40000’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 |
- 46607 Diagnostic anoscopy & biopsy A 2.15 4.46 0.94 0.30 6.91 3.390000.00.00.00301009 46600 33.4009 090 99 0.00 0.00 0.00
- 46608 Anoscopy remove for body A 1.27 8.03 0.82 0.35 9.65 2.440000.00.00.00301009 46600 33.4009 090 99 0.00 0.00 0.00
- 46610 Anoscopy remove lesion A 1.25 7.68 0.80 0.23 9.16 2.280000.00.00.00301009 46600 33.4009 090 99 0.00 0.00 0.00
- 46611 Anoscopy A 1.27 5.76 0.77 0.20 7.23 2.240000.00.00.00301009 46600 33.4009 090 99 0.00 0.00 0.00
- 46612 Anoscopy remove lesions A 1.46 9.13 0.86 0.39 10.98 2.710000.00.00.00301009 46600 33.4009 090 99 0.00 0.00 0.00
- 46614 Anoscopy control bleeding A 0.98 4.35 0.70 0.16 5.49 1.840000.00.00.00301009 46600 33.4009 090 99 0.00 0.00 0.00
- 46615 Anoscopy A 1.46 4.07 0.84 0.21 5.74 2.510000.00.00.00301009 46600 33.4009 090 99 0.00 0.00 0.00
- 46700 Repair of anal stricture A 9.56 8.00NA 8.00 1.59 19.15 19.150090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46705 Repair of anal stricture A 7.24 8.09NA 8.09 1.93 17.26 17.260090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46706 Repr of anal fistula w/glue A 2.38 2.33NA 2.33 0.62 5.33 5.330010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46707 Repair anorectal fist w/plug A 6.23 7.48NA 7.48 1.66 15.37 15.370090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 46710 Repr per/vag pouch sngl proc A 16.71 10.80NA 10.80 4.46 31.97 31.970090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46712 Repr per/vag pouch dbl proc A 35.54 17.12NA 17.12 9.52 62.18 62.180090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46715 Rep perf anoper fistu A 7.43 7.18NA 7.18 1.98 16.59 16.590090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 46716 Rep perf anoper/vestib fistu A 17.10 14.71NA 14.71 4.57 36.38 36.380090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46730 Construction of absent anus A 29.88 19.23NA 19.23 8.00 57.11 57.110090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46735 Construction of absent anus A 35.24 20.52NA 20.52 9.42 65.18 65.180090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46740 Construction of absent anus A 33.05 20.14NA 20.14 8.85 62.04 62.040090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46742 Repair of imperforated anus A 39.14 21.47NA 21.47 10.49 71.10 71.100090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46744 Repair of cloacal anomaly A 57.47 26.06NA 26.06 15.39 98.92 98.920090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46746 Repair of cloacal anomaly A 63.80 27.76NA 27.76 17.08 108.64108.640090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46748 Repair of cloacal anomaly A 69.63 29.17NA 29.17 18.65 117.45117.450090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46750 Repair of anal sphincter A 11.85 6.66NA 6.66 2.06 20.57 20.570090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46751 Repair of anal sphincter A 9.07 8.39NA 8.39 2.42 19.88 19.880090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46753 Reconstruction of anus A 8.67 7.40NA 7.40 2.33 18.40 18.400090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46754 Removal of suture from anus A 2.93 8.07 3.83 0.42 11.42 7.180010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 46760 Repair of anal sphincter A 17.01 11.93NA 11.93 2.46 31.40 31.400090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46761 Repair of anal sphincter A 14.91 7.36NA 7.36 2.58 24.85 24.850090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 46900 Destruction anal lesion(s) A 1.86 5.92 1.84 0.26 8.04 3.960010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46910 Destruction anal lesion(s) A 1.86 6.72 1.73 0.30 8.88 3.890010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46916 Cryosurgery anal lesion(s) A 1.86 5.55 1.60 0.20 7.61 3.660010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46917 Laser surgery anal lesions A 1.86 11.75 1.47 0.29 13.90 3.620010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46922 Excision of anal lesion(s) A 1.86 8.09 1.80 0.36 10.31 4.020010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46924 Destruction anal lesion(s) A 2.74 15.44 1.98 0.43 18.61 5.150010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46930 Destroy internal hemorrhoids A 1.57 5.63 2.93 0.22 7.42 4.720090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 46940 Treatment of anal fissure A 2.29 6.05 1.45 0.35 8.69 4.090010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 46942 Treatment of anal fissure A 2.02 6.01 1.39 0.29 8.32 3.700010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 46945 Int hrhc lig 1 hroid w/o img A 3.60 6.27NA 6.27 0.62 10.49 10.490090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46946 Int hrhc lig 2+hroid w/o img A 4.39 6.43NA 6.43 0.67 11.49 11.490090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46947 Hemorrhoidopexy by stapling A 5.43 4.71NA 4.71 1.22 11.36 11.360090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46948 Int hrhc tranal dartlzj 2+ A 5.43 6.82NA 6.82 1.09 13.34 13.340090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 46999 Unlisted procedure anus 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
- 47000 Needle biopsy of liver perq A 1.61 6.84 0.51 0.17 8.62 2.290000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 47001 Ndl biopsy lvr tm oth maj px A 1.85 0.45NA 0.45 0.47 2.77 2.770ZZZ.00.00.00001109 33.4009 090 99 0.00 0.00 0.00
- 47010 Hepatot opn drg absc/cst 1/2 A 18.92 10.44NA 10.44 4.86 34.22 34.220090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47015 Lapt aspir&/njx hep prst cst A 18.04 10.20NA 10.20 4.82 33.06 33.060090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47100 Wedge biopsy of liver A 12.59 8.62NA 8.62 3.18 24.39 24.390090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47120 Partial removal of liver A 38.03 17.31NA 17.31 9.53 64.87 64.870090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47122 Extensive removal of liver A 57.99 21.40NA 21.40 14.84 94.23 94.230090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47125 Partial removal of liver A 51.71 19.64NA 19.64 13.27 84.62 84.620090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47130 Partial removal of liver A 55.76 20.56NA 20.56 14.19 90.51 90.510090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47133 Removal of donor liver 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
- 47135 Transplantation of liver R 87.75 39.91NA 39.91 23.20 150.86150.860090.09.81.10202129 33.4009 090 99 0.00 0.00 0.00
- 47140 Partial removal donor liver A 57.92 26.71NA 26.71 15.52 100.15100.150090.09.81.10202129 33.4009 090 99 0.00 0.00 0.00
- 47141 Partial removal donor liver A 69.71 30.94NA 30.94 18.67 119.32119.320090.09.81.10202129 33.4009 090 99 0.00 0.00 0.00
- 47142 Partial removal donor liver A 77.45 32.81NA 32.81 20.74 131.00131.000090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47143 Prep donor liver whole 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
- 47144 Prep donor liver 3-segment 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
- 47145 Prep donor liver lobe split 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
- 47146 Prep donor liver/venous A 5.85 1.42NA 1.42 1.56 8.83 8.830XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 47147 Prep donor liver/arterial A 6.83 1.67NA 1.67 1.79 10.29 10.290XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 47300 Surgery for liver lesion A 17.69 9.92NA 9.92 4.51 32.12 32.120090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47350 Repair liver wound A 21.93 11.22NA 11.22 5.34 38.49 38.490090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47360 Repair liver wound A 30.53 13.55NA 13.55 8.16 52.24 52.240090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47361 Repair liver wound A 51.29 18.62NA 18.62 13.01 82.92 82.920090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47362 Repair liver wound A 22.95 11.54NA 11.54 5.57 40.06 40.060090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47370 Laparo ablate liver tumor rf A 20.28 9.66NA 9.66 5.16 35.10 35.100090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47371 Laparo ablate liver cryosurg A 20.28 9.70NA 9.70 5.42 35.40 35.400090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47379 Unlisted laps px liver 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
- 47380 Open ablate liver tumor rf A 23.95 10.44NA 10.44 5.86 40.25 40.250090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47381 Open ablate liver tumor cryo A 24.26 10.66NA 10.66 6.48 41.40 41.400090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47382 Percut ablate liver rf A 14.60 86.46 2.94 1.64 102.70 19.180010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 47383 Perq abltj lvr cryoablation A 8.66 164.56 2.29 1.12 174.34 12.070010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 47384 Abltj ire liver 1+ tum perq A 9.41 2.17NA 2.17 1.12 12.70 12.700000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 47399 Unlisted procedure liver 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
- 47400 Incision of liver duct A 35.45 14.74NA 14.74 9.49 59.68 59.680090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47420 Incision of bile duct A 21.48 10.23NA 10.23 5.38 37.09 37.090090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47425 Incision of bile duct A 21.75 10.89NA 10.89 5.82 38.46 38.460090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47460 Incise bile duct sphincter A 20.01 10.46NA 10.46 5.34 35.81 35.810090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47480 Incision of gallbladder A 12.92 8.98NA 8.98 3.18 25.08 25.080090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47490 Incision of gallbladder A 4.64 3.80NA 3.80 0.49 8.93 8.930010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 47531 Injection for cholangiogram A 1.27 10.52 0.44 0.14 11.93 1.850000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 47532 Injection for cholangiogram A 4.14 19.60 0.84 0.49 24.23 5.470000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 47533 Plmt biliary drainage cath A 5.25 27.44 0.97 0.57 33.26 6.790000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 47534 Plmt biliary drainage cath A 7.41 28.24 1.26 0.82 36.47 9.490000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 47535 Conversion ext bil drg cath A 3.85 21.12 0.79 0.43 25.40 5.070000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 47536 Exchange biliary drg cath A 2.54 15.28 0.61 0.28 18.10 3.430000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 47537 Removal biliary drg cath A 1.79 11.86 0.52 0.20 13.85 2.510000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 47538 Perq plmt bile duct stent A 4.63 99.51 0.92 0.50 104.64 6.050000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 47539 Perq plmt bile duct stent A 8.53 109.41 1.46 0.99 118.93 10.980000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 47540 Perq plmt bile duct stent A 8.80 108.70 1.51 0.96 118.46 11.270000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 47541 Plmt access bil tree sm bwl A 6.58 27.98 1.36 0.85 35.41 8.790000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 47542 Dilate biliary duct/ampulla A 2.78 11.14 0.40 0.33 14.25 3.510ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 47543 Endoluminal bx biliary tree A 2.93 7.93 0.42 0.33 11.19 3.680ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 47544 Removal duct glbldr calculi A 3.20 20.16 0.46 0.37 23.73 4.030ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 47550 Bile duct endoscopy add-on A 2.94 0.69NA 0.69 0.71 4.34 4.340ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 47552 Biliary endo perq dx w/speci A 5.88 0.97NA 0.97 0.78 7.63 7.630000.00.00.00201109 33.4009 090 99 0.00 0.00 0.00
- 47553 Biliary endoscopy thru skin A 6.18 0.57NA 0.57 0.81 7.56 7.560000.00.00.00301009 47552 33.4009 090 99 0.00 0.00 0.00
- 47554 Biliary endoscopy thru skin A 8.82 1.80NA 1.80 1.25 11.87 11.870000.00.00.00301109 47552 33.4009 090 99 0.00 0.00 0.00
- 47555 Biliary endoscopy thru skin A 7.36 0.68NA 0.68 0.96 9.00 9.000000.00.00.00301009 47552 33.4009 090 99 0.00 0.00 0.00
- 47556 Biliary endoscopy thru skin A 8.34 0.77NA 0.77 1.09 10.20 10.200000.00.00.00301009 47552 33.4009 090 99 0.00 0.00 0.00
- 47562 Laparoscopic cholecystectomy A 10.21 6.04NA 6.04 2.67 18.92 18.920090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47563 Laparo cholecystectomy/graph A 11.18 6.37NA 6.37 2.94 20.49 20.490090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47564 Laparo cholecystectomy/explr A 17.55 9.63NA 9.63 4.60 31.78 31.780090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47570 Laparo cholecystoenterostomy A 12.25 6.52NA 6.52 3.27 22.04 22.040090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47579 Unlisted laps px biliary trc 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
- 47600 Cholecystectomy A 17.04 8.86NA 8.86 4.35 30.25 30.250090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47605 Cholecystectomy w/cholang A 18.02 9.10NA 9.10 4.66 31.78 31.780090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47610 Removal of gallbladder A 20.40 9.44NA 9.44 5.30 35.14 35.140090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47612 Removal of gallbladder A 20.68 9.46NA 9.46 5.53 35.67 35.670090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47620 Removal of gallbladder A 22.49 9.90NA 9.90 6.02 38.41 38.410090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47700 Exploration of bile ducts A 16.09 9.80NA 9.80 4.30 30.19 30.190090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47701 Bile duct revision A 28.01 13.02NA 13.02 7.48 48.51 48.510090.09.81.10200009 33.4009 090 99 0.00 0.00 0.00
- 47711 Excision of bile duct tumor A 25.25 11.75NA 11.75 6.33 43.33 43.330090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47712 Excision of bile duct tumor A 32.88 13.80NA 13.80 8.80 55.48 55.480090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47715 Excision of bile duct cyst A 21.01 10.92NA 10.92 5.61 37.54 37.540090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47720 Fuse gallbladder & bowel A 17.88 10.16NA 10.16 4.78 32.82 32.820090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47721 Fuse upper gi structures A 21.44 11.03NA 11.03 5.73 38.20 38.200090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47740 Fuse gallbladder & bowel A 20.70 10.85NA 10.85 5.53 37.08 37.080090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47741 Fuse gallbladder & bowel A 23.60 11.55NA 11.55 6.31 41.46 41.460090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47760 Fuse bile ducts and bowel A 37.36 15.43NA 15.43 9.42 62.21 62.210090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47765 Fuse liver ducts & bowel A 50.89 19.10NA 19.10 13.64 83.63 83.630090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47780 Fuse bile ducts and bowel A 41.26 16.56NA 16.56 10.55 68.37 68.370090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47785 Fuse bile ducts and bowel A 54.79 20.17NA 20.17 14.03 88.99 88.990090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47800 Reconstruction of bile ducts A 25.52 11.93NA 11.93 6.37 43.82 43.820090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47801 Placement bile duct support A 17.16 9.72NA 9.72 4.19 31.07 31.070090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47900 Suture bile duct injury A 21.88 11.13NA 11.13 5.85 38.86 38.860090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 47999 Unlisted px biliary tract 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
- 48000 Drainage of abdomen A 31.15 12.82NA 12.82 8.33 52.30 52.300090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48001 Placement of drain pancreas A 38.70 14.66NA 14.66 10.37 63.73 63.730090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48020 Removal of pancreatic stone A 18.61 9.78NA 9.78 4.96 33.35 33.350090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48100 Biopsy of pancreas open A 14.10 7.61NA 7.61 3.56 25.27 25.270090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48102 Needle biopsy pancreas A 4.58 9.68 1.03 0.49 14.75 6.100010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 48105 Resect/debride pancreas A 48.03 18.08NA 18.08 10.41 76.52 76.520090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48120 Removal of pancreas lesion A 17.95 8.60NA 8.60 4.80 31.35 31.350090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48140 Partial removal of pancreas A 25.66 11.51NA 11.51 6.44 43.61 43.610090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48145 Partial removal of pancreas A 26.71 11.75NA 11.75 7.14 45.60 45.600090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48146 Pancreatectomy A 29.84 15.11NA 15.11 7.98 52.93 52.930090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48148 Removal of pancreatic duct A 19.88 10.09NA 10.09 5.30 35.27 35.270090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48150 Partial removal of pancreas A 51.52 21.52NA 21.52 12.92 85.96 85.960090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48152 Pancreatectomy A 47.43 19.90NA 19.90 12.70 80.03 80.030090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48153 Pancreatectomy A 51.47 20.90NA 20.90 13.34 85.71 85.710090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48154 Pancreatectomy A 47.66 19.95NA 19.95 12.76 80.37 80.370090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48155 Removal of pancreas A 28.71 15.24NA 15.24 7.29 51.24 51.240090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48160 Pancreas removal/transplant 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
- 48400 Injection intraop add-on A 1.90 0.46NA 0.46 0.49 2.85 2.850ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 48500 Surgery of pancreatic cyst A 17.71 10.24NA 10.24 4.74 32.69 32.690090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48510 Drain pancreatic pseudocyst A 16.76 10.01NA 10.01 4.48 31.25 31.250090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48520 Fuse pancreas cyst and bowel A 17.70 8.53NA 8.53 4.74 30.97 30.970090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48540 Fuse pancreas cyst and bowel A 21.39 9.43NA 9.43 5.72 36.54 36.540090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48545 Pancreatorrhaphy A 21.67 10.38NA 10.38 5.78 37.83 37.830090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48547 Duodenal exclusion A 29.62 12.30NA 12.30 7.93 49.85 49.850090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48548 Fuse pancreas and bowel A 27.39 11.90NA 11.90 7.33 46.62 46.620090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 48550 Donor pancreatectomy 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
- 48551 Prep donor pancreas 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
- 48552 Prep donor pancreas/venous A 4.19 1.02NA 1.02 1.12 6.33 6.330XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 48554 Transpl allograft pancreas R 36.86 30.08NA 30.08 9.73 76.67 76.670090.09.81.10202229 33.4009 090 99 0.00 0.00 0.00
- 48556 Removal allograft pancreas A 18.98 13.27NA 13.27 5.06 37.31 37.310090.09.81.10202229 33.4009 090 99 0.00 0.00 0.00
- 48999 Unlisted procedure pancreas 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
- 49000 Exploration of abdomen A 12.23 6.58NA 6.58 3.01 21.82 21.820090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49002 Reopening of abdomen A 17.19 7.71NA 7.71 4.27 29.17 29.170090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49010 Exploration behind abdomen A 15.66 6.34NA 6.34 3.88 25.88 25.880090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49013 Prpertl pel pack hemrrg trma A 8.14 1.97NA 1.97 2.17 12.28 12.280000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 49014 Reexploration pelvic wound A 6.56 2.05NA 2.05 1.75 10.36 10.360000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 49020 Drainage abdom abscess open A 26.00 12.21NA 12.21 6.34 44.55 44.550090.09.81.10202009 33.4009 090 99 0.00 0.00 0.00
- 49040 Drain open abdom abscess A 16.11 8.45NA 8.45 4.15 28.71 28.710090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49060 Drain open retroperi abscess A 18.07 8.41NA 8.41 4.24 30.72 30.720090.09.81.10201109 33.4009 090 99 0.00 0.00 0.00
- 49062 Drain to peritoneal cavity A 11.91 6.87NA 6.87 3.18 21.96 21.960090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49082 Abd paracentesis A 1.21 5.93 0.72 0.20 7.34 2.130000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 49083 Abd paracentesis w/imaging A 1.95 6.35 0.62 0.21 8.51 2.780000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 49084 Peritoneal lavage A 1.95 0.46NA 0.46 0.46 2.87 2.870000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 49180 Biopsy abdominal mass A 1.69 3.23 0.26 0.18 5.10 2.130000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 49185 Sclerotx fluid collection A 2.29 33.53 0.56 0.30 36.12 3.150000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 49186 Opn exc/dstr ntra-abd 5 cm/< A 21.45 10.28NA 10.28 4.84 36.57 36.570090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49187 Opn exc/dstr ntra-abd 5.1-10 A 27.93 11.95NA 11.95 6.42 46.30 46.300090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49188 Opn exc/dst ntra-abd 10.1-20 A 33.15 14.67NA 14.67 7.64 55.46 55.460090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49189 Opn exc/dst ntra-abd 20.1-30 A 39.00 16.29NA 16.29 9.00 64.29 64.290090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49190 Opn exc/dstr ntra-abd >30 cm A 48.75 19.26NA 19.26 11.04 79.05 79.050090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49215 Excise sacral spine tumor A 36.86 15.04NA 15.04 8.08 59.98 59.980090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49250 Excision of umbilicus A 8.78 6.13NA 6.13 2.10 17.01 17.010090.09.81.10201109 33.4009 090 99 0.00 0.00 0.00
- 49255 Removal of omentum A 12.25 7.40NA 7.40 2.86 22.51 22.510090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49320 Diag laparo separate proc A 5.01 3.23NA 3.23 1.23 9.47 9.470010.10.80.10202009 33.4009 090 99 0.00 0.00 0.00
- 49321 Laparoscopy biopsy A 5.30 3.30NA 3.30 1.26 9.86 9.860010.10.80.10302209 49320 33.4009 090 99 0.00 0.00 0.00
- 49322 Laparoscopy aspiration A 5.86 3.36NA 3.36 1.42 10.64 10.640010.10.80.10302209 49320 33.4009 090 99 0.00 0.00 0.00
- 49323 Laparo drain lymphocele A 9.97 5.79NA 5.79 2.33 18.09 18.090090.10.80.10302209 49320 33.4009 090 99 0.00 0.00 0.00
- 49324 Lap insert tunnel ip cath A 6.16 3.19NA 3.19 1.61 10.96 10.960010.10.80.10302209 49320 33.4009 090 99 0.00 0.00 0.00
- 49325 Lap revision perm ip cath A 6.65 3.26NA 3.26 1.73 11.64 11.640010.10.80.10302209 49320 33.4009 090 99 0.00 0.00 0.00
- 49326 Lap w/omentopexy add-on A 3.41 0.76NA 0.76 0.90 5.07 5.070ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 49327 Lap ins device for rt A 2.32 0.56NA 0.56 0.61 3.49 3.490ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 49329 Unlstd laps px abd pertm&omn 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
- 49400 Air injection into abdomen A 1.83 2.47 0.31 0.21 4.51 2.350000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 49402 Remove foreign body adbomen A 13.74 6.88NA 6.88 3.32 23.94 23.940090.09.81.10201109 33.4009 090 99 0.00 0.00 0.00
- 49405 Image cath fluid colxn visc A 3.90 20.76 0.67 0.42 25.08 4.990000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 49406 Image cath fluid peri/retro A 3.90 20.74 0.67 0.42 25.06 4.990000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 49407 Image cath fluid trns/vgnl A 4.14 17.41 0.74 0.51 22.06 5.390000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 49411 Ins mark abd/pel for rt perq A 3.48 10.25 0.90 0.36 14.09 4.740000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 49412 Ins device for rt guide open A 1.46 0.36NA 0.36 0.39 2.21 2.210ZZZ.00.00.00000109 33.4009 090 99 0.00 0.00 0.00
- 49418 Insert tun ip cath perc A 3.86 23.83 0.93 0.44 28.13 5.230000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 49419 Insert tun ip cath w/port A 6.90 3.23NA 3.23 1.59 11.72 11.720090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 49421 Ins tun ip cath for dial opn A 4.10 1.06NA 1.06 1.03 6.19 6.190000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 49422 Remove tunneled ip cath A 3.90 1.18NA 1.18 0.96 6.04 6.040000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 49423 Exchange drainage catheter A 1.42 14.87 0.24 0.16 16.45 1.820000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 49424 Assess cyst contrast inject A 0.74 4.31 0.15 0.07 5.12 0.960000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 49425 Insert abdomen-venous drain A 11.91 7.26NA 7.26 3.18 22.35 22.350090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49426 Revise abdomen-venous shunt A 10.15 6.38NA 6.38 2.71 19.24 19.240090.09.81.10201009 33.4009 090 99 0.00 0.00 0.00
- 49427 Injection abdominal shunt A 0.87 0.08NA 0.08 0.11 1.06 1.060000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 49428 Ligation of shunt A 6.70 3.84NA 3.84 1.78 12.32 12.320010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 49429 Removal of shunt A 7.25 3.82NA 3.82 1.94 13.01 13.010010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 49435 Insert subq exten to ip cath A 2.19 0.41NA 0.41 0.57 3.17 3.170ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 49436 Embedded ip cath exit-site A 2.65 13.51 1.99 0.68 16.84 5.320010.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 49440 Place gastrostomy tube perc A 3.83 19.34 1.08 0.43 23.60 5.340010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 49441 Place duod/jej tube perc A 4.41 24.27 1.39 0.71 29.39 6.510010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 49442 Place cecostomy tube perc A 3.66 18.18 1.32 0.36 22.20 5.340010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 49446 Change g-tube to g-j perc A 2.98 19.53 0.45 0.35 22.86 3.780000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 49450 Replace g/c tube perc A 1.33 15.41 0.21 0.15 16.89 1.690000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 49451 Replace duod/jej tube perc A 1.79 16.02 0.28 0.21 18.02 2.280000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 49452 Replace g-j tube perc A 2.79 18.69 0.41 0.30 21.78 3.500000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 49460 Fix g/colon tube w/device A 0.94 20.31 0.22 0.12 21.37 1.280000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 49465 Fluoro exam of g/colon tube A 0.60 3.23 0.11 0.06 3.89 0.770000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 49491 Rpr hern preemie reduc A 12.22 7.39NA 7.39 3.26 22.87 22.870090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49492 Rpr ing hern premie blocked A 15.04 8.22NA 8.22 4.02 27.28 27.280090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49495 Rpr ing hernia baby reduc A 6.05 4.29NA 4.29 1.62 11.96 11.960090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49496 Rpr ing hernia baby blocked A 9.18 6.21NA 6.21 2.46 17.85 17.850090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49500 Rpr ing hernia init reduce A 5.69 5.15NA 5.15 1.51 12.35 12.350090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49501 Rpr ing hernia init blocked A 9.13 5.99NA 5.99 2.44 17.56 17.560090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49505 Prp i/hern init reduc >5 yr A 7.76 5.40NA 5.40 2.05 15.21 15.210090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49507 Prp i/hern init block >5 yr A 8.86 5.83NA 5.83 2.32 17.01 17.010090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49520 Rerepair ing hernia reduce A 9.74 5.91NA 5.91 2.56 18.21 18.210090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49521 Rerepair ing hernia blocked A 11.19 6.40NA 6.40 2.92 20.51 20.510090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49525 Repair ing hernia sliding A 8.71 5.61NA 5.61 2.28 16.60 16.600090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49540 Repair lumbar hernia A 10.47 6.10NA 6.10 2.70 19.27 19.270090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49550 Rpr rem hernia init reduce A 8.77 5.65NA 5.65 2.30 16.72 16.720090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49553 Rpr fem hernia init blocked A 9.67 6.04NA 6.04 2.52 18.23 18.230090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49555 Rerepair fem hernia reduce A 9.16 5.85NA 5.85 2.46 17.47 17.470090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49557 Rerepair fem hernia blocked A 11.33 6.45NA 6.45 2.95 20.73 20.730090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49591 Rpr aa hrn 1st < 3 cm rdc A 5.81 2.15NA 2.15 1.49 9.45 9.450000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49592 Rpr aa hrn 1st < 3 ncr/strn A 8.25 2.67NA 2.67 2.16 13.08 13.080000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49593 Rpr aa hrn 1st 3-10 rdc A 10.00 3.11NA 3.11 2.61 15.72 15.720000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49594 Rpr aa hrn 1st 3-10 ncr/strn A 13.12 3.86NA 3.86 3.45 20.43 20.430000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49595 Rpr aa hrn 1st > 10 rdc A 13.59 4.03NA 4.03 3.47 21.09 21.090000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49596 Rpr aa hrn 1st > 10 ncr/strn A 18.20 5.11NA 5.11 4.73 28.04 28.040000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49600 Repair umbilical lesion A 11.26 6.80NA 6.80 3.01 21.07 21.070090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49605 Repair umbilical lesion A 84.91 26.81NA 26.81 22.74 134.46134.460090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49606 Repair umbilical lesion A 18.53 8.27NA 8.27 4.94 31.74 31.740090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49610 Repair umbilical lesion A 10.64 6.36NA 6.36 2.84 19.84 19.840090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49611 Repair umbilical lesion A 9.11 6.13NA 6.13 2.43 17.67 17.670090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49613 Rpr aa hrn rcr < 3 rdc A 7.23 2.50NA 2.50 1.86 11.59 11.590000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49614 Rpr aa hrn rcr < 3 ncr/strn A 9.99 3.09NA 3.09 2.61 15.69 15.690000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49615 Rpr aa hrn rcr 3-10 rdc A 11.17 3.40NA 3.40 2.91 17.48 17.480000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49616 Rpr aa hrn rcr 3-10 ncr/strn A 15.16 4.34NA 4.34 3.95 23.45 23.450000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49617 Rpr aa hrn rcr > 10 rdc A 15.63 4.57NA 4.57 4.00 24.20 24.200000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49618 Rpr aa hrn rcr > 10 ncr/strn A 22.10 6.09NA 6.09 5.69 33.88 33.880000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49621 Rpr parastomal hernia rdc A 13.36 3.94NA 3.94 3.16 20.46 20.460000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49622 Rpr parastomal hrna ncr/strn A 16.63 4.71NA 4.71 4.10 25.44 25.440000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 49623 Rmvl ninfct mesh hernia rpr A 3.66 0.90NA 0.90 0.95 5.51 5.510ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 49650 Lap ing hernia repair init A 6.20 4.87NA 4.87 1.63 12.70 12.700090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49651 Lap ing hernia repair recur A 8.17 6.15NA 6.15 2.15 16.47 16.470090.09.81.10212109 33.4009 090 99 0.00 0.00 0.00
- 49659 Unlstd laps px hrnap hrnrphy 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
- 49900 Repair of abdominal wall A 12.10 8.82NA 8.82 3.04 23.96 23.960090.09.81.10202109 33.4009 090 99 0.00 0.00 0.00
- 49904 Omental flap extra-abdom A 21.79 11.77NA 11.77 5.01 38.57 38.570090.10.80.10201119 33.4009 090 99 0.00 0.00 0.00
- 49905 Omental flap intra-abdom A 6.38 1.57NA 1.57 1.48 9.43 9.430ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 49906 Free omental flap microvasc C 0.00 0.00 0.00 0.00 0.00 0.000090.09.81.10201109 33.4009 090 99 0.00 0.00 0.00
- 49999 Unlisted px abd pertm&omn C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00201119 33.4009 090 99 0.00 0.00 0.0050000’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 |
- 50010 Renal exploration A 11.97 5.70NA 5.70 1.53 19.20 19.200090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50020 Drg perirnl/renal absc open A 17.63 7.53NA 7.53 2.27 27.43 27.430090.08.83.09201109 33.4009 090 99 0.00 0.00 0.00
- 50040 Nfros nfrot w/drg A 16.26 6.59NA 6.59 2.09 24.94 24.940090.08.83.09211109 33.4009 090 99 0.00 0.00 0.00
- 50045 Nephrotomy w/exploration A 16.40 6.62NA 6.62 2.11 25.13 25.130090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 5005F Pt counsld on exam for moles I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 50060 Nl removal calculus A 20.43 7.46NA 7.46 2.62 30.51 30.510090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50065 Nl sec surg operj calculus A 21.76 7.73NA 7.73 2.79 32.28 32.280090.08.83.09212009 33.4009 090 99 0.00 0.00 0.00
- 50070 Nl comp cgen kdn abnormality A 21.30 7.63NA 7.63 2.74 31.67 31.670090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50075 Nl rmvl lg staghorn calculus A 26.41 9.02NA 9.02 3.39 38.82 38.820090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50080 Perq nl/pl lithotrp smpl<2cm A 12.10 5.16NA 5.16 1.56 18.82 18.820090.08.83.09211009 33.4009 090 99 0.00 0.00 0.00
- 50081 Perq nl/pl lithotrp cplx>2cm A 20.39 6.99NA 6.99 2.61 29.99 29.990090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50100 Trnsxj/repos abrrnt rnl vsls A 17.01 9.13NA 9.13 4.54 30.68 30.680090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 5010F Macul result phy/qhp mng dm 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
- 50120 Pyelotomy w/exploration A 16.78 6.61NA 6.61 2.16 25.55 25.550090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50125 Pyelotomy w/drg pyelostomy A 17.37 6.82NA 6.82 2.22 26.41 26.410090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50130 Pyelotomy w/removal calculus A 18.35 7.02NA 7.02 2.36 27.73 27.730090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 5015F Doc fx & test/txmnt for op 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
- 50200 Renal biopsy perq A 2.32 12.17 0.74 0.24 14.73 3.300000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50205 Renal bx surg exposure kdn A 11.98 6.39NA 6.39 2.98 21.35 21.350090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 5020F Txmnts 2 phys/qhp by 1 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
- 50220 Remove kidney open A 18.21 7.59NA 7.59 3.04 28.84 28.840090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50225 Removal kidney open complex A 21.33 7.64NA 7.64 2.75 31.72 31.720090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50230 Removal kidney open radical A 23.21 7.73NA 7.73 3.27 34.21 34.210090.08.83.09212209 33.4009 090 99 0.00 0.00 0.00
- 50234 Removal of kidney & ureter A 23.45 8.14NA 8.14 3.16 34.75 34.750090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50236 Removal of kidney & ureter A 26.27 9.50NA 9.50 3.37 39.14 39.140090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50240 Nephrectomy partial A 23.60 8.87NA 8.87 3.18 35.65 35.650090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50250 Opn abltj 1/> rnl mas crysrg A 21.66 8.14NA 8.14 2.78 32.58 32.580090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50280 Exc/unroofing cyst kidney A 16.66 6.67NA 6.67 2.14 25.47 25.470090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50290 Excision perinephric cyst A 15.75 6.48NA 6.48 2.02 24.25 24.250090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50300 Remove cadaver donor kidney 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
- 50320 Remove kidney living donor A 21.87 16.68NA 16.68 5.85 44.40 44.400090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50323 Prep cadaver renal 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
- 50325 Prep donor renal graft 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
- 50327 Prep renal graft/venous A 3.90 0.93NA 0.93 1.00 5.83 5.830XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 50328 Prep renal graft/arterial A 3.41 0.82NA 0.82 0.86 5.09 5.090XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 50329 Prep renal graft/ureteral A 3.26 0.78NA 0.78 0.83 4.87 4.870XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 50340 Recipient nephrectomy A 13.69 10.74NA 10.74 3.65 28.08 28.080090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50360 Rnl altrnsplj w/o rcp nfrct A 38.88 19.75NA 19.75 10.03 68.66 68.660090.08.83.09202229 33.4009 090 99 0.00 0.00 0.00
- 50365 Rnl altrnsplj w/rcp nfrct A 44.98 26.78NA 26.78 12.06 83.82 83.820090.08.83.09212229 33.4009 090 99 0.00 0.00 0.00
- 50370 Rmvl transplanted rnl algrft A 18.41 11.96NA 11.96 4.66 35.03 35.030090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50380 Rnl autotrnsplj rimpltj kdn A 29.36 22.01NA 22.01 7.87 59.24 59.240090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50382 Change ureter stent percut A 5.12 22.71 0.80 0.57 28.40 6.490000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50384 Remove ureter stent percut A 4.63 19.38 0.72 0.53 24.54 5.880000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50385 Change stent via transureth A 4.09 25.23 1.08 0.50 29.82 5.670000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 50386 Remove stent via transureth A 2.97 19.18 0.96 0.38 22.53 4.310000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 50387 Change nephroureteral cath A 1.71 13.66 0.25 0.19 15.56 2.150000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 50389 Remove renal tube w/fluoro A 1.07 10.67 0.18 0.12 11.86 1.370000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50390 Drainage of kidney lesion A 1.91 0.30NA 0.30 0.21 2.42 2.420000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50391 Instll rx agnt into rnal tub A 1.91 1.66 0.39 0.24 3.81 2.540000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50396 Measure kidney pressure A 2.04 0.76NA 0.76 0.20 3.00 3.000000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 50400 Revision of kidney/ureter A 20.74 7.52NA 7.52 2.67 30.93 30.930090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50405 Revision of kidney/ureter A 25.21 8.78NA 8.78 3.24 37.23 37.230090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50430 Njx px nfrosgrm &/urtrgrm A 2.83 15.30 0.89 0.34 18.47 4.060000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 50431 Njx px nfrosgrm &/urtrgrm A 1.07 8.03 0.58 0.12 9.22 1.770000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50432 Plmt nephrostomy catheter A 3.90 21.54 0.99 0.43 25.87 5.320000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50433 Plmt nephroureteral catheter A 4.92 26.73 1.12 0.53 32.18 6.570000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50434 Convert nephrostomy catheter A 3.66 21.83 0.92 0.41 25.90 4.990000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50435 Exchange nephrostomy cath A 1.77 14.90 0.66 0.20 16.87 2.630000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50436 Dilat xst trc ndurlgc px A 2.71 1.02NA 1.02 0.35 4.08 4.080000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50437 Dilat xst trc new access rcs A 4.73 1.41NA 1.41 0.57 6.71 6.710000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50500 Repair of kidney wound A 20.69 10.02NA 10.02 5.53 36.24 36.240090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 5050F Plan 2 main dr by 1 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
- 50520 Close kidney-skin fistula A 18.41 9.47NA 9.47 4.91 32.79 32.790090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50525 Close nephrovisceral fistula A 23.78 11.14NA 11.14 6.36 41.28 41.280090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50526 Close nephrovisceral fistula A 25.65 11.60NA 11.60 6.85 44.10 44.100090.08.83.09202009 33.4009 090 99 0.00 0.00 0.00
- 50540 Revision of horseshoe kidney A 20.57 7.49NA 7.49 2.64 30.70 30.700090.08.83.09222109 33.4009 090 99 0.00 0.00 0.00
- 50541 Laparo ablate renal cyst A 16.44 5.99NA 5.99 2.15 24.58 24.580090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50542 Laparo ablate renal mass A 20.83 7.73NA 7.73 2.72 31.28 31.280090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50543 Laparo partial nephrectomy A 26.72 9.63NA 9.63 3.46 39.81 39.810090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50544 Laparoscopy pyeloplasty A 22.79 7.29NA 7.29 2.95 33.03 33.030090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50545 Laparo radical nephrectomy A 24.43 7.91NA 7.91 3.18 35.52 35.520090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50546 Laparoscopic nephrectomy A 21.32 8.03NA 8.03 2.96 32.31 32.310090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50547 Laparo removal donor kidney A 25.68 14.12NA 14.12 6.31 46.11 46.110090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50548 Laparo remove w/ureter A 24.73 7.71NA 7.71 3.22 35.66 35.660090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50549 Unlisted laps px renal 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
- 50551 Kidney endoscopy A 5.45 5.14 1.62 0.70 11.29 7.770000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 50553 Kidney endoscopy A 5.83 5.48 1.70 0.75 12.06 8.280000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50555 Kidney endoscopy & biopsy A 6.36 5.68 1.80 0.82 12.86 8.980000.00.00.00310009 50551 33.4009 090 99 0.00 0.00 0.00
- 50557 Kidney endoscopy & treatment A 6.44 5.81 1.82 0.83 13.08 9.090000.00.00.00310009 50551 33.4009 090 99 0.00 0.00 0.00
- 50561 Kidney endoscopy & treatment A 7.39 6.47 2.02 0.96 14.82 10.370000.00.00.00310009 50551 33.4009 090 99 0.00 0.00 0.00
- 50562 Renal scope w/tumor resect A 10.63 3.36NA 3.36 1.35 15.34 15.340090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50570 Kidney endoscopy A 9.29 2.38NA 2.38 1.21 12.88 12.880000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 50572 Kidney endoscopy A 10.07 2.53NA 2.53 1.30 13.90 13.900000.00.00.00310009 50570 33.4009 090 99 0.00 0.00 0.00
- 50574 Kidney endoscopy & biopsy A 10.73 2.67NA 2.67 1.37 14.77 14.770000.00.00.00310009 50570 33.4009 090 99 0.00 0.00 0.00
- 50575 Kidney endoscopy A 13.61 3.26NA 3.26 1.75 18.62 18.620000.00.00.00311009 50570 33.4009 090 99 0.00 0.00 0.00
- 50576 Kidney endoscopy & treatment A 10.70 2.66NA 2.66 1.36 14.72 14.720000.00.00.00310009 50570 33.4009 090 99 0.00 0.00 0.00
- 50580 Kidney endoscopy & treatment A 11.54 2.84NA 2.84 1.48 15.86 15.860000.00.00.00310009 50570 33.4009 090 99 0.00 0.00 0.00
- 50590 Fragmenting of kidney stone A 9.53 12.00 4.84 1.23 22.76 15.600090.08.83.09211009 33.4009 090 99 0.00 0.00 0.00
- 50592 Perc rf ablate renal tumor A 6.39 71.42 1.83 0.69 78.50 8.910010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 50593 Perc cryo ablate renal tum A 8.66 95.37 2.33 0.95 104.98 11.940010.10.80.10212009 33.4009 090 99 0.00 0.00 0.00
- 50600 Exploration of ureter A 16.74 6.27NA 6.27 2.15 25.16 25.160090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50605 Insert ureteral support A 16.37 7.79NA 7.79 3.86 28.02 28.020090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50606 Endoluminal bx urtr rnl plvs A 3.08 10.76 0.29 0.40 14.24 3.770ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 5060F Fndngs mammo 2pt w/in 3 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
- 50610 Removal of ureter stone A 16.82 6.37NA 6.37 2.16 25.35 25.350090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50620 Removal of ureter stone A 16.02 6.21NA 6.21 2.06 24.29 24.290090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 5062F Mammo result com to pt 5 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
- 50630 Removal of ureter stone A 15.80 6.16NA 6.16 2.04 24.00 24.000090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50650 Removal of ureter A 18.35 7.04NA 7.04 2.49 27.88 27.880090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50660 Removal of ureter A 20.49 7.47NA 7.47 2.63 30.59 30.590090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50684 Injection for ureter x-ray A 0.74 3.02 0.58 0.08 3.84 1.400000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50686 Measure ureter pressure A 1.47 2.75 0.75 0.19 4.41 2.410000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 50688 Change of ureter tube/stent A 1.17 0.83NA 0.83 0.13 2.13 2.130010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 50690 Injection for ureter x-ray A 1.13 2.25 0.61 0.12 3.50 1.860000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 50693 Plmt ureteral stent prq A 3.86 24.06 1.00 0.42 28.34 5.280000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50694 Plmt ureteral stent prq A 5.12 26.09 1.19 0.55 31.76 6.860000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50695 Plmt ureteral stent prq A 6.63 30.77 1.44 0.71 38.11 8.780000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 50700 Revision of ureter A 16.27 6.59NA 6.59 2.09 24.95 24.950090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50705 Ureteral embolization/occl A 3.93 48.58 0.36 0.49 53.00 4.780ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 50706 Balloon dilate urtrl strix A 3.71 19.62 0.53 0.41 23.74 4.650ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 50715 Release of ureter A 20.12 9.14NA 9.14 4.26 33.52 33.520090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50722 Release of ureter A 17.50 6.51NA 6.51 3.05 27.06 27.060090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50725 Release/revise ureter A 19.70 7.30NA 7.30 2.53 29.53 29.530090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50727 Revise ureter A 8.07 5.00NA 5.00 1.11 14.18 14.180090.08.83.09202209 33.4009 090 99 0.00 0.00 0.00
- 50728 Revise ureter A 11.88 5.68NA 5.68 1.51 19.07 19.070090.08.83.09202209 33.4009 090 99 0.00 0.00 0.00
- 50740 Fusion of ureter & kidney A 19.57 9.75NA 9.75 5.22 34.54 34.540090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50750 Fusion of ureter & kidney A 20.69 7.51NA 7.51 2.65 30.85 30.850090.08.83.09212009 33.4009 090 99 0.00 0.00 0.00
- 50760 Ureteroureterostomy A 19.57 7.86NA 7.86 3.32 30.75 30.750090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50770 Splicing of ureters A 20.69 7.51NA 7.51 2.65 30.85 30.850090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50780 Reimplant ureter in bladder A 19.45 7.64NA 7.64 3.05 30.14 30.140090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50782 Reimplant ureter in bladder A 19.17 7.19NA 7.19 2.48 28.84 28.840090.08.83.09212209 33.4009 090 99 0.00 0.00 0.00
- 50783 Reimplant ureter in bladder A 20.18 7.40NA 7.40 2.60 30.18 30.180090.08.83.09212209 33.4009 090 99 0.00 0.00 0.00
- 50785 Reimplant ureter in bladder A 21.67 7.84NA 7.84 2.97 32.48 32.480090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50800 Implant ureter in bowel A 16.00 6.86NA 6.86 2.06 24.92 24.920090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50810 Fusion of ureter & bowel A 22.04 11.88NA 11.88 5.89 39.81 39.810090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50815 Urine shunt to intestine A 21.70 8.37NA 8.37 2.78 32.85 32.850090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50820 Construct bowel bladder A 23.47 8.57NA 8.57 3.25 35.29 35.290090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50825 Construct bowel bladder A 29.91 10.08NA 10.08 3.85 43.84 43.840090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50830 Revise urine flow A 32.93 10.70NA 10.70 4.23 47.86 47.860090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50840 Replace ureter by bowel A 21.83 8.40NA 8.40 2.81 33.04 33.040090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50845 Appendico-vesicostomy A 21.90 9.07NA 9.07 2.82 33.79 33.790090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50860 Transplant ureter to skin A 16.65 6.67NA 6.67 2.14 25.46 25.460090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50900 Repair of ureter A 14.66 6.25NA 6.25 1.88 22.79 22.790090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50920 Closure ureter/skin fistula A 15.41 6.41NA 6.41 1.98 23.80 23.800090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50930 Closure ureter/bowel fistula A 19.69 7.30NA 7.30 2.53 29.52 29.520090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 50940 Release of ureter A 15.53 6.44NA 6.44 2.00 23.97 23.970090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50945 Laparoscopy ureterolithotomy A 17.52 6.19NA 6.19 2.25 25.96 25.960090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50947 Laparo new ureter/bladder A 25.14 8.48NA 8.48 3.32 36.94 36.940090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50948 Laparo new ureter/bladder A 23.22 7.63NA 7.63 3.02 33.87 33.870090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 50949 Unlisted laps px ureter 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
- 50951 Endoscopy of ureter A 5.68 5.37 1.66 0.72 11.77 8.060000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 50953 Endoscopy of ureter A 6.07 5.63 1.75 0.79 12.49 8.610000.00.00.00310009 50951 33.4009 090 99 0.00 0.00 0.00
- 50955 Ureter endoscopy & biopsy A 6.57 5.88 1.85 0.85 13.30 9.270000.00.00.00310009 50951 33.4009 090 99 0.00 0.00 0.00
- 50957 Ureter endoscopy & treatment A 6.61 5.96 1.86 0.85 13.42 9.320000.00.00.00310009 50951 33.4009 090 99 0.00 0.00 0.00
- 50961 Ureter endoscopy & treatment A 5.89 5.48 1.71 0.76 12.13 8.360000.00.00.00310009 50951 33.4009 090 99 0.00 0.00 0.00
- 50970 Ureter endoscopy A 6.95 1.88NA 1.88 0.90 9.73 9.730000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 50972 Ureter endoscopy & catheter A 6.71 1.83NA 1.83 0.87 9.41 9.410000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 50974 Ureter endoscopy & biopsy A 8.93 2.30NA 2.30 1.15 12.38 12.380000.00.00.00310009 50970 33.4009 090 99 0.00 0.00 0.00
- 50976 Ureter endoscopy & treatment A 8.80 2.27NA 2.27 1.14 12.21 12.210000.00.00.00310009 50970 33.4009 090 99 0.00 0.00 0.00
- 50980 Ureter endoscopy & treatment A 6.67 1.82NA 1.82 0.86 9.35 9.350000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 5100F Rsk fx ref w/n 24 hrs 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
- 51020 Cystotomy/cystostomy w/fulg A 7.50 4.56NA 4.56 0.98 13.04 13.040090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51040 Incise & drain bladder A 4.38 3.23NA 3.23 0.56 8.17 8.170090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51045 Incise bladder/drain ureter A 7.61 4.84NA 4.84 1.22 13.67 13.670090.08.83.09202009 33.4009 090 99 0.00 0.00 0.00
- 51050 Removal of bladder stone A 7.77 4.21NA 4.21 1.01 12.99 12.990090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51060 Removal of ureter stone A 9.70 5.01NA 5.01 1.25 15.96 15.960090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51065 Remove ureter calculus A 9.70 4.92NA 4.92 1.25 15.87 15.870090.08.83.09200009 33.4009 090 99 0.00 0.00 0.00
- 51080 Drainage of bladder abscess A 6.54 3.96NA 3.96 0.84 11.34 11.340090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51100 Drain bladder by needle A 0.76 1.38 0.16 0.09 2.23 1.010000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51101 Drain bladder by trocar/cath A 0.99 3.55 0.21 0.13 4.67 1.330000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51102 Drain bl w/cath insertion A 2.63 4.26 0.81 0.33 7.22 3.770000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51500 Removal of bladder cyst A 10.77 5.23NA 5.23 1.37 17.37 17.370090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51520 Removal of bladder lesion A 9.95 5.06NA 5.06 1.29 16.30 16.300090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51525 Removal of bladder lesion A 15.03 6.12NA 6.12 2.00 23.15 23.150090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51530 Removal of bladder lesion A 13.37 5.76NA 5.76 1.72 20.85 20.850090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51535 Repair of ureter lesion A 13.55 5.80NA 5.80 1.74 21.09 21.090090.08.83.09212109 33.4009 090 99 0.00 0.00 0.00
- 51550 Partial removal of bladder A 16.80 6.80NA 6.80 2.49 26.09 26.090090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51555 Partial removal of bladder A 22.60 8.10NA 8.10 3.11 33.81 33.810090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51565 Revise bladder & ureter(s) A 23.09 8.40NA 8.40 2.97 34.46 34.460090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51570 Removal of bladder A 26.77 8.83NA 8.83 3.45 39.05 39.050090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51575 Removal of bladder & nodes A 33.33 10.57NA 10.57 4.28 48.18 48.180090.08.83.09222109 33.4009 090 99 0.00 0.00 0.00
- 51580 Remove bladder/revise tract A 34.49 11.47NA 11.47 4.44 50.40 50.400090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51585 Removal of bladder & nodes A 38.65 12.33NA 12.33 4.96 55.94 55.940090.08.83.09222109 33.4009 090 99 0.00 0.00 0.00
- 51590 Remove bladder/revise tract A 35.42 11.12NA 11.12 4.71 51.25 51.250090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51595 Remove bladder/revise tract A 40.29 12.35NA 12.35 5.29 57.93 57.930090.08.83.09222109 33.4009 090 99 0.00 0.00 0.00
- 51596 Remove bladder/create pouch A 43.15 13.68NA 13.68 5.69 62.52 62.520090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51597 Removal of pelvic structures A 41.79 13.56NA 13.56 5.73 61.08 61.080090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51600 Injection for bladder x-ray A 0.86 5.26 0.17 0.09 6.21 1.120000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51605 Preparation for bladder xray A 0.62 0.36NA 0.36 0.07 1.05 1.050000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51610 Injection for bladder x-ray A 1.02 2.70 0.59 0.12 3.84 1.730000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51700 Irrigation of bladder A 0.59 1.68 0.12 0.07 2.34 0.780000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51701 Insert bladder catheter A 0.49 0.80 0.10 0.07 1.36 0.660000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51702 Insert temp bladder cath A 0.49 1.40 0.12 0.07 1.96 0.680000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51703 Insert bladder cath complex A 1.43 3.00 0.40 0.19 4.62 2.020000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51705 Change of bladder tube A 0.88 2.03 0.41 0.12 3.03 1.410000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51710 Change of bladder tube A 1.32 2.72 0.70 0.17 4.21 2.190000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51715 Endoscopic injection/implant A 3.64 6.20 1.11 0.53 10.37 5.280000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 51720 Treatment of bladder lesion A 0.85 1.79 0.18 0.11 2.75 1.140000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51721 Ins trurl ablt trnsdc thr us A 3.95 12.46 1.31 0.49 16.90 5.750000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51725 Simple cystometrogram A 1.47 4.27 4.27NA 0.20 5.94 5.941000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 5172526Simple cystometrogram A 1.47 0.63 0.63 0.18 2.28 2.281000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 51725TCSimple cystometrogram A 0.00 3.64 3.64NA 0.02 3.66 3.661000.00.00.00200009 33.4009 020 99 0.00 0.00 0.00
- 51726 Complex cystometrogram A 1.67 6.27 6.27NA 0.17 8.11 8.111000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 5172626Complex cystometrogram A 1.67 0.70 0.70 0.15 2.52 2.521000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51726TCComplex cystometrogram A 0.00 5.57 5.57NA 0.02 5.59 5.591000.00.00.00201009 33.4009 020 99 0.00 0.00 0.00
- 51727 Cystometrogram w/up A 2.06 7.59 7.59NA 0.26 9.91 9.911000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 5172726Cystometrogram w/up A 2.06 0.87 0.87 0.24 3.17 3.171000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 51727TCCystometrogram w/up A 0.00 6.72 6.72NA 0.02 6.74 6.741000.00.00.00200009 33.4009 020 99 0.00 0.00 0.00
- 51728 Cystometrogram w/vp A 2.06 7.80 7.80NA 0.22 10.08 10.081000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 5172826Cystometrogram w/vp A 2.06 0.86 0.86 0.20 3.12 3.121000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 51728TCCystometrogram w/vp A 0.00 6.94 6.94NA 0.02 6.96 6.961000.00.00.00200009 33.4009 020 99 0.00 0.00 0.00
- 51729 Cystometrogram w/vp&up A 2.45 7.84 7.84NA 0.31 10.60 10.601000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 5172926Cystometrogram w/vp&up A 2.45 1.04 1.04 0.28 3.77 3.771000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 51729TCCystometrogram w/vp&up A 0.00 6.80 6.80NA 0.03 6.83 6.831000.00.00.00200009 33.4009 020 99 0.00 0.00 0.00
- 51736 Urine flow measurement A 0.17 0.24 0.24NA 0.03 0.44 0.441XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 5173626Urine flow measurement A 0.17 0.07 0.07 0.02 0.26 0.261XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 51736TCUrine flow measurement A 0.00 0.17 0.17NA 0.01 0.18 0.181XXX.00.00.00200009 33.4009 020 99 0.00 0.00 0.00
- 51741 Electro-uroflowmetry first A 0.17 0.26 0.26NA 0.03 0.46 0.461XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 5174126Electro-uroflowmetry first A 0.17 0.07 0.07 0.02 0.26 0.261XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51741TCElectro-uroflowmetry first A 0.00 0.19 0.19NA 0.01 0.20 0.201XXX.00.00.00201009 33.4009 020 99 0.00 0.00 0.00
- 51784 Anal/urinary muscle study A 0.73 1.18 1.18NA 0.08 1.99 1.991XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 5178426Anal/urinary muscle study A 0.73 0.31 0.31 0.07 1.11 1.111XXX.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 51784TCAnal/urinary muscle study A 0.00 0.87 0.87NA 0.01 0.88 0.881XXX.00.00.00201009 33.4009 020 99 0.00 0.00 0.00
- 51785 Anal/urinary muscle study A 1.49 9.75 9.75NA 0.51 11.75 11.751XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 5178526Anal/urinary muscle study A 1.49 0.83 0.83 0.48 2.80 2.801XXX.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 51785TCAnal/urinary muscle study A 0.00 8.92 8.92NA 0.03 8.95 8.951XXX.00.00.00200009 33.4009 030 99 0.00 0.00 0.00
- 51792 Urinary reflex study A 1.07 6.14 6.14NA 0.19 7.40 7.401000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 5179226Urinary reflex study A 1.07 0.45 0.45 0.16 1.68 1.681000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 51792TCUrinary reflex study A 0.00 5.69 5.69NA 0.03 5.72 5.721000.00.00.00200009 33.4009 020 99 0.00 0.00 0.00
- 51797 Intraabdominal pressure test A 0.78 3.79 3.79NA 0.07 4.64 4.641ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 5179726Intraabdominal pressure test A 0.78 0.33 0.33 0.07 1.18 1.181ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 51797TCIntraabdominal pressure test A 0.00 3.46 3.46NA 0.00 3.46 3.461ZZZ.00.00.00000009 33.4009 020 99 0.00 0.00 0.00
- 51798 Us urine capacity measure A 0.00 0.36 0.36NA 0.02 0.38 0.383XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 51800 Revision of bladder/urethra A 18.42 7.09NA 7.09 2.37 27.88 27.880090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51820 Revision of urinary tract A 19.10 7.62NA 7.62 2.47 29.19 29.190090.08.83.09222109 33.4009 090 99 0.00 0.00 0.00
- 51840 Attach bladder/urethra A 11.08 5.92NA 5.92 1.63 18.63 18.630090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51841 Attach bladder/urethra A 13.34 6.46NA 6.46 1.71 21.51 21.510090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51845 Repair bladder neck A 9.90 4.70NA 4.70 1.28 15.88 15.880090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51860 Repair of bladder wound A 12.29 6.14NA 6.14 1.99 20.42 20.420090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51865 Repair of bladder wound A 15.41 6.63NA 6.63 2.21 24.25 24.250090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51880 Repair of bladder opening A 7.67 4.08NA 4.08 1.11 12.86 12.860090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51900 Repair bladder/vagina lesion A 14.26 6.22NA 6.22 1.83 22.31 22.310090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51920 Close bladder-uterus fistula A 13.07 5.99NA 5.99 1.68 20.74 20.740090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51925 Hysterectomy/bladder repair A 17.09 8.22NA 8.22 3.00 28.31 28.310090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51940 Correction of bladder defect A 29.89 9.88NA 9.88 3.85 43.62 43.620090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51960 Revision of bladder & bowel A 24.77 9.08NA 9.08 3.18 37.03 37.030090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51980 Construct bladder opening A 12.26 5.54NA 5.54 1.57 19.37 19.370090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51990 Laparo urethral suspension A 13.03 5.35NA 5.35 1.71 20.09 20.090090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51992 Laparo sling operation A 14.50 5.47NA 5.47 2.38 22.35 22.350090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 51999 Unlisted laps px bladder C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00000119 33.4009 090 99 0.00 0.00 0.00
- 52000 Cystourethroscopy A 1.49 4.77 0.44 0.20 6.46 2.130000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 52001 Cysto w/irrg&evac mlt clots A 5.30 6.58 1.59 0.68 12.56 7.570000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52005 Cysto w/urtrl cathj A 2.31 5.80 0.98 0.29 8.40 3.580000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52007 Cysto urtrl cathj brush bx A 2.94 9.58 1.09 0.40 12.92 4.430000.00.00.00311009 52000 33.4009 090 99 0.00 0.00 0.00
- 5200F Eval appros surg thxpy epi I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 52010 Cystoscopy & duct catheter A 2.94 7.61 1.09 0.38 10.93 4.410000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52204 Cystoscopy w/biopsy(s) A 2.53 7.77 0.93 0.34 10.64 3.800000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52214 Cystoscopy and treatment A 3.41 17.94 0.71 0.43 21.78 4.550000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52224 Cystoscopy and treatment A 3.95 18.32 0.82 0.49 22.76 5.260000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52234 Cystoscopy and treatment A 4.50 1.42NA 1.42 0.57 6.49 6.490000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52235 Cystoscopy and treatment A 5.30 1.64NA 1.64 0.68 7.62 7.620000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52240 Cystoscopy and treatment A 7.31 2.05NA 2.05 0.95 10.31 10.310000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52250 Cystoscopy and radiotracer A 4.38 1.40NA 1.40 0.56 6.34 6.340000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52260 Cystoscopy and treatment A 3.81 1.24NA 1.24 0.51 5.56 5.560000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52265 Cystoscopy and treatment A 2.87 7.05 1.03 0.42 10.34 4.320000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52270 Cystoscopy & revise urethra A 3.28 8.26 1.14 0.43 11.97 4.850000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52275 Cystoscopy & revise urethra A 4.57 10.39 1.41 0.58 15.54 6.560000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52276 Cystoscopy and treatment A 4.87 1.50NA 1.50 0.62 6.99 6.990000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52277 Cystoscopy and treatment A 6.01 1.74NA 1.74 0.79 8.54 8.540000.00.00.00300009 52000 33.4009 090 99 0.00 0.00 0.00
- 52281 Cystoscopy and treatment A 2.68 6.25 1.05 0.36 9.29 4.090000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52282 Cystoscopy implant stent A 6.23 1.81NA 1.81 0.85 8.89 8.890000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52283 Cystoscopy and treatment A 3.64 5.83 1.24 0.47 9.94 5.350000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52284 Cysto rx balo cath urtl strx A 3.02 76.91 0.96 0.39 80.32 4.370000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52285 Cystoscopy and treatment A 3.51 5.76 1.19 0.49 9.76 5.190000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52287 Cystoscopy chemodenervation A 3.12 7.34 0.91 0.43 10.89 4.460000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52290 Cystoscopy and treatment A 4.47 1.41NA 1.41 0.57 6.45 6.450000.00.00.00321009 52000 33.4009 090 99 0.00 0.00 0.00
- 52300 Cystoscopy and treatment A 5.17 1.57NA 1.57 0.66 7.40 7.400000.00.00.00320009 52000 33.4009 090 99 0.00 0.00 0.00
- 52301 Cystoscopy and treatment A 5.36 1.60NA 1.60 0.68 7.64 7.640000.00.00.00320009 52000 33.4009 090 99 0.00 0.00 0.00
- 52305 Cystoscopy and treatment A 5.17 1.50NA 1.50 0.66 7.33 7.330000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52310 Cystoscopy and treatment A 2.74 5.84 0.93 0.36 8.94 4.030000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52315 Cystoscopy and treatment A 5.07 7.96 1.52 0.67 13.70 7.260000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52317 Remove bladder stone A 6.54 18.61 1.72 0.85 26.00 9.110000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52318 Remove bladder stone A 8.95 2.29NA 2.29 1.16 12.40 12.400000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52320 Cystoscopy and treatment A 4.57 1.33NA 1.33 0.58 6.48 6.480000.00.00.00311009 52000 33.4009 090 99 0.00 0.00 0.00
- 52325 Cystoscopy stone removal A 6.00 1.65NA 1.65 0.78 8.43 8.430000.00.00.00311009 52000 33.4009 090 99 0.00 0.00 0.00
- 52327 Cystoscopy inject material A 5.05 1.05NA 1.05 0.64 6.74 6.740000.00.00.00311009 52000 33.4009 090 99 0.00 0.00 0.00
- 52330 Cystoscopy and treatment A 4.90 12.15 1.40 0.62 17.67 6.920000.00.00.00311009 52000 33.4009 090 99 0.00 0.00 0.00
- 52332 Cystoscopy and treatment A 2.75 8.05 1.07 0.36 11.16 4.180000.00.00.00311009 52000 33.4009 090 99 0.00 0.00 0.00
- 52334 Create passage to kidney A 3.29 1.17NA 1.17 0.43 4.89 4.890000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52341 Cysto w/ureter stricture tx A 5.22 1.62NA 1.62 0.66 7.50 7.500000.00.00.00311009 52000 33.4009 090 99 0.00 0.00 0.00
- 52342 Cysto w/up stricture tx A 5.70 1.72NA 1.72 0.73 8.15 8.150000.00.00.00311009 52000 33.4009 090 99 0.00 0.00 0.00
- 52343 Cysto w/renal stricture tx A 6.39 1.85NA 1.85 0.82 9.06 9.060000.00.00.00311009 52000 33.4009 090 99 0.00 0.00 0.00
- 52344 Cysto/uretero stricture tx A 6.87 1.96NA 1.96 0.89 9.72 9.720000.00.00.00311009 52000 33.4009 090 99 0.00 0.00 0.00
- 52345 Cysto/uretero w/up stricture A 7.36 2.06NA 2.06 0.95 10.37 10.370000.00.00.00310009 52351 33.4009 090 99 0.00 0.00 0.00
- 52346 Cystouretero w/renal strict A 8.37 2.27NA 2.27 1.08 11.72 11.720000.00.00.00310009 52351 33.4009 090 99 0.00 0.00 0.00
- 52351 Cystouretero & or pyeloscope A 5.61 1.66NA 1.66 0.71 7.98 7.980000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 52352 Cystouretero w/stone remove A 6.58 1.90NA 1.90 0.85 9.33 9.330000.00.00.00311009 52351 33.4009 090 99 0.00 0.00 0.00
- 52353 Cystouretero w/lithotripsy A 7.31 2.05NA 2.05 0.93 10.29 10.290000.00.00.00311009 52351 33.4009 090 99 0.00 0.00 0.00
- 52354 Cystouretero w/biopsy A 7.80 2.15NA 2.15 1.02 10.97 10.970000.00.00.00311009 52351 33.4009 090 99 0.00 0.00 0.00
- 52355 Cystouretero w/excise tumor A 8.78 2.36NA 2.36 1.13 12.27 12.270000.00.00.00311009 52351 33.4009 090 99 0.00 0.00 0.00
- 52356 Cysto/uretero w/lithotripsy A 7.80 2.11NA 2.11 1.02 10.93 10.930000.00.00.00311009 52351 33.4009 090 99 0.00 0.00 0.00
- 52400 Cysto cgen post urtl valves A 8.47 3.26NA 3.26 1.09 12.82 12.820090.08.83.09301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52402 Cysto trurl rescj ejacul dux A 5.14 1.12NA 1.12 0.65 6.91 6.910000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52441 Cysto insj trnsprstc 1 implt A 3.90 32.90 1.13 0.48 37.28 5.510000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52442 Cysto ins trnsprstc implt ea A 0.98 24.77 0.21 0.13 25.88 1.320ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 52443 Cysto 1st trurl prst8 comis A 3.62 172.69 1.08 0.46 176.77 5.160000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 52450 Transurethral inc prostate A 7.59 4.53NA 4.53 0.99 13.11 13.110090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 52500 Trurl resection bladder neck A 5.85 3.94NA 3.94 0.76 10.55 10.550090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 5250F Asthma discharge plan presnt I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 52597 Trurl rbtc wtrjt rescj prst8 A 10.25 4.85NA 4.85 1.32 16.42 16.420090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 52601 Prostatectomy (turp) A 9.75 4.74NA 4.74 1.26 15.75 15.750090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 52630 Remove prostate regrowth A 6.39 4.04NA 4.04 0.83 11.26 11.260090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 52640 Relieve bladder contracture A 4.67 3.79NA 3.79 0.59 9.05 9.050090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 52648 Laser surgery of prostate A 9.80 4.75NA 4.75 1.27 15.82 15.820090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 52649 Prostate laser enucleation A 12.68 5.36NA 5.36 1.63 19.67 19.670090.08.83.09200009 33.4009 090 99 0.00 0.00 0.00
- 52700 Drainage of prostate abscess A 7.30 3.91NA 3.91 0.93 12.14 12.140090.08.83.09200009 33.4009 090 99 0.00 0.00 0.00
- 53000 Incision of urethra A 2.27 1.60NA 1.60 0.28 4.15 4.150010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 53010 Incision of urethra A 4.34 3.51NA 3.51 0.57 8.42 8.420090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 53020 Incision of urethra A 1.73 0.64NA 0.64 0.21 2.58 2.580000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 53025 Incision of urethra A 1.10 0.64NA 0.64 0.14 1.88 1.880000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 53040 Drainage of urethra abscess A 6.39 3.64NA 3.64 0.82 10.85 10.850090.08.83.09200009 33.4009 090 99 0.00 0.00 0.00
- 53060 Drainage of urethra abscess A 2.61 2.65 1.40 0.45 5.71 4.460010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 53080 Drainage of urinary leakage A 6.75 4.04NA 4.04 0.87 11.66 11.660090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 53085 Drainage of urinary leakage A 10.90 5.39NA 5.39 1.40 17.69 17.690090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53200 Biopsy of urethra A 2.53 2.06 0.92 0.38 4.97 3.830000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 53210 Removal of urethra A 13.38 5.73NA 5.73 1.72 20.83 20.830090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53215 Removal of urethra A 16.43 6.37NA 6.37 2.13 24.93 24.930090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53220 Treatment of urethra lesion A 7.44 4.05NA 4.05 0.96 12.45 12.450090.08.83.09200009 33.4009 090 99 0.00 0.00 0.00
- 53230 Removal of urethra lesion A 10.18 4.94NA 4.94 1.47 16.59 16.590090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53235 Removal of urethra lesion A 10.72 5.21NA 5.21 1.36 17.29 17.290090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53240 Surgery for urethra pouch A 6.90 3.95NA 3.95 0.89 11.74 11.740090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 53250 Removal of urethra gland A 6.36 3.82NA 3.82 0.82 11.00 11.000090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 53260 Treatment of urethra lesion A 2.95 3.02 1.58 0.43 6.40 4.960010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 53265 Treatment of urethra lesion A 3.09 3.38 1.55 0.46 6.93 5.100010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 53270 Removal of urethra gland A 3.06 3.10 1.61 0.40 6.56 5.070010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 53275 Repair of urethra defect A 4.46 2.06NA 2.06 0.62 7.14 7.140010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 53400 Revise urethra stage 1 A 13.78 6.06NA 6.06 1.83 21.67 21.670090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53405 Revise urethra stage 2 A 15.27 6.34NA 6.34 1.96 23.57 23.570090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53410 Reconstruction of urethra A 17.24 6.87NA 6.87 2.22 26.33 26.330090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53415 Reconstruction of urethra A 20.18 7.49NA 7.49 2.61 30.28 30.280090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53420 Reconstruct urethra stage 1 A 14.79 5.98NA 5.98 1.91 22.68 22.680090.08.83.09201109 33.4009 090 99 0.00 0.00 0.00
- 53425 Reconstruct urethra stage 2 A 16.64 6.36NA 6.36 2.14 25.14 25.140090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53430 Reconstruction of urethra A 16.99 6.71NA 6.71 2.44 26.14 26.140090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53431 Reconstruct urethra/bladder A 20.65 7.55NA 7.55 2.65 30.85 30.850090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53440 Male sling procedure A 13.03 5.70NA 5.70 1.67 20.40 20.400090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53442 Remove/revise male sling A 13.15 6.61NA 6.61 1.69 21.45 21.450090.08.83.09202009 33.4009 090 99 0.00 0.00 0.00
- 53444 Insert tandem cuff A 13.84 5.85NA 5.85 1.77 21.46 21.460090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53445 Insert uro/ves nck sphincter A 12.68 6.33NA 6.33 1.63 20.64 20.640090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53446 Remove uro sphincter A 10.74 5.47NA 5.47 1.37 17.58 17.580090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53447 Remove/replace ur sphincter A 13.92 6.18NA 6.18 1.78 21.88 21.880090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53448 Remov/replc ur sphinctr comp A 22.85 8.43NA 8.43 2.94 34.22 34.220090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53449 Repair uro sphincter A 10.30 5.12NA 5.12 1.33 16.75 16.750090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53450 Revision of urethra A 6.60 3.89NA 3.89 0.86 11.35 11.350090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 53451 Tprnl balo cntnc dev bi C 0.00 0.00 0.00 0.00 0.00 0.000010.10.80.10000009 33.4009 090 99 0.00 0.00 0.00
- 53452 Tprnl balo cntnc dev uni C 0.00 0.00 0.00 0.00 0.00 0.000010.10.80.10000009 33.4009 090 99 0.00 0.00 0.00
- 53453 Tprnl balo cntnc dev rmvl ea 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
- 53454 Tprnl balo cntnc dev adjmt 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
- 53460 Revision of urethra A 7.56 4.07NA 4.07 0.99 12.62 12.620090.08.83.09200009 33.4009 090 99 0.00 0.00 0.00
- 53500 Urethrlys transvag w/ scope A 12.68 5.53NA 5.53 1.93 20.14 20.140090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 53502 Repair of urethra injury A 8.05 4.28NA 4.28 1.05 13.38 13.380090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 53505 Repair of urethra injury A 8.05 4.27NA 4.27 1.05 13.37 13.370090.08.83.09202009 33.4009 090 99 0.00 0.00 0.00
- 53510 Repair of urethra injury A 10.69 5.20NA 5.20 1.36 17.25 17.250090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53515 Repair of urethra injury A 13.86 5.86NA 5.86 1.77 21.49 21.490090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 53520 Repair of urethra defect A 9.24 4.90NA 4.90 1.20 15.34 15.340090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 53600 Dilate urethra stricture A 1.18 1.40 0.35 0.15 2.73 1.680000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 53601 Dilate urethra stricture A 0.96 1.60 0.35 0.12 2.68 1.430000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 53605 Dilate urethra stricture A 1.25 0.26NA 0.26 0.16 1.67 1.670000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 53620 Dilate urethra stricture A 1.58 3.42 0.53 0.20 5.20 2.310000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 53621 Dilate urethra stricture A 1.32 3.51 0.42 0.17 5.00 1.910000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 53660 Dilation of urethra A 0.69 1.59 0.35 0.08 2.36 1.120000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 53661 Dilation of urethra A 0.70 1.54 0.30 0.08 2.32 1.080000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 53665 Dilation of urethra A 0.74 0.16NA 0.16 0.09 0.99 0.990000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 53850 Prostatic microwave thermotx A 5.28 36.78 3.96 0.67 42.73 9.910090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 53852 Prostatic rf thermotx A 5.78 35.28 4.06 0.75 41.81 10.590090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 53854 Trurl dstrj prst8 tiss rf wv A 5.78 95.13 4.07 0.75 101.66 10.600090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 53855 Insert prost urethral stent A 1.60 17.77 0.34 0.21 19.58 2.150000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 53860 Transurethral rf treatment A 3.87 67.25 1.69 0.48 71.60 6.040090.08.83.09200009 33.4009 090 99 0.00 0.00 0.00
- 53865 Cysto insj dev ischmc rmdlg A 3.02 89.00 0.95 0.39 92.41 4.360000.00.00.00301009 52000 33.4009 090 99 0.00 0.00 0.00
- 53866 Cathj rmvl dev ischmc rmdlg A 1.44 2.73 0.58 0.19 4.36 2.210000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 53899 Unlisted px urinary system 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
- 54000 Slitting of prepuce A 1.55 3.26 1.39 0.20 5.01 3.140010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 54001 Slitting of prepuce A 2.18 3.64 1.43 0.27 6.09 3.880010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54015 I&d penis deep A 5.23 2.41NA 2.41 0.66 8.30 8.300010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 54050 Destruction penis lesion(s) A 1.26 2.97 1.50 0.14 4.37 2.900010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54055 Destruction penis lesion(s) A 1.22 2.81 1.24 0.14 4.17 2.600010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54056 Cryosurgery penis lesion(s) A 1.26 2.92 1.58 0.13 4.31 2.970010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54057 Laser surg penis lesion(s) A 1.26 2.89 1.31 0.16 4.31 2.730010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54060 Excision of penis lesion(s) A 1.93 3.85 1.50 0.24 6.02 3.670010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54065 Destruction penis lesion(s) A 2.41 4.01 1.85 0.25 6.67 4.510010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54100 Biopsy of penis A 1.85 4.03 1.06 0.20 6.08 3.110000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 54105 Biopsy of penis A 3.45 4.67 1.96 0.44 8.56 5.850010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54110 Treatment of penis lesion A 10.65 5.01NA 5.01 1.36 17.02 17.020090.10.80.10202009 33.4009 090 99 0.00 0.00 0.00
- 54111 Treat penis lesion graft A 14.06 5.71NA 5.71 1.80 21.57 21.570090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54112 Treat penis lesion graft A 16.56 6.56NA 6.56 2.13 25.25 25.250090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54115 Treatment of penis lesion A 6.78 6.59 4.20 0.88 14.25 11.860090.10.80.10202009 33.4009 090 99 0.00 0.00 0.00
- 54120 Partial removal of penis A 10.73 5.14NA 5.14 1.39 17.26 17.260090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54125 Removal of penis A 14.20 6.21NA 6.21 1.96 22.37 22.370090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54130 Remove penis & nodes A 21.29 7.96NA 7.96 2.74 31.99 31.990090.10.80.10222109 33.4009 090 99 0.00 0.00 0.00
- 54135 Remove penis & nodes A 27.47 9.24NA 9.24 3.54 40.25 40.250090.10.80.10222009 33.4009 090 99 0.00 0.00 0.00
- 54150 Circumcision w/regionl block A 1.85 2.46 0.43 0.24 4.55 2.520000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 54160 Circumcision neonate A 2.47 4.04 1.16 0.33 6.84 3.960010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54161 Circum 28 days or older A 3.24 1.76NA 1.76 0.42 5.42 5.420010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54162 Lysis penil circumic lesion A 3.24 4.25 1.86 0.42 7.91 5.520010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54163 Repair of circumcision A 3.24 2.54NA 2.54 0.42 6.20 6.200010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54164 Frenulotomy of penis A 2.75 2.44NA 2.44 0.36 5.55 5.550010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54200 Injection px peyronie ds A 1.08 2.41 1.28 0.14 3.63 2.500010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54205 Njx px peyronie ds exps plaq A 8.75 4.74NA 4.74 1.13 14.62 14.620090.10.80.10202009 33.4009 090 99 0.00 0.00 0.00
- 54220 Irrg crpra cavrnosa priapism A 2.36 4.76 1.09 0.43 7.55 3.880000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 54230 Njx corpora cavernosograpy A 1.31 1.83 0.71 0.17 3.31 2.190000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 54231 Dynamic cavernosometry A 1.99 2.22 0.90 0.25 4.46 3.140000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 54235 Njx corpora cavernosa rx agt A 1.16 1.53 0.73 0.15 2.84 2.040000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 54240 Penile plethysmography A 1.28 1.91 1.91NA 0.20 3.39 3.391000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 5424026Penile plethysmography A 1.28 0.53 0.53 0.18 1.99 1.991000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 54240TCPenile plethysmography A 0.00 1.38 1.38NA 0.02 1.40 1.401000.00.00.00000009 33.4009 020 99 0.00 0.00 0.00
- 54250 Nctrnl pen tmscn&/rgdity tst A 2.16 1.33 1.33NA 0.21 3.70 3.701000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 5425026Nctrnl pen tmscn&/rgdity tst A 2.16 0.90 0.90 0.20 3.26 3.261000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 54250TCNctrnl pen tmscn&/rgdity tst A 0.00 0.43 0.43NA 0.01 0.44 0.441000.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 54300 Revision of penis A 10.92 5.27NA 5.27 1.43 17.62 17.620090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54304 Revision of penis A 12.95 5.63NA 5.63 1.66 20.24 20.240090.10.80.10202009 33.4009 090 99 0.00 0.00 0.00
- 54308 Reconstruction of urethra A 12.30 5.55NA 5.55 1.58 19.43 19.430090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54312 Reconstruction of urethra A 14.15 6.21NA 6.21 1.82 22.18 22.180090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54316 Reconstruction of urethra A 17.60 6.87NA 6.87 2.26 26.73 26.730090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54318 Reconstruction of urethra A 12.12 5.70NA 5.70 1.56 19.38 19.380090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54322 Reconstruction of urethra A 13.63 5.72NA 5.72 1.75 21.10 21.100090.10.80.10202009 33.4009 090 99 0.00 0.00 0.00
- 54324 Reconstruction of urethra A 17.11 6.74NA 6.74 2.19 26.04 26.040090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54326 Reconstruction of urethra A 16.59 6.66NA 6.66 2.13 25.38 25.380090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54328 Revise penis/urethra A 16.47 6.64NA 6.64 2.12 25.23 25.230090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54332 Revise penis/urethra A 17.91 6.93NA 6.93 2.31 27.15 27.150090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54336 Revise penis/urethra A 21.08 8.08NA 8.08 2.71 31.87 31.870090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54340 Rpr hypspad comp simple A 9.47 4.90NA 4.90 1.22 15.59 15.590090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54344 Rrp hypspad comp moblj&urtp A 16.63 6.66NA 6.66 2.14 25.43 25.430090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54348 Rpr hypspad comp dsj & urtp A 17.86 7.01NA 7.01 2.31 27.18 27.180090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54352 Revj prior hypspad repair A 25.48 8.98NA 8.98 3.27 37.73 37.730090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54360 Penis plastic surgery A 12.46 5.48NA 5.48 1.61 19.55 19.550090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54380 Repair penis A 13.83 6.06NA 6.06 1.77 21.66 21.660090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54385 Repair penis A 16.15 6.92NA 6.92 2.08 25.15 25.150090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54390 Repair penis and bladder A 22.20 8.18NA 8.18 2.86 33.24 33.240090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54400 Insert semi-rigid prosthesis A 8.94 4.43NA 4.43 1.15 14.52 14.520090.10.80.10201109 33.4009 090 99 0.00 0.00 0.00
- 54401 Insert self-contd prosthesis A 10.18 7.00NA 7.00 1.31 18.49 18.490090.10.80.10201109 33.4009 090 99 0.00 0.00 0.00
- 54405 Insert multi-comp penis pros A 14.16 5.84NA 5.84 1.82 21.82 21.820090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54406 Remove muti-comp penis pros A 12.57 5.68NA 5.68 1.63 19.88 19.880090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54408 Repair multi-comp penis pros A 13.56 6.19NA 6.19 1.75 21.50 21.500090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54410 Remove/replace penis prosth A 14.80 6.71NA 6.71 1.91 23.42 23.420090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54411 Remov/replc penis pros comp A 17.89 7.60NA 7.60 2.31 27.80 27.800090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54415 Remove self-contd penis pros A 8.66 4.87NA 4.87 1.13 14.66 14.660090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54416 Remv/repl penis contain pros A 11.78 6.33NA 6.33 1.50 19.61 19.610090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54417 Remv/replc penis pros compl A 15.70 6.58NA 6.58 2.02 24.30 24.300090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54420 Revision of penis A 12.08 5.43NA 5.43 1.54 19.05 19.050090.10.80.10202009 33.4009 090 99 0.00 0.00 0.00
- 54430 Revision of penis A 10.78 5.26NA 5.26 1.37 17.41 17.410090.10.80.10222009 33.4009 090 99 0.00 0.00 0.00
- 54435 Revision of penis A 6.64 3.99NA 3.99 0.86 11.49 11.490090.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54437 Repair corporeal tear A 11.21 5.90NA 5.90 1.44 18.55 18.550090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54440 Repair of penis C 0.00 0.00 0.00 0.00 0.00 0.000090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 54450 Preputial stretching A 1.09 0.91 0.27 0.15 2.15 1.510000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 54500 Biopsy of testis A 1.28 0.57NA 0.57 0.16 2.01 2.010000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 54505 Biopsy of testis A 3.41 1.94NA 1.94 0.43 5.78 5.780010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 54512 Excise lesion testis A 9.10 4.39NA 4.39 1.19 14.68 14.680090.10.80.10211109 33.4009 090 99 0.00 0.00 0.00
- 54520 Removal of testis A 5.17 3.25NA 3.25 0.73 9.15 9.150090.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 54522 Orchiectomy partial A 9.99 4.74NA 4.74 1.29 16.02 16.020090.10.80.10212109 33.4009 090 99 0.00 0.00 0.00
- 54530 Removal of testis A 8.25 4.69NA 4.69 1.11 14.05 14.050090.10.80.10212109 33.4009 090 99 0.00 0.00 0.00
- 54535 Extensive testis surgery A 12.86 5.66NA 5.66 1.65 20.17 20.170090.10.80.10212009 33.4009 090 99 0.00 0.00 0.00
- 54550 Exploration for testis A 8.20 4.25NA 4.25 1.07 13.52 13.520090.10.80.10212009 33.4009 090 99 0.00 0.00 0.00
- 54560 Exploration for testis A 11.80 5.36NA 5.36 1.50 18.66 18.660090.10.80.10212109 33.4009 090 99 0.00 0.00 0.00
- 54600 Reduce testis torsion A 7.45 4.08NA 4.08 0.96 12.49 12.490090.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 54620 Suspension of testis A 5.08 2.43NA 2.43 0.65 8.16 8.160010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 54640 Orchiopexy ingun/scrot appr A 7.54 3.20NA 3.20 1.05 11.79 11.790090.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 54650 Orchiopexy (fowler-stephens) A 12.08 5.78NA 5.78 1.54 19.40 19.400090.10.80.10212009 33.4009 090 99 0.00 0.00 0.00
- 54660 Revision of testis A 5.60 3.70NA 3.70 0.71 10.01 10.010090.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 54670 Repair testis injury A 6.48 4.02NA 4.02 0.84 11.34 11.340090.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 54680 Relocation of testis(es) A 13.69 5.86NA 5.86 1.76 21.31 21.310090.10.80.10212109 33.4009 090 99 0.00 0.00 0.00
- 54690 Laparoscopy orchiectomy A 11.41 4.89NA 4.89 1.46 17.76 17.760090.10.80.10212109 33.4009 090 99 0.00 0.00 0.00
- 54692 Laparoscopy orchiopexy A 13.40 5.26NA 5.26 1.72 20.38 20.380090.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 54699 Unlisted laps px testis 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
- 54700 I&d epdidyms tstis&/scrot sp A 3.38 2.13NA 2.13 0.48 5.99 5.990010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 54800 Biopsy of epididymis A 2.27 0.78NA 0.78 0.28 3.33 3.330000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 54830 Remove epididymis lesion A 5.86 3.77NA 3.77 0.78 10.41 10.410090.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 54840 Remove epididymis lesion A 5.14 3.14NA 3.14 0.66 8.94 8.940090.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 54860 Removal of epididymis A 6.78 3.95NA 3.95 0.88 11.61 11.610090.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 54861 Removal of epididymis A 9.46 4.89NA 4.89 1.22 15.57 15.570090.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 54865 Explore epididymis A 5.63 3.71NA 3.71 0.72 10.06 10.060090.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 54900 Fusion of spermatic ducts A 13.85 6.08NA 6.08 1.77 21.70 21.700090.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 54901 Fusion of spermatic ducts A 18.62 7.46NA 7.46 2.40 28.48 28.480090.10.80.10220009 33.4009 090 99 0.00 0.00 0.00
- 55000 Drainage of hydrocele A 1.39 2.21 0.74 0.18 3.78 2.310000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 55040 Removal of hydrocele A 5.31 3.41NA 3.41 0.71 9.43 9.430090.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 55041 Removal of hydroceles A 8.33 4.67NA 4.67 1.10 14.10 14.100090.10.80.10221009 33.4009 090 99 0.00 0.00 0.00
- 55060 Repair of hydrocele A 6.00 3.81NA 3.81 0.79 10.60 10.600090.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 55100 Drainage of scrotum abscess A 2.39 4.66 2.14 0.38 7.43 4.910010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 55110 Explore scrotum A 6.17 3.84NA 3.84 0.86 10.87 10.870090.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 55120 Removal of scrotum lesion A 5.58 3.63NA 3.63 0.71 9.92 9.920090.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 55150 Removal of scrotum A 7.94 4.62NA 4.62 1.08 13.64 13.640090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 55175 Revision of scrotum A 5.72 3.70NA 3.70 0.75 10.17 10.170090.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 55180 Revision of scrotum A 11.49 5.69NA 5.69 1.50 18.68 18.680090.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 55200 Incision of sperm duct A 4.44 6.83 2.73 0.56 11.83 7.730090.10.80.10220009 33.4009 090 99 0.00 0.00 0.00
- 55250 Removal of sperm duct(s) A 3.29 6.67 2.82 0.42 10.38 6.530090.10.80.10221009 33.4009 090 99 0.00 0.00 0.00
- 55300 Prepare sperm duct x-ray A 3.41 1.10NA 1.10 0.43 4.94 4.940000.00.00.00220009 33.4009 090 99 0.00 0.00 0.00
- 55400 Repair of sperm duct A 8.39 4.20NA 4.20 1.08 13.67 13.670090.10.80.10212109 33.4009 090 99 0.00 0.00 0.00
- 55500 Removal of hydrocele A 6.06 4.02NA 4.02 0.93 11.01 11.010090.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 55520 Removal of sperm cord lesion A 6.49 5.33NA 5.33 1.64 13.46 13.460090.10.80.10212109 33.4009 090 99 0.00 0.00 0.00
- 55530 Revise spermatic cord veins A 5.61 3.44NA 3.44 0.73 9.78 9.780090.10.80.10211109 33.4009 090 99 0.00 0.00 0.00
- 55535 Revise spermatic cord veins A 7.01 3.99NA 3.99 0.91 11.91 11.910090.10.80.10212109 33.4009 090 99 0.00 0.00 0.00
- 55540 Revise hernia & sperm veins A 8.09 5.92NA 5.92 2.16 16.17 16.170090.10.80.10211109 33.4009 090 99 0.00 0.00 0.00
- 55550 Laparo ligate spermatic vein A 7.02 3.95NA 3.95 0.91 11.88 11.880090.10.80.10212109 33.4009 090 99 0.00 0.00 0.00
- 55559 Unlstd laps px sprmatic cord 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
- 55600 Vesiculotomy A 6.83 3.96NA 3.96 0.88 11.67 11.670090.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 55605 Vesiculotomy complicated A 8.54 4.79NA 4.79 1.10 14.43 14.430090.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 55650 Remove sperm duct pouch A 12.33 5.59NA 5.59 1.59 19.51 19.510090.10.80.10212109 33.4009 090 99 0.00 0.00 0.00
- 55680 Remove sperm pouch lesion A 5.53 3.41NA 3.41 0.70 9.64 9.640090.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 55705 Bx prst8 any approach nonimg A 1.88 4.87 0.88 0.23 6.98 2.990000.00.00.00201109 33.4009 090 99 0.00 0.00 0.00
- 55706 Bx prst8 ndl sat sampling A 4.16 1.40NA 1.40 0.53 6.09 6.090000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 55707 Bx prst8 trct us guided A 2.63 7.26 1.10 0.35 10.24 4.080000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 55708 Bx prst8 trct us w/mri fus 1 A 3.39 8.74 1.26 0.43 12.56 5.080000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 55709 Bx prst8 tprnl us guided A 3.23 13.77 1.23 0.42 17.42 4.880000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 55710 Bx prst8 tprn us w/mri fus 1 A 3.81 15.24 1.35 0.48 19.53 5.640000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 55711 Bx prst8 trct mri-us 1st A 2.61 8.04 1.10 0.35 11.00 4.060000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 55712 Bx prst8 tprnl mri-us 1st A 3.10 14.66 1.22 0.41 18.17 4.730000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 55713 Bx prst8 in-bore ct/mri bx 1 A 4.00 18.38 1.06 0.50 22.88 5.560000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 55714 Bx prst8 in-bore ct/mri 1 A 3.62 18.24 0.98 0.46 22.32 5.060000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 55715 Bx prst8 ea add mri-us/ct/mr A 1.05 1.24 0.22 0.14 2.43 1.410ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 55720 Drainage of prostate abscess A 7.54 3.91NA 3.91 0.98 12.43 12.430090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 55725 Drainage of prostate abscess A 9.80 5.30NA 5.30 1.27 16.37 16.370090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 55801 Removal of prostate A 19.31 7.65NA 7.65 2.48 29.44 29.440090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 55810 Extensive prostate surgery A 23.68 8.16NA 8.16 3.04 34.88 34.880090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 55812 Extensive prostate surgery A 29.14 9.94NA 9.94 3.75 42.83 42.830090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 55815 Extensive prostate surgery A 32.13 10.56NA 10.56 4.13 46.82 46.820090.10.80.10222109 33.4009 090 99 0.00 0.00 0.00
- 55821 Removal of prostate A 14.80 5.90NA 5.90 1.91 22.61 22.610090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 55831 Removal of prostate A 15.21 5.99NA 5.99 2.00 23.20 23.200090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 55840 Extensive prostate surgery A 20.83 7.74NA 7.74 2.72 31.29 31.290090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 55842 Extensive prostate surgery A 20.83 7.71NA 7.71 2.68 31.22 31.220090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 55845 Extensive prostate surgery A 24.55 8.49NA 8.49 3.17 36.21 36.210090.10.80.10222109 33.4009 090 99 0.00 0.00 0.00
- 55860 Surgical exposure prostate A 15.44 6.11NA 6.11 1.98 23.53 23.530090.10.80.10201109 33.4009 090 99 0.00 0.00 0.00
- 55862 Extensive prostate surgery A 19.54 7.33NA 7.33 2.51 29.38 29.380090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 55865 Extensive prostate surgery A 23.96 8.64NA 8.64 3.06 35.66 35.660090.10.80.10222109 33.4009 090 99 0.00 0.00 0.00
- 55866 Laps surg prst8ect rpbic rad A 21.90 7.66NA 7.66 2.83 32.39 32.390090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 55867 Laps surg prst8ect smpl stot A 19.04 6.82NA 6.82 2.46 28.32 28.320090.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 55868 Lap srg prst8ct lymph nod bx A 22.46 7.79NA 7.79 2.91 33.16 33.160090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 55869 Lap srg prst8ct bi pl lmphad A 27.41 8.82NA 8.82 3.55 39.78 39.780090.08.83.09202109 33.4009 090 99 0.00 0.00 0.00
- 55870 Electroejaculation A 2.52 2.70 0.97 0.33 5.55 3.820000.00.00.00201109 33.4009 090 99 0.00 0.00 0.00
- 55873 Cryoablate prostate A 13.26 155.45 5.66 1.69 170.40 20.610090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 55874 Tprnl plmt biodegrdabl matrl A 2.95 107.63 0.99 0.33 110.91 4.270000.00.00.00201119 33.4009 090 99 0.00 0.00 0.00
- 55875 Transperi needle place pros A 13.12 6.05NA 6.05 1.42 20.59 20.590090.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 55876 Place rt device/marker pros A 1.69 2.65 0.84 0.19 4.53 2.720000.00.00.00201119 33.4009 090 99 0.00 0.00 0.00
- 55877 Abltj ire prst8 1+ tum perq A 13.50 4.99NA 4.99 1.61 20.10 20.100090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 55880 Abltj mal prst8 tiss hifu A 17.29 6.83NA 6.83 2.21 26.33 26.330090.08.83.09201009 33.4009 090 99 0.00 0.00 0.00
- 55881 Ablt trurl prst8 tis thrm us A 9.56 266.75 2.06 1.24 277.55 12.860000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 55882 Ablt trurl prst8 tis trnsdcr A 11.21 275.71 3.01 1.58 288.50 15.800000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 55899 Unlisted px male genital 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
- 55920 Place needles pelvic for rt A 8.10 2.71NA 2.71 0.69 11.50 11.500000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 55970 Sex transformation m to f 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
- 55980 Sex transformation f to m 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
- 56405 I&d vulva/perineal abscess A 1.45 2.66 1.79 0.26 4.37 3.500010.10.80.10201209 33.4009 090 99 0.00 0.00 0.00
- 56420 I&d bartholins gland abscess A 1.40 3.81 1.36 0.24 5.45 3.000010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 56440 Mrsplzatn brthlns glnd cst A 2.82 1.60NA 1.60 0.48 4.90 4.900010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 56441 Lysis of labial adhesions A 1.97 3.15 1.90 0.34 5.46 4.210010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 56442 Hymenotomy A 0.66 0.53NA 0.53 0.12 1.31 1.310000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 56501 Destroy vulva lesions sim A 1.54 3.75 1.80 0.25 5.54 3.590010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 56515 Destroy vulva lesion/s compl A 3.00 4.67 2.18 0.51 8.18 5.690010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 56605 Biopsy of vulva/perineum A 1.07 1.54 0.29 0.19 2.80 1.550000.00.00.00201209 33.4009 090 99 0.00 0.00 0.00
- 56606 Biopsy of vulva/perineum A 0.54 0.54 0.13 0.09 1.17 0.760ZZZ.00.00.00001209 33.4009 090 99 0.00 0.00 0.00
- 56620 Vulvectomy simple partial A 7.34 7.52NA 7.52 1.51 16.37 16.370090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 56625 Vulvectomy simple complete A 9.44 7.18NA 7.18 1.98 18.60 18.600090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 56630 Vulvectomy radical partial A 14.43 9.27NA 9.27 3.18 26.88 26.880090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 56631 Vlvctmy rad prtl uni lymphad A 18.52 10.65NA 10.65 4.05 33.22 33.220090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 56632 Vlvctmy rad prtl bi lymphad A 21.31 14.09NA 14.09 4.64 40.04 40.040090.12.74.14222209 33.4009 090 99 0.00 0.00 0.00
- 56633 Vulvectomy radical complete A 19.13 11.13NA 11.13 4.19 34.45 34.450090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 56634 Vlvctmy rad comp uni lymphad A 20.14 11.99NA 11.99 4.66 36.79 36.790090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 56637 Vlvctmy rad comp bi lymphad A 24.13 13.16NA 13.16 5.59 42.88 42.880090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 56640 Vlvctmy rad comp w/lymphadec A 24.16 13.13NA 13.13 5.59 42.88 42.880090.12.74.14212109 33.4009 090 99 0.00 0.00 0.00
- 56700 Prtl hymnctmy/revj hymnl rng A 2.77 2.19NA 2.19 0.48 5.44 5.440010.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 56740 Exc bartholins gland/cyst A 4.76 2.84NA 2.84 0.87 8.47 8.470010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 56800 Plastic repair introitus A 3.83 2.31NA 2.31 0.66 6.80 6.800010.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 56805 Clitoroplasty intersex state A 19.38 7.89NA 7.89 3.39 30.66 30.660090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 56810 Perineoplasty rpr per nonob A 4.18 2.33NA 2.33 0.71 7.22 7.220010.10.80.10202209 33.4009 090 99 0.00 0.00 0.00
- 56820 Colposcopy vulva A 1.46 2.10 0.53 0.27 3.83 2.260000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 56821 Colposcopy vulva w/biopsy A 2.00 2.74 0.65 0.38 5.12 3.030000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 57000 Colpotomy w/exploration A 2.94 1.90NA 1.90 0.50 5.34 5.340010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 57010 Colpotomy drg pel abscess A 6.67 4.39NA 4.39 1.17 12.23 12.230090.12.74.14200009 33.4009 090 99 0.00 0.00 0.00
- 57020 Colpocentesis sep px A 1.46 1.87 0.35 0.25 3.58 2.060000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 57022 I&d vaginal hematoma ob/pp A 2.66 1.66NA 1.66 0.46 4.78 4.780010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 57023 I&d vaginal hematoma non-ob A 5.05 2.54NA 2.54 0.89 8.48 8.480010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 57061 Destruction vag lesions smpl A 1.27 3.39 1.67 0.22 4.88 3.160010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 57065 Destruction vag lesion xtnsv A 2.59 4.20 1.93 0.45 7.24 4.970010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 57100 Biopsy vaginal mucosa simple A 1.17 1.76 0.36 0.22 3.15 1.750000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 57105 Biopsy vaginal mucosa xtnsv A 1.70 3.22 2.03 0.33 5.25 4.060010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 57106 Vagnc prtl rmvl vag wall A 7.31 6.08NA 6.08 1.35 14.74 14.740090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57107 Vagnc compl rmvl paravag tis A 23.95 10.91NA 10.91 4.69 39.55 39.550090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57109 Vagnc bi total pel lymphadec A 27.69 14.54NA 14.54 6.42 48.65 48.650090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 57110 Vagnc compl rmvl vag wall A 15.09 6.25NA 6.25 2.55 23.89 23.890090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57111 Vagnc compl rmvl paravag tis A 27.69 14.54NA 14.54 6.42 48.65 48.650090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 57120 Colpocleisis le fort type A 8.07 4.78NA 4.78 1.33 14.18 14.180090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57130 Excision vaginal septum A 2.40 3.83 1.79 0.42 6.65 4.610010.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 57135 Excision vaginal cyst/tumor A 2.63 4.19 1.95 0.46 7.28 5.040010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 57150 Treat vagina infection A 0.49 1.03 0.11 0.07 1.59 0.670000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 57155 Insert uteri tandem/ovoids A 5.02 6.42 1.66 0.46 11.90 7.140000.00.00.00201209 33.4009 090 99 0.00 0.00 0.00
- 57156 Ins vag brachytx device A 2.62 3.87 0.97 0.21 6.70 3.800000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 57160 Insert pessary/other device A 0.87 1.09 0.19 0.15 2.11 1.210000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 57170 Fitting of diaphragm/cap A 0.89 1.13 0.19 0.16 2.18 1.240000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 57180 Treat vaginal bleeding A 1.59 3.80 1.34 0.27 5.66 3.200010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 57200 Repair of vagina A 4.31 4.01NA 4.01 0.80 9.12 9.120090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57210 Repair vagina/perineum A 5.57 4.05NA 4.05 1.01 10.63 10.630090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57220 Revision of urethra A 4.73 3.79NA 3.79 0.81 9.33 9.330090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57230 Repair of urethral lesion A 6.14 3.94NA 3.94 1.08 11.16 11.160090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57240 Anterior colporrhaphy A 9.83 4.88NA 4.88 1.61 16.32 16.320090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57250 Repair rectum & vagina A 9.83 4.85NA 4.85 1.65 16.33 16.330090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57260 Cmbn ant pst colprhy A 12.92 5.49NA 5.49 2.17 20.58 20.580090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57265 Cmbn ap colprhy w/ntrcl rpr A 14.63 5.89NA 5.89 2.48 23.00 23.000090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57267 Insert mesh/pelvic flr addon A 4.76 1.02NA 1.02 0.78 6.56 6.560ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 57268 Repair of bowel bulge A 7.38 5.02NA 5.02 1.27 13.67 13.670090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57270 Repair of bowel pouch A 13.33 5.95NA 5.95 2.30 21.58 21.580090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57280 Suspension of vagina A 16.30 6.66NA 6.66 2.69 25.65 25.650090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57282 Colpopexy extraperitoneal A 11.34 5.21NA 5.21 1.87 18.42 18.420090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57283 Colpopexy intraperitoneal A 11.37 5.21NA 5.21 1.95 18.53 18.530090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57284 Repair paravag defect open A 13.97 5.67NA 5.67 2.46 22.10 22.100090.08.83.09202209 33.4009 090 99 0.00 0.00 0.00
- 57285 Repair paravag defect vag A 11.31 5.20NA 5.20 1.90 18.41 18.410090.08.83.09202209 33.4009 090 99 0.00 0.00 0.00
- 57287 Revise/remove sling repair A 10.87 7.17NA 7.17 1.72 19.76 19.760090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57288 Repair bladder defect A 11.83 6.13NA 6.13 1.91 19.87 19.870090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57289 Repair bladder & vagina A 12.48 6.28NA 6.28 2.19 20.95 20.950090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57291 Construction of vagina A 8.42 4.73NA 4.73 1.47 14.62 14.620090.12.74.14202009 33.4009 090 99 0.00 0.00 0.00
- 57292 Construct vagina with graft A 13.66 5.85NA 5.85 2.39 21.90 21.900090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57295 Revise vag graft via vagina A 7.62 4.57NA 4.57 1.24 13.43 13.430090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57296 Revise vag graft open abd A 16.15 6.26NA 6.26 2.83 25.24 25.240090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57300 Repair rectum-vagina fistula A 8.49 6.79NA 6.79 1.61 16.89 16.890090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57305 Repair rectum-vagina fistula A 14.97 8.98NA 8.98 2.97 26.92 26.920090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57307 Fistula repair & colostomy A 16.74 10.74NA 10.74 2.41 29.89 29.890090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57308 Fistula repair transperine A 10.33 7.07NA 7.07 1.48 18.88 18.880090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57310 Repair urethrovaginal lesion A 7.46 5.02NA 5.02 0.96 13.44 13.440090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57311 Repair urethrovaginal lesion A 8.69 5.28NA 5.28 1.12 15.09 15.090090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57320 Repair bladder-vagina lesion A 8.66 4.86NA 4.86 1.50 15.02 15.020090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57330 Repair bladder-vagina lesion A 12.88 6.09NA 6.09 1.65 20.62 20.620090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57335 Repair vagina A 19.52 8.07NA 8.07 3.43 31.02 31.020090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57400 Dilation of vagina A 2.21 0.86NA 0.86 0.39 3.46 3.460000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 57410 Pelvic examination A 1.71 0.88NA 0.88 0.30 2.89 2.890000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 57415 Remove vaginal foreign body A 2.43 1.84NA 1.84 0.41 4.68 4.680010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 57420 Exam of vagina w/scope A 1.56 2.26 0.57 0.30 4.12 2.430000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 57421 Exam/biopsy of vag w/scope A 2.15 2.88 0.70 0.42 5.45 3.270000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 57423 Repair paravag defect lap A 15.68 6.23NA 6.23 2.67 24.58 24.580090.08.83.09202209 33.4009 090 99 0.00 0.00 0.00
- 57425 Laparoscopy surg colpopexy A 16.60 6.40NA 6.40 2.75 25.75 25.750090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57426 Revise prosth vag graft lap A 13.94 6.96NA 6.96 2.33 23.23 23.230090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57452 Exam of cervix w/scope A 1.46 2.04 0.75 0.26 3.76 2.470000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 57454 Bx/curett of cervix w/scope A 2.27 2.30 0.89 0.40 4.97 3.560000.00.00.00301009 57452 33.4009 090 99 0.00 0.00 0.00
- 57455 Biopsy of cervix w/scope A 1.94 2.52 0.59 0.36 4.82 2.890000.00.00.00301009 57452 33.4009 090 99 0.00 0.00 0.00
- 57456 Endocerv curettage w/scope A 1.80 2.38 0.54 0.33 4.51 2.670000.00.00.00301009 57452 33.4009 090 99 0.00 0.00 0.00
- 57460 Bx of cervix w/scope leep A 2.76 6.01 1.00 0.48 9.25 4.240000.00.00.00301009 57452 33.4009 090 99 0.00 0.00 0.00
- 57461 Conz of cervix w/scope leep A 3.34 6.52 0.90 0.60 10.46 4.840000.00.00.00301009 57452 33.4009 090 99 0.00 0.00 0.00
- 57465 Cam cervix uteri drg colp A 0.79 0.72 0.17 0.14 1.65 1.100ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 57500 Biopsy of cervix A 1.17 3.15 0.67 0.21 4.53 2.050000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 57505 Endocervical curettage A 1.16 3.09 1.61 0.21 4.46 2.980010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 57510 Cauterization of cervix A 1.85 2.71 0.87 0.34 4.90 3.060010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 57511 Cryocautery of cervix A 1.90 3.45 1.70 0.34 5.69 3.940010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 57513 Laser surgery of cervix A 1.90 3.64 1.68 0.34 5.88 3.920010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 57520 Conization of cervix A 4.01 5.99 3.39 0.79 10.79 8.190090.12.74.14201009 33.4009 090 99 0.00 0.00 0.00
- 57522 Conization of cervix A 3.58 4.78 2.71 0.64 9.00 6.930090.12.74.14201009 33.4009 090 99 0.00 0.00 0.00
- 57530 Removal of cervix A 5.14 4.08NA 4.08 0.95 10.17 10.170090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57531 Removal of cervix radical A 29.20 10.33NA 10.33 9.37 48.90 48.900090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 57540 Removal of residual cervix A 12.96 5.72NA 5.72 2.27 20.95 20.950090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57545 Remove cervix/repair pelvis A 13.75 5.89NA 5.89 2.41 22.05 22.050090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57550 Removal of residual cervix A 6.18 4.29NA 4.29 1.09 11.56 11.560090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57555 Remove cervix/repair vagina A 9.69 5.07NA 5.07 1.70 16.46 16.460090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57556 Remove cervix repair bowel A 9.13 4.91NA 4.91 1.61 15.65 15.650090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 57558 D&c of cervical stump A 1.68 2.51 1.44 0.29 4.48 3.410010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 57700 Revision of cervix A 4.24 4.55NA 4.55 0.75 9.54 9.540090.12.74.14200009 33.4009 090 99 0.00 0.00 0.00
- 57720 Revision of cervix A 4.49 3.68NA 3.68 0.79 8.96 8.960090.12.74.14202009 33.4009 090 99 0.00 0.00 0.00
- 57800 Dilation of cervical canal A 0.75 1.33 0.41 0.14 2.22 1.300000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 58100 Biopsy of uterus lining A 1.18 1.55 0.26 0.21 2.94 1.650000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 58110 Bx done w/colposcopy add-on A 0.75 0.64 0.17 0.14 1.53 1.060ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 58120 Dilation and curettage A 3.50 4.78 2.13 0.65 8.93 6.280010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 58140 Myomectomy abdom method A 15.40 6.24NA 6.24 2.70 24.34 24.340090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58145 Myomectomy vag method A 8.69 4.74NA 4.74 1.51 14.94 14.940090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58146 Myomectomy abdom complex A 19.83 7.08NA 7.08 3.47 30.38 30.380090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58150 Total hysterectomy A 16.88 7.65NA 7.65 3.41 27.94 27.940090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58152 Total hysterectomy A 21.31 7.59NA 7.59 3.74 32.64 32.640090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58180 Partial hysterectomy A 16.19 6.73NA 6.73 3.03 25.95 25.950090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58200 Extensive hysterectomy A 22.52 10.18NA 10.18 4.92 37.62 37.620090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58210 Extensive hysterectomy A 30.14 13.56NA 13.56 6.53 50.23 50.230090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58240 Removal of pelvis contents A 48.10 22.25NA 22.25 9.82 80.17 80.170090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58260 Vaginal hysterectomy A 13.80 6.01NA 6.01 2.40 22.21 22.210090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58262 Vag hyst including t/o A 15.54 6.29NA 6.29 2.68 24.51 24.510090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58263 Vag hyst w/t/o & vag repair A 16.80 6.55NA 6.55 2.92 26.27 26.270090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58267 Vag hyst w/urinary repair A 17.90 7.11NA 7.11 3.13 28.14 28.140090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58270 Vag hyst w/enterocele repair A 14.92 6.19NA 6.19 2.65 23.76 23.760090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58275 Hysterectomy/revise vagina A 16.60 6.70NA 6.70 2.92 26.22 26.220090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58280 Hysterectomy/revise vagina A 17.87 6.92NA 6.92 3.13 27.92 27.920090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58285 Extensive hysterectomy A 22.80 11.71NA 11.71 5.27 39.78 39.780090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58290 Vag hyst complex A 19.76 7.06NA 7.06 3.46 30.28 30.280090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58291 Vag hyst incl t/o complex A 21.51 7.43NA 7.43 3.77 32.71 32.710090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58292 Vag hyst t/o & repair compl A 22.77 7.69NA 7.69 3.99 34.45 34.450090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58294 Vag hyst w/enterocele compl A 21.01 7.33NA 7.33 3.68 32.02 32.020090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58300 Insert intrauterine device N+ 0.98 2.07 0.22 0.11 3.16 1.319XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 58301 Remove intrauterine device A 1.24 1.89 0.28 0.21 3.34 1.730000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 58321 Artificial insemination A 0.90 1.45 0.19 0.16 2.51 1.250000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 58322 Artificial insemination A 1.07 1.52 0.23 0.19 2.78 1.490000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 58323 Sperm washing A 0.22 0.18 0.05 0.04 0.44 0.310000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 58340 Catheter for hysterography A 0.86 6.09 0.56 0.14 7.09 1.560000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 58345 Reopen fallopian tube A 4.58 2.25NA 2.25 0.81 7.64 7.640010.10.80.10212209 33.4009 090 99 0.00 0.00 0.00
- 58346 Insert heyman uteri capsule A 7.37 4.62NA 4.62 0.58 12.57 12.570090.12.74.14201009 33.4009 090 99 0.00 0.00 0.00
- 58350 Reopen fallopian tube A 1.03 3.08 1.30 0.18 4.29 2.510010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 58353 Endometr ablate thermal A 3.51 22.55 1.98 0.61 26.67 6.100010.10.80.10201209 33.4009 090 99 0.00 0.00 0.00
- 58356 Endometrial cryoablation A 6.25 41.05 1.80 1.10 48.40 9.150010.10.80.10202209 33.4009 090 99 0.00 0.00 0.00
- 58400 Suspension of uterus A 6.96 4.36NA 4.36 1.13 12.45 12.450090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58410 Suspension of uterus A 13.46 5.75NA 5.75 2.36 21.57 21.570090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58520 Repair of ruptured uterus A 13.14 5.68NA 5.68 2.31 21.13 21.130090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58540 Revision of uterus A 15.32 6.22NA 6.22 2.69 24.23 24.230090.12.74.14202009 33.4009 090 99 0.00 0.00 0.00
- 58541 Lsh uterus 250 g or less A 11.98 5.48NA 5.48 1.96 19.42 19.420090.12.74.14302209 49320 33.4009 090 99 0.00 0.00 0.00
- 58542 Lsh w/t/o ut 250 g or less A 13.81 5.79NA 5.79 2.36 21.96 21.960090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58543 Lsh uterus above 250 g A 14.03 5.73NA 5.73 2.47 22.23 22.230090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58544 Lsh w/t/o uterus above 250 g A 15.21 6.17NA 6.17 2.63 24.01 24.010090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58545 Laparoscopic myomectomy A 15.16 6.17NA 6.17 2.86 24.19 24.190090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58546 Laparo-myomectomy complex A 19.44 6.49NA 6.49 3.40 29.33 29.330090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58548 Lap radical hyst A 30.84 14.23NA 14.23 6.66 51.73 51.730090.12.74.14222209 33.4009 090 99 0.00 0.00 0.00
- 58550 Laparo-asst vag hysterectomy A 14.72 6.21NA 6.21 2.62 23.55 23.550090.12.74.14302209 49320 33.4009 090 99 0.00 0.00 0.00
- 58552 Laparo-vag hyst incl t/o A 16.49 6.76NA 6.76 3.02 26.27 26.270090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58553 Laparo-vag hyst complex A 19.56 6.52NA 6.52 3.43 29.51 29.510090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58554 Laparo-vag hyst w/t/o compl A 22.53 8.13NA 8.13 4.12 34.78 34.780090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58555 Hysteroscopy dx sep proc A 2.58 6.79 1.00 0.45 9.82 4.030000.00.00.00200209 33.4009 090 99 0.00 0.00 0.00
- 58558 Hysteroscopy biopsy A 4.07 33.23 1.33 0.72 38.02 6.120000.00.00.00301209 58555 33.4009 090 99 0.00 0.00 0.00
- 58559 Hysteroscopy lysis A 5.07 1.50NA 1.50 0.89 7.46 7.460000.00.00.00301209 58555 33.4009 090 99 0.00 0.00 0.00
- 58560 Hysteroscopy resect septum A 5.61 1.62NA 1.62 1.00 8.23 8.230000.00.00.00302209 58555 33.4009 090 99 0.00 0.00 0.00
- 58561 Hysteroscopy remove myoma A 6.44 1.81NA 1.81 1.15 9.40 9.400000.00.00.00300209 58555 33.4009 090 99 0.00 0.00 0.00
- 58562 Hysteroscopy remove fb A 3.90 7.35 1.26 0.68 11.93 5.840000.00.00.00301209 58555 33.4009 090 99 0.00 0.00 0.00
- 58563 Hysteroscopy ablation A 4.36 55.01 1.36 0.78 60.15 6.500000.00.00.00300209 58555 33.4009 090 99 0.00 0.00 0.00
- 58565 Hysteroscopy sterilization A 6.94 39.22 3.94 1.22 47.38 12.100090.12.74.14321209 58555 33.4009 090 99 0.00 0.00 0.00
- 58570 Tlh uterus 250 g or less A 13.03 6.26NA 6.26 2.48 21.77 21.770090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58571 Tlh w/t/o 250 g or less A 14.63 7.21NA 7.21 2.97 24.81 24.810090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58572 Tlh uterus over 250 g A 17.27 7.57NA 7.57 3.47 28.31 28.310090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58573 Tlh w/t/o uterus over 250 g A 20.27 8.74NA 8.74 4.09 33.10 33.100090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58575 Laps tot hyst resj mal A 31.79 14.52NA 14.52 6.85 53.16 53.160090.12.74.14222209 33.4009 090 99 0.00 0.00 0.00
- 58578 Unlisted laps px uterus 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
- 58579 Unlisted hystsc px uterus 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
- 58580 Transcrv abltj utrn fibrd rf A 7.03 70.11 2.53 1.24 78.38 10.800010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 58600 Division of fallopian tube A 5.76 3.17NA 3.17 1.02 9.95 9.950090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58605 Division of fallopian tube A 5.15 2.99NA 2.99 0.91 9.05 9.050090.12.74.14222009 33.4009 090 99 0.00 0.00 0.00
- 58611 Ligate oviduct(s) add-on A 1.41 0.30NA 0.30 0.24 1.95 1.950ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 58615 Occlude fallopian tube(s) A 3.84 2.25NA 2.25 0.67 6.76 6.760010.10.80.10202009 33.4009 090 99 0.00 0.00 0.00
- 58660 Laparoscopy lysis A 11.30 5.12NA 5.12 2.37 18.79 18.790090.09.84.07302209 49320 33.4009 090 99 0.00 0.00 0.00
- 58661 Laparoscopy remove adnexa A 11.07 4.35NA 4.35 2.13 17.55 17.550010.10.80.10312209 49320 33.4009 090 99 0.00 0.00 0.00
- 58662 Laparoscopy excise lesions A 11.85 5.21NA 5.21 2.30 19.36 19.360090.09.84.07302209 49320 33.4009 090 99 0.00 0.00 0.00
- 58670 Laparoscopy tubal cautery A 5.76 3.19NA 3.19 1.02 9.97 9.970090.10.80.10301209 49320 33.4009 090 99 0.00 0.00 0.00
- 58671 Laparoscopy tubal block A 5.76 3.19NA 3.19 1.02 9.97 9.970090.10.80.10301209 49320 33.4009 090 99 0.00 0.00 0.00
- 58672 Laparoscopy fimbrioplasty A 12.59 4.51NA 4.51 2.20 19.30 19.300090.10.80.10312009 49320 33.4009 090 99 0.00 0.00 0.00
- 58673 Laparoscopy salpingostomy A 13.69 4.86NA 4.86 2.40 20.95 20.950090.10.80.10312009 49320 33.4009 090 99 0.00 0.00 0.00
- 58674 Laps abltj uterine fibroids A 13.73 5.43NA 5.43 2.41 21.57 21.570090.12.74.14202209 33.4009 090 99 0.00 0.00 0.00
- 58679 Unlisted laps px ovidct ovry 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
- 58700 Removal of fallopian tube A 12.63 6.75NA 6.75 2.49 21.87 21.870090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58720 Removal of ovary/tube(s) A 11.86 6.62NA 6.62 2.43 20.91 20.910090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58740 Adhesiolysis tube ovary A 14.53 7.25NA 7.25 2.92 24.70 24.700090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58750 Repair oviduct A 15.25 6.09NA 6.09 2.67 24.01 24.010090.12.74.14212109 33.4009 090 99 0.00 0.00 0.00
- 58752 Revise ovarian tube(s) A 15.25 6.01NA 6.01 2.67 23.93 23.930090.12.74.14212009 33.4009 090 99 0.00 0.00 0.00
- 58760 Fimbrioplasty A 13.58 5.73NA 5.73 2.38 21.69 21.690090.12.74.14212109 33.4009 090 99 0.00 0.00 0.00
- 58770 Create new tubal opening A 14.40 5.83NA 5.83 2.53 22.76 22.760090.12.74.14212009 33.4009 090 99 0.00 0.00 0.00
- 58800 Drainage of ovarian cyst(s) A 4.50 5.29 3.14 0.79 10.58 8.430090.12.74.14221009 33.4009 090 99 0.00 0.00 0.00
- 58805 Drainage of ovarian cyst(s) A 6.26 4.05NA 4.05 1.10 11.41 11.410090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58820 Drain ovary abscess open A 4.58 3.70NA 3.70 0.81 9.09 9.090090.12.74.14212009 33.4009 090 99 0.00 0.00 0.00
- 58822 Drain ovary abscess percut A 11.51 5.41NA 5.41 2.02 18.94 18.940090.12.74.14212109 33.4009 090 99 0.00 0.00 0.00
- 58825 Transposition ovary(s) A 11.49 5.29NA 5.29 2.01 18.79 18.790090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58900 Biopsy of ovary(s) A 6.43 4.09NA 4.09 1.13 11.65 11.650090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58920 Partial removal of ovary(s) A 11.65 5.20NA 5.20 2.05 18.90 18.900090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58925 Removal of ovarian cyst(s) A 12.12 6.37NA 6.37 2.41 20.90 20.900090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58940 Removal of ovary(s) A 8.01 5.75NA 5.75 1.67 15.43 15.430090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58943 Removal of ovary(s) A 19.03 10.39NA 10.39 4.40 33.82 33.820090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58950 Resect ovarian malignancy A 17.91 10.17NA 10.17 3.91 31.99 31.990090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58951 Resect ovarian malignancy A 23.65 11.07NA 11.07 5.12 39.84 39.840090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58952 Resect ovarian malignancy A 26.61 13.07NA 13.07 5.82 45.50 45.500090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58953 Tah rad dissect for debulk A 33.28 14.73NA 14.73 7.24 55.25 55.250090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58954 Tah rad debulk/lymph remove A 36.20 15.68NA 15.68 7.84 59.72 59.720090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58956 Bso omentectomy w/tah A 22.23 10.75NA 10.75 4.76 37.74 37.740090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58958 Resc recr ovr tbl pp utr mal A 28.49 10.03NA 10.03 4.99 43.51 43.510090.12.74.14222109 33.4009 090 99 0.00 0.00 0.00
- 58960 Exploration of abdomen A 15.40 9.28NA 9.28 3.57 28.25 28.250090.12.74.14202109 33.4009 090 99 0.00 0.00 0.00
- 58970 Retrieval of oocyte A 3.43 3.08 1.15 0.59 7.10 5.170000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 58974 Embryo transfer intrauterine C 0.00 0.00 0.00 0.00 0.00 0.000000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 58976 Transfer of embryo A 3.72 3.27 1.21 0.65 7.64 5.580000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 58999 Unlisted px fml genital sys 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
- 59000 Amniocentesis diagnostic A 1.27 1.90 0.50 0.41 3.58 2.180000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 59001 Amniocentesis therapeutic A 2.93 0.92NA 0.92 0.93 4.78 4.780000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 59012 Fetal cord puncture prenatal A 3.35 0.95NA 0.95 1.08 5.38 5.380000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59015 Chorion biopsy A 2.15 1.98 0.69 0.68 4.81 3.520000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59020 Fetal contract stress test A 0.64 1.35 1.35NA 0.19 2.18 2.181000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 5902026Fetal contract stress test A 0.64 0.28 0.28 0.18 1.10 1.101000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 59020TCFetal contract stress test A 0.00 1.07 1.07NA 0.01 1.08 1.081000.00.00.00000009 33.4009 020 99 0.00 0.00 0.00
- 59025 Fetal non-stress test A 0.52 0.85 0.85NA 0.14 1.51 1.511000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 5902526Fetal non-stress test A 0.52 0.23 0.23 0.13 0.88 0.881000.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 59025TCFetal non-stress test A 0.00 0.62 0.62NA 0.01 0.63 0.631000.00.00.00000009 33.4009 010 99 0.00 0.00 0.00
- 59030 Fetal scalp blood sampling A 1.94 0.41NA 0.41 0.61 2.96 2.960000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59050 Fetal monitor w/report A 0.87 0.19NA 0.19 0.27 1.33 1.330XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 59051 Fetal monitor/interpret only A 0.72 0.15NA 0.15 0.22 1.09 1.090XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 59070 Transabdom amnioinfus w/us A 5.11 5.34 1.51 1.63 12.08 8.250000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 59072 Umbilical cord occlud w/us A 8.77 2.28NA 2.28 2.81 13.86 13.860000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 59074 Fetal fluid drainage w/us A 5.11 4.89 1.51 1.63 11.63 8.250000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 59076 Fetal shunt placement w/us A 8.77 2.28NA 2.28 2.81 13.86 13.860000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 59100 Remove uterus lesion A 13.04 5.85NA 5.85 4.18 23.07 23.070090.17.60.23202109 33.4009 090 99 0.00 0.00 0.00
- 59120 Treat ectopic pregnancy A 12.35 5.70NA 5.70 3.95 22.00 22.000090.17.60.23202109 33.4009 090 99 0.00 0.00 0.00
- 59121 Treat ectopic pregnancy A 12.42 5.61NA 5.61 3.98 22.01 22.010090.17.60.23202109 33.4009 090 99 0.00 0.00 0.00
- 59130 Treat ectopic pregnancy A 14.70 6.10NA 6.10 4.72 25.52 25.520090.17.60.23200009 33.4009 090 99 0.00 0.00 0.00
- 59136 Treat ectopic pregnancy A 13.89 5.84NA 5.84 4.46 24.19 24.190090.17.60.23202009 33.4009 090 99 0.00 0.00 0.00
- 59140 Treat ectopic pregnancy A 5.79 3.74NA 3.74 1.85 11.38 11.380090.17.60.23202009 33.4009 090 99 0.00 0.00 0.00
- 59150 Treat ectopic pregnancy A 11.98 5.53NA 5.53 3.84 21.35 21.350090.17.60.23202009 33.4009 090 99 0.00 0.00 0.00
- 59151 Treat ectopic pregnancy A 11.81 5.20NA 5.20 3.78 20.79 20.790090.17.60.23202009 33.4009 090 99 0.00 0.00 0.00
- 59160 D & c after delivery A 2.69 4.33 1.46 0.87 7.89 5.020010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 59200 Insert cervical dilator A 1.17 2.37 0.26 0.36 3.90 1.790000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 59300 Episiotomy or vaginal repair A 2.35 3.64 0.89 0.76 6.75 4.000000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59320 Revision of cervix A 2.42 0.90NA 0.90 0.79 4.11 4.110000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59325 Revision of cervix A 3.96 1.22NA 1.22 1.27 6.45 6.450000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59350 Repair of uterus A 4.82 1.02NA 1.02 1.53 7.37 7.370000.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 59400 Obstetrical care A 37.00 18.76NA 18.76 10.54 66.30 66.300MMM.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 59409 Obstetrical care A 14.37 3.22NA 3.22 4.02 21.61 21.610MMM.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59410 Obstetrical care A 18.76 5.13NA 5.13 5.34 29.23 29.230MMM.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 59412 Antepartum manipulation A 1.71 0.57NA 0.57 0.54 2.82 2.820MMM.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 59414 Deliver placenta A 1.61 0.35NA 0.35 0.50 2.46 2.460MMM.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59425 Antepartum care only A 7.80 7.18 1.70 2.23 17.21 11.730MMM.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 59426 Antepartum care only A 14.30 13.20 3.11 4.10 31.60 21.510MMM.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 59430 Care after delivery A 3.22 3.68 0.70 0.92 7.82 4.840MMM.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 59510 Cesarean delivery A 41.05 20.00NA 20.00 13.00 74.05 74.050MMM.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 59514 Cesarean delivery only A 16.13 3.52NA 3.52 5.01 24.66 24.660MMM.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 59515 Cesarean delivery A 22.79 6.62NA 6.62 7.26 36.67 36.670MMM.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 59525 Remove uterus after cesarean A 8.32 1.77NA 1.77 2.67 12.76 12.760ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 59610 Vbac delivery A 38.71 18.63NA 18.63 12.44 69.78 69.780MMM.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59612 Vbac delivery only A 16.09 3.41NA 3.41 5.15 24.65 24.650MMM.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59614 Vbac care after delivery A 20.48 4.88NA 4.88 6.57 31.93 31.930MMM.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59618 Attempted vbac delivery A 41.57 19.93NA 19.93 13.36 74.86 74.860MMM.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59620 Attempted vbac delivery only A 16.66 3.53NA 3.53 5.33 25.52 25.520MMM.00.00.00202009 33.4009 090 99 0.00 0.00 0.00
- 59622 Attempted vbac after care A 23.32 7.03NA 7.03 7.47 37.82 37.820MMM.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59812 Treatment of miscarriage A 4.33 5.06 2.67 1.37 10.76 8.370090.17.60.23201009 33.4009 090 99 0.00 0.00 0.00
- 59820 Care of miscarriage A 4.72 6.70 4.30 1.50 12.92 10.520090.17.60.23201009 33.4009 090 99 0.00 0.00 0.00
- 59821 Treatment of miscarriage A 4.96 6.25 3.75 1.59 12.80 10.300090.17.60.23200009 33.4009 090 99 0.00 0.00 0.00
- 59830 Treat uterus infection A 6.43 4.06NA 4.06 2.06 12.55 12.550090.17.60.23200009 33.4009 090 99 0.00 0.00 0.00
- 59840 Induced abortion d&c R 2.93 3.46 2.17 0.93 7.32 6.030010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 59841 Induced abortion dilat&evac R 5.51 5.42 2.80 1.76 12.69 10.070010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 59850 Induced abortion 1+ njx R 5.75 3.03NA 3.03 1.84 10.62 10.620090.17.60.23200009 33.4009 090 99 0.00 0.00 0.00
- 59851 Induced abortion 1+njx d&c R 5.77 3.96NA 3.96 1.85 11.58 11.580090.17.60.23200009 33.4009 090 99 0.00 0.00 0.00
- 59852 Induced abortion 1+njx hyst R 8.02 5.27NA 5.27 2.57 15.86 15.860090.17.60.23200009 33.4009 090 99 0.00 0.00 0.00
- 59855 Induced abortion 1+vag supp R 6.27 3.27NA 3.27 2.01 11.55 11.550090.17.60.23200009 33.4009 090 99 0.00 0.00 0.00
- 59856 Induced ab 1+vag supp d&c R 7.60 3.41NA 3.41 2.43 13.44 13.440090.17.60.23200009 33.4009 090 99 0.00 0.00 0.00
- 59857 Induced ab 1+vag supp hyst R 9.10 3.61NA 3.61 2.92 15.63 15.630090.17.60.23200009 33.4009 090 99 0.00 0.00 0.00
- 59866 Abortion (mpr) R 3.89 1.25NA 1.25 1.25 6.39 6.390000.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 59870 Evacuate mole of uterus A 6.41 5.99NA 5.99 2.05 14.45 14.450090.17.60.23202009 33.4009 090 99 0.00 0.00 0.00
- 59871 Remove cerclage suture A 2.08 0.87NA 0.87 0.66 3.61 3.610000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 59897 Unlisted fetal invas px w/us 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
- 59898 Unlstd laps px mat care&dlvr 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
- 59899 Unlisted px mat care&dlvr C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00202119 33.4009 090 99 0.00 0.00 0.0060000’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 |
- 60000 I&d thyroglssl dux cst infct A 1.76 3.59 2.35 0.25 5.60 4.360010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 6005F Care level rationale 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
- 60100 Biopsy of thyroid A 1.52 1.56 0.27 0.17 3.25 1.960000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 6010F Dysphag test done b/4 eating I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 6015F Dysphag test done b/4 eating I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 60200 Remove thyroid lesion A 9.77 6.80NA 6.80 2.04 18.61 18.610090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 6020F Npo (nothing-mouth) 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
- 60210 Partial thyroid excision A 10.95 6.15NA 6.15 2.28 19.38 19.380090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60212 Partial thyroid excision A 16.02 8.83NA 8.83 4.28 29.13 29.130090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60220 Partial removal of thyroid A 10.91 6.13NA 6.13 2.13 19.17 19.170090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60225 Partial removal of thyroid A 14.42 8.11NA 8.11 2.90 25.43 25.430090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60240 Removal of thyroid A 14.66 7.15NA 7.15 3.03 24.84 24.840090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60252 Removal of thyroid A 21.46 9.56NA 9.56 4.27 35.29 35.290090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60254 Extensive thyroid surgery A 27.71 11.13NA 11.13 5.52 44.36 44.360090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60260 Repeat thyroid surgery A 17.80 7.77NA 7.77 3.47 29.04 29.040090.09.82.09212109 33.4009 090 99 0.00 0.00 0.00
- 60270 Removal of thyroid A 22.62 9.48NA 9.48 4.69 36.79 36.790090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60271 Removal of thyroid A 17.18 7.69NA 7.69 3.46 28.33 28.330090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60280 Remove thyroid duct lesion A 6.01 5.33NA 5.33 0.93 12.27 12.270090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60281 Remove thyroid duct lesion A 8.60 5.87NA 5.87 1.26 15.73 15.730090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60300 Aspir/inj thyroid cyst A 0.95 2.03 0.19 0.11 3.09 1.250000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 6030F Max sterile barriers flwd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 6040F Appro rad ds dvcs techs 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
- 6045F Radxps in end rprt4fluro pxd I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 60500 Explore parathyroid glands A 15.21 8.09NA 8.09 3.39 26.69 26.690090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60502 Re-explore parathyroids A 20.62 10.52NA 10.52 4.87 36.01 36.010090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60505 Explore parathyroid glands A 22.48 10.18NA 10.18 3.27 35.93 35.930090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60512 Autotransplant parathyroid A 4.33 1.08NA 1.08 0.91 6.32 6.320ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 60520 Removal of thymus gland A 16.73 8.63NA 8.63 4.07 29.43 29.430090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60521 Removal of thymus gland A 18.70 8.99NA 8.99 4.68 32.37 32.370090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60522 Removal of thymus gland A 22.89 10.38NA 10.38 5.66 38.93 38.930090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60540 Explore adrenal gland A 17.57 8.72NA 8.72 3.98 30.27 30.270090.09.82.09212109 33.4009 090 99 0.00 0.00 0.00
- 60545 Explore adrenal gland A 20.41 9.87NA 9.87 4.88 35.16 35.160090.09.82.09212109 33.4009 090 99 0.00 0.00 0.00
- 60600 Remove carotid body lesion A 24.46 6.59NA 6.59 5.60 36.65 36.650090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60605 Remove carotid body lesion A 31.16 5.78NA 5.78 7.97 44.91 44.910090.09.82.09202109 33.4009 090 99 0.00 0.00 0.00
- 60650 Laparoscopy adrenalectomy A 20.21 8.24NA 8.24 4.60 33.05 33.050090.09.84.07212109 33.4009 090 99 0.00 0.00 0.00
- 60659 Unlisted laps px endoc sys C 0.00 0.00 0.00 0.00 0.00 0.000YYY.00.00.00212009 33.4009 090 99 0.00 0.00 0.00
- 60660 Abltj 1/+thyr ndul 1lobe prq A 5.61 70.39 1.78 0.95 76.95 8.340000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 60661 Abltj 1/+thyr ndul addl prq A 4.14 7.42 0.87 0.69 12.25 5.700ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 60699 Unlisted px endocrine system 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
- 6070F Pt asked/cnsld aed effects I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 6080F Pt/caregiver queried falls I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 6090F Pt/caregiver counsel safety I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 61000 Remove cranial cavity fluid A 1.54 1.15NA 1.15 0.64 3.33 3.330000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 61001 Remove cranial cavity fluid A 1.45 1.12NA 1.12 0.60 3.17 3.170000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 6100F Verify pt site pxd 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
- 6101F Safety counseling dementia I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 61020 Remove brain cavity fluid A 1.47 0.97NA 0.97 0.51 2.95 2.950000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 61026 Injection into brain canal A 1.65 1.01NA 1.01 0.48 3.14 3.140000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 6102F Safety counseling dem 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
- 61050 Remove brain canal fluid A 1.47 0.46NA 0.46 0.14 2.07 2.070000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 61055 Injection into brain canal A 2.05 0.64NA 0.64 0.26 2.95 2.950000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 61070 Brain canal shunt procedure A 0.87 0.52NA 0.52 0.15 1.54 1.540000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 61105 Tdh sdrl/ventr pnxr A 5.31 7.38NA 7.38 2.23 14.92 14.920090.11.76.13200009 33.4009 090 99 0.00 0.00 0.00
- 61107 Tdh pnxr implt ventr cath A 4.87 1.70NA 1.70 2.04 8.61 8.610000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 61108 Tdh pnxr evac&/drg sdrl hmta A 11.35 11.88NA 11.88 4.58 27.81 27.810090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 6110F Counsel prov driving risks I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 61120 Burr hole for ventr puncture A 9.36 9.87NA 9.87 3.93 23.16 23.160090.11.76.13200009 33.4009 090 99 0.00 0.00 0.00
- 61140 Burr hole/treph bx brain/les A 16.80 14.14NA 14.14 7.02 37.96 37.960090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 61150 Bur hol/trph drg brn abs/cst A 18.43 13.82NA 13.82 7.76 40.01 40.010090.11.76.13201109 33.4009 090 99 0.00 0.00 0.00
- 61151 Burr hole/treph sbsq tapping A 13.15 11.20NA 11.20 5.54 29.89 29.890090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 61154 Burr hole w/evac&/drg hmtma A 16.64 14.89NA 14.89 6.99 38.52 38.520090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 61156 Burr hol aspir hmtm/cst icer A 17.01 12.52NA 12.52 7.12 36.65 36.650090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61210 Burr hole implt ventr cath A 5.68 1.99NA 1.99 2.38 10.05 10.050000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 61215 Ins subq rsvr pmp/nfs sys A 5.70 8.59NA 8.59 2.40 16.69 16.690090.11.76.13201109 33.4009 090 99 0.00 0.00 0.00
- 61250 Burr hole/treph sttl expl A 11.20 10.51NA 10.51 4.73 26.44 26.440090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 61253 Burr hole treph ittl uni/bi A 13.15 11.20NA 11.20 5.54 29.89 29.890090.11.76.13222009 33.4009 090 99 0.00 0.00 0.00
- 61304 Crnec/crnot expl supratntorl A 22.82 15.82NA 15.82 9.53 48.17 48.170090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61305 Crnec/crnot expl infratntorl A 27.92 18.95NA 18.95 11.81 58.68 58.680090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61312 Crnec/crnot sttl xdrl/sdrl A 29.42 18.25NA 18.25 12.36 60.03 60.030090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61313 Crnec/crnot sttl icere A 27.39 19.42NA 19.42 11.50 58.31 58.310090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61314 Crnec/crnot ittl xdrl/sdrl A 25.25 17.69NA 17.69 10.62 53.56 53.560090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61315 Crnec/crnot ittl ntracereblr A 28.91 19.26NA 19.26 12.22 60.39 60.390090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61316 Inc&subq plmt crnl bone grf A 1.36 0.47NA 0.47 0.56 2.39 2.390ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 61320 Crnec/crnot drg icr abs sttl A 26.73 17.13NA 17.13 11.14 55.00 55.000090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61321 Crnec/crnot drg icr abs ittl A 29.77 19.60NA 19.60 12.58 61.95 61.950090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61322 Crnec/crnot dcmprv w/o lobec A 33.40 21.53NA 21.53 14.04 68.97 68.970090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61323 Crnec/crnot dcmprv w/lobec A 34.18 20.22NA 20.22 14.42 68.82 68.820090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61330 Dcmprn orbit only transcrnl A 24.67 17.70NA 17.70 10.43 52.80 52.800090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 61333 Expl orbit w/removal lesion A 28.54 18.00NA 18.00 12.06 58.60 58.600090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 61340 Subtemporal cranial dcmprn A 19.61 14.86NA 14.86 8.28 42.75 42.750090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 61343 Crnec sopl crv lam dcmprn A 31.06 19.43NA 19.43 12.75 63.24 63.240090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61345 Oth cranial dcmprn pst fossa A 28.50 19.03NA 19.03 12.04 59.57 59.570090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61450 Crnec stpl sctj cmprn/dcmprn A 27.00 17.45NA 17.45 11.41 55.86 55.860090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61458 Crnec sopl xpl/dcmpr crl nrv A 28.12 18.84NA 18.84 11.83 58.79 58.790090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61460 Crnec sopl sctj 1+crnl nrv A 29.48 19.38NA 19.38 12.46 61.32 61.320090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 61500 Crnec exc tum/bone les skull A 18.70 11.62NA 11.62 5.57 35.89 35.890090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61501 Craniectomy f/osteomyelitis A 15.94 10.99NA 10.99 4.69 31.62 31.620090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 6150F Pt notrcvng1st antitnf 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
- 61510 Crnec treph exc brn tum sttl A 30.06 22.01NA 22.01 12.64 64.71 64.710090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61512 Crnec treph exc mngioma sttl A 36.21 22.34NA 22.34 15.21 73.76 73.760090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61514 Crnec treph exc brn abs sttl A 26.55 18.01NA 18.01 11.05 55.61 55.610090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61516 Crnec treph exc cyst sttl A 25.92 17.81NA 17.81 10.82 54.55 54.550090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61517 Implt brn intrcv chemotx agt A 1.35 0.47NA 0.47 0.56 2.38 2.380ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 61518 Removal of brain lesion A 38.89 25.12NA 25.12 16.38 80.39 80.390090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61519 Remove brain lining lesion A 42.34 24.43NA 24.43 17.73 84.50 84.500090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61520 Removal of brain lesion A 55.66 27.93NA 27.93 21.17 104.76104.760090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 61521 Removal of brain lesion A 45.82 25.49NA 25.49 18.83 90.14 90.140090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61522 Removal of brain abscess A 30.75 19.82NA 19.82 12.98 63.55 63.550090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61524 Removal of brain lesion A 29.14 19.26NA 19.26 12.32 60.72 60.720090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61526 Removal of brain lesion A 52.73 22.42NA 22.42 15.53 90.68 90.680090.11.76.13201209 33.4009 090 99 0.00 0.00 0.00
- 61530 Removal of brain lesion A 44.42 24.63NA 24.63 18.76 87.81 87.810090.11.76.13201209 33.4009 090 99 0.00 0.00 0.00
- 61531 Implant brain electrodes A 16.00 14.29NA 14.29 6.74 37.03 37.030090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 61533 Implant brain electrodes A 20.92 15.31NA 15.31 8.83 45.06 45.060090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61534 Removal of brain lesion A 22.43 16.90NA 16.90 9.47 48.80 48.800090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61535 Remove brain electrodes A 12.82 12.47NA 12.47 5.40 30.69 30.690090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61536 Removal of brain lesion A 36.78 21.94NA 21.94 15.53 74.25 74.250090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61537 Removal of brain tissue A 35.54 19.96NA 19.96 15.01 70.51 70.510090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61538 Removal of brain tissue A 38.46 21.47NA 21.47 16.24 76.17 76.170090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61539 Removal of brain tissue A 33.42 20.76NA 20.76 14.12 68.30 68.300090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61540 Removal of brain tissue A 30.64 19.70NA 19.70 12.95 63.29 63.290090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61541 Incision of brain tissue A 30.17 19.62NA 19.62 12.74 62.53 62.530090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61543 Removal of brain tissue A 30.53 19.75NA 19.75 12.89 63.17 63.170090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61544 Remove & treat brain lesion A 26.68 17.33NA 17.33 11.28 55.29 55.290090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 61545 Excision of brain tumor A 45.27 27.50NA 27.50 19.10 91.87 91.870090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61546 Removal of pituitary gland A 32.60 20.47NA 20.47 13.77 66.84 66.840090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61548 Removal of pituitary gland A 22.79 13.62NA 13.62 8.11 44.52 44.520090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 61550 Release of skull seams A 15.20 14.87NA 14.87 6.41 36.48 36.480090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61552 Release of skull seams A 19.89 16.01NA 16.01 8.38 44.28 44.280090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61556 Incise skull/sutures A 23.49 16.82NA 16.82 9.92 50.23 50.230090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61557 Incise skull/sutures A 22.73 17.76NA 17.76 9.60 50.09 50.090090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61558 Excision of skull/sutures A 25.84 18.61NA 18.61 10.92 55.37 55.370090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61559 Excision of skull/sutures A 33.17 23.00NA 23.00 14.00 70.17 70.170090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61563 Excision of skull tumor A 27.73 18.31NA 18.31 11.72 57.76 57.760090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61564 Excision of skull tumor A 33.87 21.68NA 21.68 14.30 69.85 69.850090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 61566 Removal of brain tissue A 31.64 20.04NA 20.04 13.37 65.05 65.050090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61567 Incision of brain tissue A 36.08 22.75NA 22.75 15.23 74.06 74.060090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61570 Remove foreign body brain A 25.85 18.10NA 18.10 10.93 54.88 54.880090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61571 Incise skull for brain wound A 27.71 18.76NA 18.76 11.72 58.19 58.190090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61575 Skull base/brainstem surgery A 35.65 21.54NA 21.54 15.05 72.24 72.240090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61576 Skull base/brainstem surgery A 53.93 48.90NA 48.90 22.75 125.58125.580090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61580 Craniofacial approach skull A 33.65 25.75NA 25.75 7.02 66.42 66.420090.11.76.13211129 33.4009 090 99 0.00 0.00 0.00
- 61581 Craniofacial approach skull A 38.15 26.93NA 26.93 5.57 70.65 70.650090.11.76.13211229 33.4009 090 99 0.00 0.00 0.00
- 61582 Craniofacial approach skull A 34.26 44.35NA 44.35 13.53 92.14 92.140090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61583 Craniofacial approach skull A 37.54 34.62NA 34.62 15.37 87.53 87.530090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61584 Orbitocranial approach/skull A 36.76 33.67NA 33.67 14.34 84.77 84.770090.11.76.13212129 33.4009 090 99 0.00 0.00 0.00
- 61585 Orbitocranial approach/skull A 41.51 38.43NA 38.43 17.52 97.46 97.460090.11.76.13212129 33.4009 090 99 0.00 0.00 0.00
- 61586 Resect nasopharynx skull A 26.79 40.91NA 40.91 11.32 79.02 79.020090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61590 Infratemporal approach/skull A 45.86 24.78NA 24.78 9.17 79.81 79.810090.11.76.13212129 33.4009 090 99 0.00 0.00 0.00
- 61591 Infratemporal approach/skull A 45.84 26.12NA 26.12 11.25 83.21 83.210090.11.76.13212129 33.4009 090 99 0.00 0.00 0.00
- 61592 Orbitocranial approach/skull A 42.00 32.70NA 32.70 16.12 90.82 90.820090.11.76.13212129 33.4009 090 99 0.00 0.00 0.00
- 61595 Transtemporal approach/skull A 32.90 24.06NA 24.06 8.49 65.45 65.450090.11.76.13211129 33.4009 090 99 0.00 0.00 0.00
- 61596 Transcochlear approach/skull A 38.44 18.52NA 18.52 5.60 62.56 62.560090.11.76.13212129 33.4009 090 99 0.00 0.00 0.00
- 61597 Transcondylar approach/skull A 39.80 32.18NA 32.18 16.81 88.79 88.790090.11.76.13212129 33.4009 090 99 0.00 0.00 0.00
- 61598 Transpetrosal approach/skull A 35.62 34.60NA 34.60 15.04 85.26 85.260090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61600 Resect/excise cranial lesion A 29.26 21.58NA 21.58 6.49 57.33 57.330090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61601 Resect/excise cranial lesion A 30.36 29.56NA 29.56 11.95 71.87 71.870090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61605 Resect/excise cranial lesion A 31.76 19.93NA 19.93 5.57 57.26 57.260090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61606 Resect/excise cranial lesion A 41.00 26.61NA 26.61 14.07 81.68 81.680090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61607 Resect/excise cranial lesion A 39.91 23.47NA 23.47 11.26 74.64 74.640090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61608 Resect/excise cranial lesion A 44.40 32.16NA 32.16 18.09 94.65 94.650090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61611 Transect artery sinus A 7.22 2.53NA 2.53 3.04 12.79 12.790ZZZ.00.00.00002129 33.4009 090 99 0.00 0.00 0.00
- 61613 Remove aneurysm sinus A 43.90 33.63NA 33.63 18.54 96.07 96.070090.11.76.13212129 33.4009 090 99 0.00 0.00 0.00
- 61615 Resect/excise lesion skull A 34.88 34.76NA 34.76 14.74 84.38 84.380090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61616 Resect/excise lesion skull A 45.57 32.19NA 32.19 16.71 94.47 94.470090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61618 Repair dura A 18.22 12.18NA 12.18 6.08 36.48 36.480090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61619 Repair dura A 21.55 16.21NA 16.21 9.11 46.87 46.870090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 61623 Evasc temp balo artl occ h/n A 9.70 2.87NA 2.87 2.95 15.52 15.520000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 61624 Tcat perm occls/embolj cns A 19.50 5.41NA 5.41 6.37 31.28 31.280000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 61626 Tcat perm occls/embol noncns A 14.93 272.48 3.60 4.05 291.46 22.580000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 61630 Balo angioplasty icr perq R 21.52 9.22NA 9.22 6.82 37.56 37.560XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 61635 Intracran angioplsty w/stent R 23.67 9.66NA 9.66 7.28 40.61 40.610XXX.00.00.00202109 33.4009 090 99 0.00 0.00 0.00
- 61640 Dilate ic vasospasm init N+ 12.32 0.00 0.00 1.69 14.01 14.019000.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 61641 Dilat ic vspsm ea vsl sm ter N+ 4.33 0.00 0.00 0.59 4.92 4.929ZZZ.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 61642 Dilat ic vspsm ea diff ter N+ 8.66 0.00 0.00 1.18 9.84 9.849ZZZ.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 61645 Perq art m-thrombect &/nfs A 14.63 3.69NA 3.69 4.31 22.63 22.630000.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 61650 Evasc prlng admn rx agnt 1st A 9.75 2.73NA 2.73 3.19 15.67 15.670000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 61651 Evasc prlng admn rx agnt add A 4.14 1.19NA 1.19 1.37 6.70 6.700ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 61680 Intracranial vessel surgery A 31.74 20.93NA 20.93 13.42 66.09 66.090090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61682 Intracranial vessel surgery A 61.82 28.89NA 28.89 25.54 116.25116.250090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61684 Intracranial vessel surgery A 40.60 24.04NA 24.04 17.13 81.77 81.770090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61686 Intracranial vessel surgery A 65.81 33.61NA 33.61 27.78 127.20127.200090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61690 Intracranial vessel surgery A 30.56 20.12NA 20.12 12.90 63.58 63.580090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61692 Intracranial vessel surgery A 53.23 28.09NA 28.09 22.47 103.79103.790090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61697 Brain aneurysm repr complx A 61.82 32.05NA 32.05 26.02 119.89119.890090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61698 Brain aneurysm repr complx A 67.89 34.34NA 34.34 28.66 130.89130.890090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61700 Brain aneurysm repr simple A 49.35 26.72NA 26.72 20.06 96.13 96.130090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61702 Inner skull vessel surgery A 58.54 31.06NA 31.06 24.72 114.32114.320090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61703 Clamp neck artery A 18.33 14.40NA 14.40 7.72 40.45 40.450090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61705 Revise circulation to head A 37.15 22.07NA 22.07 15.67 74.89 74.890090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61708 Revise circulation to head A 36.27 21.77NA 21.77 15.32 73.36 73.360090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 61710 Revise circulation to head A 30.51 18.68NA 18.68 12.88 62.07 62.070090.11.76.13200009 33.4009 090 99 0.00 0.00 0.00
- 61711 Fusion of skull arteries A 37.27 21.94NA 21.94 15.48 74.69 74.690090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 61715 Mrgfus strtctc ablt trgt icr 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
- 6171526Mrgfus strtctc ablt trgt icr A 18.48 12.98 12.98 7.10 38.56 38.561000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 61715TCMrgfus strtctc ablt trgt icr C 0.00 0.00 0.00NA 0.00 0.00 0.001000.00.00.00200009 33.4009 030 99 0.00 0.00 0.00
- 61720 Incise skull/brain surgery A 17.18 13.38NA 13.38 7.25 37.81 37.810090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 61735 Incise skull/brain surgery A 21.79 16.06NA 16.06 9.19 47.04 47.040090.11.76.13201109 33.4009 090 99 0.00 0.00 0.00
- 61736 Litt icr 1 traj 1 smpl les A 18.58 7.75NA 7.75 7.85 34.18 34.180000.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 61737 Litt icr mlt trj mlt/cplx ls A 22.10 8.99NA 8.99 9.33 40.42 40.420000.00.00.00010009 33.4009 090 99 0.00 0.00 0.00
- 61750 Incise skull/brain biopsy A 19.33 14.03NA 14.03 8.12 41.48 41.480090.11.76.13201109 33.4009 090 99 0.00 0.00 0.00
- 61751 Brain biopsy w/ct/mr guide A 18.32 15.49NA 15.49 7.70 41.51 41.510090.11.76.13201109 33.4009 090 99 0.00 0.00 0.00
- 61760 Implant brain electrodes A 21.83 15.49NA 15.49 9.21 46.53 46.530090.11.76.13201209 33.4009 090 99 0.00 0.00 0.00
- 61770 Incise skull for treatment A 22.61 15.29NA 15.29 9.55 47.45 47.450090.11.76.13201109 33.4009 090 99 0.00 0.00 0.00
- 61781 Scan proc cranial intra A 3.66 1.27NA 1.27 1.51 6.44 6.440ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 61782 Scan proc cranial extra A 3.10 0.76NA 0.76 0.46 4.32 4.320ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 61783 Scan proc spinal A 3.66 1.24NA 1.24 1.31 6.21 6.210ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 61790 Treat trigeminal nerve A 11.31 10.89NA 10.89 4.68 26.88 26.880090.11.76.13211009 33.4009 090 99 0.00 0.00 0.00
- 61791 Treat trigeminal tract A 15.02 12.38NA 12.38 6.33 33.73 33.730090.11.76.13210009 33.4009 090 99 0.00 0.00 0.00
- 61796 Srs cranial lesion simple A 13.58 11.06NA 11.06 5.68 30.32 30.320090.11.76.13002009 33.4009 090 99 0.00 0.00 0.00
- 61797 Srs cran les simple addl A 3.39 1.18NA 1.18 1.42 5.99 5.990ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 61798 Srs cranial lesion complex A 19.35 12.76NA 12.76 7.96 40.07 40.070090.11.76.13002009 33.4009 090 99 0.00 0.00 0.00
- 61799 Srs cran les complex addl A 4.69 1.63NA 1.63 1.93 8.25 8.250ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 61800 Apply srs headframe add-on A 2.19 1.25NA 1.25 0.92 4.36 4.360ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 61850 Implant neuroelectrodes A 13.01 11.15NA 11.15 5.48 29.64 29.640090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 61860 Implant neuroelectrodes A 21.70 14.97NA 14.97 9.17 45.84 45.840090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 61863 Implant neuroelectrode A 20.19 16.07NA 16.07 8.53 44.79 44.790090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 61864 Implant neuroelectrde addl A 4.38 1.54NA 1.54 1.84 7.76 7.760ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 61867 Implant neuroelectrode A 32.20 20.26NA 20.26 13.60 66.06 66.060090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 61868 Implant neuroelectrde addl A 7.71 2.70NA 2.70 3.24 13.65 13.650ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 61880 Revise/remove neuroelectrode A 6.78 8.93NA 8.93 2.84 18.55 18.550090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 61885 Insrt/redo neurostim 1 array A 5.90 8.42NA 8.42 2.37 16.69 16.690090.11.76.13210009 33.4009 090 99 0.00 0.00 0.00
- 61886 Implant neurostim arrays A 9.68 14.17NA 14.17 4.03 27.88 27.880090.11.76.13200009 33.4009 090 99 0.00 0.00 0.00
- 61888 Revise/remove neuroreceiver A 5.10 4.93NA 4.93 2.04 12.07 12.070010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 61889 Ins sk-mnt crnl nstm pg/rcvr A 25.11 16.68NA 16.68 10.61 52.40 52.400090.11.76.13210009 33.4009 090 99 0.00 0.00 0.00
- 61891 Rev/rplcmt sk-mnt crnl nstm A 10.97 9.84NA 9.84 4.26 25.07 25.070090.11.76.13210009 33.4009 090 99 0.00 0.00 0.00
- 61892 Rmv sk-mnt crnl nstm pg/rcvr A 14.63 12.03NA 12.03 6.16 32.82 32.820090.11.76.13211009 33.4009 090 99 0.00 0.00 0.00
- 62000 Treat skull fracture A 13.58 11.86NA 11.86 5.72 31.16 31.160090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 62005 Treat skull fracture A 17.19 13.38NA 13.38 7.26 37.83 37.830090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62010 Treatment of head injury A 20.89 15.74NA 15.74 8.81 45.44 45.440090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62100 Repair brain fluid leakage A 22.94 13.23NA 13.23 7.43 43.60 43.600090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62115 Reduction of skull defect A 22.34 18.57NA 18.57 9.42 50.33 50.330090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62117 Reduction of skull defect A 27.64 17.73NA 17.73 11.70 57.07 57.070090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62120 Repair skull cavity lesion A 23.98 30.10NA 30.10 10.13 64.21 64.210090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62121 Incise skull repair A 22.45 14.52NA 14.52 5.94 42.91 42.910090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62140 Crnop skull defect<5 cm diam A 14.19 10.22NA 10.22 4.90 29.31 29.310090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62141 Crnop skull defect>5 cm diam A 15.67 11.76NA 11.76 5.97 33.40 33.400090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62142 Rmvl b1 flp/prostc plate skl A 11.53 10.81NA 10.81 4.64 26.98 26.980090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 62143 Rpl b1 flp/prostc plate skl A 13.80 11.79NA 11.79 5.63 31.22 31.220090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62145 Repair of skull & brain A 19.59 13.57NA 13.57 7.74 40.90 40.900090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62146 Crnop w/autograft<5 cm diam A 16.85 13.27NA 13.27 7.10 37.22 37.220090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62147 Crnop w/autograft>5 cm diam A 20.15 12.79NA 12.79 7.85 40.79 40.790090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62148 Retr bone flap to fix skull A 1.95 0.68NA 0.68 0.82 3.45 3.450ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 62160 Neuroendoscopy add-on A 2.93 1.02NA 1.02 1.21 5.16 5.160ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 62161 Dissect brain w/scope A 20.70 15.65NA 15.65 8.64 44.99 44.990090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62162 Remove colloid cyst w/scope A 26.13 18.31NA 18.31 11.05 55.49 55.490090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62164 Remove brain tumor w/scope A 28.69 20.85NA 20.85 12.13 61.67 61.670090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62165 Remove pituit tumor w/scope A 22.65 12.66NA 12.66 6.62 41.93 41.930090.11.76.13200109 33.4009 090 99 0.00 0.00 0.00
- 62180 Establish brain cavity shunt A 22.02 15.79NA 15.79 9.28 47.09 47.090090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 62190 Establish brain cavity shunt A 11.87 11.51NA 11.51 4.99 28.37 28.370090.11.76.13201109 33.4009 090 99 0.00 0.00 0.00
- 62192 Establish brain cavity shunt A 13.02 11.91NA 11.91 5.48 30.41 30.410090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62194 Replace/irrigate catheter A 5.64 7.78NA 7.78 2.35 15.77 15.770010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 62200 Establish brain cavity shunt A 18.81 13.96NA 13.96 7.93 40.70 40.700090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62201 Brain cavity shunt w/scope A 15.64 14.53NA 14.53 6.55 36.72 36.720090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 62220 Establish brain cavity shunt A 13.75 9.96NA 9.96 5.32 29.03 29.030090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62223 Establish brain cavity shunt A 13.70 11.87NA 11.87 5.07 30.64 30.640090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62225 Replace/irrigate catheter A 6.04 8.58NA 8.58 2.51 17.13 17.130090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 62230 Replace/revise brain shunt A 11.14 9.63NA 9.63 4.36 25.13 25.130090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62252 Csf shunt reprogram A 0.72 2.11 2.11NA 0.28 3.11 3.111XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 6225226Csf shunt reprogram A 0.72 0.49 0.49 0.27 1.48 1.481XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 62252TCCsf shunt reprogram A 0.00 1.62 1.62NA 0.01 1.63 1.631XXX.00.00.00000009 33.4009 030 99 0.00 0.00 0.00
- 62256 Remove brain cavity shunt A 7.20 8.98NA 8.98 2.98 19.16 19.160090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 62258 Replace brain cavity shunt A 15.25 11.77NA 11.77 6.07 33.09 33.090090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 62263 Epidural lysis mult sessions A 4.88 14.56 3.59 0.46 19.90 8.930010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 62264 Epidural lysis on single day A 4.31 8.64 1.68 0.42 13.37 6.410010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 62267 Interdiscal perq aspir dx A 2.93 4.49 0.78 0.33 7.75 4.040000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 62268 Drain spinal cord cyst A 4.61 2.98NA 2.98 1.94 9.53 9.530000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 62269 Needle biopsy spinal cord A 4.88 1.31NA 1.31 0.46 6.65 6.650000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 62270 Dx lmbr spi pnxr A 1.19 3.46 0.28 0.29 4.94 1.760000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 62272 Ther spi pnxr drg csf A 1.54 4.48 0.53 0.47 6.49 2.540000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 62273 Inject epidural patch A 2.10 2.84 0.75 0.21 5.15 3.060000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 62280 Treat spinal cord lesion A 2.56 6.90 1.26 0.26 9.72 4.080010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 62281 Treat spinal cord lesion A 2.59 4.63 1.29 0.20 7.42 4.080010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 62282 Treat spinal canal lesion A 2.27 7.77 1.40 0.21 10.25 3.880010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 62284 Injection for myelogram A 1.50 3.73 0.49 0.16 5.39 2.150000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 62287 Dcmprn pq nuc pul 1/mlt lmbr A 9.03 6.02NA 6.02 0.93 15.98 15.980090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 62290 Njx px discography lumbar A 2.93 7.89 1.08 0.26 11.08 4.270000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 62291 Njx px discography crv/thrc A 2.84 7.02 0.92 0.24 10.10 4.000000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 62292 Njx chemonucleolysis lmbr A 9.24 5.07NA 5.07 0.96 15.27 15.270090.11.76.13200009 33.4009 090 99 0.00 0.00 0.00
- 62294 Injection into spinal artery A 12.55 10.76NA 10.76 5.29 28.60 28.600090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 62302 Myelography lumbar injection A 2.23 4.88 0.61 0.22 7.33 3.060000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 62303 Myelography lumbar injection A 2.23 5.01 0.61 0.21 7.45 3.050000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 62304 Myelography lumbar injection A 2.19 4.85 0.61 0.22 7.26 3.020000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 62305 Myelography lumbar injection A 2.29 5.41 0.63 0.22 7.92 3.140000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 62320 Njx interlaminar crv/thrc A 1.76 2.93 0.66 0.21 4.90 2.630000.00.00.00291009 33.4009 090 99 0.00 0.00 0.00
- 62321 Njx interlaminar crv/thrc A 1.90 6.20 0.78 0.18 8.28 2.860000.00.00.00291009 33.4009 090 99 0.00 0.00 0.00
- 62322 Njx interlaminar lmbr/sac A 1.51 2.70 0.56 0.15 4.36 2.220000.00.00.00291009 33.4009 090 99 0.00 0.00 0.00
- 62323 Njx interlaminar lmbr/sac A 1.76 6.25 0.74 0.17 8.18 2.670000.00.00.00291009 33.4009 090 99 0.00 0.00 0.00
- 62324 Njx interlaminar crv/thrc A 1.84 2.60 0.58 0.16 4.60 2.580000.00.00.00291009 33.4009 090 99 0.00 0.00 0.00
- 62325 Njx interlaminar crv/thrc A 2.15 5.60 0.68 0.19 7.94 3.020000.00.00.00291009 33.4009 090 99 0.00 0.00 0.00
- 62326 Njx interlaminar lmbr/sac A 1.74 2.70 0.57 0.15 4.59 2.460000.00.00.00291009 33.4009 090 99 0.00 0.00 0.00
- 62327 Njx interlaminar lmbr/sac A 1.85 6.18 0.75 0.19 8.22 2.790000.00.00.00291009 33.4009 090 99 0.00 0.00 0.00
- 62328 Dx lmbr spi pnxr w/fluor/ct A 1.69 4.58 0.33 0.18 6.45 2.200000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 62329 Ther spi pnxr csf fluor/ct A 1.98 5.86 0.45 0.35 8.19 2.780000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 62330 Dcmprn prq rmv lig flv 1lmbr A 8.00 5.64NA 5.64 0.71 14.35 14.350090.11.76.13222109 33.4009 090 99 0.00 0.00 0.00
- 62331 Dcmprn prq rmv lig flv addl A 4.25 1.03NA 1.03 0.38 5.66 5.660ZZZ.00.00.00022109 33.4009 090 99 0.00 0.00 0.00
- 62350 Implant spinal canal cath A 5.90 4.24NA 4.24 1.17 11.31 11.310010.10.80.10201109 33.4009 090 99 0.00 0.00 0.00
- 62351 Implant spinal canal cath A 11.37 11.85NA 11.85 4.15 27.37 27.370090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 62355 Remove spinal canal catheter A 3.46 4.09NA 4.09 0.86 8.41 8.410010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 62360 Insert spine infusion device A 4.22 4.09NA 4.09 0.99 9.30 9.300010.10.80.10200109 33.4009 090 99 0.00 0.00 0.00
- 62361 Implant spine infusion pump A 4.88 6.99NA 6.99 2.05 13.92 13.920010.10.80.10200109 33.4009 090 99 0.00 0.00 0.00
- 62362 Implant spine infusion pump A 5.46 4.41NA 4.41 1.26 11.13 11.130010.10.80.10200109 33.4009 090 99 0.00 0.00 0.00
- 62365 Remove spine infusion device A 3.83 4.05NA 4.05 0.98 8.86 8.860010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 62367 Analyze spine infus pump A 0.47 0.48 0.12 0.05 1.00 0.640XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 62368 Analyze sp inf pump w/reprog A 0.65 0.67 0.16 0.07 1.39 0.880XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 62369 Anal sp inf pmp w/reprg&fill A 0.65 2.19 0.17 0.07 2.91 0.890XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 62370 Anl sp inf pmp w/mdreprg&fil A 0.88 1.95 0.22 0.08 2.91 1.180XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 62380 Ndsc dcmprn 1 ntrspc lumbar C 0.00 0.00 0.00 0.00 0.00 0.000090.11.76.13212209 33.4009 090 99 0.00 0.00 0.00
- 63001 Remove spine lamina 1/2 crvl A 17.17 12.12NA 12.12 6.45 35.74 35.740090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 63003 Remove spine lamina 1/2 thrc A 17.30 12.11NA 12.11 6.46 35.87 35.870090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 63005 Remove spine lamina 1/2 lmbr A 16.02 13.56NA 13.56 6.12 35.70 35.700090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 63011 Remove spine lamina 1/2 scrl A 15.51 10.72NA 10.72 4.03 30.26 30.260090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 63012 Remove lamina/facets lumbar A 16.43 12.37NA 12.37 5.62 34.42 34.420090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 63015 Remove spine lamina >2 crvcl A 20.33 15.08NA 15.08 7.84 43.25 43.250090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 63016 Remove spine lamina >2 thrc A 21.48 14.39NA 14.39 7.94 43.81 43.810090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 63017 Remove spine lamina >2 lmbr A 16.90 13.89NA 13.89 6.49 37.28 37.280090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 63020 Lamot dcmprn nrv rt 1 cerv A 14.54 12.56NA 12.56 4.76 31.86 31.860090.11.76.13212209 33.4009 090 99 0.00 0.00 0.00
- 63030 Lamot dcmprn nrv rt 1 lmbr A 11.70 11.35NA 11.35 3.84 26.89 26.890090.11.76.13212209 33.4009 090 99 0.00 0.00 0.00
- 63032 Lamot rpr anulr dfct 1 lmbr A 2.50 0.79NA 0.79 0.79 4.08 4.080ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 63035 Lamot dcmprn nrv rt ea addl A 3.76 1.25NA 1.25 1.17 6.18 6.180ZZZ.00.00.00012209 33.4009 090 99 0.00 0.00 0.00
- 63040 Laminotomy single cervical A 19.80 12.61NA 12.61 6.15 38.56 38.560090.11.76.13212209 33.4009 090 99 0.00 0.00 0.00
- 63042 Laminotomy single lumbar A 18.29 12.73NA 12.73 5.50 36.52 36.520090.11.76.13212209 33.4009 090 99 0.00 0.00 0.00
- 63043 Laminotomy addl cervical C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00012209 33.4009 090 99 0.00 0.00 0.00
- 63044 Laminotomy addl lumbar C 0.00 0.00 0.00 0.00 0.00 0.000ZZZ.00.00.00012209 33.4009 090 99 0.00 0.00 0.00
- 63045 Lam facetec & foramot crv A 17.50 13.58NA 13.58 6.33 37.41 37.410090.11.76.13222209 33.4009 090 99 0.00 0.00 0.00
- 63046 Lam facetec & foramot thrc A 16.82 12.90NA 12.90 5.74 35.46 35.460090.11.76.13222209 33.4009 090 99 0.00 0.00 0.00
- 63047 Lam facetec & foramot lumbar A 14.99 12.03NA 12.03 4.88 31.90 31.900090.11.76.13222209 33.4009 090 99 0.00 0.00 0.00
- 63048 Lam facetec &foramot ea addl A 3.38 1.13NA 1.13 1.10 5.61 5.610ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 63050 Cervical laminoplsty 2/> seg A 21.46 13.64NA 13.64 6.85 41.95 41.950090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 63051 C-laminoplasty w/graft/plate A 24.87 14.73NA 14.73 7.55 47.15 47.150090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 63052 Lam facetc/frmt arthrd lum 1 A 4.14 1.39NA 1.39 1.35 6.88 6.880ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 63053 Lam factc/frmt arthrd lum ea A 3.69 1.23NA 1.23 1.21 6.13 6.130ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 63055 Decompress spinal cord thrc A 22.96 14.98NA 14.98 8.56 46.50 46.500090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63056 Decompress spinal cord lmbr A 21.31 13.59NA 13.59 7.16 42.06 42.060090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63057 Decompress spine cord add-on A 5.12 1.73NA 1.73 1.76 8.61 8.610ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 63064 Decompress spinal cord thrc A 25.56 15.66NA 15.66 9.25 50.47 50.470090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63066 Decompress spine cord add-on A 3.18 1.11NA 1.11 1.33 5.62 5.620ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 63075 Neck spine disk surgery A 19.11 13.12NA 13.12 6.34 38.57 38.570090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 63076 Neck spine disk surgery A 3.94 1.30NA 1.30 1.26 6.50 6.500ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 63077 Spine disk surgery thorax A 22.31 12.21NA 12.21 4.75 39.27 39.270090.11.76.13202209 33.4009 090 99 0.00 0.00 0.00
- 63078 Spine disk surgery thorax A 3.20 1.12NA 1.12 1.33 5.65 5.650ZZZ.00.00.00002209 33.4009 090 99 0.00 0.00 0.00
- 63081 Remove vert body dcmprn crvl A 25.45 15.61NA 15.61 8.64 49.70 49.700090.11.76.13202129 33.4009 090 99 0.00 0.00 0.00
- 63082 Remove vertebral body add-on A 4.25 1.43NA 1.43 1.43 7.11 7.110ZZZ.00.00.00002129 33.4009 090 99 0.00 0.00 0.00
- 63085 Remove vert body dcmprn thrc A 28.73 16.13NA 16.13 9.63 54.49 54.490090.11.76.13202229 33.4009 090 99 0.00 0.00 0.00
- 63086 Remove vertebral body add-on A 3.11 0.98NA 0.98 1.03 5.12 5.120ZZZ.00.00.00002229 33.4009 090 99 0.00 0.00 0.00
- 63087 Remov vertbr dcmprn thrclmbr A 36.59 19.06NA 19.06 12.14 67.79 67.790090.11.76.13202229 33.4009 090 99 0.00 0.00 0.00
- 63088 Remove vertebral body add-on A 4.21 1.37NA 1.37 1.44 7.02 7.020ZZZ.00.00.00002229 33.4009 090 99 0.00 0.00 0.00
- 63090 Remove vert body dcmprn lmbr A 30.16 15.66NA 15.66 8.73 54.55 54.550090.11.76.13202229 33.4009 090 99 0.00 0.00 0.00
- 63091 Remove vertebral body add-on A 2.95 0.93NA 0.93 0.85 4.73 4.730ZZZ.00.00.00002229 33.4009 090 99 0.00 0.00 0.00
- 63101 Remove vert body dcmprn thrc A 33.25 20.92NA 20.92 12.22 66.39 66.390090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63102 Remove vert body dcmprn lmbr A 33.25 20.28NA 20.28 11.56 65.09 65.090090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63103 Remove vertebral body add-on A 4.70 1.58NA 1.58 1.59 7.87 7.870ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 63170 Incise spinal cord tract(s) A 21.65 16.38NA 16.38 9.16 47.19 47.190090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63172 Drainage of spinal cyst A 19.27 14.48NA 14.48 8.13 41.88 41.880090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63173 Drainage of spinal cyst A 23.70 17.09NA 17.09 10.02 50.81 50.810090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63185 Incise spine nrv half segmnt A 16.08 14.17NA 14.17 6.77 37.02 37.020090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63190 Incise spine nrv >2 segmnts A 18.42 11.34NA 11.34 3.92 33.68 33.680090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63191 Incise spine accessory nerve A 18.45 15.00NA 15.00 7.77 41.22 41.220090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 63197 Lam w/cordotomy 1stg thrc A 23.48 17.01NA 17.01 9.92 50.41 50.410090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63200 Release spinal cord lumbar A 20.90 16.33NA 16.33 8.73 45.96 45.960090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 63250 Revise spinal cord vsls crvl A 42.76 24.05NA 24.05 18.05 84.86 84.860090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63251 Revise spinal cord vsls thrc A 43.52 25.07NA 25.07 18.37 86.96 86.960090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63252 Revise spine cord vsl thrlmb A 43.51 25.06NA 25.06 18.37 86.94 86.940090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63265 Excise intraspinl lesion crv A 23.22 16.09NA 16.09 9.00 48.31 48.310090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63266 Excise intrspinl lesion thrc A 24.06 16.33NA 16.33 9.25 49.64 49.640090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63267 Excise intrspinl lesion lmbr A 18.96 13.93NA 13.93 6.71 39.60 39.600090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63268 Excise intrspinl lesion scrl A 19.52 15.88NA 15.88 8.24 43.64 43.640090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63270 Excise intrspinl lesion crvl A 29.06 19.23NA 19.23 12.28 60.57 60.570090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63271 Excise intrspinl lesion thrc A 29.17 19.03NA 19.03 12.05 60.25 60.250090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63272 Excise intrspinl lesion lmbr A 26.81 17.42NA 17.42 10.54 54.77 54.770090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63273 Excise intrspinl lesion scrl A 25.81 18.09NA 18.09 10.90 54.80 54.800090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 63275 Bx/exc xdrl spine lesn crvl A 25.21 16.86NA 16.86 9.78 51.85 51.850090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63276 Bx/exc xdrl spine lesn thrc A 25.05 16.84NA 16.84 9.82 51.71 51.710090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63277 Bx/exc xdrl spine lesn lmbr A 21.83 15.06NA 15.06 8.09 44.98 44.980090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63278 Bx/exc xdrl spine lesn scrl A 21.57 16.60NA 16.60 9.12 47.29 47.290090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63280 Bx/exc idrl spine lesn crvl A 29.53 19.94NA 19.94 12.28 61.75 61.750090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63281 Bx/exc idrl spine lesn thrc A 29.24 19.83NA 19.83 12.20 61.27 61.270090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63282 Bx/exc idrl spine lesn lmbr A 27.45 19.16NA 19.16 11.41 58.02 58.020090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63283 Bx/exc idrl spine lesn scrl A 26.09 18.95NA 18.95 11.02 56.06 56.060090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63285 Bx/exc idrl imed lesn cervl A 37.10 22.81NA 22.81 15.66 75.57 75.570090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63286 Bx/exc idrl imed lesn thrc A 36.68 22.61NA 22.61 15.39 74.68 74.680090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63287 Bx/exc idrl imed lesn thrlmb A 39.08 23.50NA 23.50 16.49 79.07 79.070090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63290 Bx/exc xdrl/idrl lsn any lvl A 39.80 23.76NA 23.76 16.81 80.37 80.370090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63295 Repair laminectomy defect A 5.12 1.79NA 1.79 2.15 9.06 9.060ZZZ.00.00.00022209 33.4009 090 99 0.00 0.00 0.00
- 63300 Remove vert xdrl body crvcl A 26.13 16.47NA 16.47 9.53 52.13 52.130090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63301 Remove vert xdrl body thrc A 30.78 20.59NA 20.59 12.99 64.36 64.360090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63302 Remove vert xdrl body thrlmb A 30.37 20.45NA 20.45 12.83 63.65 63.650090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63303 Remov vert xdrl bdy lmbr/sac A 32.71 20.51NA 20.51 13.82 67.04 67.040090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63304 Remove vert idrl body crvcl A 33.00 21.37NA 21.37 13.93 68.30 68.300090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63305 Remove vert idrl body thrc A 35.33 22.19NA 22.19 14.93 72.45 72.450090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63306 Remov vert idrl bdy thrclmbr A 34.66 21.95NA 21.95 14.64 71.25 71.250090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63307 Remov vert idrl bdy lmbr/sac A 34.09 21.14NA 21.14 14.39 69.62 69.620090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63308 Remove vertebral body add-on A 5.11 1.71NA 1.71 1.83 8.65 8.650ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 63600 Remove spinal cord lesion A 14.74 11.53NA 11.53 6.21 32.48 32.480090.11.76.13200009 33.4009 090 99 0.00 0.00 0.00
- 63610 Stimulation of spinal cord A 8.50 4.35NA 4.35 3.58 16.43 16.430000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 63620 Srs spinal lesion A 15.21 11.72NA 11.72 6.40 33.33 33.330090.11.76.13002009 33.4009 090 99 0.00 0.00 0.00
- 63621 Srs spinal lesion addl A 3.90 1.37NA 1.37 1.64 6.91 6.910ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 63650 Implant neuroelectrodes A 6.97 63.75 3.48 0.79 71.51 11.240010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 63655 Implant neuroelectrodes A 10.65 10.63NA 10.63 3.83 25.11 25.110090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63661 Remove spine eltrd perq aray A 4.95 16.33 3.32 0.98 22.26 9.250010.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 63662 Remove spine eltrd plate A 10.73 10.84NA 10.84 3.87 25.44 25.440090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63663 Revise spine eltrd perq aray A 7.56 19.90 3.62 1.08 28.54 12.260010.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 63664 Revise spine eltrd plate A 11.23 11.20NA 11.20 4.11 26.54 26.540090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63685 Ins/rplc spi npg/rcvr pocket A 5.06 3.43NA 3.43 1.05 9.54 9.540010.10.80.10202109 33.4009 090 99 0.00 0.00 0.00
- 63688 Rev/rmv imp sp npg/r dtch cn A 4.24 3.85NA 3.85 1.06 9.15 9.150010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 63700 Repair of spinal herniation A 17.03 15.40NA 15.40 7.19 39.62 39.620090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63702 Repair of spinal herniation A 18.92 16.06NA 16.06 7.98 42.96 42.960090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63704 Repair of spinal herniation A 21.87 18.91NA 18.91 9.23 50.01 50.010090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63706 Repair of spinal herniation A 24.72 19.91NA 19.91 10.44 55.07 55.070090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63707 Repair spinal fluid leakage A 12.33 11.11NA 11.11 4.34 27.78 27.780090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63709 Repair spinal fluid leakage A 15.26 11.99NA 11.99 5.23 32.48 32.480090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63710 Graft repair of spine defect A 15.02 11.63NA 11.63 4.66 31.31 31.310090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63740 Install spinal shunt A 12.31 12.73NA 12.73 5.17 30.21 30.210090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63741 Install spinal shunt A 8.89 9.11NA 9.11 3.35 21.35 21.350090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63744 Revision of spinal shunt A 8.72 9.65NA 9.65 3.67 22.04 22.040090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 63746 Removal of spinal shunt A 7.15 9.10NA 9.10 3.01 19.26 19.260090.11.76.13200009 33.4009 090 99 0.00 0.00 0.00
- 64400 Njx aa&/strd trigeminal nrv A 0.73 2.71 0.48 0.21 3.65 1.420000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64405 Njx aa&/strd gr ocpl nrv A 0.92 1.23 0.25 0.21 2.36 1.380000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64408 Njx aa&/strd vagus nrv A 0.73 1.55 0.32 0.11 2.39 1.160000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 64415 Njx aa&/strd brch plxs img A 1.46 3.06 0.41 0.12 4.64 1.990000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64416 Njx aa&/strd brch pl nfs img A 1.76 0.26NA 0.26 0.15 2.17 2.170000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64417 Njx aa&/strd ax nerve img A 1.28 4.16 0.43 0.13 5.57 1.840000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64418 Njx aa&/strd sprscap nrv A 1.07 1.51 0.26 0.11 2.69 1.440000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64420 Njx aa&/strd ntrcost nrv 1 A 1.05 2.03 0.43 0.09 3.17 1.570000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64421 Njx aa&/strd ntrcost nrv ea A 0.49 0.51 0.11 0.05 1.05 0.650ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 64425 Njx aa&/strd ii ih nerves A 0.98 2.55 0.42 0.09 3.62 1.490000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64430 Njx aa&/strd pudendal nerve A 0.98 1.78 0.37 0.11 2.87 1.460000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64435 Njx aa&/strd paracrv nrv A 0.73 1.39 0.30 0.13 2.25 1.160000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64445 Njx aa&/strd sciatic nrv img A 1.36 3.68 0.47 0.15 5.19 1.980000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64446 Njx aa&/strd sc nrv nfs img A 1.71 0.26NA 0.26 0.15 2.12 2.120000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64447 Njx aa&/strd femoral nrv img A 1.31 2.59 0.39 0.12 4.02 1.820000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64448 Njx aa&/strd fem nrv nfs img A 1.64 0.25NA 0.25 0.14 2.03 2.030000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64449 Njx aa&/strd lmbr plex nfs A 1.24 0.43NA 0.43 0.14 1.81 1.810000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64450 Njx aa&/strd other pn/branch A 0.73 1.62 0.35 0.07 2.42 1.150000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64451 Njx aa&/strd nrv nrvtg si jt A 1.48 5.61 0.55 0.14 7.23 2.170000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64454 Njx aa&/strd gnclr nrv brnch A 1.48 5.42 0.58 0.13 7.03 2.190000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64455 Njx aa&/strd pltr com dg nrv A 0.73 0.70 0.10 0.07 1.50 0.900000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 64461 Pvb thoracic single inj site A 1.71 2.61 0.28 0.16 4.48 2.150000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64462 Pvb thoracic 2nd+ inj site A 1.07 1.19 0.18 0.08 2.34 1.330ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 64463 Pvb thoracic cont infusion A 1.85 5.90 0.28 0.16 7.91 2.290000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64466 Thrc fascial pln blk uni njx A 1.46 2.65 0.24 0.14 4.25 1.840000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64467 Thrc fascial pln blk uni nfs A 1.70 6.22 0.27 0.16 8.08 2.130000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64468 Thrc fascial pln blk bi njx A 1.63 3.14 0.26 0.15 4.92 2.040000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 64469 Thrc fascial pln blk bi nfs A 1.78 10.54 0.29 0.17 12.49 2.240000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 64473 Lwr xtr fscl pln blk uni njx A 1.31 2.60 0.21 0.12 4.03 1.640000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64474 Lwr xtr fscl pln blk uni nfs A 1.63 6.19 0.26 0.15 7.97 2.040000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64479 Njx aa&/strd tfrm epi c/t 1 A 2.23 6.11 1.06 0.20 8.54 3.490000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64480 Njx aa&/strd tfrm epi c/t ea A 1.17 3.00 0.31 0.11 4.28 1.590ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 64483 Njx aa&/strd tfrm epi l/s 1 A 1.85 5.91 0.96 0.17 7.93 2.980000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64484 Njx aa&/strd tfrm epi l/s ea A 0.98 2.46 0.25 0.08 3.52 1.310ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 64486 Tap block unil by injection A 1.17 2.50 0.19 0.09 3.76 1.450000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64487 Tap block uni by infusion A 1.36 5.88 0.21 0.11 7.35 1.680000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64488 Tap block bi injection A 1.37 2.93 0.21 0.12 4.42 1.700000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 64489 Tap block bi by infusion A 1.71 10.21 0.26 0.15 12.07 2.120000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 64490 Inj paravert f jnt c/t 1 lev A 1.77 4.20 0.88 0.17 6.14 2.820000.00.00.00212009 33.4009 090 99 0.00 0.00 0.00
- 64491 Inj paravert f jnt c/t 2 lev A 1.13 1.81 0.28 0.11 3.05 1.520ZZZ.00.00.00012009 33.4009 090 99 0.00 0.00 0.00
- 64492 Inj paravert f jnt c/t 3 lev A 1.13 1.84 0.31 0.09 3.06 1.530ZZZ.00.00.00012009 33.4009 090 99 0.00 0.00 0.00
- 64493 Inj paravert f jnt l/s 1 lev A 1.48 4.08 0.82 0.14 5.70 2.440000.00.00.00212009 33.4009 090 99 0.00 0.00 0.00
- 64494 Inj paravert f jnt l/s 2 lev A 0.98 1.81 0.25 0.08 2.87 1.310ZZZ.00.00.00012009 33.4009 090 99 0.00 0.00 0.00
- 64495 Inj paravert f jnt l/s 3 lev A 0.98 1.90 0.29 0.08 2.96 1.350ZZZ.00.00.00012009 33.4009 090 99 0.00 0.00 0.00
- 64505 N block spenopalatine gangl A 1.33 2.79 1.21 0.38 4.50 2.920000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64510 N block stellate ganglion A 1.19 3.31 0.79 0.11 4.61 2.090000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64517 N block inj hypogas plxs A 2.15 3.72 1.06 0.20 6.07 3.410000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 64520 N block lumbar/thoracic A 1.32 5.81 0.86 0.12 7.25 2.300000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 64530 N block inj celiac pelus A 1.54 5.37 0.87 0.15 7.06 2.560000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 64553 Implant neuroelectrodes A 5.98 136.45 5.00 2.52 144.95 13.500010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 64555 Implant neuroelectrodes A 5.62 60.37 2.60 0.58 66.57 8.800010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 64561 Implant neuroelectrodes A 5.30 16.19 2.07 0.75 22.24 8.120010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 64566 Neuroeltrd stim post tibial A 0.59 2.85 0.12 0.07 3.51 0.780000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 64567 Perq elec nrv field stimj cn A 1.50 35.45 0.33 0.16 37.11 1.990XXX.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 64568 Opn impltj crnl nrv nea&pg A 8.78 7.88NA 7.88 3.10 19.76 19.760090.11.76.13210009 33.4009 090 99 0.00 0.00 0.00
- 64569 Revise/repl vagus n eltrd A 10.73 7.89NA 7.89 3.72 22.34 22.340090.11.76.13210119 33.4009 090 99 0.00 0.00 0.00
- 64570 Remove vagus n eltrd A 8.87 10.33NA 10.33 3.74 22.94 22.940090.11.76.13210119 33.4009 090 99 0.00 0.00 0.00
- 64575 Opn impltj nea perph nerve A 4.31 3.79NA 3.79 0.69 8.79 8.790090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 64580 Opn impltj nea neuromuscular A 4.09 4.24NA 4.24 1.10 9.43 9.430090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 64581 Opn impltj nea sacral nerve A 11.90 3.97NA 3.97 1.73 17.60 17.600090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 64582 Opn mpltj hpglsl nstm ary pg A 13.65 6.00NA 6.00 1.99 21.64 21.640090.11.76.13210009 33.4009 090 99 0.00 0.00 0.00
- 64583 Rev/rplct hpglsl nstm ary pg A 14.14 6.11NA 6.11 2.06 22.31 22.310090.11.76.13210119 33.4009 090 99 0.00 0.00 0.00
- 64584 Rmvl hpglsl nstim ary pg A 11.70 5.51NA 5.51 1.70 18.91 18.910090.11.76.13210119 33.4009 090 99 0.00 0.00 0.00
- 64585 Rev/rmv perph nstim eltrd ra A 2.06 5.19 1.72 0.29 7.54 4.070010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 64590 Ins/rpl prph sac/gstr npg/r A 4.97 7.12 2.29 0.73 12.82 7.990010.10.80.10201109 33.4009 090 99 0.00 0.00 0.00
- 64595 Rev/rmv prph sac/gstr npg/r A 3.70 6.17 2.03 0.55 10.42 6.280010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 64596 Ins/rplcmt prq eltrd ra pn 1 C 0.00 0.00 0.00 0.00 0.00 0.000010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 64597 Ins/rplcm prq eltrd ra pn 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
- 64598 Revj/rmvl nea pn w/int nstim C 0.00 0.00 0.00 0.00 0.00 0.000010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 64600 Injection treatment of nerve A 3.40 11.57 2.48 0.92 15.89 6.800010.10.80.10221009 33.4009 090 99 0.00 0.00 0.00
- 64605 Injection treatment of nerve A 5.51 25.12 4.85 2.33 32.96 12.690010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 64610 Injection treatment of nerve A 7.02 16.52 4.23 2.20 25.74 13.450010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 64611 Chemodenerv saliv glands A 1.00 2.76 1.85 0.39 4.15 3.240010.10.80.10220009 33.4009 090 99 0.00 0.00 0.00
- 64612 Destroy nerve face muscle A 1.37 2.58 1.58 0.29 4.24 3.240010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 64615 Chemodenerv musc migraine A 1.80 2.28 0.85 0.62 4.70 3.270010.10.80.10221009 33.4009 090 99 0.00 0.00 0.00
- 64616 Chemodenerv musc neck dyston A 1.49 2.31 0.99 0.50 4.30 2.980010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 64617 Chemodener muscle larynx emg A 1.85 2.65 0.64 0.26 4.76 2.750010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 64620 Injection treatment of nerve A 2.82 3.58 1.83 0.36 6.76 5.010010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 64624 Dstrj nulyt agt gnclr nrv A 2.44 9.65 1.33 0.22 12.31 3.990010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 64625 Rf abltj nrv nrvtg si jt A 3.31 11.20 1.65 0.33 14.84 5.290010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 64628 Trml dstrj ios bvn 1st 2 l/s A 6.97 3.23NA 3.23 0.72 10.92 10.920010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 64629 Trml dstrj ios bvn ea addl A 3.68 0.94NA 0.94 0.39 5.01 5.010ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 64630 Injection treatment of nerve A 2.97 4.69 1.98 0.55 8.21 5.500010.10.80.10200009 33.4009 090 99 0.00 0.00 0.00
- 64632 N block inj common digit A 1.20 1.41 0.56 0.09 2.70 1.850010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 64633 Destroy cerv/thor facet jnt A 3.24 10.20 1.63 0.30 13.74 5.170010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 64634 Destroy c/th facet jnt addl A 1.29 6.57 0.32 0.12 7.98 1.730ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 64635 Destroy lumb/sac facet jnt A 3.24 10.39 1.65 0.29 13.92 5.180010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 64636 Destroy l/s facet jnt addl A 1.13 6.29 0.28 0.11 7.53 1.520ZZZ.00.00.00011009 33.4009 090 99 0.00 0.00 0.00
- 64640 Injection treatment of nerve A 1.93 5.86 1.19 0.22 8.01 3.340010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 64642 Chemodenerv 1 extremity 1-4 A 1.61 2.89 0.88 0.39 4.89 2.880000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 64643 Chemodenerv 1 extrem 1-4 ea A 1.19 1.57 0.37 0.23 2.99 1.790ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 64644 Chemodenerv 1 extrem 5/> mus A 1.77 3.54 0.93 0.40 5.71 3.100000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 64645 Chemodenerv 1 extrem 5/> ea A 1.36 2.18 0.41 0.34 3.88 2.110ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 64646 Chemodenerv trunk musc 1-5 A 1.76 2.86 0.87 0.48 5.10 3.110000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 64647 Chemodenerv trunk musc 6/> A 2.06 3.11 0.92 0.50 5.67 3.480000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 64650 Chemodenerv eccrine glands A 0.68 1.80 0.21 0.11 2.59 1.000000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 64653 Chemodenerv eccrine glands A 0.86 2.03 0.26 0.17 3.06 1.290000.00.00.00200009 33.4009 090 99 0.00 0.00 0.00
- 64654 1st opn implt bat modulj sys A 11.00 2.96NA 2.96 2.79 16.75 16.750090.11.76.13210009 33.4009 090 99 0.00 0.00 0.00
- 64655 Revj/rplcmt bat mod sys lead A 11.30 5.40NA 5.40 2.59 19.29 19.290090.11.76.13210119 33.4009 090 99 0.00 0.00 0.00
- 64656 Revj/rplcmt bat mod sys pg A 8.01 2.80NA 2.80 1.98 12.79 12.790090.11.76.13210119 33.4009 090 99 0.00 0.00 0.00
- 64657 Rmvl bat modulj sys tot sys A 12.13 3.76NA 3.76 3.04 18.93 18.930090.11.76.13210119 33.4009 090 99 0.00 0.00 0.00
- 64658 Rmvl bat modul sys lead only A 8.95 3.03NA 3.03 2.27 14.25 14.250090.11.76.13210119 33.4009 090 99 0.00 0.00 0.00
- 64659 Rmvl bat modulj sys pg only A 8.23 2.90NA 2.90 2.09 13.22 13.220090.11.76.13210119 33.4009 090 99 0.00 0.00 0.00
- 64680 Injection treatment of nerve A 2.60 7.52 1.53 0.26 10.38 4.390010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 64681 Injection treatment of nerve A 3.69 9.85 1.79 0.30 13.84 5.780010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 64702 Revise finger/toe nerve A 6.10 7.44NA 7.44 1.09 14.63 14.630090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 64704 Revise hand/foot nerve A 4.57 4.10NA 4.10 0.56 9.23 9.230090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64708 Revise arm/leg nerve A 6.20 6.85NA 6.85 0.85 13.90 13.900090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64712 Revision of sciatic nerve A 7.87 7.14NA 7.14 1.68 16.69 16.690090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 64713 Revision of arm nerve(s) A 11.12 8.61NA 8.61 2.58 22.31 22.310090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 64714 Revise low back nerve(s) A 10.29 8.73NA 8.73 2.41 21.43 21.430090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 64716 Revision of cranial nerve A 6.82 6.10NA 6.10 1.15 14.07 14.070090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64718 Revise ulnar nerve at elbow A 7.08 8.71NA 8.71 1.43 17.22 17.220090.11.76.13210009 33.4009 090 99 0.00 0.00 0.00
- 64719 Revise ulnar nerve at wrist A 4.85 5.80NA 5.80 0.96 11.61 11.610090.11.76.13211009 33.4009 090 99 0.00 0.00 0.00
- 64721 Carpal tunnel surgery A 4.85 8.61 6.83 0.99 14.45 12.670090.11.76.13211009 33.4009 090 99 0.00 0.00 0.00
- 64722 Decompression unspec nerve A 4.70 5.36NA 5.36 1.11 11.17 11.170090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64726 Dcmprn plantar digital nerve A 4.16 3.14NA 3.14 0.43 7.73 7.730090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 64727 Internal neurolysis A 3.02 1.06NA 1.06 0.26 4.34 4.340ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 64728 Dcmprn median nrv carpl tunl A 2.70 37.27 0.73 0.24 40.21 3.670000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 64732 Incision of brow nerve A 4.77 8.02NA 8.02 2.01 14.80 14.800090.11.76.13212009 33.4009 090 99 0.00 0.00 0.00
- 64734 Incision of cheek nerve A 5.41 8.99NA 8.99 2.28 16.68 16.680090.11.76.13210009 33.4009 090 99 0.00 0.00 0.00
- 64736 Incision of chin nerve A 5.10 3.47NA 3.47 0.57 9.14 9.140090.11.76.13212009 33.4009 090 99 0.00 0.00 0.00
- 64738 Incision of jaw nerve A 6.20 5.36NA 5.36 0.90 12.46 12.460090.11.76.13212009 33.4009 090 99 0.00 0.00 0.00
- 64740 Incision of tongue nerve A 6.06 5.95NA 5.95 0.88 12.89 12.890090.11.76.13212009 33.4009 090 99 0.00 0.00 0.00
- 64742 Incision of facial nerve A 6.68 5.55NA 5.55 0.51 12.74 12.740090.11.76.13212009 33.4009 090 99 0.00 0.00 0.00
- 64744 Incise nerve back of head A 5.58 8.30NA 8.30 2.35 16.23 16.230090.11.76.13210009 33.4009 090 99 0.00 0.00 0.00
- 64746 Incise diaphragm nerve A 6.40 4.97NA 4.97 1.62 12.99 12.990090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 64755 Incision of stomach nerves A 14.67 7.46NA 7.46 3.92 26.05 26.050090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64760 Incision of vagus nerve A 7.40 5.91NA 5.91 1.98 15.29 15.290090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64763 Incise hip/thigh nerve A 7.37 5.76NA 5.76 1.97 15.10 15.100090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 64766 Incise hip/thigh nerve A 9.23 6.81NA 6.81 2.48 18.52 18.520090.11.76.13212009 33.4009 090 99 0.00 0.00 0.00
- 64771 Sever cranial nerve A 7.95 7.31NA 7.31 1.47 16.73 16.730090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 64772 Incision of spinal nerve A 7.64 6.39NA 6.39 1.43 15.46 15.460090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64774 Remove skin nerve lesion A 5.66 5.48NA 5.48 1.19 12.33 12.330090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 64776 Remove digit nerve lesion A 5.46 4.84NA 4.84 0.91 11.21 11.210090.11.76.13200009 33.4009 090 99 0.00 0.00 0.00
- 64778 Digit nerve surgery add-on A 3.03 0.97NA 0.97 0.64 4.64 4.640ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 64782 Remove limb nerve lesion A 6.69 5.31NA 5.31 1.06 13.06 13.060090.11.76.13201109 33.4009 090 99 0.00 0.00 0.00
- 64783 Limb nerve surgery add-on A 3.62 1.15NA 1.15 0.78 5.55 5.550ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 64784 Remove nerve lesion A 10.35 7.72NA 7.72 2.08 20.15 20.150090.11.76.13200009 33.4009 090 99 0.00 0.00 0.00
- 64786 Remove sciatic nerve lesion A 15.84 8.41NA 8.41 4.23 28.48 28.480090.11.76.13212009 33.4009 090 99 0.00 0.00 0.00
- 64787 Implant nerve end A 4.18 1.17NA 1.17 0.75 6.10 6.100ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 64788 Remove skin nerve lesion A 5.11 5.53NA 5.53 1.07 11.71 11.710090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 64790 Removal of nerve lesion A 11.80 9.16NA 9.16 3.11 24.07 24.070090.11.76.13200109 33.4009 090 99 0.00 0.00 0.00
- 64792 Removal of nerve lesion A 15.46 14.34NA 14.34 6.52 36.32 36.320090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64795 Biopsy of nerve A 2.93 1.77NA 1.77 0.88 5.58 5.580000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 64802 Sympathectomy cervical A 10.11 11.95NA 11.95 4.26 26.32 26.320090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 64804 Sympathectomy cervicothorac A 15.51 13.86NA 13.86 6.54 35.91 35.910090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 64809 Sympathectomy thoracolumbar A 14.34 12.38NA 12.38 6.04 32.76 32.760090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 64818 Sympathectomy lumbar A 11.06 8.11NA 8.11 2.36 21.53 21.530090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 64820 Sympathectomy digital artery A 10.47 8.43NA 8.43 2.04 20.94 20.940090.11.76.13201009 33.4009 090 99 0.00 0.00 0.00
- 64821 Sympathectomy radial artery A 9.10 8.73NA 8.73 1.94 19.77 19.770090.11.76.13211009 33.4009 090 99 0.00 0.00 0.00
- 64822 Sympathectomy ulnar artery A 9.10 8.73NA 8.73 1.94 19.77 19.770090.11.76.13211009 33.4009 090 99 0.00 0.00 0.00
- 64823 Sympathectomy supfc palmar A 10.67 9.22NA 9.22 2.27 22.16 22.160090.11.76.13211009 33.4009 090 99 0.00 0.00 0.00
- 64831 Repair of digit nerve A 8.93 8.64NA 8.64 1.70 19.27 19.270090.11.76.13211009 33.4009 090 99 0.00 0.00 0.00
- 64832 Repair nerve add-on A 5.51 1.85NA 1.85 1.07 8.43 8.430ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 64834 Repair of hand or foot nerve A 10.54 7.45NA 7.45 1.79 19.78 19.780090.11.76.13210009 33.4009 090 99 0.00 0.00 0.00
- 64835 Repair of hand or foot nerve A 11.44 8.73NA 8.73 2.44 22.61 22.610090.11.76.13212009 33.4009 090 99 0.00 0.00 0.00
- 64836 Repair of hand or foot nerve A 11.44 8.73NA 8.73 2.44 22.61 22.610090.11.76.13212009 33.4009 090 99 0.00 0.00 0.00
- 64837 Repair nerve add-on A 6.09 1.94NA 1.94 1.30 9.33 9.330ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 64840 Repair of leg nerve A 13.67 9.91NA 9.91 2.91 26.49 26.490090.11.76.13212009 33.4009 090 99 0.00 0.00 0.00
- 64856 Repair/transpose nerve A 14.69 9.37NA 9.37 3.47 27.53 27.530090.11.76.13201109 33.4009 090 99 0.00 0.00 0.00
- 64857 Repair arm/leg nerve A 15.42 9.62NA 9.62 3.25 28.29 28.290090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64858 Repair sciatic nerve A 17.37 10.78NA 10.78 3.70 31.85 31.850090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 64859 Nerve surgery A 4.14 1.32NA 1.32 0.89 6.35 6.350ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 64861 Repair of arm nerves A 20.37 16.31NA 16.31 8.59 45.27 45.270090.11.76.13212109 33.4009 090 99 0.00 0.00 0.00
- 64862 Repair of low back nerves A 20.56 12.11NA 12.11 4.38 37.05 37.050090.11.76.13212009 33.4009 090 99 0.00 0.00 0.00
- 64864 Repair of facial nerve A 13.07 7.35NA 7.35 2.19 22.61 22.610090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64865 Repair of facial nerve A 15.69 10.39NA 10.39 2.30 28.38 28.380090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64866 Fusion of facial/other nerve A 16.41 14.29NA 14.29 3.04 33.74 33.740090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64868 Fusion of facial/other nerve A 14.53 9.34NA 9.34 2.12 25.99 25.990090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64872 Subsequent repair of nerve A 1.94 0.62NA 0.62 0.42 2.98 2.980ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 64874 Repair & revise nerve add-on A 2.91 0.93NA 0.93 0.61 4.45 4.450ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 64876 Repair nerve/shorten bone A 3.29 1.05NA 1.05 0.69 5.03 5.030ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 64885 Nerve graft head/neck <4 cm A 17.16 8.15NA 8.15 2.50 27.81 27.810090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64886 Nerve graft head/neck >4 cm A 20.30 9.95NA 9.95 3.22 33.47 33.470090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64890 Nrv grf 1strnd hnd/foot <4cm A 15.83 10.13NA 10.13 3.37 29.33 29.330090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 64891 Nrv grf 1strnd hnd/foot >4cm A 16.92 10.63NA 10.63 3.61 31.16 31.160090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 64892 Nrv grf 1strnd arm/leg <4cm A 15.35 9.98NA 9.98 3.26 28.59 28.590090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64893 Nrv grf 1strnd arm/leg >4 cm A 16.45 10.48NA 10.48 3.50 30.43 30.430090.11.76.13202009 33.4009 090 99 0.00 0.00 0.00
- 64895 Nrv grf mltst hnd/foot <4 cm A 19.88 11.58NA 11.58 4.23 35.69 35.690090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64896 Nrv grf mltst hnd/foot >4 cm A 21.41 12.54NA 12.54 4.56 38.51 38.510090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64897 Nrv grf mltst arm/leg <4 cm A 18.90 11.26NA 11.26 4.02 34.18 34.180090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64898 Nrv grf mltst arm/leg >4 cm A 20.45 12.23NA 12.23 4.34 37.02 37.020090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64901 Nerve graft add-on A 9.95 3.17NA 3.17 2.12 15.24 15.240ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 64902 Nerve graft add-on A 11.51 3.67NA 3.67 2.46 17.64 17.640ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 64905 Nerve pedicle transfer A 14.73 8.91NA 8.91 3.05 26.69 26.690090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64907 Nerve pedicle transfer A 19.53 11.31NA 11.31 4.17 35.01 35.010090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64910 Nerve repair w/allograft A 10.26 8.85NA 8.85 1.76 20.87 20.870090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64911 Neurorraphy w/vein autograft A 13.65 11.89NA 11.89 2.91 28.45 28.450090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64912 Nrv rpr w/nrv algrft 1st A 11.70 10.56NA 10.56 2.26 24.52 24.520090.11.76.13202109 33.4009 090 99 0.00 0.00 0.00
- 64913 Nrv rpr w/nrv algrft ea addl A 2.93 0.92NA 0.92 0.54 4.39 4.390ZZZ.00.00.00002109 33.4009 090 99 0.00 0.00 0.00
- 64999 Unlisted px nervous system 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
- 65091 Revise eye A 7.08 12.20NA 12.20 0.56 19.84 19.840090.10.70.20210109 33.4009 090 99 0.00 0.00 0.00
- 65093 Revise eye with implant A 6.86 12.34NA 12.34 0.55 19.75 19.750090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65101 Removal of eye A 8.09 14.01NA 14.01 0.64 22.74 22.740090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65103 Remove eye/insert implant A 8.62 14.07NA 14.07 0.68 23.37 23.370090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65105 Remove eye/attach implant A 9.68 14.91NA 14.91 0.79 25.38 25.380090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 65110 Removal of eye A 15.31 17.77NA 17.77 1.23 34.31 34.310090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 65112 Remove eye/revise socket A 18.05 19.63NA 19.63 1.44 39.12 39.120090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 65114 Remove eye/revise socket A 19.16 20.02NA 20.02 1.51 40.69 40.690090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 65125 Revise ocular implant A 3.19 10.20 4.37 0.25 13.64 7.810090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65130 Insert ocular implant A 8.21 13.94NA 13.94 0.65 22.80 22.800090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65135 Insert ocular implant A 8.39 14.01NA 14.01 0.66 23.06 23.060090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65140 Attach ocular implant A 9.22 14.74NA 14.74 0.73 24.69 24.690090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65150 Revise ocular implant A 6.27 12.11NA 12.11 0.48 18.86 18.860090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 65155 Reinsert ocular implant A 9.85 14.96NA 14.96 0.79 25.60 25.600090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65175 Removal of ocular implant A 7.22 13.15NA 13.15 0.57 20.94 20.940090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65205 Remove foreign body from eye A 0.48 0.34 0.23 0.02 0.84 0.730000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 65210 Remove foreign body from eye A 0.59 0.52 0.28 0.03 1.14 0.900000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 65220 Remove foreign body from eye A 0.69 1.14 0.35 0.09 1.92 1.130000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 65222 Remove foreign body from eye A 0.82 1.14 0.39 0.04 2.00 1.250000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 65235 Remove foreign body from eye A 8.78 9.54NA 9.54 0.71 19.03 19.030090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 65260 Remove foreign body from eye A 12.23 11.93NA 11.93 0.99 25.15 25.150090.10.70.20212009 33.4009 090 99 0.00 0.00 0.00
- 65265 Remove foreign body from eye A 13.98 13.10NA 13.10 1.12 28.20 28.200090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 65270 Repair of eye wound A 1.90 6.39 1.50 0.15 8.44 3.550010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 65272 Repair of eye wound A 4.50 10.90 4.11 0.36 15.76 8.970090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65273 Repair of eye wound A 5.03 4.18NA 4.18 0.40 9.61 9.610090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65275 Repair of eye wound A 6.13 11.08 5.03 0.48 17.69 11.640090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 65280 Repair of eye wound A 8.87 7.37NA 7.37 0.70 16.94 16.940090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 65285 Repair of eye wound A 14.98 11.63NA 11.63 1.21 27.82 27.820090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65286 Repair of eye wound A 6.46 13.96 5.61 0.50 20.92 12.570090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65290 Repair of eye socket wound A 6.37 5.57NA 5.57 0.49 12.43 12.430090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65400 Removal of eye lesion A 7.31 13.00 7.76 0.60 20.91 15.670090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65410 Biopsy of cornea A 1.43 2.77 1.05 0.11 4.31 2.590000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 65420 Removal of eye lesion A 4.25 11.58 5.42 0.35 16.18 10.020090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65426 Removal of eye lesion A 5.90 13.72 6.01 0.46 20.08 12.370090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65430 Corneal smear A 1.43 1.92 1.02 0.11 3.46 2.560000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 65435 Curette/treat cornea A 0.90 1.53 0.84 0.07 2.50 1.810000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 65436 Curette/treat cornea A 4.70 6.66 4.44 0.38 11.74 9.520090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65450 Treatment of corneal lesion A 3.38 6.38 5.01 0.26 10.02 8.650090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65600 Revision of cornea A 4.10 8.81 4.55 0.33 13.24 8.980090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65710 Corneal transplant A 14.09 14.21NA 14.21 1.13 29.43 29.430090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 65730 Corneal transplant A 15.94 14.75NA 14.75 1.28 31.97 31.970090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 65750 Corneal transplant A 16.48 14.24NA 14.24 1.31 32.03 32.030090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 65755 Corneal transplant A 16.37 14.20NA 14.20 1.31 31.88 31.880090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 65756 Corneal trnspl endothelial A 16.42 11.96NA 11.96 1.31 29.69 29.690090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 65757 Prep corneal endo allograft 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
- 65760 Keratomileusis 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
- 65765 Keratophakia 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
- 65767 Epikeratoplasty 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
- 65770 Keratoprosthesis A 19.25 14.62NA 14.62 1.53 35.40 35.400090.10.70.20212009 33.4009 090 99 0.00 0.00 0.00
- 65771 Radial keratotomy 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
- 65772 Correction of astigmatism A 4.96 8.42 5.15 0.40 13.78 10.510090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65775 Correction of astigmatism A 6.74 7.67NA 7.67 0.53 14.94 14.940090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65778 Cover eye w/membrane A 0.82 37.29 0.21 0.04 38.15 1.070000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 65779 Cover eye w/membrane suture A 1.71 32.28 0.69 0.14 34.13 2.540000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 65780 Ocular reconst transplant A 6.85 8.06NA 8.06 0.54 15.45 15.450090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65781 Ocular reconst transplant A 17.69 14.52NA 14.52 1.41 33.62 33.620090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 65782 Ocular reconst transplant A 15.04 12.90NA 12.90 1.21 29.15 29.150090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65785 Impltj ntrstrml crnl rng seg A 5.26 57.15 5.88 0.42 62.83 11.560090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65800 Drainage of eye A 1.49 2.00 0.52 0.12 3.61 2.130000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 65810 Drainage of eye A 5.67 5.89NA 5.89 0.44 12.00 12.000090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65815 Drainage of eye A 5.85 12.92 6.01 0.46 19.23 12.320090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65820 Goniotomy A 8.69 12.29NA 12.29 0.68 21.66 21.660090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 65850 Trabeculotomy ab externo A 11.11 9.39NA 9.39 0.88 21.38 21.380090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65855 Trabeculoplasty laser surg A 2.93 4.20 1.98 0.22 7.35 5.130010.10.80.10211119 33.4009 090 99 0.00 0.00 0.00
- 65860 Severing ads ant sgm laser A 3.50 5.51 2.49 0.27 9.28 6.260090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 65865 Incise inner eye adhesions A 5.63 6.32NA 6.32 0.44 12.39 12.390090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65870 Incise inner eye adhesions A 7.21 7.58NA 7.58 0.57 15.36 15.360090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65875 Incise inner eye adhesions A 7.61 8.20NA 8.20 0.60 16.41 16.410090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65880 Incise inner eye adhesions A 8.15 8.38NA 8.38 0.64 17.17 17.170090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 65900 Remove eye lesion A 12.20 12.25NA 12.25 0.99 25.44 25.440090.10.70.20212009 33.4009 090 99 0.00 0.00 0.00
- 65920 Remove implant of eye A 9.74 9.86NA 9.86 0.79 20.39 20.390090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 65930 Remove blood clot from eye A 8.18 7.58NA 7.58 0.64 16.40 16.400090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 66020 Injection treatment of eye A 1.60 4.16 1.68 0.13 5.89 3.410010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 66030 Injection treatment of eye A 1.27 3.93 1.56 0.09 5.29 2.920010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 66130 Remove eye lesion A 7.63 12.90 6.02 0.62 21.15 14.270090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 66150 Glaucoma surgery A 10.27 11.70NA 11.70 0.82 22.79 22.790090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 66155 Glaucoma surgery A 10.26 11.70NA 11.70 0.82 22.78 22.780090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66160 Glaucoma surgery A 12.08 12.34NA 12.34 0.98 25.40 25.400090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 66170 Glaucoma surgery A 13.59 13.41NA 13.41 1.09 28.09 28.090090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 66172 Incision of eye A 14.47 15.18NA 15.18 1.16 30.81 30.810090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 66174 Trluml dil aq o/f can w/o st A 7.43 8.17NA 8.17 0.58 16.18 16.180090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 66175 Trluml dil aq o/f can w/st A 9.11 8.74NA 8.74 0.72 18.57 18.570090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 66179 Aqueous shunt eye w/o graft A 13.65 12.91NA 12.91 1.09 27.65 27.650090.10.70.20212009 33.4009 090 99 0.00 0.00 0.00
- 66180 Aqueous shunt eye w/graft A 14.63 13.26NA 13.26 1.17 29.06 29.060090.10.70.20212009 33.4009 090 99 0.00 0.00 0.00
- 66183 Insert ant drainage device A 12.87 12.48NA 12.48 1.04 26.39 26.390090.10.80.10212009 33.4009 090 99 0.00 0.00 0.00
- 66184 Revision of aqueous shunt A 9.34 10.47NA 10.47 0.75 20.56 20.560090.10.70.20212009 33.4009 090 99 0.00 0.00 0.00
- 66185 Revise aqueous shunt eye A 10.32 10.81NA 10.81 0.83 21.96 21.960090.10.70.20212009 33.4009 090 99 0.00 0.00 0.00
- 66225 Repair/graft eye lesion A 12.31 10.44NA 10.44 1.00 23.75 23.750090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 66250 Follow-up surgery of eye A 6.92 15.03 6.84 0.55 22.50 14.310090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66500 Incision of iris A 3.73 6.53NA 6.53 0.29 10.55 10.550090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 66505 Incision of iris A 4.11 7.01NA 7.01 0.34 11.46 11.460090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66600 Remove iris and lesion A 9.87 13.03NA 13.03 0.79 23.69 23.690090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66605 Removal of iris A 13.86 12.77NA 12.77 1.11 27.74 27.740090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66625 Removal of iris A 5.17 5.52NA 5.52 0.41 11.10 11.100090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66630 Removal of iris A 7.10 6.90NA 6.90 0.56 14.56 14.560090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66635 Removal of iris A 7.19 6.93NA 6.93 0.57 14.69 14.690090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66680 Repair iris & ciliary body A 7.77 6.81NA 6.81 0.61 15.19 15.190090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 66682 Repair iris & ciliary body A 8.52 7.77NA 7.77 0.67 16.96 16.960090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66683 Implantation iris prosthesis A 10.40 8.56NA 8.56 0.83 19.79 19.790090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66700 Destruction ciliary body A 5.01 8.26 4.63 0.40 13.67 10.040090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 66710 Ciliary transsleral therapy A 5.01 7.92 4.63 0.40 13.33 10.040090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66711 Ecp ciliary body destruction A 5.48 7.45NA 7.45 0.43 13.36 13.360090.10.70.20311009 66710 33.4009 090 99 0.00 0.00 0.00
- 66720 Destruction ciliary body A 4.63 9.18 5.83 0.37 14.18 10.830090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66740 Destruction ciliary body A 5.01 7.87 4.63 0.40 13.28 10.040090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66761 Revision of iris A 2.93 5.81 2.90 0.22 8.96 6.050010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 66762 Revision of iris A 5.25 8.75 5.32 0.42 14.42 10.990090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66770 Removal of inner eye lesion A 5.98 9.54 5.99 0.47 15.99 12.440090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66820 Incision secondary cataract A 3.91 8.41NA 8.41 0.29 12.61 12.610090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66821 After cataract laser surgery A 3.33 6.46 4.66 0.25 10.04 8.240090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66825 Reposition intraocular lens A 8.78 12.39NA 12.39 0.69 21.86 21.860090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 66830 Removal of lens lesion A 9.23 8.11NA 8.11 0.72 18.06 18.060090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66840 Removal of lens material A 8.95 8.02NA 8.02 0.71 17.68 17.680090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66850 Removal of lens material A 10.29 8.95NA 8.95 0.82 20.06 20.060090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66852 Removal of lens material A 11.12 9.25NA 9.25 0.89 21.26 21.260090.10.70.20210109 33.4009 090 99 0.00 0.00 0.00
- 66920 Extraction of lens A 9.88 8.34NA 8.34 0.79 19.01 19.010090.10.70.20210109 33.4009 090 99 0.00 0.00 0.00
- 66930 Extraction of lens A 11.32 9.51NA 9.51 0.91 21.74 21.740090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 66940 Extraction of lens A 10.11 9.08NA 9.08 0.81 20.00 20.000090.10.70.20210109 33.4009 090 99 0.00 0.00 0.00
- 66982 Xcapsl ctrc rmvl cplx wo ecp A 9.99 8.10NA 8.10 0.79 18.88 18.880090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66983 Cataract surg w/iol 1 stage C 0.00 0.00 0.00 0.00 0.00 0.000090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66984 Xcapsl ctrc rmvl w/o ecp A 7.17 6.14NA 6.14 0.54 13.85 13.850090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66985 Insert lens prosthesis A 9.73 9.20NA 9.20 0.79 19.72 19.720090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 66986 Exchange lens prosthesis A 11.95 9.98NA 9.98 0.95 22.88 22.880090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 66987 Xcapsl ctrc rmvl cplx w/ecp C 0.00 0.00 0.00 0.00 0.00 0.000090.10.70.20210119 33.4009 090 99 0.00 0.00 0.00
- 66988 Xcapsl ctrc rmvl w/ecp C 0.00 0.00 0.00 0.00 0.00 0.000090.10.70.20210119 33.4009 090 99 0.00 0.00 0.00
- 66989 Xcpsl ctrc rmvl cplx insj 1+ A 11.83 8.77NA 8.77 0.92 21.52 21.520090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66990 Ophthalmic endoscope add-on A 1.47 0.52NA 0.52 0.12 2.11 2.110ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 66991 Xcapsl ctrc rmvl insj 1+ A 9.00 7.74NA 7.74 0.69 17.43 17.430090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 66999 Unlisted px ant segment eye 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
- 67005 Partial removal of eye fluid A 5.74 6.19NA 6.19 0.45 12.38 12.380090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67010 Partial removal of eye fluid A 6.88 6.60NA 6.60 0.54 14.02 14.020090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67015 Release of eye fluid A 6.96 8.19NA 8.19 0.55 15.70 15.700090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67025 Replace eye fluid A 7.91 13.70 7.64 0.62 22.23 16.170090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67027 Implant eye drug system A 11.33 9.17NA 9.17 0.91 21.41 21.410090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67028 Injection eye drug A 1.40 1.91 0.75 0.11 3.42 2.260000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 67030 Incise inner eye strands A 5.96 8.27NA 8.27 0.47 14.70 14.700090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67031 Laser surgery eye strands A 4.36 6.96 4.44 0.35 11.67 9.150090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67036 Removal of inner eye fluid A 11.83 9.95NA 9.95 0.95 22.73 22.730090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67039 Laser treatment of retina A 12.87 10.32NA 10.32 1.04 24.23 24.230090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67040 Laser treatment of retina A 14.14 10.77NA 10.77 1.13 26.04 26.040090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67041 Vit for macular pucker A 15.92 11.40NA 11.40 1.27 28.59 28.590090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67042 Vit for macular hole A 15.92 11.39NA 11.39 1.27 28.58 28.580090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67043 Vit for membrane dissect A 16.97 11.77NA 11.77 1.34 30.08 30.080090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67101 Repair detached retina crtx A 3.41 6.37 3.69 0.26 10.04 7.360010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67105 Repair detached retina pc A 3.31 5.38 3.54 0.25 8.94 7.100010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67107 Repair detached retina A 15.60 11.28NA 11.28 1.25 28.13 28.130090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67108 Repair detached retina A 16.70 11.67NA 11.67 1.33 29.70 29.700090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67110 Repair detached retina A 9.99 15.90 10.12 0.80 26.69 20.910090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67113 Repair retinal detach cplx A 18.53 13.24NA 13.24 1.47 33.24 33.240090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67115 Release encircling material A 5.96 6.51NA 6.51 0.47 12.94 12.940090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67120 Remove eye implant material A 6.92 12.60 6.79 0.54 20.06 14.250090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67121 Remove eye implant material A 11.94 9.99NA 9.99 0.96 22.89 22.890090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67141 Proph rta dtchmnt crtx dthrm A 2.47 5.42 2.98 0.20 8.09 5.650010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67145 Proph rta dtchmnt pc A 2.47 4.68 2.98 0.20 7.35 5.650010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67208 Treatment of retinal lesion A 7.46 10.06 6.67 0.59 18.11 14.720090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67210 Treatment of retinal lesion A 6.20 8.80 6.13 0.49 15.49 12.820090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67218 Treatment of retinal lesion A 19.85 13.15NA 13.15 1.58 34.58 34.580090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67220 Treatment of choroid lesion A 6.20 9.25 6.13 0.48 15.93 12.810090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67221 Ocular photodynamic ther R 3.36 4.89 1.42 0.26 8.51 5.040000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 67225 Eye photodynamic ther add-on A 0.46 0.37 0.16 0.04 0.87 0.660ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 67227 Dstrj extensive retinopathy A 3.41 5.21 2.77 0.26 8.88 6.440010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67228 Treatment x10sv retinopathy A 4.28 5.58 2.97 0.35 10.21 7.600010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67229 Tr retinal les preterm inf A 15.89 11.88NA 11.88 1.27 29.04 29.040090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67250 Reinforce eye wall A 9.37 13.70NA 13.70 0.75 23.82 23.820090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67255 Reinforce/graft eye wall A 8.17 9.04NA 9.04 0.65 17.86 17.860090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67299 Unlisted px posterior segmnt 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
- 67311 Revise eye muscle A 5.78 5.48NA 5.48 0.45 11.71 11.710090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67312 Revise two eye muscles A 9.26 6.72NA 6.72 0.73 16.71 16.710090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67314 Revise eye muscle A 5.78 5.48NA 5.48 0.45 11.71 11.710090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67316 Revise two eye muscles A 10.05 6.99NA 6.99 0.81 17.85 17.850090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 67318 Revise eye muscle(s) A 9.56 7.01NA 7.01 0.76 17.33 17.330090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67320 Revise eye muscle(s) add-on A 2.93 1.03NA 1.03 0.22 4.18 4.180ZZZ.00.00.00001009 33.4009 090 99 0.00 0.00 0.00
- 67331 Eye surgery follow-up add-on A 1.95 0.91NA 0.91 0.16 3.02 3.020ZZZ.00.00.00011109 33.4009 090 99 0.00 0.00 0.00
- 67332 Rerevise eye muscles add-on A 3.41 1.19NA 1.19 0.26 4.86 4.860ZZZ.00.00.00011109 33.4009 090 99 0.00 0.00 0.00
- 67334 Revise eye muscle w/suture A 2.01 0.81NA 0.81 0.16 2.98 2.980ZZZ.00.00.00011109 33.4009 090 99 0.00 0.00 0.00
- 67335 Eye suture during surgery A 3.15 1.09NA 1.09 0.24 4.48 4.480ZZZ.00.00.00011109 33.4009 090 99 0.00 0.00 0.00
- 67340 Revise eye muscle add-on A 4.88 1.72NA 1.72 0.39 6.99 6.990ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00
- 67343 Release eye tissue A 8.26 8.52NA 8.52 0.67 17.45 17.450090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67345 Destroy nerve of eye muscle A 2.93 4.06 2.25 0.53 7.52 5.710010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67346 Biopsy eye muscle A 2.80 1.81NA 1.81 0.21 4.82 4.820000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 67399 Unlisted px extraocular musc 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
- 67400 Explore/biopsy eye socket A 10.92 15.47NA 15.47 0.89 27.28 27.280090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67405 Explore/drain eye socket A 8.97 14.32NA 14.32 0.71 24.00 24.000090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67412 Explore/treat eye socket A 10.04 15.28NA 15.28 0.84 26.16 26.160090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67413 Explore/treat eye socket A 9.98 14.58NA 14.58 0.80 25.36 25.360090.10.70.20212009 33.4009 090 99 0.00 0.00 0.00
- 67414 Explr/decompress eye socket A 17.49 18.35NA 18.35 1.56 37.40 37.400090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67415 Aspiration orbital contents A 1.72 0.60NA 0.60 0.14 2.46 2.460000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 67420 Explore/treat eye socket A 21.32 21.66NA 21.66 2.05 45.03 45.030090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67430 Explore/treat eye socket A 14.91 20.20NA 20.20 1.20 36.31 36.310090.10.70.20212009 33.4009 090 99 0.00 0.00 0.00
- 67440 Explore/drain eye socket A 14.47 19.58NA 19.58 1.16 35.21 35.210090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67445 Explr/decompress eye socket A 18.64 19.05NA 19.05 1.58 39.27 39.270090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67450 Explore/biopsy eye socket A 15.02 20.24NA 20.24 1.21 36.47 36.470090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67500 Inject/treat eye socket A 1.15 1.13 0.42 0.08 2.36 1.650000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 67505 Inject/treat eye socket A 1.15 1.31 0.51 0.08 2.54 1.740000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 67515 Inject/treat eye socket A 0.73 0.76 0.36 0.06 1.55 1.150000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 67516 Sprchoroidal spc njx rx agt A 1.49 2.02 0.78 0.12 3.63 2.390000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 67550 Insert eye socket implant A 11.48 16.16NA 16.16 0.98 28.62 28.620090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67560 Revise eye socket implant A 11.88 16.27NA 16.27 1.06 29.21 29.210090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 67570 Decompress optic nerve A 14.04 18.02NA 18.02 1.12 33.18 33.180090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67599 Unlisted procedure orbit 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
- 67700 Blepharotomy drg absc eyelid A 1.37 6.92 1.59 0.11 8.40 3.070010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67710 Severing tarsorrhaphy A 1.04 6.05 1.48 0.08 7.17 2.600010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67715 Canthotomy A 1.24 6.80 1.64 0.18 8.22 3.060010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67800 Remove eyelid lesion A 1.37 2.43 1.12 0.11 3.91 2.600010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 67801 Remove eyelid lesions A 1.86 2.93 1.29 0.15 4.94 3.300010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 67805 Remove eyelid lesions A 2.21 3.79 1.76 0.18 6.18 4.150010.10.80.10201009 33.4009 090 99 0.00 0.00 0.00
- 67808 Remove eyelid lesion(s) A 4.49 4.70NA 4.70 0.37 9.56 9.560090.10.70.20201009 33.4009 090 99 0.00 0.00 0.00
- 67810 Incal bx eyelid skn lid mrgn A 1.15 4.16 0.39 0.11 5.42 1.650000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 67820 Revise eyelashes A 0.31 0.23 0.24 0.02 0.56 0.570000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 67825 Revise eyelashes A 1.39 2.55 1.72 0.11 4.05 3.220010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67830 Revise eyelashes A 1.71 6.19 1.72 0.14 8.04 3.570010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67835 Revise eyelashes A 5.56 5.37NA 5.37 0.43 11.36 11.360090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 67840 Remove eyelid lesion A 2.04 6.11 1.81 0.17 8.32 4.020010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67850 Dstrj lesion lid margin <1cm A 1.70 4.43 1.52 0.15 6.28 3.370010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67875 Closure of eyelid by suture A 1.32 3.98 1.00 0.11 5.41 2.430000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 67880 Revision of eyelid A 4.49 9.23 4.70 0.38 14.10 9.570090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67882 Revision of eyelid A 5.87 10.87 5.82 0.46 17.20 12.150090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67900 Repair brow defect A 6.65 12.44 5.71 0.60 19.69 12.960090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67901 Repair eyelid defect A 7.40 15.74 7.02 0.62 23.76 15.040090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67902 Repair eyelid defect A 9.57 8.07NA 8.07 0.78 18.42 18.420090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67903 Repair eyelid defect A 6.35 11.30 5.38 0.50 18.15 12.230090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67904 Repair eyelid defect A 7.77 13.88 6.79 0.65 22.30 15.210090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67906 Repair eyelid defect A 6.76 5.51NA 5.51 0.53 12.80 12.800090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67908 Repair eyelid defect A 5.17 10.77 5.64 0.42 16.36 11.230090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67909 Revise eyelid defect A 5.43 10.65 5.43 0.48 16.56 11.340090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67911 Revise eyelid defect A 7.31 6.38NA 6.38 0.60 14.29 14.290090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67912 Correction eyelid w/implant A 6.20 19.90 5.81 0.68 26.78 12.690090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67914 Repair eyelid defect A 3.66 10.67 4.73 0.34 14.67 8.730090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67915 Repair eyelid defect A 1.98 7.31 3.25 0.16 9.45 5.390090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67916 Repair eyelid defect A 5.34 12.52 5.34 0.45 18.31 11.130090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67917 Repair eyelid defect A 5.78 12.47 5.48 0.48 18.73 11.740090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67921 Repair eyelid defect A 3.38 10.65 4.64 0.26 14.29 8.280090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67922 Repair eyelid defect A 1.98 7.10 3.25 0.16 9.24 5.390090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67923 Repair eyelid defect A 5.34 12.51 5.34 0.43 18.28 11.110090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67924 Repair eyelid defect A 5.78 13.24 5.49 0.47 19.49 11.740090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67930 Repair eyelid wound A 3.56 7.30 2.00 0.33 11.19 5.890010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67935 Repair eyelid wound A 6.20 11.38 4.26 0.57 18.15 11.030090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67938 Remove eyelid foreign body A 1.35 6.14 1.59 0.06 7.55 3.000010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 67950 Revision of eyelid A 5.84 11.29 5.56 0.50 17.63 11.900090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67961 Revision of eyelid A 5.71 11.55 5.51 0.47 17.73 11.690090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 67966 Revision of eyelid A 8.75 13.95 7.13 0.73 23.43 16.610090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67971 Reconstruction of eyelid A 9.76 7.62NA 7.62 0.81 18.19 18.190090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 67973 Reconstruction of eyelid A 12.80 9.39NA 9.39 1.07 23.26 23.260090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67974 Reconstruction of eyelid A 12.77 9.38NA 9.38 1.06 23.21 23.210090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 67975 Reconstruction of eyelid A 9.12 7.41NA 7.41 0.79 17.32 17.320090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 67999 Unlisted procedure eyelids 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
- 68020 Incise/drain eyelid lining A 1.38 2.16 1.37 0.09 3.63 2.840010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68040 Treatment of eyelid lesions A 0.83 0.98 0.32 0.04 1.85 1.190000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 68100 Biopsy conjunctiva A 1.32 3.95 1.00 0.11 5.38 2.430000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 68110 Exc les conjunctiva <1 cm A 1.77 5.20 1.95 0.14 7.11 3.860010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68115 Exc les conjunctiva >1 cm A 2.35 7.37 2.16 0.19 9.91 4.700010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68130 Exc les conjunctiva adj scl A 4.97 11.23 5.34 0.40 16.60 10.710090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 68135 Destruction les conjunctiva A 1.84 2.79 1.90 0.15 4.78 3.890010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68200 Treat eyelid by injection A 0.48 0.72 0.35 0.04 1.24 0.870000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 68320 Revise/graft eyelid lining A 6.47 15.39 7.04 0.51 22.37 14.020090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 68325 Revise/graft eyelid lining A 8.41 7.71NA 7.71 0.66 16.78 16.780090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 68326 Revise/graft eyelid lining A 8.21 7.65NA 7.65 0.67 16.53 16.530090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 68328 Revise/graft eyelid lining A 9.21 7.99NA 7.99 0.73 17.93 17.930090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 68330 Revise eyelid lining A 5.64 12.60 5.82 0.44 18.68 11.900090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 68335 Revise/graft eyelid lining A 8.25 7.65NA 7.65 0.67 16.57 16.570090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 68340 Separate eyelid adhesions A 4.85 13.12 5.16 0.66 18.63 10.670090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 68360 Revise eyelid lining A 5.04 10.92 5.19 0.40 16.36 10.630090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 68362 Revise eyelid lining A 8.39 7.70NA 7.70 0.66 16.75 16.750090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 68371 Harvest eye tissue alograft A 4.96 5.38NA 5.38 0.40 10.74 10.740010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68399 Unlisted px conjunctiva 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
- 68400 I&d lacrimal gland A 1.70 7.02 1.54 0.14 8.86 3.380010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68420 I&d lacrimal sac A 2.29 7.43 1.75 0.18 9.90 4.220010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68440 Snip inc lacrimal punctum A 0.97 2.14 1.68 0.07 3.18 2.720010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68500 Removal of tear gland A 12.45 14.12NA 14.12 1.01 27.58 27.580090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 68505 Partial removal tear gland A 12.37 14.10NA 14.10 1.00 27.47 27.470090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 68510 Biopsy of tear gland A 4.49 8.65 2.18 0.36 13.50 7.030000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 68520 Removal of tear sac A 8.56 10.00NA 10.00 0.71 19.27 19.270090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 68525 Biopsy of tear sac A 4.31 1.51NA 1.51 0.36 6.18 6.180000.00.00.00211109 33.4009 090 99 0.00 0.00 0.00
- 68530 Clearance of tear duct A 3.61 9.09 2.48 0.28 12.98 6.370010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68540 Remove tear gland lesion A 11.88 12.54NA 12.54 0.95 25.37 25.370090.10.70.20211109 33.4009 090 99 0.00 0.00 0.00
- 68550 Remove tear gland lesion A 14.78 15.57NA 15.57 1.19 31.54 31.540090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 68700 Repair tear ducts A 7.67 7.17NA 7.17 0.62 15.46 15.460090.10.70.20211009 33.4009 090 99 0.00 0.00 0.00
- 68705 Revise tear duct opening A 2.06 5.55 2.06 0.17 7.78 4.290010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68720 Create tear sac drain A 9.71 10.51NA 10.51 0.82 21.04 21.040090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 68745 Create tear duct drain A 9.65 10.71NA 10.71 0.78 21.14 21.140090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 68750 Create tear duct drain A 9.85 11.75NA 11.75 0.82 22.42 22.420090.10.70.20212109 33.4009 090 99 0.00 0.00 0.00
- 68760 Close tear duct opening A 1.74 4.69 1.94 0.14 6.57 3.820010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68761 Close tear duct opening A 1.37 2.85 1.66 0.07 4.29 3.100010.10.80.10210009 33.4009 090 99 0.00 0.00 0.00
- 68770 Close tear system fistula A 8.08 7.31NA 7.31 0.64 16.03 16.030090.10.70.20210009 33.4009 090 99 0.00 0.00 0.00
- 68801 Dilate tear duct opening A 0.80 1.98 1.30 0.05 2.83 2.150010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68810 Probe nasolacrimal duct A 1.50 3.19 1.74 0.12 4.81 3.360010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68811 Probe nasolacrimal duct A 1.70 1.67NA 1.67 0.15 3.52 3.520010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68815 Probe nasolacrimal duct A 2.63 8.33 2.94 0.21 11.17 5.780010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68816 Probe nl duct w/balloon A 2.05 22.69 1.80 0.16 24.90 4.010010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68840 Explore/irrigate tear ducts A 1.27 2.66 1.77 0.09 4.02 3.130010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 68841 Insj rx elut implt lac canal A 0.48 0.64 0.30 0.04 1.16 0.820000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 68850 Injection for tear sac x-ray A 0.78 0.84 0.52 0.07 1.69 1.370000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 68899 Unlisted px lacrimal system 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
- 69000 Drg xtrnl ear absc/hem smpl A 1.46 4.05 1.83 0.23 5.74 3.520010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 69005 Drg xtrnl ear absc/hem comp A 2.11 4.22 1.94 0.33 6.66 4.380010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 69020 Drg xtrnl aud canal abscess A 1.49 5.27 2.28 0.21 6.97 3.980010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 69090 Ear piercing 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
- 69100 Biopsy of external ear A 0.79 1.91 0.26 0.07 2.77 1.120000.00.00.00201009 33.4009 090 99 0.00 0.00 0.00
- 69105 Biopsy of external ear canal A 0.83 3.37 0.78 0.11 4.31 1.720000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 69110 Remove external ear partial A 3.44 10.11 5.06 0.50 14.05 9.000090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69120 Removal of external ear A 4.04 6.19NA 6.19 0.57 10.80 10.800090.07.79.14201009 33.4009 090 99 0.00 0.00 0.00
- 69140 Remove ear canal lesion(s) A 7.94 16.13NA 16.13 1.16 25.23 25.230090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69145 Remove ear canal lesion(s) A 2.63 9.10 4.08 0.39 12.12 7.100090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69150 Extensive ear canal surgery A 13.27 11.62NA 11.62 2.06 26.95 26.950090.07.79.14201109 33.4009 090 99 0.00 0.00 0.00
- 69155 Extensive ear/neck surgery A 22.77 16.76NA 16.76 3.32 42.85 42.850090.07.79.14202109 33.4009 090 99 0.00 0.00 0.00
- 69200 Clear outer ear canal A 0.75 1.59 0.39 0.11 2.45 1.250000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 69205 Clear outer ear canal A 1.18 1.27NA 1.27 0.17 2.62 2.620010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 69209 Remove impacted ear wax uni A 0.00 0.50 0.50NA 0.01 0.51 0.515000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 69210 Remove impacted ear wax uni A 0.59 0.77 0.15 0.07 1.43 0.810000.00.00.00221009 33.4009 090 99 0.00 0.00 0.00
- 69220 Clean out mastoid cavity A 0.81 1.42 0.40 0.12 2.35 1.330000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 69222 Clean out mastoid cavity A 1.41 4.87 2.15 0.21 6.49 3.770010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 69300 Revise external ear R 6.44 12.18 5.42 0.93 19.55 12.790YYY.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 69310 Rebuild outer ear canal A 10.70 18.72NA 18.72 1.63 31.05 31.050090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69320 Rebuild outer ear canal A 16.75 23.52NA 23.52 2.44 42.71 42.710090.07.79.14212009 33.4009 090 99 0.00 0.00 0.00
- 69399 Unlisted px external ear 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
- 69420 Incision of eardrum A 1.35 4.19 1.76 0.20 5.74 3.310010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 69421 Incision of eardrum A 1.74 2.14NA 2.14 0.25 4.13 4.130010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 69424 Remove ventilating tube A 0.83 2.98 0.74 0.09 3.90 1.660000.00.00.00211009 33.4009 090 99 0.00 0.00 0.00
- 69433 Create eardrum opening A 1.53 4.32 1.84 0.21 6.06 3.580010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 69436 Create eardrum opening A 1.96 2.09NA 2.09 0.28 4.33 4.330010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 69440 Exploration of middle ear A 7.52 10.06NA 10.06 1.11 18.69 18.690090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69450 Eardrum revision A 5.55 8.52NA 8.52 0.81 14.88 14.880090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69501 Mastoidectomy A 8.98 8.74NA 8.74 1.31 19.03 19.030090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69502 Mastoidectomy A 12.25 11.11NA 11.11 1.80 25.16 25.160090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69505 Remove mastoid structures A 12.84 19.07NA 19.07 1.87 33.78 33.780090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69511 Extensive mastoid surgery A 13.36 19.20NA 19.20 1.95 34.51 34.510090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69530 Extensive mastoid surgery A 19.87 22.67NA 22.67 3.04 45.58 45.580090.07.79.14212009 33.4009 090 99 0.00 0.00 0.00
- 69535 Remove part of temporal bone A 36.48 28.98NA 28.98 5.31 70.77 70.770090.07.79.14211109 33.4009 090 99 0.00 0.00 0.00
- 69540 Excision aural polyp A 1.22 4.89 2.20 0.18 6.29 3.600010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 69550 Exc aurl glomus tum trnscanl A 10.87 16.86NA 16.86 1.58 29.31 29.310090.07.79.14212009 33.4009 090 99 0.00 0.00 0.00
- 69552 Exc aurl glomus tum trnsmstd A 19.31 20.65NA 20.65 2.82 42.78 42.780090.07.79.14212009 33.4009 090 99 0.00 0.00 0.00
- 69554 Exc aurl glomus tum extended A 35.07 26.74NA 26.74 5.11 66.92 66.920090.07.79.14212109 33.4009 090 99 0.00 0.00 0.00
- 69601 Revj mstdc rsltg compl mstdc A 13.11 12.08NA 12.08 1.91 27.10 27.100090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69602 Rev mstdc rslt mod rad mstdc A 13.42 13.55NA 13.55 1.96 28.93 28.930090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69603 Revj mstdc rsltg rad mstdc A 13.85 19.32NA 19.32 2.02 35.19 35.190090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69604 Revj mstdc rsltg tympanplsty A 13.85 13.66NA 13.66 2.02 29.53 29.530090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69610 Tympanic membrane repair A 4.36 6.46 2.49 0.62 11.44 7.470010.10.80.10211009 33.4009 090 99 0.00 0.00 0.00
- 69620 Myringoplasty A 5.88 15.44 6.78 0.87 22.19 13.530090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69631 Repair eardrum structures A 9.80 12.69NA 12.69 1.44 23.93 23.930090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69632 Rebuild eardrum structures A 12.64 14.47NA 14.47 1.91 29.02 29.020090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69633 Rebuild eardrum structures A 12.00 14.38NA 14.38 1.86 28.24 28.240090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69635 Repair eardrum structures A 13.17 19.71NA 19.71 2.33 35.21 35.210090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69636 Rebuild eardrum structures A 15.04 21.37NA 21.37 2.19 38.60 38.600090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69637 Rebuild eardrum structures A 14.94 21.34NA 21.34 2.18 38.46 38.460090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69641 Revise middle ear & mastoid A 12.57 13.37NA 13.37 1.85 27.79 27.790090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69642 Revise middle ear & mastoid A 16.63 16.41NA 16.41 2.43 35.47 35.470090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69643 Revise middle ear & mastoid A 15.20 15.09NA 15.09 2.27 32.56 32.560090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69644 Revise middle ear & mastoid A 16.80 21.80NA 21.80 2.46 41.06 41.060090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69645 Revise middle ear & mastoid A 16.29 21.73NA 21.73 2.42 40.44 40.440090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69646 Revise middle ear & mastoid A 17.91 22.21NA 22.21 2.73 42.85 42.850090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69650 Stapes mobilization A 9.56 10.53NA 10.53 1.39 21.48 21.480090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69660 Revise middle ear bone A 11.73 11.07NA 11.07 1.72 24.52 24.520090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69661 Revise middle ear bone A 15.52 14.09NA 14.09 2.26 31.87 31.870090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69662 Revise middle ear bone A 15.21 13.02NA 13.02 2.32 30.55 30.550090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69666 Repair middle ear structures A 9.64 10.55NA 10.55 1.40 21.59 21.590090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69667 Repair middle ear structures A 9.65 10.58NA 10.58 1.44 21.67 21.670090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69670 Remove mastoid air cells A 11.44 12.04NA 12.04 1.67 25.15 25.150090.07.79.14212009 33.4009 090 99 0.00 0.00 0.00
- 69676 Remove middle ear nerve A 9.45 11.55NA 11.55 1.36 22.36 22.360090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69700 Close mastoid fistula A 8.16 8.54NA 8.54 1.21 17.91 17.910090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69705 Nps surg dilat eust tube uni A 2.93 73.58 1.08 0.43 76.94 4.440000.00.00.00300009 31231 33.4009 090 99 0.00 0.00 0.00
- 69706 Nps surg dilat eust tube bi A 4.16 74.90 1.39 0.60 79.66 6.150000.00.00.00320009 31231 33.4009 090 99 0.00 0.00 0.00
- 69710 Implant/replace hearing aid 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
- 69711 Remove/repair hearing aid A 10.35 10.60NA 10.60 1.50 22.45 22.450090.07.79.14212009 33.4009 090 99 0.00 0.00 0.00
- 69714 Impl oi implt skull perq esp A 6.51 5.63NA 5.63 0.96 13.10 13.100090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69716 Impl oi implt sk tc esp<100 A 8.80 6.19NA 6.19 1.31 16.30 16.300090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69717 Rplcmt oi implt skl prq esp A 7.71 5.91NA 5.91 1.13 14.75 14.750090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69719 Rplcm oi implt sk tc esp<100 A 9.22 6.28NA 6.28 1.33 16.83 16.830090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69720 Release facial nerve A 14.34 15.11NA 15.11 2.28 31.73 31.730090.07.79.14210109 33.4009 090 99 0.00 0.00 0.00
- 69725 Release facial nerve A 26.95 17.80NA 17.80 3.93 48.68 48.680090.07.79.14212009 33.4009 090 99 0.00 0.00 0.00
- 69726 Rmv ntr oi implt skl prq esp A 6.20 5.54NA 5.54 0.91 12.65 12.650090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69727 Rmv ntr oi imp sk tc esp<100 A 7.20 5.79NA 5.79 1.06 14.05 14.050090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69728 Rmv ntr oi imp sk tc>=100 A 8.29 6.06NA 6.06 1.21 15.56 15.560090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69729 Impl oi implt sk tc esp>=100 A 9.72 6.43NA 6.43 1.47 17.62 17.620090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69730 Rplc oi implt sk tc esp>=100 A 9.99 6.47NA 6.47 1.45 17.91 17.910090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69740 Repair facial nerve A 15.86 12.33NA 12.33 2.32 30.51 30.510090.07.79.14212009 33.4009 090 99 0.00 0.00 0.00
- 69745 Repair facial nerve A 16.59 13.55NA 13.55 2.42 32.56 32.560090.07.79.14212009 33.4009 090 99 0.00 0.00 0.00
- 69799 Unlisted px middle ear 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
- 69801 Incise inner ear A 2.01 4.38 0.92 0.29 6.68 3.220000.00.00.00210009 33.4009 090 99 0.00 0.00 0.00
- 69805 Explore inner ear A 14.34 10.72NA 10.72 2.09 27.15 27.150090.07.79.14212009 33.4009 090 99 0.00 0.00 0.00
- 69806 Explore inner ear A 12.31 10.33NA 10.33 1.78 24.42 24.420090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69905 Remove inner ear A 10.98 11.92NA 11.92 1.61 24.51 24.510090.07.79.14211009 33.4009 090 99 0.00 0.00 0.00
- 69910 Remove inner ear & mastoid A 13.56 10.63NA 10.63 1.98 26.17 26.170090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69915 Incise inner ear nerve A 22.20 13.75NA 13.75 3.23 39.18 39.180090.07.79.14212109 33.4009 090 99 0.00 0.00 0.00
- 69930 Implant cochlear device A 17.29 11.90NA 11.90 2.54 31.73 31.730090.07.79.14210009 33.4009 090 99 0.00 0.00 0.00
- 69949 Unlisted px inner ear 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
- 69950 Incise inner ear nerve A 26.94 14.37NA 14.37 3.93 45.24 45.240090.07.79.14212109 33.4009 090 99 0.00 0.00 0.00
- 69955 Release facial nerve A 28.68 18.26NA 18.26 4.18 51.12 51.120090.07.79.14212109 33.4009 090 99 0.00 0.00 0.00
- 69960 Release inner ear canal A 28.68 16.02NA 16.02 4.18 48.88 48.880090.07.79.14212109 33.4009 090 99 0.00 0.00 0.00
- 69970 Remove inner ear lesion A 31.60 18.95NA 18.95 4.61 55.16 55.160090.07.79.14212109 33.4009 090 99 0.00 0.00 0.00
- 69979 Unlisted px temporal bone 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
- 69990 Microsurgery add-on R 3.37 1.17NA 1.17 1.39 5.93 5.930ZZZ.00.00.00002009 33.4009 090 99 0.00 0.00 0.00#70000’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 |
- 70010 Contrast x-ray of brain A 1.16 0.21NA 0.21 0.11 1.48 1.480XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70015 Contrast x-ray of brain A 1.16 3.56 3.56NA 0.08 4.80 4.801XXX.00.00.00000009 33.4009 090 99 24.31 24.31 0.15
- 7001526Contrast x-ray of brain A 1.16 0.41 0.41 0.07 1.64 1.641XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70015TCContrast x-ray of brain A 0.00 3.15 3.15NA 0.01 3.16 3.161XXX.00.00.00000009 33.4009 030 99 23.90 23.90 0.08
- 70030 X-ray eye for foreign body A 0.18 0.78 0.78NA 0.02 0.98 0.981XXX.00.00.00030009 33.4009 090 99 2.69 2.69 0.05
- 7003026X-ray eye for foreign body A 0.18 0.07 0.07 0.01 0.26 0.261XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 70030TCX-ray eye for foreign body A 0.00 0.71 0.71NA 0.01 0.72 0.721XXX.00.00.00030009 33.4009 010 99 2.62 2.62 0.04
- 70100 X-ray exam of jaw <4views A 0.18 1.01 1.01NA 0.02 1.21 1.211XXX.00.00.00000009 33.4009 090 99 2.71 2.71 0.04
- 7010026X-ray exam of jaw <4views A 0.18 0.08 0.08 0.01 0.27 0.271XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70100TCX-ray exam of jaw <4views A 0.00 0.93 0.93NA 0.01 0.94 0.941XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.03
- 7010F Pt info into recall system 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
- 70110 X-ray exam of jaw 4/> views A 0.24 1.03 1.03NA 0.02 1.29 1.291XXX.00.00.00000009 33.4009 090 99 3.26 3.26 0.04
- 7011026X-ray exam of jaw 4/> views A 0.24 0.10 0.10 0.01 0.35 0.351XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70110TCX-ray exam of jaw 4/> views A 0.00 0.93 0.93NA 0.01 0.94 0.941XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.03
- 70120 X-ray exam of mastoids A 0.18 0.96 0.96NA 0.02 1.16 1.161XXX.00.00.00030009 33.4009 090 99 3.23 3.23 0.05
- 7012026X-ray exam of mastoids A 0.18 0.07 0.07 0.01 0.26 0.261XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 70120TCX-ray exam of mastoids A 0.00 0.89 0.89NA 0.01 0.90 0.901XXX.00.00.00030009 33.4009 010 99 3.16 3.16 0.04
- 70130 X-ray exam of mastoids A 0.33 1.47 1.47NA 0.03 1.83 1.831XXX.00.00.00030009 33.4009 090 99 3.30 3.30 0.04
- 7013026X-ray exam of mastoids A 0.33 0.13 0.13 0.02 0.48 0.481XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 70130TCX-ray exam of mastoids A 0.00 1.34 1.34NA 0.01 1.35 1.351XXX.00.00.00030009 33.4009 010 99 3.17 3.17 0.02
- 70134 X-ray exam of middle ear A 0.33 1.48 1.48NA 0.02 1.83 1.831XXX.00.00.00000009 33.4009 090 99 16.75 16.75 0.14
- 7013426X-ray exam of middle ear A 0.33 0.16 0.16 0.01 0.50 0.501XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70134TCX-ray exam of middle ear A 0.00 1.32 1.32NA 0.01 1.33 1.331XXX.00.00.00000009 33.4009 010 99 16.59 16.59 0.13
- 70140 X-ray exam of facial bones A 0.19 0.74 0.74NA 0.02 0.95 0.951XXX.00.00.00000009 33.4009 090 99 2.71 2.71 0.05
- 7014026X-ray exam of facial bones A 0.19 0.09 0.09 0.01 0.29 0.291XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70140TCX-ray exam of facial bones A 0.00 0.65 0.65NA 0.01 0.66 0.661XXX.00.00.00000009 33.4009 010 99 2.62 2.62 0.04
- 70150 X-ray exam of facial bones A 0.25 1.13 1.13NA 0.02 1.40 1.401XXX.00.00.00000009 33.4009 090 99 3.28 3.28 0.04
- 7015026X-ray exam of facial bones A 0.25 0.11 0.11 0.01 0.37 0.371XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70150TCX-ray exam of facial bones A 0.00 1.02 1.02NA 0.01 1.03 1.031XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.03
- 70160 X-ray exam of nasal bones A 0.17 0.93 0.93NA 0.02 1.12 1.121XXX.00.00.00000009 33.4009 090 99 2.70 2.70 0.04
- 7016026X-ray exam of nasal bones A 0.17 0.07 0.07 0.01 0.25 0.251XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70160TCX-ray exam of nasal bones A 0.00 0.86 0.86NA 0.01 0.87 0.871XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.03
- 70170 X-ray exam of tear duct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 7.40 7.40 0.03
- 7017026X-ray exam of tear duct A 0.29 0.11 0.11 0.02 0.42 0.421XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70170TCX-ray exam of tear duct C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 030 99 7.29 7.29 0.01
- 70190 X-ray exam of eye sockets A 0.20 0.88 0.88NA 0.02 1.10 1.101XXX.00.00.00030009 33.4009 090 99 2.73 2.73 0.04
- 7019026X-ray exam of eye sockets A 0.20 0.10 0.10 0.01 0.31 0.311XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 70190TCX-ray exam of eye sockets A 0.00 0.78 0.78NA 0.01 0.79 0.791XXX.00.00.00030009 33.4009 010 99 2.63 2.63 0.03
- 70200 X-ray exam of eye sockets A 0.27 1.11 1.11NA 0.02 1.40 1.401XXX.00.00.00000009 33.4009 090 99 3.28 3.28 0.04
- 7020026X-ray exam of eye sockets A 0.27 0.11 0.11 0.01 0.39 0.391XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70200TCX-ray exam of eye sockets A 0.00 1.00 1.00NA 0.01 1.01 1.011XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.03
- 7020F Mammo assess cat in dbase I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 70210 X-ray exam of sinuses A 0.17 0.78 0.78NA 0.02 0.97 0.971XXX.00.00.00000009 33.4009 090 99 2.69 2.69 0.05
- 7021026X-ray exam of sinuses A 0.17 0.07 0.07 0.01 0.25 0.251XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70210TCX-ray exam of sinuses A 0.00 0.71 0.71NA 0.01 0.72 0.721XXX.00.00.00000009 33.4009 010 99 2.62 2.62 0.04
- 70220 X-ray exam of sinuses A 0.21 0.90 0.90NA 0.02 1.13 1.131XXX.00.00.00000009 33.4009 090 99 2.72 2.72 0.04
- 7022026X-ray exam of sinuses A 0.21 0.09 0.09 0.01 0.31 0.311XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70220TCX-ray exam of sinuses A 0.00 0.81 0.81NA 0.01 0.82 0.821XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.03
- 70240 X-ray exam pituitary saddle A 0.19 0.75 0.75NA 0.02 0.96 0.961XXX.00.00.00000009 33.4009 090 99 2.69 2.69 0.05
- 7024026X-ray exam pituitary saddle A 0.19 0.07 0.07 0.01 0.27 0.271XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70240TCX-ray exam pituitary saddle A 0.00 0.68 0.68NA 0.01 0.69 0.691XXX.00.00.00000009 33.4009 010 99 2.62 2.62 0.04
- 70250 X-ray exam of skull A 0.18 0.87 0.87NA 0.02 1.07 1.071XXX.00.00.00000009 33.4009 090 99 3.23 3.23 0.05
- 7025026X-ray exam of skull A 0.18 0.07 0.07 0.01 0.26 0.261XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70250TCX-ray exam of skull A 0.00 0.80 0.80NA 0.01 0.81 0.811XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.04
- 7025F Pt infosys alarm 4 nxt mammo I 0.00 0.00 0.00 0.00 0.00 0.009XXX.00.00.00999999 33.4009 090 99 0.00 0.00 0.00
- 70260 X-ray exam of skull A 0.27 1.02 1.02NA 0.02 1.31 1.311XXX.00.00.00000009 33.4009 090 99 3.27 3.27 0.05
- 7026026X-ray exam of skull A 0.27 0.11 0.11 0.01 0.39 0.391XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70260TCX-ray exam of skull A 0.00 0.91 0.91NA 0.01 0.92 0.921XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.04
- 70300 X-ray exam of teeth A 0.10 0.31 0.31NA 0.02 0.43 0.431XXX.00.00.00000009 33.4009 090 99 2.61 2.61 0.11
- 7030026X-ray exam of teeth A 0.10 0.05 0.05 0.01 0.16 0.161XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70300TCX-ray exam of teeth A 0.00 0.26 0.26NA 0.01 0.27 0.271XXX.00.00.00000009 33.4009 010 99 2.56 2.56 0.10
- 70310 X-ray exam of teeth A 0.16 1.10 1.10NA 0.02 1.28 1.281XXX.00.00.00000009 33.4009 090 99 7.30 7.30 0.08
- 7031026X-ray exam of teeth A 0.16 0.07 0.07 0.01 0.24 0.241XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70310TCX-ray exam of teeth A 0.00 1.03 1.03NA 0.01 1.04 1.041XXX.00.00.00000009 33.4009 010 99 7.23 7.23 0.07
- 70320 Full mouth x-ray of teeth A 0.21 1.46 1.46NA 0.03 1.70 1.701XXX.00.00.00000009 33.4009 090 99 7.35 7.35 0.07
- 7032026Full mouth x-ray of teeth A 0.21 0.11 0.11 0.02 0.34 0.341XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70320TCFull mouth x-ray of teeth A 0.00 1.35 1.35NA 0.01 1.36 1.361XXX.00.00.00000009 33.4009 010 99 7.24 7.24 0.05
- 70328 X-ray exam of jaw joint A 0.18 0.82 0.82NA 0.02 1.02 1.021XXX.00.00.00000009 33.4009 090 99 2.70 2.70 0.05
- 7032826X-ray exam of jaw joint A 0.18 0.07 0.07 0.01 0.26 0.261XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70328TCX-ray exam of jaw joint A 0.00 0.75 0.75NA 0.01 0.76 0.761XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.04
- 70330 X-ray exam of jaw joints A 0.23 1.35 1.35NA 0.02 1.60 1.601XXX.00.00.00020009 33.4009 090 99 2.74 2.74 0.03
- 7033026X-ray exam of jaw joints A 0.23 0.10 0.10 0.01 0.34 0.341XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 70330TCX-ray exam of jaw joints A 0.00 1.25 1.25NA 0.01 1.26 1.261XXX.00.00.00020009 33.4009 010 99 2.64 2.64 0.02
- 70332 X-ray exam of jaw joint A 0.53 1.82 1.82NA 0.04 2.39 2.391XXX.00.00.00030009 33.4009 090 99 7.44 7.44 0.07
- 7033226X-ray exam of jaw joint A 0.53 0.19 0.19 0.03 0.75 0.751XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 70332TCX-ray exam of jaw joint A 0.00 1.63 1.63NA 0.01 1.64 1.641XXX.00.00.00030009 33.4009 030 99 7.25 7.25 0.04
- 70336 Magnetic image jaw joint A 1.44 6.23 6.23NA 0.09 7.76 7.761XXX.00.00.00420009 33.4009 090 88 7.76 7.76 0.10
- 7033626Magnetic image jaw joint A 1.44 0.49 0.49 0.07 2.00 2.001XXX.00.00.00420009 33.4009 090 88 0.00 0.00 0.00
- 70336TCMagnetic image jaw joint A 0.00 5.74 5.74NA 0.02 5.76 5.761XXX.00.00.00420009 33.4009 010 88 7.27 7.27 0.03
- 70350 X-ray head for orthodontia A 0.17 0.36 0.36NA 0.02 0.55 0.551XXX.00.00.00000009 33.4009 090 99 2.65 2.65 0.10
- 7035026X-ray head for orthodontia A 0.17 0.08 0.08 0.01 0.26 0.261XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70350TCX-ray head for orthodontia A 0.00 0.28 0.28NA 0.01 0.29 0.291XXX.00.00.00000009 33.4009 010 99 2.57 2.57 0.09
- 70355 Panoramic x-ray of jaws A 0.20 0.36 0.36NA 0.02 0.58 0.581XXX.00.00.00000009 33.4009 090 99 2.66 2.66 0.11
- 7035526Panoramic x-ray of jaws A 0.20 0.09 0.09 0.01 0.30 0.301XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70355TCPanoramic x-ray of jaws A 0.00 0.27 0.27NA 0.01 0.28 0.281XXX.00.00.00000009 33.4009 010 99 2.57 2.57 0.10
- 70360 X-ray exam of neck A 0.18 0.73 0.73NA 0.02 0.93 0.931XXX.00.00.00000009 33.4009 090 99 2.69 2.69 0.05
- 7036026X-ray exam of neck A 0.18 0.07 0.07 0.01 0.26 0.261XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70360TCX-ray exam of neck A 0.00 0.66 0.66NA 0.01 0.67 0.671XXX.00.00.00000009 33.4009 010 99 2.62 2.62 0.04
- 70370 Throat x-ray & fluoroscopy A 0.31 2.66 2.66NA 0.03 3.00 3.001XXX.00.00.00000009 33.4009 090 99 2.78 2.78 0.03
- 7037026Throat x-ray & fluoroscopy A 0.31 0.13 0.13 0.02 0.46 0.461XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70370TCThroat x-ray & fluoroscopy A 0.00 2.53 2.53NA 0.01 2.54 2.541XXX.00.00.00000009 33.4009 030 99 2.65 2.65 0.01
- 70371 Speech evaluation complex A 0.82 2.46 2.46NA 0.05 3.33 3.331XXX.00.00.00000009 33.4009 090 99 7.63 7.63 0.08
- 7037126Speech evaluation complex A 0.82 0.37 0.37 0.04 1.23 1.231XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70371TCSpeech evaluation complex A 0.00 2.09 2.09NA 0.01 2.10 2.101XXX.00.00.00000009 33.4009 030 99 7.26 7.26 0.04
- 70380 X-ray exam of salivary gland A 0.17 0.91 0.91NA 0.02 1.10 1.101XXX.00.00.00000009 33.4009 090 99 2.69 2.69 0.04
- 7038026X-ray exam of salivary gland A 0.17 0.06 0.06 0.01 0.24 0.241XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70380TCX-ray exam of salivary gland A 0.00 0.85 0.85NA 0.01 0.86 0.861XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.03
- 70390 X-ray exam of salivary duct A 0.37 2.91 2.91NA 0.03 3.31 3.311XXX.00.00.00000009 33.4009 090 99 7.40 7.40 0.05
- 7039026X-ray exam of salivary duct A 0.37 0.13 0.13 0.02 0.52 0.521XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70390TCX-ray exam of salivary duct A 0.00 2.78 2.78NA 0.01 2.79 2.791XXX.00.00.00000009 33.4009 030 99 7.27 7.27 0.03
- 70450 Ct head/brain w/o dye A 0.83 2.30 2.30NA 0.06 3.19 3.191XXX.00.00.00400009 33.4009 090 88 3.48 3.48 0.07
- 7045026Ct head/brain w/o dye A 0.83 0.30 0.30 0.05 1.18 1.181XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70450TCCt head/brain w/o dye A 0.00 2.00 2.00NA 0.01 2.01 2.011XXX.00.00.00400009 33.4009 010 88 3.18 3.18 0.02
- 70460 Ct head/brain w/dye A 1.10 3.25 3.25NA 0.09 4.44 4.441XXX.00.00.00400009 33.4009 090 88 5.72 5.72 0.11
- 7046026Ct head/brain w/dye A 1.10 0.39 0.39 0.07 1.56 1.561XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70460TCCt head/brain w/dye A 0.00 2.86 2.86NA 0.02 2.88 2.881XXX.00.00.00400009 33.4009 020 88 5.33 5.33 0.04
- 70470 Ct head/brain w/o & w/dye A 1.24 3.85 3.85NA 0.09 5.18 5.181XXX.00.00.00400009 33.4009 090 88 5.77 5.77 0.10
- 7047026Ct head/brain w/o & w/dye A 1.24 0.44 0.44 0.07 1.75 1.751XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70470 TCCt head/brain w/o & w/dye A 0.00 3.41 3.41NA 0.02 3.43 3.431XXX.00.00.00400009 33.4009 020 88 5.33 5.33 0.03
- 70471 Cta h&n c+ w/noncontrast img A 2.50 8.60 8.60NA 0.18 11.28 11.281XXX.00.00.00400009 33.4009 090 88 11.52 11.52 0.19
- 70471 26Cta h&n c+ w/noncontrast img A 2.50 0.89 0.89 0.15 3.54 3.541XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70471 TCCta h&n c+ w/noncontrast img A 0.00 7.71 7.71NA 0.03 7.74 7.741XXX.00.00.00400009 33.4009 020 88 10.63 10.63 0.04
- 70472 Ct cere prfu alys c+w/ct/cta A 0.77 3.85 3.85NA 0.06 4.68 4.681ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70472 26Ct cere prfu alys c+w/ct/cta A 0.77 0.27 0.27 0.05 1.09 1.091ZZZ.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70472 TCCt cere prfu alys c+w/ct/cta A 0.00 3.58 3.58NA 0.01 3.59 3.591ZZZ.00.00.00000009 33.4009 020 99 0.00 0.00 0.00
- 70473 Ct cere prfu aly c+wo ct/cta A 1.00 6.13 6.13NA 0.09 7.22 7.221XXX.00.00.00400009 33.4009 090 88 5.70 5.70 0.09
- 7047326Ct cere prfu aly c+wo ct/cta A 1.00 0.36 0.36 0.06 1.42 1.421XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70473 TCCt cere prfu aly c+wo ct/cta A 0.00 5.77 5.77NA 0.03 5.80 5.801XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.03
- 70480 Ct orbit/ear/fossa w/o dye A 1.25 3.40 3.40NA 0.09 4.74 4.741XXX.00.00.00400009 33.4009 090 88 3.63 3.63 0.09
- 70480 26Ct orbit/ear/fossa w/o dye A 1.25 0.45 0.45 0.07 1.77 1.771XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70480 TCCt orbit/ear/fossa w/o dye A 0.00 2.95 2.95NA 0.02 2.97 2.971XXX.00.00.00400009 33.4009 010 88 3.18 3.18 0.02
- 70481 Ct orbit/ear/fossa w/dye A 1.10 4.19 4.19NA 0.09 5.38 5.381XXX.00.00.00400009 33.4009 090 88 5.73 5.73 0.10
- 70481 26Ct orbit/ear/fossa w/dye A 1.10 0.39 0.39 0.07 1.56 1.561XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70481 TCCt orbit/ear/fossa w/dye A 0.00 3.80 3.80NA 0.02 3.82 3.821XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.03
- 70482 Ct orbit/ear/fossa w/o&w/dye A 1.24 4.93 4.93NA 0.09 6.26 6.261XXX.00.00.00400009 33.4009 090 88 5.77 5.77 0.09
- 70482 26Ct orbit/ear/fossa w/o&w/dye A 1.24 0.43 0.43 0.07 1.74 1.741XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70482 TCCt orbit/ear/fossa w/o&w/dye A 0.00 4.50 4.50NA 0.02 4.52 4.521XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.02
- 70486 Ct maxillofacial w/o dye A 0.83 2.95 2.95NA 0.06 3.84 3.841XXX.00.00.00400009 33.4009 090 88 3.50 3.50 0.06
- 70486 26Ct maxillofacial w/o dye A 0.83 0.31 0.31 0.05 1.19 1.191XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70486 TCCt maxillofacial w/o dye A 0.00 2.64 2.64NA 0.01 2.65 2.651XXX.00.00.00400009 33.4009 010 88 3.19 3.19 0.01
- 70487 Ct maxillofacial w/dye A 1.10 3.35 3.35NA 0.09 4.54 4.541XXX.00.00.00400009 33.4009 090 88 5.72 5.72 0.11
- 70487 26Ct maxillofacial w/dye A 1.10 0.39 0.39 0.07 1.56 1.561XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70487 TCCt maxillofacial w/dye A 0.00 2.96 2.96NA 0.02 2.98 2.981XXX.00.00.00400009 33.4009 020 88 5.33 5.33 0.04
- 70488 Ct maxillofacial w/o & w/dye A 1.24 4.18 4.18NA 0.09 5.51 5.511XXX.00.00.00400009 33.4009 090 88 5.78 5.78 0.10
- 70488 26Ct maxillofacial w/o & w/dye A 1.24 0.44 0.44 0.07 1.75 1.751XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70488 TCCt maxillofacial w/o & w/dye A 0.00 3.74 3.74NA 0.02 3.76 3.761XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.03
- 70490 Ct soft tissue neck w/o dye A 1.25 3.15 3.15NA 0.08 4.48 4.481XXX.00.00.00400009 33.4009 090 88 3.64 3.64 0.08
- 7049026Ct soft tissue neck w/o dye A 1.25 0.45 0.45 0.07 1.77 1.771XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70490TCCt soft tissue neck w/o dye A 0.00 2.70 2.70NA 0.01 2.71 2.711XXX.00.00.00400009 33.4009 010 88 3.19 3.19 0.01
- 70491 Ct soft tissue neck w/dye A 1.35 4.05 4.05NA 0.09 5.49 5.491XXX.00.00.00400009 33.4009 090 88 5.81 5.81 0.10
- 70491 26Ct soft tissue neck w/dye A 1.35 0.48 0.48 0.07 1.90 1.901XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70491 TCCt soft tissue neck w/dye A 0.00 3.57 3.57NA 0.02 3.59 3.591XXX.00.00.00400009 33.4009 020 88 5.33 5.33 0.03
- 70492 Ct sft tsue nck w/o & w/dye A 1.58 4.90 4.90NA 0.10 6.58 6.581XXX.00.00.00400009 33.4009 090 88 5.89 5.89 0.10
- 70492 26Ct sft tsue nck w/o & w/dye A 1.58 0.55 0.55 0.08 2.21 2.211XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70492 TCCt sft tsue nck w/o & w/dye A 0.00 4.35 4.35NA 0.02 4.37 4.371XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.02
- 70496 Ct angiography head A 1.71 6.37 6.37NA 0.12 8.20 8.201XXX.00.00.00400009 33.4009 090 88 5.94 5.94 0.12
- 70496 26Ct angiography head A 1.71 0.60 0.60 0.09 2.40 2.401XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70496 TCCt angiography head A 0.00 5.77 5.77NA 0.03 5.80 5.801XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.03
- 70498 Ct angiography neck A 1.71 6.37 6.37NA 0.12 8.20 8.201XXX.00.00.00400009 33.4009 090 88 5.94 5.94 0.12
- 70498 26Ct angiography neck A 1.71 0.60 0.60 0.09 2.40 2.401XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70498 TCCt angiography neck A 0.00 5.77 5.77NA 0.03 5.80 5.801XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.03
- 70540 Mri orbit/face/neck w/o dye A 1.32 5.31 5.31NA 0.09 6.72 6.721XXX.00.00.00400009 33.4009 090 88 7.73 7.73 0.10
- 70540 26Mri orbit/face/neck w/o dye A 1.32 0.46 0.46 0.07 1.85 1.851XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70540 TCMri orbit/face/neck w/o dye A 0.00 4.85 4.85NA 0.02 4.87 4.871XXX.00.00.00400009 33.4009 010 88 7.27 7.27 0.03
- 70542 Mri orbit/face/neck w/dye A 1.58 6.29 6.29NA 0.11 7.98 7.981XXX.00.00.00400009 33.4009 090 88 11.19 11.19 0.14
- 70542 26Mri orbit/face/neck w/dye A 1.58 0.57 0.57 0.08 2.23 2.231XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70542 TCMri orbit/face/neck w/dye A 0.00 5.72 5.72NA 0.03 5.75 5.751XXX.00.00.00400009 33.4009 020 88 10.62 10.62 0.06
- 70543 Mri orbt/fac/nck w/o &w/dye A 2.10 7.84 7.84NA 0.15 10.09 10.091XXX.00.00.00400009 33.4009 090 88 11.37 11.37 0.17
- 70543 26Mri orbt/fac/nck w/o &w/dye A 2.10 0.74 0.74 0.12 2.96 2.961XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70543 TCMri orbt/fac/nck w/o &w/dye A 0.00 7.10 7.10NA 0.03 7.13 7.131XXX.00.00.00400009 33.4009 020 88 10.63 10.63 0.05
- 70544 Mr angiography head w/o dye A 1.17 5.16 5.16NA 0.10 6.43 6.431XXX.00.00.00400009 33.4009 090 88 7.66 7.66 0.12
- 70544 26Mr angiography head w/o dye A 1.17 0.41 0.41 0.07 1.65 1.651XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70544 TCMr angiography head w/o dye A 0.00 4.75 4.75NA 0.03 4.78 4.781XXX.00.00.00400009 33.4009 010 88 7.25 7.25 0.05
- 70545 Mr angiography head w/dye A 1.17 5.51 5.51NA 0.10 6.78 6.781XXX.00.00.00400009 33.4009 090 88 11.02 11.02 0.13
- 70545 26Mr angiography head w/dye A 1.17 0.41 0.41 0.07 1.65 1.651XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70545 TCMr angiography head w/dye A 0.00 5.10 5.10NA 0.03 5.13 5.131XXX.00.00.00400009 33.4009 020 88 10.61 10.61 0.06
- 70546 Mr angiograph head w/o&w/dye A 1.44 8.25 8.25NA 0.12 9.81 9.811XXX.00.00.00400009 33.4009 090 88 11.13 11.13 0.14
- 70546 26Mr angiograph head w/o&w/dye A 1.44 0.51 0.51 0.08 2.03 2.031XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70546 TCMr angiograph head w/o&w/dye A 0.00 7.74 7.74NA 0.04 7.78 7.781XXX.00.00.00400009 33.4009 020 88 10.62 10.62 0.06
- 70547 Mr angiography neck w/o dye A 1.17 5.16 5.16NA 0.10 6.43 6.431XXX.00.00.00400009 33.4009 090 88 7.66 7.66 0.12
- 70547 26Mr angiography neck w/o dye A 1.17 0.41 0.41 0.07 1.65 1.651XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70547 TCMr angiography neck w/o dye A 0.00 4.75 4.75NA 0.03 4.78 4.781XXX.00.00.00400009 33.4009 010 88 7.25 7.25 0.05
- 70548 Mr angiography neck w/dye A 1.46 5.78 5.78NA 0.11 7.35 7.351XXX.00.00.00400009 33.4009 090 88 11.13 11.13 0.14
- 70548 26Mr angiography neck w/dye A 1.46 0.52 0.52 0.08 2.06 2.061XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70548 TCMr angiography neck w/dye A 0.00 5.26 5.26NA 0.03 5.29 5.291XXX.00.00.00400009 33.4009 020 88 10.61 10.61 0.06
- 70549 Mr angiograph neck w/o&w/dye A 1.76 8.39 8.39NA 0.13 10.28 10.281XXX.00.00.00400009 33.4009 090 88 11.24 11.24 0.15
- 70549 26Mr angiograph neck w/o&w/dye A 1.76 0.62 0.62 0.09 2.47 2.471XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70549 TCMr angiograph neck w/o&w/dye A 0.00 7.77 7.77NA 0.04 7.81 7.811XXX.00.00.00400009 33.4009 020 88 10.62 10.62 0.06
- 70551 Mri brain stem w/o dye A 1.44 4.31 4.31NA 0.10 5.85 5.851XXX.00.00.00400009 33.4009 090 88 7.77 7.77 0.12
- 70551 26Mri brain stem w/o dye A 1.44 0.51 0.51 0.08 2.03 2.031XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70551 TCMri brain stem w/o dye A 0.00 3.80 3.80NA 0.02 3.82 3.821XXX.00.00.00400009 33.4009 090 88 7.26 7.26 0.04
- 70552 Mri brain stem w/dye A 1.74 6.19 6.19NA 0.12 8.05 8.051XXX.00.00.00400009 33.4009 090 88 11.23 11.23 0.15
- 70552 26Mri brain stem w/dye A 1.74 0.62 0.62 0.09 2.45 2.451XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70552 TCMri brain stem w/dye A 0.00 5.57 5.57NA 0.03 5.60 5.601XXX.00.00.00400009 33.4009 090 88 10.61 10.61 0.06
- 70553 Mri brain stem w/o & w/dye A 2.23 7.10 7.10NA 0.16 9.49 9.491XXX.00.00.00400009 33.4009 090 88 11.41 11.41 0.18
- 70553 26Mri brain stem w/o & w/dye A 2.23 0.79 0.79 0.13 3.15 3.151XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 70553 TCMri brain stem w/o & w/dye A 0.00 6.31 6.31NA 0.03 6.34 6.341XXX.00.00.00400009 33.4009 090 88 10.62 10.62 0.05
- 70554 Fmri brain by tech A 2.06 9.08 9.08NA 0.17 11.31 11.311XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 70554 26Fmri brain by tech A 2.06 0.74 0.74 0.13 2.93 2.931XXX.00.00.00430009 33.4009 090 88 0.00 0.00 0.00
- 70554 TCFmri brain by tech A 0.00 8.34 8.34NA 0.04 8.38 8.381XXX.00.00.00430009 33.4009 020 88 0.00 0.00 0.00
- 70555 Fmri brain by phys/psych 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
- 70555 26Fmri brain by phys/psych A 2.48 0.82 0.82 0.12 3.42 3.421XXX.00.00.00030009 33.4009 090 99 0.00 0.00 0.00
- 70555 TCFmri brain by phys/psych C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00030009 33.4009 020 99 0.00 0.00 0.00
- 70557 Mri brain w/o dye C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 18.35 18.35 0.14
- 70557 26Mri brain w/o dye A 2.83 1.65 1.65 0.13 4.61 4.611XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70557 TCMri brain w/o dye C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 010 99 16.70 16.70 0.01
- 70558 Mri brain w/dye C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 7.17 7.17 0.16
- 70558 26Mri brain w/dye A 3.12 1.81 1.81 0.15 5.08 5.081XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70558 TCMri brain w/dye C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 020 99 5.36 5.36 0.01
- 70559 Mri brain w/o & w/dye C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 090 99 6.65 6.65 0.29
- 70559 26Mri brain w/o & w/dye A 3.12 1.29 1.29 0.28 4.69 4.691XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 70559 TCMri brain w/o & w/dye C 0.00 0.00 0.00NA 0.00 0.00 0.001XXX.00.00.00000009 33.4009 020 99 5.36 5.36 0.01
- 71045 X-ray exam chest 1 view A 0.18 0.56 0.56NA 0.02 0.76 0.761XXX.00.00.00000009 33.4009 090 99 2.67 2.67 0.06
- 71045 26X-ray exam chest 1 view A 0.18 0.06 0.06 0.01 0.25 0.251XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 71045 TCX-ray exam chest 1 view A 0.00 0.50 0.50NA 0.01 0.51 0.511XXX.00.00.00000009 33.4009 010 99 2.61 2.61 0.05
- 71046 X-ray exam chest 2 views A 0.21 0.76 0.76NA 0.02 0.99 0.991XXX.00.00.00000009 33.4009 090 99 2.70 2.70 0.05
- 71046 26X-ray exam chest 2 views A 0.21 0.08 0.08 0.01 0.30 0.301XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 71046 TCX-ray exam chest 2 views A 0.00 0.68 0.68NA 0.01 0.69 0.691XXX.00.00.00000009 33.4009 010 99 2.62 2.62 0.04
- 71047 X-ray exam chest 3 views A 0.26 0.95 0.95NA 0.02 1.23 1.231XXX.00.00.00000009 33.4009 090 99 2.74 2.74 0.04
- 71047 26X-ray exam chest 3 views A 0.26 0.11 0.11 0.01 0.38 0.381XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 71047 TCX-ray exam chest 3 views A 0.00 0.84 0.84NA 0.01 0.85 0.851XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.03
- 71048 X-ray exam chest 4+ views A 0.30 1.02 1.02NA 0.03 1.35 1.351XXX.00.00.00000009 33.4009 090 99 3.28 3.28 0.06
- 71048 26X-ray exam chest 4+ views A 0.30 0.12 0.12 0.02 0.44 0.441XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 71048 TCX-ray exam chest 4+ views A 0.00 0.90 0.90NA 0.01 0.91 0.911XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.04
- 71100 X-ray exam ribs uni 2 views A 0.21 0.85 0.85NA 0.02 1.08 1.081XXX.00.00.00000009 33.4009 090 99 2.72 2.72 0.04
- 71100 26X-ray exam ribs uni 2 views A 0.21 0.09 0.09 0.01 0.31 0.311XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 71100 TCX-ray exam ribs uni 2 views A 0.00 0.76 0.76NA 0.01 0.77 0.771XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.03
- 71101 X-ray exam unilat ribs/chest A 0.26 0.96 0.96NA 0.03 1.25 1.251XXX.00.00.00000009 33.4009 090 99 3.26 3.26 0.06
- 71101 26X-ray exam unilat ribs/chest A 0.26 0.10 0.10 0.02 0.38 0.381XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 71101 TCX-ray exam unilat ribs/chest A 0.00 0.86 0.86NA 0.01 0.87 0.871XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.04
- 71110 X-ray exam ribs bil 3 views A 0.28 0.98 0.98NA 0.02 1.28 1.281XXX.00.00.00020009 33.4009 090 99 3.27 3.27 0.05
- 71110 26X-ray exam ribs bil 3 views A 0.28 0.11 0.11 0.01 0.40 0.401XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 71110 TCX-ray exam ribs bil 3 views A 0.00 0.87 0.87NA 0.01 0.88 0.881XXX.00.00.00020009 33.4009 010 99 3.16 3.16 0.04
- 71111 X-ray exam ribs/chest4/> vws A 0.31 1.20 1.20NA 0.03 1.54 1.541XXX.00.00.00020009 33.4009 090 99 3.29 3.29 0.05
- 71111 26X-ray exam ribs/chest4/> vws A 0.31 0.12 0.12 0.02 0.45 0.451XXX.00.00.00020009 33.4009 090 99 0.00 0.00 0.00
- 71111 TCX-ray exam ribs/chest4/> vws A 0.00 1.08 1.08NA 0.01 1.09 1.091XXX.00.00.00020009 33.4009 010 99 3.17 3.17 0.03
- 71120 X-ray exam breastbone 2/>vws A 0.20 0.77 0.77NA 0.02 0.99 0.991XXX.00.00.00000009 33.4009 090 99 2.69 2.69 0.05
- 71120 26X-ray exam breastbone 2/>vws A 0.20 0.07 0.07 0.01 0.28 0.281XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 71120 TCX-ray exam breastbone 2/>vws A 0.00 0.70 0.70NA 0.01 0.71 0.711XXX.00.00.00000009 33.4009 010 99 2.62 2.62 0.04
- 71130 X-ray strenoclavic jt 3/>vws A 0.21 1.01 1.01NA 0.02 1.24 1.241XXX.00.00.00000009 33.4009 090 99 2.72 2.72 0.04
- 71130 26X-ray strenoclavic jt 3/>vws A 0.21 0.09 0.09 0.01 0.31 0.311XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 71130 TCX-ray strenoclavic jt 3/>vws A 0.00 0.92 0.92NA 0.01 0.93 0.931XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.03
- 71250 Ct thorax dx c- A 1.05 2.85 2.85NA 0.07 3.97 3.971XXX.00.00.00400009 33.4009 090 88 3.55 3.55 0.07
- 71250 26Ct thorax dx c- A 1.05 0.37 0.37 0.06 1.48 1.481XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 71250 TCCt thorax dx c- A 0.00 2.48 2.48NA 0.01 2.49 2.491XXX.00.00.00400009 33.4009 010 88 3.18 3.18 0.01
- 71260 Ct thorax dx c+ A 1.13 3.77 3.77NA 0.09 4.99 4.991XXX.00.00.00400009 33.4009 090 88 5.74 5.74 0.10
- 71260 26Ct thorax dx c+ A 1.13 0.41 0.41 0.07 1.61 1.611XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 71260 TCCt thorax dx c+ A 0.00 3.36 3.36NA 0.02 3.38 3.381XXX.00.00.00400009 33.4009 020 88 5.33 5.33 0.03
- 71270 Ct thorax dx c-/c+ A 1.22 4.55 4.55NA 0.09 5.86 5.861XXX.00.00.00400009 33.4009 090 88 5.77 5.77 0.10
- 71270 26Ct thorax dx c-/c+ A 1.22 0.43 0.43 0.07 1.72 1.721XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 71270 TCCt thorax dx c-/c+ A 0.00 4.12 4.12NA 0.02 4.14 4.141XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.03
- 71271 Ct thorax lung cancer scr c- A 1.05 2.95 2.95NA 0.08 4.08 4.081XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 71271 26Ct thorax lung cancer scr c- A 1.05 0.37 0.37 0.06 1.48 1.481XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 71271 TCCt thorax lung cancer scr c- A 0.00 2.58 2.58NA 0.02 2.60 2.601XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 71275 Ct angiography chest A 1.77 6.49 6.49NA 0.14 8.40 8.401XXX.00.00.00400009 33.4009 090 88 5.96 5.96 0.14
- 71275 26Ct angiography chest A 1.77 0.62 0.62 0.11 2.50 2.501XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 71275 TCCt angiography chest A 0.00 5.87 5.87NA 0.03 5.90 5.901XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.03
- 71550 Mri chest w/o dye A 1.42 8.45 8.45NA 0.10 9.97 9.971XXX.00.00.00400009 33.4009 090 88 7.77 7.77 0.10
- 71550 26Mri chest w/o dye A 1.42 0.50 0.50 0.07 1.99 1.991XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 71550 TCMri chest w/o dye A 0.00 7.95 7.95NA 0.03 7.98 7.981XXX.00.00.00400009 33.4009 010 88 7.27 7.27 0.03
- 71551 Mri chest w/dye A 1.69 9.31 9.31NA 0.12 11.12 11.121XXX.00.00.00400009 33.4009 090 88 24.50 24.50 0.17
- 71551 26Mri chest w/dye A 1.69 0.60 0.60 0.09 2.38 2.381XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 71551 TCMri chest w/dye A 0.00 8.71 8.71NA 0.03 8.74 8.741XXX.00.00.00400009 33.4009 020 88 23.90 23.90 0.08
- 71552 Mri chest w/o & w/dye A 2.20 11.58 11.58NA 0.17 13.95 13.951XXX.00.00.00400009 33.4009 090 88 11.41 11.41 0.17
- 71552 26Mri chest w/o & w/dye A 2.20 0.78 0.78 0.13 3.11 3.111XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 71552 TCMri chest w/o & w/dye A 0.00 10.80 10.80NA 0.04 10.84 10.841XXX.00.00.00400009 33.4009 020 88 10.63 10.63 0.04
- 71555 Mri angio chest w or w/o dye R 1.76 8.12 8.12NA 0.13 10.01 10.011XXX.00.00.00400009 33.4009 090 88 11.23 11.23 0.15
- 71555 26Mri angio chest w or w/o dye R 1.76 0.62 0.62 0.09 2.47 2.471XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 71555 TCMri angio chest w or w/o dye R 0.00 7.50 7.50NA 0.04 7.54 7.541XXX.00.00.00400009 33.4009 020 88 10.61 10.61 0.06
- 72020 X-ray exam of spine 1 view A 0.16 0.53 0.53NA 0.02 0.71 0.711XXX.00.00.00000009 33.4009 090 99 2.67 2.67 0.07
- 72020 26X-ray exam of spine 1 view A 0.16 0.06 0.06 0.01 0.23 0.231XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72020 TCX-ray exam of spine 1 view A 0.00 0.47 0.47NA 0.01 0.48 0.481XXX.00.00.00000009 33.4009 010 99 2.61 2.61 0.06
- 72040 X-ray exam neck spine 2-3 vw A 0.21 0.96 0.96NA 0.02 1.19 1.191XXX.00.00.00000009 33.4009 090 99 2.72 2.72 0.04
- 72040 26X-ray exam neck spine 2-3 vw A 0.21 0.09 0.09 0.01 0.31 0.311XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72040 TCX-ray exam neck spine 2-3 vw A 0.00 0.87 0.87NA 0.01 0.88 0.881XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.03
- 72050 X-ray exam neck spine 4/5vws A 0.26 1.36 1.36NA 0.03 1.65 1.651XXX.00.00.00000009 33.4009 090 99 3.28 3.28 0.05
- 72050 26X-ray exam neck spine 4/5vws A 0.26 0.11 0.11 0.02 0.39 0.391XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72050 TCX-ray exam neck spine 4/5vws A 0.00 1.25 1.25NA 0.01 1.26 1.261XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.03
- 72052 X-ray exam neck spine 6/>vws A 0.29 1.56 1.56NA 0.03 1.88 1.881XXX.00.00.00000009 33.4009 090 99 3.30 3.30 0.04
- 72052 26X-ray exam neck spine 6/>vws A 0.29 0.12 0.12 0.02 0.43 0.431XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72052 TCX-ray exam neck spine 6/>vws A 0.00 1.44 1.44NA 0.01 1.45 1.451XXX.00.00.00000009 33.4009 010 99 3.18 3.18 0.02
- 72070 X-ray exam thorac spine 2vws A 0.20 0.77 0.77NA 0.02 0.99 0.991XXX.00.00.00000009 33.4009 090 99 3.23 3.23 0.06
- 72070 26X-ray exam thorac spine 2vws A 0.20 0.08 0.08 0.01 0.29 0.291XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72070 TCX-ray exam thorac spine 2vws A 0.00 0.69 0.69NA 0.01 0.70 0.701XXX.00.00.00000009 33.4009 010 99 3.15 3.15 0.05
- 72072 X-ray exam thorac spine 3vws A 0.22 0.92 0.92NA 0.02 1.16 1.161XXX.00.00.00000009 33.4009 090 99 3.24 3.24 0.05
- 72072 26X-ray exam thorac spine 3vws A 0.22 0.08 0.08 0.01 0.31 0.311XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72072 TCX-ray exam thorac spine 3vws A 0.00 0.84 0.84NA 0.01 0.85 0.851XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.04
- 72074 X-ray exam thorac spine4/>vw A 0.24 1.06 1.06NA 0.02 1.32 1.321XXX.00.00.00000009 33.4009 090 99 3.25 3.25 0.04
- 72074 26X-ray exam thorac spine4/>vw A 0.24 0.09 0.09 0.01 0.34 0.341XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72074 TCX-ray exam thorac spine4/>vw A 0.00 0.97 0.97NA 0.01 0.98 0.981XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.03
- 72080 X-ray exam thoracolmb 2/> vw A 0.20 0.83 0.83NA 0.02 1.05 1.051XXX.00.00.00000009 33.4009 090 99 2.72 2.72 0.05
- 72080 26X-ray exam thoracolmb 2/> vw A 0.20 0.09 0.09 0.01 0.30 0.301XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72080T CX-ray exam thoracolmb 2/> vw A 0.00 0.74 0.74NA 0.01 0.75 0.751XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.04
- 72081 X-ray exam entire spi 1 vw A 0.25 1.04 1.04NA 0.03 1.32 1.321XXX.00.00.00000009 33.4009 090 99 2.74 2.74 0.05
- 72081 26X-ray exam entire spi 1 vw A 0.25 0.11 0.11 0.02 0.38 0.381XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72081 TCX-ray exam entire spi 1 vw A 0.00 0.93 0.93NA 0.01 0.94 0.941XXX.00.00.00000009 33.4009 010 99 2.63 2.63 0.03
- 72082 X-ray exam entire spi 2/3 vw A 0.30 1.82 1.82NA 0.03 2.15 2.151XXX.00.00.00000009 33.4009 090 99 3.31 3.31 0.04
- 72082 26X-ray exam entire spi 2/3 vw A 0.30 0.13 0.13 0.02 0.45 0.451XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72082 TCX-ray exam entire spi 2/3 vw A 0.00 1.69 1.69NA 0.01 1.70 1.701XXX.00.00.00000009 33.4009 010 99 3.18 3.18 0.02
- 72083 X-ray exam entire spi 4/5 vw A 0.34 2.02 2.02NA 0.03 2.39 2.391XXX.00.00.00000009 33.4009 090 99 3.33 3.33 0.04
- 72083 26X-ray exam entire spi 4/5 vw A 0.34 0.15 0.15 0.02 0.51 0.511XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72083 TCX-ray exam entire spi 4/5 vw A 0.00 1.87 1.87NA 0.01 1.88 1.881XXX.00.00.00000009 33.4009 010 99 3.18 3.18 0.02
- 72084 X-ray exam entire spi 6/> vw A 0.40 2.51 2.51NA 0.04 2.95 2.951XXX.00.00.00000009 33.4009 090 99 3.34 3.34 0.05
- 72084 26X-ray exam entire spi 6/> vw A 0.40 0.17 0.17 0.02 0.59 0.591XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72084 TCX-ray exam entire spi 6/> vw A 0.00 2.34 2.34NA 0.02 2.36 2.361XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.03
- 72100 X-ray exam l-s spine 2/3 vws A 0.21 0.98 0.98NA 0.02 1.21 1.211XXX.00.00.00000009 33.4009 090 99 3.26 3.26 0.05
- 72100 26X-ray exam l-s spine 2/3 vws A 0.21 0.10 0.10 0.01 0.32 0.321XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72100 TCX-ray exam l-s spine 2/3 vws A 0.00 0.88 0.88NA 0.01 0.89 0.891XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.04
- 72110 X-ray exam l-2 spine 4/>vws A 0.25 1.32 1.32NA 0.03 1.60 1.601XXX.00.00.00000009 33.4009 090 99 3.28 3.28 0.05
- 72110 26X-ray exam l-2 spine 4/>vws A 0.25 0.11 0.11 0.02 0.38 0.381XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72110 TCX-ray exam l-2 spine 4/>vws A 0.00 1.21 1.21NA 0.01 1.22 1.221XXX.00.00.00000009 33.4009 010 99 3.17 3.17 0.03
- 72114 X-ray exam l-s spine bending A 0.29 1.53 1.53NA 0.03 1.85 1.851XXX.00.00.00000009 33.4009 090 99 3.30 3.30 0.04
- 72114 26X-ray exam l-s spine bending A 0.29 0.12 0.12 0.02 0.43 0.431XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72114 TCX-ray exam l-s spine bending A 0.00 1.41 1.41NA 0.01 1.42 1.421XXX.00.00.00000009 33.4009 010 99 3.18 3.18 0.02
- 72120 X-ray bend only l-s spine A 0.21 1.03 1.03NA 0.02 1.26 1.261XXX.00.00.00000009 33.4009 090 99 3.26 3.26 0.04
- 72120 26X-ray bend only l-s spine A 0.21 0.10 0.10 0.01 0.32 0.321XXX.00.00.00000009 33.4009 090 99 0.00 0.00 0.00
- 72120 TCX-ray bend only l-s spine A 0.00 0.93 0.93NA 0.01 0.94 0.941XXX.00.00.00000009 33.4009 010 99 3.16 3.16 0.03
- 72125 Ct neck spine w/o dye A 0.98 2.86 2.86NA 0.07 3.91 3.911XXX.00.00.00400009 33.4009 090 88 3.54 3.54 0.07
- 72125 26Ct neck spine w/o dye A 0.98 0.35 0.35 0.06 1.39 1.391XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72125 TCCt neck spine w/o dye A 0.00 2.51 2.51NA 0.01 2.52 2.521XXX.00.00.00400009 33.4009 010 88 3.19 3.19 0.01
- 72126 Ct neck spine w/dye A 1.19 3.76 3.76NA 0.09 5.04 5.041XXX.00.00.00400009 33.4009 090 88 11.03 11.03 0.13
- 72126 26Ct neck spine w/dye A 1.19 0.42 0.42 0.07 1.68 1.681XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72126 TCCt neck spine w/dye A 0.00 3.34 3.34NA 0.02 3.36 3.361XXX.00.00.00400009 33.4009 020 88 10.61 10.61 0.06
- 72127 Ct neck spine w/o & w/dye A 1.24 4.54 4.54NA 0.09 5.87 5.871XXX.00.00.00400009 33.4009 090 88 5.77 5.77 0.10
- 72127 26Ct neck spine w/o & w/dye A 1.24 0.43 0.43 0.07 1.74 1.741XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72127 TCCt neck spine w/o & w/dye A 0.00 4.11 4.11NA 0.02 4.13 4.131XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.03
- 72128 Ct chest spine w/o dye A 0.98 2.85 2.85NA 0.07 3.90 3.901XXX.00.00.00400009 33.4009 090 88 3.53 3.53 0.07
- 72128 26Ct chest spine w/o dye A 0.98 0.35 0.35 0.06 1.39 1.391XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72128 TCCt chest spine w/o dye A 0.00 2.50 2.50NA 0.01 2.51 2.511XXX.00.00.00400009 33.4009 010 88 3.18 3.18 0.01
- 72129 Ct chest spine w/dye A 1.19 3.79 3.79NA 0.09 5.07 5.071XXX.00.00.00400009 33.4009 090 88 5.75 5.75 0.10
- 72129 26Ct chest spine w/dye A 1.19 0.42 0.42 0.07 1.68 1.681XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72129 TCCt chest spine w/dye A 0.00 3.37 3.37NA 0.02 3.39 3.391XXX.00.00.00400009 33.4009 020 88 5.33 5.33 0.03
- 72130 Ct chest spine w/o & w/dye A 1.24 4.60 4.60NA 0.09 5.93 5.931XXX.00.00.00400009 33.4009 090 88 5.78 5.78 0.10
- 72130 26Ct chest spine w/o & w/dye A 1.24 0.44 0.44 0.07 1.75 1.751XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72130 TCCt chest spine w/o & w/dye A 0.00 4.16 4.16NA 0.02 4.18 4.181XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.03
- 72131 Ct lumbar spine w/o dye A 0.98 2.84 2.84NA 0.07 3.89 3.891XXX.00.00.00400009 33.4009 090 88 3.53 3.53 0.07
- 72131 26Ct lumbar spine w/o dye A 0.98 0.35 0.35 0.06 1.39 1.391XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72131 TCCt lumbar spine w/o dye A 0.00 2.49 2.49NA 0.01 2.50 2.501XXX.00.00.00400009 33.4009 010 88 3.18 3.18 0.01
- 72132 Ct lumbar spine w/dye A 1.19 3.77 3.77NA 0.09 5.05 5.051XXX.00.00.00400009 33.4009 090 88 11.03 11.03 0.13
- 72132 26Ct lumbar spine w/dye A 1.19 0.42 0.42 0.07 1.68 1.681XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72132 TCCt lumbar spine w/dye A 0.00 3.35 3.35NA 0.02 3.37 3.371XXX.00.00.00400009 33.4009 020 88 10.61 10.61 0.06
- 72133 Ct lumbar spine w/o & w/dye A 1.24 4.56 4.56NA 0.09 5.89 5.891XXX.00.00.00400009 33.4009 090 88 5.78 5.78 0.10
- 72133 26Ct lumbar spine w/o & w/dye A 1.24 0.44 0.44 0.07 1.75 1.751XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72133 TCCt lumbar spine w/o & w/dye A 0.00 4.12 4.12NA 0.02 4.14 4.141XXX.00.00.00400009 33.4009 020 88 5.34 5.34 0.03
- 72141 Mri neck spine w/o dye A 1.44 4.17 4.17NA 0.10 5.71 5.711XXX.00.00.00400009 33.4009 090 88 7.78 7.78 0.12
- 72141 26Mri neck spine w/o dye A 1.44 0.52 0.52 0.08 2.04 2.041XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72141 TCMri neck spine w/o dye A 0.00 3.65 3.65NA 0.02 3.67 3.671XXX.00.00.00400009 33.4009 090 88 7.26 7.26 0.04
- 72142 Mri neck spine w/dye A 1.74 6.32 6.32NA 0.14 8.20 8.201XXX.00.00.00400009 33.4009 090 88 11.24 11.24 0.17
- 72142 26Mri neck spine w/dye A 1.74 0.63 0.63 0.11 2.48 2.481XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72142 TCMri neck spine w/dye A 0.00 5.69 5.69NA 0.03 5.72 5.721XXX.00.00.00400009 33.4009 090 88 10.61 10.61 0.06
- 72146 Mri chest spine w/o dye A 1.44 4.16 4.16NA 0.10 5.70 5.701XXX.00.00.00400009 33.4009 090 88 7.78 7.78 0.12
- 72146 26Mri chest spine w/o dye A 1.44 0.52 0.52 0.08 2.04 2.041XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72146 TCMri chest spine w/o dye A 0.00 3.64 3.64NA 0.02 3.66 3.661XXX.00.00.00400009 33.4009 090 88 7.26 7.26 0.04
- 72147 Mri chest spine w/dye A 1.74 6.26 6.26NA 0.12 8.12 8.121XXX.00.00.00400009 33.4009 090 88 11.24 11.24 0.15
- 72147 26Mri chest spine w/dye A 1.74 0.63 0.63 0.09 2.46 2.461XXX.00.00.00400009 33.4009 090 88 0.00 0.00 0.00
- 72147 TCMri chest spine w/dye A 0.00 5.63 5.63NA 0.03 5.66 5.661XXX.00.00.00400009 33.4009 090 88 10.61 10.61 0.06| 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 |