 0.00 0.00 0.00
- 44364 Small bowel endoscopy A 3.54 1.47NA 1.47 0.39 5.40 5.400000.00.00.00300009 44360 33.4009 090 99 0.00 0.00 0.00
- 44365 Small bowel endoscopy A 3.13 1.34NA 1.34 0.35 4.82 4.820000.00.00.00300009 44360 33.4009 090 99 0.00 0.00 0.00
- 44366 Small bowel endoscopy A 4.19 1.66NA 1.66 0.45 6.30 6.300000.00.00.00301009 44360 33.4009 090 99 0.00 0.00 0.00
- 44369 Small bowel endoscopy A 4.30 1.69NA 1.69 0.47 6.46 6.460000.00.00.00300009 44360 33.4009 090 99 0.00 0.00 0.00
- 44370 Small bowel endoscopy/stent A 4.57 1.99NA 1.99 0.49 7.05 7.050000.00.00.00300009 44360 33.4009 090 99 0.00 0.00 0.00
- 44372 Small bowel endoscopy A 4.19 1.61NA 1.61 0.55 6.35 6.350000.00.00.00301009 44360 33.4009 090 99 0.00 0.00 0.00
- 44373 Small bowel endoscopy A 3.31 1.36NA 1.36 0.43 5.10 5.100000.00.00.00301009 44360 33.4009 090 99 0.00 0.00 0.00
- 44376 Small bowel endoscopy A 5.02 1.88NA 1.88 0.54 7.44 7.440000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 44377 Small bowel endoscopy/biopsy A 5.28 1.94NA 1.94 0.59 7.81 7.810000.00.00.00300009 44376 33.4009 090 99 0.00 0.00 0.00
- 44378 Small bowel endoscopy A 6.84 2.43NA 2.43 0.76 10.03 10.030000.00.00.00300009 44376 33.4009 090 99 0.00 0.00 0.00
- 44379 S bowel endoscope w/stent A 7.18 2.75NA 2.75 0.81 10.74 10.740000.00.00.00300009 44376 33.4009 090 99 0.00 0.00 0.00
- 44380 Small bowel endoscopy br/wa A 0.85 5.76 0.65 0.09 6.70 1.590000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 44381 Small bowel endoscopy br/wa A 1.35 30.44 0.80 0.17 31.96 2.320000.00.00.00301009 44380 33.4009 090 99 0.00 0.00 0.00
- 44382 Small bowel endoscopy A 1.14 8.75 0.76 0.13 10.02 2.030000.00.00.00301009 44380 33.4009 090 99 0.00 0.00 0.00
- 44384 Small bowel endoscopy A 2.78 0.90NA 0.90 0.36 4.04 4.040000.00.00.00301009 44380 33.4009 090 99 0.00 0.00 0.00
- 44385 Endoscopy of bowel pouch A 1.17 6.00 0.68 0.17 7.34 2.020000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 44386 Endoscopy bowel pouch/biop A 1.46 8.77 0.79 0.18 10.41 2.430000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 44388 Colonoscopy thru stoma spx A 2.65 7.53 1.16 0.41 10.59 4.220000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 4438853Colonoscopy thru stoma spx A 1.33 3.76 0.58 0.21 5.30 2.120000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 44389 Colonoscopy with biopsy A 2.94 10.36 1.26 0.40 13.70 4.600000.00.00.00301009 44388 33.4009 090 99 0.00 0.00 0.00
- 44390 Colonoscopy for foreign body A 3.65 9.39 1.50 0.41 13.45 5.560000.00.00.00301009 44388 33.4009 090 99 0.00 0.00 0.00
- 44391 Colonoscopy for bleeding A 4.02 16.52 1.59 0.47 21.01 6.080000.00.00.00301009 44388 33.4009 090 99 0.00 0.00 0.00
- 44392 Colonoscopy & polypectomy A 3.44 8.91 1.35 0.59 12.94 5.380000.00.00.00301009 44388 33.4009 090 99 0.00 0.00 0.00
- 44394 Colonoscopy w/snare A 3.93 10.04 1.54 0.51 14.48 5.980000.00.00.00301009 44388 33.4009 090 99 0.00 0.00 0.00
- 44401 Colonoscopy with ablation A 4.23 72.58 1.68 0.47 77.28 6.380000.00.00.00301009 44388 33.4009 090 99 0.00 0.00 0.00
- 44402 Colonoscopy w/stent plcmt A 4.58 1.78NA 1.78 0.50 6.86 6.860000.00.00.00301009 44388 33.4009 090 99 0.00 0.00 0.00
- 44403 Colonoscopy w/resection A 5.36 2.01NA 2.01 0.59 7.96 7.960000.00.00.00301009 44388 33.4009 090 99 0.00 0.00 0.00
- 44404 Colonoscopy w/injection A 2.94 10.61 1.25 0.39 13.94 4.580000.00.00.00301009 44388 33.4009 090 99 0.00 0.00 0.00
- 44405 Colonoscopy w/dilation A 3.15 14.89 1.36 0.36 18.40 4.870000.00.00.00301009 44388 33.4009 090 99 0.00 0.00 0.00
- 44406 Colonoscopy w/ultrasound A 4.00 1.61NA 1.61 0.44 6.05 6.050000.00.00.00301009 44388 33.4009 090 99 0.00 0.00 0.00
- 44407 Colonoscopy w/ndl aspir/bx A 4.84 1.85NA 1.85 0.53 7.22 7.220000.00.00.00301009 44388 33.4009 090 99 0.00 0.00 0.00
- 44408 Colonoscopy w/decompression A 4.04 1.62NA 1.62 0.44 6.10 6.100000.00.00.00301009 44388 33.4009 090 99 0.00 0.00 0.00
- 44500 Intro gastrointestinal tube A 0.38 0.07NA 0.07 0.04 0.49 0.490000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 4450F Self-care ed provided to pt I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 44602 Suture small intestine A 24.10 8.53NA 8.53 6.00 38.63 38.630090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44603 Suture small intestine A 27.46 10.32NA 10.32 6.66 44.44 44.440090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44604 Suture large intestine A 17.71 7.20NA 7.20 4.27 29.18 29.180090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44605 Repair of bowel lesion A 21.53 9.18NA 9.18 5.75 36.46 36.460090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44615 Intestinal stricturoplasty A 17.71 7.94NA 7.94 4.14 29.79 29.790090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44620 Repair bowel opening A 14.07 6.96NA 6.96 3.04 24.07 24.070090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44625 Repair bowel opening A 16.85 7.62NA 7.62 3.48 27.95 27.950090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44626 Repair bowel opening A 27.20 10.18NA 10.18 6.22 43.60 43.600090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44640 Repair bowel-skin fistula A 23.60 9.41NA 9.41 5.43 38.44 38.440090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44650 Repair bowel fistula A 24.49 9.63NA 9.63 5.50 39.62 39.620090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44660 Repair bowel-bladder fistula A 23.31 8.75NA 8.75 4.36 36.42 36.420090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44661 Repair bowel-bladder fistula A 26.67 9.85NA 9.85 5.82 42.34 42.340090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44680 Surgical revision intestine A 17.51 8.02NA 8.02 4.69 30.22 30.220090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44700 Suspend bowel w/prosthesis A 17.04 7.30NA 7.30 3.10 27.44 27.440090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44701 Intraop colon lavage add-on A 3.02 0.73NA 0.73 0.81 4.56 4.560ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 44705 Prepare fecal microbiota I+ 1.38 1.92 0.31 0.15 3.45 1.849XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4470F Icd counseling provided I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 44715 Prepare donor intestine C 0.00 0.00 0.00 0.00 0.00 0.000XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 44720 Prep donor intestine/venous A 4.88 1.18NA 1.18 1.31 7.37 7.370XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 44721 Prep donor intestine/artery A 6.83 1.66NA 1.66 1.82 10.31 10.310XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 44799 Unlisted px small intestine C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201119 33.4009 090 99 0.00 0.00 0.00
- 44800 Excision of bowel pouch A 11.75 7.49NA 7.49 2.91 22.15 22.150090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 4480F Pt rcvng ace/arb b-blockertx I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4481F Pt rcvng ace/arb blker <3mos I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 44820 Excision of mesentery lesion A 13.39 7.23NA 7.23 3.58 24.20 24.200090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44850 Repair of mesentery A 11.81 6.52NA 6.52 2.91 21.24 21.240090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44899 Unlisted px meckel's dvrtclm C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202119 33.4009 090 99 0.00 0.00 0.00
- 44900 I&d appendix abscess open A 12.26 6.74NA 6.74 3.27 22.27 22.270090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44950 Appendectomy A 10.34 5.18NA 5.18 2.61 18.13 18.130090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44955 Appendectomy add-on A 1.49 0.39NA 0.39 0.36 2.24 2.240ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 44960 Appendectomy A 14.14 6.88NA 6.88 3.68 24.70 24.700090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 44970 Laparoscopy appendectomy A 9.21 5.72NA 5.72 2.38 17.31 17.310090.09.81.10202209 33.4009 090 99 0.00 0.00 0.00
- 44979 Unlisted laps px appendix C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212119 33.4009 090 99 0.00 0.00 0.00
- 45000 Drainage of pelvic abscess A 6.14 5.09NA 5.09 1.13 12.36 12.360090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 45005 Drainage of rectal abscess A 1.97 8.50 2.72 0.51 10.98 5.200010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 4500F Ref to outpt card rehab prog M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 45020 Drainage of rectal abscess A 8.35 6.54NA 6.54 1.63 16.52 16.520090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 45100 Biopsy of rectum A 3.94 4.33NA 4.33 0.78 9.05 9.050090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 45108 Anorectal myomectomy A 4.99 4.84NA 4.84 1.33 11.16 11.160090.09.81.10201109 33.4009 090 99 0.00 0.00 0.00
- 4510F Prev cardrehab qualcardevent M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 45110 Removal of rectum A 29.99 14.55NA 14.55 5.53 50.07 50.070090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45111 Partial removal of rectum A 17.56 9.07NA 9.07 3.63 30.26 30.260090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45112 Removal of rectum A 32.35 12.11NA 12.11 4.66 49.12 49.120090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45113 Partial proctectomy A 32.39 13.71NA 13.71 4.66 50.76 50.760090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45114 Partial removal of rectum A 30.02 12.50NA 12.50 8.03 50.55 50.550090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45116 Partial removal of rectum A 27.03 11.20NA 11.20 3.89 42.12 42.120090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45119 Remove rectum w/reservoir A 32.64 13.77NA 13.77 4.71 51.12 51.120090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45120 Removal of rectum A 25.74 12.24NA 12.24 6.87 44.85 44.850090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45121 Removal of rectum and colon A 28.35 12.87NA 12.87 7.59 48.81 48.810090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45123 Partial proctectomy A 18.39 9.25NA 9.25 3.28 30.92 30.920090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45126 Pelvic exenteration A 47.87 18.16NA 18.16 8.30 74.33 74.330090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 45130 Excision of rectal prolapse A 18.04 8.80NA 8.80 3.24 30.08 30.080090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45135 Excision of rectal prolapse A 21.80 10.88NA 10.88 3.13 35.81 35.810090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45136 Excise ileoanal reservior A 30.05 14.58NA 14.58 4.32 48.95 48.950090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45150 Excision of rectal stricture A 5.70 5.31NA 5.31 1.51 12.52 12.520090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 45160 Excision of rectal lesion A 15.92 9.06NA 9.06 4.25 29.23 29.230090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45171 Exc rect tum transanal part A 7.93 8.83NA 8.83 1.56 18.32 18.320090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45172 Exc rect tum transanal full A 11.83 9.81NA 9.81 2.16 23.80 23.800090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45190 Destruction rectal tumor A 10.16 8.52NA 8.52 1.45 20.13 20.130090.09.81.10201109 33.4009 090 99 0.00 0.00 0.00
- 4525F Neuropsychia interven order I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4526F Neuropsychia interven rcvd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 45300 Proctosigmoidoscopy dx A 0.78 3.54 0.44 0.13 4.45 1.350000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 45303 Proctosigmoidoscopy dilate A 1.37 29.10 0.80 0.23 30.70 2.400000.00.00.00301009 45300 33.4009 090 99 0.00 0.00 0.00
- 45305 Proctosigmoidoscopy w/bx A 1.12 4.62 0.75 0.20 5.94 2.070000.00.00.00301009 45300 33.4009 090 99 0.00 0.00 0.00
- 45307 Proctosigmoidoscopy fb A 1.56 5.10 0.89 0.42 7.08 2.870000.00.00.00300009 45300 33.4009 090 99 0.00 0.00 0.00
- 45308 Proctosigmoidoscopy removal A 1.27 5.18 0.82 0.35 6.80 2.440000.00.00.00301009 45300 33.4009 090 99 0.00 0.00 0.00
- 45309 Proctosigmoidoscopy removal A 1.37 5.27 0.84 0.37 7.01 2.580000.00.00.00301009 45300 33.4009 090 99 0.00 0.00 0.00
- 45315 Proctosigmoidoscopy removal A 1.66 5.43 0.91 0.43 7.52 3.000000.00.00.00301009 45300 33.4009 090 99 0.00 0.00 0.00
- 45317 Proctosigmoidoscopy bleed A 1.85 5.04 0.92 0.30 7.19 3.070000.00.00.00301009 45300 33.4009 090 99 0.00 0.00 0.00
- 45320 Proctosigmoidoscopy ablate A 1.64 5.29 0.91 0.43 7.36 2.980000.00.00.00301009 45300 33.4009 090 99 0.00 0.00 0.00
- 45321 Proctosigmoidoscopy volvul A 1.61 0.90NA 0.90 0.43 2.94 2.940000.00.00.00301009 45300 33.4009 090 99 0.00 0.00 0.00
- 45327 Proctosigmoidoscopy w/stent A 1.85 0.96NA 0.96 0.48 3.29 3.290000.00.00.00301009 45300 33.4009 090 99 0.00 0.00 0.00
- 45330 Diagnostic sigmoidoscopy A 0.82 5.50 0.67 0.12 6.44 1.610000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 45331 Sigmoidoscopy and biopsy A 1.11 8.42 0.75 0.14 9.67 2.000000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45332 Sigmoidoscopy w/fb removal A 1.72 7.43 0.93 0.22 9.37 2.870000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45333 Sigmoidoscopy & polypectomy A 1.51 9.29 0.86 0.22 11.02 2.590000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45334 Sigmoidoscopy for bleeding A 1.95 14.12 1.00 0.22 16.29 3.170000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45335 Sigmoidoscopy w/submuc inj A 1.01 8.67 0.72 0.14 9.82 1.870000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45337 Sigmoidoscopy & decompress A 2.05 0.70NA 0.70 0.24 2.99 2.990000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45338 Sigmoidoscopy w/tumr remove A 2.00 7.78 1.01 0.25 10.03 3.260000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45340 Sig w/tndsc balloon dilation A 1.22 13.80 0.78 0.17 15.19 2.170000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45341 Sigmoidoscopy w/ultrasound A 2.07 1.04NA 1.04 0.23 3.34 3.340000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45342 Sigmoidoscopy w/us guide bx A 2.91 1.27NA 1.27 0.36 4.54 4.540000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45346 Sigmoidoscopy w/ablation A 2.74 71.54 1.21 0.34 74.62 4.290000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45347 Sigmoidoscopy w/plcmt stent A 2.65 1.14NA 1.14 0.30 4.09 4.090000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45349 Sigmoidoscopy w/resection A 3.43 1.43NA 1.43 0.39 5.25 5.250000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45350 Sgmdsc w/band ligation A 1.64 20.41 0.90 0.21 22.26 2.750000.00.00.00301009 45330 33.4009 090 99 0.00 0.00 0.00
- 45378 Diagnostic colonoscopy A 3.18 7.73 1.34 0.41 11.32 4.930000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 4537853Diagnostic colonoscopy A 1.59 3.87 0.67 0.21 5.67 2.470000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 45379 Colonoscopy w/fb removal A 4.17 9.69 1.63 0.49 14.35 6.290000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45380 Colonoscopy and biopsy A 3.47 10.48 1.43 0.42 14.37 5.320000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45381 Colonoscopy submucous njx A 3.47 10.79 1.43 0.42 14.68 5.320000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45382 Colonoscopy w/control bleed A 4.54 16.82 1.75 0.50 21.86 6.790000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45384 Colonoscopy w/lesion removal A 3.97 11.57 1.51 0.61 16.15 6.090000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45385 Colonoscopy w/lesion removal A 4.46 10.00 1.72 0.51 14.97 6.690000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45386 Colonoscopy w/balloon dilat A 3.68 15.95 1.49 0.44 20.07 5.610000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45388 Colonoscopy w/ablation A 4.76 74.26 1.78 0.60 79.62 7.140000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45389 Colonoscopy w/stent plcmt A 5.11 1.89NA 1.89 0.58 7.58 7.580000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45390 Colonoscopy w/resection A 5.89 2.15NA 2.15 0.65 8.69 8.690000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45391 Colonoscopy w/endoscope us A 4.52 1.76NA 1.76 0.49 6.77 6.770000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45392 Colonoscopy w/endoscopic fnb A 5.36 1.99NA 1.99 0.61 7.96 7.960000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45393 Colonoscopy w/decompression A 4.56 1.42NA 1.42 0.56 6.54 6.540000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45395 Lap removal of rectum A 32.18 15.69NA 15.69 6.00 53.87 53.870090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45397 Lap remove rectum w/pouch A 35.59 16.39NA 16.39 6.16 58.14 58.140090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45398 Colonoscopy w/band ligation A 4.10 22.32 1.57 0.60 27.02 6.270000.00.00.00301009 45378 33.4009 090 99 0.00 0.00 0.00
- 45399 Unlisted procedure colon C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201119 33.4009 090 99 0.00 0.00 0.00
- 45400 Laparoscopic proc A 18.95 8.96NA 8.96 3.36 31.27 31.270090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45402 Lap proctopexy w/sig resect A 25.85 10.84NA 10.84 5.01 41.70 41.700090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 4540F Disease modif pharmacothxpy I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4541F Pt offered tx for pseudobulb I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 45499 Laparoscope proc rectum C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202119 33.4009 090 99 0.00 0.00 0.00
- 45500 Repair of rectum A 7.54 7.52NA 7.52 2.01 17.07 17.070090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 45505 Repair of rectum A 8.15 8.18NA 8.18 1.46 17.79 17.790090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 4550F Noninvas resp support talk I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4551F Nutritional support offered I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 45520 Treatment of rectal prolapse A 0.54 4.44 0.52 0.07 5.05 1.130000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 4552F Pt ref for speech lang path I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4553F Pt asst re end life issues I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 45540 Correct rectal prolapse A 17.67 8.32NA 8.32 3.18 29.17 29.170090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45541 Correct rectal prolapse A 14.48 9.26NA 9.26 2.93 26.67 26.670090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 4554F Pt recvd inhal anesthetic M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 45550 Repair rectum/remove sigmoid A 24.18 11.73NA 11.73 4.58 40.49 40.490090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 4555F Pt recvd no inhal anesthic I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 45560 Repair of rectocele A 11.21 5.84NA 5.84 1.92 18.97 18.970090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45562 Exploration/repair of rectum A 17.53 11.41NA 11.41 4.69 33.63 33.630090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45563 Exploration/repair of rectum A 25.72 14.42NA 14.42 6.86 47.00 47.000090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 4556F Pt w/3+ post-op nausea&vom M 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4557F Pt w/o 3+ post-opnausea&vom I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4558F Pt recvd 2 rx anti-emet agt I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4559F 1 bodytemp >=35.5cw/in 30min I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4560F Anesth w/o gen/neurax anesth I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4561F Pt w/ coronary artery stent I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4562F Pt w/o coronary artery stent I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 4563F Pt recvd aspirin w/in 24 hrs I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 45800 Repair rect/bladder fistula A 19.80 11.12NA 11.12 5.29 36.21 36.210090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45805 Repair fistula w/colostomy A 22.74 12.89NA 12.89 6.08 41.71 41.710090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45820 Repair rectourethral fistula A 19.86 11.13NA 11.13 5.30 36.29 36.290090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45825 Repair fistula w/colostomy A 23.57 13.90NA 13.90 6.31 43.78 43.780090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 45900 Reduction of rectal prolapse A 2.92 2.62NA 2.62 0.79 6.33 6.330010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 45905 Dilation of anal sphincter A 2.29 2.35NA 2.35 0.42 5.06 5.060010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 45910 Dilation of rectal narrowing A 2.78 2.37NA 2.37 0.48 5.63 5.630010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 45915 Remove rectal obstruction A 3.11 8.35 3.21 0.62 12.08 6.940010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 45990 Surg dx exam anorectal A 1.76 0.87NA 0.87 0.35 2.98 2.980000.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 45999 Unlisted procedure rectum C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00200119 33.4009 090 99 0.00 0.00 0.00
- 46020 Placement of seton A 1.81 1.15NA 1.15 0.36 3.32 3.320000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 46030 Removal anal seton oth mrk A 1.44 6.82 0.73 0.24 8.50 2.410000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 46040 I&d ischiorct&/perirct absc A 5.24 12.43 6.58 1.20 18.87 13.020090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46045 I&d absc tranal under anes A 5.72 6.43NA 6.43 1.25 13.40 13.400090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46050 I&d perianal abscess supfc A 1.21 6.55 1.65 0.24 8.00 3.100010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46060 I&d ischiorectal/ntrmrl absc A 6.21 7.31NA 7.31 1.20 14.72 14.720090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46070 Incision anal septum infant A 2.72 5.23NA 5.23 0.72 8.67 8.670090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 46080 Sphnctrotmy anal div sphnctr A 2.46 6.50 1.54 0.49 9.45 4.490010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46083 Inc thrombosed hroid xtrnl A 1.41 5.06 1.53 0.28 6.75 3.220010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46200 Removal of anal fissure A 3.50 11.79 6.31 0.60 15.89 10.410090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46220 Excise anal ext tag/papilla A 1.57 6.39 1.72 0.29 8.25 3.580010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46221 Ligation of hemorrhoid(s) A 2.30 7.09 3.24 0.36 9.75 5.900010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46230 Removal of anal tags A 2.55 7.22 1.95 0.48 10.25 4.980010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46250 Remove ext hem groups 2+ A 4.14 11.09 4.56 0.84 16.07 9.540090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46255 Remove int/ext hem 1 group A 4.84 11.64 4.75 0.91 17.39 10.500090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46257 Remove in/ex hem grp & fiss A 5.62 6.02NA 6.02 0.81 12.45 12.450090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46258 Remove in/ex hem grp w/fistu A 6.25 6.48NA 6.48 1.67 14.40 14.400090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 46260 Remove in/ex hem groups 2+ A 6.56 6.46NA 6.46 1.34 14.36 14.360090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46261 Remove in/ex hem grps & fiss A 7.57 6.42NA 6.42 1.44 15.43 15.430090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46262 Remove in/ex hem grps w/fist A 7.71 7.83NA 7.83 2.06 17.60 17.600090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46270 Remove anal fist subq A 4.80 12.17 6.43 0.99 17.96 12.220090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46275 Remove anal fist inter A 5.28 12.62 6.47 0.98 18.88 12.730090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46280 Remove anal fist complex A 6.23 7.06NA 7.06 1.16 14.45 14.450090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46285 Remove anal fist 2 stage A 5.28 12.62 6.51 0.99 18.89 12.780090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46288 Repair anal fistula A 7.61 7.50NA 7.50 1.43 16.54 16.540090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46320 Removal of hemorrhoid clot A 1.60 5.08 1.36 0.28 6.96 3.240010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46500 Injection into hemorrhoid(s) A 1.70 8.75 3.85 0.27 10.72 5.820010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46505 Chemodenervation anal musc A 3.10 6.61 3.73 0.55 10.26 7.380010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 46600 Diagnostic anoscopy spx A 0.54 3.24 0.59 0.08 3.86 1.210000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 46601 Diagnostic anoscopy A 1.56 3.20 0.79 0.21 4.97 2.560000.00.00.00301009 46600 33.4009 090 99 0.00 0.00 0.00
- 46604 Anoscopy and dilation A 1.00 19.51 0.69 0.18 20.69 1.870000.00.00.00301009 46600 33.4009 090 99 0.00 0.00 0.00
- 46606 Anoscopy and biopsy A 1.17 7.82 0.76 0.20 9.19 2.130000.00.00.00301009 46600 33.4009 090 99 0.00 0.00 0.00| HCPCS Code | Modifier | Short Description | Proc Stat. | PCTC | Not Used for Medicare | Work RVU | NA Flag for Trans Non-FAC PE RVU | Transitioned Non-FAC PE RVU | NA Flag for Fully IMP Non-FAC PE RVU | Fully Implemented Non-FAC PE RVU | NA Flag for Trans Facility PE RVU | Transitioned Facility PE RVU | NA Flag for Fully IMP FAC PE RVU | Fully Implemented Facility PE RVU | MP RVU | Non-FAC PE Used for OPPS PMT AMT | Facility PE Used for OPPS PMT AMT | Malpractice Used for OPPS PMT AMT |