[Federal Register: September 8, 1998 (Volume 63, Number 173)]
[Proposed Rules]
[Page 47651-47700]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr08se98-36]

[[pp. 47651-47700]] Medicare Program; Prospective Payment System for Hospital
Outpatient Services

[[Continued from page 47650]]

[[Page 47650]]

31231...  T                   Nasal endoscopy, dx....        331       0.69     $36.24       $14.01        $7.25
31233...  T                   Nasal/sinus endoscopy,         332       9.74    $515.19      $244.98      $103.04
                               dx.
31235...  T                   Nasal/sinus endoscopy,         332       9.74    $515.19      $244.98      $103.04
                               dx.
31237...  T                   Nasal/sinus endoscopy,         332       9.74    $515.19      $244.98      $103.04
                               surg.
31238...  T                   Nasal/sinus endoscopy,         332       9.74    $515.19      $244.98      $103.04
                               surg.
31239...  T                   Nasal/sinus endoscopy,         333      17.24    $911.87      $464.20      $182.37
                               surg.
31240...  T                   Nasal/sinus endoscopy,         332       9.74    $515.19      $244.98      $103.04
                               surg.
31254...  T                   Revision of ethmoid            333      17.24    $911.87      $464.20      $182.37
                               sinus.
31255...  T                   Removal of ethmoid             333      17.24    $911.87      $464.20      $182.37
                               sinus.
31256...  T                   Exploration maxillary          333      17.24    $911.87      $464.20      $182.37
                               sinus.
31267...  T                   Endoscopy, maxillary           333      17.24    $911.87      $464.20      $182.37
                               sinus.
31276...  T                   Sinus surgical                 333      17.24    $911.87      $464.20      $182.37
                               endoscopy.
31287...  T                   Nasal/sinus endoscopy,         333      17.24    $911.87      $464.20      $182.37
                               surg.
31288...  T                   Nasal/sinus endoscopy,         333      17.24    $911.87      $464.20      $182.37
                               surg.
31290...  C                   Nasal/sinus endoscopy,   .........  .........  .........  ...........  ...........
                               surg.
31291...  C                   Nasal/sinus endoscopy,   .........  .........  .........  ...........  ...........
                               surg.
31292...  C                   Nasal/sinus endoscopy,   .........  .........  .........  ...........  ...........
                               surg.
31293...  C                   Nasal/sinus endoscopy,   .........  .........  .........  ...........  ...........
                               surg.
31294...  C                   Nasal/sinus endoscopy,   .........  .........  .........  ...........  ...........
                               surg.
31299...  T                   Sinus surgery procedure        331       0.69     $36.24       $14.01        $7.25
31300...  T                   Removal of larynx              314      25.65  $1,356.54      $693.37      $271.31
                               lesion.
31320...  T                   Diagnostic incision            313      15.81    $836.45      $411.09      $167.29
                               larynx.
31360...  C                   Removal of larynx......  .........  .........  .........  ...........  ...........
31365...  C                   Removal of larynx......  .........  .........  .........  ...........  ...........
31367...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               larynx.
31368...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               larynx.
31370...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               larynx.
31375...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               larynx.
31380...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               larynx.
31382...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               larynx.
31390...  C                   Removal of larynx &      .........  .........  .........  ...........  ...........
                               pharynx.
31395...  C                   Reconstruct larynx &     .........  .........  .........  ...........  ...........
                               pharynx.
31400...  T                   Revision of larynx.....        314      25.65  $1,356.54      $693.37      $271.31
31420...  T                   Removal of epiglottis..        314      25.65  $1,356.54      $693.37      $271.31
31500...  S                   Insert emergency airway        947       4.07    $215.48      $109.61       $43.10
31502...  T                   Change of windpipe             470       2.22    $117.53       $54.92       $23.51
                               airway.
31505...  T                   Diagnostic laryngoscopy        331       0.69     $36.24       $14.01        $7.25
31510...  T                   Laryngoscopy with              332       9.74    $515.19      $244.98      $103.04
                               biopsy.
31511...  T                   Remove foreign body,           332       9.74    $515.19      $244.98      $103.04
                               larynx.
31512...  T                   Removal of larynx              332       9.74    $515.19      $244.98      $103.04
                               lesion.
31513...  T                   Injection into vocal           332       9.74    $515.19      $244.98      $103.04
                               cord.
31515...  T                   Laryngoscopy for               332       9.74    $515.19      $244.98      $103.04
                               aspiration.
31520...  T                   Diagnostic laryngoscopy        332       9.74    $515.19      $244.98      $103.04
31525...  T                   Diagnostic laryngoscopy        332       9.74    $515.19      $244.98      $103.04
31526...  T                   Diagnostic laryngoscopy        332       9.74    $515.19      $244.98      $103.04
31527...  T                   Laryngoscopy for               333      17.24    $911.87      $464.20      $182.37
                               treatment.
31528...  T                   Laryngoscopy and               332       9.74    $515.19      $244.98      $103.04
                               dilatation.
31529...  T                   Laryngoscopy and               332       9.74    $515.19      $244.98      $103.04
                               dilatation.
31530...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31531...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31535...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31536...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31540...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31541...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31560...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31561...  T                   Operative laryngoscopy.        333      17.24    $911.87      $464.20      $182.37
31570...  T                   Laryngoscopy with              333      17.24    $911.87      $464.20      $182.37
                               injection.
31571...  T                   Laryngoscopy with              333      17.24    $911.87      $464.20      $182.37
                               injection.
31575...  T                   Diagnostic laryngoscopy        331       0.69     $36.24       $14.01        $7.25
31576...  T                   Laryngoscopy with              332       9.74    $515.19      $244.98      $103.04
                               biopsy.
31577...  T                   Remove foreign body,           332       9.74    $515.19      $244.98      $103.04
                               larynx.
31578...  T                   Removal of larynx              332       9.74    $515.19      $244.98      $103.04
                               lesion.
31579...  T                   Diagnostic laryngoscopy        331       0.69     $36.24       $14.01        $7.25
31580...  C                   Revision of larynx.....  .........  .........  .........  ...........  ...........
31582...  C                   Revision of larynx.....  .........  .........  .........  ...........  ...........
31584...  C                   Repair of larynx         .........  .........  .........  ...........  ...........
                               fracture.
31585...  T                   Repair of larynx               207       1.70     $90.11       $31.64       $18.02
                               fracture.
31586...  T                   Repair of larynx               209       1.94    $102.84       $37.29       $20.57
                               fracture.
31587...  C                   Revision of larynx.....  .........  .........  .........  ...........  ...........
31588...  T                   Revision of larynx.....        314      25.65  $1,356.54      $693.37      $271.31
31590...  T                   Reinnervate larynx.....        314      25.65  $1,356.54      $693.37      $271.31
31595...  T                   Larynx nerve surgery...        313      15.81    $836.45      $411.09      $167.29
31599...  T                   Larynx surgery                 207       1.70     $90.11       $31.64       $18.02
                               procedure.
31600...  C                   Incision of windpipe...  .........  .........  .........  ...........  ...........
31601...  C                   Incision of windpipe...  .........  .........  .........  ...........  ...........

[[Page 47651]]

31603...  T                   Incision of windpipe...        311       1.43     $75.42       $20.57       $15.08
31605...  T                   Incision of windpipe...        311       1.43     $75.42       $20.57       $15.08
31610...  C                   Incision of windpipe...  .........  .........  .........  ...........  ...........
31611...  T                   Surgery/speech                 313      15.81    $836.45      $411.09      $167.29
                               prosthesis.
31612...  T                   Puncture/clear windpipe        312       7.26    $383.95      $178.31       $76.79
31613...  T                   Repair windpipe opening        313      15.81    $836.45      $411.09      $167.29
31614...  T                   Repair windpipe opening        313      15.81    $836.45      $411.09      $167.29
31615...  T                   Visualization of               336       7.44    $393.74      $197.98       $78.75
                               windpipe.
31622...  T                   Diagnostic bronchoscopy        336       7.44    $393.74      $197.98       $78.75
31625...  T                   Bronchoscopy with              336       7.44    $393.74      $197.98       $78.75
                               biopsy.
31628...  T                   Bronchoscopy with              336       7.44    $393.74      $197.98       $78.75
                               biopsy.
31629...  T                   Bronchoscopy with              336       7.44    $393.74      $197.98       $78.75
                               biopsy.
31630...  T                   Bronchoscopy with              336       7.44    $393.74      $197.98       $78.75
                               repair.
31631...  T                   Bronchoscopy with              336       7.44    $393.74      $197.98       $78.75
                               dilation.
31635...  T                   Remove foreign body,           336       7.44    $393.74      $197.98       $78.75
                               airway.
31640...  T                   Bronchoscopy & remove          336       7.44    $393.74      $197.98       $78.75
                               lesion.
31641...  T                   Bronchoscopy, treat            336       7.44    $393.74      $197.98       $78.75
                               blockage.
31645...  T                   Bronchoscopy, clear            336       7.44    $393.74      $197.98       $78.75
                               airways.
31646...  T                   Bronchoscopy, reclear          336       7.44    $393.74      $197.98       $78.75
                               airways.
31656...  T                   Bronchoscopy, inject           336       7.44    $393.74      $197.98       $78.75
                               for xray.
31700...  T                   Insertion of airway            332       9.74    $515.19      $244.98      $103.04
                               catheter.
31708...  T                   Instill airway contrast        347       2.93    $154.75       $62.15       $30.95
                               dye.
31710...  T                   Insertion of airway            347       2.93    $154.75       $62.15       $30.95
                               catheter.
31715...  T                   Injection for bronchus         347       2.93    $154.75       $62.15       $30.95
                               x-ray.
31717...  T                   Bronchial brush biopsy.        332       9.74    $515.19      $244.98      $103.04
31720...  T                   Clearance of airways...        332       9.74    $515.19      $244.98      $103.04
31725...  C                   Clearance of airways...  .........  .........  .........  ...........  ...........
31730...  T                   Intro windpipe wire/           332       9.74    $515.19      $244.98      $103.04
                               tube.
31750...  T                   Repair of windpipe.....        314      25.65  $1,356.54      $693.37      $271.31
31755...  T                   Repair of windpipe.....        314      25.65  $1,356.54      $693.37      $271.31
31760...  C                   Repair of windpipe.....  .........  .........  .........  ...........  ...........
31766...  C                   Reconstruction of        .........  .........  .........  ...........  ...........
                               windpipe.
31770...  C                   Repair/graft of          .........  .........  .........  ...........  ...........
                               bronchus.
31775...  C                   Reconstruct bronchus...  .........  .........  .........  ...........  ...........
31780...  C                   Reconstruct windpipe...  .........  .........  .........  ...........  ...........
31781...  C                   Reconstruct windpipe...  .........  .........  .........  ...........  ...........
31785...  C                   Remove windpipe lesion.  .........  .........  .........  ...........  ...........
31786...  C                   Remove windpipe lesion.  .........  .........  .........  ...........  ...........
31800...  C                   Repair of windpipe       .........  .........  .........  ...........  ...........
                               injury.
31805...  C                   Repair of windpipe       .........  .........  .........  ...........  ...........
                               injury.
31820...  T                   Closure of windpipe            313      15.81    $836.45      $411.09      $167.29
                               lesion.
31825...  T                   Repair of windpipe             313      15.81    $836.45      $411.09      $167.29
                               defect.
31830...  T                   Revise windpipe scar...        313      15.81    $836.45      $411.09      $167.29
31899...  T                   Airways surgical               336       7.44    $393.74      $197.98       $78.75
                               procedure.
32000...  T                   Drainage of chest......        320       3.17    $167.49       $79.33       $33.50
32002...  T                   Treatment of collapsed         320       3.17    $167.49       $79.33       $33.50
                               lung.
32005...  C                   Treat lung lining        .........  .........  .........  ...........  ...........
                               chemically.
32020...  T                   Insertion of chest tube        320       3.17    $167.49       $79.33       $33.50
32035...  C                   Exploration of chest...  .........  .........  .........  ...........  ...........
32036...  C                   Exploration of chest...  .........  .........  .........  ...........  ...........
32095...  C                   Biopsy through chest     .........  .........  .........  ...........  ...........
                               wall.
32100...  C                   Exploration/biopsy of    .........  .........  .........  ...........  ...........
                               chest.
32110...  C                   Explore/repair chest...  .........  .........  .........  ...........  ...........
32120...  C                   Re-exploration of chest  .........  .........  .........  ...........  ...........
32124...  C                   Explore chest, free      .........  .........  .........  ...........  ...........
                               adhesions.
32140...  C                   Removal of lung          .........  .........  .........  ...........  ...........
                               lesion(s).
32141...  C                   Remove/treat lung        .........  .........  .........  ...........  ...........
                               lesions.
32150...  C                   Removal of lung          .........  .........  .........  ...........  ...........
                               lesion(s).
32151...  C                   Remove lung foreign      .........  .........  .........  ...........  ...........
                               body.
32160...  C                   Open chest heart         .........  .........  .........  ...........  ...........
                               massage.
32200...  C                   Open drainage, lung      .........  .........  .........  ...........  ...........
                               lesion.
32201...  C                   Percut drainage, lung    .........  .........  .........  ...........  ...........
                               lesion.
32215...  C                   Treat chest lining.....  .........  .........  .........  ...........  ...........
32220...  C                   Release of lung........  .........  .........  .........  ...........  ...........
32225...  C                   Partial release of lung  .........  .........  .........  ...........  ...........
32310...  C                   Removal of chest lining  .........  .........  .........  ...........  ...........
32320...  C                   Free/remove chest        .........  .........  .........  ...........  ...........
                               lining.
32400...  T                   Needle biopsy chest            122       4.87    $257.60      $115.03       $51.52
                               lining.
32402...  C                   Open biopsy chest        .........  .........  .........  ...........  ...........
                               lining.
32405...  T                   Biopsy, lung or                122       4.87    $257.60      $115.03       $51.52
                               mediastinum.
32420...  T                   Puncture/clear lung....        320       3.17    $167.49       $79.33       $33.50
32440...  C                   Removal of lung........  .........  .........  .........  ...........  ...........
32442...  C                   Sleeve pneumonectomy...  .........  .........  .........  ...........  ...........
32445...  C                   Removal of lung........  .........  .........  .........  ...........  ...........
32480...  C                   Partial removal of lung  .........  .........  .........  ...........  ...........

[[Page 47652]]

32482...  C                   Bilobectomy............  .........  .........  .........  ...........  ...........
32484...  C                   Segmentectomy..........  .........  .........  .........  ...........  ...........
32486...  C                   Sleeve lobectomy.......  .........  .........  .........  ...........  ...........
32488...  C                   Completion               .........  .........  .........  ...........  ...........
                               pneumonectomy.
32491...  C                   Lung volume reduction..  .........  .........  .........  ...........  ...........
32500...  C                   Partial removal of lung  .........  .........  .........  ...........  ...........
32501...  C                   Repair bronchus (add-    .........  .........  .........  ...........  ...........
                               on).
32520...  C                   Remove lung & revise     .........  .........  .........  ...........  ...........
                               chest.
32522...  C                   Remove lung & revise     .........  .........  .........  ...........  ...........
                               chest.
32525...  C                   Remove lung & revise     .........  .........  .........  ...........  ...........
                               chest.
32540...  C                   Removal of lung lesion.  .........  .........  .........  ...........  ...........
32601...  C                   Thoracoscopy,            .........  .........  .........  ...........  ...........
                               diagnostic.
32602...  C                   Thoracoscopy,            .........  .........  .........  ...........  ...........
                               diagnostic.
32603...  C                   Thoracoscopy,            .........  .........  .........  ...........  ...........
                               diagnostic.
32604...  C                   Thoracoscopy,            .........  .........  .........  ...........  ...........
                               diagnostic.
32605...  C                   Thoracoscopy,            .........  .........  .........  ...........  ...........
                               diagnostic.
32606...  C                   Thoracoscopy,            .........  .........  .........  ...........  ...........
                               diagnostic.
32650...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32651...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32652...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32653...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32654...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32655...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32656...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32657...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32658...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32659...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32660...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32661...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32662...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32663...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32664...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32665...  C                   Thoracoscopy, surgical.  .........  .........  .........  ...........  ...........
32800...  C                   Repair lung hernia.....  .........  .........  .........  ...........  ...........
32810...  C                   Close chest after        .........  .........  .........  ...........  ...........
                               drainage.
32815...  C                   Close bronchial fistula  .........  .........  .........  ...........  ...........
32820...  C                   Reconstruct injured      .........  .........  .........  ...........  ...........
                               chest.
32850...  C                   Donor pneumonectomy....  .........  .........  .........  ...........  ...........
32851...  C                   Lung transplant, single  .........  .........  .........  ...........  ...........
32852...  C                   Lung transplant w/       .........  .........  .........  ...........  ...........
                               bypass.
32853...  C                   Lung transplant, double  .........  .........  .........  ...........  ...........
32854...  C                   Lung transplant w/       .........  .........  .........  ...........  ...........
                               bypass.
32900...  C                   Removal of rib(s)......  .........  .........  .........  ...........  ...........
32905...  C                   Revise & repair chest    .........  .........  .........  ...........  ...........
                               wall.
32906...  C                   Revise & repair chest    .........  .........  .........  ...........  ...........
                               wall.
32940...  C                   Revision of lung.......  .........  .........  .........  ...........  ...........
32960...  T                   Therapeutic                    320       3.17    $167.49       $79.33       $33.50
                               pneumothorax.
32999...  T                   Chest surgery procedure        320       3.17    $167.49       $79.33       $33.50
33010...  T                   Drainage of heart sac..        320       3.17    $167.49       $79.33       $33.50
33011...  T                   Repeat drainage of             320       3.17    $167.49       $79.33       $33.50
                               heart sac.
33015...  C                   Incision of heart sac..  .........  .........  .........  ...........  ...........
33020...  C                   Incision of heart sac..  .........  .........  .........  ...........  ...........
33025...  C                   Incision of heart sac..  .........  .........  .........  ...........  ...........
33030...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               heart sac.
33031...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               heart sac.
33050...  C                   Removal of heart sac     .........  .........  .........  ...........  ...........
                               lesion.
33120...  C                   Removal of heart lesion  .........  .........  .........  ...........  ...........
33130...  C                   Removal of heart lesion  .........  .........  .........  ...........  ...........
33200...  C                   Insertion of heart       .........  .........  .........  ...........  ...........
                               pacemaker.
33201...  C                   Insertion of heart       .........  .........  .........  ...........  ...........
                               pacemaker.
33206...  C                   Insertion of heart       .........  .........  .........  ...........  ...........
                               pacemaker.
33207...  C                   Insertion of heart       .........  .........  .........  ...........  ...........
                               pacemaker.
33208...  C                   Insertion of heart       .........  .........  .........  ...........  ...........
                               pacemaker.
33210...  C                   Insertion of heart       .........  .........  .........  ...........  ...........
                               electrode.
33211...  C                   Insertion of heart       .........  .........  .........  ...........  ...........
                               electrode.
33212...  C                   Insertion of pulse       .........  .........  .........  ...........  ...........
                               generator.
33213...  C                   Insertion of pulse       .........  .........  .........  ...........  ...........
                               generator.
33214...  C                   Upgrade of pacemaker     .........  .........  .........  ...........  ...........
                               system.
33216...  C                   Revision implanted       .........  .........  .........  ...........  ...........
                               electrode.
33217...  C                   Insert/revise electrode  .........  .........  .........  ...........  ...........
33218...  C                   Repair pacemaker         .........  .........  .........  ...........  ...........
                               electrodes.
33220...  C                   Repair pacemaker         .........  .........  .........  ...........  ...........
                               electrode.
33222...  T                   Pacemaker AICD pocket..        360       6.09    $322.24      $140.12       $64.45
33223...  T                   Pacemaker AICD pocket..        360       6.09    $322.24      $140.12       $64.45
33233...  C                   Removal of pacemaker     .........  .........  .........  ...........  ...........
                               system.

[[Page 47653]]

33234...  C                   Removal of pacemaker     .........  .........  .........  ...........  ...........
                               system.
33235...  C                   Removal pacemaker        .........  .........  .........  ...........  ...........
                               electrode.
33236...  C                   Remove electrode/        .........  .........  .........  ...........  ...........
                               thoracotomy.
33237...  C                   Remove electrode/        .........  .........  .........  ...........  ...........
                               thoracotomy.
33238...  C                   Remove electrode/        .........  .........  .........  ...........  ...........
                               thoracotomy.
33240...  C                   Insert/replace pulse     .........  .........  .........  ...........  ...........
                               gener.
33241...  C                   Remove pulse generator   .........  .........  .........  ...........  ...........
                               only.
33242...  C                   Repair pulse generator/  .........  .........  .........  ...........  ...........
                               leads.
33243...  C                   Remove generator/        .........  .........  .........  ...........  ...........
                               thoracotomy.
33244...  C                   Remove generator.......  .........  .........  .........  ...........  ...........
33245...  C                   Implant heart            .........  .........  .........  ...........  ...........
                               defibrillator.
33246...  C                   Implant heart            .........  .........  .........  ...........  ...........
                               defibrillator.
33247...  C                   Insert/replace leads...  .........  .........  .........  ...........  ...........
33249...  C                   Insert/replace leads/    .........  .........  .........  ...........  ...........
                               gener.
33250...  C                   Ablate heart dysrhythm   .........  .........  .........  ...........  ...........
                               focus.
33251...  C                   Ablate heart dysrhythm   .........  .........  .........  ...........  ...........
                               focus.
33253...  C                   Reconstruct atria......  .........  .........  .........  ...........  ...........
33261...  C                   Ablate heart dysrhythm   .........  .........  .........  ...........  ...........
                               focus.
33300...  C                   Repair of heart wound..  .........  .........  .........  ...........  ...........
33305...  C                   Repair of heart wound..  .........  .........  .........  ...........  ...........
33310...  C                   Exploratory heart        .........  .........  .........  ...........  ...........
                               surgery.
33315...  C                   Exploratory heart        .........  .........  .........  ...........  ...........
                               surgery.
33320...  C                   Repair major blood       .........  .........  .........  ...........  ...........
                               vessel(s).
33321...  C                   Repair major vessel....  .........  .........  .........  ...........  ...........
33322...  C                   Repair major blood       .........  .........  .........  ...........  ...........
                               vessel(s).
33330...  C                   Insert major vessel      .........  .........  .........  ...........  ...........
                               graft.
33332...  C                   Insert major vessel      .........  .........  .........  ...........  ...........
                               graft.
33335...  C                   Insert major vessel      .........  .........  .........  ...........  ...........
                               graft.
33400...  C                   Repair of aortic valve.  .........  .........  .........  ...........  ...........
33401...  C                   Valvuloplasty, open....  .........  .........  .........  ...........  ...........
33403...  C                   Valvuloplasty, w/cp      .........  .........  .........  ...........  ...........
                               bypass.
33404...  C                   Prepare heart-aorta      .........  .........  .........  ...........  ...........
                               conduit.
33405...  C                   Replacement of aortic    .........  .........  .........  ...........  ...........
                               valve.
33406...  C                   Replacement, aortic      .........  .........  .........  ...........  ...........
                               valve.
33411...  C                   Replacement of aortic    .........  .........  .........  ...........  ...........
                               valve.
33412...  C                   Replacement of aortic    .........  .........  .........  ...........  ...........
                               valve.
33413...  C                   Replacement, aortic      .........  .........  .........  ...........  ...........
                               valve.
33414...  C                   Repair, aortic valve...  .........  .........  .........  ...........  ...........
33415...  C                   Revision, subvalvular    .........  .........  .........  ...........  ...........
                               tissue.
33416...  C                   Revise ventricle muscle  .........  .........  .........  ...........  ...........
33417...  C                   Repair of aortic valve.  .........  .........  .........  ...........  ...........
33420...  C                   Revision of mitral       .........  .........  .........  ...........  ...........
                               valve.
33422...  C                   Revision of mitral       .........  .........  .........  ...........  ...........
                               valve.
33425...  C                   Repair of mitral valve.  .........  .........  .........  ...........  ...........
33426...  C                   Repair of mitral valve.  .........  .........  .........  ...........  ...........
33427...  C                   Repair of mitral valve.  .........  .........  .........  ...........  ...........
33430...  C                   Replacement of mitral    .........  .........  .........  ...........  ...........
                               valve.
33460...  C                   Revision of tricuspid    .........  .........  .........  ...........  ...........
                               valve.
33463...  C                   Valvuloplasty,           .........  .........  .........  ...........  ...........
                               tricuspid.
33464...  C                   Valvuloplasty,           .........  .........  .........  ...........  ...........
                               tricuspid.
33465...  C                   Replace tricuspid valve  .........  .........  .........  ...........  ...........
33468...  C                   Revision of tricuspid    .........  .........  .........  ...........  ...........
                               valve.
33470...  C                   Revision of pulmonary    .........  .........  .........  ...........  ...........
                               valve.
33471...  C                   Valvotomy, pulmonary     .........  .........  .........  ...........  ...........
                               valve.
33472...  C                   Revision of pulmonary    .........  .........  .........  ...........  ...........
                               valve.
33474...  C                   Revision of pulmonary    .........  .........  .........  ...........  ...........
                               valve.
33475...  C                   Replacement, pulmonary   .........  .........  .........  ...........  ...........
                               valve.
33476...  C                   Revision of heart        .........  .........  .........  ...........  ...........
                               chamber.
33478...  C                   Revision of heart        .........  .........  .........  ...........  ...........
                               chamber.
33496...  C                   Repair, prosth valve     .........  .........  .........  ...........  ...........
                               clot.
33500...  C                   Repair heart vessel      .........  .........  .........  ...........  ...........
                               fistula.
33501...  C                   Repair heart vessel      .........  .........  .........  ...........  ...........
                               fistula.
33502...  C                   Coronary artery          .........  .........  .........  ...........  ...........
                               correction.
33503...  C                   Coronary artery graft..  .........  .........  .........  ...........  ...........
33504...  C                   Coronary artery graft..  .........  .........  .........  ...........  ...........
33505...  C                   Repair artery w/tunnel.  .........  .........  .........  ...........  ...........
33506...  C                   Repair artery,           .........  .........  .........  ...........  ...........
                               translocation.
33510...  C                   CABG, vein, single.....  .........  .........  .........  ...........  ...........
33511...  C                   CABG, vein, two........  .........  .........  .........  ...........  ...........
33512...  C                   CABG, vein, three......  .........  .........  .........  ...........  ...........
33513...  C                   CABG, vein, four.......  .........  .........  .........  ...........  ...........
33514...  C                   CABG, vein, five.......  .........  .........  .........  ...........  ...........
33516...  C                   CABG, vein, six+.......  .........  .........  .........  ...........  ...........
33517...  C                   CABG, artery-vein,       .........  .........  .........  ...........  ...........
                               single.
33518...  C                   CABG, artery-vein, two.  .........  .........  .........  ...........  ...........

[[Page 47654]]

33519...  C                   CABG, artery-vein,       .........  .........  .........  ...........  ...........
                               three.
33521...  C                   CABG, artery-vein, four  .........  .........  .........  ...........  ...........
33522...  C                   CABG, artery-vein, five  .........  .........  .........  ...........  ...........
33523...  C                   CABG, artery-vein, six+  .........  .........  .........  ...........  ...........
33530...  C                   Coronary artery, bypass/ .........  .........  .........  ...........  ...........
                               reop.
33533...  C                   CABG, arterial, single.  .........  .........  .........  ...........  ...........
33534...  C                   CABG, arterial, two....  .........  .........  .........  ...........  ...........
33535...  C                   CABG, arterial, three..  .........  .........  .........  ...........  ...........
33536...  C                   CABG, arterial, four+..  .........  .........  .........  ...........  ...........
33542...  C                   Removal of heart lesion  .........  .........  .........  ...........  ...........
33545...  C                   Repair of heart damage.  .........  .........  .........  ...........  ...........
33572...  C                   Open coronary            .........  .........  .........  ...........  ...........
                               endarterectomy.
33600...  C                   Closure of valve.......  .........  .........  .........  ...........  ...........
33602...  C                   Closure of valve.......  .........  .........  .........  ...........  ...........
33606...  C                   Anastomosis/artery-      .........  .........  .........  ...........  ...........
                               aorta.
33608...  C                   Repair anomaly w/        .........  .........  .........  ...........  ...........
                               conduit.
33610...  C                   Repair by enlargement..  .........  .........  .........  ...........  ...........
33611...  C                   Repair double ventricle  .........  .........  .........  ...........  ...........
33612...  C                   Repair double ventricle  .........  .........  .........  ...........  ...........
33615...  C                   Repair (simple fontan).  .........  .........  .........  ...........  ...........
33617...  C                   Repair by modified       .........  .........  .........  ...........  ...........
                               fontan.
33619...  C                   Repair single ventricle  .........  .........  .........  ...........  ...........
33641...  C                   Repair heart septum      .........  .........  .........  ...........  ...........
                               defect.
33645...  C                   Revision of heart veins  .........  .........  .........  ...........  ...........
33647...  C                   Repair heart septum      .........  .........  .........  ...........  ...........
                               defects.
33660...  C                   Repair of heart defects  .........  .........  .........  ...........  ...........
33665...  C                   Repair of heart defects  .........  .........  .........  ...........  ...........
33670...  C                   Repair of heart          .........  .........  .........  ...........  ...........
                               chambers.
33681...  C                   Repair heart septum      .........  .........  .........  ...........  ...........
                               defect.
33684...  C                   Repair heart septum      .........  .........  .........  ...........  ...........
                               defect.
33688...  C                   Repair heart septum      .........  .........  .........  ...........  ...........
                               defect.
33690...  C                   Reinforce pulmonary      .........  .........  .........  ...........  ...........
                               artery.
33692...  C                   Repair of heart defects  .........  .........  .........  ...........  ...........
33694...  C                   Repair of heart defects  .........  .........  .........  ...........  ...........
33697...  C                   Repair of heart defects  .........  .........  .........  ...........  ...........
33702...  C                   Repair of heart defects  .........  .........  .........  ...........  ...........
33710...  C                   Repair of heart defects  .........  .........  .........  ...........  ...........
33720...  C                   Repair of heart defect.  .........  .........  .........  ...........  ...........
33722...  C                   Repair of heart defect.  .........  .........  .........  ...........  ...........
33730...  C                   Repair heart-vein        .........  .........  .........  ...........  ...........
                               defect(s).
33732...  C                   Repair heart-vein        .........  .........  .........  ...........  ...........
                               defect.
33735...  C                   Revision of heart        .........  .........  .........  ...........  ...........
                               chamber.
33736...  C                   Revision of heart        .........  .........  .........  ...........  ...........
                               chamber.
33737...  C                   Revision of heart        .........  .........  .........  ...........  ...........
                               chamber.
33750...  C                   Major vessel shunt.....  .........  .........  .........  ...........  ...........
33755...  C                   Major vessel shunt.....  .........  .........  .........  ...........  ...........
33762...  C                   Major vessel shunt.....  .........  .........  .........  ...........  ...........
33764...  C                   Major vessel shunt &     .........  .........  .........  ...........  ...........
                               graft.
33766...  C                   Major vessel shunt.....  .........  .........  .........  ...........  ...........
33767...  C                   Atrial septectomy/       .........  .........  .........  ...........  ...........
                               septostomy.
33770...  C                   Repair great vessels     .........  .........  .........  ...........  ...........
                               defect.
33771...  C                   Repair great vessels     .........  .........  .........  ...........  ...........
                               defect.
33774...  C                   Repair great vessels     .........  .........  .........  ...........  ...........
                               defect.
33775...  C                   Repair great vessels     .........  .........  .........  ...........  ...........
                               defect.
33776...  C                   Repair great vessels     .........  .........  .........  ...........  ...........
                               defect.
33777...  C                   Repair great vessels     .........  .........  .........  ...........  ...........
                               defect.
33778...  C                   Repair great vessels     .........  .........  .........  ...........  ...........
                               defect.
33779...  C                   Repair great vessels     .........  .........  .........  ...........  ...........
                               defect.
33780...  C                   Repair great vessels     .........  .........  .........  ...........  ...........
                               defect.
33781...  C                   Repair great vessels     .........  .........  .........  ...........  ...........
                               defect.
33786...  C                   Repair arterial trunk..  .........  .........  .........  ...........  ...........
33788...  C                   Revision of pulmonary    .........  .........  .........  ...........  ...........
                               artery.
33800...  C                   Aortic suspension......  .........  .........  .........  ...........  ...........
33802...  C                   Repair vessel defect...  .........  .........  .........  ...........  ...........
33803...  C                   Repair vessel defect...  .........  .........  .........  ...........  ...........
33813...  C                   Repair septal defect...  .........  .........  .........  ...........  ...........
33814...  C                   Repair septal defect...  .........  .........  .........  ...........  ...........
33820...  C                   Revise major vessel....  .........  .........  .........  ...........  ...........
33822...  C                   Revise major vessel....  .........  .........  .........  ...........  ...........
33824...  C                   Revise major vessel....  .........  .........  .........  ...........  ...........
33840...  C                   Remove aorta             .........  .........  .........  ...........  ...........
                               constriction.
33845...  C                   Remove aorta             .........  .........  .........  ...........  ...........
                               constriction.
33851...  C                   Remove aorta             .........  .........  .........  ...........  ...........
                               constriction.
33852...  C                   Repair septal defect...  .........  .........  .........  ...........  ...........
33853...  C                   Repair septal defect...  .........  .........  .........  ...........  ...........

[[Page 47655]]

33860...  C                   Ascending aorta graft..  .........  .........  .........  ...........  ...........
33861...  C                   Ascending aorta graft..  .........  .........  .........  ...........  ...........
33863...  C                   Ascending aorta graft..  .........  .........  .........  ...........  ...........
33870...  C                   Transverse aortic arch   .........  .........  .........  ...........  ...........
                               graft.
33875...  C                   Thoracic aorta graft...  .........  .........  .........  ...........  ...........
33877...  C                   Thoracoabdominal graft.  .........  .........  .........  ...........  ...........
33910...  C                   Remove lung artery       .........  .........  .........  ...........  ...........
                               emboli.
33915...  C                   Remove lung artery       .........  .........  .........  ...........  ...........
                               emboli.
33916...  C                   Surgery of great vessel  .........  .........  .........  ...........  ...........
33917...  C                   Repair pulmonary artery  .........  .........  .........  ...........  ...........
33918...  C                   Repair pulmonary         .........  .........  .........  ...........  ...........
                               atresia.
33919...  C                   Repair pulmonary         .........  .........  .........  ...........  ...........
                               atresia.
33920...  C                   Repair pulmonary         .........  .........  .........  ...........  ...........
                               atresia.
33922...  C                   Transect pulmonary       .........  .........  .........  ...........  ...........
                               artery.
33924...  C                   Remove pulmonary shunt.  .........  .........  .........  ...........  ...........
33930...  C                   Removal of donor heart/  .........  .........  .........  ...........  ...........
                               lung.
33935...  C                   Transplantation, heart/  .........  .........  .........  ...........  ...........
                               lung.
33940...  C                   Removal of donor heart.  .........  .........  .........  ...........  ...........
33945...  C                   Transplantation of       .........  .........  .........  ...........  ...........
                               heart.
33960...  C                   External circulation     .........  .........  .........  ...........  ...........
                               assist.
33961...  C                   External circulation     .........  .........  .........  ...........  ...........
                               assist.
33970...  C                   Aortic circulation       .........  .........  .........  ...........  ...........
                               assist.
33971...  C                   Aortic circulation       .........  .........  .........  ...........  ...........
                               assist.
33973...  C                   Insert balloon device..  .........  .........  .........  ...........  ...........
33974...  C                   Remove intra-aortic      .........  .........  .........  ...........  ...........
                               balloon.
33975...  C                   Implant ventricular      .........  .........  .........  ...........  ...........
                               device.
33976...  C                   Implant ventricular      .........  .........  .........  ...........  ...........
                               device.
33977...  C                   Remove ventricular       .........  .........  .........  ...........  ...........
                               device.
33978...  C                   Remove ventricular       .........  .........  .........  ...........  ...........
                               device.
33999...  T                   Cardiac surgery                320       3.17    $167.49       $79.33       $33.50
                               procedure.
34001...  C                   Removal of artery clot.  .........  .........  .........  ...........  ...........
34051...  C                   Removal of artery clot.  .........  .........  .........  ...........  ...........
34101...  C                   Removal of artery clot.  .........  .........  .........  ...........  ...........
34111...  C                   Removal of arm artery    .........  .........  .........  ...........  ...........
                               clot.
34151...  C                   Removal of artery clot.  .........  .........  .........  ...........  ...........
34201...  C                   Removal of artery clot.  .........  .........  .........  ...........  ...........
34203...  C                   Removal of leg artery    .........  .........  .........  ...........  ...........
                               clot.
34401...  C                   Removal of vein clot...  .........  .........  .........  ...........  ...........
34421...  C                   Removal of vein clot...  .........  .........  .........  ...........  ...........
34451...  C                   Removal of vein clot...  .........  .........  .........  ...........  ...........
34471...  C                   Removal of vein clot...  .........  .........  .........  ...........  ...........
34490...  C                   Removal of vein clot...  .........  .........  .........  ...........  ...........
34501...  C                   Repair valve, femoral    .........  .........  .........  ...........  ...........
                               vein.
34502...  C                   Reconstruct, vena cava.  .........  .........  .........  ...........  ...........
34510...  C                   Transposition of vein    .........  .........  .........  ...........  ...........
                               valve.
34520...  C                   Cross-over vein graft..  .........  .........  .........  ...........  ...........
34530...  C                   Leg vein fusion........  .........  .........  .........  ...........  ...........
35001...  C                   Repair defect of artery  .........  .........  .........  ...........  ...........
35002...  C                   Repair artery rupture,   .........  .........  .........  ...........  ...........
                               neck.
35005...  C                   Repair defect of artery  .........  .........  .........  ...........  ...........
35011...  C                   Repair defect of artery  .........  .........  .........  ...........  ...........
35013...  C                   Repair artery rupture,   .........  .........  .........  ...........  ...........
                               arm.
35021...  C                   Repair defect of artery  .........  .........  .........  ...........  ...........
35022...  C                   Repair artery rupture,   .........  .........  .........  ...........  ...........
                               chest.
35045...  C                   Repair defect of arm     .........  .........  .........  ...........  ...........
                               artery.
35081...  C                   Repair defect of artery  .........  .........  .........  ...........  ...........
35082...  C                   Repair artery rupture,   .........  .........  .........  ...........  ...........
                               aorta.
35091...  C                   Repair defect of artery  .........  .........  .........  ...........  ...........
35092...  C                   Repair artery rupture,   .........  .........  .........  ...........  ...........
                               aorta.
35102...  C                   Repair defect of artery  .........  .........  .........  ...........  ...........
35103...  C                   Repair artery rupture,   .........  .........  .........  ...........  ...........
                               groin.
35111...  C                   Repair defect of artery  .........  .........  .........  ...........  ...........
35112...  C                   Repair artery rupture,   .........  .........  .........  ...........  ...........
                               spleen.
35121...  C                   Repair defect of artery  .........  .........  .........  ...........  ...........
35122...  C                   Repair artery rupture,   .........  .........  .........  ...........  ...........
                               belly.
35131...  C                   Repair defect of artery  .........  .........  .........  ...........  ...........
35132...  C                   Repair artery rupture,   .........  .........  .........  ...........  ...........
                               groin.
35141...  C                   Repair defect of artery  .........  .........  .........  ...........  ...........
35142...  C                   Repair artery rupture,   .........  .........  .........  ...........  ...........
                               thigh.
35151...  C                   Repair defect of artery  .........  .........  .........  ...........  ...........
35152...  C                   Repair artery rupture,   .........  .........  .........  ...........  ...........
                               knee.
35161...  C                   Repair defect of artery  .........  .........  .........  ...........  ...........
35162...  C                   Repair artery rupture..  .........  .........  .........  ...........  ...........
35180...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35182...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.

[[Page 47656]]

35184...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35188...  T                   Repair blood vessel            368      22.83  $1,207.67      $648.85      $241.53
                               lesion.
35189...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35190...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35201...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35206...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35207...  T                   Repair blood vessel            368      22.83  $1,207.67      $648.85      $241.53
                               lesion.
35211...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35216...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35221...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35226...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35231...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35236...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35241...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35246...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35251...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35256...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35261...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35266...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35271...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35276...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35281...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35286...  C                   Repair blood vessel      .........  .........  .........  ...........  ...........
                               lesion.
35301...  C                   Rechanneling of artery.  .........  .........  .........  ...........  ...........
35311...  C                   Rechanneling of artery.  .........  .........  .........  ...........  ...........
35321...  C                   Rechanneling of artery.  .........  .........  .........  ...........  ...........
35331...  C                   Rechanneling of artery.  .........  .........  .........  ...........  ...........
35341...  C                   Rechanneling of artery.  .........  .........  .........  ...........  ...........
35351...  C                   Rechanneling of artery.  .........  .........  .........  ...........  ...........
35355...  C                   Rechanneling of artery.  .........  .........  .........  ...........  ...........
35361...  C                   Rechanneling of artery.  .........  .........  .........  ...........  ...........
35363...  C                   Rechanneling of artery.  .........  .........  .........  ...........  ...........
35371...  C                   Rechanneling of artery.  .........  .........  .........  ...........  ...........
35372...  C                   Rechanneling of artery.  .........  .........  .........  ...........  ...........
35381...  C                   Rechanneling of artery.  .........  .........  .........  ...........  ...........
35390...  C                   Reoperation, carotid...  .........  .........  .........  ...........  ...........
35400...  C                   Angioscopy.............  .........  .........  .........  ...........  ...........
35450...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
35452...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
35454...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
35456...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
35458...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
35459...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
35460...  C                   Repair venous blockage.  .........  .........  .........  ...........  ...........
35470...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
35471...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
35472...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
35473...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
35474...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
35475...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
35476...  C                   Repair venous blockage.  .........  .........  .........  ...........  ...........
35480...  C                   Atherectomy, open......  .........  .........  .........  ...........  ...........
35481...  C                   Atherectomy, open......  .........  .........  .........  ...........  ...........
35482...  C                   Atherectomy, open......  .........  .........  .........  ...........  ...........
35483...  C                   Atherectomy, open......  .........  .........  .........  ...........  ...........
35484...  C                   Atherectomy, open......  .........  .........  .........  ...........  ...........
35485...  C                   Atherectomy, open......  .........  .........  .........  ...........  ...........
35490...  C                   Atherectomy,             .........  .........  .........  ...........  ...........
                               percutaneous.
35491...  C                   Atherectomy,             .........  .........  .........  ...........  ...........
                               percutaneous.
35492...  C                   Atherectomy,             .........  .........  .........  ...........  ...........
                               percutaneous.
35493...  C                   Atherectomy,             .........  .........  .........  ...........  ...........
                               percutaneous.
35494...  C                   Atherectomy,             .........  .........  .........  ...........  ...........
                               percutaneous.
35495...  C                   Atherectomy,             .........  .........  .........  ...........  ...........
                               percutaneous.
35501...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35506...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35507...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35508...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35509...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35511...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35515...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35516...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35518...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35521...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35526...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35531...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........

[[Page 47657]]

35533...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35536...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35541...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35546...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35548...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35549...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35551...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35556...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35558...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35560...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35563...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35565...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35566...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35571...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35582...  C                   Vein bypass graft......  .........  .........  .........  ...........  ...........
35583...  C                   Vein bypass graft......  .........  .........  .........  ...........  ...........
35585...  C                   Vein bypass graft......  .........  .........  .........  ...........  ...........
35587...  C                   Vein bypass graft......  .........  .........  .........  ...........  ...........
35601...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35606...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35612...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35616...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35621...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35623...  C                   Bypass graft, not vein.  .........  .........  .........  ...........  ...........
35626...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35631...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35636...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35641...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35642...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35645...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35646...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35650...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35651...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35654...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35656...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35661...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35663...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35665...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35666...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35671...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35681...  C                   Artery bypass graft....  .........  .........  .........  ...........  ...........
35691...  C                   Arterial transposition.  .........  .........  .........  ...........  ...........
35693...  C                   Arterial transposition.  .........  .........  .........  ...........  ...........
35694...  C                   Arterial transposition.  .........  .........  .........  ...........  ...........
35695...  C                   Arterial transposition.  .........  .........  .........  ...........  ...........
35700...  C                   Reoperation, bypass      .........  .........  .........  ...........  ...........
                               graft.
35701...  C                   Exploration, carotid     .........  .........  .........  ...........  ...........
                               artery.
35721...  C                   Exploration, femoral     .........  .........  .........  ...........  ...........
                               artery.
35741...  C                   Exploration popliteal    .........  .........  .........  ...........  ...........
                               artery.
35761...  C                   Exploration of artery/   .........  .........  .........  ...........  ...........
                               vein.
35800...  C                   Explore neck vessels...  .........  .........  .........  ...........  ...........
35820...  C                   Explore chest vessels..  .........  .........  .........  ...........  ...........
35840...  C                   Explore abdominal        .........  .........  .........  ...........  ...........
                               vessels.
35860...  C                   Explore limb vessels...  .........  .........  .........  ...........  ...........
35870...  C                   Repair vessel graft      .........  .........  .........  ...........  ...........
                               defect.
35875...  T                   Removal of clot in             368      22.83  $1,207.67      $648.85      $241.53
                               graft.
35876...  T                   Removal of clot in             368      22.83  $1,207.67      $648.85      $241.53
                               graft.
35901...  C                   Excision, graft, neck..  .........  .........  .........  ...........  ...........
35903...  C                   Excision, graft,         .........  .........  .........  ...........  ...........
                               extremity.
35905...  C                   Excision, graft, thorax  .........  .........  .........  ...........  ...........
35907...  C                   Excision, graft,         .........  .........  .........  ...........  ...........
                               abdomen.
36000...  N                   Place needle in vein...  .........  .........  .........  ...........  ...........
36005...  T                   Injection, venography..        347       2.93    $154.75       $62.15       $30.95
36010...  T                   Place catheter in vein.        342       3.20    $169.45       $80.23       $33.89
36011...  T                   Place catheter in vein.        342       3.20    $169.45       $80.23       $33.89
36012...  T                   Place catheter in vein.        342       3.20    $169.45       $80.23       $33.89
36013...  T                   Place catheter in              342       3.20    $169.45       $80.23       $33.89
                               artery.
36014...  T                   Place catheter in              342       3.20    $169.45       $80.23       $33.89
                               artery.
36015...  T                   Place catheter in              342       3.20    $169.45       $80.23       $33.89
                               artery.
36100...  T                   Establish access to            342       3.20    $169.45       $80.23       $33.89
                               artery.
36120...  T                   Establish access to            342       3.20    $169.45       $80.23       $33.89
                               artery.
36140...  T                   Establish access to            342       3.20    $169.45       $80.23       $33.89
                               artery.
36145...  N                   Artery to vein shunt...  .........  .........  .........  ...........  ...........
36160...  T                   Establish access to            342       3.20    $169.45       $80.23       $33.89
                               aorta.
36200...  T                   Place catheter in aorta        342       3.20    $169.45       $80.23       $33.89

[[Page 47658]]

36215...  T                   Place catheter in              343       9.52    $503.44      $224.87      $100.69
                               artery.
36216...  T                   Place catheter in              343       9.52    $503.44      $224.87      $100.69
                               artery.
36217...  T                   Place catheter in              343       9.52    $503.44      $224.87      $100.69
                               artery.
36218...  T                   Place catheter in              343       9.52    $503.44      $224.87      $100.69
                               artery.
36245...  T                   Place catheter in              343       9.52    $503.44      $224.87      $100.69
                               artery.
36246...  T                   Place catheter in              343       9.52    $503.44      $224.87      $100.69
                               artery.
36247...  T                   Place catheter in              343       9.52    $503.44      $224.87      $100.69
                               artery.
36248...  T                   Place catheter in              343       9.52    $503.44      $224.87      $100.69
                               artery.
36260...  T                   Insertion of infusion          368      22.83  $1,207.67      $648.85      $241.53
                               pump.
36261...  T                   Revision of infusion           360       6.09    $322.24      $140.12       $64.45
                               pump.
36262...  T                   Removal of infusion            360       6.09    $322.24      $140.12       $64.45
                               pump.
36299...  T                   Vessel injection               360       6.09    $322.24      $140.12       $64.45
                               procedure.
36400...  N                   Drawing blood..........  .........  .........  .........  ...........  ...........
36405...  N                   Drawing blood..........  .........  .........  .........  ...........  ...........
36406...  N                   Drawing blood..........  .........  .........  .........  ...........  ...........
36410...  T                   Drawing blood..........        341       0.13      $6.86        $2.94        $1.37
36415...  E                   Drawing blood..........  .........  .........  .........  ...........  ...........
36420...  T                   Establish access to            341       0.13      $6.86        $2.94        $1.37
                               vein.
36425...  T                   Establish access to            341       0.13      $6.86        $2.94        $1.37
                               vein.
36430...  T                   Blood transfusion              369       4.33    $229.19       $97.18       $45.84
                               service.
36440...  T                   Blood transfusion              369       4.33    $229.19       $97.18       $45.84
                               service.
36450...  T                   Exchange transfusion           369       4.33    $229.19       $97.18       $45.84
                               service.
36455...  T                   Exchange transfusion           369       4.33    $229.19       $97.18       $45.84
                               service.
36460...  T                   Transfusion service,           369       4.33    $229.19       $97.18       $45.84
                               fetal.
36468...  T                   Injection(s); spider           339       1.02     $53.87       $19.66       $10.77
                               veins.
36469...  T                   Injection(s); spider           339       1.02     $53.87       $19.66       $10.77
                               veins.
36470...  T                   Injection therapy of           339       1.02     $53.87       $19.66       $10.77
                               vein.
36471...  T                   Injection therapy of           339       1.02     $53.87       $19.66       $10.77
                               veins.
36481...  T                   Insertion of catheter,         343       9.52    $503.44      $224.87      $100.69
                               vein.
36488...  S                   Insertion of catheter,         346       4.83    $255.64      $120.23       $51.13
                               vein.
36489...  S                   Insertion of catheter,         346       4.83    $255.64      $120.23       $51.13
                               vein.
36490...  S                   Insertion of catheter,         346       4.83    $255.64      $120.23       $51.13
                               vein.
36491...  S                   Insertion of catheter,         346       4.83    $255.64      $120.23       $51.13
                               vein.
36493...  S                   Repositioning of cvc...        346       4.83    $255.64      $120.23       $51.13
36500...  T                   Insertion of catheter,         342       3.20    $169.45       $80.23       $33.89
                               vein.
36510...  C                   Insertion of catheter,   .........  .........  .........  ...........  ...........
                               vein.
36520...  T                   Plasma and/or cell             369       4.33    $229.19       $97.18       $45.84
                               exchange.
36522...  T                   Photopheresis..........        369       4.33    $229.19       $97.18       $45.84
36530...  T                   Insertion of infusion          368      22.83  $1,207.67      $648.85      $241.53
                               pump.
36531...  T                   Revision of infusion           360       6.09    $322.24      $140.12       $64.45
                               pump.
36532...  T                   Removal of infusion            360       6.09    $322.24      $140.12       $64.45
                               pump.
36533...  T                   Insertion of access            368      22.83  $1,207.67      $648.85      $241.53
                               port.
36534...  T                   Revision of access port        360       6.09    $322.24      $140.12       $64.45
36535...  T                   Removal of access port.        360       6.09    $322.24      $140.12       $64.45
36600...  N                   Withdrawal of arterial   .........  .........  .........  ...........  ...........
                               blood.
36620...  T                   Insertion catheter,            342       3.20    $169.45       $80.23       $33.89
                               artery.
36625...  T                   Insertion catheter,            342       3.20    $169.45       $80.23       $33.89
                               artery.
36640...  S                   Insertion catheter,            346       4.83    $255.64      $120.23       $51.13
                               artery.
36660...  C                   Insertion catheter,      .........  .........  .........  ...........  ...........
                               artery.
36680...  X                   Insert needle, bone            906       1.46     $77.38       $42.49       $15.48
                               cavity.
36800...  T                   Insertion of cannula...        368      22.83  $1,207.67      $648.85      $241.53
36810...  T                   Insertion of cannula...        368      22.83  $1,207.67      $648.85      $241.53
36815...  T                   Insertion of cannula...        368      22.83  $1,207.67      $648.85      $241.53
36821...  T                   Artery-vein fusion.....        368      22.83  $1,207.67      $648.85      $241.53
36822...  C                   Insertion of cannula(s)  .........  .........  .........  ...........  ...........
36825...  T                   Artery-vein graft......        368      22.83  $1,207.67      $648.85      $241.53
36830...  T                   Artery-vein graft......        368      22.83  $1,207.67      $648.85      $241.53
36832...  T                   Revise artery-vein             368      22.83  $1,207.67      $648.85      $241.53
                               fistula.
36834...  C                   Repair A-V aneurysm....  .........  .........  .........  ...........  ...........
36835...  T                   Artery to vein shunt...        368      22.83  $1,207.67      $648.85      $241.53
36860...  T                   Cannula declotting.....        368      22.83  $1,207.67      $648.85      $241.53
36861...  T                   Cannula declotting.....        368      22.83  $1,207.67      $648.85      $241.53
37140...  C                   Revision of circulation  .........  .........  .........  ...........  ...........
37145...  C                   Revision of circulation  .........  .........  .........  ...........  ...........
37160...  C                   Revision of circulation  .........  .........  .........  ...........  ...........
37180...  C                   Revision of circulation  .........  .........  .........  ...........  ...........
37181...  C                   Splice spleen/kidney     .........  .........  .........  ...........  ...........
                               veins.
37195...  C                   Thrombolytic therapy,    .........  .........  .........  ...........  ...........
                               stroke.
37200...  C                   Transcatheter biopsy...  .........  .........  .........  ...........  ...........
37201...  C                   Transcatheter therapy    .........  .........  .........  ...........  ...........
                               infuse.
37202...  C                   Transcatheter therapy    .........  .........  .........  ...........  ...........
                               infuse.
37203...  T                   Transcatheter retrieval        360       6.09    $322.24      $140.12       $64.45
37204...  C                   Transcatheter occlusion  .........  .........  .........  ...........  ...........
37205...  C                   Transcatheter stent....  .........  .........  .........  ...........  ...........
37206...  C                   Transcatheter stent....  .........  .........  .........  ...........  ...........

[[Page 47659]]

37207...  C                   Transcatheter stent....  .........  .........  .........  ...........  ...........
37208...  C                   Transcatheter stent....  .........  .........  .........  ...........  ...........
37209...  C                   Exchange arterial        .........  .........  .........  ...........  ...........
                               catheter.
37250...  C                   Intravascular us.......  .........  .........  .........  ...........  ...........
37251...  C                   Intravascular us.......  .........  .........  .........  ...........  ...........
37565...  C                   Ligation of neck vein..  .........  .........  .........  ...........  ...........
37600...  C                   Ligation of neck artery  .........  .........  .........  ...........  ...........
37605...  C                   Ligation of neck artery  .........  .........  .........  ...........  ...........
37606...  C                   Ligation of neck artery  .........  .........  .........  ...........  ...........
37607...  T                   Ligation of fistula....        368      22.83  $1,207.67      $648.85      $241.53
37609...  T                   Temporal artery                162       5.67    $299.71      $125.43       $59.94
                               procedure.
37615...  C                   Ligation of neck artery  .........  .........  .........  ...........  ...........
37616...  C                   Ligation of chest        .........  .........  .........  ...........  ...........
                               artery.
37617...  C                   Ligation of abdomen      .........  .........  .........  ...........  ...........
                               artery.
37618...  T                   Ligation of extremity          367      17.59    $930.48      $449.06      $186.10
                               artery.
37620...  C                   Revision of major vein.  .........  .........  .........  ...........  ...........
37650...  T                   Revision of major vein.        367      17.59    $930.48      $449.06      $186.10
37660...  C                   Revision of major vein.  .........  .........  .........  ...........  ...........
37700...  T                   Revise leg vein........        367      17.59    $930.48      $449.06      $186.10
37720...  T                   Removal of leg vein....        367      17.59    $930.48      $449.06      $186.10
37730...  T                   Removal of leg veins...        367      17.59    $930.48      $449.06      $186.10
37735...  T                   Removal of leg veins/          367      17.59    $930.48      $449.06      $186.10
                               lesion.
37760...  T                   Revision of leg veins..        367      17.59    $930.48      $449.06      $186.10
37780...  T                   Revision of leg vein...        367      17.59    $930.48      $449.06      $186.10
37785...  T                   Revise secondary               367      17.59    $930.48      $449.06      $186.10
                               varicosity.
37788...  C                   Revascularization,       .........  .........  .........  ...........  ...........
                               penis.
37790...  T                   Penile venous occlusion        537      28.72  $1,519.13      $864.45      $303.83
37799...  T                   Vascular surgery               162       5.67    $299.71      $125.43       $59.94
                               procedure.
38100...  C                   Removal of spleen,       .........  .........  .........  ...........  ...........
                               total.
38101...  C                   Removal of spleen,       .........  .........  .........  ...........  ...........
                               partial.
38102...  C                   Removal of spleen,       .........  .........  .........  ...........  ...........
                               total.
38115...  C                   Repair of ruptured       .........  .........  .........  ...........  ...........
                               spleen.
38200...  T                   Injection for spleen x-        347       2.93    $154.75       $62.15       $30.95
                               ray.
38230...  T                   Bone marrow collection.        369       4.33    $229.19       $97.18       $45.84
38231...  T                   Stem cell collection...        369       4.33    $229.19       $97.18       $45.84
38240...  C                   Bone marrow/stem         .........  .........  .........  ...........  ...........
                               transplant.
38241...  C                   Bone marrow/stem         .........  .........  .........  ...........  ...........
                               transplant.
38300...  T                   Drainage lymph node            132       6.04     $319.3      $134.24       $63.86
                               lesion.
38305...  T                   Drainage lymph node            132       6.04     $319.3      $134.24       $63.86
                               lesion.
38308...  T                   Incision of lymph              396      13.28    $702.27      $338.77      $140.45
                               channels.
38380...  C                   Thoracic duct procedure  .........  .........  .........  ...........  ...........
38381...  C                   Thoracic duct procedure  .........  .........  .........  ...........  ...........
38382...  C                   Thoracic duct procedure  .........  .........  .........  ...........  ...........
38500...  T                   Biopsy/removal, lymph          396      13.28    $702.27      $338.77      $140.45
                               node(s).
38505...  T                   Needle biopsy, lymph           122       4.87     $257.6      $115.03       $51.52
                               node(s).
38510...  T                   Biopsy/removal, lymph          396      13.28    $702.27      $338.77      $140.45
                               node(s).
38520...  T                   Biopsy/removal, lymph          396      13.28    $702.27      $338.77      $140.45
                               node(s).
38525...  T                   Biopsy/removal, lymph          396      13.28    $702.27      $338.77      $140.45
                               node(s).
38530...  T                   Biopsy/removal, lymph          396      13.28    $702.27      $338.77      $140.45
                               node(s).
38542...  T                   Explore deep node(s),          397      18.37    $971.62      $496.97      $194.32
                               neck.
38550...  T                   Removal neck/armpit            396      13.28    $702.27      $338.77      $140.45
                               lesion.
38555...  T                   Removal neck/armpit            397      18.37    $971.62      $496.97      $194.32
                               lesion.
38562...  C                   Removal, pelvic lymph    .........  .........  .........  ...........  ...........
                               nodes.
38564...  C                   Removal, abdomen lymph   .........  .........  .........  ...........  ...........
                               nodes.
38700...  C                   Removal of lymph nodes,  .........  .........  .........  ...........  ...........
                               neck.
38720...  C                   Removal of lymph nodes,  .........  .........  .........  ...........  ...........
                               neck.
38724...  C                   Removal of lymph nodes,  .........  .........  .........  ...........  ...........
                               neck.
38740...  T                   Remove armpit lymph            397      18.37    $971.62      $496.97      $194.32
                               nodes.
38745...  T                   Remove armpits lymph           397      18.37    $971.62      $496.97      $194.32
                               nodes.
38746...  C                   Remove thoracic lymph    .........  .........  .........  ...........  ...........
                               nodes.
38747...  C                   Remove abdominal lymph   .........  .........  .........  ...........  ...........
                               nodes.
38760...  T                   Remove groin lymph             397      18.37    $971.62      $496.97      $194.32
                               nodes.
38765...  C                   Remove groin lymph       .........  .........  .........  ...........  ...........
                               nodes.
38770...  C                   Remove pelvis lymph      .........  .........  .........  ...........  ...........
                               nodes.
38780...  C                   Remove abdomen lymph     .........  .........  .........  ...........  ...........
                               nodes.
38790...  T                   Injection for lymphatic        347       2.93    $154.75       $62.15       $30.95
                               xray.
38794...  T                   Access thoracic lymph          342       3.20    $169.45       $80.23       $33.89
                               duct.
38999...  T                   Blood/lymph system             132       6.04    $319.30      $134.24       $63.86
                               procedure.
39000...  C                   Exploration of chest...  .........  .........  .........  ...........  ...........
39010...  C                   Exploration of chest...  .........  .........  .........  ...........  ...........
39200...  C                   Removal chest lesion...  .........  .........  .........  ...........  ...........
39220...  C                   Removal chest lesion...  .........  .........  .........  ...........  ...........
39400...  C                   Visualization of chest.  .........  .........  .........  ...........  ...........
39499...  C                   Chest procedure........  .........  .........  .........  ...........  ...........
39501...  C                   Repair diaphragm         .........  .........  .........  ...........  ...........
                               laceration.

[[Page 47660]]

39502...  C                   Repair paraesophageal    .........  .........  .........  ...........  ...........
                               hernia.
39503...  C                   Repair of diaphragm      .........  .........  .........  ...........  ...........
                               hernia.
39520...  C                   Repair of diaphragm      .........  .........  .........  ...........  ...........
                               hernia.
39530...  C                   Repair of diaphragm      .........  .........  .........  ...........  ...........
                               hernia.
39531...  C                   Repair of diaphragm      .........  .........  .........  ...........  ...........
                               hernia.
39540...  C                   Repair of diaphragm      .........  .........  .........  ...........  ...........
                               hernia.
39541...  C                   Repair of diaphragm      .........  .........  .........  ...........  ...........
                               hernia.
39545...  C                   Revision of diaphragm..  .........  .........  .........  ...........  ...........
39599...  C                   Diaphragm surgery        .........  .........  .........  ...........  ...........
                               procedure.
40490...  T                   Biopsy of lip..........        311       1.43     $75.42       $20.57       $15.08
40500...  T                   Partial excision of lip        313      15.81    $836.45      $411.09      $167.29
40510...  T                   Partial excision of lip        313      15.81    $836.45      $411.09      $167.29
40520...  T                   Partial excision of lip        313      15.81    $836.45      $411.09      $167.29
40525...  T                   Reconstruct lip with           313      15.81    $836.45      $411.09      $167.29
                               flap.
40527...  T                   Reconstruct lip with           313      15.81    $836.45      $411.09      $167.29
                               flap.
40530...  T                   Partial removal of lip.        313      15.81    $836.45      $411.09      $167.29
40650...  T                   Repair lip.............        313      15.81    $836.45      $411.09      $167.29
40652...  T                   Repair lip.............        313      15.81    $836.45      $411.09      $167.29
40654...  T                   Repair lip.............        313      15.81    $836.45      $411.09      $167.29
40700...  T                   Repair cleft lip/nasal.        314      25.65  $1,356.54      $693.37      $271.31
40701...  T                   Repair cleft lip/nasal.        314      25.65  $1,356.54      $693.37      $271.31
40702...  T                   Repair cleft lip/nasal.        314      25.65  $1,356.54      $693.37      $271.31
40720...  T                   Repair cleft lip/nasal.        314      25.65  $1,356.54      $693.37      $271.31
40761...  T                   Repair cleft lip/nasal.        314      25.65  $1,356.54      $693.37      $271.31
40799...  T                   Lip surgery procedure..        311       1.43     $75.42       $20.57       $15.08
40800...  T                   Drainage of mouth              311       1.43     $75.42       $20.57       $15.08
                               lesion.
40801...  T                   Drainage of mouth              311       1.43     $75.42       $20.57       $15.08
                               lesion.
40804...  T                   Removal foreign body,          311       1.43     $75.42       $20.57       $15.08
                               mouth.
40805...  T                   Removal foreign body,          311       1.43     $75.42       $20.57       $15.08
                               mouth.
40806...  T                   Incision of lip fold...        311       1.43     $75.42       $20.57       $15.08
40808...  T                   Biopsy of mouth lesion.        311       1.43     $75.42       $20.57       $15.08
40810...  T                   Excision of mouth              311       1.43     $75.42       $20.57       $15.08
                               lesion.
40812...  T                   Excise/repair mouth            311       1.43     $75.42       $20.57       $15.08
                               lesion.
40814...  T                   Excise/repair mouth            313      15.81    $836.45      $411.09      $167.29
                               lesion.
40816...  T                   Excision of mouth              313      15.81    $836.45      $411.09      $167.29
                               lesion.
40818...  T                   Excise oral mucosa for         313      15.81    $836.45      $411.09      $167.29
                               graft.
40819...  T                   Excise lip or cheek            313      15.81    $836.45      $411.09      $167.29
                               fold.
40820...  T                   Treatment of mouth             311       1.43     $75.42       $20.57       $15.08
                               lesion.
40830...  T                   Repair mouth laceration        312       7.26    $383.95      $178.31       $76.79
40831...  T                   Repair mouth laceration        312       7.26    $383.95      $178.31       $76.79
40840...  T                   Reconstruction of mouth        313      15.81    $836.45      $411.09      $167.29
40842...  T                   Reconstruction of mouth        313      15.81    $836.45      $411.09      $167.29
40843...  T                   Reconstruction of mouth        314      25.65  $1,356.54      $693.37      $271.31
40844...  T                   Reconstruction of mouth        314      25.65  $1,356.54      $693.37      $271.31
40845...  T                   Reconstruction of mouth        314      25.65  $1,356.54      $693.37      $271.31
40899...  T                   Mouth surgery procedure        311       1.43     $75.42       $20.57       $15.08
41000...  T                   Drainage of mouth              311       1.43     $75.42       $20.57       $15.08
                               lesion.
41005...  T                   Drainage of mouth              311       1.43     $75.42       $20.57       $15.08
                               lesion.
41006...  T                   Drainage of mouth              313      15.81    $836.45      $411.09      $167.29
                               lesion.
41007...  T                   Drainage of mouth              313      15.81    $836.45      $411.09      $167.29
                               lesion.
41008...  T                   Drainage of mouth              313      15.81    $836.45      $411.09      $167.29
                               lesion.
41009...  T                   Drainage of mouth              313      15.81    $836.45      $411.09      $167.29
                               lesion.
41010...  T                   Incision of tongue fold        313      15.81    $836.45      $411.09      $167.29
41015...  T                   Drainage of mouth              313      15.81    $836.45      $411.09      $167.29
                               lesion.
41016...  T                   Drainage of mouth              313      15.81    $836.45      $411.09      $167.29
                               lesion.
41017...  T                   Drainage of mouth              313      15.81    $836.45      $411.09      $167.29
                               lesion.
41018...  T                   Drainage of mouth              313      15.81    $836.45      $411.09      $167.29
                               lesion.
41100...  T                   Biopsy of tongue.......        311       1.43     $75.42       $20.57       $15.08
41105...  T                   Biopsy of tongue.......        311       1.43     $75.42       $20.57       $15.08
41108...  T                   Biopsy of floor of             311       1.43     $75.42       $20.57       $15.08
                               mouth.
41110...  T                   Excision of tongue             311       1.43     $75.42       $20.57       $15.08
                               lesion.
41112...  T                   Excision of tongue             313      15.81    $836.45      $411.09      $167.29
                               lesion.
41113...  T                   Excision of tongue             313      15.81    $836.45      $411.09      $167.29
                               lesion.
41114...  T                   Excision of tongue             313      15.81    $836.45      $411.09      $167.29
                               lesion.
41115...  T                   Excision of tongue fold        311       1.43     $75.42       $20.57       $15.08
41116...  T                   Excision of mouth              313      15.81    $836.45      $411.09      $167.29
                               lesion.
41120...  T                   Partial removal of             313      15.81    $836.45      $411.09      $167.29
                               tongue.
41130...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               tongue.
41135...  C                   Tongue and neck surgery  .........  .........  .........  ...........  ...........
41140...  C                   Removal of tongue......  .........  .........  .........  ...........  ...........
41145...  C                   Tongue removal; neck     .........  .........  .........  ...........  ...........
                               surgery.
41150...  C                   Tongue, mouth, jaw       .........  .........  .........  ...........  ...........
                               surgery.
41153...  C                   Tongue, mouth, neck      .........  .........  .........  ...........  ...........
                               surgery.
41155...  C                   Tongue, jaw, & neck      .........  .........  .........  ...........  ...........
                               surgery.
41250...  T                   Repair tongue                  312       7.26    $383.95      $178.31       $76.79
                               laceration.

[[Page 47661]]

41251...  T                   Repair tongue                  312       7.26    $383.95      $178.31       $76.79
                               laceration.
41252...  T                   Repair tongue                  312       7.26    $383.95      $178.31       $76.79
                               laceration.
41500...  T                   Fixation of tongue.....        312       7.26    $383.95      $178.31       $76.79
41510...  T                   Tongue to lip surgery..        312       7.26    $383.95      $178.31       $76.79
41520...  T                   Reconstruction, tongue         313      15.81    $836.45      $411.09      $167.29
                               fold.
41599...  T                   Tongue and mouth               311       1.43     $75.42       $20.57       $15.08
                               surgery.
41800...  T                   Drainage of gum lesion.        312       7.26    $383.95      $178.31       $76.79
41805...  T                   Removal foreign body,          311       1.43     $75.42       $20.57       $15.08
                               gum.
41806...  T                   Removal foreign body,          311       1.43     $75.42       $20.57       $15.08
                               jawbone.
41820...  T                   Excision, gum, each            311       1.43     $75.42       $20.57       $15.08
                               quadrant.
41821...  T                   Excision of gum flap...        311       1.43     $75.42       $20.57       $15.08
41822...  T                   Excision of gum lesion.        231      12.02    $635.66       $299.9      $127.13
41823...  T                   Excision of gum lesion.        231      12.02    $635.66       $299.9      $127.13
41825...  T                   Excision of gum lesion.        311       1.43     $75.42       $20.57       $15.08
41826...  T                   Excision of gum lesion.        311       1.43     $75.42       $20.57       $15.08
41827...  T                   Excision of gum lesion.        313      15.81    $836.45      $411.09      $167.29
41828...  T                   Excision of gum lesion.        311       1.43     $75.42       $20.57       $15.08
41830...  T                   Removal of gum tissue..        311       1.43     $75.42       $20.57       $15.08
41850...  T                   Treatment of gum lesion        311       1.43     $75.42       $20.57       $15.08
41870...  T                   Gum graft..............        311       1.43     $75.42       $20.57       $15.08
41872...  T                   Repair gum.............        311       1.43     $75.42       $20.57       $15.08
41874...  T                   Repair tooth socket....        311       1.43     $75.42       $20.57       $15.08
41899...  T                   Dental surgery                 311       1.43     $75.42       $20.57       $15.08
                               procedure.
42000...  T                   Drainage mouth roof            311       1.43     $75.42       $20.57       $15.08
                               lesion.
42100...  T                   Biopsy roof of mouth...        311       1.43     $75.42       $20.57       $15.08
42104...  T                   Excision lesion, mouth         311       1.43     $75.42       $20.57       $15.08
                               roof.
42106...  T                   Excision lesion, mouth         311       1.43     $75.42       $20.57       $15.08
                               roof.
42107...  T                   Excision lesion, mouth         313      15.81    $836.45      $411.09      $167.29
                               roof.
42120...  T                   Remove palate/lesion...        313      15.81    $836.45      $411.09      $167.29
42140...  T                   Excision of uvula......        311       1.43     $75.42       $20.57       $15.08
42145...  C                   Repair, palate,pharynx/  .........  .........  .........  ...........  ...........
                               uvula.
42160...  T                   Treatment mouth roof           311       1.43     $75.42       $20.57       $15.08
                               lesion.
42180...  T                   Repair palate..........        313      15.81    $836.45      $411.09      $167.29
42182...  T                   Repair palate..........        313      15.81    $836.45      $411.09      $167.29
42200...  T                   Reconstruct cleft              313      15.81    $836.45      $411.09      $167.29
                               palate.
42205...  T                   Reconstruct cleft              313      15.81    $836.45      $411.09      $167.29
                               palate.
42210...  T                   Reconstruct cleft              314      25.65  $1,356.54      $693.37      $271.31
                               palate.
42215...  T                   Reconstruct cleft              313      15.81    $836.45      $411.09      $167.29
                               palate.
42220...  T                   Reconstruct cleft              313      15.81    $836.45      $411.09      $167.29
                               palate.
42225...  T                   Reconstruct cleft              314      25.65  $1,356.54      $693.37      $271.31
                               palate.
42226...  T                   Lengthening of palate..        314      25.65  $1,356.54      $693.37      $271.31
42227...  T                   Lengthening of palate..        314      25.65  $1,356.54      $693.37      $271.31
42235...  T                   Repair palate..........        313      15.81    $836.45      $411.09      $167.29
42260...  T                   Repair nose to lip             313      15.81    $836.45      $411.09      $167.29
                               fistula.
42280...  T                   Preparation, palate            311       1.43     $75.42       $20.57       $15.08
                               mold.
42281...  T                   Insertion, palate              311       1.43     $75.42       $20.57       $15.08
                               prosthesis.
42299...  T                   Palate/uvula surgery...        311       1.43     $75.42       $20.57       $15.08
42300...  T                   Drainage of salivary           312       7.26    $383.95      $178.31       $76.79
                               gland.
42305...  T                   Drainage of salivary           312       7.26    $383.95      $178.31       $76.79
                               gland.
42310...  T                   Drainage of salivary           312       7.26    $383.95      $178.31       $76.79
                               gland.
42320...  T                   Drainage of salivary           312       7.26    $383.95      $178.31       $76.79
                               gland.
42325...  T                   Create salivary cyst           313      15.81    $836.45      $411.09      $167.29
                               drain.
42326...  T                   Create salivary cyst           313      15.81    $836.45      $411.09      $167.29
                               drain.
42330...  T                   Removal of salivary            311       1.43     $75.42       $20.57       $15.08
                               stone.
42335...  T                   Removal of salivary            311       1.43     $75.42       $20.57       $15.08
                               stone.
42340...  T                   Removal of salivary            313      15.81    $836.45      $411.09      $167.29
                               stone.
42400...  T                   Biopsy of salivary             122       4.87     $257.6      $115.03       $51.52
                               gland.
42405...  T                   Biopsy of salivary             312       7.26    $383.95      $178.31       $76.79
                               gland.
42408...  T                   Excision of salivary           313      15.81    $836.45      $411.09      $167.29
                               cyst.
42409...  T                   Drainage of salivary           313      15.81    $836.45      $411.09      $167.29
                               cyst.
42410...  T                   Excise parotid gland/          313      15.81    $836.45      $411.09      $167.29
                               lesion.
42415...  T                   Excise parotid gland/          314      25.65  $1,356.54      $693.37      $271.31
                               lesion.
42420...  T                   Excise parotid gland/          314      25.65  $1,356.54      $693.37      $271.31
                               lesion.
42425...  T                   Excise parotid gland/          314      25.65  $1,356.54      $693.37      $271.31
                               lesion.
42426...  C                   Excise parotid gland/    .........  .........  .........  ...........  ...........
                               lesion.
42440...  T                   Excision submaxillary          313      15.81    $836.45      $411.09      $167.29
                               gland.
42450...  T                   Excision sublingual            313      15.81    $836.45      $411.09      $167.29
                               gland.
42500...  T                   Repair salivary duct...        313      15.81    $836.45      $411.09      $167.29
42505...  T                   Repair salivary duct...        313      15.81    $836.45      $411.09      $167.29
42507...  T                   Parotid duct diversion.        313      15.81    $836.45      $411.09      $167.29
42508...  T                   Parotid duct diversion.        313      15.81    $836.45      $411.09      $167.29
42509...  T                   Parotid duct diversion.        314      25.65  $1,356.54      $693.37      $271.31
42510...  T                   Parotid duct diversion.        313      15.81    $836.45      $411.09      $167.29
42550...  T                   Injection for salivary         347       2.93    $154.75       $62.15       $30.95
                               x-ray.
42600...  T                   Closure of salivary            313      15.81    $836.45      $411.09      $167.29
                               fistula.

[[Page 47662]]

42650...  T                   Dilation of salivary           311       1.43     $75.42       $20.57       $15.08
                               duct.
42660...  T                   Dilation of salivary           311       1.43     $75.42       $20.57       $15.08
                               duct.
42665...  T                   Ligation of salivary           311       1.43     $75.42       $20.57       $15.08
                               duct.
42699...  T                   Salivary surgery               311       1.43     $75.42       $20.57       $15.08
                               procedure.
42700...  T                   Drainage of tonsil             312       7.26    $383.95      $178.31       $76.79
                               abscess.
42720...  T                   Drainage of throat             312       7.26    $383.95      $178.31       $76.79
                               abscess.
42725...  T                   Drainage of throat             313      15.81    $836.45      $411.09      $167.29
                               abscess.
42800...  T                   Biopsy of throat.......        312       7.26    $383.95      $178.31       $76.79
42802...  T                   Biopsy of throat.......        312       7.26    $383.95      $178.31       $76.79
42804...  T                   Biopsy of upper nose/          312       7.26    $383.95      $178.31       $76.79
                               throat.
42806...  T                   Biopsy of upper nose/          312       7.26    $383.95      $178.31       $76.79
                               throat.
42808...  T                   Excise pharynx lesion..        312       7.26    $383.95      $178.31       $76.79
42809...  T                   Remove pharynx foreign         151       1.74     $92.07       $35.71       $18.41
                               body.
42810...  T                   Excision of neck cyst..        313      15.81    $836.45      $411.09      $167.29
42815...  T                   Excision of neck cyst..        313      15.81    $836.45      $411.09      $167.29
42820...  T                   Remove tonsils and             319      17.30    $914.81      $480.02      $182.96
                               adenoids.
42821...  T                   Remove tonsils and             319      17.30    $914.81      $480.02      $182.96
                               adenoids.
42825...  T                   Removal of tonsils.....        319      17.30    $914.81      $480.02      $182.96
42826...  T                   Removal of tonsils.....        319      17.30    $914.81      $480.02      $182.96
42830...  T                   Removal of adenoids....        319      17.30    $914.81      $480.02      $182.96
42831...  T                   Removal of adenoids....        319      17.30    $914.81      $480.02      $182.96
42835...  T                   Removal of adenoids....        319      17.30    $914.81      $480.02      $182.96
42836...  T                   Removal of adenoids....        319      17.30    $914.81      $480.02      $182.96
42842...  T                   Extensive surgery of           314      25.65  $1,356.54      $693.37      $271.31
                               throat.
42844...  T                   Extensive surgery of           314      25.65  $1,356.54      $693.37      $271.31
                               throat.
42845...  C                   Extensive surgery of     .........  .........  .........  ...........  ...........
                               throat.
42860...  T                   Excision of tonsil tags        319      17.30    $914.81      $480.02      $182.96
42870...  T                   Excision of lingual            319      17.30    $914.81      $480.02      $182.96
                               tonsil.
42890...  T                   Partial removal of             314      25.65  $1,356.54      $693.37      $271.31
                               pharynx.
42892...  T                   Revision of pharyngeal         314      25.65  $1,356.54      $693.37      $271.31
                               walls.
42894...  C                   Revision of pharyngeal   .........  .........  .........  ...........  ...........
                               walls.
42900...  T                   Repair throat wound....        313      15.81    $836.45      $411.09      $167.29
42950...  T                   Reconstruction of              313      15.81    $836.45      $411.09      $167.29
                               throat.
42953...  C                   Repair throat,           .........  .........  .........  ...........  ...........
                               esophagus.
42955...  T                   Surgical opening of            313      15.81    $836.45      $411.09      $167.29
                               throat.
42960...  T                   Control throat bleeding        318       2.07     $109.7       $38.65       $21.94
42961...  C                   Control throat bleeding  .........  .........  .........  ...........  ...........
42962...  T                   Control throat bleeding        313      15.81    $836.45      $411.09      $167.29
42970...  T                   Control nose/throat            318       2.07     $109.7       $38.65       $21.94
                               bleeding.
42971...  C                   Control nose/throat      .........  .........  .........  ...........  ...........
                               bleeding.
42972...  T                   Control nose/throat            313      15.81    $836.45      $411.09      $167.29
                               bleeding.
42999...  T                   Throat surgery                 318       2.07     $109.7       $38.65       $21.94
                               procedure.
43020...  T                   Incision of esophagus..        313      15.81    $836.45      $411.09      $167.29
43030...  T                   Throat muscle surgery..        313      15.81    $836.45      $411.09      $167.29
43045...  C                   Incision of esophagus..  .........  .........  .........  ...........  ...........
43100...  C                   Excision of esophagus    .........  .........  .........  ...........  ...........
                               lesion.
43101...  C                   Excision of esophagus    .........  .........  .........  ...........  ...........
                               lesion.
43107...  C                   Removal of esophagus...  .........  .........  .........  ...........  ...........
43108...  C                   Removal of esophagus...  .........  .........  .........  ...........  ...........
43112...  C                   Removal of esophagus...  .........  .........  .........  ...........  ...........
43113...  C                   Removal of esophagus...  .........  .........  .........  ...........  ...........
43116...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               esophagus.
43117...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               esophagus.
43118...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               esophagus.
43121...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               esophagus.
43122...  C                   Parital removal of       .........  .........  .........  ...........  ...........
                               esophagus.
43123...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               esophagus.
43124...  C                   Removal of esophagus...  .........  .........  .........  ...........  ...........
43130...  C                   Removal of esophagus     .........  .........  .........  ...........  ...........
                               pouch.
43135...  C                   Removal of esophagus     .........  .........  .........  ...........  ...........
                               pouch.
43200...  T                   Esophagus endoscopy....        417       6.44    $340.85      $181.70       $68.17
43202...  T                   Esophagus endoscopy,           417       6.44    $340.85      $181.70       $68.17
                               biopsy.
43204...  T                   Esophagus endoscopy &          407       7.06    $373.17      $189.84       $74.63
                               inject.
43205...  T                   Esophagus endoscopy/           407       7.06    $373.17      $189.84       $74.63
                               ligation.
43215...  T                   Esophagus endoscopy....        407       7.06    $373.17      $189.84       $74.63
43216...  T                   Esophagus endoscopy/           407       7.06    $373.17      $189.84       $74.63
                               lesion.
43217...  T                   Esophagus endoscopy....        407       7.06    $373.17      $189.84       $74.63
43219...  T                   Esophagus endoscopy....        449       7.80    $412.35      $215.38       $82.47
43220...  T                   Esophagus                      407       7.06    $373.17      $189.84       $74.63
                               endoscopy,dilation.
43226...  T                   Esophagus                      407       7.06    $373.17      $189.84       $74.63
                               endoscopy,dilation.
43227...  T                   Esophagus endoscopy,           407       7.06    $373.17      $189.84       $74.63
                               repair.
43228...  T                   Esophagus                      449       7.80    $412.35      $215.38       $82.47
                               endoscopy,ablation.
43234...  T                   Upper GI endoscopy,            417       6.44    $340.85      $181.70       $68.17
                               exam.
43235...  T                   Upper gi                       417       6.44    $340.85      $181.70       $68.17
                               endoscopy,diagnosis.
43239...  T                   Upper GI endoscopy,            417       6.44    $340.85      $181.70       $68.17
                               biopsy.

[[Page 47663]]

43241...  T                   Upper GI endoscopy with        418       7.59    $401.58      $214.25       $80.32
                               tube.
43243...  T                   Upper GI endoscopy &           418       7.59    $401.58      $214.25       $80.32
                               inject..
43244...  T                   Upper GI endoscopy/            418       7.59    $401.58      $214.25       $80.32
                               ligation.
43245...  T                   Operative upper GI             418       7.59    $401.58      $214.25       $80.32
                               endoscopy.
43246...  T                   Place gastrostomy tube.        418       7.59    $401.58      $214.25       $80.32
43247...  T                   Operative upper GI             418       7.59    $401.58      $214.25       $80.32
                               endoscopy.
43248...  T                   Upper GI endoscopy/            418       7.59    $401.58      $214.25       $80.32
                               guidewire.
43249...  T                   Esophagus                      418       7.59    $401.58      $214.25       $80.32
                               endoscopy,dilation.
43250...  T                   Upper GI endoscopy/            418       7.59    $401.58      $214.25       $80.32
                               tumor.
43251...  T                   Operative upper GI             418       7.59    $401.58      $214.25       $80.32
                               endoscopy.
43255...  T                   Operative upper GI             418       7.59    $401.58      $214.25       $80.32
                               endoscopy.
43258...  T                   Operative upper GI             449       7.80    $412.35      $215.38       $82.47
                               endoscopy.
43259...  T                   Endoscopic ultrasound          449       7.80    $412.35      $215.38       $82.47
                               exam.
43260...  T                   Endoscopy,bile duct/           456       9.78    $517.15      $257.19      $103.43
                               pancreas.
43261...  T                   Endoscopy,bile duct/           456       9.78    $517.15      $257.19      $103.43
                               pancreas.
43262...  T                   Endoscopy,bile duct/           456       9.78    $517.15      $257.19      $103.43
                               pancreas.
43263...  T                   Endoscopy,bile duct/           456       9.78    $517.15      $257.19      $103.43
                               pancreas.
43264...  T                   Endoscopy,bile duct/           456       9.78    $517.15      $257.19      $103.43
                               pancreas.
43265...  T                   Endoscopy,bile duct/           456       9.78    $517.15      $257.19      $103.43
                               pancreas.
43267...  T                   Endoscopy,bile duct/           456       9.78    $517.15      $257.19      $103.43
                               pancreas.
43268...  T                   Endoscopy,bile duct/           456       9.78    $517.15      $257.19      $103.43
                               pancreas.
43269...  T                   Endoscopy,bile duct/           456       9.78    $517.15      $257.19      $103.43
                               pancreas.
43271...  T                   Endoscopy,bile duct/           456       9.78    $517.15      $257.19      $103.43
                               pancreas.
43272...  T                   Endoscopy,bile duct/           449       7.80    $412.35      $215.38       $82.47
                               pancreas.
43300...  C                   Repair of esophagus....  .........  .........  .........  ...........  ...........
43305...  C                   Repair esophagus and     .........  .........  .........  ...........  ...........
                               fistula.
43310...  C                   Repair of esophagus....  .........  .........  .........  ...........  ...........
43312...  C                   Repair esophagus and     .........  .........  .........  ...........  ...........
                               fistula.
43320...  C                   Fuse esophagus &         .........  .........  .........  ...........  ...........
                               stomach.
43324...  C                   Revise esophagus &       .........  .........  .........  ...........  ...........
                               stomach.
43325...  C                   Revise esophagus &       .........  .........  .........  ...........  ...........
                               stomach.
43326...  C                   Revise esophagus &       .........  .........  .........  ...........  ...........
                               stomach.
43330...  C                   Repair of esophagus....  .........  .........  .........  ...........  ...........
43331...  C                   Repair of esophagus....  .........  .........  .........  ...........  ...........
43340...  C                   Fuse esophagus &         .........  .........  .........  ...........  ...........
                               intestine.
43341...  C                   Fuse esophagus &         .........  .........  .........  ...........  ...........
                               intestine.
43350...  C                   Surgical opening,        .........  .........  .........  ...........  ...........
                               esophagus.
43351...  C                   Surgical opening,        .........  .........  .........  ...........  ...........
                               esophagus.
43352...  C                   Surgical opening,        .........  .........  .........  ...........  ...........
                               esophagus.
43360...  C                   Gastrointestinal repair  .........  .........  .........  ...........  ...........
43361...  C                   Gastrointestinal repair  .........  .........  .........  ...........  ...........
43400...  C                   Ligate esophagus veins.  .........  .........  .........  ...........  ...........
43401...  C                   Esophagus surgery for    .........  .........  .........  ...........  ...........
                               veins.
43405...  C                   Ligate/staple esophagus  .........  .........  .........  ...........  ...........
43410...  C                   Repair esophagus wound.  .........  .........  .........  ...........  ...........
43415...  C                   Repair esophagus wound.  .........  .........  .........  ...........  ...........
43420...  C                   Repair esophagus         .........  .........  .........  ...........  ...........
                               opening.
43425...  C                   Repair esophagus         .........  .........  .........  ...........  ...........
                               opening.
43450...  T                   Dilate esophagus.......        406       4.31    $228.21      $108.48       $45.64
43453...  T                   Dilate esophagus.......        406       4.31    $228.21      $108.48       $45.64
43456...  T                   Dilate esophagus.......        406       4.31    $228.21      $108.48       $45.64
43458...  T                   Dilation of esophagus..        406       4.31    $228.21      $108.48       $45.64
43460...  C                   Pressure treatment       .........  .........  .........  ...........  ...........
                               esophagus.
43496...  C                   Free jejunum flap,       .........  .........  .........  ...........  ...........
                               microvasc.
43499...  T                   Esophagus surgery              406       4.31    $228.21      $108.48       $45.64
                               procedure.
43500...  C                   Surgical opening of      .........  .........  .........  ...........  ...........
                               stomach.
43501...  C                   Surgical repair of       .........  .........  .........  ...........  ...........
                               stomach.
43502...  C                   Surgical repair of       .........  .........  .........  ...........  ...........
                               stomach.
43510...  C                   Surgical opening of      .........  .........  .........  ...........  ...........
                               stomach.
43520...  C                   Incision of pyloric      .........  .........  .........  ...........  ...........
                               muscle.
43600...  T                   Biopsy of stomach......        417       6.44    $340.85      $181.70       $68.17
43605...  C                   Biopsy of stomach......  .........  .........  .........  ...........  ...........
43610...  C                   Excision of stomach      .........  .........  .........  ...........  ...........
                               lesion.
43611...  C                   Excision of stomach      .........  .........  .........  ...........  ...........
                               lesion.
43620...  C                   Removal of stomach.....  .........  .........  .........  ...........  ...........
43621...  C                   Removal of stomach.....  .........  .........  .........  ...........  ...........
43622...  C                   Removal of stomach.....  .........  .........  .........  ...........  ...........
43631...  C                   Removal of stomach,      .........  .........  .........  ...........  ...........
                               partial.
43632...  C                   Removal stomach,         .........  .........  .........  ...........  ...........
                               partial.
43633...  C                   Removal stomach,         .........  .........  .........  ...........  ...........
                               partial.
43634...  C                   Removal stomach,         .........  .........  .........  ...........  ...........
                               partial.
43635...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               stomach.
43638...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               stomach.
43639...  C                   Removal stomach,         .........  .........  .........  ...........  ...........
                               partial.
43640...  C                   Vagotomy & pylorus       .........  .........  .........  ...........  ...........
                               repair.

[[Page 47664]]

43641...  C                   Vagotomy & pylorus       .........  .........  .........  ...........  ...........
                               repair.
43750...  T                   Place gastrostomy tube.        418       7.59    $401.58      $214.25       $80.32
43760...  T                   Change gastrostomy tube        470       2.22    $117.53       $54.92       $23.51
43761...  T                   Reposition gastrostomy         470       2.22    $117.53       $54.92       $23.51
                               tube.
43800...  C                   Reconstruction of        .........  .........  .........  ...........  ...........
                               pylorus.
43810...  C                   Fusion of stomach and    .........  .........  .........  ...........  ...........
                               bowel.
43820...  C                   Fusion of stomach and    .........  .........  .........  ...........  ...........
                               bowel.
43825...  C                   Fusion of stomach and    .........  .........  .........  ...........  ...........
                               bowel.
43830...  C                   Place gastrostomy tube.  .........  .........  .........  ...........  ...........
43831...  C                   Place gastrostomy tube.  .........  .........  .........  ...........  ...........
43832...  C                   Place gastrostomy tube.  .........  .........  .........  ...........  ...........
43840...  C                   Repair of stomach        .........  .........  .........  ...........  ...........
                               lesion.
43842...  C                   Gastroplasty for         .........  .........  .........  ...........  ...........
                               obesity.
43843...  C                   Gastroplasty for         .........  .........  .........  ...........  ...........
                               obesity.
43846...  C                   Gastric bypass for       .........  .........  .........  ...........  ...........
                               obesity.
43847...  C                   Gastric bypass for       .........  .........  .........  ...........  ...........
                               obesity.
43848...  C                   Revision gastroplasty..  .........  .........  .........  ...........  ...........
43850...  C                   Revise stomach-bowel     .........  .........  .........  ...........  ...........
                               fusion.
43855...  C                   Revise stomach-bowel     .........  .........  .........  ...........  ...........
                               fusion.
43860...  C                   Revise stomach-bowel     .........  .........  .........  ...........  ...........
                               fusion.
43865...  C                   Revise stomach-bowel     .........  .........  .........  ...........  ...........
                               fusion.
43870...  T                   Repair stomach opening.        182       4.00    $211.56       $84.98       $42.31
43880...  C                   Repair stomach-bowel     .........  .........  .........  ...........  ...........
                               fistula.
43999...  T                   Stomach surgery                470       2.22    $117.53       $54.92       $23.51
                               procedure.
44005...  C                   Freeing of bowel         .........  .........  .........  ...........  ...........
                               adhesion.
44010...  C                   Incision of small bowel  .........  .........  .........  ...........  ...........
44015...  C                   Insert needle catheter,  .........  .........  .........  ...........  ...........
                               bowel.
44020...  C                   Exploration of small     .........  .........  .........  ...........  ...........
                               bowel.
44021...  C                   Decompress small bowel.  .........  .........  .........  ...........  ...........
44025...  C                   Incision of large bowel  .........  .........  .........  ...........  ...........
44050...  C                   Reduce bowel             .........  .........  .........  ...........  ...........
                               obstruction.
44055...  C                   Correct malrotation of   .........  .........  .........  ...........  ...........
                               bowel.
44100...  T                   Biopsy of bowel........        417       6.44    $340.85      $181.70       $68.17
44110...  C                   Excision of bowel        .........  .........  .........  ...........  ...........
                               lesion(s).
44111...  C                   Excision of bowel        .........  .........  .........  ...........  ...........
                               lesion(s).
44120...  C                   Removal of small         .........  .........  .........  ...........  ...........
                               intestine.
44121...  C                   Removal of small         .........  .........  .........  ...........  ...........
                               intestine.
44125...  C                   Removal of small         .........  .........  .........  ...........  ...........
                               intestine.
44130...  C                   Bowel to bowel fusion..  .........  .........  .........  ...........  ...........
44139...  C                   Mobilization of colon..  .........  .........  .........  ...........  ...........
44140...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               colon.
44141...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               colon.
44143...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               colon.
44144...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               colon.
44145...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               colon.
44146...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               colon.
44147...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               colon.
44150...  C                   Removal of colon.......  .........  .........  .........  ...........  ...........
44151...  C                   Removal of colon/        .........  .........  .........  ...........  ...........
                               ileostomy.
44152...  C                   Removal of colon/        .........  .........  .........  ...........  ...........
                               ileostomy.
44153...  C                   Removal of colon/        .........  .........  .........  ...........  ...........
                               ileostomy.
44155...  C                   Removal of colon.......  .........  .........  .........  ...........  ...........
44156...  C                   Removal of colon/        .........  .........  .........  ...........  ...........
                               ileostomy.
44160...  C                   Removal of colon.......  .........  .........  .........  ...........  ...........
44300...  C                   Open bowel to skin.....  .........  .........  .........  ...........  ...........
44310...  C                   Ileostomy/jejunostomy..  .........  .........  .........  ...........  ...........
44312...  T                   Revision of ileostomy..        183      11.17    $590.61      $286.57      $118.12
44314...  C                   Revision of ileostomy..  .........  .........  .........  ...........  ...........
44316...  C                   Devise bowel pouch.....  .........  .........  .........  ...........  ...........
44320...  C                   Colostomy..............  .........  .........  .........  ...........  ...........
44322...  C                   Colostomy with biopsies  .........  .........  .........  ...........  ...........
44340...  T                   Revision of colostomy..        183      11.17    $590.61      $286.57      $118.12
44345...  C                   Revision of colostomy..  .........  .........  .........  ...........  ...........
44346...  C                   Revision of colostomy..  .........  .........  .........  ...........  ...........
44360...  T                   Small bowel endoscopy..        419       7.13    $377.09      $164.08       $75.42
44361...  T                   Small bowel                    419       7.13    $377.09      $164.08       $75.42
                               endoscopy,biopsy.
44363...  T                   Small bowel endoscopy..        419       7.13    $377.09      $164.08       $75.42
44364...  T                   Small bowel endoscopy..        419       7.13    $377.09      $164.08       $75.42
44365...  T                   Small bowel endoscopy..        419       7.13    $377.09      $164.08       $75.42
44366...  T                   Small bowel endoscopy..        419       7.13    $377.09      $164.08       $75.42
44369...  T                   Small bowel endoscopy..        449       7.80    $412.35      $215.38       $82.47
44372...  T                   Small bowel endoscopy..        419       7.13    $377.09      $164.08       $75.42
44373...  T                   Small bowel endoscopy..        419       7.13    $377.09      $164.08       $75.42
44376...  T                   Small bowel endoscopy..        419       7.13    $377.09      $164.08       $75.42
44377...  T                   Small bowel endoscopy..        419       7.13    $377.09      $164.08       $75.42

[[Page 47665]]

44378...  T                   Small bowel endoscopy..        419       7.13    $377.09      $164.08       $75.42
44380...  T                   Small bowel endoscopy..        426       6.85    $362.40      $187.81       $72.48
44382...  T                   Small bowel endoscopy..        426       6.85    $362.40      $187.81       $72.48
44385...  T                   Endoscopy of bowel             426       6.85    $362.40      $187.81       $72.48
                               pouch.
44386...  T                   Endoscopy, bowel pouch,        426       6.85    $362.40      $187.81       $72.48
                               biopsy.
44388...  T                   Colon endoscopy........        426       6.85    $362.40      $187.81       $72.48
44389...  T                   Colonoscopy with biopsy        426       6.85    $362.40      $187.81       $72.48
44390...  T                   Colonoscopy for foreign        427       8.22    $434.88      $224.19       $86.98
                               body.
44391...  T                   Colonoscopy for                427       8.22    $434.88      $224.19       $86.98
                               bleeding.
44392...  T                   Colonoscopy &                  427       8.22    $434.88      $224.19       $86.98
                               polypectomy.
44393...  T                   Colonoscopy, lesion            449       7.80    $412.35      $215.38       $82.47
                               removal.
44394...  T                   Colonoscopy w/snare....        427       8.22    $434.88      $224.19       $86.98
44500...  C                   Intro, gastrointestinal  .........  .........  .........  ...........  ...........
                               tube.
44602...  C                   Suture, small intestine  .........  .........  .........  ...........  ...........
44603...  C                   Suture, small intestine  .........  .........  .........  ...........  ...........
44604...  C                   Suture, large intestine  .........  .........  .........  ...........  ...........
44605...  C                   Repair of bowel lesion.  .........  .........  .........  ...........  ...........
44615...  C                   Intestinal               .........  .........  .........  ...........  ...........
                               stricturoplasty.
44620...  C                   Repair bowel opening...  .........  .........  .........  ...........  ...........
44625...  C                   Repair bowel opening...  .........  .........  .........  ...........  ...........
44626...  C                   Repair bowel opening...  .........  .........  .........  ...........  ...........
44640...  C                   Repair bowel-skin        .........  .........  .........  ...........  ...........
                               fistula.
44650...  C                   Repair bowel fistula...  .........  .........  .........  ...........  ...........
44660...  C                   Repair bowel-bladder     .........  .........  .........  ...........  ...........
                               fistula.
44661...  C                   Repair bowel-bladder     .........  .........  .........  ...........  ...........
                               fistula.
44680...  C                   Surgical revision,       .........  .........  .........  ...........  ...........
                               intestine.
44700...  C                   Suspend bowel w/         .........  .........  .........  ...........  ...........
                               prosthesis.
44799...  T                   Intestine surgery              419       7.13    $377.09      $164.08       $75.42
                               procedure.
44800...  C                   Excision of bowel pouch  .........  .........  .........  ...........  ...........
44820...  C                   Excision of mesentery    .........  .........  .........  ...........  ...........
                               lesion.
44850...  C                   Repair of mesentery....  .........  .........  .........  ...........  ...........
44899...  C                   Bowel surgery procedure  .........  .........  .........  ...........  ...........
44900...  C                   Drain, app abscess,      .........  .........  .........  ...........  ...........
                               open.
44901...  C                   Drain, app abscess,      .........  .........  .........  ...........  ...........
                               perc.
44950...  C                   Appendectomy...........  .........  .........  .........  ...........  ...........
44955...  C                   Appendectomy...........  .........  .........  .........  ...........  ...........
44960...  C                   Appendectomy...........  .........  .........  .........  ...........  ...........
45000...  T                   Drainage of pelvic             452       4.83    $255.64      $109.61       $51.13
                               abscess.
45005...  T                   Drainage of rectal             452       4.83    $255.64      $109.61       $51.13
                               abscess.
45020...  T                   Drainage of rectal             452       4.83    $255.64      $109.61       $51.13
                               abscess.
45100...  T                   Biopsy of rectum.......        452       4.83    $255.64      $109.61       $51.13
45108...  T                   Removal of anorectal           453      16.87    $892.28      $445.22      $178.46
                               lesion.
45110...  C                   Removal of rectum......  .........  .........  .........  ...........  ...........
45111...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               rectum.
45112...  C                   Removal of rectum......  .........  .........  .........  ...........  ...........
45113...  C                   Partial proctectomy....  .........  .........  .........  ...........  ...........
45114...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               rectum.
45116...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               rectum.
45119...  C                   Remove, rectum w/        .........  .........  .........  ...........  ...........
                               reservoir.
45120...  C                   Removal of rectum......  .........  .........  .........  ...........  ...........
45121...  C                   Removal of rectum and    .........  .........  .........  ...........  ...........
                               colon.
45123...  C                   Partial proctectomy....  .........  .........  .........  ...........  ...........
45130...  C                   Excision of rectal       .........  .........  .........  ...........  ...........
                               prolapse.
45135...  C                   Excision of rectal       .........  .........  .........  ...........  ...........
                               prolapse.
45150...  T                   Excision of rectal             453      16.87    $892.28      $445.22      $178.46
                               stricture.
45160...  T                   Excision of rectal             453      16.87    $892.28      $445.22      $178.46
                               lesion.
45170...  T                   Excision of rectal             453      16.87    $892.28      $445.22      $178.46
                               lesion.
45190...  T                   Destruction, rectal            453      16.87    $892.28      $445.22      $178.46
                               tumor.
45300...  T                   Proctosigmoidoscopy....        446       2.59    $137.12       $65.09       $27.42
45303...  T                   Proctosigmoidoscopy....        447       6.87    $363.38      $184.87       $72.68
45305...  T                   Proctosigmoidoscopy;           446       2.59    $137.12       $65.09       $27.42
                               biopsy.
45307...  T                   Proctosigmoidoscopy....        447       6.87    $363.38      $184.87       $72.68
45308...  T                   Proctosigmoidoscopy....        447       6.87    $363.38      $184.87       $72.68
45309...  T                   Proctosigmoidoscopy....        447       6.87    $363.38      $184.87       $72.68
45315...  T                   Proctosigmoidoscopy....        447       6.87    $363.38      $184.87       $72.68
45317...  T                   Proctosigmoidoscopy....        447       6.87    $363.38      $184.87       $72.68
45320...  T                   Proctosigmoidoscopy....        447       6.87    $363.38      $184.87       $72.68
45321...  T                   Proctosigmoidoscopy....        447       6.87    $363.38      $184.87       $72.68
45330...  T                   Sigmoidoscopy,                 446       2.59    $137.12       $65.09       $27.42
                               diagnostic.
45331...  T                   Sigmoidoscopy and              446       2.59    $137.12       $65.09       $27.42
                               biopsy.
45332...  T                   Sigmoidoscopy..........        448       5.37    $284.04      $141.25       $56.81
45333...  T                   Sigmoidoscopy &                448       5.37    $284.04      $141.25       $56.81
                               polypectomy.
45334...  T                   Sigmoidoscopy for              448       5.37    $284.04      $141.25       $56.81
                               bleeding.
45337...  T                   Sigmoidoscopy,                 448       5.37    $284.04      $141.25       $56.81
                               decompression.
45338...  T                   Sigmoidoscopy..........        448       5.37    $284.04      $141.25       $56.81

[[Page 47666]]

45339...  T                   Sigmoidoscopy..........        449       7.80    $412.35      $215.38       $82.47
45355...  T                   Surgical colonoscopy...        427       8.22    $434.88      $224.19       $86.98
45378...  T                   Diagnostic colonoscopy.        426       6.85    $362.40      $187.81       $72.48
45379...  T                   Colonoscopy............        427       8.22    $434.88      $224.19       $86.98
45380...  T                   Colonoscopy and biopsy.        426       6.85    $362.40      $187.81       $72.48
45382...  T                   Colonoscopy, control           427       8.22    $434.88      $224.19       $86.98
                               bleeding.
45383...  T                   Colonoscopy, lesion            449       7.80    $412.35      $215.38       $82.47
                               removal.
45384...  T                   Colonoscopy............        427       8.22    $434.88      $224.19       $86.98
45385...  T                   Colonoscopy, lesion            427       8.22    $434.88      $224.19       $86.98
                               removal.
45500...  T                   Repair of rectum.......        453      16.87    $892.28      $445.22      $178.46
45505...  T                   Repair of rectum.......        453      16.87    $892.28      $445.22      $178.46
45520...  T                   Treatment of rectal            339       1.02     $53.87       $19.66       $10.77
                               prolapse.
45540...  C                   Correct rectal prolapse  .........  .........  .........  ...........  ...........
45541...  C                   Correct rectal prolapse  .........  .........  .........  ...........  ...........
45550...  C                   Repair rectum; remove    .........  .........  .........  ...........  ...........
                               sigmoid.
45560...  T                   Repair of rectocele....        453      16.87    $892.28      $445.22      $178.46
45562...  C                   Exploration/repair of    .........  .........  .........  ...........  ...........
                               rectum.
45563...  C                   Exploration/repair of    .........  .........  .........  ...........  ...........
                               rectum.
45800...  C                   Repair rectumbladder     .........  .........  .........  ...........  ...........
                               fistula.
45805...  C                   Repair fistula;          .........  .........  .........  ...........  ...........
                               colostomy.
45820...  C                   Repair rectourethral     .........  .........  .........  ...........  ...........
                               fistula.
45825...  C                   Repair fistula;          .........  .........  .........  ...........  ...........
                               colostomy.
45900...  T                   Reduction of rectal            452       4.83    $255.64      $109.61       $51.13
                               prolapse.
45905...  T                   Dilation of anal               452       4.83    $255.64      $109.61       $51.13
                               sphincter.
45910...  T                   Dilation of rectal             452       4.83    $255.64      $109.61       $51.13
                               narrowing.
45915...  T                   Remove rectal                  452       4.83    $255.64      $109.61       $51.13
                               obstruction.
45999...  T                   Rectum surgery                 452       4.83    $255.64      $109.61       $51.13
                               procedure.
46030...  T                   Removal of rectal              452       4.83    $255.64      $109.61       $51.13
                               marker.
46040...  T                   Incision of rectal             452       4.83    $255.64      $109.61       $51.13
                               abscess.
46045...  T                   Incision of rectal             453      16.87    $892.28      $445.22      $178.46
                               abscess.
46050...  T                   Incision of anal               452       4.83    $255.64      $109.61       $51.13
                               abscess.
46060...  T                   Incision of rectal             453      16.87    $892.28      $445.22      $178.46
                               abscess.
46070...  T                   Incision of anal septum        451       2.56    $135.16       $54.24       $27.03
46080...  T                   Incision of anal               452       4.83    $255.64      $109.61       $51.13
                               sphincter.
46083...  T                   Incise external                451       2.56    $135.16       $54.24       $27.03
                               hemorrhoid.
46200...  T                   Removal of anal fissure        453      16.87    $892.28      $445.22      $178.46
46210...  T                   Removal of anal crypt..        452       4.83    $255.64      $109.61       $51.13
46211...  T                   Removal of anal crypts.        453      16.87    $892.28      $445.22      $178.46
46220...  T                   Removal of anal tab....        451       2.56    $135.16       $54.24       $27.03
46221...  T                   Ligation of                    451       2.56    $135.16       $54.24       $27.03
                               hemorrhoid(s).
46230...  T                   Removal of anal tabs...        451       2.56    $135.16       $54.24       $27.03
46250...  T                   Hemorrhoidectomy.......        453      16.87    $892.28      $445.22      $178.46
46255...  T                   Hemorrhoidectomy.......        453      16.87    $892.28      $445.22      $178.46
46257...  T                   Remove hemorrhoids &           453      16.87    $892.28      $445.22      $178.46
                               fissure.
46258...  T                   Remove hemorrhoids &           453      16.87    $892.28      $445.22      $178.46
                               fistula.
46260...  T                   Hemorrhoidectomy.......        453      16.87    $892.28      $445.22      $178.46
46261...  T                   Remove hemorrhoids &           453      16.87    $892.28      $445.22      $178.46
                               fissure.
46262...  T                   Remove hemorrhoids &           453      16.87    $892.28      $445.22      $178.46
                               fistula.
46270...  T                   Removal of anal fistula        453      16.87    $892.28      $445.22      $178.46
46275...  T                   Removal of anal fistula        453      16.87    $892.28      $445.22      $178.46
46280...  T                   Removal of anal fistula        453      16.87    $892.28      $445.22      $178.46
46285...  T                   Removal of anal fistula        453      16.87    $892.28      $445.22      $178.46
46288...  T                   Repair anal fistula....        453      16.87    $892.28      $445.22      $178.46
46320...  T                   Removal of hemorrhoid          451       2.56    $135.16       $54.24       $27.03
                               clot.
46500...  T                   Injection into                 451       2.56    $135.16       $54.24       $27.03
                               hemorrhoids.
46600...  N                   Diagnostic anoscopy....  .........  .........  .........  ...........  ...........
46604...  N                   Anoscopy and dilation..  .........  .........  .........  ...........  ...........
46606...  T                   Anoscopy and biopsy....        436       1.43     $75.42       $24.86       $15.08
46608...  T                   Anoscopy; remove               437       2.91    $153.77       $76.61       $30.75
                               foreign body.
46610...  T                   Anoscopy; remove lesion        437       2.91    $153.77       $76.61       $30.75
46611...  T                   Anoscopy...............        437       2.91    $153.77       $76.61       $30.75
46612...  T                   Anoscopy; remove               437       2.91    $153.77       $76.61       $30.75
                               lesions.
46614...  T                   Anoscopy; control              437       2.91    $153.77       $76.61       $30.75
                               bleeding.
46615...  T                   Anoscopy...............        437       2.91    $153.77       $76.61       $30.75
46700...  T                   Repair of anal                 453      16.87    $892.28      $445.22      $178.46
                               stricture.
46705...  C                   Repair of anal           .........  .........  .........  ...........  ...........
                               stricture.
46715...  C                   Repair of anovaginal     .........  .........  .........  ...........  ...........
                               fistula.
46716...  C                   Repair of anovaginal     .........  .........  .........  ...........  ...........
                               fistula.
46730...  C                   Construction of absent   .........  .........  .........  ...........  ...........
                               anus.
46735...  C                   Construction of absent   .........  .........  .........  ...........  ...........
                               anus.
46740...  C                   Construction of absent   .........  .........  .........  ...........  ...........
                               anus.
46742...  C                   Repair, imperforated     .........  .........  .........  ...........  ...........
                               anus.
46744...  C                   Repair, cloacal anomaly  .........  .........  .........  ...........  ...........
46746...  C                   Repair, cloacal anomaly  .........  .........  .........  ...........  ...........
46748...  C                   Repair, cloacal anomaly  .........  .........  .........  ...........  ...........

[[Page 47667]]

46750...  T                   Repair of anal                 453      16.87    $892.28      $445.22      $178.46
                               sphincter.
46751...  C                   Repair of anal           .........  .........  .........  ...........  ...........
                               sphincter.
46753...  T                   Reconstruction of anus.        453      16.87    $892.28      $445.22      $178.46
46754...  T                   Removal of suture from         452       4.83    $255.64      $109.61       $51.13
                               anus.
46760...  T                   Repair of anal                 453      16.87    $892.28      $445.22      $178.46
                               sphincter.
46761...  T                   Repair of anal                 453      16.87    $892.28      $445.22      $178.46
                               sphincter.
46762...  T                   Implant artificial             453      16.87    $892.28      $445.22      $178.46
                               sphincter.
46900...  T                   Destruction, anal              152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
46910...  T                   Destruction, anal              152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
46916...  T                   Cryosurgery, anal              152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
46917...  T                   Laser surgery, anal            152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
46922...  T                   Excision of anal               152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
46924...  T                   Destruction, anal              152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
46934...  T                   Destruction of                 451       2.56    $135.16       $54.24       $27.03
                               hemorrhoids.
46935...  T                   Destruction of                 451       2.56    $135.16       $54.24       $27.03
                               hemorrhoids.
46936...  T                   Destruction of                 451       2.56    $135.16       $54.24       $27.03
                               hemorrhoids.
46937...  T                   Cryotherapy of rectal          453      16.87    $892.28      $445.22      $178.46
                               lesion.
46938...  T                   Cryotherapy of rectal          453      16.87    $892.28      $445.22      $178.46
                               lesion.
46940...  T                   Treatment of anal              451       2.56    $135.16       $54.24       $27.03
                               fissure.
46942...  T                   Treatment of anal              451       2.56    $135.16       $54.24       $27.03
                               fissure.
46945...  T                   Ligation of hemorrhoids        451       2.56    $135.16       $54.24       $27.03
46946...  T                   Ligation of hemorrhoids        451       2.56    $135.16       $54.24       $27.03
46999...  T                   Anus surgery procedure.        452       4.83    $255.64      $109.61       $51.13
47000...  T                   Needle biopsy of liver.        122       4.87    $257.60      $115.03       $51.52
47001...  C                   Needle biopsy, liver...  .........  .........  .........  ...........  ...........
47010...  C                   Open drainage, liver     .........  .........  .........  ...........  ...........
                               lesion.
47011...  C                   Percut drain, liver      .........  .........  .........  ...........  ...........
                               lesion.
47015...  C                   Inject/aspirate liver    .........  .........  .........  ...........  ...........
                               cyst.
47100...  C                   Wedge biopsy of liver..  .........  .........  .........  ...........  ...........
47120...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               liver.
47122...  C                   Extensive removal of     .........  .........  .........  ...........  ...........
                               liver.
47125...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               liver.
47130...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               liver.
47133...  C                   Removal of donor liver.  .........  .........  .........  ...........  ...........
47134...  C                   Partial removal, donor   .........  .........  .........  ...........  ...........
                               liver.
47135...  C                   Transplantation of       .........  .........  .........  ...........  ...........
                               liver.
47136...  C                   Transplantation of       .........  .........  .........  ...........  ...........
                               liver.
47300...  C                   Surgery for liver        .........  .........  .........  ...........  ...........
                               lesion.
47350...  C                   Repair liver wound.....  .........  .........  .........  ...........  ...........
47360...  C                   Repair liver wound.....  .........  .........  .........  ...........  ...........
47361...  C                   Repair liver wound.....  .........  .........  .........  ...........  ...........
47362...  C                   Repair liver wound.....  .........  .........  .........  ...........  ...........
47399...  T                   Liver surgery procedure        122       4.87    $257.60      $115.03       $51.52
47400...  C                   Incision of liver duct.  .........  .........  .........  ...........  ...........
47420...  C                   Incision of bile duct..  .........  .........  .........  ...........  ...........
47425...  C                   Incision of bile duct..  .........  .........  .........  ...........  ...........
47460...  C                   Incise bile duct         .........  .........  .........  ...........  ...........
                               sphincter.
47480...  C                   Incision of gallbladder  .........  .........  .........  ...........  ...........
47490...  C                   Incision of gallbladder  .........  .........  .........  ...........  ...........
47500...  T                   Injection for liver x-         347       2.93    $154.75       $62.15       $30.95
                               rays.
47505...  T                   Injection for liver x-         347       2.93    $154.75       $62.15       $30.95
                               rays.
47510...  T                   Insert catheter, bile          458       7.24    $382.97      $181.70       $76.59
                               duct.
47511...  T                   Insert bile duct drain.        458       7.24    $382.97      $181.70       $76.59
47525...  T                   Change bile duct               470       2.22    $117.53       $54.92       $23.51
                               catheter.
47530...  T                   Revise, reinsert bile          470       2.22    $117.53       $54.92       $23.51
                               tube.
47550...  C                   Bile duct endoscopy....  .........  .........  .........  ...........  ...........
47552...  T                   Biliary endoscopy, thru        458       7.24    $382.97      $181.70       $76.59
                               skin.
47553...  T                   Biliary endoscopy, thru        458       7.24    $382.97      $181.70       $76.59
                               skin.
47554...  T                   Biliary endoscopy, thru        458       7.24    $382.97      $181.70       $76.59
                               skin.
47555...  T                   Biliary endoscopy, thru        458       7.24    $382.97      $181.70       $76.59
                               skin.
47556...  T                   Biliary endoscopy, thru        458       7.24    $382.97      $181.70       $76.59
                               skin.
47600...  C                   Removal of gallbladder.  .........  .........  .........  ...........  ...........
47605...  C                   Removal of gallbladder.  .........  .........  .........  ...........  ...........
47610...  C                   Removal of gallbladder.  .........  .........  .........  ...........  ...........
47612...  C                   Removal of gallbladder.  .........  .........  .........  ...........  ...........
47620...  C                   Removal of gallbladder.  .........  .........  .........  ...........  ...........
47630...  T                   Remove bile duct stone.        458       7.24    $382.97      $181.70       $76.59
47700...  C                   Exploration of bile      .........  .........  .........  ...........  ...........
                               ducts.
47701...  C                   Bile duct revision.....  .........  .........  .........  ...........  ...........
47711...  C                   Excision of bile duct    .........  .........  .........  ...........  ...........
                               tumor.
47712...  C                   Excision of bile duct    .........  .........  .........  ...........  ...........
                               tumor.
47715...  C                   Excision of bile duct    .........  .........  .........  ...........  ...........
                               cyst.
47716...  C                   Fusion of bile duct      .........  .........  .........  ...........  ...........
                               cyst.
47720...  C                   Fuse gallbladder &       .........  .........  .........  ...........  ...........
                               bowel.
47721...  C                   Fuse upper gi            .........  .........  .........  ...........  ...........
                               structures.

[[Page 47668]]

47740...  C                   Fuse gallbladder &       .........  .........  .........  ...........  ...........
                               bowel.
47741...  C                   Fuse gallbladder &       .........  .........  .........  ...........  ...........
                               bowel.
47760...  C                   Fuse bile ducts and      .........  .........  .........  ...........  ...........
                               bowel.
47765...  C                   Fuse liver ducts &       .........  .........  .........  ...........  ...........
                               bowel.
47780...  C                   Fuse bile ducts and      .........  .........  .........  ...........  ...........
                               bowel.
47785...  C                   Fuse bile ducts and      .........  .........  .........  ...........  ...........
                               bowel.
47800...  C                   Reconstruction of bile   .........  .........  .........  ...........  ...........
                               ducts.
47801...  C                   Placement, bile duct     .........  .........  .........  ...........  ...........
                               support.
47802...  C                   Fuse liver duct &        .........  .........  .........  ...........  ...........
                               intestine.
47900...  C                   Suture bile duct injury  .........  .........  .........  ...........  ...........
47999...  T                   Bile tract surgery             470       2.22    $117.53       $54.92       $23.51
                               procedure.
48000...  C                   Drainage of abdomen....  .........  .........  .........  ...........  ...........
48001...  C                   Placement of drain,      .........  .........  .........  ...........  ...........
                               pancreas.
48005...  C                   Resect/debride pancreas  .........  .........  .........  ...........  ...........
48020...  C                   Removal of pancreatic    .........  .........  .........  ...........  ...........
                               stone.
48100...  C                   Biopsy of pancreas.....  .........  .........  .........  ...........  ...........
48102...  T                   Needle biopsy, pancreas        122       4.87    $257.60      $115.03       $51.52
48120...  C                   Removal of pancreas      .........  .........  .........  ...........  ...........
                               lesion.
48140...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               pancreas.
48145...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               pancreas.
48146...  C                   Pancreatectomy.........  .........  .........  .........  ...........  ...........
48148...  C                   Removal of pancreatic    .........  .........  .........  ...........  ...........
                               duct.
48150...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               pancreas.
48152...  C                   Pancreatectomy.........  .........  .........  .........  ...........  ...........
48153...  C                   Pancreatectomy.........  .........  .........  .........  ...........  ...........
48154...  C                   Pancreatectomy.........  .........  .........  .........  ...........  ...........
48155...  C                   Removal of pancreas....  .........  .........  .........  ...........  ...........
48160...  E                   Pancreas removal,        .........  .........  .........  ...........  ...........
                               transplant.
48180...  C                   Fuse pancreas and bowel  .........  .........  .........  ...........  ...........
48400...  C                   Injection,               .........  .........  .........  ...........  ...........
                               intraoperative.
48500...  C                   Surgery of pancreas      .........  .........  .........  ...........  ...........
                               cyst.
48510...  C                   Drain pancreatic         .........  .........  .........  ...........  ...........
                               pseudocyst.
48511...  C                   Drain pancreatic         .........  .........  .........  ...........  ...........
                               pseudocyst.
48520...  C                   Fuse pancreas cyst and   .........  .........  .........  ...........  ...........
                               bowel.
48540...  C                   Fuse pancreas cyst and   .........  .........  .........  ...........  ...........
                               bowel.
48545...  C                   Pancreatorrhaphy.......  .........  .........  .........  ...........  ...........
48547...  C                   Duodenal exclusion.....  .........  .........  .........  ...........  ...........
48550...  E                   Donor pancreatectomy...  .........  .........  .........  ...........  ...........
48554...  E                   Transplantallograft      .........  .........  .........  ...........  ...........
                               pancreas.
48556...  C                   Removal, allograft       .........  .........  .........  ...........  ...........
                               pancreas.
48999...  T                   Pancreas surgery               122       4.87    $257.60      $115.03       $51.52
                               procedure.
49000...  C                   Exploration of abdomen.  .........  .........  .........  ...........  ...........
49002...  C                   Reopening of abdomen...  .........  .........  .........  ...........  ...........
49010...  C                   Exploration behind       .........  .........  .........  ...........  ...........
                               abdomen.
49020...  C                   Drain abdominal abscess  .........  .........  .........  ...........  ...........
49021...  C                   Drain abdominal abscess  .........  .........  .........  ...........  ...........
49040...  C                   Open drainage abdom      .........  .........  .........  ...........  ...........
                               abscess.
49041...  C                   Percut drain abdom       .........  .........  .........  ...........  ...........
                               abscess.
49060...  C                   Open drain retroper      .........  .........  .........  ...........  ...........
                               abscess.
49061...  C                   Percutdrain retroper     .........  .........  .........  ...........  ...........
                               abscess.
49062...  C                   Drain to peritoneal      .........  .........  .........  ...........  ...........
                               cavity.
49080...  T                   Puncture, peritoneal           320       3.17    $167.49       $79.33       $33.50
                               cavity.
49081...  T                   Removal of abdominal           320       3.17    $167.49       $79.33       $33.50
                               fluid.
49085...  T                   Remove abdomen foreign         459      18.06    $954.97      $496.52      $190.99
                               body.
49180...  T                   Biopsy, abdominal mass.        122       4.87    $257.60      $115.03       $51.52
49200...  C                   Removal of abdominal     .........  .........  .........  ...........  ...........
                               lesion.
49201...  C                   Removal of abdominal     .........  .........  .........  ...........  ...........
                               lesion.
49215...  C                   Excise sacral spine      .........  .........  .........  ...........  ...........
                               tumor.
49220...  C                   Multiple surgery,        .........  .........  .........  ...........  ...........
                               abdomen.
49250...  T                   Excision of umbilicus..        459      18.06    $954.97      $496.52      $190.99
49255...  C                   Removal of omentum.....  .........  .........  .........  ...........  ...........
49400...  T                   Air injection into             347       2.93    $154.75       $62.15       $30.95
                               abdomen.
49420...  T                   Insert abdominal drain.        459      18.06    $954.97      $496.52      $190.99
49421...  T                   Insert abdominal drain.        459      18.06    $954.97      $496.52      $190.99
49422...  T                   Remove perm cannula/           470       2.22    $117.53       $54.92       $23.51
                               catheter.
49423...  T                   Exchange drainage cath.        459      18.06    $954.97      $496.52      $190.99
49424...  T                   Assess cyst, contrast          347       2.93    $154.75       $62.15       $30.95
                               inj.
49425...  C                   Insert abdomen-venous    .........  .........  .........  ...........  ...........
                               drain.
49426...  T                   Revise abdomen-venous          459      18.06    $954.97      $496.52      $190.99
                               shunt.
49427...  T                   Injection, abdominal           347       2.93    $154.75       $62.15       $30.95
                               shunt.
49428...  C                   Ligation of shunt......  .........  .........  .........  ...........  ...........
49429...  T                   Removal of shunt.......        470       2.22    $117.53       $54.92       $23.51
49495...  T                   Repair inguinal hernia,        466      21.43  $1,133.23      $562.97      $226.65
                               init.
49496...  T                   Repair inguinal hernia,        466      21.43  $1,133.23      $562.97      $226.65
                               init.
49500...  T                   Repair inguinal hernia.        466      21.43  $1,133.23      $562.97      $226.65

[[Page 47669]]

49501...  T                   Repair inguinal hernia,        466      21.43  $1,133.23      $562.97      $226.65
                               init.
49505...  T                   Repair inguinal hernia.        466      21.43  $1,133.23      $562.97      $226.65
49507...  T                   Repair, inguinal hernia        466      21.43  $1,133.23      $562.97      $226.65
49520...  T                   Rerepair inguinal              466      21.43  $1,133.23      $562.97      $226.65
                               hernia.
49521...  T                   Repair inguinal hernia,        466      21.43  $1,133.23      $562.97      $226.65
                               rec.
49525...  T                   Repair inguinal hernia.        466      21.43  $1,133.23      $562.97      $226.65
49540...  T                   Repair lumbar hernia...        466      21.43  $1,133.23      $562.97      $226.65
49550...  T                   Repair femoral hernia..        466      21.43  $1,133.23      $562.97      $226.65
49553...  T                   Repair femoral hernia,         466      21.43  $1,133.23      $562.97      $226.65
                               init.
49555...  T                   Repair femoral hernia..        466      21.43  $1,133.23      $562.97      $226.65
49557...  T                   Repair femoral hernia,         466      21.43  $1,133.23      $562.97      $226.65
                               recur.
49560...  T                   Repair abdominal hernia        466      21.43  $1,133.23      $562.97      $226.65
49561...  T                   Repair incisional              466      21.43  $1,133.23      $562.97      $226.65
                               hernia.
49565...  T                   Rerepair abdominal             466      21.43  $1,133.23      $562.97      $226.65
                               hernia.
49566...  T                   Repair incisional              466      21.43  $1,133.23      $562.97      $226.65
                               hernia.
49568...  T                   Hernia repair w/mesh...        466      21.43  $1,133.23      $562.97      $226.65
49570...  T                   Repair epigastric              466      21.43  $1,133.23      $562.97      $226.65
                               hernia.
49572...  T                   Repair, epigastric             466      21.43  $1,133.23      $562.97      $226.65
                               hernia.
49580...  T                   Repair umbilical hernia        466      21.43  $1,133.23      $562.97      $226.65
49582...  T                   Repair umbilical hernia        466      21.43  $1,133.23      $562.97      $226.65
49585...  T                   Repair umbilical hernia        466      21.43  $1,133.23      $562.97      $226.65
49587...  T                   Repair umbilical hernia        466      21.43  $1,133.23      $562.97      $226.65
49590...  T                   Repair abdominal hernia        466      21.43  $1,133.23      $562.97      $226.65
49600...  T                   Repair umbilical lesion        466      21.43  $1,133.23      $562.97      $226.65
49605...  C                   Repair umbilical lesion  .........  .........  .........  ...........  ...........
49606...  C                   Repair umbilical lesion  .........  .........  .........  ...........  ...........
49610...  C                   Repair umbilical lesion  .........  .........  .........  ...........  ...........
49611...  C                   Repair umbilical lesion  .........  .........  .........  ...........  ...........
49900...  C                   Repair of abdominal      .........  .........  .........  ...........  ...........
                               wall.
49905...  C                   Omental flap...........  .........  .........  .........  ...........  ...........
49906...  C                   Free omental flap,       .........  .........  .........  ...........  ...........
                               microvasc.
49999...  T                   Abdomen surgery                470       2.22    $117.53       $54.92       $23.51
                               procedure.
50010...  C                   Exploration of kidney..  .........  .........  .........  ...........  ...........
50020...  C                   Open drain renal         .........  .........  .........  ...........  ...........
                               abscess.
50021...  C                   Percut drain renal       .........  .........  .........  ...........  ...........
                               abscess.
50040...  C                   Drainage of kidney.....  .........  .........  .........  ...........  ...........
50045...  C                   Exploration of kidney..  .........  .........  .........  ...........  ...........
50060...  C                   Removal of kidney stone  .........  .........  .........  ...........  ...........
50065...  C                   Incision of kidney.....  .........  .........  .........  ...........  ...........
50070...  C                   Incision of kidney.....  .........  .........  .........  ...........  ...........
50075...  C                   Removal of kidney stone  .........  .........  .........  ...........  ...........
50080...  C                   Removal of kidney stone  .........  .........  .........  ...........  ...........
50081...  C                   Removal of kidney stone  .........  .........  .........  ...........  ...........
50100...  C                   Revise kidney blood      .........  .........  .........  ...........  ...........
                               vessels.
50120...  C                   Exploration of kidney..  .........  .........  .........  ...........  ...........
50125...  C                   Explore and drain        .........  .........  .........  ...........  ...........
                               kidney.
50130...  C                   Removal of kidney stone  .........  .........  .........  ...........  ...........
50135...  C                   Exploration of kidney..  .........  .........  .........  ...........  ...........
50200...  T                   Biopsy of kidney.......        122       4.87    $257.60      $115.03       $51.52
50205...  C                   Biopsy of kidney.......  .........  .........  .........  ...........  ...........
50220...  C                   Removal of kidney......  .........  .........  .........  ...........  ...........
50225...  C                   Removal of kidney......  .........  .........  .........  ...........  ...........
50230...  C                   Removal of kidney......  .........  .........  .........  ...........  ...........
50234...  C                   Removal of kidney &      .........  .........  .........  ...........  ...........
                               ureter.
50236...  C                   Removal of kidney &      .........  .........  .........  ...........  ...........
                               ureter.
50240...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               kidney.
50280...  C                   Removal of kidney        .........  .........  .........  ...........  ...........
                               lesion.
50290...  C                   Removal of kidney        .........  .........  .........  ...........  ...........
                               lesion.
50300...  C                   Removal of donor kidney  .........  .........  .........  ...........  ...........
50320...  C                   Removal of donor kidney  .........  .........  .........  ...........  ...........
50340...  C                   Removal of kidney......  .........  .........  .........  ...........  ...........
50360...  C                   Transplantation of       .........  .........  .........  ...........  ...........
                               kidney.
50365...  C                   Transplantation of       .........  .........  .........  ...........  ...........
                               kidney.
50370...  C                   Remove transplanted      .........  .........  .........  ...........  ...........
                               kidney.
50380...  C                   Reimplantation of        .........  .........  .........  ...........  ...........
                               kidney.
50390...  T                   Drainage of kidney             122       4.87    $257.60      $115.03       $51.52
                               lesion.
50392...  T                   Insert kidney drain....        347       2.93    $154.75       $62.15       $30.95
50393...  T                   Insert ureteral tube...        347       2.93    $154.75       $62.15       $30.95
50394...  T                   Injection for kidney x-        347       2.93    $154.75       $62.15       $30.95
                               ray.
50395...  T                   Create passage to              347       2.93    $154.75       $62.15       $30.95
                               kidney.
50396...  T                   Measure kidney pressure        529       2.50    $132.23       $63.05       $26.45
50398...  T                   Change kidney tube.....        521       5.06    $267.39      $112.10       $53.48
50400...  C                   Revision of kidney/      .........  .........  .........  ...........  ...........
                               ureter.
50405...  C                   Revision of kidney/      .........  .........  .........  ...........  ...........
                               ureter.
50500...  C                   Repair of kidney wound.  .........  .........  .........  ...........  ...........

[[Page 47670]]

50520...  C                   Close kidney-skin        .........  .........  .........  ...........  ...........
                               fistula.
50525...  C                   Repair renal-abdomen     .........  .........  .........  ...........  ...........
                               fistula.
50526...  C                   Repair renal-abdomen     .........  .........  .........  ...........  ...........
                               fistula.
50540...  C                   Revision of horseshoe    .........  .........  .........  ...........  ...........
                               kidney.
50551...  T                   Kidney endoscopy.......        522      10.46    $553.39      $262.39      $110.68
50553...  T                   Kidney endoscopy.......        522      10.46    $553.39      $262.39      $110.68
50555...  T                   Kidney endoscopy &             522      10.46    $553.39      $262.39      $110.68
                               biopsy.
50557...  T                   Kidney endoscopy &             522      10.46    $553.39      $262.39      $110.68
                               treatment.
50559...  T                   Renal endoscopy;               522      10.46    $553.39      $262.39      $110.68
                               radiotracer.
50561...  T                   Kidney endoscopy &             522      10.46    $553.39      $262.39      $110.68
                               treatment.
50570...  C                   Kidney endoscopy.......  .........  .........  .........  ...........  ...........
50572...  C                   Kidney endoscopy.......  .........  .........  .........  ...........  ...........
50574...  C                   Kidney endoscopy &       .........  .........  .........  ...........  ...........
                               biopsy.
50575...  C                   Kidney endoscopy.......  .........  .........  .........  ...........  ...........
50576...  C                   Kidney endoscopy &       .........  .........  .........  ...........  ...........
                               treatment.
50578...  C                   Renal endoscopy;         .........  .........  .........  ...........  ...........
                               radiotracer.
50580...  C                   Kidney endoscopy &       .........  .........  .........  ...........  ...........
                               treatment.
50590...  T                   Fragmenting of kidney          527      51.56  $2,726.80    $1,372.95      $545.36
                               stone.
50600...  C                   Exploration of ureter..  .........  .........  .........  ...........  ...........
50605...  C                   Insert ureteral support  .........  .........  .........  ...........  ...........
50610...  C                   Removal of ureter stone  .........  .........  .........  ...........  ...........
50620...  C                   Removal of ureter stone  .........  .........  .........  ...........  ...........
50630...  C                   Removal of ureter stone  .........  .........  .........  ...........  ...........
50650...  C                   Removal of ureter......  .........  .........  .........  ...........  ...........
50660...  C                   Removal of ureter......  .........  .........  .........  ...........  ...........
50684...  T                   Injection for ureter x-        347       2.93    $154.75       $62.15       $30.95
                               ray.
50686...  T                   Measure ureter pressure        529       2.50    $132.23       $63.05       $26.45
50688...  T                   Change of ureter tube..        470       2.22    $117.53       $54.92       $23.51
50690...  T                   Injection for ureter x-        347       2.93    $154.75       $62.15       $30.95
                               ray.
50700...  C                   Revision of ureter.....  .........  .........  .........  ...........  ...........
50715...  C                   Release of ureter......  .........  .........  .........  ...........  ...........
50722...  C                   Release of ureter......  .........  .........  .........  ...........  ...........
50725...  C                   Release/revise ureter..  .........  .........  .........  ...........  ...........
50727...  C                   Revise ureter..........  .........  .........  .........  ...........  ...........
50728...  C                   Revise ureter..........  .........  .........  .........  ...........  ...........
50740...  C                   Fusion of ureter &       .........  .........  .........  ...........  ...........
                               kidney.
50750...  C                   Fusion of ureter &       .........  .........  .........  ...........  ...........
                               kidney.
50760...  C                   Fusion of ureters......  .........  .........  .........  ...........  ...........
50770...  C                   Splicing of ureters....  .........  .........  .........  ...........  ...........
50780...  C                   Reimplant ureter in      .........  .........  .........  ...........  ...........
                               bladder.
50782...  C                   Reimplant ureter in      .........  .........  .........  ...........  ...........
                               bladder.
50783...  C                   Reimplant ureter in      .........  .........  .........  ...........  ...........
                               bladder.
50785...  C                   Reimplant ureter in      .........  .........  .........  ...........  ...........
                               bladder.
50800...  C                   Implant ureter in bowel  .........  .........  .........  ...........  ...........
50810...  C                   Fusion of ureter &       .........  .........  .........  ...........  ...........
                               bowel.
50815...  C                   Urine shunt to bowel...  .........  .........  .........  ...........  ...........
50820...  C                   Construct bowel bladder  .........  .........  .........  ...........  ...........
50825...  C                   Construct bowel bladder  .........  .........  .........  ...........  ...........
50830...  C                   Revise urine flow......  .........  .........  .........  ...........  ...........
50840...  C                   Replace ureter by bowel  .........  .........  .........  ...........  ...........
50845...  C                   Appendico-vesicostomy..  .........  .........  .........  ...........  ...........
50860...  C                   Transplant ureter to     .........  .........  .........  ...........  ...........
                               skin.
50900...  C                   Repair of ureter.......  .........  .........  .........  ...........  ...........
50920...  C                   Closure ureter/skin      .........  .........  .........  ...........  ...........
                               fistula.
50930...  C                   Closure ureter/bowel     .........  .........  .........  ...........  ...........
                               fistula.
50940...  C                   Release of ureter......  .........  .........  .........  ...........  ...........
50951...  T                   Endoscopy of ureter....        523      16.87    $892.28      $447.03      $178.46
50953...  T                   Endoscopy of ureter....        523      16.87    $892.28      $447.03      $178.46
50955...  T                   Ureter endoscopy &             523      16.87    $892.28      $447.03      $178.46
                               biopsy.
50957...  T                   Ureter endoscopy &             523      16.87    $892.28      $447.03      $178.46
                               treatment.
50959...  T                   Ureter endoscopy &             523      16.87    $892.28      $447.03      $178.46
                               tracer.
50961...  T                   Ureter endoscopy &             523      16.87    $892.28      $447.03      $178.46
                               treatment.
50970...  C                   Ureter endoscopy.......  .........  .........  .........  ...........  ...........
50972...  C                   Ureter endoscopy &       .........  .........  .........  ...........  ...........
                               catheter.
50974...  C                   Ureter endoscopy &       .........  .........  .........  ...........  ...........
                               biopsy.
50976...  C                   Ureter endoscopy &       .........  .........  .........  ...........  ...........
                               treatment.
50978...  C                   Ureter endoscopy &       .........  .........  .........  ...........  ...........
                               tracer.
50980...  C                   Ureter endoscopy &       .........  .........  .........  ...........  ...........
                               treatment.
51000...  T                   Drainage of bladder....        530       2.52    $133.21       $54.69       $26.64
51005...  T                   Drainage of bladder....        530       2.52    $133.21       $54.69       $26.64
51010...  T                   Drainage of bladder....        530       2.52    $133.21       $54.69       $26.64
51020...  T                   Incise & treat bladder.        523      16.87    $892.28      $447.03      $178.46
51030...  T                   Incise & treat bladder.        523      16.87    $892.28      $447.03      $178.46
51040...  T                   Incise & drain bladder.        523      16.87    $892.28      $447.03      $178.46
51045...  T                   Incise bladder, drain          523      16.87    $892.28      $447.03      $178.46
                               ureter.

[[Page 47671]]

51050...  T                   Removal of bladder             523      16.87    $892.28      $447.03      $178.46
                               stone.
51060...  C                   Removal of ureter stone  .........  .........  .........  ...........  ...........
51065...  T                   Removal of ureter stone        523      16.87    $892.28      $447.03      $178.46
51080...  T                   Drainage of bladder            132       6.04    $319.30      $134.24       $63.86
                               abscess.
51500...  T                   Removal of bladder cyst        466      21.43  $1,133.23      $562.97      $226.65
51520...  T                   Removal of bladder             523      16.87    $892.28      $447.03      $178.46
                               lesion.
51525...  C                   Removal of bladder       .........  .........  .........  ...........  ...........
                               lesion.
51530...  C                   Removal of bladder       .........  .........  .........  ...........  ...........
                               lesion.
51535...  C                   Repair of ureter lesion  .........  .........  .........  ...........  ...........
51550...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               bladder.
51555...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               bladder.
51565...  C                   Revise bladder &         .........  .........  .........  ...........  ...........
                               ureter(s).
51570...  C                   Removal of bladder.....  .........  .........  .........  ...........  ...........
51575...  C                   Removal of bladder &     .........  .........  .........  ...........  ...........
                               nodes.
51580...  C                   Remove bladder; revise   .........  .........  .........  ...........  ...........
                               tract.
51585...  C                   Removal of bladder &     .........  .........  .........  ...........  ...........
                               nodes.
51590...  C                   Remove bladder; revise   .........  .........  .........  ...........  ...........
                               tract.
51595...  C                   Remove bladder; revise   .........  .........  .........  ...........  ...........
                               tract.
51596...  C                   Remove bladder, create   .........  .........  .........  ...........  ...........
                               pouch.
51597...  C                   Removal of pelvic        .........  .........  .........  ...........  ...........
                               structures.
51600...  T                   Injection for bladder x-       347       2.93    $154.75       $62.15       $30.95
                               ray.
51605...  T                   Preparation for bladder        347       2.93    $154.75       $62.15       $30.95
                               xray.
51610...  T                   Injection for bladder x-       347       2.93    $154.75       $62.15       $30.95
                               ray.
51700...  T                   Irrigation of bladder..        530       2.52    $133.21       $54.69       $26.64
51705...  T                   Change of bladder tube.        470       2.22    $117.53       $54.92       $23.51
51710...  T                   Change of bladder tube.        470       2.22    $117.53       $54.92       $23.51
51715...  T                   Endoscopic injection/          531      18.94  $1,001.98      $527.26      $200.40
                               implant.
51720...  T                   Treatment of bladder           530       2.52    $133.21       $54.69       $26.64
                               lesion.
51725...  T                   Simple cystometrogram..        529       2.50    $132.23       $63.05       $26.45
51726...  T                   Complex cystometrogram.        529       2.50    $132.23       $63.05       $26.45
51736...  T                   Urine flow measurement.        529       2.50    $132.23       $63.05       $26.45
51741...  T                   Electro-uroflowmetry,          529       2.50    $132.23       $63.05       $26.45
                               first.
51772...  T                   Urethra pressure               529       2.50    $132.23       $63.05       $26.45
                               profile.
51784...  T                   Anal/urinary muscle            529       2.50    $132.23       $63.05       $26.45
                               study.
51785...  T                   Anal/urinary muscle            529       2.50    $132.23       $63.05       $26.45
                               study.
51792...  T                   Urinary reflex study...        529       2.50    $132.23       $63.05       $26.45
51795...  T                   Urine voiding pressure         529       2.50    $132.23       $63.05       $26.45
                               study.
51797...  T                   Intraabdominal pressure        529       2.50    $132.23       $63.05       $26.45
                               test.
51800...  C                   Revision of bladder/     .........  .........  .........  ...........  ...........
                               urethra.
51820...  C                   Revision of urinary      .........  .........  .........  ...........  ...........
                               tract.
51840...  C                   Attach bladder/urethra.  .........  .........  .........  ...........  ...........
51841...  C                   Attach bladder/urethra.  .........  .........  .........  ...........  ...........
51845...  C                   Repair bladder neck....  .........  .........  .........  ...........  ...........
51860...  C                   Repair of bladder wound  .........  .........  .........  ...........  ...........
51865...  C                   Repair of bladder wound  .........  .........  .........  ...........  ...........
51880...  T                   Repair of bladder              523      16.87    $892.28      $447.03      $178.46
                               opening.
51900...  C                   Repair bladder/vagina    .........  .........  .........  ...........  ...........
                               lesion.
51920...  C                   Close bladder-uterus     .........  .........  .........  ...........  ...........
                               fistula.
51925...  C                   Hysterectomy/bladder     .........  .........  .........  ...........  ...........
                               repair.
51940...  C                   Correction of bladder    .........  .........  .........  ...........  ...........
                               defect.
51960...  C                   Revision of bladder &    .........  .........  .........  ...........  ...........
                               bowel.
51980...  C                   Construct bladder        .........  .........  .........  ...........  ...........
                               opening.
52000...  T                   Cystoscopy.............        521       5.06    $267.39      $112.10       $53.48
52005...  T                   Cystoscopy & ureter            522      10.46    $553.39      $262.39      $110.68
                               catheter.
52007...  T                   Cystoscopy and biopsy..        522      10.46    $553.39      $262.39      $110.68
52010...  T                   Cystoscopy & duct              522      10.46    $553.39      $262.39      $110.68
                               catheter.
52204...  T                   Cystoscopy.............        522      10.46    $553.39      $262.39      $110.68
52214...  T                   Cystoscopy and                 522      10.46    $553.39      $262.39      $110.68
                               treatment.
52224...  T                   Cystoscopy and                 522      10.46    $553.39      $262.39      $110.68
                               treatment.
52234...  T                   Cystoscopy and                 523      16.87    $892.28      $447.03      $178.46
                               treatment.
52235...  T                   Cystoscopy and                 523      16.87    $892.28      $447.03      $178.46
                               treatment.
52240...  T                   Cystoscopy and                 523      16.87    $892.28      $447.03      $178.46
                               treatment.
52250...  T                   Cystoscopy &                   523      16.87    $892.28      $447.03      $178.46
                               radiotracer.
52260...  T                   Cystoscopy & treatment.        522      10.46    $553.39      $262.39      $110.68
52265...  T                   Cystoscopy & treatment.        521       5.06    $267.39      $112.10       $53.48
52270...  T                   Cystoscopy & revise            522      10.46    $553.39      $262.39      $110.68
                               urethra.
52275...  T                   Cystoscopy & revise            522      10.46    $553.39      $262.39      $110.68
                               urethra.
52276...  T                   Cystoscopy and                 522      10.46    $553.39      $262.39      $110.68
                               treatment.
52277...  T                   Cystoscopy and                 523      16.87    $892.28      $447.03      $178.46
                               treatment.
52281...  T                   Cystoscopy and                 522      10.46    $553.39      $262.39      $110.68
                               treatment.
52282...  T                   Cystoscopy, implant            523      16.87    $892.28      $447.03      $178.46
                               stent.
52283...  T                   Cystoscopy and                 522      10.46    $553.39      $262.39      $110.68
                               treatment.
52285...  T                   Cystoscopy and                 522      10.46    $553.39      $262.39      $110.68
                               treatment.
52290...  T                   Cystoscopy and                 522      10.46    $553.39      $262.39      $110.68
                               treatment.
52300...  T                   Cystoscopy and                 522      10.46    $553.39      $262.39      $110.68
                               treatment.

[[Page 47672]]

52301...  T                   Cystoscopy and                 522      10.46    $553.39      $262.39      $110.68
                               treatment.
52305...  T                   Cystoscopy and                 522      10.46    $553.39      $262.39      $110.68
                               treatment.
52310...  T                   Cystoscopy and                 522      10.46    $553.39      $262.39      $110.68
                               treatment.
52315...  T                   Cystoscopy and                 522      10.46    $553.39      $262.39      $110.68
                               treatment.
52317...  T                   Remove bladder stone...        523      16.87    $892.28      $447.03      $178.46
52318...  T                   Remove bladder stone...        523      16.87    $892.28      $447.03      $178.46
52320...  T                   Cystoscopy and                 523      16.87    $892.28      $447.03      $178.46
                               treatment.
52325...  T                   Cystoscopy, stone              523      16.87    $892.28      $447.03      $178.46
                               removal.
52327...  T                   Cystoscopy, inject             522      10.46    $553.39      $262.39      $110.68
                               material.
52330...  T                   Cystoscopy and                 523      16.87    $892.28      $447.03      $178.46
                               treatment.
52332...  T                   Cystoscopy and                 523      16.87    $892.28      $447.03      $178.46
                               treatment.
52334...  T                   Create passage to              523      16.87    $892.28      $447.03      $178.46
                               kidney.
52335...  T                   Endoscopy of urinary           523      16.87    $892.28      $447.03      $178.46
                               tract.
52336...  T                   Cystoscopy, stone              523      16.87    $892.28      $447.03      $178.46
                               removal.
52337...  T                   Cystoscopy, stone              524      28.89   1,527.95      $833.49      $305.59
                               removal.
52338...  T                   Cystoscopy and                 523      16.87    $892.28      $447.03      $178.46
                               treatment.
52339...  T                   Cystoscopy and                 523      16.87    $892.28      $447.03      $178.46
                               treatment.
52340...  T                   Cystoscopy and                 523      16.87    $892.28      $447.03      $178.46
                               treatment.
52450...  T                   Incision of prostate...        523      16.87    $892.28      $447.03      $178.46
52500...  T                   Revision of bladder            523      16.87    $892.28      $447.03      $178.46
                               neck.
52510...  T                   Dilation prostatic             522      10.46    $553.39      $262.39      $110.68
                               urethra.
52601...  T                   Prostatectomy (TURP)...        524      28.89  $1,527.95      $833.49      $305.59
52606...  T                   Control postop bleeding        523      16.87    $892.28      $447.03      $178.46
52612...  T                   Prostatectomy, first           524      28.89  $1,527.95      $833.49      $305.59
                               stage.
52614...  T                   Prostatectomy, second          524      28.89  $1,527.95      $833.49      $305.59
                               stage.
52620...  T                   Remove residual                524      28.89  $1,527.95      $833.49      $305.59
                               prostate.
52630...  T                   Remove prostate                524      28.89  $1,527.95      $833.49      $305.59
                               regrowth.
52640...  T                   Relieve bladder                523      16.87    $892.28      $447.03      $178.46
                               contracture.
52647...  T                   Laser surgery of               524      28.89  $1,527.95      $833.49      $305.59
                               prostate.
52648...  T                   Laser surgery of               524      28.89  $1,527.95      $833.49      $305.59
                               prostate.
52700...  T                   Drainage of prostate           523      16.87    $892.28      $447.03      $178.46
                               abscess.
53000...  T                   Incision of urethra....        531      18.94  $1,001.98      $527.26      $200.40
53010...  T                   Incision of urethra....        531      18.94  $1,001.98      $527.26      $200.40
53020...  T                   Incision of urethra....        531      18.94  $1,001.98      $527.26      $200.40
53025...  T                   Incision of urethra....        531      18.94  $1,001.98      $527.26      $200.40
53040...  T                   Drainage of urethra            531      18.94  $1,001.98      $527.26      $200.40
                               abscess.
53060...  T                   Drainage of urethra            531      18.94  $1,001.98      $527.26      $200.40
                               abscess.
53080...  T                   Drainage of urinary            531      18.94  $1,001.98      $527.26      $200.40
                               leakage.
53085...  C                   Drainage of urinary      .........  .........  .........  ...........  ...........
                               leakage.
53200...  T                   Biopsy of urethra......        531      18.94  $1,001.98      $527.26      $200.40
53210...  T                   Removal of urethra.....        532      25.50  $1,348.71      $602.29      $269.74
53215...  T                   Removal of urethra.....        532      25.50  $1,348.71      $602.29      $269.74
53220...  T                   Treatment of urethra           532      25.50  $1,348.71      $602.29      $269.74
                               lesion.
53230...  T                   Removal of urethra             532      25.50  $1,348.71      $602.29      $269.74
                               lesion.
53235...  T                   Removal of urethra             532      25.50  $1,348.71      $602.29      $269.74
                               lesion.
53240...  T                   Surgery for urethra            532      25.50  $1,348.71      $602.29      $269.74
                               pouch.
53250...  T                   Removal of urethra             531      18.94  $1,001.98      $527.26      $200.40
                               gland.
53260...  T                   Treatment of urethra           531      18.94  $1,001.98      $527.26      $200.40
                               lesion.
53265...  T                   Treatment of urethra           531      18.94  $1,001.98      $527.26      $200.40
                               lesion.
53270...  T                   Removal of urethra             531      18.94  $1,001.98      $527.26      $200.40
                               gland.
53275...  T                   Repair of urethra              531      18.94  $1,001.98      $527.26      $200.40
                               defect.
53400...  T                   Revise urethra, 1st            532      25.50  $1,348.71      $602.29      $269.74
                               stage.
53405...  T                   Revise urethra, 2nd            532      25.50  $1,348.71      $602.29      $269.74
                               stage.
53410...  T                   Reconstruction of              532      25.50  $1,348.71      $602.29      $269.74
                               urethra.
53415...  C                   Reconstruction of        .........  .........  .........  ...........  ...........
                               urethra.
53420...  T                   Reconstruct urethra,           532      25.50  $1,348.71      $602.29      $269.74
                               stage 1.
53425...  T                   Reconstruct urethra,           532      25.50  $1,348.71      $602.29      $269.74
                               stage 2.
53430...  T                   Reconstruction of              532      25.50  $1,348.71      $602.29      $269.74
                               urethra.
53440...  T                   Correct bladder                538      45.59  $2,411.41    $1,540.64      $482.28
                               function.
53442...  T                   Remove perineal                531      18.94  $1,001.98      $527.26      $200.40
                               prosthesis.
53443...  C                   Reconstruction of        .........  .........  .........  ...........  ...........
                               urethra.
53445...  T                   Correct urine flow             538      45.59  $2,411.41    $1,540.64      $482.28
                               control.
53447...  T                   Remove artificial              532      25.50  $1,348.71      $602.29      $269.74
                               sphincter.
53449...  T                   Correct artificial             532      25.50  $1,348.71      $602.29      $269.74
                               sphincter.
53450...  T                   Revision of urethra....        532      25.50  $1,348.71      $602.29      $269.74
53460...  T                   Revision of urethra....        532      25.50  $1,348.71      $602.29      $269.74
53502...  T                   Repair of urethra              531      18.94  $1,001.98      $527.26      $200.40
                               injury.
53505...  T                   Repair of urethra              531      18.94  $1,001.98      $527.26      $200.40
                               injury.
53510...  T                   Repair of urethra              531      18.94  $1,001.98      $527.26      $200.40
                               injury.
53515...  T                   Repair of urethra              532      25.50  $1,348.71      $602.29      $269.74
                               injury.
53520...  T                   Repair of urethra              532      25.50  $1,348.71      $602.29      $269.74
                               defect.
53600...  T                   Dilate urethra                 530       2.52    $133.21       $54.69       $26.64
                               stricture.
53601...  T                   Dilate urethra                 530       2.52    $133.21       $54.69       $26.64
                               stricture.
53605...  T                   Dilate urethra                 522      10.46    $553.39      $262.39      $110.68
                               stricture.
53620...  T                   Dilate urethra                 530       2.52    $133.21       $54.69       $26.64
                               stricture.

[[Page 47673]]

53621...  T                   Dilate urethra                 530       2.52    $133.21       $54.69       $26.64
                               stricture.
53660...  T                   Dilation of urethra....        530       2.52    $133.21       $54.69       $26.64
53661...  T                   Dilation of urethra....        530       2.52    $133.21       $54.69       $26.64
53665...  T                   Dilation of urethra....        531      18.94  $1,001.98      $527.26       $200.4
53670...  N                   Insert urinary catheter  .........  .........  .........  ...........  ...........
53675...  T                   Insert urinary catheter        530       2.52    $133.21       $54.69       $26.64
53850...  T                   Prostatic microwave            524      28.89  $1,527.95      $833.49      $305.59
                               thermotx.
53852...  T                   Prostatic rf thermotx..        524      28.89  $1,527.95      $833.49      $305.59
53899...  T                   Urology surgery                530       2.52    $133.21       $54.69       $26.64
                               procedure.
54000...  T                   Slitting of prepuce....        531      18.94  $1,001.98      $527.26       $200.4
54001...  T                   Slitting of prepuce....        531      18.94  $1,001.98      $527.26       $200.4
54015...  T                   Drain penis lesion.....        132       6.04     $319.3      $134.24       $63.86
54050...  T                   Destruction, penis             152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
54055...  T                   Destruction, penis             152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
54056...  T                   Cryosurgery, penis             152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
54057...  T                   Laser surg, penis              152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
54060...  T                   Excision of penis              152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
54065...  T                   Destruction, penis             152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
54100...  T                   Biopsy of penis........        162       5.67    $299.71      $125.43       $59.94
54105...  T                   Biopsy of penis........        162       5.67    $299.71      $125.43       $59.94
54110...  T                   Treatment of penis             537      28.72  $1,519.13      $864.45      $303.83
                               lesion.
54111...  T                   Treat penis lesion,            537      28.72  $1,519.13      $864.45      $303.83
                               graft.
54112...  T                   Treat penis lesion,            537      28.72  $1,519.13      $864.45      $303.83
                               graft.
54115...  T                   Treatment of penis             132       6.04     $319.3      $134.24       $63.86
                               lesion.
54120...  T                   Partial removal of             537      28.72  $1,519.13      $864.45      $303.83
                               penis.
54125...  C                   Removal of penis.......  .........  .........  .........  ...........  ...........
54130...  C                   Remove penis & nodes...  .........  .........  .........  ...........  ...........
54135...  C                   Remove penis & nodes...  .........  .........  .........  ...........  ...........
54150...  T                   Circumcision...........        536      13.17    $696.39      $326.57      $139.28
54152...  T                   Circumcision...........        536      13.17    $696.39      $326.57      $139.28
54160...  T                   Circumcision...........        536      13.17    $696.39      $326.57      $139.28
54161...  T                   Circumcision...........        536      13.17    $696.39      $326.57      $139.28
54200...  T                   Treatment of penis             530       2.52    $133.21       $54.69       $26.64
                               lesion.
54205...  T                   Treatment of penis             537      28.72  $1,519.13      $864.45      $303.83
                               lesion.
54220...  T                   Treatment of penis             530       2.52    $133.21       $54.69       $26.64
                               lesion.
54230...  T                   Prepare penis study....        347       2.93    $154.75       $62.15       $30.95
54231...  T                   Dynamic cavernosometry.        530       2.52    $133.21       $54.69       $26.64
54235...  T                   Penile injection.......        530       2.52    $133.21       $54.69       $26.64
54240...  T                   Penis study............        529       2.50    $132.23       $63.05       $26.45
54250...  T                   Penis study............        529       2.50    $132.23       $63.05       $26.45
54300...  T                   Revision of penis......        537      28.72  $1,519.13      $864.45      $303.83
54304...  T                   Revision of penis......        537      28.72  $1,519.13      $864.45      $303.83
54308...  T                   Reconstruction of              537      28.72  $1,519.13      $864.45      $303.83
                               urethra.
54312...  T                   Reconstruction of              537      28.72  $1,519.13      $864.45      $303.83
                               urethra.
54316...  T                   Reconstruction of              537      28.72  $1,519.13      $864.45      $303.83
                               urethra.
54318...  T                   Reconstruction of              537      28.72  $1,519.13      $864.45      $303.83
                               urethra.
54322...  T                   Reconstruction of              537      28.72  $1,519.13      $864.45      $303.83
                               urethra.
54324...  T                   Reconstruction of              537      28.72  $1,519.13      $864.45      $303.83
                               urethra.
54326...  T                   Reconstruction of              537      28.72  $1,519.13      $864.45      $303.83
                               urethra.
54328...  T                   Revise penis, urethra..        537      28.72  $1,519.13      $864.45      $303.83
54332...  C                   Revise penis, urethra..  .........  .........  .........  ...........  ...........
54336...  C                   Revise penis, urethra..  .........  .........  .........  ...........  ...........
54340...  T                   Secondary urethral             537      28.72  $1,519.13      $864.45      $303.83
                               surgery.
54344...  T                   Secondary urethral             537      28.72  $1,519.13      $864.45      $303.83
                               surgery.
54348...  T                   Secondary urethral             537      28.72  $1,519.13      $864.45      $303.83
                               surgery.
54352...  T                   Reconstruct urethra,           537      28.72  $1,519.13      $864.45      $303.83
                               penis.
54360...  T                   Penis plastic surgery..        537      28.72  $1,519.13      $864.45      $303.83
54380...  T                   Repair penis...........        537      28.72  $1,519.13      $864.45      $303.83
54385...  T                   Repair penis...........        537      28.72  $1,519.13      $864.45      $303.83
54390...  C                   Repair penis and         .........  .........  .........  ...........  ...........
                               bladder.
54400...  T                   Insert semi-rigid              538      45.59  $2,411.41    $1,540.64      $482.28
                               prosthesis.
54401...  T                   Insert self-contd              538      45.59  $2,411.41    $1,540.64      $482.28
                               prosthesis.
54402...  T                   Remove penis prosthesis        537      28.72  $1,519.13      $864.45      $303.83
54405...  T                   Insert multi-comp              538      45.59  $2,411.41    $1,540.64      $482.28
                               prosthesis.
54407...  T                   Remove multi-comp              537      28.72  $1,519.13      $864.45      $303.83
                               prosthesis.
54409...  T                   Revise penis prosthesis        537      28.72  $1,519.13      $864.45      $303.83
54420...  T                   Revision of penis......        537      28.72  $1,519.13      $864.45      $303.83
54430...  C                   Revision of penis......  .........  .........  .........  ...........  ...........
54435...  T                   Revision of penis......        537      28.72  $1,519.13      $864.45      $303.83
54440...  T                   Repair of penis........        537      28.72  $1,519.13      $864.45      $303.83
54450...  T                   Preputial stretching...        530       2.52    $133.21       $54.69       $26.64
54500...  T                   Biopsy of testis.......        122       4.87     $257.6      $115.03       $51.52
54505...  T                   Biopsy of testis.......        546      17.15    $906.97      $453.81      $181.39
54510...  T                   Removal of testis              546      17.15    $906.97      $453.81      $181.39
                               lesion.
54520...  T                   Removal of testis......        546      17.15    $906.97      $453.81      $181.39

[[Page 47674]]

54530...  T                   Removal of testis......        546      17.15    $906.97      $453.81      $181.39
54535...  C                   Extensive testis         .........  .........  .........  ...........  ...........
                               surgery.
54550...  T                   Exploration for testis.        546      17.15    $906.97      $453.81      $181.39
54560...  C                   Exploration for testis.  .........  .........  .........  ...........  ...........
54600...  T                   Reduce testis torsion..        546      17.15    $906.97      $453.81      $181.39
54620...  T                   Suspension of testis...        546      17.15    $906.97      $453.81      $181.39
54640...  T                   Suspension of testis...        546      17.15    $906.97      $453.81      $181.39
54650...  C                   Orchiopexy (Fowler-      .........  .........  .........  ...........  ...........
                               Stephens).
54660...  T                   Revision of testis.....        546      17.15    $906.97      $453.81      $181.39
54670...  T                   Repair testis injury...        546      17.15    $906.97      $453.81      $181.39
54680...  T                   Relocation of                  546      17.15    $906.97      $453.81      $181.39
                               testis(es).
54700...  T                   Drainage of scrotum....        546      17.15    $906.97      $453.81      $181.39
54800...  T                   Biopsy of epididymis...        122       4.87     $257.6      $115.03       $51.52
54820...  T                   Exploration of                 546      17.15    $906.97      $453.81      $181.39
                               epididymis.
54830...  T                   Remove epididymis              546      17.15    $906.97      $453.81      $181.39
                               lesion.
54840...  T                   Remove epididymis              546      17.15    $906.97      $453.81      $181.39
                               lesion.
54860...  T                   Removal of epididymis..        546      17.15    $906.97      $453.81      $181.39
54861...  T                   Removal of epididymis..        546      17.15    $906.97      $453.81      $181.39
54900...  T                   Fusion of spermatic            546      17.15    $906.97      $453.81      $181.39
                               ducts.
54901...  T                   Fusion of spermatic            546      17.15    $906.97      $453.81      $181.39
                               ducts.
55000...  T                   Drainage of hydrocele..        121       0.67     $35.26       $21.02        $7.05
55040...  T                   Removal of hydrocele...        466      21.43  $1,133.23      $562.97      $226.65
55041...  T                   Removal of hydroceles..        466      21.43  $1,133.23      $562.97      $226.65
55060...  T                   Repair of hydrocele....        546      17.15    $906.97      $453.81      $181.39
55100...  T                   Drainage of scrotum            132       6.04     $319.3      $134.24       $63.86
                               abscess.
55110...  T                   Explore scrotum........        546      17.15    $906.97      $453.81      $181.39
55120...  T                   Removal of scrotum             546      17.15    $906.97      $453.81      $181.39
                               lesion.
55150...  T                   Removal of scrotum.....        546      17.15    $906.97      $453.81      $181.39
55175...  T                   Revision of scrotum....        546      17.15    $906.97      $453.81      $181.39
55180...  T                   Revision of scrotum....        546      17.15    $906.97      $453.81      $181.39
55200...  T                   Incision of sperm duct.        546      17.15    $906.97      $453.81      $181.39
55250...  T                   Removal of sperm               546      17.15    $906.97      $453.81      $181.39
                               duct(s).
55300...  T                   Preparation,sperm duct         347       2.93    $154.75       $62.15       $30.95
                               x-ray.
55400...  T                   Repair of sperm duct...        546      17.15    $906.97      $453.81      $181.39
55450...  T                   Ligation of sperm duct.        546      17.15    $906.97      $453.81      $181.39
55500...  T                   Removal of hydrocele...        546      17.15    $906.97      $453.81      $181.39
55520...  T                   Removal of sperm cord          546      17.15    $906.97      $453.81      $181.39
                               lesion.
55530...  T                   Revise spermatic cord          546      17.15    $906.97      $453.81      $181.39
                               veins.
55535...  T                   Revise spermatic cord          546      17.15    $906.97      $453.81      $181.39
                               veins.
55540...  T                   Revise hernia & sperm          546      17.15    $906.97      $453.81      $181.39
                               veins.
55600...  C                   Incise sperm duct pouch  .........  .........  .........  ...........  ...........
55605...  C                   Incise sperm duct pouch  .........  .........  .........  ...........  ...........
55650...  C                   Remove sperm duct pouch  .........  .........  .........  ...........  ...........
55680...  T                   Remove sperm pouch             546      17.15    $906.97      $453.81      $181.39
                               lesion.
55700...  T                   Biopsy of prostate.....        547       4.39    $232.13       $125.2       $46.43
55705...  T                   Biopsy of prostate.....        547       4.39    $232.13       $125.2       $46.43
55720...  T                   Drainage of prostate           523      16.87    $892.28      $447.03      $178.46
                               abscess.
55725...  T                   Drainage of prostate           523      16.87    $892.28      $447.03      $178.46
                               abscess.
55801...  C                   Removal of prostate....  .........  .........  .........  ...........  ...........
55810...  C                   Extensive prostate       .........  .........  .........  ...........  ...........
                               surgery.
55812...  C                   Extensive prostate       .........  .........  .........  ...........  ...........
                               surgery.
55815...  C                   Extensive prostate       .........  .........  .........  ...........  ...........
                               surgery.
55821...  C                   Removal of prostate....  .........  .........  .........  ...........  ...........
55831...  C                   Removal of prostate....  .........  .........  .........  ...........  ...........
55840...  C                   Extensive prostate       .........  .........  .........  ...........  ...........
                               surgery.
55842...  C                   Extensive prostate       .........  .........  .........  ...........  ...........
                               surgery.
55845...  C                   Extensive prostate       .........  .........  .........  ...........  ...........
                               surgery.
55859...  T                   Percut/needle insert,          523      16.87    $892.28      $447.03      $178.46
                               pros.
55860...  C                   Surgical exposure,       .........  .........  .........  ...........  ...........
                               prostate.
55862...  C                   Extensive prostate       .........  .........  .........  ...........  ...........
                               surgery.
55865...  C                   Extensive prostate       .........  .........  .........  ...........  ...........
                               surgery.
55870...  T                   Electroejaculation.....        568       2.50    $132.23       $49.49       $26.45
55899...  T                   Genital surgery                530       2.52    $133.21       $54.69       $26.64
                               procedure.
55970...  E                   Sex transformation, M    .........  .........  .........  ...........  ...........
                               to F.
55980...  E                   Sex transformation, F    .........  .........  .........  ...........  ...........
                               to M.
56300...  T                   Laparoscopy; diagnostic        551      24.78  $1,310.51      $711.67       $262.1
56301...  T                   Laparoscopy; tubal             551      24.78  $1,310.51      $711.67       $262.1
                               cautery.
56302...  T                   Laparoscopy; tubal             551      24.78  $1,310.51      $711.67       $262.1
                               block.
56303...  T                   Laparoscopy; excise            551      24.78  $1,310.51      $711.67       $262.1
                               lesions.
56304...  T                   Laparoscopy; lysis.....        551      24.78  $1,310.51      $711.67       $262.1
56305...  T                   Laparoscopy; biopsy....        551      24.78  $1,310.51      $711.67       $262.1
56306...  T                   Laparoscopy; aspiration        551      24.78  $1,310.51      $711.67       $262.1
56307...  T                   Laparoscopy; remove            552      37.72  $1,995.15    $1,053.16      $399.03
                               adnexa.
56308...  C                   Laparoscopy;             .........  .........  .........  ...........  ...........
                               hysterectomy.
56309...  T                   Laparoscopy; remove            552      37.72  $1,995.15    $1,053.16      $399.03
                               myoma.

[[Page 47675]]

56310...  C                   Laparoscopic             .........  .........  .........  ...........  ...........
                               enterolysis.
56311...  T                   Laparoscopic lymph node        552      37.72  $1,995.15    $1,053.16      $399.03
                               biop.
56312...  T                   Laparoscopic                   552      37.72  $1,995.15    $1,053.16      $399.03
                               lymphadenectomy.
56313...  T                   Laparoscopic                   552      37.72  $1,995.15    $1,053.16      $399.03
                               lymphadenectomy.
56314...  C                   Lapar; drain lymphocele  .........  .........  .........  ...........  ...........
56315...  C                   Laparoscopic             .........  .........  .........  ...........  ...........
                               appendectomy.
56316...  T                   Laparoscopic hernia            552      37.72  $1,995.15    $1,053.16      $399.03
                               repair.
56317...  T                   Laparoscopic hernia            552      37.72  $1,995.15    $1,053.16      $399.03
                               repair.
56318...  T                   Laparoscopic                   552      37.72  $1,995.15    $1,053.16      $399.03
                               orchiectomy.
56320...  T                   Laparoscopy, spermatic         552      37.72  $1,995.15    $1,053.16      $399.03
                               veins.
56322...  C                   Laparoscopy, vagus       .........  .........  .........  ...........  ...........
                               nerves.
56323...  C                   Laparoscopy, vagus       .........  .........  .........  ...........  ...........
                               nerves.
56324...  C                   Laparoscopy,             .........  .........  .........  ...........  ...........
                               cholecystoenter.
56340...  C                   Laparoscopic             .........  .........  .........  ...........  ...........
                               cholecystectomy.
56341...  C                   Laparoscopic             .........  .........  .........  ...........  ...........
                               cholecystectomy.
56342...  C                   Laparoscopic             .........  .........  .........  ...........  ...........
                               cholecystectomy.
56343...  T                   Laparoscopic                   552      37.72  $1,995.15    $1,053.16      $399.03
                               salpingostomy.
56344...  T                   Laparoscopic                   552      37.72  $1,995.15    $1,053.16      $399.03
                               fimbrioplasty.
56345...  C                   Laparoscopic             .........  .........  .........  ...........  ...........
                               splenectomy.
56346...  T                   Laparoscopic                   551      24.78  $1,310.51      $711.67       $262.1
                               gastrostomy.
56347...  C                   Laparoscopic             .........  .........  .........  ...........  ...........
                               jejunostomy.
56348...  C                   Laparo; resect           .........  .........  .........  ...........  ...........
                               intestine.
56349...  C                   Laparoscopy;             .........  .........  .........  ...........  ...........
                               fundoplasty.
56350...  T                   Hysteroscopy;                  562      12.76    $674.84      $330.86      $134.97
                               diagnostic.
56351...  T                   Hysteroscopy; biopsy...        550      16.89    $893.26      $447.93      $178.65
56352...  T                   Hysteroscopy; lysis....        550      16.89    $893.26      $447.93      $178.65
56353...  T                   Hysteroscopy; resect           550      16.89    $893.26      $447.93      $178.65
                               septum.
56354...  T                   Hysteroscopy; remove           550      16.89    $893.26      $447.93      $178.65
                               myoma.
56355...  T                   Hysteroscopy; remove           550      16.89    $893.26      $447.93      $178.65
                               impact.
56356...  T                   Hysteroscopy; ablation.        550      16.89    $893.26      $447.93      $178.65
56362...  T                   Laparoscopy w/cholangio        552      37.72  $1,995.15    $1,053.16      $399.03
56363...  T                   Laparoscopy w/biopsy...        552      37.72  $1,995.15    $1,053.16      $399.03
56399...  T                   Laparoscopy procedure..        562      12.76    $674.84      $330.86      $134.97
56405...  T                   I & D of vulva/perineum        561       1.52     $80.32       $24.63       $16.06
56420...  T                   Drainage of gland              561       1.52     $80.32       $24.63       $16.06
                               abscess.
56440...  T                   Surgery for vulva              562      12.76    $674.84      $330.86      $134.97
                               lesion.
56441...  T                   Lysis of labial                561       1.52     $80.32       $24.63       $16.06
                               lesion(s).
56501...  T                   Destruction, vulva             152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
56515...  T                   Destruction, vulva             152      10.43    $551.43      $261.71      $110.29
                               lesion(s).
56605...  T                   Biopsy of vulva/               161       3.50    $385.12       $75.48       $37.02
                               perineum.
56606...  T                   Biopsy of vulva/               161       3.50    $185.12       $75.48       $37.02
                               perineum.
56620...  T                   Partial removal of             563      16.91    $894.24      $464.88      $178.85
                               vulva.
56625...  T                   Complete removal of            563      16.91    $894.24      $464.88      $178.85
                               vulva.
56630...  C                   Extensive vulva surgery  .........  .........  .........  ...........  ...........
56631...  C                   Extensive vulva surgery  .........  .........  .........  ...........  ...........
56632...  C                   Extensive vulva surgery  .........  .........  .........  ...........  ...........
56633...  C                   Extensive vulva surgery  .........  .........  .........  ...........  ...........
56634...  C                   Extensive vulva surgery  .........  .........  .........  ...........  ...........
56637...  C                   Extensive vulva surgery  .........  .........  .........  ...........  ...........
56640...  C                   Extensive vulva surgery  .........  .........  .........  ...........  ...........
56700...  T                   Partial removal of             562      12.76    $674.84      $330.86      $134.97
                               hymen.
56720...  T                   Incision of hymen......        562      12.76    $674.84      $330.86      $134.97
56740...  T                   Remove vagina gland            562      12.76    $674.84      $330.86      $134.97
                               lesion.
56800...  T                   Repair of vagina.......        562      12.76    $674.84      $330.86      $134.97
56805...  C                   Repair clitoris........  .........  .........  .........  ...........  ...........
56810...  T                   Repair of perineum.....        562      12.76    $674.84      $330.86      $134.97
57000...  T                   Exploration of vagina..        562      12.76    $674.84      $330.86      $134.97
57010...  T                   Drainage of pelvic             562      12.76    $674.84      $330.86      $134.97
                               abscess.
57020...  T                   Drainage of pelvic             562      12.76    $674.84      $330.86      $134.97
                               fluid.
57061...  T                   Destruction vagina             561       1.52     $80.32       $24.63       $16.06
                               lesion(s).
57065...  T                   Destruction vagina             562      12.76    $674.84      $330.86      $134.97
                               lesion(s).
57100...  T                   Biopsy of vagina.......        561       1.52     $80.32       $24.63       $16.06
57105...  T                   Biopsy of vagina.......        562      12.76    $674.84      $330.86      $134.97
57108...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               vagina.
57110...  C                   Removal of vagina......  .........  .........  .........  ...........  ...........
57120...  C                   Closure of vagina......  .........  .........  .........  ...........  ...........
57130...  T                   Remove vagina lesion...        562      12.76    $674.84      $330.86      $134.97
57135...  T                   Remove vagina lesion...        562      12.76    $674.84      $330.86      $134.97
57150...  T                   Treat vagina infection.        561       1.52     $80.32       $24.63       $16.06
57160...  T                   Insertion of pessary/          561       1.52     $80.32       $24.63       $16.06
                               device.
57170...  T                   Fitting of diaphragm/          561       1.52     $80.32       $24.63       $16.06
                               cap.
57180...  T                   Treat vaginal bleeding.        561       1.52     $80.32       $24.63       $16.06
57200...  T                   Repair of vagina.......        562      12.76    $674.84      $330.86      $134.97
57210...  T                   Repair vagina/perineum.        562      12.76    $674.84      $330.86      $134.97
57220...  T                   Revision of urethra....        563      16.91    $894.24      $464.88      $178.85

[[Page 47676]]

57230...  T                   Repair of urethral             562      12.76    $674.84      $330.86      $134.97
                               lesion.
57240...  T                   Repair bladder & vagina        563      16.91    $894.24      $464.88      $178.85
57250...  T                   Repair rectum & vagina.        563      16.91    $894.24      $464.88      $178.85
57260...  T                   Repair of vagina.......        563      16.91    $894.24      $464.88      $178.85
57265...  T                   Extensive repair of            563      16.91    $894.24      $464.88      $178.85
                               vagina.
57268...  T                   Repair of bowel bulge..        563      16.91    $894.24      $464.88      $178.85
57270...  C                   Repair of bowel pouch..  .........  .........  .........  ...........  ...........
57280...  C                   Suspension of vagina...  .........  .........  .........  ...........  ...........
57282...  C                   Repair of vaginal        .........  .........  .........  ...........  ...........
                               prolapse.
57284...  T                   Repair paravaginal             563      16.91    $894.24      $464.88      $178.85
                               defect.
57288...  T                   Repair bladder defect..        563      16.91    $894.24      $464.88      $178.85
57289...  T                   Repair bladder & vagina        563      16.91    $894.24      $464.88      $178.85
57291...  T                   Construction of vagina.        563      16.91    $894.24      $464.88      $178.85
57292...  C                   Construct vagina with    .........  .........  .........  ...........  ...........
                               graft.
57300...  T                   Repair rectum-vagina           563      16.91    $894.24      $464.88      $178.85
                               fistula.
57305...  C                   Repair rectum-vagina     .........  .........  .........  ...........  ...........
                               fistula.
57307...  C                   Fistula repair &         .........  .........  .........  ...........  ...........
                               colostomy.
57308...  C                   Fistula repair,          .........  .........  .........  ...........  ...........
                               transperine.
57310...  C                   Repair urethrovaginal    .........  .........  .........  ...........  ...........
                               lesion.
57311...  C                   Repair urethrovaginal    .........  .........  .........  ...........  ...........
                               lesion.
57320...  C                   Repair bladder-vagina    .........  .........  .........  ...........  ...........
                               lesion.
57330...  C                   Repair bladder-vagina    .........  .........  .........  ...........  ...........
                               lesion.
57335...  C                   Repair vagina..........  .........  .........  .........  ...........  ...........
57400...  T                   Dilation of vagina.....        562      12.76    $674.84      $330.86      $134.97
57410...  T                   Pelvic examination.....        562      12.76    $674.84      $330.86      $134.97
57415...  T                   Removal vaginal foreign        562      12.76    $674.84      $330.86      $134.97
                               body.
57452...  T                   Examination of vagina..        561       1.52     $80.32       $24.63       $16.06
57454...  T                   Vagina examination &           561       1.52     $80.32       $24.63       $16.06
                               biopsy.
57460...  T                   Cervix excision........        562      12.76    $674.84      $330.86      $134.97
57500...  T                   Biopsy of cervix.......        561       1.52     $80.32       $24.63       $16.06
57505...  T                   Endocervical curettage.        561       1.52     $80.32       $24.63       $16.06
57510...  T                   Cauterization of cervix        561       1.52     $80.32       $24.63       $16.06
57511...  T                   Cryocautery of cervix..        561       1.52     $80.32       $24.63       $16.06
57513...  T                   Laser surgery of cervix        561       1.52     $80.32       $24.63       $16.06
57520...  T                   Conization of cervix...        563      16.91    $894.24      $464.88      $178.85
57522...  T                   Conization of cervix...        563      16.91    $894.24      $464.88      $178.85
57530...  T                   Removal of cervix......        563      16.91    $894.24      $464.88      $178.85
57531...  C                   Removal of cervix,       .........  .........  .........  ...........  ...........
                               radical.
57540...  C                   Removal of residual      .........  .........  .........  ...........  ...........
                               cervix.
57545...  C                   Remove cervix, repair    .........  .........  .........  ...........  ...........
                               pelvis.
57550...  T                   Removal of residual            563      16.91    $894.24      $464.88      $178.85
                               cervix.
57555...  T                   Remove cervix, repair          563      16.91    $894.24      $464.88      $178.85
                               vagina.
57556...  T                   Remove cervix, repair          563      16.91    $894.24      $464.88      $178.85
                               bowel.
57700...  T                   Revision of cervix.....        562      12.76    $674.84      $330.86      $134.97
57720...  T                   Revision of cervix.....        562      12.76    $674.84      $330.86      $134.97
57800...  T                   Dilation of cervical           561       1.52     $80.32       $24.63       $16.06
                               canal.
57820...  T                   D&c of residual cervix.        567      13.61     $719.9      $364.09      $143.98
58100...  T                   Biopsy of uterus lining        561       1.52     $80.32       $24.63       $16.06
58120...  T                   Dilation and curettage         567      13.61     $719.9      $364.09      $143.98
                               (D&C).
58140...  C                   Removal of uterus        .........  .........  .........  ...........  ...........
                               lesion.
58145...  T                   Removal of uterus              563      16.91    $894.24      $464.88      $178.85
                               lesion.
58150...  C                   Total hysterectomy.....  .........  .........  .........  ...........  ...........
58152...  C                   Total hysterectomy.....  .........  .........  .........  ...........  ...........
58180...  C                   Partial hysterectomy...  .........  .........  .........  ...........  ...........
58200...  C                   Extensive hysterectomy.  .........  .........  .........  ...........  ...........
58210...  C                   Extensive hysterectomy.  .........  .........  .........  ...........  ...........
58240...  C                   Removal of pelvis        .........  .........  .........  ...........  ...........
                               contents.
58260...  C                   Vaginal hysterectomy...  .........  .........  .........  ...........  ...........
58262...  C                   Vaginal hysterectomy...  .........  .........  .........  ...........  ...........
58263...  C                   Vaginal hysterectomy...  .........  .........  .........  ...........  ...........
58267...  C                   Hysterectomy & vagina    .........  .........  .........  ...........  ...........
                               repair.
58270...  C                   Hysterectomy & vagina    .........  .........  .........  ...........  ...........
                               repair.
58275...  C                   Hysterectomy, revise     .........  .........  .........  ...........  ...........
                               vagina.
58280...  C                   Hysterectomy, revise     .........  .........  .........  ...........  ...........
                               vagina.
58285...  C                   Extensive hysterectomy.  .........  .........  .........  ...........  ...........
58300...  E                   Insert intrauterine      .........  .........  .........  ...........  ...........
                               device.
58301...  T                   Remove intrauterine            561       1.52     $80.32       $24.63       $16.06
                               device.
58321...  T                   Artificial insemination        568       2.50    $132.23       $49.49       $26.45
58322...  T                   Artificial insemination        568       2.50    $132.23       $49.49       $26.45
58323...  T                   Sperm washing..........        568       2.50    $132.23       $49.49       $26.45
58340...  T                   Catheter for                   347       2.93    $154.75       $62.15       $30.95
                               hysterography.
58345...  T                   Reopen fallopian tube..        562      12.76    $674.84      $330.86      $134.97
58350...  T                   Reopen fallopian tube..        562      12.76    $674.84      $330.86      $134.97
58400...  C                   Suspension of uterus...  .........  .........  .........  ...........  ...........
58410...  C                   Suspension of uterus...  .........  .........  .........  ...........  ...........

[[Page 47677]]

58520...  C                   Repair of ruptured       .........  .........  .........  ...........  ...........
                               uterus.
58540...  C                   Revision of uterus.....  .........  .........  .........  ...........  ...........
58600...  C                   Division of fallopian    .........  .........  .........  ...........  ...........
                               tube.
58605...  C                   Division of fallopian    .........  .........  .........  ...........  ...........
                               tube.
58611...  C                   Ligate oviduct(s)......  .........  .........  .........  ...........  ...........
58615...  C                   Occlude fallopian        .........  .........  .........  ...........  ...........
                               tube(s).
58700...  C                   Removal of fallopian     .........  .........  .........  ...........  ...........
                               tube.
58720...  C                   Removal of ovary/        .........  .........  .........  ...........  ...........
                               tube(s).
58740...  C                   Revise fallopian         .........  .........  .........  ...........  ...........
                               tube(s).
58750...  C                   Repair oviduct.........  .........  .........  .........  ...........  ...........
58752...  C                   Revise ovarian tube(s).  .........  .........  .........  ...........  ...........
58760...  C                   Remove tubal             .........  .........  .........  ...........  ...........
                               obstruction.
58770...  C                   Create new tubal         .........  .........  .........  ...........  ...........
                               opening.
58800...  T                   Drainage of ovarian            563      16.91    $894.24      $464.88      $178.85
                               cyst(s).
58805...  C                   Drainage of ovarian      .........  .........  .........  ...........  ...........
                               cyst(s).
58820...  T                   Open drain ovary               563      16.91    $894.24      $464.88      $178.85
                               abscess.
58822...  C                   Percut drain ovary       .........  .........  .........  ...........  ...........
                               abscess.
58823...  C                   Percut drain pelvic      .........  .........  .........  ...........  ...........
                               abscess.
58825...  C                   Transposition, ovary(s)  .........  .........  .........  ...........  ...........
58900...  C                   Biopsy of ovary(s).....  .........  .........  .........  ...........  ...........
58920...  C                   Partial removal of       .........  .........  .........  ...........  ...........
                               ovary(s).
58925...  C                   Removal of ovarian       .........  .........  .........  ...........  ...........
                               cyst(s).
58940...  C                   Removal of ovary(s)....  .........  .........  .........  ...........  ...........
58943...  C                   Removal of ovary(s)....  .........  .........  .........  ...........  ...........
58950...  C                   Resect ovarian           .........  .........  .........  ...........  ...........
                               malignancy.
58951...  C                   Resect ovarian           .........  .........  .........  ...........  ...........
                               malignancy.
58952...  C                   Resect ovarian           .........  .........  .........  ...........  ...........
                               malignancy.
58960...  C                   Exploration of abdomen.  .........  .........  .........  ...........  ...........
58970...  T                   Retrieval of oocyte....        562      12.76    $674.84      $330.86      $134.97
58974...  T                   Transfer of embryo.....        568       2.50    $132.23       $49.49       $26.45
58976...  T                   Transfer of embryo.....        568       2.50    $132.23       $49.49       $26.45
58999...  T                   Genital surgery                161       3.50    $185.12       $75.48       $37.02
                               procedure.
59000...  T                   Amniocentesis..........        578       1.26     $66.60       $33.90       $13.32
59012...  T                   Fetal cord puncture,           578       1.26     $66.60       $33.90       $13.32
                               prenatal.
59015...  T                   Chorion biopsy.........        578       1.26     $66.60       $33.90       $13.32
59020...  T                   Fetal contract stress          578       1.26     $66.60       $33.90       $13.32
                               test.
59025...  T                   Fetal non-stress test..        578       1.26     $66.60       $33.90       $13.32
59030...  T                   Fetal scalp blood              578       1.26     $66.60       $33.90       $13.32
                               sample.
59050...  T                   Fetal monitor w/report.        578       1.26     $66.60       $33.90       $13.32
59051...  N                   Fetal monitor/interpret  .........  .........  .........  ...........  ...........
                               only.
59100...  C                   Remove uterus lesion...  .........  .........  .........  ...........  ...........
59120...  C                   Treat ectopic pregnancy  .........  .........  .........  ...........  ...........
59121...  C                   Treat ectopic pregnancy  .........  .........  .........  ...........  ...........
59130...  C                   Treat ectopic pregnancy  .........  .........  .........  ...........  ...........
59135...  C                   Treat ectopic pregnancy  .........  .........  .........  ...........  ...........
59136...  C                   Treat ectopic pregnancy  .........  .........  .........  ...........  ...........
59140...  C                   Treat ectopic pregnancy  .........  .........  .........  ...........  ...........
59150...  C                   Treat ectopic pregnancy  .........  .........  .........  ...........  ...........
59151...  C                   Treat ectopic pregnancy  .........  .........  .........  ...........  ...........
59160...  T                   D&C after delivery.....        567      13.61    $719.90      $364.09      $143.98
59200...  T                   Insert cervical dilator        561       1.52     $80.32       $24.63       $16.06
59300...  T                   Episiotomy or vaginal          562      12.76    $674.84      $330.86      $134.97
                               repair.
59320...  T                   Revision of cervix.....        562      12.76    $674.84      $330.86      $134.97
59325...  C                   Revision of cervix.....  .........  .........  .........  ...........  ...........
59350...  C                   Repair of uterus.......  .........  .........  .........  ...........  ...........
59400...  E                   Obstetrical care.......  .........  .........  .........  ...........  ...........
59409...  T                   Obstetrical care.......        580       4.59    $242.90      $146.45       $48.58
59410...  E                   Obstetrical care.......  .........  .........  .........  ...........  ...........
59412...  T                   Antepartum manipulation        580       4.59    $242.90      $146.45       $48.58
59414...  T                   Deliver placenta.......        580       4.59    $242.90      $146.45       $48.58
59425...  E                   Antepartum care only...  .........  .........  .........  ...........  ...........
59426...  E                   Antepartum care only...  .........  .........  .........  ...........  ...........
59430...  E                   Care after delivery....  .........  .........  .........  ...........  ...........
59510...  E                   Cesarean delivery......  .........  .........  .........  ...........  ...........
59514...  C                   Cesarean delivery only.  .........  .........  .........  ...........  ...........
59515...  E                   Cesarean delivery......  .........  .........  .........  ...........  ...........
59525...  C                   Remove uterus after      .........  .........  .........  ...........  ...........
                               cesarean.
59610...  E                   Vbac delivery..........  .........  .........  .........  ...........  ...........
59612...  T                   Vbac delivery only.....        580       4.59    $242.90      $146.45       $48.58
59614...  E                   Vbac care after          .........  .........  .........  ...........  ...........
                               delivery.
59618...  E                   Attempted vbac delivery  .........  .........  .........  ...........  ...........
59620...  C                   Attempted vbac delivery  .........  .........  .........  ...........  ...........
                               only.
59622...  E                   Attempted vbac after     .........  .........  .........  ...........  ...........
                               care.
59812...  T                   Treatment of                   587      13.26    $701.29      $347.14      $140.26
                               miscarriage.
59820...  T                   Care of miscarriage....        587      13.26    $701.29      $347.14      $140.26

[[Page 47678]]

59821...  T                   Treatment of                   587      13.26    $701.29      $347.14      $140.26
                               miscarriage.
59830...  C                   Treat uterus infection.  .........  .........  .........  ...........  ...........
59840...  T                   Abortion...............        586      12.50    $661.13      $431.89      $132.23
59841...  T                   Abortion...............        586      12.50    $661.13      $431.89      $132.23
59850...  C                   Abortion...............  .........  .........  .........  ...........  ...........
59851...  C                   Abortion...............  .........  .........  .........  ...........  ...........
59852...  C                   Abortion...............  .........  .........  .........  ...........  ...........
59855...  C                   Abortion...............  .........  .........  .........  ...........  ...........
59856...  C                   Abortion...............  .........  .........  .........  ...........  ...........
59857...  C                   Abortion...............  .........  .........  .........  ...........  ...........
59866...  C                   Abortion...............  .........  .........  .........  ...........  ...........
59870...  T                   Evacuate mole of uterus        587      13.26    $701.29      $347.14      $140.26
59871...  T                   Remove cerclage suture.        562      12.76    $674.84      $330.86      $134.97
59899...  T                   Maternity care                 578       1.26     $66.60       $33.90       $13.32
                               procedure.
60000...  T                   Drain thyroid/tongue           312       7.26    $383.95      $178.31       $76.79
                               cyst.
60001...  T                   Aspirate/inject thyroid        121       0.67     $35.26       $21.02        $7.05
                               cyst.
60100...  T                   Biopsy of thyroid......        122       4.87    $257.60      $115.03       $51.52
60200...  T                   Remove thyroid lesion..        397      18.37    $971.62      $496.97      $194.32
60210...  T                   Partial excision               397      18.37    $971.62      $496.97      $194.32
                               thyroid.
60212...  C                   Partial thyroid          .........  .........  .........  ...........  ...........
                               excision.
60220...  T                   Partial removal of             397      18.37    $971.62      $496.97      $194.32
                               thyroid.
60225...  T                   Partial removal of             397      18.37    $971.62      $496.97      $194.32
                               thyroid.
60240...  T                   Removal of thyroid.....        397      18.37    $971.62      $496.97      $194.32
60252...  C                   Removal of thyroid.....  .........  .........  .........  ...........  ...........
60254...  C                   Extensive thyroid        .........  .........  .........  ...........  ...........
                               surgery.
60260...  C                   Repeat thyroid surgery.  .........  .........  .........  ...........  ...........
60270...  C                   Removal of thyroid.....  .........  .........  .........  ...........  ...........
60271...  C                   Removal of thyroid.....  .........  .........  .........  ...........  ...........
60280...  T                   Remove thyroid duct            397      18.37    $971.62      $496.97      $194.32
                               lesion.
60281...  T                   Remove thyroid duct            397      18.37    $971.62      $496.97      $194.32
                               lesion.
60500...  C                   Explore parathyroid      .........  .........  .........  ...........  ...........
                               glands.
60502...  C                   Re-explore parathyroids  .........  .........  .........  ...........  ...........
60505...  C                   Explore parathyroid      .........  .........  .........  ...........  ...........
                               glands.
60512...  C                   Autotransplant,          .........  .........  .........  ...........  ...........
                               parathyroid.
60520...  C                   Removal of thymus gland  .........  .........  .........  ...........  ...........
60521...  C                   Removal thymus gland...  .........  .........  .........  ...........  ...........
60522...  C                   Removal of thymus gland  .........  .........  .........  ...........  ...........
60540...  C                   Explore adrenal gland..  .........  .........  .........  ...........  ...........
60545...  C                   Explore adrenal gland..  .........  .........  .........  ...........  ...........
60600...  C                   Remove carotid body      .........  .........  .........  ...........  ...........
                               lesion.
60605...  C                   Remove carotid body      .........  .........  .........  ...........  ...........
                               lesion.
60699...  T                   Endocrine surgery              121       0.67     $35.26       $21.02        $7.05
                               procedure.
61000...  T                   Remove cranial cavity          602       3.33    $176.30       $87.69       $35.26
                               fluid.
61001...  T                   Remove cranial cavity          602       3.33    $176.30       $87.69       $35.26
                               fluid.
61020...  T                   Remove brain cavity            602       3.33    $176.30       $87.69       $35.26
                               fluid.
61026...  T                   Injection into brain           602       3.33    $176.30       $87.69       $35.26
                               canal.
61050...  T                   Remove brain canal             602       3.33    $176.30       $87.69       $35.26
                               fluid.
61055...  T                   Injection into brain           602       3.33    $176.30       $87.69       $35.26
                               canal.
61070...  T                   Brain canal shunt              602       3.33    $176.30       $87.69       $35.26
                               procedure.
61105...  C                   Drill skull for          .........  .........  .........  ...........  ...........
                               examination.
61106...  C                   Drill skull for exam/    .........  .........  .........  ...........  ...........
                               surgery.
61107...  C                   Drill skull for          .........  .........  .........  ...........  ...........
                               implantation.
61108...  C                   Drill skull for          .........  .........  .........  ...........  ...........
                               drainage.
61120...  C                   Pierce skull for         .........  .........  .........  ...........  ...........
                               examination.
61130...  C                   Pierce skull, exam/      .........  .........  .........  ...........  ...........
                               surgery.
61140...  C                   Pierce skull for biopsy  .........  .........  .........  ...........  ...........
61150...  C                   Pierce skull for         .........  .........  .........  ...........  ...........
                               drainage.
61151...  C                   Pierce skull for         .........  .........  .........  ...........  ...........
                               drainage.
61154...  C                   Pierce skull, remove     .........  .........  .........  ...........  ...........
                               clot.
61156...  C                   Pierce skull for         .........  .........  .........  ...........  ...........
                               drainage.
61210...  C                   Pierce skull; implant    .........  .........  .........  ...........  ...........
                               device.
61215...  T                   Insert brain-fluid             618      25.56  $1,351.64      $780.60      $270.33
                               device.
61250...  C                   Pierce skull & explore.  .........  .........  .........  ...........  ...........
61253...  C                   Pierce skull & explore.  .........  .........  .........  ...........  ...........
61304...  C                   Open skull for           .........  .........  .........  ...........  ...........
                               exploration.
61305...  C                   Open skull for           .........  .........  .........  ...........  ...........
                               exploration.
61312...  C                   Open skull for drainage  .........  .........  .........  ...........  ...........
61313...  C                   Open skull for drainage  .........  .........  .........  ...........  ...........
61314...  C                   Open skull for drainage  .........  .........  .........  ...........  ...........
61315...  C                   Open skull for drainage  .........  .........  .........  ...........  ...........
61320...  C                   Open skull for drainage  .........  .........  .........  ...........  ...........
61321...  C                   Open skull for drainage  .........  .........  .........  ...........  ...........
61330...  C                   Decompress eye socket..  .........  .........  .........  ...........  ...........
61332...  C                   Explore/biopsy eye       .........  .........  .........  ...........  ...........
                               socket.
61333...  C                   Explore orbit; remove    .........  .........  .........  ...........  ...........
                               lesion.

[[Page 47679]]

61334...  C                   Explore orbit; remove    .........  .........  .........  ...........  ...........
                               object.
61340...  C                   Relieve cranial          .........  .........  .........  ...........  ...........
                               pressure.
61343...  C                   Incise skull, pressure   .........  .........  .........  ...........  ...........
                               relief.
61345...  C                   Relieve cranial          .........  .........  .........  ...........  ...........
                               pressure.
61440...  C                   Incise skull for         .........  .........  .........  ...........  ...........
                               surgery.
61450...  C                   Incise skull for         .........  .........  .........  ...........  ...........
                               surgery.
61458...  C                   Incise skull for brain   .........  .........  .........  ...........  ...........
                               wound.
61460...  C                   Incise skull for         .........  .........  .........  ...........  ...........
                               surgery.
61470...  C                   Incise skull for         .........  .........  .........  ...........  ...........
                               surgery.
61480...  C                   Incise skull for         .........  .........  .........  ...........  ...........
                               surgery.
61490...  C                   Incise skull for         .........  .........  .........  ...........  ...........
                               surgery.
61500...  C                   Removal of skull lesion  .........  .........  .........  ...........  ...........
61501...  C                   Remove infected skull    .........  .........  .........  ...........  ...........
                               bone.
61510...  C                   Removal of brain lesion  .........  .........  .........  ...........  ...........
61512...  C                   Remove brain lining      .........  .........  .........  ...........  ...........
                               lesion.
61514...  C                   Removal of brain         .........  .........  .........  ...........  ...........
                               abscess.
61516...  C                   Removal of brain lesion  .........  .........  .........  ...........  ...........
61518...  C                   Removal of brain lesion  .........  .........  .........  ...........  ...........
61519...  C                   Remove brain lining      .........  .........  .........  ...........  ...........
                               lesion.
61520...  C                   Removal of brain lesion  .........  .........  .........  ...........  ...........
61521...  C                   Removal of brain lesion  .........  .........  .........  ...........  ...........
61522...  C                   Removal of brain         .........  .........  .........  ...........  ...........
                               abscess.
61524...  C                   Removal of brain lesion  .........  .........  .........  ...........  ...........
61526...  C                   Removal of brain lesion  .........  .........  .........  ...........  ...........
61530...  C                   Removal of brain lesion  .........  .........  .........  ...........  ...........
61531...  C                   Implant brain            .........  .........  .........  ...........  ...........
                               electrodes.
61533...  C                   Implant brain            .........  .........  .........  ...........  ...........
                               electrodes.
61534...  C                   Removal of brain lesion  .........  .........  .........  ...........  ...........
61535...  C                   Remove brain electrodes  .........  .........  .........  ...........  ...........
61536...  C                   Removal of brain lesion  .........  .........  .........  ...........  ...........
61538...  C                   Removal of brain tissue  .........  .........  .........  ...........  ...........
61539...  C                   Removal of brain tissue  .........  .........  .........  ...........  ...........
61541...  C                   Incision of brain        .........  .........  .........  ...........  ...........
                               tissue.
61542...  C                   Removal of brain tissue  .........  .........  .........  ...........  ...........
61543...  C                   Removal of brain tissue  .........  .........  .........  ...........  ...........
61544...  C                   Remove and treat brain   .........  .........  .........  ...........  ...........
                               lesion.
61545...  C                   Excision of brain tumor  .........  .........  .........  ...........  ...........
61546...  C                   Removal of pituitary     .........  .........  .........  ...........  ...........
                               gland.
61548...  C                   Removal of pituitary     .........  .........  .........  ...........  ...........
                               gland.
61550...  C                   Release of skull seams.  .........  .........  .........  ...........  ...........
61552...  C                   Release of skull seams.  .........  .........  .........  ...........  ...........
61556...  C                   Incise skull/sutures...  .........  .........  .........  ...........  ...........
61557...  C                   Incise skull/sutures...  .........  .........  .........  ...........  ...........
61558...  C                   Excision of skull/       .........  .........  .........  ...........  ...........
                               sutures.
61559...  C                   Excision of skull/       .........  .........  .........  ...........  ...........
                               sutures.
61563...  C                   Excision of skull tumor  .........  .........  .........  ...........  ...........
61564...  C                   Excision of skull tumor  .........  .........  .........  ...........  ...........
61570...  C                   Remove brain foreign     .........  .........  .........  ...........  ...........
                               body.
61571...  C                   Incise skull for brain   .........  .........  .........  ...........  ...........
                               wound.
61575...  C                   Skull base/brainstem     .........  .........  .........  ...........  ...........
                               surgery.
61576...  C                   Skull base/brainstem     .........  .........  .........  ...........  ...........
                               surgery.
61580...  C                   Craniofacial approach,   .........  .........  .........  ...........  ...........
                               skull.
61581...  C                   Craniofacial approach,   .........  .........  .........  ...........  ...........
                               skull.
61582...  C                   Craniofacial approach,   .........  .........  .........  ...........  ...........
                               skull.
61583...  C                   Craniofacial approach,   .........  .........  .........  ...........  ...........
                               skull.
61584...  C                   Orbitocranial approach/  .........  .........  .........  ...........  ...........
                               skull.
61585...  C                   Orbitocranial approach/  .........  .........  .........  ...........  ...........
                               skull.
61586...  C                   Resect nasopharynx,      .........  .........  .........  ...........  ...........
                               skull.
61590...  C                   Infratemporal approach/  .........  .........  .........  ...........  ...........
                               skull.
61591...  C                   Infratemporal approach/  .........  .........  .........  ...........  ...........
                               skull.
61592...  C                   Orbitocranial approach/  .........  .........  .........  ...........  ...........
                               skull.
61595...  C                   Transtemporal approach/  .........  .........  .........  ...........  ...........
                               skull.
61596...  C                   Transcochlear approach/  .........  .........  .........  ...........  ...........
                               skull.
61597...  C                   Transcondylar approach/  .........  .........  .........  ...........  ...........
                               skull.
61598...  C                   Transpetrosal approach/  .........  .........  .........  ...........  ...........
                               skull.
61600...  C                   Resect/excise cranial    .........  .........  .........  ...........  ...........
                               lesion.
61601...  C                   Resect/excise cranial    .........  .........  .........  ...........  ...........
                               lesion.
61605...  C                   Resect/excise cranial    .........  .........  .........  ...........  ...........
                               lesion.
61606...  C                   Resect/excise cranial    .........  .........  .........  ...........  ...........
                               lesion.
61607...  C                   Resect/excise cranial    .........  .........  .........  ...........  ...........
                               lesion.
61608...  C                   Resect/excise cranial    .........  .........  .........  ...........  ...........
                               lesion.
61609...  C                   Transect, artery, sinus  .........  .........  .........  ...........  ...........
61610...  C                   Transect, artery, sinus  .........  .........  .........  ...........  ...........
61611...  C                   Transect, artery, sinus  .........  .........  .........  ...........  ...........
61612...  C                   Transect, artery, sinus  .........  .........  .........  ...........  ...........

[[Page 47680]]

61613...  C                   Remove aneurysm, sinus.  .........  .........  .........  ...........  ...........
61615...  C                   Resect/excise lesion,    .........  .........  .........  ...........  ...........
                               skull.
61616...  C                   Resect/excise lesion,    .........  .........  .........  ...........  ...........
                               skull.
61618...  C                   Repair dura............  .........  .........  .........  ...........  ...........
61619...  C                   Repair dura............  .........  .........  .........  ...........  ...........
61624...  C                   Occlusion/embolization   .........  .........  .........  ...........  ...........
                               cath.
61626...  C                   Occlusion/embolization   .........  .........  .........  ...........  ...........
                               cath.
61680...  C                   Intracranial vessel      .........  .........  .........  ...........  ...........
                               surgery.
61682...  C                   Intracranial vessel      .........  .........  .........  ...........  ...........
                               surgery.
61684...  C                   Intracranial vessel      .........  .........  .........  ...........  ...........
                               surgery.
61686...  C                   Intracranial vessel      .........  .........  .........  ...........  ...........
                               surgery.
61690...  C                   Intracranial vessel      .........  .........  .........  ...........  ...........
                               surgery.
61692...  C                   Intracranial vessel      .........  .........  .........  ...........  ...........
                               surgery.
61700...  C                   Inner skull vessel       .........  .........  .........  ...........  ...........
                               surgery.
61702...  C                   Inner skull vessel       .........  .........  .........  ...........  ...........
                               surgery.
61703...  C                   Clamp neck artery......  .........  .........  .........  ...........  ...........
61705...  C                   Revise circulation to    .........  .........  .........  ...........  ...........
                               head.
61708...  C                   Revise circulation to    .........  .........  .........  ...........  ...........
                               head.
61710...  C                   Revise circulation to    .........  .........  .........  ...........  ...........
                               head.
61711...  C                   Fusion of skull          .........  .........  .........  ...........  ...........
                               arteries.
61712...  C                   Skull or spine           .........  .........  .........  ...........  ...........
                               microsurgery.
61720...  C                   Incise skull/brain       .........  .........  .........  ...........  ...........
                               surgery.
61735...  C                   Incise skull/brain       .........  .........  .........  ...........  ...........
                               surgery.
61750...  C                   Incise skull; brain      .........  .........  .........  ...........  ...........
                               biopsy.
61751...  C                   Brain biopsy with cat    .........  .........  .........  ...........  ...........
                               scan.
61760...  C                   Implant brain            .........  .........  .........  ...........  ...........
                               electrodes.
61770...  C                   Incise skull for         .........  .........  .........  ...........  ...........
                               treatment.
61790...  T                   Treat trigeminal nerve.        631      12.98    $686.60      $333.80      $137.32
61791...  C                   Treat trigeminal tract.  .........  .........  .........  ...........  ...........
61793...  S                   Focus radiation beam...        757       2.20    $116.55       $52.43       $23.31
61795...  C                   Brain surgery using      .........  .........  .........  ...........  ...........
                               computer.
61850...  C                   Implant neuroelectrodes  .........  .........  .........  ...........  ...........
61855...  C                   Implant neuroelectrodes  .........  .........  .........  ...........  ...........
61860...  C                   Implant neuroelectrodes  .........  .........  .........  ...........  ...........
61865...  C                   Implant neuroelectrodes  .........  .........  .........  ...........  ...........
61870...  C                   Implant neuroelectrodes  .........  .........  .........  ...........  ...........
61875...  C                   Implant neuroelectrodes  .........  .........  .........  ...........  ...........
61880...  C                   Revise/remove            .........  .........  .........  ...........  ...........
                               neuroelectrode.
61885...  T                   Implant neuroreceiver..        618      25.56  $1,351.64      $780.60      $270.33
61888...  C                   Revise/remove            .........  .........  .........  ...........  ...........
                               neuroreceiver.
62000...  C                   Repair of skull          .........  .........  .........  ...........  ...........
                               fracture.
62005...  C                   Repair of skull          .........  .........  .........  ...........  ...........
                               fracture.
62010...  C                   Treatment of head        .........  .........  .........  ...........  ...........
                               injury.
62100...  C                   Repair brain fluid       .........  .........  .........  ...........  ...........
                               leakage.
62115...  C                   Reduction of skull       .........  .........  .........  ...........  ...........
                               defect.
62116...  C                   Reduction of skull       .........  .........  .........  ...........  ...........
                               defect.
62117...  C                   Reduction of skull       .........  .........  .........  ...........  ...........
                               defect.
62120...  C                   Repair skull cavity      .........  .........  .........  ...........  ...........
                               lesion.
62121...  C                   Incise skull repair....  .........  .........  .........  ...........  ...........
62140...  C                   Repair of skull defect.  .........  .........  .........  ...........  ...........
62141...  C                   Repair of skull defect.  .........  .........  .........  ...........  ...........
62142...  C                   Remove skull plate/flap  .........  .........  .........  ...........  ...........
62143...  C                   Replace skull plate/     .........  .........  .........  ...........  ...........
                               flap.
62145...  C                   Repair of skull and      .........  .........  .........  ...........  ...........
                               brain.
62146...  C                   Repair of skull with     .........  .........  .........  ...........  ...........
                               graft.
62147...  C                   Repair of skull with     .........  .........  .........  ...........  ...........
                               graft.
62180...  C                   Establish brain cavity   .........  .........  .........  ...........  ...........
                               shunt.
62190...  C                   Establish brain cavity   .........  .........  .........  ...........  ...........
                               shunt.
62192...  C                   Establish brain cavity   .........  .........  .........  ...........  ...........
                               shunt.
62194...  T                   Replace/irrigate               602       3.33    $176.30       $87.69       $35.26
                               catheter.
62200...  C                   Establish brain cavity   .........  .........  .........  ...........  ...........
                               shunt.
62201...  C                   Establish brain cavity   .........  .........  .........  ...........  ...........
                               shunt.
62220...  C                   Establish brain cavity   .........  .........  .........  ...........  ...........
                               shunt.
62223...  C                   Establish brain cavity   .........  .........  .........  ...........  ...........
                               shunt.
62225...  T                   Replace/irrigate               602       3.33    $176.30       $87.69       $35.26
                               catheter.
62230...  T                   Replace/revise brain           617      11.56    $611.18      $287.70      $122.24
                               shunt.
62256...  C                   Remove brain cavity      .........  .........  .........  ...........  ...........
                               shunt.
62258...  C                   Replace brain cavity     .........  .........  .........  ...........  ...........
                               shunt.
62268...  T                   Drain spinal cord cyst.        602       3.33    $176.30       $87.69       $35.26
62269...  T                   Needle biopsy spinal           122       4.87    $257.60      $115.03       $51.52
                               cord.
62270...  T                   Spinal fluid tap,              600       2.63    $139.08       $61.47       $27.82
                               diagnostic.
62272...  T                   Drain spinal fluid.....        600       2.63    $139.08       $61.47       $27.82
62273...  T                   Treat lumbar spine             602       3.33    $176.30       $87.69       $35.26
                               lesion.
62274...  T                   Inject spinal                  602       3.33    $176.30       $87.69       $35.26
                               anesthetic.
62275...  T                   Inject spinal                  602       3.33    $176.30       $87.69       $35.26
                               anesthetic.

[[Page 47681]]

62276...  T                   Inject spinal                  602       3.33    $176.30       $87.69       $35.26
                               anesthetic.
62277...  T                   Inject spinal                  602       3.33     176.30       $87.69       $35.26
                               anesthetic.
62278...  T                   Inject spinal                  602       3.33    $176.30       $87.69       $35.26
                               anesthetic.
62279...  T                   Inject spinal                  602       3.33    $176.30       $87.69       $35.26
                               anesthetic.
62280...  T                   Treat spinal cord              602       3.33    $176.30       $87.69       $35.26
                               lesion.
62281...  T                   Treat spinal cord              602       3.33    $176.30       $87.69       $35.26
                               lesion.
62282...  T                   Treat spinal canal             602       3.33    $176.30       $87.69       $35.26
                               lesion.
62284...  T                   Injection for myelogram        347       2.93    $154.75       $62.15       $30.95
62287...  T                   Percutaneous diskectomy        631      12.98    $686.60      $333.80      $137.32
62288...  T                   Injection into spinal          602       3.33    $176.30       $87.69       $35.26
                               canal.
62289...  T                   Injection into spinal          602       3.33    $176.30       $87.69       $35.26
                               canal.
62290...  T                   Inject for spine disk x-       347       2.93    $154.75       $62.15       $30.95
                               ray.
62291...  T                   Inject for spine disk x-       347       2.93    $154.75       $62.15       $30.95
                               ray.
62292...  T                   Injection into disk            602       3.33    $176.30       $87.69       $35.26
                               lesion.
62294...  T                   Injection into spinal          602       3.33    $176.30       $87.69       $35.26
                               artery.
62298...  T                   Injection into spinal          602       3.33    $176.30       $87.69       $35.26
                               canal.
62350...  T                   Implant spinal catheter        617      11.56    $611.18      $287.70      $122.24
62351...  C                   Implant spinal catheter  .........  .........  .........  ...........  ...........
62355...  T                   Remove spinal canal            617      11.56    $611.18      $287.70      $122.24
                               catheter.
62360...  T                   Insert spine infusion          618      25.56  $1,351.64      $780.60      $270.33
                               device.
62361...  T                   Implant spine infusion         618      25.56  $1,351.64      $780.60      $270.33
                               pump.
62362...  T                   Implant spine infusion         618      25.56  $1,351.64      $780.60      $270.33
                               pump.
62365...  T                   Remove spine infusion          617      11.56    $611.18      $287.70      $122.24
                               device.
62367...  X                   Analyze spine infusion         966       0.39     $20.57       $12.43        $4.11
                               pump.
62368...  X                   Analyze spine infusion         966       0.39     $20.57       $12.43        $4.11
                               pump.
63001...  C                   Removal of spinal        .........  .........  .........  ...........  ...........
                               lamina.
63003...  C                   Removal of spinal        .........  .........  .........  ...........  ...........
                               lamina.
63005...  C                   Removal of spinal        .........  .........  .........  ...........  ...........
                               lamina.
63011...  C                   Removal of spinal        .........  .........  .........  ...........  ...........
                               lamina.
63012...  C                   Removal of spinal        .........  .........  .........  ...........  ...........
                               lamina.
63015...  C                   Removal of spinal        .........  .........  .........  ...........  ...........
                               lamina.
63016...  C                   Removal of spinal        .........  .........  .........  ...........  ...........
                               lamina.
63017...  C                   Removal of spinal        .........  .........  .........  ...........  ...........
                               lamina.
63020...  C                   Neck spine disk surgery  .........  .........  .........  ...........  ...........
63030...  C                   Low back disk surgery..  .........  .........  .........  ...........  ...........
63035...  C                   Added spinal disk        .........  .........  .........  ...........  ...........
                               surgery.
63040...  C                   Neck spine disk surgery  .........  .........  .........  ...........  ...........
63042...  C                   Low back disk surgery..  .........  .........  .........  ...........  ...........
63045...  C                   Removal of spinal        .........  .........  .........  ...........  ...........
                               lamina.
63046...  C                   Removal of spinal        .........  .........  .........  ...........  ...........
                               lamina.
63047...  C                   Removal of spinal        .........  .........  .........  ...........  ...........
                               lamina.
63048...  C                   Removal of spinal        .........  .........  .........  ...........  ...........
                               lamina.
63055...  C                   Decompress spinal cord.  .........  .........  .........  ...........  ...........
63056...  C                   Decompress spinal cord.  .........  .........  .........  ...........  ...........
63057...  C                   Decompress spinal cord.  .........  .........  .........  ...........  ...........
63064...  C                   Decompress spinal cord.  .........  .........  .........  ...........  ...........
63066...  C                   Decompress spinal cord.  .........  .........  .........  ...........  ...........
63075...  C                   Neck spine disk surgery  .........  .........  .........  ...........  ...........
63076...  C                   Neck spine disk surgery  .........  .........  .........  ...........  ...........
63077...  C                   Spine disk surgery,      .........  .........  .........  ...........  ...........
                               thorax.
63078...  C                   Spine disk surgery,      .........  .........  .........  ...........  ...........
                               thorax.
63081...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63082...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63085...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63086...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63087...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63088...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63090...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63091...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63170...  C                   Incise spinal cord       .........  .........  .........  ...........  ...........
                               tract(s).
63172...  C                   Drainage of spinal cyst  .........  .........  .........  ...........  ...........
63173...  C                   Drainage of spinal cyst  .........  .........  .........  ...........  ...........
63180...  C                   Revise spinal cord       .........  .........  .........  ...........  ...........
                               ligaments.
63182...  C                   Revise spinal cord       .........  .........  .........  ...........  ...........
                               ligaments.
63185...  C                   Incise spinal column/    .........  .........  .........  ...........  ...........
                               nerves.
63190...  C                   Incise spinal column/    .........  .........  .........  ...........  ...........
                               nerves.
63191...  C                   Incise spinal column/    .........  .........  .........  ...........  ...........
                               nerves.
63194...  C                   Incise spinal column &   .........  .........  .........  ...........  ...........
                               cord.
63195...  C                   Incise spinal column &   .........  .........  .........  ...........  ...........
                               cord.
63196...  C                   Incise spinal column &   .........  .........  .........  ...........  ...........
                               cord.
63197...  C                   Incise spinal column &   .........  .........  .........  ...........  ...........
                               cord.
63198...  C                   Incise spinal column &   .........  .........  .........  ...........  ...........
                               cord.
63199...  C                   Incise spinal column &   .........  .........  .........  ...........  ...........
                               cord.
63200...  C                   Release of spinal cord.  .........  .........  .........  ...........  ...........
63250...  C                   Revise spinal cord       .........  .........  .........  ...........  ...........
                               vessels.

[[Page 47682]]

63251...  C                   Revise spinal cord       .........  .........  .........  ...........  ...........
                               vessels.
63252...  C                   Revise spinal cord       .........  .........  .........  ...........  ...........
                               vessels.
63265...  C                   Excise intraspinal       .........  .........  .........  ...........  ...........
                               lesion.
63266...  C                   Excise intraspinal       .........  .........  .........  ...........  ...........
                               lesion.
63267...  C                   Excise intraspinal       .........  .........  .........  ...........  ...........
                               lesion.
63268...  C                   Excise intraspinal       .........  .........  .........  ...........  ...........
                               lesion.
63270...  C                   Excise intraspinal       .........  .........  .........  ...........  ...........
                               lesion.
63271...  C                   Excise intraspinal       .........  .........  .........  ...........  ...........
                               lesion.
63272...  C                   Excise intraspinal       .........  .........  .........  ...........  ...........
                               lesion.
63273...  C                   Excise intraspinal       .........  .........  .........  ...........  ...........
                               lesion.
63275...  C                   Biopsy/excise spinal     .........  .........  .........  ...........  ...........
                               tumor.
63276...  C                   Biopsy/excise spinal     .........  .........  .........  ...........  ...........
                               tumor.
63277...  C                   Biopsy/excise spinal     .........  .........  .........  ...........  ...........
                               tumor.
63278...  C                   Biopsy/excise spinal     .........  .........  .........  ...........  ...........
                               tumor.
63280...  C                   Biopsy/excise spinal     .........  .........  .........  ...........  ...........
                               tumor.
63281...  C                   Biopsy/excise spinal     .........  .........  .........  ...........  ...........
                               tumor.
63282...  C                   Biopsy/excise spinal     .........  .........  .........  ...........  ...........
                               tumor.
63283...  C                   Biopsy/excise spinal     .........  .........  .........  ...........  ...........
                               tumor.
63285...  C                   Biopsy/excise spinal     .........  .........  .........  ...........  ...........
                               tumor.
63286...  C                   Biopsy/excise spinal     .........  .........  .........  ...........  ...........
                               tumor.
63287...  C                   Biopsy/excise spinal     .........  .........  .........  ...........  ...........
                               tumor.
63290...  C                   Biopsy/excise spinal     .........  .........  .........  ...........  ...........
                               tumor.
63300...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63301...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63302...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63303...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63304...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63305...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63306...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63307...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63308...  C                   Removal of vertebral     .........  .........  .........  ...........  ...........
                               body.
63600...  T                   Remove spinal cord             631      12.98    $686.60      $333.80      $137.32
                               lesion.
63610...  T                   Stimulation of spinal          631      12.98    $686.60      $333.80      $137.32
                               cord.
63615...  T                   Remove lesion of spinal        631      12.98    $686.60      $333.80      $137.32
                               cord.
63650...  T                   Implant neuroelectrodes        616      14.43    $762.99      $366.57      $152.60
63655...  C                   Implant neuroelectrodes  .........  .........  .........  ...........  ...........
63660...  T                   Revise/remove                  617      11.56    $611.18      $287.70      $122.24
                               neuroelectrode.
63685...  T                   Implant neuroreceiver..        618      25.56  $1,351.64      $780.60      $270.33
63688...  T                   Revise/remove                  617      11.56    $611.18      $287.70      $122.24
                               neuroreceiver.
63690...  X                   Analysis of                    966       0.39     $20.57       $12.43        $4.11
                               neuroreceiver.
63691...  X                   Analysis of                    966       0.39     $20.57       $12.43        $4.11
                               neuroreceiver.
63700...  C                   Repair of spinal         .........  .........  .........  ...........  ...........
                               herniation.
63702...  C                   Repair of spinal         .........  .........  .........  ...........  ...........
                               herniation.
63704...  C                   Repair of spinal         .........  .........  .........  ...........  ...........
                               herniation.
63706...  C                   Repair of spinal         .........  .........  .........  ...........  ...........
                               herniation.
63707...  C                   Repair spinal fluid      .........  .........  .........  ...........  ...........
                               leakage.
63709...  C                   Repair spinal fluid      .........  .........  .........  ...........  ...........
                               leakage.
63710...  C                   Graft repair of spine    .........  .........  .........  ...........  ...........
                               defect.
63740...  C                   Install spinal shunt...  .........  .........  .........  ...........  ...........
63741...  C                   Install spinal shunt...  .........  .........  .........  ...........  ...........
63744...  T                   Revision of spinal             617      11.56    $611.18      $287.70      $122.24
                               shunt.
63746...  T                   Removal of spinal shunt        617      11.56    $611.18      $287.70      $122.24
64400...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64402...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64405...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64408...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64410...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64412...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64413...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64415...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64417...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64418...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64420...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64421...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64425...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64430...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64435...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64440...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64441...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64442...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64443...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64445...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64450...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64505...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64508...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.

[[Page 47683]]

64510...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64520...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64530...  T                   Injection for nerve            601       3.11    $164.55       $74.13       $32.91
                               block.
64550...  A                   Apply neurostimulator..  .........  .........  .........  ...........  ...........
64553...  T                   Implant neuroelectrodes        616      14.43    $762.99      $366.57      $152.60
64555...  T                   Implant neuroelectrodes        616      14.43    $762.99      $366.57      $152.60
64560...  T                   Implant neuroelectrodes        616      14.43    $762.99      $366.57      $152.60
64565...  T                   Implant neuroelectrodes        616      14.43    $762.99      $366.57      $152.60
64573...  T                   Implant neuroelectrodes        616      14.43    $762.99      $366.57      $152.60
64575...  T                   Implant neuroelectrodes        616      14.43    $762.99      $366.57      $152.60
64577...  T                   Implant neuroelectrodes        616      14.43    $762.99      $366.57      $152.60
64580...  T                   Implant neuroelectrodes        616      14.43    $762.99      $366.57      $152.60
64585...  T                   Revise/remove                  617      11.56    $611.18      $287.70      $122.24
                               neuroelectrode.
64590...  T                   Implant neuroreceiver..        618      25.56  $1,351.64      $780.60      $270.33
64595...  T                   Revise/remove                  617      11.56    $611.18      $287.70      $122.24
                               neuroreceiver.
64600...  T                   Injection treatment of         601       3.11    $164.55       $74.13       $32.91
                               nerve.
64605...  T                   Injection treatment of         601       3.11    $164.55       $74.13       $32.91
                               nerve.
64610...  T                   Injection treatment of         601       3.11    $164.55       $74.13       $32.91
                               nerve.
64612...  T                   Destroy nerve, face            601       3.11    $164.55       $74.13       $32.91
                               muscle.
64613...  T                   Destroy nerve, spine           601       3.11    $164.55       $74.13       $32.91
                               muscle.
64620...  T                   Injection treatment of         601       3.11    $164.55       $74.13       $32.91
                               nerve.
64622...  T                   Injection treatment of         601       3.11    $164.55       $74.13       $32.91
                               nerve.
64623...  T                   Injection treatment of         601       3.11    $164.55       $74.13       $32.91
                               nerve.
64630...  T                   Injection treatment of         601       3.11    $164.55       $74.13       $32.91
                               nerve.
64640...  T                   Injection treatment of         601       3.11    $164.55       $74.13       $32.91
                               nerve.
64680...  T                   Injection treatment of         601       3.11    $164.55       $74.13       $32.91
                               nerve.
64702...  T                   Revise finger/toe nerve        631      12.98    $686.60      $333.80      $137.32
64704...  T                   Revise hand/foot nerve.        631      12.98    $686.60      $333.80      $137.32
64708...  T                   Revise arm/leg nerve...        631      12.98    $686.60      $333.80      $137.32
64712...  T                   Revision of sciatic            631      12.98    $686.60       $333.8      $137.32
                               nerve.
64713...  T                   Revision of arm                631      12.98    $686.60      $333.80      $137.32
                               nerve(s).
64714...  T                   Revise low back                631      12.98    $686.60      $333.80      $137.32
                               nerve(s).
64716...  T                   Revision of cranial            631      12.98    $686.60      $333.80      $137.32
                               nerve.
64718...  T                   Revise ulnar nerve at          631      12.98    $686.60      $333.80      $137.32
                               elbow.
64719...  T                   Revise ulnar nerve at          631      12.98    $686.60      $333.80      $137.32
                               wrist.
64721...  T                   Carpal tunnel surgery..        631      12.98    $686.60      $333.80      $137.32
64722...  T                   Relieve pressure on            631      12.98    $686.60      $333.80      $137.32
                               nerve(s).
64726...  T                   Release foot/toe nerve.        631      12.98    $686.60      $333.80      $137.32
64727...  T                   Internal nerve revision        631      12.98    $686.60      $333.80      $137.32
64732...  T                   Incision of brow nerve.        631      12.98    $686.60      $333.80      $137.32
64734...  T                   Incision of cheek nerve        631      12.98    $686.60      $333.80      $137.32
64736...  T                   Incision of chin nerve.        631      12.98    $686.60      $333.80      $137.32
64738...  T                   Incision of jaw nerve..        631      12.98    $686.60      $333.80      $137.32
64740...  T                   Incision of tongue             631      12.98    $686.60       $333.8      $137.32
                               nerve.
64742...  T                   Incision of facial             631      12.98    $686.60      $333.80      $137.32
                               nerve.
64744...  T                   Incise nerve, back of          631      12.98    $686.60      $333.80      $137.32
                               head.
64746...  T                   Incise diaphragm nerve.        631      12.98    $686.60      $333.80      $137.32
64752...  C                   Incision of vagus nerve  .........  .........  .........  ...........  ...........
64755...  C                   Incision of stomach      .........  .........  .........  ...........  ...........
                               nerves.
64760...  C                   Incision of vagus nerve  .........  .........  .........  ...........  ...........
64761...  T                   Incision of pelvis             631      12.98    $686.60      $333.80      $137.32
                               nerve.
64763...  C                   Incise hip/thigh nerve.  .........  .........  .........  ...........  ...........
64766...  C                   Incise hip/thigh nerve.  .........  .........  .........  ...........  ...........
64771...  T                   Sever cranial nerve....        631      12.98    $686.60      $333.80      $137.32
64772...  T                   Incision of spinal             631      12.98    $686.60      $333.80      $137.32
                               nerve.
64774...  T                   Remove skin nerve              631      12.98    $686.60      $333.80      $137.32
                               lesion.
64776...  T                   Remove digit nerve             631      12.98    $686.60      $333.80      $137.32
                               lesion.
64778...  T                   Added digit nerve              631      12.98    $686.60      $333.80      $137.32
                               surgery.
64782...  T                   Remove limb nerve              631      12.98    $686.60      $333.80      $137.32
                               lesion.
64783...  T                   Added limb nerve               631      12.98    $686.60      $333.80      $137.32
                               surgery.
64784...  T                   Remove nerve lesion....        631      12.98    $686.60      $333.80      $137.32
64786...  T                   Remove sciatic nerve           632      18.13    $958.88      $461.04      $191.78
                               lesion.
64787...  T                   Implant nerve end......        631      12.98    $686.60      $333.80      $137.32
64788...  T                   Remove skin nerve              631      12.98    $686.60      $333.80      $137.32
                               lesion.
64790...  T                   Removal of nerve lesion        631      12.98    $686.60      $333.80      $137.32
64792...  T                   Removal of nerve lesion        632      18.13    $958.88      $461.04      $191.78
64795...  T                   Biopsy of nerve........        631      12.98    $686.60      $333.80      $137.32
64802...  C                   Remove sympathetic       .........  .........  .........  ...........  ...........
                               nerves.
64804...  C                   Remove sympathetic       .........  .........  .........  ...........  ...........
                               nerves.
64809...  C                   Remove sympathetic       .........  .........  .........  ...........  ...........
                               nerves.
64818...  C                   Remove sympathetic       .........  .........  .........  ...........  ...........
                               nerves.
64820...  C                   Remove sympathetic       .........  .........  .........  ...........  ...........
                               nerves.
64830...  T                   Microrepair of nerve...        631      12.98    $686.60      $333.80      $137.32
64831...  T                   Repair of digit nerve..        632      18.13    $958.88      $461.04      $191.78
64832...  T                   Repair additional nerve        632      18.13    $958.88      $461.04      $191.78

[[Page 47684]]

64834...  T                   Repair of hand or foot         632      18.13    $958.88      $461.04      $191.78
                               nerve.
64835...  T                   Repair of hand or foot         632      18.13    $958.88      $461.04      $191.78
                               nerve.
64836...  T                   Repair of hand or foot         632      18.13    $958.88      $461.04      $191.78
                               nerve.
64837...  T                   Repair additional nerve        632      18.13    $958.88      $461.04      $191.78
64840...  T                   Repair of leg nerve....        632      18.13    $958.88      $461.04      $191.78
64856...  T                   Repair/transpose nerve.        632      18.13    $958.88      $461.04      $191.78
64857...  T                   Repair arm/leg nerve...        632      18.13    $958.88      $461.04      $191.78
64858...  T                   Repair sciatic nerve...        632      18.13    $958.88      $461.04      $191.78
64859...  T                   Additional nerve               632      18.13    $958.88      $461.04      $191.78
                               surgery.
64861...  T                   Repair of arm nerves...        632      18.13    $958.88      $461.04      $191.78
64862...  T                   Repair of low back             632      18.13    $958.88      $461.04      $191.78
                               nerves.
64864...  T                   Repair of facial nerve.        632      18.13    $958.88      $461.04      $191.78
64865...  T                   Repair of facial nerve.        632      18.13    $958.88      $461.04      $191.78
64866...  C                   Fusion of facial/other   .........  .........  .........  ...........  ...........
                               nerve.
64868...  C                   Fusion of facial/other   .........  .........  .........  ...........  ...........
                               nerve.
64870...  T                   Fusion of facial/other         632      18.13    $958.88      $461.04      $191.78
                               nerve.
64872...  T                   Subsequent repair of           632      18.13    $958.88      $461.04      $191.78
                               nerve.
64874...  T                   Repair & revise nerve..        632      18.13    $958.88      $461.04      $191.78
64876...  T                   Repair nerve; shorten          632      18.13    $958.88      $461.04      $191.78
                               bone.
64885...  T                   Nerve graft, head or           632      18.13    $958.88      $461.04      $191.78
                               neck.
64886...  T                   Nerve graft, head or           632      18.13    $958.88      $461.04      $191.78
                               neck.
64890...  T                   Nerve graft, hand or           632      18.13    $958.88      $461.04      $191.78
                               foot.
64891...  T                   Nerve graft, hand or           632      18.13    $958.88      $461.04      $191.78
                               foot.
64892...  T                   Nerve graft, arm or leg        632      18.13    $958.88      $461.04      $191.78
64893...  T                   Nerve graft, arm or leg        632      18.13    $958.88      $461.04      $191.78
64895...  T                   Nerve graft, hand or           632      18.13    $958.88      $461.04      $191.78
                               foot.
64896...  T                   Nerve graft, hand or           632      18.13    $958.88      $461.04      $191.78
                               foot.
64897...  T                   Nerve graft, arm or leg        632      18.13    $958.88      $461.04      $191.78
64898...  T                   Nerve graft, arm or leg        632      18.13    $958.88      $461.04      $191.78
64901...  T                   Additional nerve graft.        632      18.13    $958.88      $461.04      $191.78
64902...  T                   Additional nerve graft.        632      18.13    $958.88      $461.04      $191.78
64905...  T                   Nerve pedicle transfer.        632      18.13    $958.88      $461.04      $191.78
64907...  T                   Nerve pedicle transfer.        632      18.13    $958.88      $461.04      $191.78
64999...  T                   Nervous system surgery.        601       3.11    $164.55       $74.13       $32.91
65091...  T                   Revise eye.............        684      13.48    $713.04      $348.94      $142.61
65093...  T                   Revise eye with implant        684      13.48    $713.04      $348.94      $142.61
65101...  T                   Removal of eye.........        684      13.48    $713.04      $348.94      $142.61
65103...  T                   Remove eye/insert              684      13.48    $713.04      $348.94      $142.61
                               implant.
65105...  T                   Remove eye/attach              684      13.48    $713.04      $348.94      $142.61
                               implant.
65110...  C                   Removal of eye.........  .........  .........  .........  ...........  ...........
65112...  C                   Remove eye, revise       .........  .........  .........  ...........  ...........
                               socket.
65114...  C                   Remove eye, revise       .........  .........  .........  ...........  ...........
                               socket.
65125...  T                   Revise ocular implant..        681       1.67     $88.15       $30.51       $17.63
65130...  T                   Insert ocular implant..        684      13.48    $713.04      $348.94      $142.61
65135...  T                   Insert ocular implant..        684      13.48    $713.04      $348.94      $142.61
65140...  T                   Attach ocular implant..        684      13.48    $713.04      $348.94      $142.61
65150...  T                   Revise ocular implant..        684      13.48    $713.04      $348.94      $142.61
65155...  T                   Reinsert ocular implant        684      13.48    $713.04      $348.94      $142.61
65175...  T                   Removal of ocular              683      10.19     $538.7      $257.87      $107.74
                               implant.
65205...  T                   Remove foreign body            681       1.67     $88.15       $30.51       $17.63
                               from eye.
65210...  T                   Remove foreign body            681       1.67     $88.15       $30.51       $17.63
                               from eye.
65220...  T                   Remove foreign body            681       1.67     $88.15       $30.51       $17.63
                               from eye.
65222...  T                   Remove foreign body            681       1.67     $88.15       $30.51       $17.63
                               from eye.
65235...  T                   Remove foreign body            652      16.48    $871.71      $433.69      $174.34
                               from eye.
65260...  T                   Remove foreign body            676       6.30    $333.01      $140.35       $66.60
                               from eye.
65265...  T                   Remove foreign body            676       6.30    $333.01      $140.35       $66.60
                               from eye.
65270...  T                   Repair of eye wound....        183      11.17    $590.61      $286.57      $118.12
65272...  T                   Repair of eye wound....        651       7.24    $382.97      $174.70       $76.59
65273...  C                   Repair of eye wound....  .........  .........  .........  ...........  ...........
65275...  T                   Repair of eye wound....        651       7.24    $382.97      $174.70       $76.59
65280...  T                   Repair of eye wound....        652      16.48    $871.71      $433.69      $174.34
65285...  T                   Repair of eye wound....        652      16.48    $871.71      $433.69      $174.34
65286...  T                   Repair of eye wound....        651       7.24    $382.97      $174.70       $76.59
65290...  T                   Repair of eye socket           677      16.26    $859.96      $436.63      $171.99
                               wound.
65400...  T                   Removal of eye lesion..        652      16.48    $871.71      $433.69      $174.34
65410...  T                   Biopsy of cornea.......        683      10.19    $538.70      $257.87      $107.74
65420...  T                   Removal of eye lesion..        651       7.24    $382.97      $174.70       $76.59
65426...  T                   Removal of eye lesion..        652      16.48    $871.71      $433.69      $174.34
65430...  T                   Corneal smear..........        681       1.67     $88.15       $30.51       $17.63
65435...  T                   Curette/treat cornea...        681       1.67     $88.15       $30.51       $17.63
65436...  T                   Curette/treat cornea...        651       7.24    $382.97      $174.70       $76.59
65450...  T                   Treatment of corneal           651       7.24    $382.97      $174.70       $76.59
                               lesion.
65600...  T                   Revision of cornea.....        681       1.67     $88.15       $30.51       $17.63
65710...  T                   Corneal transplant.....        670      29.24  $1,546.56      $847.50      $309.31
65730...  T                   Corneal transplant.....        670      29.24  $1,546.56      $847.50      $309.31

[[Page 47685]]

65750...  T                   Corneal transplant.....        670      29.24  $1,546.56      $847.50      $309.31
65755...  T                   Corneal transplant.....        670      29.24  $1,546.56      $847.50      $309.31
65760...  E                   Revision of cornea.....  .........  .........  .........  ...........  ...........
65765...  E                   Revision of cornea.....  .........  .........  .........  ...........  ...........
65767...  E                   Corneal tissue           .........  .........  .........  ...........  ...........
                               transplant.
65770...  T                   Revise cornea with             652      16.48    $871.71      $433.69      $174.34
                               implant.
65771...  E                   Radial keratotomy......  .........  .........  .........  ...........  ...........
65772...  T                   Correction of                  651       7.24    $382.97      $174.70       $76.59
                               astigmatism.
65775...  T                   Correction of                  652      16.48    $871.71      $433.69      $174.34
                               astigmatism.
65800...  T                   Drainage of eye........        683      10.19    $538.70      $257.87      $107.74
65805...  T                   Drainage of eye........        683      10.19    $538.70      $257.87      $107.74
65810...  T                   Drainage of eye........        651       7.24    $382.97      $174.70       $76.59
65815...  T                   Drainage of eye........        651       7.24    $382.97      $174.70       $76.59
65820...  T                   Relieve inner eye              651       7.24    $382.97      $174.70       $76.59
                               pressure.
65850...  T                   Incision of eye........        652      16.48    $871.71      $433.69      $174.34
65855...  T                   Laser surgery of eye...        649       4.44    $235.07      $111.64       $47.01
65860...  T                   Incise inner eye               649       4.44    $235.07      $111.64       $47.01
                               adhesions.
65865...  T                   Incise inner eye               652      16.48    $871.71      $433.69      $174.34
                               adhesions.
65870...  T                   Incise inner eye               652      16.48    $871.71      $433.69      $174.34
                               adhesions.
65875...  T                   Incise inner eye               652      16.48    $871.71      $433.69      $174.34
                               adhesions.
65880...  T                   Incise inner eye               652      16.48    $871.71      $433.69      $174.34
                               adhesions.
65900...  T                   Remove eye lesion......        652      16.48    $871.71      $433.69      $174.34
65920...  T                   Remove implant from eye        652      16.48    $871.71      $433.69      $174.34
65930...  T                   Remove blood clot from         652      16.48    $871.71      $433.69      $174.34
                               eye.
66020...  T                   Injection treatment of         683      10.19    $538.70      $257.87      $107.74
                               eye.
66030...  T                   Injection treatment of         683      10.19    $538.70      $257.87      $107.74
                               eye.
66130...  T                   Remove eye lesion......        651       7.24    $382.97      $174.70       $76.59
66150...  T                   Glaucoma surgery.......        652      16.48    $871.71      $433.69      $174.34
66155...  T                   Glaucoma surgery.......        652      16.48    $871.71      $433.69      $174.34
66160...  T                   Glaucoma surgery.......        652      16.48    $871.71      $433.69      $174.34
66165...  T                   Glaucoma surgery.......        652      16.48    $871.71      $433.69      $174.34
66170...  T                   Glaucoma surgery.......        652      16.48    $871.71      $433.69      $174.34
66172...  T                   Incision of eye........        652      16.48    $871.71      $433.69      $174.34
66180...  T                   Implant eye shunt......        652      16.48    $871.71      $433.69      $174.34
66185...  T                   Revise eye shunt.......        652      16.48    $871.71      $433.69      $174.34
66220...  T                   Repair eye lesion......        676       6.30    $333.01      $140.35       $66.60
66225...  T                   Repair/graft eye lesion        652      16.48    $871.71      $433.69      $174.34
66250...  T                   Follow-up surgery of           652      16.48    $871.71      $433.69      $174.34
                               eye.
66500...  T                   Incision of iris.......        651       7.24    $382.97      $174.70       $76.59
66505...  T                   Incision of iris.......        651       7.24    $382.97      $174.70       $76.59
66600...  T                   Remove iris and lesion.        651       7.24    $382.97      $174.70       $76.59
66605...  T                   Removal of iris........        652      16.48    $871.71      $433.69      $174.34
66625...  T                   Removal of iris........        651       7.24    $382.97      $174.70       $76.59
66630...  T                   Removal of iris........        651       7.24    $382.97      $174.70       $76.59
66635...  T                   Removal of iris........        652      16.48    $871.71      $433.69      $174.34
66680...  T                   Repair iris & ciliary          652      16.48    $871.71      $433.69      $174.34
                               body.
66682...  T                   Repair iris and ciliary        652      16.48    $871.71      $433.69      $174.34
                               body.
66700...  T                   Destruction, ciliary           651       7.24    $382.97      $174.70       $76.59
                               body.
66710...  T                   Destruction, ciliary           651       7.24    $382.97      $174.70       $76.59
                               body.
66720...  T                   Destruction, ciliary           651       7.24    $382.97      $174.70       $76.59
                               body.
66740...  T                   Destruction, ciliary           652      16.48    $871.71      $433.69      $174.34
                               body.
66761...  T                   Revision of iris.......        649       4.44    $235.07      $111.64       $47.01
66762...  T                   Revision of iris.......        649       4.44    $235.07      $111.64       $47.01
66770...  T                   Removal of inner eye           649       4.44    $235.07      $111.64       $47.01
                               lesion.
66820...  T                   Incision, secondary            651       7.24    $382.97      $174.70       $76.59
                               cataract.
66821...  T                   After cataract laser           649       4.44    $235.07      $111.64       $47.01
                               surgery.
66825...  T                   Reposition intraocular         651       7.24    $382.97      $174.70       $76.59
                               lens.
66830...  T                   Removal of lens lesion.        652      16.48    $871.71      $433.69      $174.34
66840...  T                   Removal of lens                667      19.28  $1,019.61      $521.83      $203.92
                               material.
66850...  T                   Removal of lens                667      19.28  $1,019.61      $521.83      $203.92
                               material.
66852...  T                   Removal of lens                667      19.28  $1,019.61      $521.83      $203.92
                               material.
66920...  T                   Extraction of lens.....        667      19.28  $1,019.61      $521.83      $203.92
66930...  T                   Extraction of lens.....        667      19.28  $1,019.61      $521.83      $203.92
66940...  T                   Extraction of lens.....        667      19.28  $1,019.61      $521.83      $203.92
66983...  T                   Remove cataract, insert        668      19.28  $1,019.61      $530.87      $203.92
                               lens.
66984...  T                   Remove cataract, insert        668      19.28  $1,019.61      $530.87      $203.92
                               lens.
66985...  T                   Insert lens prosthesis.        668      19.28  $1,019.61      $530.87      $203.92
66986...  T                   Exchange lens                  668      19.28  $1,019.61      $530.87      $203.92
                               prosthesis.
66999...  T                   Eye surgery procedure..        649       4.44    $235.07      $111.64       $47.01
67005...  T                   Partial removal of eye         676       6.30    $333.01      $140.35       $66.60
                               fluid.
67010...  T                   Partial removal of eye         676       6.30    $333.01      $140.35       $66.60
                               fluid.
67015...  T                   Release of eye fluid...        676       6.30    $333.01      $140.35       $66.60
67025...  T                   Replace eye fluid......        683      10.19    $538.70      $257.87      $107.74
67027...  T                   Implant eye drug system        690      30.54  $1,615.12      $852.02      $323.02
67028...  T                   Injection eye drug.....        682       3.54    $187.08       $81.36       $37.42

[[Page 47686]]

67030...  T                   Incise inner eye               676       6.30    $333.01      $140.35       $66.60
                               strands.
67031...  T                   Laser surgery, eye             649       4.44    $235.07      $111.64       $47.01
                               strands.
67036...  T                   Removal of inner eye           690      30.54  $1,615.12      $852.02      $323.02
                               fluid.
67038...  T                   Strip retinal membrane.        690      30.54  $1,615.12      $852.02      $323.02
67039...  T                   Laser treatment of             690      30.54  $1,615.12      $852.02      $323.02
                               retina.
67040...  T                   Laser treatment of             690      30.54  $1,615.12      $852.02      $323.02
                               retina.
67101...  T                   Repair, detached retina        676       6.30    $333.01      $140.35       $66.60
67105...  T                   Repair, detached retina        648       3.94    $208.62       $95.15       $41.72
67107...  T                   Repair detached retina.        690      30.54  $1,615.12      $852.02      $323.02
67108...  T                   Repair detached retina.        690      30.54  $1,615.12      $852.02      $323.02
67110...  T                   Repair detached retina.        676       6.30    $333.01      $140.35       $66.60
67112...  T                   Re-repair detached             690      30.54  $1,615.12      $852.02      $323.02
                               retina.
67115...  T                   Release, encircling            676       6.30    $333.01      $140.35       $66.60
                               material.
67120...  T                   Remove eye implant             676       6.30    $333.01      $140.35       $66.60
                               material.
67121...  T                   Remove eye implant             676       6.30    $333.01      $140.35       $66.60
                               material.
67141...  T                   Treatment of retina....        676       6.30    $333.01      $140.35       $66.60
67145...  T                   Treatment of retina....        648       3.94    $208.62       $95.15       $41.72
67208...  T                   Treatment of retinal           676       6.30    $333.01      $140.35       $66.60
                               lesion.
67210...  T                   Treatment of retinal           648       3.94    $208.62       $95.15       $41.72
                               lesion.
67218...  T                   Treatment of retinal           676       6.30    $333.01      $140.35       $66.60
                               lesion.
67227...  T                   Treatment of retinal           676       6.30    $333.01      $140.35       $66.60
                               lesion.
67228...  T                   Treatment of retinal           648       3.94    $208.62       $95.15       $41.72
                               lesion.
67250...  T                   Reinforce eye wall.....        684      13.48    $713.04      $348.94      $142.61
67255...  T                   Reinforce/graft eye            684      13.48    $713.04      $348.94      $142.61
                               wall.
67299...  T                   Eye surgery procedure..        649       4.44    $235.07      $111.64       $47.01
67311...  T                   Revise eye muscle......        677      16.26    $859.96      $436.63      $171.99
67312...  T                   Revise two eye muscles.        677      16.26    $859.96      $436.63      $171.99
67314...  T                   Revise eye muscle......        677      16.26    $859.96      $436.63      $171.99
67316...  T                   Revise two eye muscles.        677      16.26    $859.96      $436.63      $171.99
67318...  T                   Revise eye muscle(s)...        677      16.26    $859.96      $436.63      $171.99
67320...  T                   Revise eye muscle(s)...        677      16.26    $859.96      $436.63      $171.99
67331...  T                   Eye surgery follow-up..        677      16.26    $859.96      $436.63      $171.99
67332...  T                   Rerevise eye muscles...        677      16.26    $859.96      $436.63      $171.99
67334...  T                   Revise eye muscle w/           677      16.26    $859.96      $436.63      $171.99
                               suture.
67335...  T                   Eye suture during              677      16.26    $859.96      $436.63      $171.99
                               surgery.
67340...  T                   Revise eye muscle......        677      16.26    $859.96      $436.63      $171.99
67343...  T                   Release eye tissue.....        677      16.26    $859.96      $436.63      $171.99
67345...  T                   Destroy nerve of eye           681       1.67     $88.15       $30.51       $17.63
                               muscle.
67350...  T                   Biopsy eye muscle......        162       5.67    $299.71      $125.43       $59.94
67399...  T                   Eye muscle surgery             162       5.67    $299.71      $125.43       $59.94
                               procedure.
67400...  T                   Explore/biopsy eye             684      13.48    $713.04      $348.94      $142.61
                               socket.
67405...  T                   Explore/drain eye              684      13.48    $713.04      $348.94      $142.61
                               socket.
67412...  T                   Explore/treat eye              684      13.48    $713.04      $348.94      $142.61
                               socket.
67413...  T                   Explore/treat eye              684      13.48    $713.04      $348.94      $142.61
                               socket.
67414...  C                   Explore/decompress eye   .........  .........  .........  ...........  ...........
                               socke.
67415...  T                   Aspiration orbital             122      $4.87    $257.60      $115.03       $51.52
                               contents.
67420...  T                   Explore/treat eye              232      23.93  $1,265.45      $639.35      $253.09
                               socket.
67430...  T                   Explore/treat eye              232      23.93  $1,265.45      $639.35      $253.09
                               socket.
67440...  T                   Explore/drain eye              232      23.93  $1,265.45      $639.35      $253.09
                               socket.
67445...  C                   Explore/decompress eye   .........  .........  .........  ...........  ...........
                               socke.
67450...  T                   Explore/biopsy eye             232      23.93  $1,265.45      $639.35      $253.09
                               socket.
67500...  T                   Inject/treat eye socket        681       1.67     $88.15       $30.51       $17.63
67505...  T                   Inject/treat eye socket        681       1.67     $88.15       $30.51       $17.63
67515...  T                   Inject/treat eye socket        681       1.67     $88.15       $30.51       $17.63
67550...  T                   Insert eye socket              684      13.48    $713.04      $348.94      $142.61
                               implant.
67560...  T                   Revise eye socket              684      13.48    $713.04      $348.94      $142.61
                               implant.
67570...  C                   Decompress optic nerve.  .........  .........  .........  ...........  ...........
67599...  T                   Orbit surgery procedure        681       1.67     $88.15       $30.51       $17.63
67700...  T                   Drainage of eyelid             682       3.54    $187.08       $81.36       $37.42
                               abscess.
67710...  T                   Incision of eyelid.....        682       3.54    $187.08       $81.36       $37.42
67715...  T                   Incision of eyelid fold        683      10.19    $538.76      $257.87      $107.74
67800...  T                   Remove eyelid lesion...        682       3.54    $187.08       $81.36       $37.42
67801...  T                   Remove eyelid lesions..        682       3.54    $187.08       $81.36       $37.42
67805...  T                   Remove eyelid lesions..        682       3.54    $187.08       $81.36       $37.42
67808...  T                   Remove eyelid lesion(s)        684      13.48    $713.04      $348.94      $142.61
67810...  T                   Biopsy of eyelid.......        682       3.54    $187.08       $81.36       $37.42
67820...  T                   Revise eyelashes.......        682       3.54    $187.08       $81.36       $37.42
67825...  T                   Revise eyelashes.......        682       3.54    $187.08       $81.36       $37.42
67830...  T                   Revise eyelashes.......        683      10.19     $538.7      $257.87      $107.74
67835...  T                   Revise eyelashes.......        684      13.48    $713.04      $348.94      $142.61
67840...  T                   Remove eyelid lesion...        682       3.54    $187.08       $81.36       $37.42
67850...  T                   Treat eyelid lesion....        682       3.54    $187.08       $81.36       $37.42
67875...  T                   Closure of eyelid by           682       3.54    $187.08       $81.36       $37.42
                               suture.
67880...  T                   Revision of eyelid.....        683      10.19    $538.70      $257.87      $107.74
67882...  T                   Revision of eyelid.....        684      13.48    $713.04      $348.94      $142.61

[[Page 47687]]

67900...  T                   Repair brow defect.....        684      13.48    $713.04      $348.94      $142.61
67901...  T                   Repair eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67902...  T                   Repair eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67903...  T                   Repair eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67904...  T                   Repair eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67906...  T                   Repair eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67908...  T                   Repair eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67909...  T                   Revise eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67911...  T                   Revise eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67914...  T                   Repair eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67915...  T                   Repair eyelid defect...        682       3.54    $187.08       $81.36       $37.42
67916...  T                   Repair eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67917...  T                   Repair eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67921...  T                   Repair eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67922...  T                   Repair eyelid defect...        682       3.54    $187.08       $81.36       $37.42
67923...  T                   Repair eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67924...  T                   Repair eyelid defect...        684      13.48    $713.04      $348.94      $142.61
67930...  T                   Repair eyelid wound....        682       3.54    $187.08       $81.36       $37.42
67935...  T                   Repair eyelid wound....        683      10.19    $538.70      $257.87      $107.74
67938...  T                   Remove eyelid foreign          682       3.54    $187.08       $81.36       $37.42
                               body.
67950...  T                   Revision of eyelid.....        684      13.48    $713.04      $348.94      $142.61
67961...  T                   Revision of eyelid.....        684      13.48    $713.04      $348.94      $142.61
67966...  T                   Revision of eyelid.....        684      13.48    $713.04      $348.94      $142.61
67971...  T                   Reconstruction of              684      13.48    $713.04      $348.94      $142.61
                               eyelid.
67973...  T                   Reconstruction of              684      13.48    $713.04      $348.94      $142.61
                               eyelid.
67974...  T                   Reconstruction of              684      13.48    $713.04      $348.94      $142.61
                               eyelid.
67975...  T                   Reconstruction of              684      13.48    $713.04      $348.94      $142.61
                               eyelid.
67999...  T                   Revision of eyelid.....        682       3.54    $187.08       $81.36       $37.42
68020...  T                   Incise/drain eyelid            682       3.54    $187.08       $81.36       $37.42
                               lining.
68040...  T                   Treatment of eyelid            682       3.54    $187.08       $81.36       $37.42
                               lesions.
68100...  T                   Biopsy of eyelid lining        162       5.67    $299.71      $125.43       $59.94
68110...  T                   Remove eyelid lining           162       5.67    $299.71      $125.43       $59.94
                               lesion.
68115...  T                   Remove eyelid lining           162       5.67    $299.71      $125.43       $59.94
                               lesion.
68130...  T                   Remove eyelid lining           652      16.48    $871.71      $433.69      $174.34
                               lesion.
68135...  T                   Remove eyelid lining           162       5.67    $299.71      $125.43       $59.94
                               lesion.
68200...  T                   Treat eyelid by                681       1.67     $88.15       $30.51       $17.63
                               injection.
68320...  T                   Revise/graft eyelid            684      13.48    $713.04      $348.94      $142.61
                               lining.
68325...  T                   Revise/graft eyelid            684      13.48    $713.04      $348.94      $142.61
                               lining.
68326...  T                   Revise/graft eyelid            684      13.48    $713.04      $348.94      $142.61
                               lining.
68328...  T                   Revise/graft eyelid            684      13.48    $713.04      $348.94      $142.61
                               lining.
68330...  T                   Revise eyelid lining...        652      16.48    $871.71      $433.69      $174.34
68335...  T                   Revise/graft eyelid            684      13.48    $713.04      $348.94      $142.61
                               lining.
68340...  T                   Separate eyelid                684      13.48    $713.04      $348.94      $142.61
                               adhesions.
68360...  T                   Revise eyelid lining...        652      16.48    $871.71      $433.69      $174.34
68362...  T                   Revise eyelid lining...        652      16.48    $871.71      $433.69      $174.34
68399...  T                   Eyelid lining surgery..        162       5.67    $299.71      $125.43       $59.94
68400...  T                   Incise/drain tear gland        682       3.54    $187.08       $81.36       $37.42
68420...  T                   Incise/drain tear sac..        682       3.54    $187.08       $81.36       $37.42
68440...  T                   Incise tear duct               682       3.54    $187.08       $81.36       $37.42
                               opening.
68500...  T                   Removal of tear gland..        684      13.48    $713.04      $348.94      $142.61
68505...  T                   Partial removal tear           684      13.48    $713.04      $348.94      $142.61
                               gland.
68510...  T                   Biopsy of tear gland...        683      10.19    $538.70      $257.87      $107.74
68520...  T                   Removal of tear sac....        684      13.48    $713.04      $348.94      $142.61
68525...  T                   Biopsy of tear sac.....        683      10.19    $538.70      $257.87      $107.74
68530...  T                   Clearance of tear duct.        682       3.54    $187.08       $81.36       $37.42
68540...  T                   Remove tear gland              684      13.48    $713.04      $348.94      $142.61
                               lesion.
68550...  T                   Remove tear gland              684      13.48    $713.04      $348.94      $142.61
                               lesion.
68700...  T                   Repair tear ducts......        684      13.48    $713.04      $348.94      $142.61
68705...  T                   Revise tear duct               682       3.54    $187.08       $81.36       $37.42
                               opening.
68720...  T                   Create tear sac drain..        684      13.48    $713.04      $348.94      $142.61
68745...  T                   Create tear duct drain.        684      13.48    $713.04      $348.94      $142.61
68750...  T                   Create tear duct drain.        684      13.48    $713.04      $348.94      $142.61
68760...  T                   Close tear duct opening        682       3.54    $187.08       $81.36       $37.42
68761...  T                   Close tear duct opening        681       1.67     $88.15       $30.51       $17.63
68770...  T                   Close tear system              684      13.48    $713.04      $348.94      $142.61
                               fistula.
68801...  T                   Dilate tear duct               682       3.54    $187.08       $81.36       $37.42
                               opening.
68810...  T                   Probe nasolacrimal duct        683      10.19    $538.70      $257.87      $107.74
68811...  T                   Probe nasolacrimal duct        684      13.48    $713.04      $348.94      $142.61
68815...  T                   Probe nasolacrimal duct        684      13.48    $713.04      $348.94      $142.61
68840...  T                   Explore/irrigate tear          682       3.54    $187.08       $81.36       $37.42
                               ducts.
68850...  T                   Injection for tear sac         347       2.93    $154.75       $62.15       $30.95
                               x-ray.
68899...  T                   Tear duct system               681       1.67     $88.15       $30.51       $17.63
                               surgery.
69000...  T                   Drain external ear             131       1.94    $102.84       $36.61       $20.57
                               lesion.
69005...  T                   Drain external ear             131       1.94    $102.84       $36.61       $20.57
                               lesion.
69020...  T                   Drain outer ear canal          131       1.94    $102.84       $36.61       $20.57
                               lesion.

[[Page 47688]]

69090...  E                   Pierce earlobes........  .........  .........  .........  ...........  ...........
69100...  T                   Biopsy of external ear.        161       3.50    $185.12       $75.48       $37.02
69105...  T                   Biopsy of external ear         161       3.50    $185.12       $75.48       $37.02
                               canal.
69110...  T                   Partial removal                163      10.69    $565.14      $264.65      $113.03
                               external ear.
69120...  T                   Removal of external ear        313      15.81    $836.45      $411.09      $167.29
69140...  T                   Remove ear canal               313      15.81    $836.45      $411.09      $167.29
                               lesion(s).
69145...  T                   Remove ear canal               163      10.69    $565.14      $264.65      $113.03
                               lesion(s).
69150...  T                   Extensive ear canal            314      25.65  $1,356.54      $693.37      $271.31
                               surgery.
69155...  C                   Extensive ear/neck       .........  .........  .........  ...........  ...........
                               surgery.
69200...  T                   Clear outer ear canal..        311       1.43     $75.42       $20.57       $15.08
69205...  T                   Clear outer ear canal..        163      10.69    $565.14      $264.65      $113.03
69210...  T                   Remove impacted ear wax        311       1.43     $75.42       $20.57       $15.08
69220...  T                   Clean out mastoid              151       1.74     $92.07       $35.71       $18.41
                               cavity.
69222...  T                   Clean out mastoid              311       1.43     $75.42       $20.57       $15.08
                               cavity.
69300...  T                   Revise external ear....        313      15.81    $836.45      $411.09      $167.29
69310...  T                   Rebuild outer ear canal        314      25.65  $1,356.54      $693.37      $271.31
69320...  T                   Rebuild outer ear canal        314      25.65  $1,356.54      $693.37      $271.31
69399...  T                   Outer ear surgery              311       1.43     $75.42       $20.57       $15.08
                               procedure.
69400...  T                   Inflate middle ear             311       1.43     $75.42       $20.57       $15.08
                               canal.
69401...  N                   Inflate middle ear       .........  .........  .........  ...........  ...........
                               canal.
69405...  T                   Catheterize middle ear         311       1.43     $75.42       $20.57       $15.08
                               canal.
69410...  T                   Inset middle ear baffle        311       1.43     $75.42       $20.57       $15.08
69420...  T                   Incision of eardrum....        311       1.43     $75.42       $20.57       $15.08
69421...  T                   Incision of eardrum....        312       7.26    $383.95      $178.31       $76.79
69424...  T                   Remove ventilating tube        311       1.43     $75.42       $20.57       $15.08
69433...  T                   Create eardrum opening.        312       7.26    $383.95      $178.31       $76.79
69436...  T                   Create eardrum opening.        312       7.26    $383.95      $178.31       $76.79
69440...  T                   Exploration of middle          313      15.81    $836.45      $411.09      $167.29
                               ear.
69450...  T                   Eardrum revision.......        313      15.81    $836.45      $411.09      $167.29
69501...  T                   Mastoidectomy..........        314      25.65  $1,356.54      $693.37      $271.31
69502...  T                   Mastoidectomy..........        314      25.65  $1,356.54      $693.37      $271.31
69505...  T                   Remove mastoid                 314      25.65  $1,356.54      $693.37      $271.31
                               structures.
69511...  T                   Extensive mastoid              314      25.65  $1,356.54      $693.37      $271.31
                               surgery.
69530...  T                   Extensive mastoid              314      25.65  $1,356.54      $693.37      $271.31
                               surgery.
69535...  C                   Remove part of temporal  .........  .........  .........  ...........  ...........
                               bone.
69540...  T                   Remove ear lesion......        311       1.43     $75.42       $20.57       $15.08
69550...  T                   Remove ear lesion......        314      25.65  $1,356.54      $693.37      $271.31
69552...  T                   Remove ear lesion......        314      25.65  $1,356.54      $693.37      $271.31
69554...  C                   Remove ear lesion......  .........  .........  .........  ...........  ...........
69601...  T                   Mastoid surgery                314      25.65  $1,356.54      $693.37      $271.31
                               revision.
69602...  T                   Mastoid surgery                314      25.65  $1,356.54      $693.37      $271.31
                               revision.
69603...  T                   Mastoid surgery                314      25.65  $1,356.54      $693.37      $271.31
                               revision.
69604...  T                   Mastoid surgery                314      25.65  $1,356.54      $693.37      $271.31
                               revision.
69605...  T                   Mastoid surgery                314      25.65  $1,356.54      $693.37      $271.31
                               revision.
69610...  T                   Repair of eardrum......        311       1.43     $75.42       $20.57       $15.08
69620...  T                   Repair of eardrum......        313      15.81    $836.45      $411.09      $167.29
69631...  T                   Repair eardrum                 314      25.65  $1,356.54      $693.37      $271.31
                               structures.
69632...  T                   Rebuild eardrum                314      25.65  $1,356.54      $693.37      $271.31
                               structures.
69633...  T                   Rebuild eardrum                314      25.65  $1,356.54      $693.37      $271.31
                               structures.
69635...  T                   Repair eardrum                 314      25.65  $1,356.54      $693.37      $271.31
                               structures.
69636...  T                   Rebuild eardrum                314      25.65  $1,356.54      $693.37      $271.31
                               structures.
69637...  T                   Rebuild eardrum                314      25.65  $1,356.54      $693.37      $271.31
                               structures.
69641...  T                   Revise middle ear &            314      25.65  $1,356.54      $693.37      $271.31
                               mastoid.
69642...  T                   Revise middle ear &            314      25.65  $1,356.54      $693.37      $271.31
                               mastoid.
69643...  T                   Revise middle ear &            314      25.65  $1,356.54      $693.37      $271.31
                               mastoid.
69644...  T                   Revise middle ear &            314      25.65  $1,356.54      $693.37      $271.31
                               mastoid.
69645...  T                   Revise middle ear &            314      25.65  $1,356.54      $693.37      $271.31
                               mastoid.
69646...  T                   Revise middle ear &            314      25.65  $1,356.54      $693.37      $271.31
                               mastoid.
69650...  T                   Release middle ear bone        314      25.65  $1,356.54      $693.37      $271.31
69660...  T                   Revise middle ear bone.        314      25.65  $1,356.54      $693.37      $271.31
69661...  T                   Revise middle ear bone.        314      25.65  $1,356.54      $693.37      $271.31
69662...  T                   Revise middle ear bone.        314      25.65  $1,356.54      $693.37      $271.31
69666...  T                   Repair middle ear              314      25.65  $1,356.54      $693.37      $271.31
                               structures.
69667...  T                   Repair middle ear              314      25.65  $1,356.54      $693.37      $271.31
                               structures.
69670...  T                   Remove mastoid air             314      25.65  $1,356.54      $693.37      $271.31
                               cells.
69676...  T                   Remove middle ear nerve        314      25.65  $1,356.54      $693.37      $271.31
69700...  T                   Close mastoid fistula..        314      25.65  $1,356.54      $693.37      $271.31
69710...  E                   Implant/replace hearing  .........  .........  .........  ...........  ...........
                               aid.
69711...  T                   Remove/repair hearing          314      25.65  $1,356.54      $693.37      $271.31
                               aid.
69720...  T                   Release facial nerve...        314      25.65  $1,356.54      $693.37      $271.31
69725...  T                   Release facial nerve...        314      25.65  $1,356.54      $693.37      $271.31
69740...  T                   Repair facial nerve....        314      25.65  $1,356.54      $693.37      $271.31
69745...  T                   Repair facial nerve....        314      25.65  $1,356.54      $693.37      $271.31
69799...  T                   Middle ear surgery             311       1.43     $75.42       $20.57       $15.08
                               procedure.
69801...  T                   Incise inner ear.......        314      25.65  $1,356.54      $693.37      $271.31

[[Page 47689]]

69802...  T                   Incise inner ear.......        314      25.65  $1,356.54      $693.37      $271.31
69805...  T                   Explore inner ear......        314      25.65  $1,356.54      $693.37      $271.31
69806...  T                   Explore inner ear......        314      25.65  $1,356.54      $693.37      $271.31
69820...  T                   Establish inner ear            314      25.65  $1,356.54      $693.37      $271.31
                               window.
69840...  T                   Revise inner ear window        314      25.65  $1,356.54      $693.37      $271.31
69905...  T                   Remove inner ear.......        314      25.65  $1,356.54      $693.37      $271.31
69910...  T                   Remove inner ear &             314      25.65  $1,356.54      $693.37      $271.31
                               mastoid.
69915...  T                   Incise inner ear nerve.        314      25.65  $1,356.54      $693.37      $271.31
69930...  T                   Implant cochlear device        317  .........  .........  ...........  ...........
69949...  T                   Inner ear surgery              314      25.65  $1,356.54      $693.37      $271.31
                               procedure.
69950...  C                   Incise inner ear nerve.  .........  .........  .........  ...........  ...........
69955...  C                   Release facial nerve...  .........  .........  .........  ...........  ...........
69960...  C                   Release inner ear canal  .........  .........  .........  ...........  ...........
69970...  C                   Remove inner ear lesion  .........  .........  .........  ...........  ...........
69979...  C                   Temporal bone surgery..  .........  .........  .........  ...........  ...........
70010...  S                   Contrast x-ray of brain        728       4.07    $215.48      $113.23       $43.10
70015...  S                   Contrast x-ray of brain        728       4.07    $215.48      $113.23       $43.10
70030...  X                   X-ray eye for foreign          700       0.78     $41.14       $22.37        $8.23
                               body.
70100...  X                   X-ray exam of jaw......        700       0.78     $41.14       $22.37        $8.23
70110...  X                   X-ray exam of jaw......        700       0.78     $41.14       $22.37        $8.23
70120...  X                   X-ray exam of mastoids.        700       0.78     $41.14       $22.37        $8.23
70130...  X                   X-ray exam of mastoids.        700       0.78     $41.14       $22.37        $8.23
70134...  X                   X-ray exam of middle           700       0.78     $41.14       $22.37        $8.23
                               ear.
70140...  X                   X-ray exam of facial           700       0.78     $41.14       $22.37        $8.23
                               bones.
70150...  X                   X-ray exam of facial           700       0.78     $41.14       $22.37        $8.23
                               bones.
70160...  X                   X-ray exam of nasal            700       0.78     $41.14       $22.37        $8.23
                               bones.
70170...  X                   X-ray exam of tear duct        706       1.96    $103.82       $57.63       $20.76
70190...  X                   X-ray exam of eye              700       0.78     $41.14       $22.37        $8.23
                               sockets.
70200...  X                   X-ray exam of eye              700       0.78     $41.14       $22.37        $8.23
                               sockets.
70210...  X                   X-ray exam of sinuses..        700       0.78     $41.14       $22.37        $8.23
70220...  X                   X-ray exam of sinuses..        700       0.78     $41.14       $22.37        $8.23
70240...  X                   X-ray exam pituitary           700       0.78     $41.14       $22.37        $8.23
                               saddle.
70250...  X                   X-ray exam of skull....        700       0.78     $41.14       $22.37        $8.23
70260...  X                   X-ray exam of skull....        700       0.78     $41.14       $22.37        $8.23
70300...  X                   X-ray exam of teeth....        700       0.78     $41.14       $22.37        $8.23
70310...  X                   X-ray exam of teeth....        700       0.78     $41.14       $22.37        $8.23
70320...  X                   Full mouth x-ray of            700       0.78     $41.14       $22.37        $8.23
                               teeth.
70328...  X                   X-ray exam of jaw joint        700       0.78     $41.14       $22.37        $8.23
70330...  X                   X-ray exam of jaw              700       0.78     $41.14       $22.37        $8.23
                               joints.
70332...  S                   X-ray exam of jaw joint        730       2.48    $131.25       $72.09       $26.25
70336...  S                   Magnetic image jaw             726       7.96    $421.16      $258.09       $84.23
                               joint.
70350...  X                   X-ray head for                 700       0.78     $41.14       $22.37        $8.23
                               orthodontia.
70355...  X                   Panoramic x-ray of jaws        700       0.78     $41.14       $22.37        $8.23
70360...  X                   X-ray exam of neck.....        700       0.78     $41.14       $22.37        $8.23
70370...  X                   Throat x-ray &                 716       1.59     $84.23       $47.91       $16.85
                               fluoroscopy.
70371...  X                   Speech evaluation,             716       1.59     $84.23       $47.91       $16.85
                               complex.
70373...  X                   Contrast x-ray of              706       1.96    $103.82       $57.63       $20.76
                               larynx.
70380...  X                   X-ray exam of salivary         700       0.78     $41.14       $22.37        $8.23
                               gland.
70390...  X                   X-ray exam of salivary         706       1.96    $103.82       $57.63       $20.76
                               duct.
70450...  S                   CAT scan of head or            710       5.06    $267.39      $176.28       $53.48
                               brain.
70460...  S                   Contrast CAT scan of           710       5.06    $267.39      $176.28       $53.48
                               head.
70470...  S                   Contrast CAT scans of          710       5.06    $267.39      $176.28       $53.48
                               head.
70480...  S                   CAT scan of skull......        710       5.06    $267.39      $176.28       $53.48
70481...  S                   Contrast CAT scan of           710       5.06    $267.39      $176.28       $53.48
                               skull.
70482...  S                   Contrast CAT scans of          710       5.06    $267.39      $176.28       $53.48
                               skull.
70486...  S                   CAT scan of face, jaw..        710       5.06    $267.39      $176.28       $53.48
70487...  S                   Contrast CAT scan, face/       710       5.06    $267.39      $176.28       $53.48
                               jaw.
70488...  S                   Contrast CAT scans face/       710       5.06    $267.39      $176.28       $53.48
                               jaw.
70490...  S                   CAT scan of neck tissue        710       5.06    $267.39      $176.28       $53.48
70491...  S                   Contrast CAT of neck           710       5.06    $267.39      $176.28       $53.48
                               tissue.
70492...  S                   Contrast CAT of neck           710       5.06    $267.39      $176.28       $53.48
                               tissue.
70540...  S                   Magnetic image, face,          726       7.96    $421.16      $258.09       $84.23
                               neck.
70541...  S                   Magnetic image, head           720       6.35    $335.95      $206.11       $67.19
                               (MRA).
70551...  S                   Magnetic image, brain          726       7.96    $421.16      $258.09       $84.23
                               (MRI).
70552...  S                   Magnetic image, brain          726       7.96    $421.16      $258.09       $84.23
                               (MRI).
70553...  S                   Magnetic image, brain..        726       7.96    $421.16      $258.09       $84.23
71010...  X                   Chest x-ray............        700       0.78     $41.14       $22.37        $8.23
71015...  X                   X-ray exam of chest....        700       0.78     $41.14       $22.37        $8.23
71020...  X                   Chest x-ray............        700       0.78     $41.14       $22.37        $8.23
71021...  X                   Chest x-ray............        700       0.78     $41.14       $22.37        $8.23
71022...  X                   Chest x-ray............        700       0.78     $41.14       $22.37        $8.23
71023...  X                   Chest x-ray and                716       1.59     $84.23       $47.91       $16.85
                               fluoroscopy.
71030...  X                   Chest x-ray............        700       0.78     $41.14       $22.37        $8.23
71034...  X                   Chest x-ray &                  716       1.59     $84.23       $47.91       $16.85
                               fluoroscopy.
71035...  X                   Chest x-ray............        700       0.78     $41.14       $22.37        $8.23

[[Page 47690]]

71036...  X                   X-ray guidance for             716       1.59     $84.23       $47.91       $16.85
                               biopsy.
71038...  X                   X-ray guidance for             716       1.59     $84.23       $47.91       $16.85
                               biopsy.
71040...  X                   Contrast x-ray of              706       1.96    $103.82       $57.63       $20.76
                               bronchi.
71060...  X                   Contrast x-ray of              706       1.96    $103.82       $57.63       $20.76
                               bronchi.
71090...  X                   X-ray & pacemaker              716       1.59     $84.23       $47.91       $16.85
                               insertion.
71100...  X                   X-ray exam of ribs.....        700       0.78     $41.14       $22.37        $8.23
71101...  X                   X-ray exam of ribs,            700       0.78     $41.14       $22.37        $8.23
                               chest.
71110...  X                   X-ray exam of ribs.....        700       0.78     $41.14       $22.37        $8.23
71111...  X                   X-ray exam of ribs,            700       0.78     $41.14       $22.37        $8.23
                               chest.
71120...  X                   X-ray exam of                  700       0.78     $41.14       $22.37        $8.23
                               breastbone.
71130...  X                   X-ray exam of                  700       0.78     $41.14       $22.37        $8.23
                               breastbone.
71250...  S                   Cat scan of chest......        710       5.06    $267.39      $176.28       $53.48
71260...  S                   Contrast CAT scan of           710       5.06    $267.39      $176.28       $53.48
                               chest.
71270...  S                   Contrast CAT scans of          710       5.06    $267.39      $176.28       $53.48
                               chest.
71550...  S                   Magnetic image, chest..        726       7.96    $421.16      $258.09       $84.23
71555...  E                   Magnetic imaging/chest   .........  .........  .........  ...........  ...........
                               (MRA).
72010...  X                   X-ray exam of spine....        700       0.78     $41.14       $22.37        $8.23
72020...  X                   X-ray exam of spine....        700       0.78     $41.14       $22.37        $8.23
72040...  X                   X-ray exam of neck             700       0.78     $41.14       $22.37        $8.23
                               spine.
72050...  X                   X-ray exam of neck             700       0.78     $41.14       $22.37        $8.23
                               spine.
72052...  X                   X-ray exam of neck             700       0.78     $41.14       $22.37        $8.23
                               spine.
72069...  X                   X-ray exam of trunk            700       0.78     $41.14       $22.37        $8.23
                               spine.
72070...  X                   X-ray exam of thorax           700       0.78     $41.14       $22.37        $8.23
                               spine.
72072...  X                   X-ray exam of thoracic         700       0.78     $41.14       $22.37        $8.23
                               spine.
72074...  X                   X-ray exam of thoracic         700       0.78     $41.14       $22.37        $8.23
                               spine.
72080...  X                   X-ray exam of trunk            700       0.78     $41.14       $22.37        $8.23
                               spine.
72090...  X                   X-ray exam of trunk            700       0.78     $41.14       $22.37        $8.23
                               spine.
72100...  X                   X-ray exam of lower            700       0.78     $41.14       $22.37        $8.23
                               spine.
72110...  X                   X-ray exam of lower            700       0.78     $41.14       $22.37        $8.23
                               spine.
72114...  X                   X-ray exam of lower            700       0.78     $41.14       $22.37        $8.23
                               spine.
72120...  X                   X-ray exam of lower            700       0.78     $41.14       $22.37        $8.23
                               spine.
72125...  S                   CAT scan of neck spine.        710       5.06    $267.39      $176.28       $53.48
72126...  S                   Contrast CAT scan of           710       5.06    $267.39      $176.28       $53.48
                               neck.
72127...  S                   Contrast CAT scans of          710       5.06    $267.39      $176.28       $53.48
                               neck.
72128...  S                   CAT scan of thorax             710       5.06    $267.39      $176.28       $53.48
                               spine.
72129...  S                   Contrast CAT scan of           710       5.06    $267.39      $176.28       $53.48
                               thorax.
72130...  S                   Contrast CAT scans of          710       5.06    $267.39      $176.28       $53.48
                               thorax.
72131...  S                   CAT scan of lower spine        710       5.06    $267.39      $176.28       $53.48
72132...  S                   Contrast CAT of lower          710       5.06    $267.39      $176.28       $53.48
                               spine.
72133...  S                   Contrast CAT scans, low        710       5.06    $267.39      $176.28       $53.48
                               spine.
72141...  S                   Magnetic image, neck           726       7.96    $421.16      $258.09       $84.23
                               spine.
72142...  S                   Magnetic image, neck           726       7.96    $421.16      $258.09       $84.23
                               spine.
72146...  S                   Magnetic image, chest          726       7.96    $421.16      $258.09       $84.23
                               spine.
72147...  S                   Magnetic image, chest          726       7.96    $421.16      $258.09       $84.23
                               spine.
72148...  S                   Magnetic image, lumbar         726       7.96    $421.16      $258.09       $84.23
                               spine.
72149...  S                   Magnetic image, lumbar         726       7.96    $421.16      $258.09       $84.23
                               spine.
72156...  S                   Magnetic image, neck           726       7.96    $421.16      $258.09       $84.23
                               spine.
72157...  S                   Magnetic image, chest          726       7.96    $421.16      $258.09       $84.23
                               spine.
72158...  S                   Magnetic image, lumbar         726       7.96    $421.16      $258.09       $84.23
                               spine.
72159...  E                   Magnetic imaging/spine   .........  .........  .........  ...........  ...........
                               (MRA).
72170...  X                   X-ray exam of pelvis...        700       0.78     $41.14       $22.37        $8.23
72190...  X                   X-ray exam of pelvis...        700       0.78     $41.14       $22.37        $8.23
72192...  S                   CAT scan of pelvis.....        710       5.06    $267.39      $176.28       $53.48
72193...  S                   Contrast CAT scan of           710       5.06    $267.39      $176.28       $53.48
                               pelvis.
72194...  S                   Contrast CAT scans of          710       5.06    $267.39      $176.28       $53.48
                               pelvis.
72196...  S                   Magnetic image, pelvis.        726       7.96    $421.16      $258.09       $84.23
72198...  E                   Magnetic imaging/        .........  .........  .........  ...........  ...........
                               pelvis(MRA).
72200...  X                   X-ray exam sacroiliac          700       0.78     $41.14       $22.37        $8.23
                               joints.
72202...  X                   X-ray exam sacroiliac          700       0.78     $41.14       $22.37        $8.23
                               joints.
72220...  X                   X-ray exam of tailbone.        700       0.78     $41.14       $22.37        $8.23
72240...  S                   Contrast x-ray of neck         728       4.07    $215.48      $113.23       $43.10
                               spine.
72255...  S                   Contrast x-ray thorax          728       4.07    $215.48      $113.23       $43.10
                               spine.
72265...  S                   Contrast x-ray lower           728       4.07    $215.48      $113.23       $43.10
                               spine.
72270...  S                   Contrast x-ray of spine        728       4.07    $215.48      $113.23       $43.10
72285...  S                   X-ray of neck spine            728       4.07    $215.48      $113.23       $43.10
                               disk.
72295...  S                   X-ray of lower spine           728       4.07    $215.48      $113.23       $43.10
                               disk.
73000...  X                   X-ray exam of                  700       0.78     $41.14       $22.37        $8.23
                               collarbone.
73010...  X                   X-ray exam of                  700       0.78     $41.14       $22.37        $8.23
                               shoulderblade.
73020...  X                   X-ray exam of shoulder.        700       0.78     $41.14       $22.37        $8.23
73030...  X                   X-ray exam of shoulder.        700       0.78     $41.14       $22.37        $8.23
73040...  S                   Contrast x-ray of              730       2.48    $131.25       $72.09       $26.25
                               shoulder.
73050...  X                   X-ray exam of shoulders        700       0.78     $41.14       $22.37        $8.23
73060...  X                   X-ray exam of humerus..        700       0.78     $41.14       $22.37        $8.23
73070...  X                   X-ray exam of elbow....        700       0.78     $41.14       $22.37        $8.23
73080...  X                   X-ray exam of elbow....        700       0.78     $41.14       $22.37        $8.23

[[Page 47691]]

73085...  S                   Contrast x-ray of elbow        730       2.48    $131.25       $72.09       $26.25
73090...  X                   X-ray exam of forearm..        700       0.78     $41.14       $22.37        $8.23
73092...  X                   X-ray exam of arm,             700       0.78     $41.14       $22.37        $8.23
                               infant.
73100...  X                   X-ray exam of wrist....        700       0.78     $41.14       $22.37        $8.23
73110...  X                   X-ray exam of wrist....        700       0.78     $41.14       $22.37        $8.23
73115...  S                   Contrast x-ray of wrist        730       2.48    $131.25       $72.09       $26.25
73120...  X                   X-ray exam of hand.....        700       0.78     $41.14       $22.37        $8.23
73130...  X                   X-ray exam of hand.....        700       0.78     $41.14       $22.37        $8.23
73140...  X                   X-ray exam of finger(s)        700       0.78     $41.14       $22.37        $8.23
73200...  S                   CAT scan of arm........        710       5.06    $267.39      $176.28       $53.48
73201...  S                   Contrast CAT scan of           710       5.06    $267.39      $176.28       $53.48
                               arm.
73202...  S                   Contrast CAT scans of          710       5.06    $267.39      $176.28       $53.48
                               arm.
73220...  S                   Magnetic image, arm,           726       7.96    $421.16      $258.09       $84.23
                               hand.
73221...  S                   Magnetic image, joint          726       7.96    $421.16      $258.09       $84.23
                               of arm.
73225...  E                   Magnetic imaging/upper   .........  .........  .........  ...........  ...........
                               (MRA).
73500...  X                   X-ray exam of hip......        700       0.78     $41.14       $22.37        $8.23
73510...  X                   X-ray exam of hip......        700       0.78     $41.14       $22.37        $8.23
73520...  X                   X-ray exam of hips.....        700       0.78     $41.14       $22.37        $8.23
73525...  S                   Contrast x-ray of hip..        730       2.48    $131.25       $72.09       $26.25
73530...  X                   X-ray exam of hip......        700       0.78     $41.14       $22.37        $8.23
73540...  X                   X-ray exam of pelvis &         700       0.78     $41.14       $22.37        $8.23
                               hips.
73550...  X                   X-ray exam of thigh....        700       0.78     $41.14       $22.37        $8.23
73560...  X                   X-ray exam of knee.....        700       0.78     $41.14       $22.37        $8.23
73562...  X                   X-ray exam of knee.....        700       0.78     $41.14       $22.37        $8.23
73564...  X                   X-ray exam of knee.....        700       0.78     $41.14       $22.37        $8.23
73565...  X                   X-ray exam of knee.....        700       0.78     $41.14       $22.37        $8.23
73580...  S                   Contrast x-ray of knee         730       2.48    $131.25       $72.09       $26.25
                               joint.
73590...  X                   X-ray exam of lower leg        700       0.78     $41.14       $22.37        $8.23
73592...  X                   X-ray exam of leg,             700       0.78     $41.14       $22.37        $8.23
                               infant.
73600...  X                   X-ray exam of ankle....        700       0.78     $41.14       $22.37        $8.23
73610...  X                   X-ray exam of ankle....        700       0.78     $41.14       $22.37        $8.23
73615...  S                   Contrast x-ray of ankle        730       2.48    $131.25       $72.09       $26.25
73620...  X                   X-ray exam of foot.....        700       0.78     $41.14       $22.37        $8.23
73630...  X                   X-ray exam of foot.....        700       0.78     $41.14       $22.37        $8.23
73650...  X                   X-ray exam of heel.....        700       0.78     $41.14       $22.37        $8.23
73660...  X                   X-ray exam of toe(s)...        700       0.78     $41.14       $22.37        $8.23
73700...  S                   CAT scan of leg........        710       5.06    $267.39      $176.28       $53.48
73701...  S                   Contrast CAT scan of           710       5.06    $267.39      $176.28       $53.48
                               leg.
73702...  S                   Contrast CAT scans of          710       5.06    $267.39      $176.28       $53.48
                               leg.
73720...  S                   Magnetic image, leg,           726       7.96    $421.16      $258.09       $84.23
                               foot.
73721...  S                   Magnetic image, joint          726       7.96    $421.16      $258.09       $84.23
                               of leg.
73725...  E                   Magnetic imaging/lower   .........  .........  .........  ...........  ...........
                               (MRA).
74000...  X                   X-ray exam of abdomen..        700       0.78     $41.14       $22.37        $8.23
74010...  X                   X-ray exam of abdomen..        700       0.78     $41.14       $22.37        $8.23
74020...  X                   X-ray exam of abdomen..        700       0.78     $41.14       $22.37        $8.23
74022...  X                   X-ray exam series,             700       0.78     $41.14       $22.37        $8.23
                               abdomen.
74150...  S                   CAT scan of abdomen....        710       5.06    $267.39      $176.28       $53.48
74160...  S                   Contrast CAT scan of           710       5.06    $267.39      $176.28       $53.48
                               abdomen.
74170...  S                   Contrast CAT scans,            710       5.06    $267.39      $176.28       $53.48
                               abdomen.
74181...  S                   Magnetic image,abdomen         726       7.96    $421.16      $258.09       $84.23
                               (MRI).
74185...  E                   Magnetic image/abdomen   .........  .........  .........  ...........  ...........
                               (MRA).
74190...  X                   X-ray exam of                  706       1.96    $103.82       $57.63       $20.76
                               peritoneum.
74210...  S                   Contrast xray exam of          736       1.85     $97.95       $54.24       $19.59
                               throat.
74220...  S                   Contrast xray                  736       1.85     $97.95       $54.24       $19.59
                               exam,esophagus.
74230...  S                   Cinema xray throat/            736       1.85     $97.95       $54.24       $19.59
                               esophagus.
74235...  S                   Remove esophagus               738       4.48    $237.03      $133.34       $47.41
                               obstruction.
74240...  S                   X-ray exam upper GI            736       1.85     $97.95       $54.24       $19.59
                               tract.
74241...  S                   X-ray exam upper GI            736       1.85     $97.95       $54.24       $19.59
                               tract.
74245...  S                   X-ray exam upper GI            736       1.85     $97.95       $54.24       $19.59
                               tract.
74246...  S                   Contrast xray upper GI         736       1.85     $97.95       $54.24       $19.59
                               tract.
74247...  S                   Contrast xray upper GI         736       1.85     $97.95       $54.24       $19.59
                               tract.
74249...  S                   Contrast xray upper GI         736       1.85     $97.95       $54.24       $19.59
                               tract.
74250...  S                   X-ray exam of small            736       1.85     $97.95       $54.24       $19.59
                               bowel.
74251...  S                   X-ray exam of small            736       1.85     $97.95       $54.24       $19.59
                               bowel.
74260...  S                   X-ray exam of small            736       1.85     $97.95       $54.24       $19.59
                               bowel.
74270...  S                   Contrast x-ray exam of         736       1.85     $97.95       $54.24       $19.59
                               colon.
74280...  S                   Contrast x-ray exam of         736       1.85     $97.95       $54.24       $19.59
                               colon.
74283...  S                   Contrast x-ray exam of         736       1.85     $97.95       $54.24       $19.59
                               colon.
74290...  S                   Contrast x-ray,                736       1.85     $97.95       $54.24       $19.59
                               gallbladder.
74291...  S                   Contrast x-rays,               736       1.85     $97.95       $54.24       $19.59
                               gallbladder.
74300...  C                   X-ray bile ducts,        .........  .........  .........  ...........  ...........
                               pancreas.
74301...  C                   Additional x-rays at     .........  .........  .........  ...........  ...........
                               surgery.
74305...  X                   X-ray bile ducts,              706       1.96    $103.82       $57.63       $20.76
                               pancreas.
74320...  X                   Contrast x-ray of bile         706       1.96    $103.82       $57.63       $20.76
                               ducts.
74327...  S                   X-ray for bile stone           738       4.48    $237.03      $133.34       $47.41
                               removal.

[[Page 47692]]

74328...  X                   Xray for bile duct             706       1.96    $103.82       $57.63       $20.76
                               endoscopy.
74329...  X                   X-ray for pancreas             706       1.96    $103.82       $57.63       $20.76
                               endoscopy.
74330...  X                   Xray,bile/pancreas             706       1.96    $103.82       $57.63       $20.76
                               endoscopy.
74340...  X                   X-ray guide for GI tube        716       1.59     $84.23       $47.91       $16.85
74350...  X                   X-ray guide, stomach           706       1.96    $103.82       $57.63       $20.76
                               tube.
74355...  X                   X-ray guide, intestinal        706       1.96    $103.82       $57.63       $20.76
                               tube.
74360...  S                   X-ray guide, GI                738       4.48    $237.03      $133.34       $47.41
                               dilation.
74363...  S                   X-ray, bile duct               738       4.48    $237.03      $133.34       $47.41
                               dilation.
74400...  S                   Contrast x-ray urinary         737       2.81    $148.88       $86.56       $29.78
                               tract.
74405...  S                   Contrast x-ray urinary         737       2.81    $148.88       $86.56       $29.78
                               tract.
74410...  S                   Contrast x-ray urinary         737       2.81    $148.88       $86.56       $29.78
                               tract.
74415...  S                   Contrast x-ray urinary         737       2.81    $148.88       $86.56       $29.78
                               tract.
74420...  S                   Contrast x-ray urinary         737       2.81    $148.88       $86.56       $29.78
                               tract.
74425...  S                   Contrast x-ray urinary         737       2.81    $148.88       $86.56       $29.78
                               tract.
74430...  S                   Contrast x-ray of              737       2.81    $148.88       $86.56       $29.78
                               bladder.
74440...  S                   Xray exam male genital         737       2.81    $148.88       $86.56       $29.78
                               tract.
74445...  S                   X-ray exam of penis....        737       2.81    $148.88       $86.56       $29.78
74450...  S                   X-ray exam urethra/            737       2.81    $148.88       $86.56       $29.78
                               bladder.
74455...  S                   X-ray exam urethra/            737       2.81    $148.88       $86.56       $29.78
                               bladder.
74470...  X                   X-ray exam of kidney           706       1.96    $103.82       $57.63       $20.76
                               lesion.
74475...  S                   Xray control catheter          738       4.48    $237.03      $133.34       $47.41
                               insert.
74480...  S                   Xray control catheter          738       4.48    $237.03      $133.34       $47.41
                               insert.
74485...  S                   X-ray guide, GU                738       4.48    $237.03      $133.34       $47.41
                               dilation.
74710...  X                   X-ray measurement of           700       0.78     $41.14       $22.37        $8.23
                               pelvis.
74740...  X                   X-ray female genital           706       1.96    $103.82       $57.63       $20.76
                               tract.
74742...  X                   X-ray fallopian tube...        706       1.96    $103.82       $57.63       $20.76
74775...  S                   X-ray exam of perineum.        737       2.81    $148.88       $86.56       $29.78
75552...  S                   Magnetic image,                726       7.96    $421.16      $258.09       $84.23
                               myocardium.
75553...  S                   Magnetic image,                726       7.96    $421.16      $258.09       $84.23
                               myocardium.
75554...  S                   Cardiac MRI/function...        726       7.96    $421.16      $258.09       $84.23
75555...  S                   Cardiac MRI/limited            726       7.96    $421.16      $258.09       $84.23
                               study.
75556...  E                   Cardiac MRI/flow         .........  .........  .........  ...........  ...........
                               mapping.
75600...  S                   Contrast x-ray exam of         739       5.83    $308.53      $168.82       $61.71
                               aorta.
75605...  S                   Contrast x-ray exam of         739       5.83    $308.53      $168.82       $61.71
                               aorta.
75625...  S                   Contrast x-ray exam of         739       5.83    $308.53      $168.82       $61.71
                               aorta.
75630...  S                   X-ray aorta, leg               739       5.83    $308.53      $168.82       $61.71
                               arteries.
75650...  S                   Artery x-rays, head &          739       5.83    $308.53      $168.82       $61.71
                               neck.
75658...  S                   X-ray exam of arm              739       5.83    $308.53      $168.82       $61.71
                               arteries.
75660...  S                   Artery x-rays, head &          739       5.83    $308.53      $168.82       $61.71
                               neck.
75662...  S                   Artery x-rays, head &          739       5.83    $308.53      $168.82       $61.71
                               neck.
75665...  S                   Artery x-rays, head &          739       5.83    $308.53      $168.82       $61.71
                               neck.
75671...  S                   Artery x-rays, head &          739       5.83    $308.53      $168.82       $61.71
                               neck.
75676...  S                   Artery x-rays, neck....        739       5.83    $308.53      $168.82       $61.71
75680...  S                   Artery x-rays, neck....        739       5.83    $308.53      $168.82       $61.71
75685...  S                   Artery x-rays, spine...        739       5.83    $308.53      $168.82       $61.71
75705...  S                   Artery x-rays, spine...        739       5.83    $308.53      $168.82       $61.71
75710...  S                   Artery x-rays, arm/leg.        739       5.83    $308.53      $168.82       $61.71
75716...  S                   Artery x-rays, arms/           739       5.83    $308.53      $168.82       $61.71
                               legs.
75722...  S                   Artery x-rays, kidney..        739       5.83    $308.53      $168.82       $61.71
75724...  S                   Artery x-rays, kidneys.        739       5.83    $308.53      $168.82       $61.71
75726...  S                   Artery x-rays, abdomen.        739       5.83    $308.53      $168.82       $61.71
75731...  S                   Artery x-rays, adrenal         739       5.83    $308.53      $168.82       $61.71
                               gland.
75733...  S                   Artery x-rays,adrenal          739       5.83    $308.53      $168.82       $61.71
                               glands.
75736...  S                   Artery x-rays, pelvis..        739       5.83    $308.53      $168.82       $61.71
75741...  S                   Artery x-rays, lung....        739       5.83    $308.53      $168.82       $61.71
75743...  S                   Artery x-rays, lungs...        739       5.83    $308.53      $168.82       $61.71
75746...  S                   Artery x-rays, lung....        739       5.83    $308.53      $168.82       $61.71
75756...  S                   Artery x-rays, chest...        739       5.83    $308.53      $168.82       $61.71
75774...  S                   Artery x-ray, each             739       5.83    $308.53      $168.82       $61.71
                               vessel.
75790...  S                   Visualize A-V shunt....        739       5.83    $308.53      $168.82       $61.71
75801...  X                   Lymph vessel x-ray, arm/       706       1.96    $103.82       $57.63       $20.76
                               leg.
75803...  X                   Lymph vessel x-ray,arms/       706       1.96    $103.82       $57.63       $20.76
                               legs.
75805...  X                   Lymph vessel x-ray,            706       1.96    $103.82       $57.63       $20.76
                               trunk.
75807...  X                   Lymph vessel x-ray,            706       1.96    $103.82       $57.63       $20.76
                               trunk.
75809...  X                   Nonvascular shunt, x-          706       1.96    $103.82       $57.63       $20.76
                               ray.
75810...  S                   Vein x-ray, spleen/            739       5.83    $308.53      $168.82       $61.71
                               liver.
75820...  S                   Vein x-ray, arm/leg....        739       5.83    $308.53      $168.82       $61.71
75822...  S                   Vein x-ray, arms/legs..        739       5.83    $308.53      $168.82       $61.71
75825...  S                   Vein x-ray, trunk......        739       5.83    $308.53      $168.82       $61.71
75827...  S                   Vein x-ray, chest......        739       5.83    $308.53      $168.82       $61.71
75831...  S                   Vein x-ray, kidney.....        739       5.83    $308.53      $168.82       $61.71
75833...  S                   Vein x-ray, kidneys....        739       5.83    $308.53      $168.82       $61.71
75840...  S                   Vein x-ray, adrenal            739       5.83    $308.53      $168.82       $61.71
                               gland.
75842...  S                   Vein x-ray, adrenal            739       5.83    $308.53      $168.82       $61.71
                               glands.
75860...  S                   Vein x-ray, neck.......        739       5.83    $308.53      $168.82       $61.71

[[Page 47693]]

75870...  S                   Vein x-ray, skull......        739       5.83    $308.53      $168.82       $61.71
75872...  S                   Vein x-ray, skull......        739       5.83    $308.53      $168.82       $61.71
75880...  S                   Vein x-ray, eye socket.        739       5.83    $308.53      $168.82       $61.71
75885...  S                   Vein x-ray, liver......        739       5.83    $308.53      $168.82       $61.71
75887...  S                   Vein x-ray, liver......        739       5.83    $308.53      $168.82       $61.71
75889...  S                   Vein x-ray, liver......        739       5.83    $308.53      $168.82       $61.71
75891...  S                   Vein x-ray, liver......        739       5.83    $308.53      $168.82       $61.71
75893...  N                   Venous sampling by       .........  .........  .........  ...........  ...........
                               catheter.
75894...  C                   Xrays, transcatheter     .........  .........  .........  ...........  ...........
                               therapy.
75896...  C                   Xrays, transcatheter     .........  .........  .........  ...........  ...........
                               therapy.
75898...  X                   Follow-up angiogram....        706       1.96    $103.82       $57.63       $20.76
75900...  C                   Arterial catheter        .........  .........  .........  ...........  ...........
                               exchange.
75940...  C                   X-ray placement, vein    .........  .........  .........  ...........  ...........
                               filter.
75945...  C                   Intravascular us.......  .........  .........  .........  ...........  ...........
75946...  C                   Intravascular us.......  .........  .........  .........  ...........  ...........
75960...  C                   Transcatheter intro,     .........  .........  .........  ...........  ...........
                               stent.
75961...  C                   Retrieval, broken        .........  .........  .........  ...........  ...........
                               catheter.
75962...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
75964...  C                   Repair artery blockage,  .........  .........  .........  ...........  ...........
                               each.
75966...  C                   Repair arterial          .........  .........  .........  ...........  ...........
                               blockage.
75968...  C                   Repair artery blockage,  .........  .........  .........  ...........  ...........
                               each.
75970...  C                   Vascular biopsy........  .........  .........  .........  ...........  ...........
75978...  C                   Repair venous blockage.  .........  .........  .........  ...........  ...........
75980...  S                   Contrast xray exam bile        738       4.48    $237.03      $133.34       $47.41
                               duct.
75982...  S                   Contrast xray exam bile        738       4.48    $237.03      $133.34       $47.41
                               duct.
75984...  S                   Xray control catheter          738       4.48    $237.03      $133.34       $47.41
                               change.
75989...  X                   Abscess drainage under         716       1.59     $84.23       $47.91       $16.85
                               x-ray.
75992...  C                   Atherectomy, x-ray exam  .........  .........  .........  ...........  ...........
75993...  C                   Atherectomy, x-ray exam  .........  .........  .........  ...........  ...........
75994...  C                   Atherectomy, x-ray exam  .........  .........  .........  ...........  ...........
75995...  C                   Atherectomy, x-ray exam  .........  .........  .........  ...........  ...........
75996...  C                   Atherectomy, x-ray exam  .........  .........  .........  ...........  ...........
76000...  X                   Fluoroscope examination        716       1.59     $84.23       $47.91       $16.85
76001...  X                   Fluoroscope exam,              716       1.59     $84.23       $47.91       $16.85
                               extensive.
76003...  X                   Needle localization by         716       1.59     $84.23       $47.91       $16.85
                               x-ray.
76010...  X                   X-ray, nose to rectum..        700       0.78     $41.14       $22.37        $8.23
76020...  X                   X-rays for bone age....        700       0.78     $41.14       $22.37        $8.23
76040...  X                   X-rays, bone evaluation        700       0.78     $41.14       $22.37        $8.23
76061...  X                   X-rays, bone survey....        700       0.78     $41.14       $22.37        $8.23
76062...  X                   X-rays, bone survey....        700       0.78     $41.14       $22.37        $8.23
76065...  X                   X-rays, bone evaluation        700       0.78     $41.14       $22.37        $8.23
76066...  X                   Joint(s) survey, single        700       0.78     $41.14       $22.37        $8.23
                               film.
76070...  E                   CT scan, bone density    .........  .........  .........  ...........  ...........
                               study.
76075...  X                   Dual energy x-ray study        706       1.96    $103.82       $57.63       $20.76
76076...  X                   Dual energy x-ray study        700       0.78     $41.14       $22.37        $8.23
76078...  X                   Photodensitometry......        700       0.78     $41.14       $22.37        $8.23
76080...  X                   X-ray exam of fistula..        706       1.96    $103.82       $57.63       $20.76
76086...  X                   X-ray of mammary duct..        706       1.96    $103.82       $57.63       $20.76
76088...  X                   X-ray of mammary ducts.        706       1.96    $103.82       $57.63       $20.76
76090...  S                   Mammogram, one breast..        746       0.69     $36.24       $19.44        $7.25
76091...  S                   Mammogram, both breasts        746       0.69     $36.24       $19.44        $7.25
76092...  A                   Mammogram, screening...  .........  .........  .........  ...........  ...........
76093...  S                   Magnetic image, breast.        726       7.96    $421.16      $258.09       $84.23
76094...  S                   Magnetic image, both           726       7.96    $421.16      $258.09       $84.23
                               breasts.
76095...  X                   Stereotactic breast            706       1.96    $103.82       $57.63       $20.76
                               biopsy.
76096...  X                   X-ray of needle wire,          706       1.96    $103.82       $57.63       $20.76
                               breast.
76098...  X                   X-ray exam, breast             700       0.78     $41.14       $22.37        $8.23
                               specimen.
76100...  X                   X-ray exam of body             700       0.78     $41.14       $22.37        $8.23
                               section.
76101...  X                   Complex body section x-        706       1.96    $103.82       $57.63       $20.76
                               ray.
76102...  X                   Complex body section x-        706       1.96    $103.82       $57.63       $20.76
                               rays.
76120...  X                   Cinematic x-rays.......        700       0.78     $41.14       $22.37        $8.23
76125...  X                   Cinematic x-rays.......        700       0.78     $41.14       $22.37        $8.23
76140...  E                   X-ray consultation.....  .........  .........  .........  ...........  ...........
76150...  X                   X-ray exam, dry process        700       0.78     $41.14       $22.37        $8.23
76350...  N                   Special x-ray contrast   .........  .........  .........  ...........  ...........
                               study.
76355...  S                   CAT scan for                   710       5.06    $267.39      $176.28       $53.48
                               localization.
76360...  S                   CAT scan for needle            710       5.06    $267.39      $176.28       $53.48
                               biopsy.
76365...  S                   CAT scan for cyst              710       5.06    $267.39      $176.28       $53.48
                               aspiration.
76370...  S                   CAT scan for therapy           710       5.06    $267.39      $176.28       $53.48
                               guide.
76375...  S                   3d/holograph reconstr          710       5.06    $267.39      $176.28       $53.48
                               add-on.
76380...  S                   CAT scan follow-up             710       5.06    $267.39      $176.28       $53.48
                               study.
76390...  S                   Mr spectroscopy........        726       7.96    $421.16      $258.09       $84.23
76400...  S                   Magnetic image, bone           726       7.96    $421.16      $258.09       $84.23
                               marrow.
76499...  X                   Radiographic procedure.        700       0.78     $41.14       $22.37        $8.23
76506...  S                   Echo exam of head......        747       1.65     $87.17       $54.69       $17.43

[[Page 47694]]

76511...  S                   Echo exam of eye.......        747       1.65     $87.17       $54.69       $17.43
76512...  S                   Echo exam of eye.......        747       1.65     $87.17       $54.69       $17.43
76513...  S                   Echo exam of eye, water        747       1.65     $87.17       $54.69       $17.43
                               bath.
76516...  S                   Echo exam of eye.......        747       1.65     $87.17       $54.69       $17.43
76519...  S                   Echo exam of eye.......        747       1.65     $87.17       $54.69       $17.43
76529...  S                   Echo exam of eye.......        747       1.65     $87.17       $54.69       $17.43
76536...  S                   Echo exam of head and          747       1.65     $87.17       $54.69       $17.43
                               neck.
76604...  S                   Echo exam of chest.....        747       1.65     $87.17       $54.69       $17.43
76645...  S                   Echo exam of breast....        747       1.65     $87.17       $54.69       $17.43
76700...  S                   Echo exam of abdomen...        747       1.65     $87.17       $54.69       $17.43
76705...  S                   Echo exam of abdomen...        747       1.65     $87.17       $54.69       $17.43
76770...  S                   Echo exam abdomen back         747       1.65     $87.17       $54.69       $17.43
                               wall.
76775...  S                   Echo exam abdomen back         747       1.65     $87.17       $54.69       $17.43
                               wall.
76778...  S                   Echo exam kidney               747       1.65     $87.17       $54.69       $17.43
                               transplant.
76800...  S                   Echo exam spinal canal.        747       1.65     $87.17       $54.69       $17.43
76805...  S                   Echo exam of pregnant          747       1.65     $87.17       $54.69       $17.43
                               uterus.
76810...  S                   Echo exam of pregnant          747       1.65     $87.17       $54.69       $17.43
                               uterus.
76815...  S                   Echo exam of pregnant          747       1.65     $87.17       $54.69       $17.43
                               uterus.
76816...  S                   Echo exam followup or          747       1.65     $87.17       $54.69       $17.43
                               repeat.
76818...  S                   Fetal biophysical              747       1.65     $87.17       $54.69       $17.43
                               profile.
76825...  X                   Echo exam of fetal             957       2.83    $149.86      $117.07       $29.97
                               heart.
76826...  X                   Echo exam of fetal             957       2.83    $149.86      $117.07       $29.97
                               heart.
76827...  X                   Echo exam of fetal             957       2.83    $149.86      $117.07       $29.97
                               heart.
76828...  X                   Echo exam of fetal             957       2.83    $149.86      $117.07       $29.97
                               heart.
76830...  S                   Echo exam, transvaginal        747       1.65     $87.17       $54.69       $17.43
76831...  S                   Echo exam, uterus......        747       1.65     $87.17       $54.69       $17.43
76856...  S                   Echo exam of pelvis....        747       1.65     $87.17       $54.69       $17.43
76857...  S                   Echo exam of pelvis....        747       1.65     $87.17       $54.69       $17.43
76870...  S                   Echo exam of scrotum...        747       1.65     $87.17       $54.69       $17.43
76872...  S                   Echo exam, transrectal.        747       1.65     $87.17       $54.69       $17.43
76880...  S                   Echo exam of extremity.        747       1.65     $87.17       $54.69       $17.43
76885...  S                   Echo exam, infant hips.        747       1.65     $87.17       $54.69       $17.43
76886...  S                   Echo exam, infant hips.        747       1.65     $87.17       $54.69       $17.43
76930...  X                   Echo guide for heart           749       2.46    $130.27       $76.16       $26.05
                               sac tap.
76932...  X                   Echo guide for heart           749       2.46    $130.27       $76.16       $26.05
                               biopsy.
76934...  X                   Echo guide for chest           749       2.46    $130.27       $76.16       $26.05
                               tap.
76936...  X                   Echo guide for artery          749       2.46    $130.27       $76.16       $26.05
                               repair.
76938...  X                   Echo exam for drainage.        749       2.46    $130.27       $76.16       $26.05
76941...  X                   Echo guide for                 749       2.46    $130.27       $76.16       $26.05
                               transfusion.
76942...  X                   Echo guide for biopsy..        749       2.46    $130.27       $76.16       $26.05
76945...  X                   Echo guide, villus             749       2.46    $130.27       $76.16       $26.05
                               sampling.
76946...  X                   Echo guide for                 749       2.46    $130.27       $76.16       $26.05
                               amniocentesis.
76948...  X                   Echo guide, ova                749       2.46    $130.27       $76.16       $26.05
                               aspiration.
76950...  X                   Echo guidance                  749       2.46    $130.27       $76.16       $26.05
                               radiotherapy.
76960...  X                   Echo guidance                  749       2.46    $130.27       $76.16       $26.05
                               radiotherapy.
76965...  X                   Echo guidance                  749       2.46    $130.27       $76.16       $26.05
                               radiotherapy.
76970...  S                   Ultrasound exam follow-        747       1.65     $87.17       $54.69       $17.43
                               up.
76975...  S                   GI endoscopic                  747       1.65     $87.17       $54.69       $17.43
                               ultrasound.
76986...  S                   Echo exam at surgery...        747       1.65     $87.17       $54.69       $17.43
76999...  S                   Echo examination               747       1.65     $87.17       $54.69       $17.43
                               procedure.
77261...  X                   Radiation therapy              750       0.93     $48.97       $25.54        $9.79
                               planning.
77262...  X                   Radiation therapy              750       0.93     $48.97       $25.54        $9.79
                               planning.
77263...  X                   Radiation therapy              750       0.93     $48.97       $25.54        $9.79
                               planning.
77280...  X                   Set radiation therapy          752       3.56    $188.05       $88.82       $37.61
                               field.
77285...  X                   Set radiation therapy          752       3.56    $188.05       $88.82       $37.61
                               field.
77290...  X                   Set radiation therapy          752       3.56    $188.05       $88.82       $37.61
                               field.
77295...  X                   Set radiation therapy          752       3.56    $188.05       $88.82       $37.61
                               field.
77299...  X                   Radiation therapy              751       1.07     $56.81       $33.22       $11.36
                               planning.
77300...  X                   Radiation therapy dose         751       1.07     $56.81       $33.22       $11.36
                               plan.
77305...  X                   Radiation therapy dose         751       1.07     $56.81       $33.22       $11.36
                               plan.
77310...  X                   Radiation therapy dose         751       1.07     $56.81       $33.22       $11.36
                               plan.
77315...  X                   Radiation therapy dose         751       1.07     $56.81       $33.22       $11.36
                               plan.
77321...  X                   Radiation therapy port         751       1.07     $56.81       $33.22       $11.36
                               plan.
77326...  X                   Radiation therapy dose         751       1.07     $56.81       $33.22       $11.36
                               plan.
77327...  X                   Radiation therapy dose         751       1.07     $56.81       $33.22       $11.36
                               plan.
77328...  X                   Radiation therapy dose         751       1.07     $56.81       $33.22       $11.36
                               plan.
77331...  X                   Special radiation              751       1.07     $56.81       $33.22       $11.36
                               dosimetry.
77332...  X                   Radiation treatment            751       1.07     $56.81       $33.22       $11.36
                               aid(s).
77333...  X                   Radiation treatment            751       1.07     $56.81       $33.22       $11.36
                               aid(s).
77334...  X                   Radiation treatment            751       1.07     $56.81       $33.22       $11.36
                               aid(s).
77336...  X                   Radiation physics consu        750       0.93     $48.97       $25.54        $9.79
77370...  X                   Radiation physics              750       0.93     $48.97       $25.54        $9.79
                               consult.
77399...  X                   External radiation             750       0.93     $48.97       $25.54        $9.79
                               dosimetry.
77401...  S                   Radiation treatment            757       2.20    $116.55       $52.43       $23.31
                               delivery.
77402...  S                   Radiation treatment            757       2.20    $116.55       $52.43       $23.31
                               delivery.

[[Page 47695]]

77403...  S                   Radiation treatment            757       2.20    $116.55       $52.43       $23.31
                               delivery.
77404...  S                   Radiation treatment            757       2.20    $116.55       $52.43       $23.31
                               delivery.
77406...  S                   Radiation treatment            757       2.20    $116.55       $52.43       $23.31
                               delivery.
77407...  S                   Radiation treatment            757       2.20    $116.55       $52.43       $23.31
                               delivery.
77408...  S                   Radiation treatment            757       2.20    $116.55       $52.43       $23.31
                               delivery.
77409...  S                   Radiation treatment            757       2.20    $116.55       $52.43       $23.31
                               delivery.
77411...  S                   Radiation treatment            757       2.20    $116.55       $52.43       $23.31
                               delivery.
77412...  S                   Radiation treatment            757       2.20    $116.55       $52.43       $23.31
                               delivery.
77413...  S                   Radiation treatment            757       2.20    $116.55       $52.43       $23.31
                               delivery.
77414...  S                   Radiation treatment            757       2.20    $116.55       $52.43       $23.31
                               delivery.
77416...  S                   Radiation treatment            757       2.20    $116.55       $52.43       $23.31
                               delivery.
77417...  X                   Radiology port film(s).        700       0.78     $41.14       $22.37        $8.23
77419...  E                   Weekly radiation         .........  .........  .........  ...........  ...........
                               therapy.
77420...  E                   Weekly radiation         .........  .........  .........  ...........  ...........
                               therapy.
77425...  E                   Weekly radiation         .........  .........  .........  ...........  ...........
                               therapy.
77430...  E                   Weekly radiation         .........  .........  .........  ...........  ...........
                               therapy.
77431...  X                   Radiation therapy              750       0.93     $48.97       $25.54        $9.79
                               management.
77432...  X                   Stereotactic radiation         750       0.93     $48.97       $25.54        $9.79
                               trmt.
77470...  S                   Special radiation              757       2.20    $116.55       $52.43       $23.31
                               treatment.
77499...  N                   Radiation therapy        .........  .........  .........  ...........  ...........
                               management.
77600...  S                   Hyperthermia treatment.        758       3.41    $180.22       $76.84       $36.04
77605...  S                   Hyperthermia treatment.        758       3.41    $180.22       $76.84       $36.04
77610...  S                   Hyperthermia treatment.        758       3.41    $180.22       $76.84       $36.04
77615...  S                   Hyperthermia treatment.        758       3.41    $180.22       $76.84       $36.04
77620...  S                   Hyperthermia treatment.        758       3.41    $180.22       $76.84       $36.04
77750...  S                   Infuse radioactive             759       8.09    $428.02      $160.01       $85.60
                               materials.
77761...  S                   Radioelement                   759       8.09    $428.02      $160.01       $85.60
                               application.
77762...  S                   Radioelement                   759       8.09    $428.02      $160.01       $85.60
                               application.
77763...  S                   Radioelement                   759       8.09    $428.02      $160.01       $85.60
                               application.
77776...  S                   Radioelement                   759       8.09    $428.02      $160.01       $85.60
                               application.
77777...  S                   Radioelement                   759       8.09    $428.02      $160.01       $85.60
                               application.
77778...  S                   Radioelement                   759       8.09    $428.02      $160.01       $85.60
                               application.
77781...  S                   High intensity                 759       8.09    $428.02      $160.01       $85.60
                               brachytherapy.
77782...  S                   High intensity                 759       8.09    $428.02      $160.01       $85.60
                               brachytherapy.
77783...  S                   High intensity                 759       8.09    $428.02      $160.01       $85.60
                               brachytherapy.
77784...  S                   High intensity                 759       8.09    $428.02      $160.01       $85.60
                               brachytherapy.
77789...  S                   Radioelement                   759       8.09    $428.02      $160.01       $85.60
                               application.
77790...  N                   Radioelement handling..  .........  .........  .........  ...........  ...........
77799...  S                   Radium/radioisotope            759       8.09    $428.02      $160.01       $85.60
                               therapy.
78000...  S                   Thyroid, single uptake.        761       2.06    $108.72       $61.47       $21.74
78001...  S                   Thyroid, multiple              762       1.80     $95.01       $51.53       $19.00
                               uptakes.
78003...  S                   Thyroid suppress/stimul        762       1.80     $95.01       $51.53       $19.00
78006...  S                   Thyroid, imaging with          771       3.81    $201.77      $116.84       $40.35
                               uptake.
78007...  S                   Thyroid, image, mult           772       4.28    $226.25      $127.92       $45.25
                               uptakes.
78010...  S                   Thyroid imaging........        771       3.81    $201.77      $116.84       $40.35
78011...  S                   Thyroid imaging with           771       3.81    $201.77      $116.84       $40.35
                               flow.
78015...  S                   Thyroid met imaging....        771       3.81    $201.77      $116.84       $40.35
78016...  S                   Thyroid met imaging/           772       4.28    $226.25      $127.92       $45.25
                               studies.
78017...  S                   Thyroid met imaging,           772       4.28    $226.25      $127.92       $45.25
                               mult.
78018...  S                   Thyroid, met imaging,          772       4.28    $226.25      $127.92       $45.25
                               body.
78070...  S                   Parathyroid nuclear            772       4.28    $226.25      $127.92       $45.25
                               imaging.
78075...  S                   Adrenal nuclear imaging        772       4.28    $226.25      $127.92       $45.25
78099...  S                   Endocrine nuclear              761       2.06    $108.72       $61.47       $21.74
                               procedure.
78102...  S                   Bone marrow imaging,           771       3.81    $201.77      $116.84       $40.35
                               ltd.
78103...  S                   Bone marrow imaging,           771       3.81    $201.77      $116.84       $40.35
                               mult.
78104...  S                   Bone marrow imaging,           771       3.81    $201.77      $116.84       $40.35
                               body.
78110...  S                   Plasma volume, single..        761       2.06    $108.72       $61.47       $21.74
78111...  S                   Plasma volume, multiple        761       2.06    $108.72       $61.47       $21.74
78120...  S                   Red cell mass, single..        761       2.06    $108.72       $61.47       $21.74
78121...  S                   Red cell mass, multiple        762       1.80     $95.01       $51.53       $19.00
78122...  S                   Blood volume...........        762       1.80     $95.01       $51.53       $19.00
78130...  S                   Red cell survival study        762       1.80     $95.01       $51.53       $19.00
78135...  S                   Red cell survival              762       1.80     $95.01       $51.53       $19.00
                               kinetics.
78140...  S                   Red cell sequestration.        762       1.80     $95.01       $51.53       $19.00
78160...  S                   Plasma iron turnover...        762       1.80     $95.01       $51.53       $19.00
78162...  S                   Iron absorption exam...        762       1.80     $95.01       $51.53       $19.00
78170...  S                   Red cell iron                  762       1.80     $95.01       $51.53       $19.00
                               utilization.
78172...  S                   Total body iron                762       1.80     $95.01       $51.53       $19.00
                               estimation.
78185...  S                   Spleen imaging.........        771       3.81    $201.77      $116.84       $40.35
78190...  S                   Platelet survival,             762       1.80     $95.01       $51.53       $19.00
                               kinetics.
78191...  S                   Platelet survival......        762       1.80     $95.01       $51.53       $19.00
78195...  S                   Lymph system imaging...        772       4.28    $226.25      $127.92       $45.25
78199...  S                   Blood/lymph nuclear            761       2.06    $108.72       $61.47       $21.74
                               exam.
78201...  S                   Liver imaging..........        771       3.81    $201.77      $116.84       $40.35
78202...  S                   Liver imaging with flow        771       3.81    $201.77      $116.84       $40.35

[[Page 47696]]

78205...  S                   Liver imaging (3D).....        781       5.37    $284.04      $145.77       $56.81
78215...  S                   Liver and spleen               771       3.81    $201.77      $116.84       $40.35
                               imaging.
78216...  S                   Liver & spleen image,          771       3.81    $201.77      $116.84       $40.35
                               flow.
78220...  S                   Liver function study...        772       4.28    $226.25      $127.92       $45.25
78223...  S                   Hepatobiliary imaging..        772       4.28    $226.25      $127.92       $45.25
78230...  S                   Salivary gland imaging.        771       3.81    $201.77      $116.84       $40.35
78231...  S                   Serial salivary imaging        771       3.81    $201.77      $116.84       $40.35
78232...  S                   Salivary gland function        772       4.28    $226.25      $127.92       $45.25
                               exam.
78258...  S                   Esophageal motility            772       4.28    $226.25      $127.92       $45.25
                               study.
78261...  S                   Gastric mucosa imaging.        771       3.81    $201.77      $116.84       $40.35
78262...  S                   Gastroesophageal reflux        772       4.28    $226.25      $127.92       $45.25
                               exam.
78264...  S                   Gastric emptying study.        772       4.28    $226.25      $127.92       $45.25
78270...  S                   Vit B-12 absorption            761       2.06    $108.72       $61.47       $21.74
                               exam.
78271...  S                   Vit B-12 absorp exam,          761       2.06    $108.72       $61.47       $21.74
                               IF.
78272...  S                   Vit B-12 absorp,               761       2.06    $108.72       $61.47       $21.74
                               combined.
78278...  S                   Acute GI blood loss            772       4.28    $226.25      $127.92       $45.25
                               imaging.
78282...  S                   GI protein loss exam...        761       2.06    $108.72       $61.47       $21.74
78290...  S                   Meckel's divert exam...        771       3.81    $201.77      $116.84       $40.35
78291...  S                   Leveen/shunt patency           772       4.28    $226.25      $127.92       $45.25
                               exam.
78299...  S                   GI nuclear procedure...        761       2.06    $108.72       $61.47       $21.74
78300...  S                   Bone imaging, limited          771       3.81    $201.77      $116.84       $40.35
                               area.
78305...  S                   Bone imaging, multiple         771       3.81    $201.77      $116.84       $40.35
                               areas.
78306...  S                   Bone imaging, whole            771       3.81    $201.77      $116.84       $40.35
                               body.
78315...  S                   Bone imaging, 3 phase..        772       4.28    $226.25      $127.92       $45.25
78320...  S                   Bone imaging (3D)......        781       5.37    $284.04      $145.77       $56.81
78350...  X                   Bone mineral, single           700       0.78     $41.14       $22.37        $8.23
                               photon.
78351...  E                   Bone mineral, dual       .........  .........  .........  ...........  ...........
                               photon.
78399...  S                   Musculoskeletal nuclear        771       3.81    $201.77      $116.84       $40.35
                               exam.
78414...  S                   Non-imaging heart              762       1.80     $95.01       $51.53       $19.00
                               function.
78428...  S                   Cardiac shunt imaging..        771       3.81    $201.77      $116.84       $40.35
78445...  S                   Vascular flow imaging..        771       3.81    $201.77      $116.84       $40.35
78455...  S                   Venous thrombosis study        762       1.80     $95.01       $51.53       $19.00
78457...  S                   Venous thrombosis              771       3.81    $201.77      $116.84       $40.35
                               imaging.
78458...  S                   Ven thrombosis images,         771       3.81    $201.77      $116.84       $40.35
                               bilat.
78459...  S                   Heart muscle imaging           760      17.91    $947.13      $419.46      $189.43
                               (PET).
78460...  S                   Heart muscle blood             771       3.81    $201.77      $116.84       $40.35
                               single.
78461...  S                   Heart muscle blood             772       4.28    $226.25      $127.92       $45.25
                               multiple.
78464...  S                   Heart image (3D) single        781       5.37    $284.04      $145.77       $56.81
78465...  S                   Heart image (3D)               782       9.50    $502.46      $275.04      $100.49
                               multiple.
78466...  S                   Heart infarct image....        771       3.81    $201.77      $116.84       $40.35
78468...  S                   Heart infarct image, EF        772       4.28    $226.25      $127.92       $45.25
78469...  S                   Heart infarct image            781       5.37    $284.04      $145.77       $56.81
                               (3D).
78472...  S                   Gated heart, resting...        772       4.28    $226.25      $127.92       $45.25
78473...  S                   Gated heart, multiple..        772       4.28    $226.25      $127.92       $45.25
78478...  S                   Heart wall motion (add-        771       3.81    $201.77      $116.84       $40.35
                               on).
78480...  S                   Heart function, (add-          771       3.81    $201.77      $116.84       $40.35
                               on).
78481...  S                   Heart first pass single        771       3.81    $201.77      $116.84       $40.35
78483...  S                   Heart first pass               772       4.28    $226.25      $127.92       $45.25
                               multiple.
78491...  E                   Heart image (pet)        .........  .........  .........  ...........  ...........
                               single.
78492...  E                   Heart image (pet)        .........  .........  .........  ...........  ...........
                               multiple.
78499...  S                   Cardiovascular nuclear         762       1.80     $95.01       $51.53       $19.00
                               exam.
78580...  S                   Lung perfusion imaging.        771       3.81    $201.77      $116.84       $40.35
78584...  S                   Lung V/Q image single          772       4.28    $226.25      $127.92       $45.25
                               breath.
78585...  S                   Lung V/Q imaging.......        772       4.28    $226.25      $127.92       $45.25
78586...  S                   Aerosol lung image,            771       3.81    $201.77      $116.84       $40.35
                               single.
78587...  S                   Aerosol lung image,            771       3.81    $201.77      $116.84       $40.35
                               multiple.
78591...  S                   Vent image, 1 breath, 1        771       3.81    $201.77      $116.84       $40.35
                               proj.
78593...  S                   Vent image, 1 proj, gas        771       3.81    $201.77      $116.84       $40.35
78594...  S                   Vent image, mult proj,         772       4.28    $226.25      $127.92       $45.25
                               gas.
78596...  S                   Lung differential              772       4.28    $226.25      $127.92       $45.25
                               function.
78599...  S                   Respiratory nuclear            771       3.81    $201.77      $116.84       $40.35
                               exam.
78600...  S                   Brain imaging, ltd             771       3.81    $201.77      $116.84       $40.35
                               static.
78601...  S                   Brain ltd imaging &            771       3.81    $201.77      $116.84       $40.35
                               flow.
78605...  S                   Brain imaging, complete        771       3.81    $201.77      $116.84       $40.35
78606...  S                   Brain imaging comp &           772       4.28    $226.25      $127.92       $45.25
                               flow.
78607...  S                   Brain imaging (3D).....        781       5.37    $284.04      $145.77       $56.81
78608...  S                   Brain imaging (PET)....        760      17.91    $947.13      $419.46      $189.43
78609...  S                   Brain imaging (PET)....        760      17.91    $947.13      $419.46      $189.43
78610...  S                   Brain flow imaging only        771       3.81    $201.77      $116.84       $40.35
78615...  S                   Cerebral blood flow            772       4.28    $226.25      $127.92       $45.25
                               imaging.
78630...  S                   Cerebrospinal fluid            772       4.28    $226.25      $127.92       $45.25
                               scan.
78635...  S                   CSF ventriculography...        772       4.28    $226.25      $127.92       $45.25
78645...  S                   CSF shunt evaluation...        772       4.28    $226.25      $127.92       $45.25
78647...  S                   Cerebrospinal fluid            781       5.37    $284.04      $145.77       $56.81
                               scan.
78650...  S                   CSF leakage imaging....        772       4.28    $226.25      $127.92       $45.25

[[Page 47697]]

78660...  S                   Nuclear exam of tear           771       3.81    $201.77      $116.84       $40.35
                               flow.
78699...  S                   Nervous system nuclear         771       3.81    $201.77      $116.84       $40.35
                               exam.
78700...  S                   Kidney imaging, static.        771       3.81    $201.77      $116.84       $40.35
78701...  S                   Kidney imaging with            771       3.81    $201.77      $116.84       $40.35
                               flow.
78704...  S                   Imaging renogram.......        771       3.81    $201.77      $116.84       $40.35
78707...  S                   Kidney flow & function         771       3.81    $201.77      $116.84       $40.35
                               image.
78708...  S                   Kidney flow & function         772       4.28    $226.25      $127.92       $45.25
                               image.
78709...  S                   Kidney flow & function         772       4.28    $226.25      $127.92       $45.25
                               image.
78710...  S                   Kidney imaging (3D)....        781       5.37    $284.04      $145.77       $56.81
78715...  S                   Renal vascular flow            771       3.81    $201.77      $116.84       $40.35
                               exam.
78725...  S                   Kidney function study..        761       2.06    $108.72       $61.47       $21.74
78730...  S                   Urinary bladder                771       3.81    $201.77      $116.84       $40.35
                               retention.
78740...  S                   Ureteral reflux study..        772       4.28    $226.25      $127.92       $45.25
78760...  S                   Testicular imaging.....        771       3.81    $201.77      $116.84       $40.35
78761...  S                   Testicular imaging &           771       3.81    $201.77      $116.84       $40.35
                               flow.
78799...  S                   Genitourinary nuclear          771       3.81    $201.77      $116.84       $40.35
                               exam.
78800...  S                   Tumor imaging, limited         772       4.28    $226.25      $127.92       $45.25
                               area.
78801...  S                   Tumor imaging, mult            772       4.28    $226.25      $127.92       $45.25
                               areas.
78802...  S                   Tumor imaging, whole           772       4.28    $226.25      $127.92       $45.25
                               body.
78803...  S                   Tumor imaging (3D).....        782       9.50    $502.46      $275.04      $100.49
78805...  S                   Abscess imaging, ltd           772       4.28    $226.25      $127.92       $45.25
                               area.
78806...  S                   Abscess imaging, whole         772       4.28    $226.25      $127.92       $45.25
                               body.
78807...  S                   Nuclear localization/          782       9.50    $502.46      $275.04      $100.49
                               abscess.
78810...  S                   Tumor imaging (PET)....        760      17.91    $947.13      $419.46      $189.43
78890...  N                   Nuclear medicine data    .........  .........  .........  ...........  ...........
                               proc.
78891...  N                   Nuclear med data proc..  .........  .........  .........  ...........  ...........
78990...  E                   Provide diag             .........  .........  .........  ...........  ...........
                               radionuclide(s).
78999...  S                   Nuclear diagnostic exam        761       2.06    $108.72       $61.47       $21.74
79000...  S                   Intial hyperthyroid            792       4.80    $253.68      $144.19       $50.74
                               therapy.
79001...  S                   Repeat hyperthyroid            791      16.26    $859.96      $562.06      $171.99
                               therapy.
79020...  S                   Thyroid ablation.......        792       4.80    $253.68      $144.19       $50.74
79030...  S                   Thyroid ablation,              792       4.80    $253.68      $144.19       $50.74
                               carcinoma.
79035...  S                   Thyroid metastatic             792       4.80    $253.68      $144.19       $50.74
                               therapy.
79100...  S                   Hematopoetic nuclear           791      16.26    $859.96      $562.06      $171.99
                               therapy.
79200...  S                   Intracavitary nuc              792       4.80    $253.68      $144.19       $50.74
                               treatment.
79300...  S                   Interstitial nuclear           791      16.26    $859.96      $562.06      $171.99
                               therapy.
79400...  S                   Nonhemato nuclear              791      16.26    $859.96      $562.06      $171.99
                               therapy.
79420...  S                   Intravascular nuc              791      16.26    $859.96      $562.06      $171.99
                               therapy.
79440...  S                   Nuclear joint therapy..        791      16.26    $859.96      $562.06      $171.99
79900...  N                   Provide ther             .........  .........  .........  ...........  ...........
                               radiopharm(s).
79999...  S                   Nuclear medicine               791      16.26    $859.96      $562.06      $171.99
                               therapy.
80049...  A                   Metabolic panel, basic.  .........  .........  .........  ...........  ...........
80050...  A                   General health panel...  .........  .........  .........  ...........  ...........
80051...  A                   Electrolyte panel......  .........  .........  .........  ...........  ...........
80054...  A                   Comprehen metabolic      .........  .........  .........  ...........  ...........
                               panel.
80055...  A                   Obstetric panel........  .........  .........  .........  ...........  ...........
80058...  A                   Hepatic function panel.  .........  .........  .........  ...........  ...........
80059...  A                   Hepatitis panel........  .........  .........  .........  ...........  ...........
80061...  A                   Lipid panel............  .........  .........  .........  ...........  ...........
80072...  A                   Arthritis panel........  .........  .........  .........  ...........  ...........
80090...  A                   Torch antibody panel...  .........  .........  .........  ...........  ...........
80091...  A                   Thyroid panel..........  .........  .........  .........  ...........  ...........
80092...  A                   Thyroid panel w/TSH....  .........  .........  .........  ...........  ...........
80100...  A                   Drug screen............  .........  .........  .........  ...........  ...........
80101...  A                   Drug screen............  .........  .........  .........  ...........  ...........
80102...  A                   Drug confirmation......  .........  .........  .........  ...........  ...........
80103...  N                   Drug analysis, tissue    .........  .........  .........  ...........  ...........
                               prep.
80150...  A                   Assay of amikacin......  .........  .........  .........  ...........  ...........
80152...  A                   Assay of amitriptyline.  .........  .........  .........  ...........  ...........
80154...  A                   Assay of                 .........  .........  .........  ...........  ...........
                               benzodiazepines.
80156...  A                   Assay carbamazepine....  .........  .........  .........  ...........  ...........
80158...  A                   Assay of cyclosporine..  .........  .........  .........  ...........  ...........
80160...  A                   Assay of desipramine...  .........  .........  .........  ...........  ...........
80162...  A                   Assay for digoxin......  .........  .........  .........  ...........  ...........
80164...  A                   Assay, dipropylacetic    .........  .........  .........  ...........  ...........
                               acid.
80166...  A                   Assay of doxepin.......  .........  .........  .........  ...........  ...........
80168...  A                   Assay of ethosuximide..  .........  .........  .........  ...........  ...........
80170...  A                   Gentamicin.............  .........  .........  .........  ...........  ...........
80172...  A                   Assay for gold.........  .........  .........  .........  ...........  ...........
80174...  A                   Assay of imipramine....  .........  .........  .........  ...........  ...........
80176...  A                   Assay for lidocaine....  .........  .........  .........  ...........  ...........
80178...  A                   Assay for lithium......  .........  .........  .........  ...........  ...........
80182...  A                   Assay for nortriptyline  .........  .........  .........  ...........  ...........
80184...  A                   Assay for phenobarbital  .........  .........  .........  ...........  ...........
80185...  A                   Assay for phenytoin....  .........  .........  .........  ...........  ...........

[[Page 47698]]

80186...  A                   Assay for phenytoin,     .........  .........  .........  ...........  ...........
                               free.
80188...  A                   Assay for primidone....  .........  .........  .........  ...........  ...........
80190...  A                   Assay for procainamide.  .........  .........  .........  ...........  ...........
80192...  A                   Assay for procainamide.  .........  .........  .........  ...........  ...........
80194...  A                   Assay for quinidine....  .........  .........  .........  ...........  ...........
80196...  A                   Assay for salicylate...  .........  .........  .........  ...........  ...........
80197...  A                   Assay for tacrolimus...  .........  .........  .........  ...........  ...........
80198...  A                   Assay for theophylline.  .........  .........  .........  ...........  ...........
80200...  A                   Assay for tobramycin...  .........  .........  .........  ...........  ...........
80201...  A                   Assay for topiramate...  .........  .........  .........  ...........  ...........
80202...  A                   Assay for vancomycin...  .........  .........  .........  ...........  ...........
80299...  A                   Quantitative assay,      .........  .........  .........  ...........  ...........
                               drug.
80400...  A                   Acth stimulation panel.  .........  .........  .........  ...........  ...........
80402...  A                   Acth stimulation panel.  .........  .........  .........  ...........  ...........
80406...  A                   Acth stimulation panel.  .........  .........  .........  ...........  ...........
80408...  A                   Aldosterone suppression  .........  .........  .........  ...........  ...........
                               eval.
80410...  A                   Calcitonin stimul panel  .........  .........  .........  ...........  ...........
80412...  A                   CRH stimulation panel..  .........  .........  .........  ...........  ...........
80414...  A                   Testosterone response..  .........  .........  .........  ...........  ...........
80415...  A                   Estradiol response       .........  .........  .........  ...........  ...........
                               panel.
80416...  A                   Renin stimulation panel  .........  .........  .........  ...........  ...........
80417...  A                   Renin stimulation panel  .........  .........  .........  ...........  ...........
80418...  A                   Pituitary evaluation     .........  .........  .........  ...........  ...........
                               panel.
80420...  A                   Dexamethasone panel....  .........  .........  .........  ...........  ...........
80422...  A                   Glucagon tolerance       .........  .........  .........  ...........  ...........
                               panel.
80424...  A                   Glucagon tolerance       .........  .........  .........  ...........  ...........
                               panel.
80426...  A                   Gonadotropin hormone     .........  .........  .........  ...........  ...........
                               panel.
80428...  A                   Growth hormone panel...  .........  .........  .........  ...........  ...........
80430...  A                   Growth hormone panel...  .........  .........  .........  ...........  ...........
80432...  A                   Insulin suppression      .........  .........  .........  ...........  ...........
                               panel.
80434...  A                   Insulin tolerance panel  .........  .........  .........  ...........  ...........
80435...  A                   Insulin tolerance panel  .........  .........  .........  ...........  ...........
80436...  A                   Metyrapone panel.......  .........  .........  .........  ...........  ...........
80438...  A                   TRH stimulation panel..  .........  .........  .........  ...........  ...........
80439...  A                   TRH stimulation panel..  .........  .........  .........  ...........  ...........
80440...  A                   TRH stimulation panel..  .........  .........  .........  ...........  ...........
80500...  X                   Lab pathology                  882       0.39     $20.57       $11.75        $4.11
                               consultation.
80502...  X                   Lab pathology                  882       0.39     $20.57       $11.75        $4.11
                               consultation.
81000...  A                   Urinalysis, nonauto, w/  .........  .........  .........  ...........  ...........
                               scope.
81001...  A                   Urinalysis, auto, w/     .........  .........  .........  ...........  ...........
                               scope.
81002...  A                   Urinalysis nonauto w/o   .........  .........  .........  ...........  ...........
                               scope.
81003...  A                   Urinalysis, auto, w/o    .........  .........  .........  ...........  ...........
                               scope.
81005...  A                   Urinalysis.............  .........  .........  .........  ...........  ...........
81007...  A                   Urine screen for         .........  .........  .........  ...........  ...........
                               bacteria.
81015...  A                   Microscopic exam of      .........  .........  .........  ...........  ...........
                               urine.
81020...  A                   Urinalysis, glass test.  .........  .........  .........  ...........  ...........
81025...  A                   Urine pregnancy test...  .........  .........  .........  ...........  ...........
81050...  A                   Urinalysis, volume       .........  .........  .........  ...........  ...........
                               measure.
81099...  A                   Urinalysis test          .........  .........  .........  ...........  ...........
                               procedure.
82000...  A                   Assay blood              .........  .........  .........  ...........  ...........
                               acetaldehyde.
82003...  A                   Assay acetaminophen....  .........  .........  .........  ...........  ...........
82009...  A                   Test for acetone/        .........  .........  .........  ...........  ...........
                               ketones.
82010...  A                   Acetone assay..........  .........  .........  .........  ...........  ...........
82013...  A                   Acetylcholinester-  ase  .........  .........  .........  ...........  ...........
                               assay.
82024...  A                   ACTH...................  .........  .........  .........  ...........  ...........
82030...  A                   ADP & AMP..............  .........  .........  .........  ...........  ...........
82040...  A                   Assay serum albumin....  .........  .........  .........  ...........  ...........
82042...  A                   Assay urine albumin....  .........  .........  .........  ...........  ...........
82043...  A                   Microalbumin,            .........  .........  .........  ...........  ...........
                               quantitative.
82044...  A                   Microalbumin, semiquant  .........  .........  .........  ...........  ...........
82055...  A                   Assay ethanol..........  .........  .........  .........  ...........  ...........
82075...  A                   Assay breath ethanol...  .........  .........  .........  ...........  ...........
82085...  A                   Assay of aldolase......  .........  .........  .........  ...........  ...........
82088...  A                   Aldosterone............  .........  .........  .........  ...........  ...........
82101...  A                   Assay of urine           .........  .........  .........  ...........  ...........
                               alkaloids.
82103...  A                   Alpha-1-antitrypsin,     .........  .........  .........  ...........  ...........
                               total.
82104...  A                   Alpha-1-antitrypsin,     .........  .........  .........  ...........  ...........
                               pheno.
82105...  A                   Alpha-fetoprotein,       .........  .........  .........  ...........  ...........
                               serum.
82106...  A                   Alpha-fetoprotein;       .........  .........  .........  ...........  ...........
                               amniotic.
82108...  A                   Assay, aluminum........  .........  .........  .........  ...........  ...........
82128...  A                   Test for amino acids...  .........  .........  .........  ...........  ...........
82130...  A                   Amino acids analysis...  .........  .........  .........  ...........  ...........
82131...  A                   Amino acids............  .........  .........  .........  ...........  ...........
82135...  A                   Assay, aminolevulinic    .........  .........  .........  ...........  ...........
                               acid.
82140...  A                   Assay of ammonia.......  .........  .........  .........  ...........  ...........

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82143...  A                   Amniotic fluid scan....  .........  .........  .........  ...........  ...........
82145...  A                   Assay of amphetamines..  .........  .........  .........  ...........  ...........
82150...  A                   Assay of amylase.......  .........  .........  .........  ...........  ...........
82154...  A                   Androstanediol           .........  .........  .........  ...........  ...........
                               glucuronide.
82157...  A                   Assay of                 .........  .........  .........  ...........  ...........
                               androstenedione.
82160...  A                   Androsterone assay.....  .........  .........  .........  ...........  ...........
82163...  A                   Assay of angiotensin II  .........  .........  .........  ...........  ...........
82164...  A                   Angiotensin I enzyme     .........  .........  .........  ...........  ...........
                               test.
82172...  A                   Apolipoprotein.........  .........  .........  .........  ...........  ...........
82175...  A                   Assay of arsenic.......  .........  .........  .........  ...........  ...........
82180...  A                   Assay of ascorbic acid.  .........  .........  .........  ...........  ...........
82190...  A                   Atomic absorption......  .........  .........  .........  ...........  ...........
82205...  A                   Assay of barbiturates..  .........  .........  .........  ...........  ...........
82232...  A                   Beta-2 protein.........  .........  .........  .........  ...........  ...........
82239...  A                   Bile acids, total......  .........  .........  .........  ...........  ...........
82240...  A                   Bile acids,              .........  .........  .........  ...........  ...........
                               cholylglycine.
82250...  A                   Assay bilirubin........  .........  .........  .........  ...........  ...........
82251...  A                   Assay bilirubin........  .........  .........  .........  ...........  ...........
82252...  A                   Fecal bilirubin test...  .........  .........  .........  ...........  ...........
82270...  A                   Test feces for blood...  .........  .........  .........  ...........  ...........
82273...  A                   Test for blood, other    .........  .........  .........  ...........  ...........
                               source.
82286...  A                   Assay of bradykinin....  .........  .........  .........  ...........  ...........
82300...  A                   Assay cadmium..........  .........  .........  .........  ...........  ...........
82306...  A                   Assay of vitamin D.....  .........  .........  .........  ...........  ...........
82307...  A                   Assay of vitamin D.....  .........  .........  .........  ...........  ...........
82308...  A                   Assay of calcitonin....  .........  .........  .........  ...........  ...........
82310...  A                   Assay calcium..........  .........  .........  .........  ...........  ...........
82330...  A                   Assay calcium..........  .........  .........  .........  ...........  ...........
82331...  A                   Calcium infusion test..  .........  .........  .........  ...........  ...........
82340...  A                   Assay calcium in urine.  .........  .........  .........  ...........  ...........
82355...  A                   Calculus (stone)         .........  .........  .........  ...........  ...........
                               analysis.
82360...  A                   Calculus (stone) assay.  .........  .........  .........  ...........  ...........
82365...  A                   Calculus (stone) assay.  .........  .........  .........  ...........  ...........
82370...  A                   X-ray assay, calculus    .........  .........  .........  ...........  ...........
                               (stone).
82374...  A                   Assay blood carbon       .........  .........  .........  ...........  ...........
                               dioxide.
82375...  A                   Assay blood carbon       .........  .........  .........  ...........  ...........
                               monoxide.
82376...  A                   Test for carbon          .........  .........  .........  ...........  ...........
                               monoxide.
82378...  A                   Carcinoembryonic         .........  .........  .........  ...........  ...........
                               antigen.
82380...  A                   Assay carotene.........  .........  .........  .........  ...........  ...........
82382...  A                   Assay urine              .........  .........  .........  ...........  ...........
                               catecholamines.
82383...  A                   Assay blood              .........  .........  .........  ...........  ...........
                               catecholamines.
82384...  A                   Assay three              .........  .........  .........  ...........  ...........
                               catecholamines.
82387...  A                   Cathepsin-D............  .........  .........  .........  ...........  ...........
82390...  A                   Assay ceruloplasmin....  .........  .........  .........  ...........  ...........
82397...  A                   Chemiluminescent assay.  .........  .........  .........  ...........  ...........
82415...  A                   Assay chloramphenicol..  .........  .........  .........  ...........  ...........
82435...  A                   Assay blood chloride...  .........  .........  .........  ...........  ...........
82436...  A                   Assay urine chloride...  .........  .........  .........  ...........  ...........
82438...  A                   Assay other fluid        .........  .........  .........  ...........  ...........
                               chlorides.
82441...  A                   Test for                 .........  .........  .........  ...........  ...........
                               chlorohydrocarbons.
82465...  A                   Assay serum cholesterol  .........  .........  .........  ...........  ...........
82480...  A                   Assay serum              .........  .........  .........  ...........  ...........
                               cholinesterase.
82482...  A                   Assay rbc                .........  .........  .........  ...........  ...........
                               cholinesterase.
82485...  A                   Assay chondroitin        .........  .........  .........  ...........  ...........
                               sulfate.
82486...  A                   Gas/liquid               .........  .........  .........  ...........  ...........
                               chromatography.
82487...  A                   Paper chromatography...  .........  .........  .........  ...........  ...........
82488...  A                   Paper chromatography...  .........  .........  .........  ...........  ...........
82489...  A                   Thin layer               .........  .........  .........  ...........  ...........
                               chromatography.
82491...  A                   Chromotography,          .........  .........  .........  ...........  ...........
                               quantitative.
82495...  A                   Assay chromium.........  .........  .........  .........  ...........  ...........
82507...  A                   Assay citrate..........  .........  .........  .........  ...........  ...........
82520...  A                   Assay for cocaine......  .........  .........  .........  ...........  ...........
82523...  A                   Collagen crosslinks....  .........  .........  .........  ...........  ...........
82525...  A                   Assay copper...........  .........  .........  .........  ...........  ...........
82528...  A                   Assay corticosterone...  .........  .........  .........  ...........  ...........
82530...  A                   Cortisol, free.........  .........  .........  .........  ...........  ...........
82533...  A                   Total cortisol.........  .........  .........  .........  ...........  ...........
82540...  A                   Assay creatine.........  .........  .........  .........  ...........  ...........
82550...  A                   Assay CK (CPK).........  .........  .........  .........  ...........  ...........
82552...  A                   Assay CPK in blood.....  .........  .........  .........  ...........  ...........
82553...  A                   Creatine, MB fraction..  .........  .........  .........  ...........  ...........
82554...  A                   Creatine, isoforms.....  .........  .........  .........  ...........  ...........
82565...  A                   Assay creatinine.......  .........  .........  .........  ...........  ...........
82570...  A                   Assay urine creatinine.  .........  .........  .........  ...........  ...........
82575...  A                   Creatinine clearance     .........  .........  .........  ...........  ...........
                               test.

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