[Federal Register: November 2, 1999 (Volume 64, Number 211)]
[Rules and Regulations]               
[Page 59429-59478]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr02no99-17]                         
 
[[pp. 59429-59478]] Medicare Program; Revisions to Payment Policies Under the 
Physician Fee Schedule for Calendar Year 2000

[[Continued from page 59428]]

[[Page 59429]]

service work based on a small-group panel comparison of codes within 
clinical families. This method could be used to identify statistical 
outliers that appear to be either misaligned or compressed in terms of 
overall physician work effort employing a simpler approach than 
magnitude estimation.
    3. Clinical Profile. Use a physician-level-clinical profile 
database that includes estimates of total available clinical time, as 
well as estimates of total volume of services provided during that time 
period at the CPT code level. This method would use objectively 
collected volume of service estimates and current work RVU time 
estimates to evaluate the reasonableness of total service time 
estimates relative to estimates of available service time.
    4. Alternative Data Sources. Four alternative objective data 
sources could be used in the direct identification of services whose 
intra-service times may be misvalued: Anesthesia time estimates from 
Medicare claims data, operative times obtained from a data vendor, 
operative times collected from a panel of hospitals, and intra-service 
times collected through direct observation.
    5. Claims Data: Focused Review. Use Medicare claims data to 
identify services whose number of pre- and post-operative hospital 
visits provided during the global surgical period may be misvalued 
given current lengths of stay and proportion of same day surgery cases.
    6. Claims Data: Over Time. Use Medicare claims data to identify 
services with potentially misvalued work RVUs by analyzing changes over 
time in site of service, frequency, and specialty mix.
    7. Direct Comparison. Identify services with potentially misvalued 
work RVUs through a direct comparison of work per unit of time (WPUT). 
This method would use statistical analysis to identify those services 
with a WPUT estimate that differs significantly from the typical value 
for a group of services expected to have similar levels of WPUT.
    In their report, HER also suggested that we: establish a set of 
standard data collection methods and review procedures and review and 
correct flaws in the annual review process.

    (Note: The contents of this report can be accessed through our 
homepage, as discussed earlier.)

    We are incorporating some of the approaches identified by our 
contractor, and are also considering other means of identifying 
misvalued services.
    We recently awarded a contract to HER to examine in more detail 
secondary databases that will enable us to validate RUC and Harvard 
physician time data. Three databases will be examined: D.J. Sullivan 
intraoperative time data, outpatient and ambulatory care survey data 
obtained by the National Center for Health Statistics, and MGMA group 
practice data on total clinical time and services.
    We are also attempting to identify other primary and secondary 
databases that have the potential for identifying misvalued services. 
We would welcome any comments on the existence and usefulness of such 
databases, as well as comments on other methodologies that might assist 
us in determining how to identify misvalued services.

V. Physician Fee Schedule Update and Conversion Factor for Calendar 
Year 2000

    The 2000 physician fee schedule conversion factor is $36.6137. The 
2000 anesthesia conversion factor is $17.77.
    The specific calculations to determine the conversion factor for 
physicians' services for calendar year 2000 are explained below.

Detail on Calculation of the Calendar Year 2000 Physician Fee 
Schedule Update and the 2000 Conversion Factor

Physician Fee Schedule Update and Conversion Factor

    The conversion factor is affected by section 1848(c)(2)(B)(ii)(II) 
of the Act, which requires that changes to the relative value units of 
the Medicare physician fee schedule not cause expenditures to increase 
or decrease by more than $20 million from the amount of expenditures 
that would have been made if such adjustments had not been made. We 
implement this requirement through a uniform budget-neutrality 
adjustment to the conversion factor.
    Taking this factor into account, as well as the percent change in 
the MEI and Sustainable Growth Rate (SGR) adjustments described below, 
the 2000 conversion factor is calculated as follows:

1999 Conversion Factor.......................................    34.7315
2000 Update..................................................    1.05472
Volume and Intensity Adjustment..............................     0.9988
Other Factors................................................     1.0007
2000 Conversion Factor.......................................    36.6137


    The 5.5 (1.05472) percent 2000 update is calculated as follows:

MEI..........................................................       2.4%
SGR adjustment...............................................       3.0%
2000 Update..................................................       5.5%


    Under section 1848(d)(3) of the Act, the update is equal to the 
product of the MEI and the performance adjustment factor (or SGR 
adjustment). Thus, the MEI of 2.4 percent (or 1.024) and the SGR 
adjustment of 3.0 percent (1.03) are multiplied together to produce the 
2000 update of 5.5 percent (1.05472).
    There is another adjustment of 1.0007 to the conversion factor to 
reflect that Medicare will no longer provide separate payment for pulse 
oximetry, temperature gradient studies and venous pressure 
determinations. Payment for these codes is bundled into payment for 
other services. Consistent with our proposed rule (64 FR 39638), 
savings from this provision are recognized in the budget neutrality 
calculation on the physician fee schedule conversion factor.
    The MEI and the SGR adjustments are described below.

The Percentage Change in the Medicare Economic Index

    The MEI measures the weighted-average annual price change for 
various inputs needed to produce physicians' services. The MEI is a 
fixed-weight input price index, with an adjustment for the change in 
economy-wide labor productivity. This index, which has 1996 base 
weights, is comprised of two broad categories: physician's own time and 
physician's practice expense.
    The physician's own time component represents the net income 
portion of business receipts and primarily reflects the input of the 
physician's own time into the production of physicians' services in 
physicians' offices. This category consists of two subcomponents: wages 
and salaries and fringe benefits. These components are adjusted by the 
10-year moving average annual percent change in output per man-hour for 
the nonfarm business sector to eliminate double counting for 
productivity growth in physicians' offices and the general economy.
    The physician's practice expense category represents the rate of 
price growth in nonphysician inputs to the production of services in 
physicians' offices. This category consists of wages and salaries and 
fringe benefits for nonphysician staff and other nonlabor inputs. Like 
physician's own time, the nonphysician staff categories are adjusted 
for productivity using the 10-year moving average annual percent change 
in output per man-hour for the nonfarm business sector. The physician's 
practice expense component also includes the following categories of 
nonlabor inputs: office expense, medical materials and supplies, 
professional liability insurance, medical equipment, professional car, 
and other expense. The table below presents a listing of the MEI

[[Page 59430]]

cost categories with associated weights and percent changes for price 
proxies for the 2000 update. The calendar year 2000 MEI is 2.4 percent.

  Increase in the Medicare Economic Index Update for Calendar Year 2000
                                   \1\
------------------------------------------------------------------------
                                                               CY 2000
      Cost Categories and Price Measures            1996       Percent
                                                Weights \2\    Changes
------------------------------------------------------------------------
Medicare Economic Index Total.................        100.0          2.4
    1. Physician's Own Time <SUP>3</SUP> <SUP>4</SUP>...............         54.5          2.3
        a. Wages and Salaries: Average hourly          44.2          2.5
         earnings private nonfarm, net of
         productivity.........................
        b. Fringe Benefits: Employment Cost            10.3          1.2
         Index, benefits, private nonfarm, net
         of productivity......................
    2. Physician's Practice Expense \3\.......         45.5          2.5
        a. Nonphysician Employee Compensation.         16.8          2.2
            1. Wages and Salaries: Employment          12.4          2.5
             Cost Index, wages and salaries,
             weighted by occupation, net of
             productivity.....................
            2. Fringe Benefits: Employment              4.4          1.5
             Cost Index, fringe benefits,
             white collar, net of productivity
        b. Office Expense: Consumer Price              11.6          2.3
         Index for Urban Consumers (CPI-U),
         housing..............................
        c. Medical Materials and Supplies:              4.5          5.5
         Producer Price Index (PPI), ethical
         drugs/PPI, surgical appliances and
         supplies/CPI-U, medical equipment and
         supplies (equally weighted)..........
        d. Professional Liability Insurance:            3.2          3.9
         HCFA professional liability insurance
         survey \5\...........................
        e. Medical Equipment: PPI, medical              1.9         -0.5
         instruments and equipment............
        f. Other Professional Expense.........          7.6          1.7
            1. Professional Car: CPI-U,                 1.3         -1.1
             private transportation...........
            2. Other: CPI-U, all items less             6.3          2.3
             food and energy..................
Addendum:
    Productivity: 10-year moving average of             n/a          1.2
     output per man-hour, nonfarm business
     sector...................................
    Physician's Own Time, not productivity             54.5          3.5
     adjusted.................................
        Wages and salaries, not productivity           44.2          3.8
         adjusted.............................
        Fringe benefits, not productivity              10.3          2.4
         adjusted.............................
    Nonphysician Employee Compensation, not            16.8          3.5
     productivity adjusted....................
        Wages and salaries, not productivity           12.4          3.7
         adjusted.............................
        Fringe benefits, not productivity               4.4         2.7
         adjusted.............................
------------------------------------------------------------------------
\1\ The rates of historical change are for the 12-month period ending
  June 30, 1999, which is the period used for computing the calendar
  year 2000 update. The price proxy values are based upon the latest
  available Bureau of Labor Statistics data as of September 21, 1999.
\2\ The weights shown for the MEI components are the 1996 base-year
  weights, which may not sum to subtotals or totals because of rounding.
  The MEI is a fixed-weight, Laspeyres-type input price index whose
  category weights indicate the distribution of expenditures among the
  inputs to physicians' services for calendar year 1996. To determine
  the MEI level for a given year, the price proxy level for each
  component is multiplied by its 1996 weight. The sum of these products
  (weights multiplied by the price index levels) over all cost
  categories yields the composite MEI level for a given year. The annual
  percent change in the MEI levels is an estimate of price change over
  time for a fixed market basket of inputs to physicians' services.
\3\ The Physician's Own Time and Nonphysician Employee Compensation
  category price measures include an adjustment for productivity. The
  price measure for each category is divided by the 10-year moving
  average of output per man-hour in the nonfarm business sector. For
  example, the fringe benefit component of Physician's Own Time is
  calculated by dividing the rate of growth in the employment cost index
  for benefits of private nonfarm workers by the 10-year moving average
  rate of growth of output per man-hour for the nonfarm business sector.
  Dividing one plus the decimal form of the percent change in the
  average hourly earnings (1+.024=1.024) by one plus the decimal form of
  the percent change in the 10-year moving average of labor productivity
  (1+.012=1.012) equals one plus the change in average hourly earnings
  net of the change in output per man hour (1.024/1.012=1.012). All
  Physician's Own Time and Nonphysician Employee Compensation categories
  are adjusted in this way. Due to a higher level of precision the
  computer calculated quotient may differ from the quotient calculated
  from rounded individual percent changes.
\4\ The average hourly earnings proxy, the Employment Cost Index
  proxies, as well as the CPI-U, housing and CPI-U, private
  transportation are published in the Current Labor Statistics Section
  of the Bureau of Labor Statistics' Monthly Labor Review. The remaining
  CPIs and PPIs in the revised index can be obtained from the Bureau of
  Labor Statistics' CPI Detailed Report or Producer Price Indexes.
\5\ Derived from a HCFA survey of several major insurers (the latest
  available historical percent change data are for the period ending
  second quarter of 1999).
n/a Productivity is factored into the MEI compensation categories as an
  adjustment to the price variables; therefore, no explicit weight
  exists for productivity in the MEI.

Medicare Performance Relative to the SGR

Medicare Sustainable Growth Rate

    Section 1848(f) of the Act, as amended by section 4503 of the BBA, 
replaces the volume performance standard with a sustainable growth rate 
(SGR) standard. It specifies the formula for establishing yearly SGR 
targets for physicians' services under Medicare. The use of SGR targets 
is intended to control the actual growth in Medicare expenditures for 
physicians' services.
    The SGR targets are not limits on expenditures. Payments for 
services are not withheld if the SGR target is exceeded. Rather, the 
appropriate fee schedule update, as specified in section 1848(d)(3)(A) 
of the Act, is adjusted to reflect the success or failure in meeting 
the SGR target.
    As provided in section 4502 of the BBA, the update to the 
conversion factor is adjusted based on a comparison of actual 
expenditure to the SGR. The law refers to this update as the update 
adjustment factor. The amended section 1848(d)(3) of the Act now states 
that ``the `update adjustment factor' for a year is equal (as estimated 
by the Secretary) to--
    (i) the difference between (I) the sum of the allowed expenditures 
for physicians' services (as determined under subparagraph (C)) for the 
period beginning April 1, 1997, and ending on March 31 of the year 
involved, and (II) the amount of actual expenditures for physicians' 
services furnished during the period beginning April 1, 1997, and 
ending on March 31 of the preceding year; divided by
    (ii) the actual expenditures for physicians' services for the 12-
month period ending on March 31 of the preceding year, increased by the 
sustainable growth rate under

[[Page 59431]]

subsection (f) for the fiscal year which begins during such 12-month 
period.''
    The result is a 3.0 percent adjustment for 2000.

VI. Provisions of the Final Rule

    The provisions of this final rule restate the provisions of the 
July 22, 1999, proposed rule except as noted elsewhere in this 
preamble. Following is a highlight of the changes made:
    For our proposal relating to physician pathology services and 
independent laboratories (Sec. 415.130(c)), we have decided to adopt 
our proposal to pay only hospitals for the TC services furnished to its 
inpatients, but delay implementation until January 1, 2001, to allow 
independent laboratories and hospitals sufficient time to negotiate 
arrangements.
    For our proposal relating to optometrist services, we are revising 
the regulations at Sec. 410.23 (Limitations on services of an 
optometrist) to specify that Medicare Part B pays for services of a 
doctor of optometry, acting within the scope of his or her license, 
with respect to the provision of items or services described in section 
1861(s) of the Act.
    For our proposal relating to CPT modifier -25, we are making the 
following changes:
    <bullet> We are proceeding to include procedures with a global 
period indicator of ``XXX'' in the application of the global surgery 
payment policy relating to the use of modifier -25.
    <bullet> We will not, however, require the routine use of modifier 
-25 with all procedures having a global indicator of ``XXX''. Instead, 
we will identify specific codes if an E/M service is furnished with a 
specified code. To be billed for, it would need to be documented as 
being significant and separately identifiable and be reported with 
modifier -25.
    <bullet> We will seek review of these codes from physician 
specialty societies, as well as those nonphysician practitioners who 
are authorized to bill Medicare on their own.
    <bullet> Specific procedure codes for which the use of modifier -25 
is required when a significant, separately identifiable E/M service is 
furnished and reported by the same physician or nonphysician 
practitioner will be included as edits in the Correct Coding Initiative 
edits.
    <bullet>These edits will be implemented no earlier than October 1, 
2000, and will continue to be added as appropriate on an ongoing basis.
    <bullet> In the meantime, however, since modifiers are an inherent 
part of HCPCS, we urge all practitioners to familiarize themselves with 
them and to make it a practice to use them when applicable.
    For our proposal relating to coverage of prostate cancer screening 
tests (Sec. 410.39) we are implementing the requirements as stated in 
the proposed rule. However, we are revising Sec. 410.39(e)(1) to 
provide that payment ``may not be made for a screening PSA blood test 
performed for a man age 50 or younger''.
    For our proposal to discontinue separate payment for pulse 
oximetry, temperature gradient studies, venous pressure determinations, 
and to list them in the physician fee schedule with a status code of 
``B'' for ``payment always bundled into payment for other services,'' 
we will bundle payment for these services starting in 2000 with the 
exception of 94762, which we will continue to pay separately when 
continuous overnight monitoring is medically necessary as a separate 
procedure.

VII. Collection of Information Requirements

    This document does not impose information collection and 
recordkeeping requirements. Consequently, it need not be reviewed by 
the Office of Management and Budget under the authority of the 
Paperwork Reduction Act of 1980 (44 U.S.C. 3501 et seq.).

VIII. Response to Comments

    Because of the large number of items of correspondence we normally 
receive on Federal Register documents published for comment, we are not 
able to acknowledge or respond to them individually. We will consider 
all comments we receive by the date and time specified in the DATES 
section of this preamble, and, if we proceed with a subsequent 
document, we will respond to the comments in the preamble to that 
document.

IX. Regulatory Impact Analysis

    We have examined the impacts of this final rule as required by 
Executive Order (EO) 12866, the Unfunded Mandates Reform Act (UMRA) 
(Public Law 104-4), the Regulatory Flexibility Act (RFA) (Public Law 
96-354), and the Federalism Executive Order (EO) 13132.
    Executive Order 12866 directs agencies to assess costs and benefits 
of available regulatory alternatives and, when regulation is necessary, 
to select regulatory approaches that maximize net benefits (including 
potential economic, environmental, public health and safety effects, 
distributive impacts, and equity). A regulatory impact analysis (RIA) 
must be prepared for major rules with economically significant effects 
($100 million or more annually). The changes in the Medicare physician 
fee schedule are, for the most part, budget neutral. This final rule 
conforms the regulations to new statutory benefits that exceed $100 
million in Medicare spending. (See the estimated costs tables in 
sections IX. M. and IX. N.) Therefore, this final rule is considered to 
be a major rule as defined in Title 5, United States Code, Section 
804(2).
    The UMRA also requires (in section 202) that agencies prepare an 
assessment of anticipated costs and benefits before developing any rule 
that may result in an expenditure by State, local, or tribal 
governments, in the aggregate, or by the private sector, of $100 
million or more in any given year. This final rule will have no 
consequential effect on State, local, or tribal governments. We believe 
the private sector cost of this rule falls below these thresholds as 
well.
    The RFA requires that we analyze regulatory options for small 
businesses and other small entities. We prepare a Regulatory 
Flexibility Analysis unless we certify that a rule would not have a 
significant economic impact on a substantial number of small entities. 
The analysis must include a justification of why action is being taken, 
the kinds and number of small entities the rule affects, and an 
explanation of any meaningful options that achieve the objectives and 
lessen significant adverse economic impact on the small entities.
    In addition, section 1102(b) of the Act requires us to prepare a 
regulatory impact analysis if a rule may have a significant impact on 
the operations of a substantial number of small rural hospitals. This 
analysis must conform to the provisions of section 604 of the RFA. For 
purposes of section 1102(b) of the Act, we define a small rural 
hospital as a hospital that is located outside of a Metropolitan 
Statistical Area and has fewer than 50 beds.
    For purposes of the RFA, all physicians are considered to be small 
entities. There are about 700,000 physicians and other practitioners 
who receive Medicare payment under the physician fee schedule. We have 
prepared the following analysis which, together with the rest of this 
preamble, meets all four assessment requirements. It explains the 
rationale for and purpose of the rule, details the costs and benefits 
of the rule, analyzes alternatives, and presents the measures we 
considered to minimize the burden on small entities.

[[Page 59432]]

A. Resource-Based Malpractice Relative Value Units

    As explained earlier in this preamble, the resource-based 
malpractice RVUs must be implemented in a budget-neutral manner. That 
is, the total fee schedule malpractice RVUs must be the same under the 
resource-based method as would have existed had the prior charge-based 
malpractice RVUs been retained. This means that increases in RVUs for 
some services will necessarily be offset by corresponding decreases in 
values for other services. Table 3 shows, by specialty, the estimated 
percentage changes in allowed charges for our proposed resource-based 
malpractice RVUs.
    As Table 3 shows, the effects on payments are very modest and, in 
most cases, negligible. Of the 35 major payment specialties, 15 are 
estimated to experience payment increases, 19 are estimated to 
experience payment decreases, and 1 experiences no change. Only two 
specialties are estimated to experience increases of more than 1 
percent, emergency medicine (2.6 percent) and nephrology (1.1 percent), 
with an estimated median payment increase of 0.3 percent among the 
specialties that receive an increase. Only three specialties are 
estimated to experience payment decreases of 1 percent or more cardiac 
surgery (-1.2 percent), orthopedic surgery (-1.1 percent), and thoracic 
surgery (-1.0 percent) with an estimated median payment decrease of -
0.5 percent among the specialties which receive a decrease. These 
impacts are slightly different than those shown in the July 22 proposed 
rule because they reflect different case mix using 1998 rather than 
1997 service frequencies; incorporate RVU changes made as a result of 
comments received on the NPRM; and reflect the final budget-neutrality 
adjustment calculated by our actuaries.
    The impact of the changes on the total revenue (Medicare and non-
Medicare) for a given specialty is less than the impact displayed in 
Table 3 since physicians furnish services to both Medicare and non-
Medicare patients. The magnitude of the impact on Medicare payment for 
a specialty depends generally on the mix of services a physician in the 
specialty furnishes.

 Table 3.--Impact on Total Allowed Charges by Specialty of the Resource
             Based Malpractice Expense Relative Value Units
                            [Percent change]
------------------------------------------------------------------------
                                              Allowed        Impact by
                Specialty                  charges  (in      specialty
                                             billions)       (percent)
------------------------------------------------------------------------
ANESTHESIOLOGY..........................             0.2            -0.6
CARDIAC SURGERY.........................             0.3            -1.2
CARDIOLOGY..............................             3.7            -0.1
CLINICS.................................             1.4             0.2
DERMATOLOGY.............................             1.2             0.0
EMERGENCY MEDICINE......................             0.8             2.6
FAMILY PRACTICE.........................             3.0             0.3
GASTROENTEROLOGY........................             1.1            -0.4
GENERAL PRACTICE........................             1.0             0.4
GENERAL SURGERY.........................             1.7            -0.2
HEMATOLOGY ONCOLOGY.....................             0.6             0.2
INTERNAL MEDICINE.......................             6.3             0.3
NEPHROLOGY..............................             0.9             1.1
NEUROLOGY...............................             0.8             0.3
NEUROSURGERY............................             0.3             0.5
OBSTETRICS/GYNECOLOGY...................             0.4            -0.6
OPHTHALMOLOGY...........................             3.5            -0.5
ORTHOPEDIC SURGERY......................             2.0            -1.1
OTOLARYNGOLOGY..........................             0.6            -0.3
PATHOLOGY...............................             0.5            -0.6
PLASTIC SURGERY.........................             0.2            -0.3
PSYCHIATRY..............................             1.1            -0.2
PULMONARY...............................             1.0             0.2
RADIATION ONCOLOGY......................             0.4            -0.5
RADIOLOGY...............................             2.7            -0.6
RHEUMATOLOGY............................             0.3             0.3
THORACIC SURGERY........................             0.5            -1.0
UROLOGY.................................             1.2            -0.1
VASCULAR SURGERY........................             0.3            -0.5
ALL OTHER PHYSICIAN.....................             1.2             0.1
OTHERS:
    CHIROPRACTOR........................             0.4             0.6
    NONPHYSICIAN PRACTITIONER...........             0.9            -0.4
    OPTOMETRIST.........................             0.4             0.4
    PODIATRY............................             1.0             0.4
    SUPPLIERS...........................             0.4            -0.4
------------------------------------------------------------------------

B. Resource-Based Practice Expense Relative Value Units

    Revisions in resource-based practice expense RVUs for physicians' 
services are calculated to be budget neutral, that is, the total 
practice expense RVUs for calendar year 2000 are calculated to be the 
same as the total practice expense RVUs that we estimate would have 
occurred without the changes proposed in this regulation. This means 
that increases in practice expense RVUs for

[[Page 59433]]

some services will necessarily be offset by corresponding decreases in 
values for other services.
    Table 4, ``Impact on Total Allowed Charges by Specialty of the 
Final Rule Practice Expense Changes'' shows, by specialty, the 
estimated percent changes in allowed charges resulting from the 
practice expense proposals discussed earlier in this rule. This table 
shows the impact of changes in the year 2000, as well as 3-year impact 
from 2000 to 2002 on the fully implemented practice expense RVUs. In 
the year 2000, the practice expense RVUs are a blend of 50 percent of 
the charged-based RVU and 50 percent of the resource-based RVU. The 
year 2000 impact column shows the impact of changes in this rule 
relative to what payments would have been in 2000 had there been no 
changes from this rule. The column labeled 2000-2002 impact compares 
payments using the fully implemented RVUs published in the November 2, 
1998 final rule (63 FR 58816) to the fully implemented RVUs reflecting 
changes included in this rule.

          Table 4.--Impact on Total Allowed Charges by Specialty of Final Rule Practice Expense Changes
                                                [Percent change]
----------------------------------------------------------------------------------------------------------------
                                                                      Allowed        Year 2000       2000-2002
                            Specialty                              charges  (in       impact          impact
                                                                     billions)       (percent)       (percent)
----------------------------------------------------------------------------------------------------------------
ANESTHESIOLOGY..................................................             1.6              -3              -9
CARDIAC SURGERY.................................................             0.3              -2              -6
CARDIOLOGY......................................................             3.7              -1              -3
CLINICS.........................................................             1.4               0              -1
DERMATOLOGY.....................................................             1.2               0               0
EMERGENCY MEDICINE..............................................             0.8              -1              -2
FAMILY PRACTICE.................................................             3.0               0               1
GASTROENTEROLOGY................................................             1.1              -1              -4
GENERAL PRACTICE................................................             1.0               0               1
GENERAL SURGERY.................................................             1.8               0              -1
HEMATOLOGY ONCOLOGY.............................................             0.6               0               0
INTERNAL MEDICINE...............................................             6.3               0               0
NEPHROLOGY......................................................             0.9               0               1
NEUROLOGY.......................................................             0.8               0               0
NEUROSURGERY....................................................             0.3               0              -1
OBSTETRICS/GYNECOLOGY...........................................             0.4               1               2
OPHTHALMOLOGY...................................................             3.5               1               2
ORTHOPEDIC SURGERY..............................................             2.0               0               1
OTHER PHYSICIAN.................................................             1.2              -1              -2
OTOLARYNGOLOGY..................................................             0.6               1               2
PATHOLOGY.......................................................             0.5               3               9
PLASTIC SURGERY.................................................             0.2               1               2
PSYCHIATRY......................................................             1.1               0              -1
PULMONARY.......................................................             1.0              -1              -2
RADIATION ONCOLOGY..............................................             0.6               0               0
RADIOLOGY.......................................................             2.8              -1              -2
RHEUMATOLOGY....................................................             0.3               1               4
THORACIC SURGERY................................................             0.5              -2              -5
UROLOGY.........................................................             1.2               0               1
VASCULAR SURGERY................................................             0.3               0              -1
OTHERS:                                                           ..............               0               0
    CHIROPRACTOR................................................             0.4               0               0
    NONPHYSICIAN PRACTITIONER...................................             0.9               0               0
    OPTOMETRIST.................................................             0.4               2               5
    PODIATRY....................................................             1.0               1               2
    SUPPLIERS...................................................             0.4               6              18
----------------------------------------------------------------------------------------------------------------

    Table 5 shows the impacts we displayed in the proposed rule 
published on July 22, 1999 for practice expense only and the 
corresponding impacts which result from this final rule. This table 
shows only the fully implemented fee schedule impact, not the year 2000 
impact incorporating the transition. There are two factors that explain 
the difference between the proposed rule and final rule impact 
statements. In the proposed rule, we indicated that we were considering 
removing some services from the zero physician work RVU pool. We did 
not include the effect of that policy change in the proposed rule 
impact statement. That change is now included in the ``Final Rule'' 
column. The zero work RVU change affects specialties which perform the 
technical portion of diagnostic tests. We are also using a higher 
practice expense per hour for thoracic and cardiac surgery in order to 
establish the SMS specialty practice expense pools. This change affects 
only these two specialties. Both of these changes are discussed in more 
detail earlier in the preamble to this final rule.

[[Page 59434]]



 Table 5.--Impact on Total Allowed Charges by Specialty of Practice Expense Changes Only 7/22/1999 Proposed Rule
                                               and This Final Rule
----------------------------------------------------------------------------------------------------------------
                                                                      Allowed      Proposed rule    Final rule
                            Specialty                                 charges         impact          impact
                                                                    (billions)       (percent)       (percent)
----------------------------------------------------------------------------------------------------------------
ANESTHESIOLOGY..................................................             1.6              -8              -9
CARDIAC SURGERY.................................................             0.3              -8              -6
CARDIOLOGY......................................................             3.7              -2              -3
CLINICS.........................................................             1.4              -1              -1
DERMATOLOGY.....................................................             1.2               2               0
EMERGENCY MEDICINE..............................................             0.8              -1              -2
FAMILY PRACTICE.................................................             3.0               2               1
GASTROENTEROLOGY................................................             1.1              -2              -4
GENERAL PRACTICE................................................             1.0               2               1
GENERAL SURGERY.................................................             1.8               0              -1
HEMATOLOGY ONCOLOGY.............................................             0.6               1               0
INTERNAL MEDICINE...............................................             6.3               0               0
NEPHROLOGY......................................................             0.9               0               1
NEUROLOGY.......................................................             0.8               1               0
NEUROSURGERY....................................................             0.3               1              -1
OBSTETRICS/GYNECOLOGY...........................................             0.4               3               2
OPHTHALMOLOGY...................................................             3.5               1               2
ORTHOPEDIC SURGERY..............................................             2.0               3               1
OTHER PHYSICIAN.................................................             1.2               0              -2
OTOLARYNGOLOGY..................................................             0.6               2               2
PATHOLOGY.......................................................             0.5               2               9
PLASTIC SURGERY.................................................             0.2               1               2
PSYCHIATRY......................................................             1.1              -1              -1
PULMONARY.......................................................             1.0              -2              -2
RADIATION ONCOLOGY..............................................             0.6               0               0
RADIOLOGY.......................................................             2.8               0              -2
RHEUMATOLOGY....................................................             0.3               5               4
THORACIC SURGERY................................................             0.5              -6              -5
UROLOGY.........................................................             1.2               2               1
VASCULAR SURGERY................................................             0.3               0              -1
OTHERS:
    CHIROPRACTOR................................................             0.4               0               0
    NONPHYSICIAN PRACTITIONER...................................             0.9               2               0
    OPTOMETRIST.................................................             0.4               2               5
    PODIATRY....................................................             1.0               2               2
    SUPPLIERS...................................................             0.4               1              18
----------------------------------------------------------------------------------------------------------------

    Table 6 shows the percentage change in total payment (in 2000 
physician fee schedule dollars) for selected high-volume procedures 
that result from the change in payment related to the changes in 
practice expense and malpractice RVUs contained in this final rule. 
These tables reflect the impact of this final rule only on the fully 
implemented fee schedule amount. The payments in these columns are 
determined using a conversion factor of $36.6137. The RVUs used for 
calculating payments in the ``old'' columns are from the Federal 
Register published on November 2, 1998. The RVUs used in calculating 
payments in the ``new'' columns are from this final rule. By using the 
conversion factor of $36.6137 to calculate payments in both the ``old'' 
and ``new'' columns, the impact of changes in practice expense and 
malpractice expense RVU are illustrated. These tables do not show the 
actual impact on payment from 1999 to 2000 because they do not 
incorporate the effect of the transition or physician fee schedule 
update. In general, payments for services in the facility setting, 
including evaluation and management services, are declining due to our 
policy to exclude costs associated with bringing clinical staff to the 
facility setting. Payment for a tissue exam by a pathologist (CPT 
88305) is increasing due to our proposal to remove the service from the 
zero work pool. The increase in value for the technical portion of the 
services causes a corresponding increase in the global service.

                                 Table 6.--Total Payment For Selected Procedures
----------------------------------------------------------------------------------------------------------------
                                      Old non-     New non-     Percent        Old          New        Percent
   Code      Mod     Description      facility     facility      change      facility     facility      change
----------------------------------------------------------------------------------------------------------------
11721....  ......  Debride nail, 6      $ 39.18      $ 39.18           0%        34.43      $ 28.56          -17
                    or more.
17000....  ......  Destroy benign/        49.43        60.41           22        32.24        32.95            2
                    premal lesion.
27130....  ......  Total hip                 NA           NA           NA     1,435.23     1,395.71           -3
                    replacement.
27236....  ......  Treat thigh               NA           NA           NA     1,118.73     1,065.82           -5
                    fracture.
27244....  ......  Treat thigh               NA           NA           NA     1,133.38     1,085.96           -4
                    fracture.
27447....  ......  Total knee                NA           NA           NA     1,500.43     1,460.52           -3
                    replacement.
33533....  ......  CABG, arterial,           NA           NA           NA     1,940.01     1,829.59           -6
                    single.
35301....  ......  Rechanneling of           NA           NA           NA     1,124.23     1,133.93            1
                    artery.
43239....  ......  Upper GI              272.41       247.14           -9       147.63       139.13           -6
                    endoscopy,
                    biopsy.
45385....  ......  Lesion removal        413.00       462.80           12       292.69       275.70           -6
                    colonoscopy.

[[Page 59435]]


66821....  ......  After cataract        201.74       196.98           -2       191.58       170.99          -11
                    laser surgery.
66984....  ......  Remove cataract/          NA           NA           NA       700.03       654.65           -6
                    insert lens.
67210....  ......  Treatment of          593.87       602.66            1       545.08       550.67            1
                    retinal lesion.
71010....  26....  Chest x-ray....         8.79         8.79            0         8.79         8.79            0
71020....  ......  Chest x-ray....        35.15        34.42           -2        35.17        34.42           -2
71020....  26....  Chest x-ray....        10.62        10.62            0        10.62        10.62            0
77430....  ......  Weekly                180.14       187.83            4       180.23       187.83            4
                    radiation
                    therapy.
78465....  ......  Heart image           542.25       527.24           -3       542.52       527.24           -3
                    (3d), multiple.
88305....  ......  Tissue exam by         61.51        82.01           33        61.54        82.01           33
                    pathologist.
88305....  26....  Tissue exam by         40.28        40.64            1        40.29        40.64            1
                    pathologist.
90801....  ......  Psy dx                143.53       146.09            2       142.86       138.77           -3
                    interview.
90806....  ......  Psytx, off, 45-        97.76        97.76            0        95.98        93.73           -2
                    50 min.
90807....  ......  Psytx, off, 45-       101.79       103.62            2       102.94        99.22           -4
                    50 min w/e&m.
90862....  ......  Medication             49.79        50.89            2        49.09        46.50           -5
                    management.
90921....  ......  ESRD related          245.31       263.25            7       245.43       237.26           -3
                    services,
                    month.
90935....  ......  Hemodialysis,             NA           NA           NA        69.97        61.51          -12
                    one evaluation.
92004....  ......  Eye exam, new         120.83       124.49            3        86.82        88.61            2
                    patient.
92012....  ......  Eye exam               75.79        63.71          -16        36.27        36.61            1
                    established
                    pat.
92014....  ......  Eye exam &             87.87        91.53            4        58.98        59.68            1
                    treatment.
92980....  ......  Insert                    NA           NA           NA       949.13       851.63          -10
                    intracoronary
                    stent.
92982....  ......  Coronary artery           NA           NA           NA       716.15       630.12          -12
                    dilation.
93000....  ......  Electrocardiogr        26.36        26.36            0        26.37        26.36            0
                    am, complete.
93010....  ......  Electrocardiogr         8.79         8.79            0         8.79         8.79            0
                    am report.
93015....  ......  Cardiovascular        106.55       104.35           -2       106.60       104.35           -2
                    stress test.
93307....  ......  Echo exam of          204.30       198.08           -3       204.40       198.08           -3
                    heart.
93307....  26....  Echo exam of           49.79        48.70           -2        49.82        48.70           -2
                    heart.
93510....  26....  Left heart            231.03       247.87            7       231.15       247.87            7
                    catheterizatio
                    n.
98941....  ......  Chiropractic           34.78        35.15            1        30.40        30.76            1
                    manipulation.
99202....  ......  Office/                68.47        72.50            6        53.48        45.40          -15
                    outpatient
                    visit, new.
99203....  ......  Office/                97.03       102.52            6        78.03        69.57          -11
                    outpatient
                    visit, new.
99204....  ......  Office/               136.94       145.36            6       112.09       102.88           -8
                    outpatient
                    visit, new.
99205....  ......  Office/               169.89       179.41            6       145.43       135.84           -7
                    outpatient
                    visit, new.
99211....  ......  Office/                23.07        25.63           11        14.29         8.79          -38
                    outpatient
                    visit, est.
99212....  ......  Office/                36.61        39.18            7        28.21        23.07          -18
                    outpatient
                    visit, est.
99213....  ......  Office/                48.33        51.63            7        38.46        33.68          -12
                    outpatient
                    visit, est.
99214....  ......  Office/                76.16        80.92            6        62.27        56.02          -10
                    outpatient
                    visit, est.
99215....  ......  Office/               110.94       116.07            5        96.71        90.44           -6
                    outpatient
                    visit, est.
99221....  ......  Initial                   NA           NA           NA        72.53        65.17          -10
                    hospital care.
99222....  ......  Initial                   NA           NA           NA       115.02       108.38           -6
                    hospital care.
99223....  ......  Initial                   NA           NA           NA       157.52       151.21           -4
                    hospital care.
99231....  ......  Subsequent                NA           NA           NA        34.07        32.59           -4
                    hospital care.
99232....  ......  Subsequent                NA           NA           NA        54.95        53.82           -2
                    hospital care.
99233....  ......  Subsequent                NA           NA           NA        78.39        76.16           -3
                    hospital care.
99236....  ......  Observ/hosp               NA           NA           NA       220.52       215.29           -2
                    same date.
99238....  ......  Hospital                  NA           NA           NA        68.87        64.44           -6
                    discharge day.
99239....  ......  Hospital                  NA           NA           NA        91.58        88.24           -4
                    discharge day.
99241....  ......  Office                 57.12        61.14            7        40.66        32.95          -19
                    consultation.
99242....  ......  Office                 95.93       101.79            6        74.36        67.37           -9
                    consultation.
99243....  ......  Office                121.92       128.51            5        98.54        89.70           -9
                    consultation.
99244....  ......  Office                168.06       176.48            5       142.13       132.54           -7
                    consultation.
99245....  ......  Office                213.09       222.25            4       186.09       176.11           -5
                    consultation.
99251....  ......  Initial                   NA           NA           NA        42.13        36.61          -13
                    inpatient
                    consult.
99252....  ......  Initial                   NA           NA           NA        77.29        71.76           -7
                    inpatient
                    consult.
99253....  ......  Initial                   NA           NA           NA       104.40        97.39           -7
                    inpatient
                    consult.
99254....  ......  Initial                   NA           NA           NA       146.16       138.77           -5
                    inpatient
                    consult.
99255....  ......  Initial                   NA           NA           NA       198.18       191.12           -4
                    inpatient
                    consult.
99261....  ......  Follow-up                 NA           NA           NA        28.21        23.80          -16
                    inpatient
                    consult.
99262....  ......  Follow-up                 NA           NA           NA        50.92        45.77          -10
                    inpatient
                    consult.
99263....  ......  Follow-up                 NA           NA           NA        72.16        67.37           -7
                    inpatient
                    consult.
99282....  ......  Emergency dept            NA           NA           NA        27.84        26.73           -4
                    visit.
99283....  ......  Emergency dept            NA           NA           NA        59.34        60.05            1
                    visit.
99284....  ......  Emergency dept            NA           NA           NA        92.31        94.10            2
                    visit.
99285....  ......  Emergency dept            NA           NA           NA       142.50       146.09            3
                    visit.
99291....  ......  Critical care,        187.10       187.83            0       185.72       179.41           -3
                    first hour.
99292....  ......  Critical care,         94.46        96.66            2        93.41        89.70           -4
                    addl 30 min.
99301....  ......  Nursing                   NA           NA           NA        65.57        60.41           -8
                    facility care.
99302....  ......  Nursing                   NA           NA           NA        86.82        80.92           -7
                    facility care.
99303....  ......  Nursing                   NA           NA           NA       107.70       100.32           -7
                    facility care.
99311....  ......  Nursing fac               NA           NA           NA        33.70        30.02          -11
                    care, subseq.
99312....  ......  Nursing fac               NA           NA           NA        53.12        49.79           -6
                    care, subseq.
99313....  ......  Nursing fac               NA           NA           NA        74.73        71.03           -5
                    care, subseq.
99348....  ......  Home visit, est        70.30        72.50            3        70.70        66.64           -6
                    patient.
99350....  ......  Home visit, est       158.17       164.40            4       154.95       154.88            0
                    patient.
----------------------------------------------------------------------------------------------------------------

    Table 7 shows the combined impact of the proposed changes in the 
malpractice RVUs and the fully implemented practice expense RVUs.
    Comment: One commenter indicated that specialty level impacts 
displayed in the proposed rule were misleading and

[[Page 59436]]

caused a great deal of confusion in the physician community. Although 
the commenter indicated that it is appropriate for us to display 
specialty level impacts that result from the new rule relative to prior 
policy, the commenter also requested that we show the total impact of 
adopting resource-based methodologies.
    Response: In general, we show the impact of changes that result 
from a new rule, not the cumulative impact of changes in policy 
contained in prior rules as well as the new one. However, we 
acknowledge that it can be difficult to understand changes that result 
from adoption of the resource-based practice expense methodology 
because those changes may result from policy changes contained in the 
final rule published on November 2, 1998 (63 FR 58814), from changes 
due to this final rule, and because all of these changes are occurring 
over the 4-year transition period. Impacts of the final rule published 
on November 2, 1998 are shown on page 58895 of the physician fee 
schedule final rule published on November 2, 1998. The percentage 
increase for a particular specialty can be combined with the impacts 
shown in table 7 (which shows the impacts in addition to those 
presented in the November 2, 1998 final rule) to determine the impact 
of moving to resource based methodologies for practice expense and 
malpractice expense.
    The impact of the changes on the total revenue (Medicare and non-
Medicare) for a given specialty is less than the impact displayed in 
these tables since physicians furnish services to both Medicare and 
non-Medicare patients. The magnitude of the impact that Medicare 
payment has on a specialty depends generally on the mix of services a 
physician in the specialty provides and the sites in which the services 
are performed. As we indicated in the proposed rule, each year since 
the fee schedule has been implemented, our actuaries have determined 
any adjustments needed to meet the requirements of budget neutrality. A 
key component of the actuarial determination of budget neutrality 
involves estimating any impact of changes in the volume and intensity 
of physicians' services furnished to Medicare beneficiaries as a result 
of the proposed changes.
    In estimating the impacts of proposed changes under the physician 
fee schedule on the volume and intensity of services, the actuaries 
have historically used a model that assumes that 50 percent of the 
change in net revenue for a procedure would be recouped. This does not 
mean that the payments are reduced by 50 percent. In fact, payments 
have typically been reduced only by a few percent or less. In 1999, the 
actuary revised the assumption about response to payment changes and 
will use a model that assumes a 30 percent volume-and-intensity 
response to price reductions. The actuary is continuing to assume no 
reduction in volume and intensity response to a price increase. Our 
actuary's analysis of the volume-and-intensity response is available on 
our homepage (www.hcfa.gov).
    Comment: We again received comments in response to our assumption 
that physicians respond to payment reductions so as to offset revenue 
reductions. One commenter indicated that a 30 percent volume-and-
intensity response seems extreme.
    Response: We provide a response to this and similar comments in the 
final rule published November 2, 1998 (63 FR 588894). We reiterate that 
our assumption that physicians respond to payment reductions so as to 
offset 30 percent of revenue reduction in physician fees. Most 
physicians, even those in specialties with a negative payment impact 
shown in table 7, will experience an increase in physician fees in 
2000. This is largely due to an update of 5.4 percent. Since there are 
few specialties that will actually experience a decline in payment in 
2000, the adjustment to the conversion factor for behavioral responses 
to fee reductions will be only 0.12 percent (or approximately $0.04). 
To the extent that the volume-and-intensity response does not occur, 
the SGR system enacted as part of the BBA will return the volume-and-
intensity adjustment in the form of higher future updates to the 
Medicare physician fee schedule CF. The volume-and-intensity adjustment 
should not affect aggregate payments because our actuaries assume an 
offsetting increase in the volume and intensity of services provided in 
2000.

     Table 7.--Impact on Total Allowed Charges by Specialty of Fully
   Implemented Practice Expense and Malpractice Expense Relative Value
                                  Units
------------------------------------------------------------------------
                                                              Changes
                                              Allowed     Resulting from
                Specialty                   Charges (in     this Final
                                             billions)    Rule (percent)
------------------------------------------------------------------------
ANESTHESIOLOGY..........................             1.6              -9
CARDIAC SURGERY.........................             0.3              -8
CARDIOLOGY..............................             3.7              -3
CLINICS.................................             1.4              -1
DERMATOLOGY.............................             1.2               0
EMERGENCY MEDICINE......................             0.8               1
FAMILY PRACTICE.........................             3.0               1
GASTROENTEROLOGY........................             1.1              -4
GENERAL PRACTICE........................             1.0               2
GENERAL SURGERY.........................             1.8              -1
HEMATOLOGY ONCOLOGY.....................             0.6               0
INTERNAL MEDICINE.......................             6.3               0
NEPHROLOGY..............................             0.9               2
NEUROLOGY...............................             0.8               0
NEUROSURGERY............................             0.3              -1
OBSTETRICS/GYNECOLOGY...................             0.4               1
OPHTHALMOLOGY...........................             3.5               2
ORTHOPEDIC SURGERY......................             2.0               0
OTHER PHYSICIAN.........................             1.2              -2
OTOLARYNGOLOGY..........................             0.6               1
PATHOLOGY...............................             0.5               8
PLASTIC SURGERY.........................             0.2               1

[[Page 59437]]


PSYCHIATRY..............................             1.1              -1
PULMONARY...............................             1.0              -2
RADIATION ONCOLOGY......................             0.6               0
RADIOLOGY...............................             2.8              -3
RHEUMATOLOGY............................             0.3               4
THORACIC SURGERY........................             0.5              -6
UROLOGY.................................             1.2               1
VASCULAR SURGERY........................             0.3              -1
OTHERS:
    CHIROPRACTOR........................             0.4               1
    NONPHYSICIAN PRACTITIONER...........             0.9               0
    OPTOMETRIST.........................             0.4               5
    PODIATRY............................             1.0               2
    SUPPLIERS...........................             0.4              17
------------------------------------------------------------------------

    Comment: A few commenters indicated that HCFA has not fulfilled its 
statutory obligation to provide impacts on the practice expense RVUs in 
different geographical areas or compare Medicare payments under the new 
practice expense RVUS with actual practice costs for physicians in each 
specialty.
    Response: Section 4505(d)(3) of the BBA required the Secretary to 
provide the impacts suggested by this commenter as part of a notice of 
proposed rule making in the Spring of 1998. We provided impacts of the 
newly adopted resource-based practice expense by specialty and 
geographic area in the proposed rule published June 5, 1998 (63 FR 
58895). Unlike adoption of the physician fee schedule published on 
January 1, 1992, the adoption of the practice expense methodology has a 
negligible impact on payments by geographical area. For this reason we 
are not continuing to display those impacts. With respect to comparing 
the new practice expense RVUs to actual practice expenses for 
physicians in each specialty, we do not believe that the data are 
available to make reliable comparisons. Although we do have aggregate, 
specialty level data on practice expense from the SMS, these data are 
used to establish relative payment amounts for the more than 7,000 
physician services paid for by Medicare and are intended to represent 
the relative resources used by physicians in providing services to 
Medicare patients. The SMS data do not allow us to directly compare 
these practice expense relative values to ``actual'' practice expenses.
    Table 7 shows the combined impact of the changes in the malpractice 
RVUs and the fully implemented practice expense RVUs. The impact of the 
changes on the total revenue (Medicare and non-Medicare) for a given 
specialty is less than the impact displayed in these tables since 
physicians furnish services to both Medicare and non-Medicare patients. 
The magnitude of the impact that Medicare payment has on a specialty 
depends generally on the mix of services a physician in the specialty 
provides and the sites in which the services are performed.

C. Adjustment to the Practice Expense Relative Value Units for a 
Physician's Interpretation of Abnormal Papanicolaou Smears

    Currently, there are several codes for a physician's interpretation 
of an abnormal pap smear (three HCPCS codes and one CPT code). We 
evaluated the practice expense RVUs for each of these codes in a 
slightly different manner, and the practice expense RVUs assigned to 
HCPCS code G0141 were much lower than those for the other codes. We 
believe it is more appropriate to have the RVUs for all of these codes 
identical to those for CPT code 88141. The impact of this provision has 
been incorporated into the physician fee schedule budget-neutrality 
calculation.

D. Physician Pathology Services and Independent Laboratories

    Independent laboratories usually bill for a combined service that 
is the sum of the PC and TC services. These services can be furnished 
to both hospital and nonhospital patients.
    The claims processing instructions require the independent 
laboratory to use the hospital as the place of service (POS) for TC 
billing of hospital patients. However, our analysis of national claims 
data indicates that independent laboratories are likely to use the 
independent laboratory as the POS. Thus, we cannot directly calculate 
the independent laboratory's billings for the combined service to 
hospital inpatients.
    Based on our knowledge of laboratory practice arrangements, we have 
assumed that 20 percent of the allowed charges for independent 
laboratories represent billings for hospital inpatients. We adjusted 
this amount to remove PC billings because they are billable 
notwithstanding the provisions of this final rule. We estimated the PC 
amount by multiplying the total allowed charges for each code by the 
ratio of the PC RVUs to total RVUs for that code. The remaining amount 
represents the total allowed charges for TC services for hospital 
inpatients.
    We estimated that payment under the physician fee schedule for TC 
billings by independent laboratories will decrease by $6 million. 
However, we are delaying implementation for 1 year so hospitals can 
make the necessary arrangements
    The hospital is paid under the prospective payment system for the 
TC of a physician pathology service to hospital inpatients. If the 
independent laboratory furnishes the TC, it must enter into an 
arrangement with a hospital to be paid appropriately for this service.

E. Discontinuous Anesthesia Time

    This final rule clarifies that if an anesthesia practitioner has 
not been billing for a block of time before an interruption in 
services, he or she would be able to bill for that block of time and 
receive payment. It is our understanding that, in most instances, a 
block of time before an interruption is generally about 15 minutes, or 
one time

[[Page 59438]]

unit. However, some anesthesia practitioners may have interpreted our 
regulations as allowing them to bill for the block of time before an 
interruption. If an anesthesia practitioner has billed in this manner, 
then our revision to the regulations will not have any economic effect. 
We estimate that overall there are no costs or savings to the Medicare 
program.

F. Optometrist Services

    The provisions of the OBRA 1986 expanded coverage of optometrist 
services. While this statutory provision had been implemented through 
manual provisions, we had not revised the regulations to reflect this 
change. We proposed to revise the regulations at Sec. 410.23 to specify 
that Medicare Part B pays for the services of a doctor of optometry, 
acting within the scope of his or her license, if the services are 
those described in section 1861(s) of the Act and 42 CFR 410.10.
    We received comments from the American Optometric Association 
supporting the proposed revision to the regulations. We are revising 
the regulations at Sec. 410.23 to specify that Medicare Part B pays for 
services of a doctor of optometry, acting within the scope of his or 
her license, if the services are those described in section 1861(s) of 
the Act and 42 CFR 410.10.

G. Assisted Suicide

    This final rule conforms the regulations to a provision in the 
Assisted Suicide Funding Act of 1997. This statute prohibits the use of 
Federal funds to furnish or pay for any health care service or health 
benefit coverage for the purpose of causing, or assisting to cause, the 
death of any individual. We believe that this change will have no 
program costs or savings given the exclusion from Medicare payment of 
expenses for these services under section 1862(a)(1)(A) of the Act. 
This section states that no payment may be made under Part A or Part B 
for any expenses incurred for items or services that are not reasonable 
or necessary for the diagnosis or treatment of illness or injury or to 
improve the functioning of a malformed body member.

H. CPT Modifier -25

    For selected procedures for which current global surgery rules do 
not apply (for example, those for which the global indicator is ``XXX'' 
in the database), this rule provides that a practitioner may bill for 
an E/M service only if it is a significant separately identifiable 
service. This situation will be reported by appending modifier -25 to 
the E/M service code. This policy will assist carriers in claims 
adjudication and eliminate unnecessary denials when practitioners 
append modifier -25 to the E/M service to signify that the E/M service 
reported is appropriate because it was a significant and separately 
identifiable service from the procedure performed. We expect the 
savings to be minimal because the specific procedures to which this 
policy is to be applied have still to be identified and edits for these 
procedures will not begin to be implemented until October 2000 at the 
earliest.

I. Nurse Practitioner Qualifications

    The NP qualifications stated in this final rule provide a mechanism 
that permits those individuals who have a Medicare NP billing number 
before January 1, 2001, to continue to bill as NPs. Therefore, an 
individual who may not have been nationally certified as an NP, or who 
does not have a master's degree in nursing, is permitted to continue to 
bill under the Medicare program. However, after January 1, 2003, to 
obtain a Medicare NP billing number, a new applicant is required to 
possess a master's degree in nursing, State authorization to practice 
as an NP, and national certification as an NP. By this time, nursing 
professionals will have had ample notification and time to acquire 
these credentials. There are no Medicare program costs or savings 
associated with this provision. Furthermore, these requirements are 
consistent with our understanding of certification and training 
requirements being implemented by NP professional groups.

J. Relative Value Units for Pediatric Services

    This final rule corrects our use of the wrong data in establishing 
the work RVUs for certain pediatric surgical services. Since pediatric 
services are a small portion of services under Medicare, this change 
has a negligible cost or saving impact on the Medicare program

K. Percutaneous Thrombectomy of an Arteriovenous Fistula

    We have established payment for a new HCPCS code that more 
accurately describes the activities regarding percutaneous thrombectomy 
of a dialysis graft or fistula. Since this is basically a coding change 
we do not anticipate any costs or savings to the Medicare program.

L. Pulse Oximetry, Temperature Gradient Studies, and Venous Pressure 
Determinations

    We discontinued separate payment for CPT codes 94760 (noninvasive 
ear or pulse oximetry for oxygen saturation; single determination); 
94761 (non-invasive ear or pulse oximetry for oxygen saturation; 
multiple determinations); 93740 (temperature gradient studies); and 
93770 (determination of venous pressure). Payment for these codes is 
bundled into payment for other services. Any savings from this 
provision are incorporated into the physician fee schedule budget-
neutrality calculation.

M. Removal of Requirement for X-ray Before Chiropractic Manipulation

    This final rule conforms the regulations to section 4513(a) of the 
BBA. We expect that removal of the requirement will encourage increased 
billing for chiropractic manipulation. The impact of this BBA provision 
is shown in the table below.

                             Estimated Costs
                              [$ millions]
------------------------------------------------------------------------

------------------------------------------------------------------------
FY 2000..........................................................     20
FY 2001..........................................................     40
FY 2002..........................................................     50
FY 2003..........................................................     70
FY 2004..........................................................     80
                                                                  ------
  Total..........................................................    260
------------------------------------------------------------------------

N. Coverage of Prostate Cancer Screening Tests

    Section 4103 of the BBA authorizes coverage of certain prostate 
cancer screening tests, effective January 1, 2000, subject to certain 
frequency and payment limitations. The new tests include: (1) screening 
DREs and (2) screening prostate-specific antigen tests. Based on the 
projected utilization of these screening services and related medically 
necessary follow-up tests and treatment that may be required for the 
beneficiaries screened, we estimate that this BBA provision will result 
in an increase in Medicare payments as described in the table below for 
FYs 2000 through 2002. These payments will be made to many urologists, 
primary care physicians, and other practitioners (involved in screening 
DREs), and to clinical laboratories (involved in screening prostate-
specific antigen tests) nationally.

[[Page 59439]]



                        Estimated Medicare Costs
                               [$ million]
------------------------------------------------------------------------
                                                Part A   Part B   Total
------------------------------------------------------------------------
FY 2000......................................      170      590      760
FY 2001......................................      300    1,100    1,400
FY 2002......................................      400    1,270    1,670
FY 2003......................................      500    1,470    1,970
FY 2004......................................      620    1,710    2,330
                                              --------------------------
  Total......................................    1,990    6,140    8,130
------------------------------------------------------------------------

    We believe that the effect of the rule will be positive. Prostate 
cancer is the most commonly diagnosed cancer in men and the second 
leading cause of cancer death for American men. The American Cancer 
Society estimates that in 1999 about 179,000 new cases of prostate 
cancer will be diagnosed in the United States, and about 37,000 people 
will die directly from the disease. According to the American 
Urological Association, the use of a screening prostate-specific 
antigen blood test, in combination with a screening DRE, is the best 
method for detecting prostate cancer when the disease is localized and 
potentially curable. Although coverage of prostate cancer screening 
should improve access to this service for Medicare beneficiaries, the 
benefits of such screening, based on the available medical literature, 
are not entirely clear. The literature on the benefits of cancer 
detection, especially among men over 70, indicates that screening for 
prostate cancer does not necessarily lead to the prolongation of life 
or improvement in the quality of life. However, when prostate cancer is 
found early, there is evidence that it can often be treated 
successfully. Through early detection of prostate cancer made possible 
under the new benefit and the use of appropriate treatment measures, 
our expectation is that the harmful effects of this serious disease 
among the Medicare population will be reduced in the future.

O. Diagnostic Tests

1. Supervision of Diagnostic Test
    The requirements of the physician supervision policy in 
Sec. 410.32(b) conform to the BBA provisions relating to PAs, NPs, and 
CNSs. We clarified that the level of physician supervision for 
diagnostic tests performed by PAs, when they are authorized by the 
State to perform these tests, is general. This means that we will not 
require that the supervising physician for the diagnostic test be on 
the premises when the test is performed. No level of physician 
supervision is required for diagnostic tests performed by NPs and CNSs 
when they are authorized by the State to perform these tests. The scope 
of services for which PAs, NPs, or CNSs can bill will not be affected; 
therefore, we do not expect any significant costs or savings.
2. Independent Diagnostic Testing Facilities (IDTF)
    The IDTF provision at Sec. 410.33 states that NPs and CNSs are 
included among the entities that may bill carriers directly for 
diagnostic tests. This final rule is a technical one and will not have 
a significant effect on costs or savings.

P. Budget-Neutrality

    Each year since the fee schedule has been implemented, our 
actuaries have determined any adjustments needed to meet the budget-
neutrality requirement of the statute. A component of the actuarial 
determination of budget-neutrality involves estimating the impact of 
changes in the volume-and-intensity of physicians' services provided to 
Medicare beneficiaries as a result of the proposed changes. Consistent 
with the provision in the November 2, 1998 final rule, the actuaries 
used a model that assumes a 30 percent volume-and-intensity response to 
price reductions.

Q. Impact on Beneficiaries

    Although changes in payments to physicians when the physician fee 
schedule was implemented in 1992 were large, we detected no problems 
with beneficiary access to care. Furthermore, because there is a 4-year 
transition to the resource-based practice expense system, we expect 
minimal impact on beneficiary access to care.
    We are currently conducting substantial research to evaluate 
beneficiary access to physicians. This research includes, but is not 
limited to, augmenting the beneficiary survey questionnaire to further 
clarify access problems, conducting a survey of Medicare physicians to 
identify physician specialties and procedures by geographic areas, and 
tracking claims data in ``vulnerable populations.''
    In accordance with the provisions of Executive Order 12866, this 
regulation was reviewed by the Office of Management and Budget.

Federalism

    We have examined this rule in accordance with Executive Order 13132 
and have determined that this final rule will not have any negative 
impact on the rights, roles, or responsibilities of State, local, or 
Tribal governments.

List of Subjects

42 CFR Part 410

    Health facilities, Health professions, Kidney diseases, 
Laboratories, Medicare, Rural areas, X-rays.

42 CFR Part 411

    Kidney diseases, Medicare, Reporting and recordkeeping 
requirements.

42 CFR Part 414

    Administrative practice and procedure, Health facilities, Health 
professions, Kidney diseases, Medicare, Reporting and recordkeeping 
requirements, Rural areas, X-rays.

42 CFR Part 415

    Health facilities, Health professions, Medicare and Reporting and 
recordkeeping requirements.

42 CFR Part 485

    Grant programs--health, Health facilities, Medicaid, Medicare, 
Reporting and recordkeeping requirements.

    For the reasons set forth in the preamble, 42 CFR chapter IV is 
amended as follows:

PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

    A. Part 410 is amended as set forth below:
    1. The authority citation for part 410 continues to read as 
follows:

    Authority: Secs. 1102 and 1871 of the Social Security Act (42 
U.S.C. 1302 and 1395hh).

    2. In Sec. 410.22, paragraph (b)(1) is revised to read as follows:


Sec. 410.22.  Limitations on services of a chiropractor.

* * * * *
    (b) Limitations on services. (1) Medicare Part B pays only for a 
chiropractor's manual manipulation of the spine to correct a 
subluxation if the subluxation has resulted in a neuromusculoskeletal 
condition for which manual manipulation is appropriate treatment.
* * * * *
    3. Section 410.23 is revised to read as follows:


Sec. 410.23  Limitations on services of an optometrist.

    Medicare Part B pays for the services of a doctor of optometry, 
which he or she is legally authorized to perform in the State in which 
he or she performs them, if the services are among those described in 
section 1861(s) of the Act and Sec. 410.10 of this part.

[[Page 59440]]

    4. In Sec. 410.32, the introductory text to paragraph (b)(2) is 
republished for the convenience of the reader, paragraph (b)(2) is 
amended by adding new paragraphs (b)(2)(v) and (b)(2)(vi), and the 
introductory text to paragraph (b)(3) is revised to read as follows:


Sec. 410.32  Diagnostic x-ray tests, diagnostic laboratory tests, and 
other diagnostic tests: Conditions.

* * * * *
    (b) Diagnostic x-ray and other diagnostic tests. * * *
    (2) Exceptions. The following diagnostic tests payable under the 
physician fee schedule are excluded from the basic rule set forth in 
paragraph (b)(1) of this section:
* * * * *
    (v) Diagnostic tests performed by a nurse practitioner or clinical 
nurse specialist authorized to perform the tests under applicable State 
laws.
    (vi) Pathology and laboratory procedures listed in the 80000 series 
of the Current Procedural Terminology published by the American Medical 
Association.
    (3) Levels of supervision. Except where otherwise indicated, all 
diagnostic x-ray and other diagnostic tests subject to this provision 
and payable under the physician fee schedule must be furnished under at 
least a general level of physician supervision as defined in paragraph 
(b)(3)(i) of this section. In addition, some of these tests also 
require either direct or personal supervision as defined in paragraphs 
(b)(3)(ii) or (b)(3)(iii) of this section, respectively. (However, 
diagnostic tests performed by a physician assistant (PA) that the PA is 
legally authorized to perform under State law require only a general 
level of physician supervision.) When direct or personal supervision is 
required, physician supervision at the specified level is required 
throughout the performance of the test.
* * * * *
    5. In Sec. 410.33, paragraph (a)(1) is revised to read as follows:


Sec. 410.33  Independent diagnostic testing facility.

    (a) General rule. (1) Effective for diagnostic procedures performed 
on or after March 15, 1999, carriers will pay for diagnostic procedures 
under the physician fee schedule only when performed by a physician, a 
group practice of physicians, an approved supplier of portable x-ray 
services, a nurse practitioner, or a clinical nurse specialist when he 
or she performs a test he or she is authorized by the State to perform, 
or an independent diagnostic testing facility (IDTF). An IDTF may be a 
fixed location, a mobile entity, or an individual nonphysician 
practitioner. It is independent of a physician's office or hospital; 
however, these rules apply when an IDTF furnishes diagnostic procedures 
in a physician's office.
* * * * *
    6. A new section 410.39 is added to read as follows:


Sec. 410.39  Prostate cancer screening tests: Conditions for and 
limitations on coverage.

    (a) Definitions. As used in this section, the following definitions 
apply:
    (1) Prostate cancer screening tests means any of the following 
procedures furnished to an individual for the purpose of early 
detection of prostate cancer:
    (i) A screening digital rectal examination.
    (ii) A screening prostate-specific antigen blood test.
    (iii) For years beginning after 2002, other procedures HCFA finds 
appropriate for the purpose of early detection of prostate cancer, 
taking into account changes in technology and standards of medical 
practice, availability, effectiveness, costs, and other factors HCFA 
considers appropriate.
    (2) A screening digital rectal examination means a clinical 
examination of an individual's prostate for nodules or other 
abnormalities of the prostate.
    (3) A screening prostate-specific antigen blood test means a test 
that measures the level of prostate-specific antigen in an individual's 
blood.
    (b) Condition for coverage of screening digital rectal 
examinations.  Medicare Part B pays for a screening digital rectal 
examination if it is performed by the beneficiary's physician, or by 
the beneficiary's physician assistant, nurse practitioner, clinical 
nurse specialist, or certified nurse midwife who is authorized to 
perform this service under State law.
    (c) Limitation on coverage of screening digital rectal 
examinations. (1) Payment may not be made for a screening digital 
rectal examination performed for a man age 50 or younger.
    (2) For an individual over 50 years of age, payment may be made for 
a screening digital rectal examination only if the man has not had such 
an examination paid for by Medicare during the preceding 11 months 
following the month in which his last Medicare-covered screening 
digital rectal examination was performed.
    (d) Condition for coverage of screening prostate-specific antigen 
blood tests. Medicare Part B pays for a screening prostate-specific 
antigen blood test if it is ordered by the beneficiary's physician, or 
by the beneficiary's physician assistant, nurse practitioner, clinical 
nurse specialist, or certified nurse midwife who is authorized to order 
this test under State law.
    (e) Limitation on coverage of screening prostate-specific antigen 
blood test. (1) Payment may not be made for a screening prostate-
specific antigen blood test performed for a man age 50 or younger.
    (2) For an individual over 50 years of age, payment may be made for 
a screening prostate-specific antigen blood test only if the man has 
not had such an examination paid for by Medicare during the preceding 
11 months following the month in which his last Medicare-covered 
screening prostate-specific antigen blood test was performed.
    7. In Sec. 410.75, paragraph (b) is revised to read as follows:


Sec. 410.75  Nurse practitioner's services.

* * * * *
    (b) Qualifications. For Medicare Part B coverage of his or her 
services, a nurse practitioner must--(1)(i) Be a registered 
professional nurse who is authorized by the State in which the services 
are furnished to practice as a nurse practitioner in accordance with 
State law; and
    (ii) Be certified as a nurse practitioner by a recognized national 
certifying body that has established standards for nurse practitioners; 
or
    (2) Be a registered professional nurse who is authorized by the 
State in which the services are furnished to practice as a nurse 
practitioner in accordance with State law and have been granted a 
Medicare billing number as a nurse practitioner by December 31, 2000; 
or
    (3) Be a nurse practitioner who on or after January 1, 2001, 
applies for a Medicare billing number for the first time and meets the 
standards for nurse practitioners in paragraphs (b)(1)(i) and 
(b)(1)(ii) of this section; or
    (4) Be a nurse practitioner who on or after January 1, 2003, 
applies for a Medicare billing number for the first time and possesses 
a master's degree in nursing and meets the standards for nurse 
practitioners in paragraphs (b)(1)(i) and (b)(1)(ii) of this section.
* * * * *

PART 411--EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE 
PAYMENT

    B. Part 411 is amended as set forth below:

[[Page 59441]]

    1. The authority citation for Part 411 continues to read as 
follows:

    Authority: Secs. 1102 and 1871 of the Social Security Act (42 
U.S.C. 1302 and 1395hh).

    2. In Sec. 411.15, the introductory text in the section is revised, 
the introductory text to paragraph (a) is republished, paragraph (a)(1) 
is revised, the introductory text to paragraph (k) is republished, and 
new paragraphs (k)(9) and (q) are added to read as follows:


Sec. 411.15  Particular services excluded from coverage.

    The following services are excluded from coverage:
    (a) Routine physical checkups such as:
    (1) Examinations performed for a purpose other than treatment or 
diagnosis of a specific illness, symptoms, complaint, or injury, except 
for screening mammography, colorectal cancer screening tests, screening 
pelvic examinations, or prostate cancer screening tests that meet the 
criteria specified in paragraphs (k)(6) through (k)(9) of this section.
* * * * *
    (k) Any services that are not reasonable and necessary for one of 
the following purposes:
* * * * *
    (9) In the case of prostate cancer screening tests, for the purpose 
of early detection of prostate cancer, subject to the conditions and 
limitations specified in Sec. 410.39 of this chapter.
* * * * *
    (q) Assisted suicide. Any health care service used for the purpose 
of causing, or assisting to cause, the death of any individual. This 
does not pertain to the withholding or withdrawing of medical treatment 
or care, nutrition or hydration or to the provision of a service for 
the purpose of alleviating pain or discomfort, even if the use may 
increase the risk of death, so long as the service is not furnished for 
the specific purpose of causing death.

PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES

    C. Part 414 is amended as set forth below:
    1. The authority citation for part 414 continues to read as 
follows:

    Authority: Secs. 1102, 1871, and 1881(b)(1) of the Social 
Security Act (42 U.S.C. 1302, 1395(hh), and 1395rr(b)(1)).

    2. In Sec. 414.22, the introductory text is republished, paragraph 
(b)(5)(i) is revised, and a new paragraph (c)(3) is added to read as 
follows:


Sec. 414.22  Relative value units (RVUs).

    HCFA establishes RVUs for physicians' work, practice expense, and 
malpractice insurance.
* * * * *
    (b) Practice expense RVUs. * * *
    (5) * * *
    (i) Usually one of two levels of practice expense RVUs can be 
applied to each code. The lower facility practice expense RVUs apply to 
services furnished to patients in the hospital, skilled nursing 
facility, or ambulatory surgical center when the physician performs 
procedures on the ASC approved procedures list. The higher non-facility 
practice expense RVUs apply to services performed in a physician's 
office or in an ASC if the physician is performing a procedure not on 
the ASC approved procedures list, services furnished to patients in a 
nursing facility, in a facility or institution other than a hospital, 
skilled nursing facility, or in the home. The facility practice expense 
RVUs for a particular code may not be greater than the non-facility 
RVUs for that code.
* * * * *
    (c) Malpractice insurance RVUs. * * *
    (3) For services furnished in the year 2000 and subsequent years, 
the malpractice RVUs are based on the relative malpractice insurance 
resources.
    3. In Sec. 414.46, the introductory texts to paragraphs (a) and (b) 
are republished, paragraphs (a)(1) and (a)(2) are revised, paragraph 
(a)(3) is added, and paragraphs (b)(1) and (b)(2) are revised to read 
as follows:


Sec. 414.46  Additional rules for payment of anesthesia services.

    (a) Definitions. For purposes of this section, the following 
definitions apply:
    (1) Base unit means the value for each anesthesia code that 
reflects all activities other than anesthesia time. These activities 
include usual preoperative and postoperative visits, the administration 
of fluids and blood incident to anesthesia care, and monitoring 
services.
    (2) Anesthesia practitioner, for the purpose of anesthesia time, 
means a physician who performs the anesthesia service alone, a CRNA who 
is not medically directed who performs the anesthesia service alone, or 
a medically directed CRNA.
    (3) Anesthesia time means the time during which an anesthesia 
practitioner is present with the patient. It starts when the anesthesia 
practitioner begins to prepare the patient for anesthesia services and 
ends when the anesthesia practitioner is no longer furnishing 
anesthesia services to the beneficiary, that is, when the beneficiary 
may be placed safely under postoperative care. Anesthesia time is a 
continuous time period from the start of anesthesia to the end of an 
anesthesia service. In counting anesthesia time, the anesthesia 
practitioner can add blocks of anesthesia time around an interruption 
in anesthesia time as long as the anesthesia practitioner is furnishing 
continuous anesthesia care within the time periods around the 
interruption.
    (b) Determinations of payment amount--Basic rule. For anesthesia 
services performed, medically directed, or medically supervised by a 
physician, the carrier pays the lesser of the actual charge or the 
anesthesia fee schedule amount.
    (1) The carrier bases the fee schedule amount for an anesthesia 
service on the product of the sum of allowable base and time units and 
an anesthesia-specific CF. The carrier calculates the time units from 
the anesthesia time reported by the anesthesia practitioner for the 
anesthesia procedure. The physician who fulfills the conditions for 
medical direction in Sec. 415.110 (Conditions for payment: 
Anesthesiology services) reports the same anesthesia time as the 
medically-directed CRNA.
    (2) HCFA furnishes the carrier with the base units for each 
anesthesia procedure code. The base units are derived from the 1988 
American Society of Anesthesiologists' Relative Value Guide except that 
the number of base units recognized for anesthesia services furnished 
during cataract or iridectomy surgery is four units.
* * * * *
    4. In Sec. 414.60, the introductory text of paragraph (a) is 
revised to read as follows:


Sec. 414.60  Payment for the services of CRNAs.

    (a) Basis for payment. The allowance for the anesthesia service 
furnished by a CRNA, medically directed or not medically directed, is 
based on allowable base and time units as defined in Sec. 414.46(a). 
Beginning with CY 1994--
* * * * *

PART 415--SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS, 
SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN 
CERTAIN SETTINGS

    D. Part 415 is amended as set forth below:

[[Page 59442]]

    1. The authority citation for part 415 continues to read as 
follows:

    Authority: Secs. 1102 and 1871 of the Social Security Act (42 
U.S.C. 1302 and 1395hh).

    2. Section 415.130(c) is revised to read as follows:


Sec. 415.130  Conditions for payment; Physician pathology services.

* * * * *
    (c) Physician pathology services furnished by an independent 
laboratory. The technical component of physician pathology services 
furnished by an independent laboratory to a hospital inpatient before 
January 1, 2001, or to an outpatient are paid on a fee schedule basis 
under this subpart. On or after January 1, 2001, payment is made only 
to the hospital for the technical component of physician pathology 
services furnished to a hospital inpatient.

PART 485--CONDITIONS OF PARTICIPATION: SPECIALIZED PROVIDERS

    E. Part 485 is amended as set forth below:
    1. The authority citation for part 485 continues to read as 
follows:

    Authority: Secs. 1102 and 1871 of the Social Security Act (42 
U.S.C. 1302 and 1395(hh)

    2. In Sec. 485.705, paragraph(c)(8) is revised to read as follows:


Sec. 485.705  Personnel qualifications.

* * * * *
    (8) A nurse practitioner is a person who must:
    (i) Be a registered professional nurse who is authorized by the 
State in which the services are furnished to practice as a nurse 
practitioner in accordance with State law; and
    (ii) Be certified as a nurse practitioner by a recognized national 
certifying body that has established standards for nurse practitioners; 
or
    (iii) Be a registered professional nurse who is authorized by the 
State in which the services are furnished to practice as a nurse 
practitioner in accordance with State law and have been granted a 
Medicare billing number as a nurse practitioner by December 31, 2000; 
or
    (iv) Be a nurse practitioner who on or after January 1, 2001, 
applies for a Medicare billing number for the first time and meets the 
standards for nurse practitioners in paragraphs (c)(8)(i) and 
(c)(8)(ii) of this section; or
    (v) Be a nurse practitioner who on or after January 1, 2003, 
applies for a Medicare billing number for the first time and possesses 
a master's degree in nursing and meets the standards for nurse 
practitioners in paragraphs (b)(1)(i) and (b)(1)(ii) of this section.

(Catalog of Federal Domestic Assistance Program No. 93.778, Medical 
Assistance Program)

(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)

    Dated: October 21, 1999.
Michael M. Hash,
Deputy Administrator, Health Care Financing Administration.

    Dated: October 22, 1999.
Donna E. Shalala,
Secretary.

    Note: These addenda will not appear in the Code of Federal 
Regulations.

Addendum A--Explanation and Use of Addendum B

    The addenda on the following pages provide various data pertaining 
to the Medicare fee schedule for physicians' services furnished in 
2000. Addendum B contains the RVUs for work, non-facility practice 
expense, facility practice expense, and malpractice expense, and other 
information for all services included in the physician fee schedule.

Addendum B--2000 Relative Value Units and Related Information Used 
in Determining Medicare Payments for 2000

    This addendum contains the following information for each CPT code 
and alphanumeric HCPCS code, except for alphanumeric codes beginning 
with B (enteral and parenteral therapy), E (durable medical equipment), 
K (temporary codes for nonphysicians' services or items), or L 
(orthotics), and codes for anesthesiology.
    1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number for 
the service. Alphanumeric HCPCS codes are included at the end of this 
addendum.
    2. Modifier. A modifier is shown if there is a technical component 
(modifier TC) and a professional component (PC) (modifier -26) for the 
service. If there is a PC and a TC for the service, Addendum B contains 
three entries for the code: One for the global values (both 
professional and technical); one for modifier -26 (PC); and one for 
modifier TC. The global service is not designated by a modifier, and 
physicians must bill using the code without a modifier if the physician 
furnishes both the PC and the TC of the service.
    Modifier -53 is shown for a discontinued procedure. There will be 
RVUs for the code (CPT code 45378) with this modifier.
    3. Status indicator. This indicator shows whether the CPT/HCPCS 
code is in the physician fee schedule and whether it is separately 
payable if the service is covered.
    A = Active code. These codes are separately payable under the fee 
schedule if covered. There will be RVUs for codes with this status. The 
presence of an ``A'' indicator does not mean that Medicare has made a 
national decision regarding the coverage of the service. Carriers 
remain responsible for coverage decisions in the absence of a national 
Medicare policy.
    B = Bundled code. Payment for covered services is always bundled 
into payment for other services not specified. If RVUs are shown, they 
are not used for Medicare payment. If these services are covered, 
payment for them is subsumed by the payment for the services to which 
they are incident. (An example is a telephone call from a hospital 
nurse regarding care of a patient.)
    C = Carrier-priced code. Carriers will establish RVUs and payment 
amounts for these services, generally on a case-by-case basis following 
review of documentation, such as an operative report.
    D = Deleted code. These codes are deleted effective with the 
beginning of the calendar year.
    E = Excluded from physician fee schedule by regulation. These codes 
are for items or services that we chose to exclude from the physician 
fee schedule payment by regulation. No RVUs are shown, and no payment 
may be made under the physician fee schedule for these codes. Payment 
for them, if they are covered, continues under reasonable charge or 
other payment procedures.
    G = Code not valid for Medicare purposes. Medicare does not 
recognize codes assigned this status. Medicare uses another code for 
reporting of, and payment for, these services.
    N = Noncovered service. These codes are noncovered services. 
Medicare payment may not be made for these codes. If RVUs are shown, 
they are not used for Medicare payment.
    P = Bundled or excluded code. There are no RVUs for these services. 
No separate payment should be made for them under the physician fee 
schedule.

--If the item or service is covered as incident to a physician's 
service and is furnished on the same day as a physician's service, 
payment for it is bundled into the payment for the physician's service 
to which it is incident (an example is an elastic bandage furnished by 
a physician incident to a physician's service).

[[Page 59443]]

--If the item or service is covered as other than incident to a 
physician's service, it is excluded from the physician fee schedule 
(for example, colostomy supplies) and is paid under the other payment 
provisions of the Act.

    R = Restricted coverage. Special coverage instructions apply. If 
the service is covered and no RVUs are shown, it is carrier-priced.
    T = Injections. There are RVUs for these services, but they are 
only paid if there are no other services payable under the physician 
fee schedule billed on the same date by the same provider. If any other 
services payable under the physician fee schedule are billed on the 
same date by the same provider, these services are bundled into the 
service(s) for which payment is made.
    X = Exclusion by law. These codes represent an item or service that 
is not within the definition of ``physicians' services'' for physician 
fee schedule payment purposes. No RVUs are shown for these codes, and 
no payment may be made under the physician fee schedule. (Examples are 
ambulance services and clinical diagnostic laboratory services.)
    4. Description of code. This is an abbreviated version of the 
narrative description of the code.
    5. Physician work RVUs. These are the RVUs for the physician work 
for this service in 2000. Codes that are not used for Medicare payment 
are identified with a ``+.''
    6. Fully implemented non-facility practice expense RVUs. These are 
the fully implemented resource-based practice expense RVUs for non-
facility settings.
    7. Year 2000 Transition non-facility practice expense RVUs. Blended 
non-facility practice expense RVUs for use in 2000.
    8. Fully implemented facility practice expense RVUs. These are the 
fully implemented resource-based practice expense RVUs for facility 
settings.
    9. Year 2000 transition facility practice expense RVUs. Blended 
facility practice expense RVUs for use in 2000.
    10. Malpractice expense RVUs. These are the RVUs for the 
malpractice expense for the service for 2000.
    11. Fully implemented non-facility total. This is the sum of the 
work, fully implemented non-facility practice expense, and malpractice 
expense RVUs.
    12. Year 2000 transition non-facility total. This is the sum of the 
work, transition non-facility practice expense, and malpractice expense 
RVUs for use in 2000.
    13. Fully implemented facility total. This is the sum of the work, 
fully implemented facility practice expense, and malpractice expense 
RVUs.
    14. Year 2000 transition facility total. This is the sum of the 
work, transition facility practice expense, and malpractice expense 
RVUs for use in 2000.
    15. Global period. This indicator shows the number of days in the 
global period for the code (0, 10, or 90 days). An explanation of the 
alpha codes follows:
    MMM = The code describes a service furnished in uncomplicated 
maternity cases including antepartum care, delivery, and postpartum 
care. The usual global surgical concept does not apply. See the 1999 
Physicians' Current Procedural Terminology for specific definitions.
    XXX = The global concept does not apply.
    YYY = The global period is to be set by the carrier (for example, 
unlisted surgery codes).
    ZZZ = The code is part of another service and falls within the 
global period for the other service.
<hbond><hbond><hbond><hbond><hbond><hbond><hbond><hbond><hbond><hbond>
        <hbond><hbond>\4\ PE RVUs = Practice Expense Relative Value 
Units.

[[Page 59443]]



                                         Addendum B.--Relative Value Units (RVUs) and Related Information Used in Determining Medicare Payments for 2000
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                 Year                                                    Year
                                                                                     Fully       2000                   Year                 Fully       2000                   Year
                                                                       Physician  Implemented   Transi-     Fully       2000      Mal-    Implemented   Transi-     Fully       2000
 CPT \1\/ HCPCS       MOD           Status           Description       Work RVUs      Non-      tional   Implemented   Transi-  Practice      Non-      tional   Implemented   Transi-   Global
      \2\                                                                 \3\     Facility PE    Non-    Facility PE   tional     RVUs      Facility     Non-      Facility    tional
                                                                                      RVUs     Facility      RVUs     Facility               Total     Facility     Total     Facility
                                                                                                PE RVUs                PE RVUs                           Total                  Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
10040..........  .............  A              Acne surgery of skin         1.18        1.57       0.96        0.52       0.35      0.05        2.80       2.19        1.75       1.58       010
                                                abscess.
10060..........  .............  A              Drainage of skin             1.17        1.26       0.87        0.62       0.43      0.08        2.51       2.12        1.87       1.68       010
                                                abscess.
10061..........  .............  A              Drainage of skin             2.40        1.95       1.32        1.12       0.74      0.15        4.50       3.87        3.67       3.29       010
                                                abscess.
10080..........  .............  A              Drainage of pilonidal        1.17        1.95       1.25        0.68       0.48      0.09        3.21       2.51        1.94       1.74       010
                                                cyst.
10081..........  .............  A              Drainage of pilonidal        2.45        2.71       1.96        1.57       1.09      0.20        5.36       4.61        4.22       3.74       010
                                                cyst.
10120..........  .............  A              Remove foreign body...       1.22        1.72       1.11        0.69       0.47      0.10        3.04       2.43        2.01       1.79       010
10121..........  .............  A              Remove foreign body...       2.69        2.64       1.87        1.74       1.15      0.24        5.57       4.80        4.67       4.08       010
10140..........  .............  A              Drainage of hematoma/        1.53        1.32       0.92        0.82       0.54      0.11        2.96       2.56        2.46       2.18       010
                                                fluid.
10160..........  .............  A              Puncture drainage of         1.20        1.46       0.94        0.72       0.47      0.09        2.75       2.23        2.01       1.76       010
                                                lesion.
10180..........  .............  A              Complex drainage,            2.25        1.33       1.24        1.24       1.19      0.23        3.81       3.72        3.72       3.67       010
                                                wound.
11000..........  .............  A              Debride infected skin.       0.60        0.52       0.48        0.23       0.23      0.04        1.16       1.12        0.87       0.87       000
11001..........  .............  A              Debride infected skin        0.30        0.29       0.29        0.12       0.13      0.02        0.61       0.61        0.44       0.45       ZZZ
                                                add-on.
11010..........  .............  A              Debride skin, fx......       4.20        2.42       3.36        2.08       3.19      0.36        6.98       7.92        6.64       7.75       010
11011..........  .............  A              Debride skin/muscle,         4.95        3.66       4.39        2.58       3.85      0.48        9.09       9.82        8.01       9.28       000
                                                fx.
11012..........  .............  A              Debride skin/muscle/         6.88        4.83       5.98        4.06       5.59      0.71       12.42      13.57       11.65      13.18       000
                                                bone, fx.
11040..........  .............  A              Debride skin, partial.       0.50        0.45       0.44        0.19       0.21      0.03        0.98       0.97        0.72       0.74       000
11041..........  .............  A              Debride skin, full....       0.82        0.61       0.61        0.32       0.32      0.06        1.49       1.49        1.20       1.20       000
11042..........  .............  A              Debride skin/tissue...       1.12        0.85       0.78        0.44       0.40      0.09        2.06       1.99        1.65       1.61       000
11043..........  .............  A              Debride tissue/muscle.       2.38        2.40       2.18        1.37       1.67      0.22        5.00       4.78        3.97       4.27       010
11044..........  .............  A              Debride tissue/muscle/       3.06        3.10       3.08        1.79       2.43      0.30        6.46       6.44        5.15       5.79       010
                                                bone.
11055..........  .............  R              Trim skin lesion......       0.27        0.34       0.31        0.11       0.13      0.02        0.63       0.60        0.40       0.42       000
11056..........  .............  R              Trim skin lesions, 2         0.39        0.38       0.38        0.15       0.17      0.03        0.80       0.80        0.57       0.59       000
                                                to 4.
11057..........  .............  R              Trim skin lesions,           0.50        0.42       0.36        0.20       0.18      0.03        0.95       0.89        0.73       0.71       000
                                                over 4.
11100..........  .............  A              Biopsy of skin lesion.       0.81        1.53       1.04        0.37       0.33      0.04        2.38       1.89        1.22       1.18       000
11101..........  .............  A              Biopsy, skin add-on...       0.41        0.68       0.50        0.19       0.18      0.02        1.11       0.93        0.62       0.61       ZZZ
11200..........  .............  A              Removal of skin tags..       0.77        1.05       0.76        0.31       0.28      0.04        1.86       1.57        1.12       1.09       010
11201..........  .............  A              Remove skin tags add-        0.29        0.42       0.30        0.12       0.11      0.02        0.73       0.61        0.43       0.42       ZZZ
                                                on.
11300..........  .............  A              Shave skin lesion.....       0.51        1.00       0.79        0.22       0.26      0.03        1.54       1.33        0.76       0.80       000
11301..........  .............  A              Shave skin lesion.....       0.85        1.10       0.92        0.40       0.39      0.04        1.99       1.81        1.29       1.28       000
11302..........  .............  A              Shave skin lesion.....       1.05        1.20       1.09        0.48       0.49      0.05        2.30       2.19        1.58       1.59       000
11303..........  .............  A              Shave skin lesion.....       1.24        1.31       1.40        0.56       0.65      0.06        2.61       2.70        1.86       1.95       000
11305..........  .............  A              Shave skin lesion.....       0.67        0.79       0.68        0.28       0.28      0.04        1.50       1.39        0.99       0.99       000
11306..........  .............  A              Shave skin lesion.....       0.99        1.05       0.91        0.43       0.41      0.05        2.09       1.95        1.47       1.45       000

[[Page 59444]]


11307..........  .............  A              Shave skin lesion.....       1.14        1.15       1.09        0.51       0.51      0.05        2.34       2.28        1.70       1.70       000
11308..........  .............  A              Shave skin lesion.....       1.41        1.22       1.37        0.61       0.69      0.07        2.70       2.85        2.09       2.17       000
11310..........  .............  A              Shave skin lesion.....       0.73        1.10       0.93        0.34       0.36      0.04        1.87       1.70        1.11       1.13       000
11311..........  .............  A              Shave skin lesion.....       1.05        1.21       1.07        0.51       0.49      0.05        2.31       2.17        1.61       1.59       000
11312..........  .............  A              Shave skin lesion.....       1.20        1.28       1.25        0.58       0.60      0.05        2.53       2.50        1.83       1.85       000
11313..........  .............  A              Shave skin lesion.....       1.62        1.52       1.57        0.76       0.79      0.08        3.22       3.27        2.46       2.49       000
11400..........  .............  A              Removal of skin lesion       0.91        2.37       1.48        0.71       0.50      0.07        3.35       2.46        1.69       1.48       010
11401..........  .............  A              Removal of skin lesion       1.32        2.39       1.56        0.86       0.62      0.10        3.81       2.98        2.28       2.04       010
11402..........  .............  A              Removal of skin lesion       1.61        2.48       1.73        0.95       0.72      0.11        4.20       3.45        2.67       2.44       010
11403..........  .............  A              Removal of skin lesion       1.92        2.69       1.98        1.08       0.86      0.15        4.76       4.05        3.15       2.93       010
11404..........  .............  A              Removal of skin lesion       2.20        2.83       2.17        1.17       0.96      0.18        5.21       4.55        3.55       3.34       010
11406..........  .............  A              Removal of skin lesion       2.76        3.13       2.59        1.40       1.72      0.25        6.14       5.60        4.41       4.73       010
11420..........  .............  A              Removal of skin lesion       1.06        1.96       1.26        0.75       0.52      0.08        3.10       2.40        1.89       1.66       010
11421..........  .............  A              Removal of skin lesion       1.53        2.28       1.53        0.96       0.68      0.11        3.92       3.17        2.60       2.32       010
11422..........  .............  A              Removal of skin lesion       1.76        2.46       1.74        1.03       0.77      0.12        4.34       3.62        2.91       2.65       010
11423..........  .............  A              Removal of skin lesion       2.17        2.75       2.09        1.22       0.97      0.17        5.09       4.43        3.56       3.31       010
11424..........  .............  A              Removal of skin lesion       2.62        2.90       2.21        1.39       1.08      0.20        5.72       5.03        4.21       3.90       010
11426..........  .............  A              Removal of skin lesion       3.78        3.56       2.78        1.86       1.93      0.32        7.66       6.88        5.96       6.03       010
11440..........  .............  A              Removal of skin lesion       1.15        2.50       1.63        0.91       0.65      0.08        3.73       2.86        2.14       1.88       010
11441..........  .............  A              Removal of skin lesion       1.61        2.62       1.77        1.12       0.79      0.11        4.34       3.49        2.84       2.51       010
11442..........  .............  A              Removal of skin lesion       1.87        2.68       1.95        1.22       0.92      0.13        4.68       3.95        3.22       2.92       010
11443..........  .............  A              Removal of skin lesion       2.49        3.14       2.36        1.53       1.16      0.18        5.81       5.03        4.20       3.83       010
11444..........  .............  A              Removal of skin lesion       3.42        3.59       2.60        1.94       1.37      0.25        7.26       6.27        5.61       5.04       010
11446..........  .............  A              Removal of skin lesion       4.49        4.07       3.00        2.47       1.72      0.32        8.88       7.81        7.28       6.53       010
11450..........  .............  A              Removal, sweat gland         2.73        3.94       3.43        1.08       2.00      0.24        6.91       6.40        4.05       4.97       090
                                                lesion.
11451..........  .............  A              Removal, sweat gland         3.95        4.85       4.00        1.56       2.36      0.37        9.17       8.32        5.88       6.68       090
                                                lesion.
11462..........  .............  A              Removal, sweat gland         2.51        3.89       3.26        1.01       1.82      0.23        6.63       6.00        3.75       4.56       090
                                                lesion.
11463..........  .............  A              Removal, sweat gland         3.95        5.20       3.69        1.63       1.90      0.39        9.54       8.03        5.97       6.24       090
                                                lesion.
11470..........  .............  A              Removal, sweat gland         3.25        4.41       3.72        1.30       2.16      0.31        7.97       7.28        4.86       5.72       090
                                                lesion.
11471..........  .............  A              Removal, sweat gland         4.41        5.44       4.06        1.81       2.24      0.42       10.27       8.89        6.64       7.07       090
                                                lesion.
11600..........  .............  A              Removal of skin lesion       1.41        2.53       1.88        0.96       0.79      0.09        4.03       3.38        2.46       2.29       010
11601..........  .............  A              Removal of skin lesion       1.93        2.61       2.06        1.08       0.92      0.11        4.65       4.10        3.12       2.96       010
11602..........  .............  A              Removal of skin lesion       2.09        2.66       2.32        1.27       1.13      0.12        4.87       4.53        3.48       3.34       010
11603..........  .............  A              Removal of skin lesion       2.35        2.82       2.63        1.35       1.29      0.15        5.32       5.13        3.85       3.79       010
11604..........  .............  A              Removal of skin lesion       2.58        2.99       2.90        1.43       1.42      0.18        5.75       5.66        4.19       4.18       010
11606..........  .............  A              Removal of skin lesion       3.43        3.51       3.45        1.74       2.56      0.28        7.22       7.16        5.45       6.27       010
11620..........  .............  A              Removal of skin lesion       1.34        2.49       1.97        0.98       0.86      0.09        3.92       3.40        2.41       2.29       010
11621..........  .............  A              Removal of skin lesion       1.97        2.63       2.27        1.22       1.09      0.11        4.71       4.35        3.30       3.17       010
11622..........  .............  A              Removal of skin lesion       2.34        2.79       2.59        1.43       1.32      0.14        5.27       5.07        3.91       3.80       010
11623..........  .............  A              Removal of skin lesion       2.93        2.71       2.76        1.67       1.54      0.20        5.84       5.89        4.80       4.67       010
11624..........  .............  A              Removal of skin lesion       3.43        3.01       3.25        1.90       1.82      0.25        6.69       6.93        5.58       5.50       010
11626..........  .............  A              Removal of skin lesion       4.30        3.96       3.83        2.29       3.00      0.34        8.60       8.47        6.93       7.64       010
11640..........  .............  A              Removal of skin lesion       1.53        2.56       2.18        1.13       1.02      0.10        4.19       3.81        2.76       2.65       010
11641..........  .............  A              Removal of skin lesion       2.44        2.90       2.59        1.58       1.36      0.14        5.48       5.17        4.16       3.94       010
11642..........  .............  A              Removal of skin lesion       2.93        2.80       2.80        1.80       1.60      0.18        5.91       5.91        4.91       4.71       010
11643..........  .............  A              Removal of skin lesion       3.50        3.12       3.20        2.09       1.87      0.24        6.86       6.94        5.83       5.61       010
11644..........  .............  A              Removal of skin lesion       4.55        3.72       3.77        2.60       2.26      0.32        8.59       8.64        7.47       7.13       010
11646..........  .............  A              Removal of skin lesion       5.95        4.92       4.81        3.32       4.01      0.46       11.33      11.22        9.73      10.42       010
11719..........  .............  R              Trim nail(s)..........       0.11        0.47       0.37        0.04       0.09      0.01        0.59       0.49        0.16       0.21       000
11720..........  .............  A              Debride nail, 1-5.....       0.32        0.40       0.38        0.13       0.16      0.02        0.74       0.72        0.47       0.50       000
11721..........  .............  A              Debride nail, 6 or           0.54        0.50       0.55        0.21       0.26      0.04        1.08       1.13        0.79       0.84       000
                                                more.
11730..........  .............  A              Removal of nail plate.       1.13        0.71       0.60        0.44       0.35      0.07        1.91       1.80        1.64       1.55       000
11732..........  .............  A              Remove nail plate, add-      0.57        0.28       0.28        0.23       0.19      0.04        0.89       0.89        0.84       0.80       ZZZ
                                                on.
11740..........  .............  A              Drain blood from under       0.37        0.64       0.53        0.14       0.18      0.03        1.04       0.93        0.54       0.58       000
                                                nail.
11750..........  .............  A              Removal of nail bed...       1.86        1.48       1.88        0.77       0.96      0.12        3.46       3.86        2.75       2.94       010
11752..........  .............  A              Remove nail bed/finger       2.67        1.82       2.44        1.61       1.57      0.20        4.69       5.31        4.48       4.44       010
                                                tip.
11755..........  .............  A              Biopsy, nail unit.....       1.31        0.96       1.02        0.57       0.82      0.08        2.35       2.41        1.96       2.21       000
11760..........  .............  A              Repair of nail bed....       1.58        1.50       1.26        1.10       0.81      0.13        3.21       2.97        2.81       2.52       010
11762..........  .............  A              Reconstruction of nail       2.89        1.93       2.36        1.70       1.55      0.20        5.02       5.45        4.79       4.64       010
                                                bed.
11765..........  .............  A              Excision of nail fold,       0.69        0.93       0.74        0.42       0.35      0.05        1.67       1.48        1.16       1.09       010
                                                toe.
11770..........  .............  A              Removal of pilonidal         2.61        2.89       2.90        1.28       2.09      0.24        5.74       5.75        4.13       4.94       010
                                                lesion.
11771..........  .............  A              Removal of pilonidal         5.74        5.06       4.99        4.01       4.46      0.55       11.35      11.28       10.30      10.75       090
                                                lesion.
11772..........  .............  A              Removal of pilonidal         6.98        6.01       5.62        4.49       4.86      0.70       13.69      13.30       12.17      12.54       090
                                                lesion.
11900..........  .............  A              Injection into skin          0.52        0.70       0.49        0.21       0.18      0.02        1.24       1.03        0.75       0.72       000
                                                lesions.
11901..........  .............  A              Added skin lesions           0.80        0.83       0.64        0.36       0.29      0.03        1.66       1.47        1.19       1.12       000
                                                injection.
11920..........  .............  R              Correct skin color           1.61        1.82       1.55        0.77       1.03      0.17        3.60       3.33        2.55       2.81       000
                                                defects.
11921..........  .............  R              Correct skin color           1.93        2.01       1.77        0.98       1.25      0.20        4.14       3.90        3.11       3.38       000
                                                defects.
11922..........  .............  R              Correct skin color           0.49        0.34       0.37        0.26       0.33      0.05        0.88       0.91        0.80       0.87       ZZZ
                                                defects.
11950..........  .............  R              Therapy for contour          0.84        1.02       1.16        0.36       0.83      0.06        1.92       2.06        1.26       1.73       000
                                                defects.
11951..........  .............  R              Therapy for contour          1.19        1.34       1.32        0.53       0.91      0.09        2.62       2.60        1.81       2.19       000
                                                defects.
11952..........  .............  R              Therapy for contour          1.69        2.17       1.73        0.79       1.04      0.11        3.97       3.53        2.59       2.84       000
                                                defects.
11954..........  .............  R              Therapy for contour          1.85        2.11       1.70        0.71       1.00      0.20        4.16       3.75        2.76       3.05       000
                                                defects.
11960..........  .............  A              Insert tissue                9.08          NA         NA        9.32       8.86      0.89          NA         NA       19.29      18.83       090
                                                expander(s).
11970..........  .............  A              Replace tissue               7.06          NA         NA        4.67       6.55      0.75          NA         NA       12.48      14.36       090
                                                expander.
11971..........  .............  A              Remove tissue                2.13        5.53       4.02        3.23       2.87      0.22        7.88       6.37        5.58       5.22       090
                                                expander(s).
11975..........  .............  N              Insert contraceptive        +1.48        1.48       1.32        0.57       0.86      0.11        3.07       2.91        2.16       2.45       XXX
                                                cap.
11976..........  .............  R              Removal of                   1.78        1.52       1.46        0.64       1.02      0.13        3.43       3.37        2.55       2.93       XXX
                                                contraceptive cap.
11977..........  .............  N              Removal/reinsert            +3.30        2.19       2.38        1.28       1.92      0.25        5.74       5.93        4.83       5.47       XXX
                                                contra cap.
11980..........  .............  A              Implant hormone              1.48        1.48       1.48        0.57       0.57      0.11        3.07       3.07        2.16       2.16       000
                                                pellet(s).
12001..........  .............  A              Repair superficial           1.70        2.27       1.45        0.82       0.72      0.15        4.12       3.30        2.67       2.57       010
                                                wound(s).
12002..........  .............  A              Repair superficial           1.86        2.36       1.61        0.85       0.86      0.16        4.38       3.63        2.87       2.88       010
                                                wound(s).

[[Page 59445]]


12004..........  .............  A              Repair superficial           2.24        2.54       1.89        0.97       1.11      0.20        4.98       4.33        3.41       3.55       010
                                                wound(s).
12005..........  .............  A              Repair superficial           2.86        2.92       2.26        1.21       1.41      0.26        6.04       5.38        4.33       4.53       010
                                                wound(s).
12006..........  .............  A              Repair superficial           3.67        4.13       3.03        1.88       1.91      0.34        8.14       7.04        5.89       5.92       010
                                                wound(s).
12007..........  .............  A              Repair superficial           4.12        4.45       3.20        2.12       2.04      0.38        8.95       7.70        6.62       6.54       010
                                                wound(s).
12011..........  .............  A              Repair superficial           1.76        2.37       1.59        0.82       0.81      0.16        4.29       3.51        2.74       2.73       010
                                                wound(s).
12013..........  .............  A              Repair superficial           1.99        2.50       1.81        0.87       1.00      0.18        4.67       3.98        3.04       3.17       010
                                                wound(s).
12014..........  .............  A              Repair superficial           2.46        2.79       2.04        1.05       1.17      0.22        5.47       4.72        3.73       3.85       010
                                                wound(s).
12015..........  .............  A              Repair superficial           3.19        3.21       2.49        1.24       1.50      0.29        6.69       5.97        4.72       4.98       010
                                                wound(s).
12016..........  .............  A              Repair superficial           3.93        3.44       2.95        1.56       2.01      0.36        7.73       7.24        5.85       6.30       010
                                                wound(s).
12017..........  .............  A              Repair superficial           4.71        5.20       4.43        2.29       2.97      0.44       10.35       9.58        7.44       8.12       010
                                                wound(s).
12018..........  .............  A              Repair superficial           5.53        5.84       5.72        2.63       4.11      0.46       11.83      11.71        8.62      10.10       010
                                                wound(s).
12020..........  .............  A              Closure of split wound       2.62        2.61       1.95        1.52       1.41      0.23        5.46       4.80        4.37       4.26       010
12021..........  .............  A              Closure of split wound       1.84        2.00       1.34        1.10       0.72      0.15        3.99       3.33        3.09       2.71       010
12031..........  .............  A              Layer closure of             2.15        2.68       1.73        1.16       0.78      0.14        4.97       4.02        3.45       3.07       010
                                                wound(s).
12032..........  .............  A              Layer closure of             2.47        2.78       1.96        1.24       0.91      0.15        5.40       4.58        3.86       3.53       010
                                                wound(s).
12034..........  .............  A              Layer closure of             2.92        2.99       2.30        1.41       1.51      0.24        6.15       5.46        4.57       4.67       010
                                                wound(s).
12035..........  .............  A              Layer closure of             3.43        2.99       2.54        1.62       1.85      0.32        6.74       6.29        5.37       5.60       010
                                                wound(s).
12036..........  .............  A              Layer closure of             4.05        4.88       3.70        2.34       2.43      0.40        9.33       8.15        6.79       6.88       010
                                                wound(s).
12037..........  .............  A              Layer closure of             4.67        5.10       4.23        2.78       3.07      0.44       10.21       9.34        7.89       8.18       010
                                                wound(s).
12041..........  .............  A              Layer closure of             2.37        2.97       1.94        1.20       0.83      0.17        5.51       4.48        3.74       3.37       010
                                                wound(s).
12042..........  .............  A              Layer closure of             2.74        2.97       2.12        1.36       1.00      0.18        5.89       5.04        4.28       3.92       010
                                                wound(s).
12044..........  .............  A              Layer closure of             3.14        3.02       2.39        1.54       1.65      0.26        6.42       5.79        4.94       5.05       010
                                                wound(s).
12045..........  .............  A              Layer closure of             3.64        3.34       2.83        1.80       2.06      0.32        7.30       6.79        5.76       6.02       010
                                                wound(s).
12046..........  .............  A              Layer closure of             4.25        4.91       3.99        2.41       2.74      0.37        9.53       8.61        7.03       7.36       010
                                                wound(s).
12047..........  .............  A              Layer closure of             4.65        5.10       4.73        2.84       3.60      0.44       10.19       9.82        7.93       8.69       010
                                                wound(s).
12051..........  .............  A              Layer closure of             2.47        2.90       2.00        1.34       0.95      0.17        5.54       4.64        3.98       3.59       010
                                                wound(s).
12052..........  .............  A              Layer closure of             2.77        2.91       2.26        1.31       1.06      0.17        5.85       5.20        4.25       4.00       010
                                                wound(s).
12053..........  .............  A              Layer closure of             3.12        3.02       2.47        1.47       1.69      0.23        6.37       5.82        4.82       5.04       010
                                                wound(s).
12054..........  .............  A              Layer closure of             3.46        3.34       3.08        1.58       2.20      0.29        7.09       6.83        5.33       5.95       010
                                                wound(s).
12055..........  .............  A              Layer closure of             4.43        4.10       3.81        2.11       2.82      0.39        8.92       8.63        6.93       7.64       010
                                                wound(s).
12056..........  .............  A              Layer closure of             5.24        5.64       5.39        2.94       4.04      0.43       11.31      11.06        8.61       9.71       010
                                                wound(s).
12057..........  .............  A              Layer closure of             5.96        5.54       5.79        3.51       4.78      0.49       11.99      12.24        9.96      11.23       010
                                                wound(s).
13100..........  .............  A              Repair of wound or           3.12        3.19       2.22        1.78       1.20      0.22        6.53       5.56        5.12       4.54       010
                                                lesion.
13101..........  .............  A              Repair of wound or           3.92        3.52       2.89        2.23       1.68      0.23        7.67       7.04        6.38       5.83       010
                                                lesion.
13102..........  .............  A              Repair wound/lesion          1.24        0.71       0.71        0.57       0.57      0.08        2.03       2.03        1.89       1.89       ZZZ
                                                add-on.
13120..........  .............  A              Repair of wound or           3.30        3.32       2.40        1.79       1.27      0.25        6.87       5.95        5.34       4.82       010
                                                lesion.
13121..........  .............  A              Repair of wound or           4.33        3.75       3.32        2.29       1.87      0.27        8.35       7.92        6.89       6.47       010
                                                lesion.
13122..........  .............  A              Repair wound/lesion          1.44        0.83       0.83        0.66       0.66      0.09        2.36       2.36        2.19       2.19       ZZZ
                                                add-on.
13131..........  .............  A              Repair of wound or           3.79        3.59       2.87        2.13       1.61      0.26        7.64       6.92        6.18       5.66       010
                                                lesion.
13132..........  .............  A              Repair of wound or           5.95        4.48       4.72        3.14       2.81      0.34       10.77      11.01        9.43       9.10       010
                                                lesion.
13133..........  .............  A              Repair wound/lesion          2.19        1.18       1.18        1.01       1.01      0.12        3.49       3.49        3.32       3.32       ZZZ
                                                add-on.
13150..........  .............  A              Repair of wound or           3.81        4.79       3.35        2.48       2.20      0.29        8.89       7.45        6.58       6.30       010
                                                lesion.
13151..........  .............  A              Repair of wound or           4.45        4.88       3.77        2.88       2.11      0.30        9.63       8.52        7.63       6.86       010
                                                lesion.
13152..........  .............  A              Repair of wound or           6.33        5.61       5.59        3.80       3.30      0.40       12.34      12.32       10.53      10.03       010
                                                lesion.
13153..........  .............  A              Repair wound/lesion          2.38        1.31       1.31        1.09       1.09      0.15        3.84       3.84        3.62       3.62       ZZZ
                                                add-on.
13160..........  .............  A              Late closure of wound.      10.48          NA         NA        6.22       4.92      1.08          NA         NA       17.78      16.48       090
13300..........  .............  D              Repair of wound or           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       010
                                                lesion.
14000..........  .............  A              Skin tissue                  5.89        6.86       5.28        4.35       3.10      0.46       13.21      11.63       10.70       9.45       090
                                                rearrangement.
14001..........  .............  A              Skin tissue                  8.47        8.15       6.65        5.62       5.39      0.67       17.29      15.79       14.76      14.53       090
                                                rearrangement.
14020..........  .............  A              Skin tissue                  6.59        7.27       6.30        4.90       5.11      0.51       14.37      13.40       12.00      12.21       090
                                                rearrangement.
14021..........  .............  A              Skin tissue                 10.06        8.86       7.80        6.65       6.70      0.73       19.65      18.59       17.44      17.49       090
                                                rearrangement.
14040..........  .............  A              Skin tissue                  7.87        7.72       7.54        5.62       4.65      0.53       16.12      15.94       14.02      13.05       090
                                                rearrangement.
14041..........  .............  A              Skin tissue                 11.49        9.63       9.09        7.50       5.89      0.69       21.81      21.27       19.68      18.07       090
                                                rearrangement.
14060..........  .............  A              Skin tissue                  8.50        8.21       8.31        6.41       7.41      0.60       17.31      17.41       15.51      16.51       090
                                                rearrangement.
14061..........  .............  A              Skin tissue                 12.29       10.57      10.98        8.40       7.05      0.75       23.61      24.02       21.44      20.09       090
                                                rearrangement.
14300..........  .............  A              Skin tissue                 11.76        9.64      10.96        7.84      10.06      0.92       22.32      23.64       20.52      22.74       090
                                                rearrangement.
14350..........  .............  A              Skin tissue                  9.61          NA         NA        5.76       6.18      0.90          NA         NA       16.27      16.69       090
                                                rearrangement.
15000..........  .............  A              Skin graft............       4.00        2.37       2.35        1.93       2.13      0.36        6.73       6.71        6.29       6.49       000
15001..........  .............  A              Skin graft add-on.....       1.00        0.49       0.49        0.48       0.48      0.09        1.58       1.58        1.57       1.57       ZZZ
15050..........  .............  A              Skin pinch graft......       4.30        4.68       3.31        3.53       2.74      0.41        9.39       8.02        8.24       7.45       090
15100..........  .............  A              Skin split graft......       9.05        5.97       5.45        5.80       5.37      0.94       15.96      15.44       15.79      15.36       090
15101..........  .............  A              Skin split graft add-        1.72        1.10       1.42        0.76       1.25      0.18        3.00       3.32        2.66       3.15       ZZZ
                                                on.
15120..........  .............  A              Skin split graft......       9.83        7.96       7.27        6.56       6.57      0.80       18.59      17.90       17.19      17.20       090
15121..........  .............  A              Skin split graft add-        2.67        1.63       2.40        1.30       2.23      0.26        4.56       5.33        4.23       5.16       ZZZ
                                                on.
15200..........  .............  A              Skin full graft.......       8.03        8.64       6.56        5.32       4.90      0.72       17.39      15.31       14.07      13.65       090
15201..........  .............  A              Skin full graft add-on       1.32        1.02       1.42        0.65       1.11      0.13        2.47       2.87        2.10       2.56       ZZZ
15220..........  .............  A              Skin full graft.......       7.87        8.87       7.06        5.70       5.48      0.68       17.42      15.61       14.25      14.03       090
15221..........  .............  A              Skin full graft add-on       1.19        0.84       1.29        0.58       1.00      0.11        2.14       2.59        1.88       2.30       ZZZ
15240..........  .............  A              Skin full graft.......       9.04        8.45       7.54        6.44       6.53      0.77       18.26      17.35       16.25      16.34       090
15241..........  .............  A              Skin full graft add-on       1.86        1.36       1.97        0.95       1.59      0.17        3.39       4.00        2.98       3.62       ZZZ
15260..........  .............  A              Skin full graft.......      10.06        8.69       8.40        7.17       7.64      0.65       19.40      19.11       17.88      18.35       090
15261..........  .............  A              Skin full graft add-on       2.23        1.50       2.30        1.16       1.91      0.17        3.90       4.70        3.56       4.31       ZZZ
15350..........  .............  A              Skin homograft........       4.00        6.87       4.60        3.93       3.13      0.40       11.27       9.00        8.33       7.53       090
15351..........  .............  A              Skin homograft add-on.       1.00        0.42       0.42        0.42       0.42      0.09        1.51       1.51        1.51       1.51       ZZZ
15400..........  .............  A              Skin heterograft......       4.00        4.18       2.67        4.18       2.67      0.34        8.52       7.01        8.52       7.01       090
15401..........  .............  A              Skin heterograft add-        1.00        0.42       0.42        0.42       0.42      0.09        1.51       1.51        1.51       1.51       ZZZ
                                                on.
15570..........  .............  A              Form skin pedicle flap       9.21        7.93       6.95        5.72       5.85      0.91       18.05      17.07       15.84      15.97       090
15572..........  .............  A              Form skin pedicle flap       9.27        7.34       6.59        5.04       5.44      0.87       17.48      16.73       15.18      15.58       090
15574..........  .............  A              Form skin pedicle flap       9.88        7.87       6.87        6.32       6.09      0.86       18.61      17.61       17.06      16.83       090
15576..........  .............  A              Form skin pedicle flap       8.69        8.17       5.78        6.04       4.72      0.71       17.57      15.18       15.44      14.12       090
15580..........  .............  D              Attach skin pedicle          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       090
                                                graft.

[[Page 59446]]


15600..........  .............  A              Skin graft............       1.91        4.86       3.79        2.05       2.17      0.19        6.96       5.89        4.15       4.27       090
15610..........  .............  A              Skin graft............       2.42        2.56       2.81        2.25       2.57      0.25        5.23       5.48        4.92       5.24       090
15620..........  .............  A              Skin graft............       2.94        5.65       4.69        2.97       3.24      0.27        8.86       7.90        6.18       6.45       090
15625..........  .............  D              Skin graft............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       090
15630..........  .............  A              Skin graft............       3.27        5.42       4.67        3.20       3.56      0.29        8.98       8.23        6.76       7.12       090
15650..........  .............  A              Transfer skin pedicle        3.97        6.05       5.40        3.38       4.06      0.33       10.35       9.70        7.68       8.36       090
                                                flap.
15732..........  .............  A              Muscle-skin graft,          17.84          NA         NA       11.16      13.98      1.47          NA         NA       30.47      33.29       090
                                                head/neck.
15734..........  .............  A              Muscle-skin graft,          17.79          NA         NA       10.78      15.71      1.88          NA         NA       30.45      35.38       090
                                                trunk.
15736..........  .............  A              Muscle-skin graft, arm      16.27          NA         NA       10.10      13.85      1.72          NA         NA       28.09      31.84       090
15738..........  .............  A              Muscle-skin graft, leg      17.92          NA         NA       10.68      12.34      1.91          NA         NA       30.51      32.17       090
15740..........  .............  A              Island pedicle flap         10.25        8.43       9.86        6.70       8.99      0.64       19.32      20.75       17.59      19.88       090
                                                graft.
15750..........  .............  A              Neurovascular pedicle       11.41          NA         NA        7.95      10.47      1.17          NA         NA       20.53      23.05       090
                                                graft.
15756..........  .............  A              Free muscle flap,           35.23          NA         NA       21.07      26.87      3.62          NA         NA       59.92      65.72       090
                                                microvasc.
15757..........  .............  A              Free skin flap,             35.23          NA         NA       21.60      27.13      3.37          NA         NA       60.20      65.73       090
                                                microvasc.
15758..........  .............  A              Free fascial flap,          35.10          NA         NA       21.42      27.04      3.40          NA         NA       59.92      65.54       090
                                                microvasc.
15760..........  .............  A              Composite skin graft..       8.74        8.00       7.96        5.98       6.95      0.72       17.46      17.42       15.44      16.41       090
15770..........  .............  A              Derma-fat-fascia graft       7.52          NA         NA        5.85       6.98      0.81          NA         NA       14.18      15.31       090
15775..........  .............  R              Hair transplant punch        3.96        2.96       3.05        1.53       2.33      0.42        7.34       7.43        5.91       6.71       000
                                                grafts.
15776..........  .............  R              Hair transplant punch        5.54        4.96       4.67        2.14       3.26      0.59       11.09      10.80        8.27       9.39       000
                                                grafts.
15780..........  .............  A              Abrasion treatment of        7.29        6.64       4.15        6.40       3.62      0.54       14.47      11.98       14.23      11.45       090
                                                skin.
15781..........  .............  A              Abrasion treatment of        4.85        4.70       4.40        4.32       3.19      0.29        9.84       9.54        9.46       8.33       090
                                                skin.
15782..........  .............  A              Abrasion treatment of        4.32        4.03       2.66        3.71       2.18      0.27        8.62       7.25        8.30       6.77       090
                                                skin.
15783..........  .............  A              Abrasion treatment of        4.29        4.35       3.18        3.11       2.06      0.26        8.90       7.73        7.66       6.61       090
                                                skin.
15786..........  .............  A              Abrasion, lesion,            2.03        1.68       1.18        1.24       0.79      0.11        3.82       3.32        3.38       2.93       010
                                                single.
15787..........  .............  A              Abrasion, lesions, add-      0.33        0.27       0.26        0.18       0.16      0.02        0.62       0.61        0.53       0.51       ZZZ
                                                on.
15788..........  .............  R              Chemical peel, face,         2.09        2.84       2.23        1.02       1.32      0.10        5.03       4.42        3.21       3.51       090
                                                epiderm.
15789..........  .............  R              Chemical peel, face,         4.92        5.54       3.58        3.41       2.51      0.30       10.76       8.80        8.63       7.73       090
                                                dermal.
15792..........  .............  R              Chemical peel,               1.86        2.70       1.62        1.64       1.09      0.11        4.67       3.59        3.61       3.06       090
                                                nonfacial.
15793..........  .............  A              Chemical peel,               3.74          NA         NA        3.38       1.96      0.16          NA         NA        7.28       5.86       090
                                                nonfacial.
15810..........  .............  A              Salabrasion...........       4.74        3.87       4.00        3.87       4.00      0.38        8.99       9.12        8.99       9.12       090
15811..........  .............  A              Salabrasion...........       5.39        4.00       4.03        4.00       4.03      0.57        9.96       9.99        9.96       9.99       090
15819..........  .............  A              Plastic surgery, neck.       9.38          NA         NA        6.35       7.52      0.83          NA         NA       16.56      17.73       090
15820..........  .............  A              Revision of lower            5.15        8.21       7.18        5.88       6.02      0.30       13.66      12.63       11.33      11.47       090
                                                eyelid.
15821..........  .............  A              Revision of lower            5.72        8.71       7.77        6.29       6.56      0.30       14.73      13.79       12.31      12.58       090
                                                eyelid.
15822..........  .............  A              Revision of upper            4.45        7.97       6.65        5.57       5.45      0.23       12.65      11.33       10.25      10.13       090
                                                eyelid.
15823..........  .............  A              Revision of upper            7.05        9.49       8.93        6.90       7.64      0.33       16.87      16.31       14.28      15.02       090
                                                eyelid.
15824..........  .............  R              Removal of forehead          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                wrinkles.
15825..........  .............  R              Removal of neck              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                wrinkles.
15826..........  .............  R              Removal of brow              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                wrinkles.
15828..........  .............  R              Removal of face              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                wrinkles.
15829..........  .............  R              Removal of skin              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                wrinkles.
15831..........  .............  A              Excise excessive skin       12.40          NA         NA        7.01       8.85      1.24          NA         NA       20.65      22.49       090
                                                tissue.
15832..........  .............  A              Excise excessive skin       11.59          NA         NA        7.52       8.26      1.20          NA         NA       20.31      21.05       090
                                                tissue.
15833..........  .............  A              Excise excessive skin       10.64          NA         NA        7.22       6.99      1.31          NA         NA       19.17      18.94       090
                                                tissue.
15834..........  .............  A              Excise excessive skin       10.85          NA         NA        6.10       6.95      1.23          NA         NA       18.18      19.03       090
                                                tissue.
15835..........  .............  A              Excise excessive skin       11.67          NA         NA        5.64       6.62      1.36          NA         NA       18.67      19.65       090
                                                tissue.
15836..........  .............  A              Excise excessive skin        9.34          NA         NA        5.90       6.10      0.95          NA         NA       16.19      16.39       090
                                                tissue.
15837..........  .............  A              Excise excessive skin        8.43        6.63       6.56        6.27       6.38      0.82       15.88      15.81       15.52      15.63       090
                                                tissue.
15838..........  .............  A              Excise excessive skin        7.13          NA         NA        5.56       5.97      0.53          NA         NA       13.22      13.63       090
                                                tissue.
15839..........  .............  A              Excise excessive skin        9.38        6.20       4.43        5.61       4.13      0.80       16.38      14.61       15.79      14.31       090
                                                tissue.
15840..........  .............  A              Graft for face nerve        13.26          NA         NA        9.49      12.66      1.06          NA         NA       23.81      26.98       090
                                                palsy.
15841..........  .............  A              Graft for face nerve        23.26          NA         NA       14.65      16.48      2.51          NA         NA       40.42      42.25       090
                                                palsy.
15842..........  .............  A              Graft for face nerve        37.96          NA         NA       22.41      26.94      5.53          NA         NA       65.90      70.43       090
                                                palsy.
15845..........  .............  A              Skin and muscle             12.57          NA         NA        8.84      11.93      0.87          NA         NA       22.28      25.37       090
                                                repair, face.
15850..........  .............  B              Removal of sutures....      +0.78        1.38       0.89        0.30       0.35      0.05        2.21       1.72        1.13       1.18       XXX
15851..........  .............  A              Removal of sutures....       0.86        1.53       0.93        0.32       0.25      0.06        2.45       1.85        1.24       1.17       000
15852..........  .............  A              Dressing change, not         0.86        1.65       1.07        0.33       0.29      0.07        2.58       2.00        1.26       1.22       000
                                                for burn.
15860..........  .............  A              Test for blood flow in       1.95        1.11       1.29        0.86       1.17      0.19        3.25       3.43        3.00       3.31       000
                                                graft.
15876..........  .............  R              Suction assisted             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lipectomy.
15877..........  .............  R              Suction assisted             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lipectomy.
15878..........  .............  R              Suction assisted             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lipectomy.
15879..........  .............  R              Suction assisted             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lipectomy.
15920..........  .............  A              Removal of tail bone         7.95          NA         NA        5.34       4.27      0.75          NA         NA       14.04      12.97       090
                                                ulcer.
15922..........  .............  A              Removal of tail bone         9.90          NA         NA        6.70       6.60      1.03          NA         NA       17.63      17.53       090
                                                ulcer.
15931..........  .............  A              Remove sacrum pressure       9.24          NA         NA        5.46       4.32      0.95          NA         NA       15.65      14.51       090
                                                sore.
15933..........  .............  A              Remove sacrum pressure      10.85          NA         NA        7.62       7.57      1.13          NA         NA       19.60      19.55       090
                                                sore.
15934..........  .............  A              Remove sacrum pressure      12.69          NA         NA        7.92       8.01      1.34          NA         NA       21.95      22.04       090
                                                sore.
15935..........  .............  A              Remove sacrum pressure      14.57          NA         NA        9.44      10.82      1.53          NA         NA       25.54      26.92       090
                                                sore.
15936..........  .............  A              Remove sacrum pressure      12.38          NA         NA        8.39       9.77      1.30          NA         NA       22.07      23.45       090
                                                sore.
15937..........  .............  A              Remove sacrum pressure      14.21          NA         NA        9.56      12.09      1.49          NA         NA       25.26      27.79       090
                                                sore.
15940..........  .............  A              Remove hip pressure          9.34          NA         NA        5.68       4.77      0.96          NA         NA       15.98      15.07       090
                                                sore.
15941..........  .............  A              Remove hip pressure         11.43          NA         NA        8.85       8.25      1.20          NA         NA       21.48      20.88       090
                                                sore.
15944..........  .............  A              Remove hip pressure         11.46          NA         NA        8.01       9.03      1.19          NA         NA       20.66      21.68       090
                                                sore.
15945..........  .............  A              Remove hip pressure         12.69          NA         NA        8.88      10.49      1.33          NA         NA       22.90      24.51       090
                                                sore.
15946..........  .............  A              Remove hip pressure         21.57          NA         NA       13.49      15.76      2.15          NA         NA       37.21      39.48       090
                                                sore.
15950..........  .............  A              Remove thigh pressure        7.54          NA         NA        5.07       4.17      0.77          NA         NA       13.38      12.48       090
                                                sore.
15951..........  .............  A              Remove thigh pressure       10.72          NA         NA        7.65       7.98      1.11          NA         NA       19.48      19.81       090
                                                sore.
15952..........  .............  A              Remove thigh pressure       11.39          NA         NA        6.94       7.34      1.19          NA         NA       19.52      19.92       090
                                                sore.
15953..........  .............  A              Remove thigh pressure       12.63          NA         NA        8.32       9.09      1.31          NA         NA       22.26      23.03       090
                                                sore.
15956..........  .............  A              Remove thigh pressure       15.52          NA         NA       10.04      14.29      1.61          NA         NA       27.17      31.42       090
                                                sore.
15958..........  .............  A              Remove thigh pressure       15.48          NA         NA       10.05      14.27      1.59          NA         NA       27.12      31.34       090
                                                sore.

[[Page 59447]]


15999..........  .............  C              Removal of pressure          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                sore.
16000..........  .............  A              Initial treatment of         0.89        0.94       0.66        0.24       0.22      0.07        1.90       1.62        1.20       1.18       000
                                                burn(s).
16010..........  .............  A              Treatment of burn(s)..       0.87        1.04       0.70        0.34       0.26      0.07        1.98       1.64        1.28       1.20       000
16015..........  .............  A              Treatment of burn(s)..       2.35        1.64       1.93        0.98       1.60      0.21        4.20       4.49        3.54       4.16       000
16020..........  .............  A              Treatment of burn(s)..       0.80        1.01       0.69        0.23       0.21      0.06        1.87       1.55        1.09       1.07       000
16025..........  .............  A              Treatment of burn(s)..       1.85        1.59       1.04        0.66       0.46      0.16        3.60       3.05        2.67       2.47       000
16030..........  .............  A              Treatment of burn(s)..       2.08        2.54       1.55        0.83       0.70      0.19        4.81       3.82        3.10       2.97       000
16035..........  .............  A              Incision of burn scab.       4.82        2.85       2.45        2.09       2.07      0.48        8.15       7.75        7.39       7.37       090
17000..........  .............  A              Destroy benign/premal        0.60        1.02       0.74        0.27       0.25      0.03        1.65       1.37        0.90       0.88       010
                                                lesion.
17003..........  .............  A              Destroy lesions, 2-14.       0.15        0.25       0.20        0.07       0.07      0.01        0.41       0.36        0.23       0.23       ZZZ
17004..........  .............  A              Destroy lesions, 15 or       2.79        2.36       2.40        1.27       1.25      0.11        5.26       5.30        4.17       4.15       010
                                                more.
17106..........  .............  A              Destruction of skin          4.59        3.68       2.89        2.67       1.86      0.27        8.54       7.75        7.53       6.72       090
                                                lesions.
17107..........  .............  A              Destruction of skin          9.16        6.09       5.06        4.91       3.46      0.51       15.76      14.73       14.58      13.13       090
                                                lesions.
17108..........  .............  A              Destruction of skin         13.20        8.09       9.10        7.12       8.62      0.76       22.05      23.06       21.08      22.58       090
                                                lesions.
17110..........  .............  A              Destruct lesion, 1-14.       0.65        0.96       0.70        0.26       0.24      0.04        1.65       1.39        0.95       0.93       010
17111..........  .............  A              Destruct lesion, 15 or       0.92        1.16       0.91        0.37       0.35      0.05        2.13       1.88        1.34       1.32       010
                                                more.
17250..........  .............  A              Chemical cautery,            0.50        0.64       0.51        0.19       0.19      0.04        1.18       1.05        0.73       0.73       000
                                                tissue.
17260..........  .............  A              Destruction of skin          0.91        1.24       1.24        0.41       0.52      0.04        2.19       2.19        1.36       1.47       010
                                                lesions.
17261..........  .............  A              Destruction of skin          1.17        1.36       1.44        0.54       0.65      0.05        2.58       2.66        1.76       1.87       010
                                                lesions.
17262..........  .............  A              Destruction of skin          1.58        1.56       1.77        0.74       0.87      0.06        3.20       3.41        2.38       2.51       010
                                                lesions.
17263..........  .............  A              Destruction of skin          1.79        1.66       2.05        0.83       1.03      0.07        3.52       3.91        2.69       2.89       010
                                                lesions.
17264..........  .............  A              Destruction of skin          1.94        1.74       2.28        0.89       1.15      0.08        3.76       4.30        2.91       3.17       010
                                                lesions.
17266..........  .............  A              Destruction of skin          2.34        1.93       2.66        0.99       1.34      0.11        4.38       5.11        3.44       3.79       010
                                                lesions.
17270..........  .............  A              Destruction of skin          1.32        1.44       1.45        0.60       0.67      0.06        2.82       2.83        1.98       2.05       010
                                                lesions.
17271..........  .............  A              Destruction of skin          1.49        1.51       1.71        0.71       0.83      0.06        3.06       3.26        2.26       2.38       010
                                                lesions.
17272..........  .............  A              Destruction of skin          1.77        1.65       2.02        0.84       1.02      0.07        3.49       3.86        2.68       2.86       010
                                                lesions.
17273..........  .............  A              Destruction of skin          2.05        1.79       2.30        0.97       1.19      0.08        3.92       4.43        3.10       3.32       010
                                                lesions.
17274..........  .............  A              Destruction of skin          2.59        2.04       2.76        1.24       1.49      0.11        4.74       5.46        3.94       4.19       010
                                                lesions.
17276..........  .............  A              Destruction of skin          3.20        2.35       3.03        1.61       1.73      0.15        5.70       6.38        4.96       5.08       010
                                                lesions.
17280..........  .............  A              Destruction of skin          1.17        1.36       1.58        0.54       0.72      0.05        2.58       2.80        1.76       1.94       010
                                                lesions.
17281..........  .............  A              Destruction of skin          1.72        1.63       1.95        0.82       0.98      0.07        3.42       3.74        2.61       2.77       010
                                                lesions.
17282..........  .............  A              Destruction of skin          2.04        1.79       2.29        0.97       1.19      0.08        3.91       4.41        3.09       3.31       010
                                                lesions.
17283..........  .............  A              Destruction of skin          2.64        2.08       2.68        1.25       1.45      0.11        4.83       5.43        4.00       4.20       010
                                                lesions.
17284..........  .............  A              Destruction of skin          3.21        2.35       3.08        1.52       1.72      0.13        5.69       6.42        4.86       5.06       010
                                                lesions.
17286..........  .............  A              Destruction of skin          4.44        2.96       3.83        2.52       2.44      0.21        7.61       8.48        7.17       7.09       010
                                                lesions.
17304..........  .............  A              Chemosurgery of skin         7.60        6.62       5.49        3.63       2.91      0.31       14.53      13.40       11.54      10.82       000
                                                lesion.
17305..........  .............  A              2nd stage chemosurgery       2.85        2.87       2.66        1.37       1.30      0.11        5.83       5.62        4.33       4.26       000
17306..........  .............  A              3rd stage chemosurgery       2.85        2.88       2.20        1.38       1.07      0.11        5.84       5.16        4.34       4.03       000
17307..........  .............  A              Followup skin lesion         2.85        3.02       2.31        1.39       1.10      0.11        5.98       5.27        4.35       4.06       000
                                                therapy.
17310..........  .............  A              Extensive skin               0.95        0.97       0.56        0.47       0.27      0.05        1.97       1.56        1.47       1.27       000
                                                chemosurgery.
17340..........  .............  A              Cryotherapy of skin...       0.76        1.35       0.83        0.26       0.21      0.05        2.16       1.64        1.07       1.02       010
17360..........  .............  A              Skin peel therapy.....       1.43        1.50       0.90        0.78       0.47      0.06        2.99       2.39        2.27       1.96       010
17380..........  .............  R              Hair removal by              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                electrolysis.
17999..........  .............  C              Skin tissue procedure.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
19000..........  .............  A              Drainage of breast           0.84        1.14       0.78        0.24       0.23      0.07        2.05       1.69        1.15       1.14       000
                                                lesion.
19001..........  .............  A              Drain breast lesion          0.42        0.77       0.52        0.12       0.13      0.03        1.22       0.97        0.57       0.58       ZZZ
                                                add-on.
19020..........  .............  A              Incision of breast           3.57        6.27       3.90        3.21       2.37      0.34       10.18       7.81        7.12       6.28       090
                                                lesion.
19030..........  .............  A              Injection for breast x-      1.53        9.38       4.96        0.42       0.48      0.06       10.97       6.55        2.01       2.07       000
                                                ray.
19100..........  .............  A              Biopsy of breast......       1.27        3.03       1.86        0.39       0.37      0.09        4.39       3.22        1.75       1.73       000
19101..........  .............  A              Biopsy of breast......       3.18        8.46       5.50        2.52       2.53      0.23       11.87       8.91        5.93       5.94       010
19110..........  .............  A              Nipple exploration....       4.30        7.34       5.01        4.22       3.45      0.42       12.06       9.73        8.94       8.17       090
19112..........  .............  A              Excise breast duct           3.67        6.68       4.61        2.89       2.72      0.35       10.70       8.63        6.91       6.74       090
                                                fistula.
19120..........  .............  A              Removal of breast            5.56        4.12       3.64        3.47       3.31      0.55       10.23       9.75        9.58       9.42       090
                                                lesion.
19125..........  .............  A              Excision, breast             6.06        4.80       3.98        3.66       3.41      0.60       11.46      10.64       10.32      10.07       090
                                                lesion.
19126..........  .............  A              Excision, addl breast        2.93          NA         NA        1.11       1.34      0.30          NA         NA        4.34       4.57       ZZZ
                                                lesion.
19140..........  .............  A              Removal of breast            5.14        8.59       6.63        3.55       4.11      0.52       14.25      12.29        9.21       9.77       090
                                                tissue.
19160..........  .............  A              Removal of breast            5.99          NA         NA        4.40       4.44      0.59          NA         NA       10.98      11.02       090
                                                tissue.
19162..........  .............  A              Remove breast tissue,       13.53          NA         NA        8.00       9.09      1.33          NA         NA       22.86      23.95       090
                                                nodes.
19180..........  .............  A              Removal of breast.....       8.80          NA         NA        5.90       6.00      0.87          NA         NA       15.57      15.67       090
19182..........  .............  A              Removal of breast.....       7.73          NA         NA        4.94       5.77      0.77          NA         NA       13.44      14.27       090
19200..........  .............  A              Removal of breast.....      15.49          NA         NA        9.08      10.09      1.51          NA         NA       26.08      27.09       090
19220..........  .............  A              Removal of breast.....      15.72          NA         NA        8.98      10.31      1.49          NA         NA       26.19      27.52       090
19240..........  .............  A              Removal of breast.....      16.00          NA         NA        8.93       9.59      1.58          NA         NA       26.51      27.17       090
19260..........  .............  A              Removal of chest wall       15.44          NA         NA       10.33       7.91      1.68          NA         NA       27.45      25.03       090
                                                lesion.
19271..........  .............  A              Revision of chest wall      18.90          NA         NA       13.73      14.44      2.13          NA         NA       34.76      35.47       090
19272..........  .............  A              Extensive chest wall        21.55          NA         NA       14.28      13.98      2.52          NA         NA       38.35      38.05       090
                                                surgery.
19290..........  .............  A              Place needle wire,           1.27        4.39       2.44        0.36       0.42      0.05        5.71       3.76        1.68       1.74       000
                                                breast.
19291..........  .............  A              Place needle wire,           0.63        1.50       0.89        0.17       0.22      0.03        2.16       1.55        0.83       0.88       ZZZ
                                                breast.
19316..........  .............  A              Suspension of breast..      10.69          NA         NA        6.98       9.87      1.13          NA         NA       18.80      21.69       090
19318..........  .............  A              Reduction of large          15.62          NA         NA        9.72      12.56      1.65          NA         NA       26.99      29.83       090
                                                breast.
19324..........  .............  A              Enlarge breast........       5.85          NA         NA        3.50       3.54      0.61          NA         NA        9.96      10.00       090
19325..........  .............  A              Enlarge breast with          8.45          NA         NA        4.75       5.56      0.90          NA         NA       14.10      14.91       090
                                                implant.
19328..........  .............  A              Removal of breast            5.68          NA         NA        4.13       4.11      0.60          NA         NA       10.41      10.39       090
                                                implant.
19330..........  .............  A              Removal of implant           7.59          NA         NA        4.88       4.55      0.80          NA         NA       13.27      12.94       090
                                                material.
19340..........  .............  A              Immediate breast             6.33          NA         NA        3.23       5.39      0.67          NA         NA       10.23      12.39       ZZZ
                                                prosthesis.
19342..........  .............  A              Delayed breast              11.20          NA         NA        7.27       9.50      1.19          NA         NA       19.66      21.89       090
                                                prosthesis.
19350..........  .............  A              Breast reconstruction.       8.92       11.33       9.51        6.22       6.95      0.95       21.20      19.38       16.09      16.82       090
19355..........  .............  A              Correct inverted             7.57       12.40       8.88        4.47       4.91      0.75       20.72      17.20       12.79      13.23       090
                                                nipple(s).
19357..........  .............  A              Breast reconstruction.      18.16          NA         NA       12.50      12.85      1.92          NA         NA       32.58      32.93       090
19361..........  .............  A              Breast reconstruction.      19.26          NA         NA       11.31      16.58      2.04          NA         NA       32.61      37.88       090
19364..........  .............  A              Breast reconstruction.      41.00          NA         NA       23.84      20.97      4.22          NA         NA       69.06      66.19       090

[[Page 59448]]


19366..........  .............  A              Breast reconstruction.      21.28          NA         NA       11.53      14.67      2.15          NA         NA       34.96      38.10       090
19367..........  .............  A              Breast reconstruction.      25.73          NA         NA       14.70      18.28      2.72          NA         NA       43.15      46.73       090
19368..........  .............  A              Breast reconstruction.      32.42          NA         NA       17.49      19.67      3.46          NA         NA       53.37      55.55       090
19369..........  .............  A              Breast reconstruction.      29.82          NA         NA       17.46      19.66      3.17          NA         NA       50.45      52.65       090
19370..........  .............  A              Surgery of breast            8.05          NA         NA        5.55       6.13      0.86          NA         NA       14.46      15.04       090
                                                capsule.
19371..........  .............  A              Removal of breast            9.35          NA         NA        6.53       7.56      0.99          NA         NA       16.87      17.90       090
                                                capsule.
19380..........  .............  A              Revise breast                9.14          NA         NA        6.42       7.61      0.97          NA         NA       16.53      17.72       090
                                                reconstruction.
19396..........  .............  A              Design custom breast         2.17        4.29       3.00        1.14       1.42      0.23        6.69       5.40        3.54       3.82       000
                                                implant.
19499..........  .............  C              Breast surgery               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
20000..........  .............  A              Incision of abscess...       2.12        1.93       1.43        1.11       0.79      0.15        4.20       3.70        3.38       3.06       010
20005..........  .............  A              Incision of deep             3.42        2.69       2.34        2.10       2.05      0.31        6.42       6.07        5.83       5.78       010
                                                abscess.
20100..........  .............  A              Explore wound, neck...      10.08        5.63       5.51        4.82       5.11      0.94       16.65      16.53       15.84      16.13       010
20101..........  .............  A              Explore wound, chest..       3.22        3.14       2.42        1.88       1.79      0.30        6.66       5.94        5.40       5.31       010
20102..........  .............  A              Explore wound, abdomen       3.94        3.51       2.80        1.91       2.00      0.39        7.84       7.13        6.24       6.33       010
20103..........  .............  A              Explore wound,               5.30        3.95       3.38        2.95       2.88      0.53        9.78       9.21        8.78       8.71       010
                                                extremity.
20150..........  .............  A              Excise epiphyseal bar.      13.69          NA         NA        8.96      11.21      1.03          NA         NA       23.68      25.93       090
20200..........  .............  A              Muscle biopsy.........       1.46        1.59       1.41        0.61       0.92      0.17        3.22       3.04        2.24       2.55       000
20205..........  .............  A              Deep muscle biopsy....       2.35        3.76       2.90        0.97       1.51      0.28        6.39       5.53        3.60       4.14       000
20206..........  .............  A              Needle biopsy, muscle.       0.99        2.74       1.89        0.30       0.67      0.06        3.79       2.94        1.35       1.72       000
20220..........  .............  A              Bone biopsy, trocar/         1.27        3.56       2.49        1.89       1.66      0.06        4.89       3.82        3.22       2.99       000
                                                needle.
20225..........  .............  A              Bone biopsy, trocar/         1.87        0.64       1.62        0.64       1.44      0.10        2.61       3.59        2.61       3.41       000
                                                needle.
20240..........  .............  A              Bone biopsy,                 3.23          NA         NA        3.66       2.85      0.27          NA         NA        7.16       6.35       010
                                                excisional.
20245..........  .............  A              Bone biopsy,                 3.95          NA         NA        4.04       3.97      0.36          NA         NA        8.35       8.28       010
                                                excisional.
20250..........  .............  A              Open bone biopsy......       5.03          NA         NA        3.82       4.66      0.46          NA         NA        9.31      10.15       010
20251..........  .............  A              Open bone biopsy......       5.56          NA         NA        4.41       5.38      0.67          NA         NA       10.64      11.61       010
20500..........  .............  A              Injection of sinus           1.23        4.74       2.57        3.06       1.63      0.09        6.06       3.89        4.38       2.95       010
                                                tract.
20501..........  .............  A              Inject sinus tract for       0.76       11.77       6.05        0.21       0.27      0.03       12.56       6.84        1.00       1.06       000
                                                x-ray.
20520..........  .............  A              Removal of foreign           1.85        4.50       2.64        2.87       1.63      0.15        6.50       4.64        4.87       3.63       010
                                                body.
20525..........  .............  A              Removal of foreign           3.50        5.30       3.86        3.68       3.05      0.34        9.14       7.70        7.52       6.89       010
                                                body.
20550..........  .............  A              Inject tendon/ligament/      0.86        1.73       1.07        0.20       0.21      0.06        2.65       1.99        1.12       1.13       000
                                                cyst.
20600..........  .............  A              Drain/inject, joint/         0.66        1.17       0.84        0.26       0.26      0.05        1.88       1.55        0.97       0.97       000
                                                bursa.
20605..........  .............  A              Drain/inject, joint/         0.68        1.47       0.98        0.26       0.26      0.05        2.20       1.71        0.99       0.99       000
                                                bursa.
20610..........  .............  A              Drain/inject, joint/         0.79        1.80       1.15        0.31       0.28      0.06        2.65       2.00        1.16       1.13       000
                                                bursa.
20615..........  .............  A              Treatment of bone cyst       2.28        3.73       2.13        2.28       1.28      0.16        6.17       4.57        4.72       3.72       010
20650..........  .............  A              Insert and remove bone       2.23        3.69       2.43        2.63       1.90      0.17        6.09       4.83        5.03       4.30       010
                                                pin.
20660..........  .............  A              Apply,remove fixation        2.51          NA         NA        1.31       1.50      0.45          NA         NA        4.27       4.46       000
                                                device.
20661..........  .............  A              Application of head          4.89          NA         NA        6.04       5.10      0.83          NA         NA       11.76      10.82       090
                                                brace.
20662..........  .............  A              Application of pelvis        6.07          NA         NA        4.88       5.99      0.64          NA         NA       11.59      12.70       090
                                                brace.
20663..........  .............  A              Application of thigh         5.43          NA         NA        4.12       4.58      0.55          NA         NA       10.10      10.56       090
                                                brace.
20664..........  .............  A              Halo brace application       8.06          NA         NA        7.72       5.94      1.38          NA         NA       17.16      15.38       090
20665..........  .............  A              Removal of fixation          1.31        2.10       1.32        1.12       0.83      0.17        3.58       2.80        2.60       2.31       010
                                                device.
20670..........  .............  A              Removal of support           1.74        4.77       2.79        3.10       1.75      0.17        6.68       4.70        5.01       3.66       010
                                                implant.
20680..........  .............  A              Removal of support           3.35        4.12       3.87        4.12       3.87      0.33        7.80       7.55        7.80       7.55       090
                                                implant.
20690..........  .............  A              Apply bone fixation          3.52          NA         NA        1.89       2.93      0.33          NA         NA        5.74       6.78       090
                                                device.
20692..........  .............  A              Apply bone fixation          6.41          NA         NA        3.37       4.68      0.64          NA         NA       10.42      11.73       090
                                                device.
20693..........  .............  A              Adjust bone fixation         5.86          NA         NA        9.96       6.33      0.66          NA         NA       16.48      12.85       090
                                                device.
20694..........  .............  A              Remove bone fixation         4.16        7.14       4.98        5.20       4.01      0.43       11.73       9.57        9.79       8.60       090
                                                device.
20802..........  .............  A              Replantation, arm,          41.15          NA         NA       22.61      31.78      3.51          NA         NA       67.27      76.44       090
                                                complete.
20805..........  .............  A              Replant, forearm,           50.00          NA         NA       38.99      44.55      3.56          NA         NA       92.55      98.11       090
                                                complete.
20808..........  .............  A              Replantation hand,          61.65          NA         NA       45.51      53.90      5.46          NA         NA      112.62     121.01       090
                                                complete.
20816..........  .............  A              Replantation digit,         30.94          NA         NA       40.11      35.41      3.20          NA         NA       74.25      69.55       090
                                                complete.
20822..........  .............  A              Replantation digit,         25.59          NA         NA       32.28      28.83      2.64          NA         NA       60.51      57.06       090
                                                complete.
20824..........  .............  A              Replantation thumb,         30.94          NA         NA       38.46      34.59      3.26          NA         NA       72.66      68.79       090
                                                complete.
20827..........  .............  A              Replantation thumb,         26.41          NA         NA       35.68      30.89      2.72          NA         NA       64.81      60.02       090
                                                complete.
20838..........  .............  A              Replantation foot,          41.41          NA         NA       24.63      32.79      4.99          NA         NA       71.03      79.19       090
                                                complete.
20900..........  .............  A              Removal of bone for          5.58        5.34       4.19        5.34       4.19      0.55       11.47      10.32       11.47      10.32       090
                                                graft.
20902..........  .............  A              Removal of bone for          7.55          NA         NA        7.87       6.62      0.78          NA         NA       16.20      14.95       090
                                                graft.
20910..........  .............  A              Remove cartilage for         5.34        6.69       3.78        5.81       3.34      0.43       12.46       9.55       11.58       9.11       090
                                                graft.
20912..........  .............  A              Remove cartilage for         6.35          NA         NA        6.14       5.58      0.55          NA         NA       13.04      12.48       090
                                                graft.
20920..........  .............  A              Removal of fascia for        5.31          NA         NA        4.99       4.63      0.51          NA         NA       10.81      10.45       090
                                                graft.
20922..........  .............  A              Removal of fascia for        6.61        9.16       6.96        5.82       5.29      0.84       16.61      14.41       13.27      12.74       090
                                                graft.
20924..........  .............  A              Removal of tendon for        6.48          NA         NA        6.26       6.09      0.68          NA         NA       13.42      13.25       090
                                                graft.
20926..........  .............  A              Removal of tissue for        5.53          NA         NA        5.52       4.17      0.73          NA         NA       11.78      10.43       090
                                                graft.
20930..........  .............  B              Spinal bone allograft.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
20931..........  .............  A              Spinal bone allograft.       1.81          NA         NA        0.96       1.42      0.31          NA         NA        3.08       3.54       ZZZ
20936..........  .............  B              Spinal bone autograft.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
20937..........  .............  A              Spinal bone autograft.       2.79          NA         NA        1.48       2.19      0.34          NA         NA        4.61       5.32       ZZZ
20938..........  .............  A              Spinal bone autograft.       3.02          NA         NA        1.60       2.37      0.44          NA         NA        5.06       5.83       ZZZ
20950..........  .............  A              Fluid pressure, muscle       1.26          NA         NA        1.63       1.41      0.13          NA         NA        3.02       2.80       000
20955..........  .............  A              Fibula bone graft,          39.21          NA         NA       26.38      32.64      3.88          NA         NA       69.47      75.73       090
                                                microvasc.
20956..........  .............  A              Iliac bone graft,           39.27          NA         NA       26.86      28.03      4.68          NA         NA       70.81      71.98       090
                                                microvasc.
20957..........  .............  A              Mt bone graft,              40.65          NA         NA       18.49      24.37      4.84          NA         NA       63.98      69.86       090
                                                microvasc.
20962..........  .............  A              Other bone graft,           39.27          NA         NA       25.63      27.41      4.28          NA         NA       69.18      70.96       090
                                                microvasc.
20969..........  .............  A              Bone/skin graft,            43.92          NA         NA       29.27      36.41      4.12          NA         NA       77.31      84.45       090
                                                microvasc.
20970..........  .............  A              Bone/skin graft, iliac      43.06          NA         NA       28.16      35.41      4.49          NA         NA       75.71      82.96       090
                                                crest.
20972..........  .............  A              Bone/skin graft,            42.99          NA         NA       18.71      30.85      3.89          NA         NA       65.59      77.73       090
                                                metatarsal.
20973..........  .............  A              Bone/skin graft, great      45.76          NA         NA       26.86      36.36      4.73          NA         NA       77.35      86.85       090
                                                toe.
20974..........  .............  A              Electrical bone              0.62        0.37       2.04        0.31       1.09      0.04        1.03       2.70        0.97       1.75       000
                                                stimulation.
20975..........  .............  A              Electrical bone              2.60          NA         NA        1.38       2.24      0.31          NA         NA        4.29       5.15       000
                                                stimulation.
20979..........  .............  A              Us bone stimulation...       0.17        0.25       0.25        0.07       0.07      0.01        0.43       0.43        0.25       0.25       000
20999..........  .............  C              Musculoskeletal              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                surgery.

[[Page 59449]]


21010..........  .............  A              Incision of jaw joint.      10.14          NA         NA        6.45       8.78      0.50          NA         NA       17.09      19.42       090
21015..........  .............  A              Resection of facial          5.29          NA         NA        5.70       6.01      0.52          NA         NA       11.51      11.82       090
                                                tumor.
21025..........  .............  A              Excision of bone,           10.06        6.87       5.68        6.28       4.27      0.77       17.70      16.51       17.11      15.10       090
                                                lower jaw.
21026..........  .............  A              Excision of facial           4.85        4.88       4.15        4.41       3.06      0.38       10.11       9.38        9.64       8.29       090
                                                bone(s).
21029..........  .............  A              Contour of face bone         7.71        5.94       7.57        5.43       5.02      0.62       14.27      15.90       13.76      13.35       090
                                                lesion.
21030..........  .............  A              Removal of face bone         6.46        5.06       4.35        4.27       3.05      0.47       11.99      11.28       11.20       9.98       090
                                                lesion.
21031..........  .............  A              Remove exostosis,            3.24        3.14       3.57        2.00       2.00      0.24        6.62       7.05        5.48       5.48       090
                                                mandible.
21032..........  .............  A              Remove exostosis,            3.24        3.11       3.66        2.11       2.11      0.25        6.60       7.15        5.60       5.60       090
                                                maxilla.
21034..........  .............  A              Removal of face bone        16.17        9.28       8.43        9.28       8.43      1.32       26.77      25.92       26.77      25.92       090
                                                lesion.
21040..........  .............  A              Removal of jaw bone          2.11        2.79       2.90        1.63       1.57      0.16        5.06       5.17        3.90       3.84       090
                                                lesion.
21041..........  .............  A              Removal of jaw bone          6.71        5.25       5.75        4.12       3.63      0.49       12.45      12.95       11.32      10.83       090
                                                lesion.
21044..........  .............  A              Removal of jaw bone         11.86          NA         NA        7.61       8.99      0.89          NA         NA       20.36      21.74       090
                                                lesion.
21045..........  .............  A              Extensive jaw surgery.      16.17          NA         NA        9.85      12.43      1.25          NA         NA       27.27      29.85       090
21050..........  .............  A              Removal of jaw joint..      10.77          NA         NA       10.76      11.81      0.74          NA         NA       22.27      23.32       090
21060..........  .............  A              Remove jaw joint            10.23          NA         NA        9.97      11.09      0.77          NA         NA       20.97      22.09       090
                                                cartilage.
21070..........  .............  A              Remove coronoid              8.20          NA         NA        5.65       6.52      0.71          NA         NA       14.56      15.43       090
                                                process.
21076..........  .............  A              Prepare face/oral           13.42        9.45      12.74        7.11       7.56      0.94       23.81      27.10       21.47      21.92       010
                                                prosthesis.
21077..........  .............  A              Prepare face/oral           33.75       23.77      32.04       17.89      19.02      2.44       59.96      68.23       54.08      55.21       090
                                                prosthesis.
21079..........  .............  A              Prepare face/oral           22.34       16.79      23.55       12.37      13.77      1.51       40.64      47.40       36.22      37.62       090
                                                prosthesis.
21080..........  .............  A              Prepare face/oral           25.10       18.87      26.47       13.90      15.47      1.74       45.71      53.31       40.74      42.31       090
                                                prosthesis.
21081..........  .............  A              Prepare face/oral           22.88       17.19      24.11       12.67      14.10      1.60       41.67      48.59       37.15      38.58       090
                                                prosthesis.
21082..........  .............  A              Prepare face/oral           20.87       14.70      19.81       11.06      11.76      1.47       37.04      42.15       33.40      34.10       090
                                                prosthesis.
21083..........  .............  A              Prepare face/oral           19.30       14.51      20.35       10.69      11.90      1.31       35.12      40.96       31.30      32.51       090
                                                prosthesis.
21084..........  .............  A              Prepare face/oral           22.51       16.92      23.73       12.47      13.87      1.61       41.04      47.85       36.59      37.99       090
                                                prosthesis.
21085..........  .............  A              Prepare face/oral            9.00        6.34       8.54        4.77       5.07      0.66       16.00      18.20       14.43      14.73       010
                                                prosthesis.
21086..........  .............  A              Prepare face/oral           24.92       18.73      26.27       13.80      15.36      1.84       45.49      53.03       40.56      42.12       090
                                                prosthesis.
21087..........  .............  A              Prepare face/oral           24.92       17.55      23.65       13.21      14.05      1.81       44.28      50.38       39.94      40.78       090
                                                prosthesis.
21088..........  .............  C              Prepare face/oral            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       090
                                                prosthesis.
21089..........  .............  C              Prepare face/oral            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       090
                                                prosthesis.
21100..........  .............  A              Maxillofacial fixation       4.22        4.56       2.86        3.82       2.49      0.24        9.02       7.32        8.28       6.95       090
21110..........  .............  A              Interdental fixation..       5.21        4.98       5.49        3.79       3.40      0.34       10.53      11.04        9.34       8.95       090
21116..........  .............  A              Injection, jaw joint x-      0.81        6.89       3.84        0.26       0.53      0.05        7.75       4.70        1.12       1.39       000
                                                ray.
21120..........  .............  A              Reconstruction of chin       4.93        8.74       6.32        4.97       4.44      0.40       14.07      11.65       10.30       9.77       090
21121..........  .............  A              Reconstruction of chin       7.64        6.96       6.55        5.61       5.87      0.60       15.20      14.79       13.85      14.11       090
21122..........  .............  A              Reconstruction of chin       8.52          NA         NA        6.57       6.67      0.72          NA         NA       15.81      15.91       090
21123..........  .............  A              Reconstruction of chin      11.16          NA         NA        8.08       8.46      0.90          NA         NA       20.14      20.52       090
21125..........  .............  A              Augmentation, lower         10.62        7.74       6.43        7.28       6.20      0.81       19.17      17.86       18.71      17.63       090
                                                jaw bone.
21127..........  .............  A              Augmentation, lower         11.12        8.65       8.62        6.58       7.58      0.92       20.69      20.66       18.62      19.62       090
                                                jaw bone.
21137..........  .............  A              Reduction of forehead.       9.82          NA         NA        7.09       7.41      0.88          NA         NA       17.79      18.11       090
21138..........  .............  A              Reduction of forehead.      12.19          NA         NA        7.49       8.56      1.06          NA         NA       20.74      21.81       090
21139..........  .............  A              Reduction of forehead.      14.61          NA         NA        9.79      10.67      1.27          NA         NA       25.67      26.55       090
21141..........  .............  A              Reconstruct midface,        18.10          NA         NA       10.76      13.16      1.42          NA         NA       30.28      32.68       090
                                                lefort.
21142..........  .............  A              Reconstruct midface,        18.81          NA         NA       12.13      14.12      1.77          NA         NA       32.71      34.70       090
                                                lefort.
21143..........  .............  A              Reconstruct midface,        19.58          NA         NA       10.36      13.54      1.21          NA         NA       31.15      34.33       090
                                                lefort.
21145..........  .............  A              Reconstruct midface,        19.94          NA         NA       10.42      12.99      1.46          NA         NA       31.82      34.39       090
                                                lefort.
21146..........  .............  A              Reconstruct midface,        20.71          NA         NA       10.62      13.37      1.61          NA         NA       32.94      35.69       090
                                                lefort.
21147..........  .............  A              Reconstruct midface,        21.77          NA         NA       11.20      13.96      1.53          NA         NA       34.50      37.26       090
                                                lefort.
21150..........  .............  A              Reconstruct midface,        25.24          NA         NA       12.77      16.40      1.85          NA         NA       39.86      43.49       090
                                                lefort.
21151..........  .............  A              Reconstruct midface,        28.30          NA         NA       17.35      19.90      3.25          NA         NA       48.90      51.45       090
                                                lefort.
21154..........  .............  A              Reconstruct midface,        30.52          NA         NA       16.07      20.06      3.14          NA         NA       49.73      53.72       090
                                                lefort.
21155..........  .............  A              Reconstruct midface,        34.45          NA         NA       16.74      22.00      3.54          NA         NA       54.73      59.99       090
                                                lefort.
21159..........  .............  A              Reconstruct midface,        42.38          NA         NA       24.12      28.89      3.77          NA         NA       70.27      75.04       090
                                                lefort.
21160..........  .............  A              Reconstruct midface,        46.44          NA         NA       22.31      29.59      3.51          NA         NA       72.26      79.54       090
                                                lefort.
21172..........  .............  A              Reconstruct orbit/          27.80          NA         NA       14.48      18.26      1.92          NA         NA       44.20      47.98       090
                                                forehead.
21175..........  .............  A              Reconstruct orbit/          33.17          NA         NA       18.07      22.26      3.75          NA         NA       54.99      59.18       090
                                                forehead.
21179..........  .............  A              Reconstruct entire          22.25          NA         NA       15.84      16.73      2.52          NA         NA       40.61      41.50       090
                                                forehead.
21180..........  .............  A              Reconstruct entire          25.19          NA         NA       17.68      18.86      2.21          NA         NA       45.08      46.26       090
                                                forehead.
21181..........  .............  A              Contour cranial bone         9.90          NA         NA        7.35       7.54      1.04          NA         NA       18.29      18.48       090
                                                lesion.
21182..........  .............  A              Reconstruct cranial         32.19          NA         NA       21.26      23.45      2.77          NA         NA       56.22      58.41       090
                                                bone.
21183..........  .............  A              Reconstruct cranial         35.31          NA         NA       20.94      24.50      3.14          NA         NA       59.39      62.95       090
                                                bone.
21184..........  .............  A              Reconstruct cranial         38.24          NA         NA       23.21      26.83      6.52          NA         NA       67.97      71.59       090
                                                bone.
21188..........  .............  A              Reconstruction of           22.46          NA         NA       14.91      16.27      1.87          NA         NA       39.24      40.60       090
                                                midface.
21193..........  .............  A              Reconstruct lower jaw       17.15          NA         NA        9.99      11.68      1.42          NA         NA       28.56      30.25       090
                                                bone.
21194..........  .............  A              Reconstruct lower jaw       19.84          NA         NA       11.54      13.51      1.64          NA         NA       33.02      34.99       090
                                                bone.
21195..........  .............  A              Reconstruct lower jaw       17.24          NA         NA       11.29      12.34      1.34          NA         NA       29.87      30.92       090
                                                bone.
21196..........  .............  A              Reconstruct lower jaw       18.91          NA         NA       12.30      13.54      1.50          NA         NA       32.71      33.95       090
                                                bone.
21198..........  .............  A              Reconstruct lower jaw       14.16          NA         NA       11.18      13.63      1.03          NA         NA       26.37      28.82       090
                                                bone.
21206..........  .............  A              Reconstruct upper jaw       14.10          NA         NA        9.29      10.15      1.02          NA         NA       24.41      25.27       090
                                                bone.
21208..........  .............  A              Augmentation of facial      10.23        8.77      10.49        7.56       9.89      0.79       19.79      21.51       18.58      20.91       090
                                                bones.
21209..........  .............  A              Reduction of facial          6.72        6.65       5.82        5.08       5.03      0.55       13.92      13.09       12.35      12.30       090
                                                bones.
21210..........  .............  A              Face bone graft.......      10.23        8.10      10.16        7.38       6.75      0.75       19.08      21.14       18.36      17.73       090
21215..........  .............  A              Lower jaw bone graft..      10.77        8.11      10.49        6.40       6.42      0.78       19.66      22.04       17.95      17.97       090
21230..........  .............  A              Rib cartilage graft...      10.77          NA         NA        8.72       9.99      0.96          NA         NA       20.45      21.72       090
21235..........  .............  A              Ear cartilage graft...       6.72        9.59       8.81        6.80       7.41      0.53       16.84      16.06       14.05      14.66       090
21240..........  .............  A              Reconstruction of jaw       14.05          NA         NA       11.16      13.97      1.09          NA         NA       26.30      29.11       090
                                                joint.
21242..........  .............  A              Reconstruction of jaw       12.95          NA         NA       11.32      13.39      1.09          NA         NA       25.36      27.43       090
                                                joint.
21243..........  .............  A              Reconstruction of jaw       20.79          NA         NA       13.54      14.59      1.53          NA         NA       35.86      36.91       090
                                                joint.
21244..........  .............  A              Reconstruction of           11.86          NA         NA        8.48      11.32      0.95          NA         NA       21.29      24.13       090
                                                lower jaw.
21245..........  .............  A              Reconstruction of jaw.      11.86        9.18      10.82        9.18      10.82      0.91       21.95      23.59       21.95      23.59       090
21246..........  .............  A              Reconstruction of jaw.      12.47        9.45       9.52        9.43       9.51      0.96       22.88      22.95       22.86      22.94       090
21247..........  .............  A              Reconstruct lower jaw       22.63          NA         NA       15.54      21.28      1.62          NA         NA       39.79      45.53       090
                                                bone.

[[Page 59450]]


21248..........  .............  A              Reconstruction of jaw.      11.48        8.15      10.93        7.14       7.00      0.85       20.48      23.26       19.47      19.33       090
21249..........  .............  A              Reconstruction of jaw.      17.52       10.73      15.82        9.73      10.10      1.33       29.58      34.67       28.58      28.95       090
21255..........  .............  A              Reconstruct lower jaw       16.72          NA         NA        9.58      14.77      1.66          NA         NA       27.96      33.15       090
                                                bone.
21256..........  .............  A              Reconstruction of           16.19          NA         NA       12.33      15.83      1.38          NA         NA       29.90      33.40       090
                                                orbit.
21260..........  .............  A              Revise eye sockets....      16.52          NA         NA        8.27      14.00      0.67          NA         NA       25.46      31.19       090
21261..........  .............  A              Revise eye sockets....      31.49          NA         NA       19.66      19.48      2.38          NA         NA       53.53      53.35       090
21263..........  .............  A              Revise eye sockets....      28.42          NA         NA       14.31      24.12      1.12          NA         NA       43.85      53.66       090
21267..........  .............  A              Revise eye sockets....      18.90          NA         NA       14.04      14.95      1.12          NA         NA       34.06      34.97       090
21268..........  .............  A              Revise eye sockets....      24.48          NA         NA       15.03      15.85      3.89          NA         NA       43.40      44.22       090
21270..........  .............  A              Augmentation, cheek         10.23        7.80       9.11        7.80       9.11      0.89       18.92      20.23       18.92      20.23       090
                                                bone.
21275..........  .............  A              Revision, orbitofacial      11.24          NA         NA        9.47       9.59      1.05          NA         NA       21.76      21.88       090
                                                bones.
21280..........  .............  A              Revision of eyelid....       6.03          NA         NA        6.09       6.65      0.29          NA         NA       12.41      12.97       090
21282..........  .............  A              Revision of eyelid....       3.49          NA         NA        4.82       4.50      0.20          NA         NA        8.51       8.19       090
21295..........  .............  A              Revision of jaw muscle/      1.53          NA         NA        3.69       2.37      0.11          NA         NA        5.33       4.01       090
                                                bone.
21296..........  .............  A              Revision of jaw muscle/      4.25          NA         NA        4.30       4.12      0.35          NA         NA        8.90       8.72       090
                                                bone.
21299..........  .............  C              Cranio/maxillofacial         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                surgery.
21300..........  .............  A              Treatment of skull           0.72        2.45       1.73        0.28       0.57      0.08        3.25       2.53        1.08       1.37       000
                                                fracture.
21310..........  .............  A              Treatment of nose            0.58        2.32       1.57        0.16       0.43      0.06        2.96       2.21        0.80       1.07       000
                                                fracture.
21315..........  .............  A              Treatment of nose            1.51        2.97       2.47        1.14       1.47      0.12        4.60       4.10        2.77       3.10       010
                                                fracture.
21320..........  .............  A              Treatment of nose            1.85        4.14       3.34        1.85       2.03      0.14        6.13       5.33        3.84       4.02       010
                                                fracture.
21325..........  .............  A              Treatment of nose            3.77          NA         NA        3.24       3.84      0.31          NA         NA        7.32       7.92       090
                                                fracture.
21330..........  .............  A              Treatment of nose            5.38          NA         NA        4.79       5.61      0.47          NA         NA       10.64      11.46       090
                                                fracture.
21335..........  .............  A              Treatment of nose            8.61          NA         NA        6.68       8.48      0.65          NA         NA       15.94      17.74       090
                                                fracture.
21336..........  .............  A              Treat nasal septal           5.72          NA         NA        4.91       4.68      0.47          NA         NA       11.10      10.87       090
                                                fracture.
21337..........  .............  A              Treat nasal septal           2.70        4.69       3.88        2.76       2.91      0.23        7.62       6.81        5.69       5.84       090
                                                fracture.
21338..........  .............  A              Treat nasoethmoid            6.46          NA         NA        5.57       5.51      0.53          NA         NA       12.56      12.50       090
                                                fracture.
21339..........  .............  A              Treat nasoethmoid            8.09          NA         NA        6.17       6.93      0.65          NA         NA       14.91      15.67       090
                                                fracture.
21340..........  .............  A              Treatment of nose           10.77          NA         NA        8.62       9.15      0.69          NA         NA       20.08      20.61       090
                                                fracture.
21343..........  .............  A              Treatment of sinus          12.95          NA         NA        9.17       9.56      1.20          NA         NA       23.32      23.71       090
                                                fracture.
21344..........  .............  A              Treatment of sinus          19.72          NA         NA       12.94      11.45      1.78          NA         NA       34.44      32.95       090
                                                fracture.
21345..........  .............  A              Treat nose/jaw               8.16        7.38       7.98        6.94       7.76      0.64       16.18      16.78       15.74      16.56       090
                                                fracture.
21346..........  .............  A              Treat nose/jaw              10.61          NA         NA        8.58       9.39      0.83          NA         NA       20.02      20.83       090
                                                fracture.
21347..........  .............  A              Treat nose/jaw              12.69          NA         NA        8.84      10.04      1.08          NA         NA       22.61      23.81       090
                                                fracture.
21348..........  .............  A              Treat nose/jaw              16.69          NA         NA        9.89      11.10      1.44          NA         NA       28.02      29.23       090
                                                fracture.
21355..........  .............  A              Treat cheek bone             3.77        3.55       2.62        2.02       1.86      0.32        7.64       6.71        6.11       5.95       010
                                                fracture.
21356..........  .............  A              Treat cheek bone             4.15          NA         NA        2.96       3.96      0.34          NA         NA        7.45       8.45       010
                                                fracture.
21360..........  .............  A              Treat cheek bone             6.46          NA         NA        5.13       6.43      0.52          NA         NA       12.11      13.41       090
                                                fracture.
21365..........  .............  A              Treat cheek bone            14.95          NA         NA       10.44      11.92      1.28          NA         NA       26.67      28.15       090
                                                fracture.
21366..........  .............  A              Treat cheek bone            17.77          NA         NA       11.32      12.22      1.52          NA         NA       30.61      31.51       090
                                                fracture.
21385..........  .............  A              Treat eye socket             9.16          NA         NA        6.77       8.59      0.67          NA         NA       16.60      18.42       090
                                                fracture.
21386..........  .............  A              Treat eye socket             9.16          NA         NA        7.25       8.55      0.75          NA         NA       17.16      18.46       090
                                                fracture.
21387..........  .............  A              Treat eye socket             9.70          NA         NA        7.64       7.87      0.78          NA         NA       18.12      18.35       090
                                                fracture.
21390..........  .............  A              Treat eye socket            10.13          NA         NA        8.00      10.05      0.74          NA         NA       18.87      20.92       090
                                                fracture.
21395..........  .............  A              Treat eye socket            12.68          NA         NA        9.01       9.73      1.16          NA         NA       22.85      23.57       090
                                                fracture.
21400..........  .............  A              Treat eye socket             1.40        2.89       2.35        0.95       1.31      0.12        4.41       3.87        2.47       2.83       090
                                                fracture.
21401..........  .............  A              Treat eye socket             3.26        4.39       3.60        2.75       2.78      0.25        7.90       7.11        6.26       6.29       090
                                                fracture.
21406..........  .............  A              Treat eye socket             7.01          NA         NA        5.77       5.71      0.60          NA         NA       13.38      13.32       090
                                                fracture.
21407..........  .............  A              Treat eye socket             8.61          NA         NA        7.15       7.42      0.70          NA         NA       16.46      16.73       090
                                                fracture.
21408..........  .............  A              Treat eye socket            12.38          NA         NA        9.36       9.29      1.21          NA         NA       22.95      22.88       090
                                                fracture.
21421..........  .............  A              Treat mouth roof             5.14        6.30       6.48        5.21       5.67      0.38       11.82      12.00       10.73      11.19       090
                                                fracture.
21422..........  .............  A              Treat mouth roof             8.32          NA         NA        6.64       8.29      0.69          NA         NA       15.65      17.30       090
                                                fracture.
21423..........  .............  A              Treat mouth roof            10.40          NA         NA        7.35       9.00      0.82          NA         NA       18.57      20.22       090
                                                fracture.
21431..........  .............  A              Treat craniofacial           7.05          NA         NA        5.49       6.01      0.54          NA         NA       13.08      13.60       090
                                                fracture.
21432..........  .............  A              Treat craniofacial           8.61          NA         NA        7.38       7.36      0.94          NA         NA       16.93      16.91       090
                                                fracture.
21433..........  .............  A              Treat craniofacial          25.35          NA         NA       15.62      17.56      2.11          NA         NA       43.08      45.02       090
                                                fracture.
21435..........  .............  A              Treat craniofacial          17.25          NA         NA       12.21      13.30      1.36          NA         NA       30.82      31.91       090
                                                fracture.
21436..........  .............  A              Treat craniofacial          28.04          NA         NA       17.19      16.55      1.88          NA         NA       47.11      46.47       090
                                                fracture.
21440..........  .............  A              Treat dental ridge           2.70        4.84       4.09        3.09       3.16      0.20        7.74       6.99        5.99       6.06       090
                                                fracture.
21445..........  .............  A              Treat dental ridge           5.38        6.00       6.32        4.56       5.49      0.42       11.80      12.12       10.36      11.29       090
                                                fracture.
21450..........  .............  A              Treat lower jaw              2.97        5.29       4.19        2.40       2.74      0.23        8.49       7.39        5.60       5.94       090
                                                fracture.
21451..........  .............  A              Treat lower jaw              4.87        5.83       6.08        4.82       5.32      0.37       11.07      11.32       10.06      10.56       090
                                                fracture.
21452..........  .............  A              Treat lower jaw              1.98        7.22       4.37        3.63       2.57      0.15        9.35       6.50        5.76       4.70       090
                                                fracture.
21453..........  .............  A              Treat lower jaw              5.54        6.45       6.83        5.38       6.00      0.44       12.43      12.81       11.36      11.98       090
                                                fracture.
21454..........  .............  A              Treat lower jaw              6.46          NA         NA        4.91       6.32      0.48          NA         NA       11.85      13.26       090
                                                fracture.
21461..........  .............  A              Treat lower jaw              8.09        7.82       8.74        6.98       8.32      0.65       16.56      17.48       15.72      17.06       090
                                                fracture.
21462..........  .............  A              Treat lower jaw              9.79        8.73      10.21        7.30       9.50      0.76       19.28      20.76       17.85      20.05       090
                                                fracture.
21465..........  .............  A              Treat lower jaw             11.91          NA         NA        7.08       8.12      0.95          NA         NA       19.94      20.98       090
                                                fracture.
21470..........  .............  A              Treat lower jaw             15.34          NA         NA        9.08      13.70      1.21          NA         NA       25.63      30.25       090
                                                fracture.
21480..........  .............  A              Reset dislocated jaw..       0.61        1.54       1.20        0.18       0.46      0.05        2.20       1.86        0.84       1.12       000
21485..........  .............  A              Reset dislocated jaw..       3.99        3.53       2.96        3.01       2.10      0.27        7.79       7.22        7.27       6.36       090
21490..........  .............  A              Repair dislocated jaw.      11.86          NA         NA        7.08       6.97      0.84          NA         NA       19.78      19.67       090
21493..........  .............  A              Treat hyoid bone             1.27        0.49       1.07        0.49       1.01      0.10        1.86       2.44        1.86       2.38       090
                                                fracture.
21494..........  .............  A              Treat hyoid bone             6.28        2.43       5.30        2.43       5.30      0.45        9.16      12.03        9.16      12.03       090
                                                fracture.
21495..........  .............  A              Treat hyoid bone             5.69          NA         NA        5.29       5.26      0.41          NA         NA       11.39      11.36       090
                                                fracture.
21497..........  .............  A              Interdental wiring....       3.86        4.29       4.30        3.43       3.87      0.30        8.45       8.46        7.59       8.03       090
21499..........  .............  C              Head surgery procedure       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
21501..........  .............  A              Drain neck/chest             3.81        3.96       2.97        3.48       2.73      0.37        8.14       7.15        7.66       6.91       090
                                                lesion.
21502..........  .............  A              Drain chest lesion....       7.12          NA         NA        7.43       6.01      0.78          NA         NA       15.33      13.91       090
21510..........  .............  A              Drainage of bone             5.74          NA         NA        7.47       5.81      0.63          NA         NA       13.84      12.18       090
                                                lesion.
21550..........  .............  A              Biopsy of neck/chest..       2.06        2.21       1.57        1.21       0.84      0.12        4.39       3.75        3.39       3.02       010
21555..........  .............  A              Remove lesion, neck/         4.35        4.12       2.93        2.52       2.13      0.39        8.86       7.67        7.26       6.87       090
                                                chest.

[[Page 59451]]


21556..........  .............  A              Remove lesion, neck/         5.57          NA         NA        3.29       3.71      0.52          NA         NA        9.38       9.80       090
                                                chest.
21557..........  .............  A              Remove tumor, neck/          8.88          NA         NA        7.48       8.35      0.81          NA         NA       17.17      18.04       090
                                                chest.
21600..........  .............  A              Partial removal of rib       6.89          NA         NA        8.41       6.65      0.79          NA         NA       16.09      14.33       090
21610..........  .............  A              Partial removal of rib      14.61          NA         NA       10.32       7.97      1.99          NA         NA       26.92      24.57       090
21615..........  .............  A              Removal of rib........       9.87          NA         NA        9.28      10.14      1.30          NA         NA       20.45      21.31       090
21616..........  .............  A              Removal of rib and          12.04          NA         NA       12.51      10.20      1.45          NA         NA       26.00      23.69       090
                                                nerves.
21620..........  .............  A              Partial removal of           6.79          NA         NA        8.74       8.09      0.78          NA         NA       16.31      15.66       090
                                                sternum.
21627..........  .............  A              Sternal debridement...       6.81          NA         NA       15.24      10.35      0.84          NA         NA       22.89      18.00       090
21630..........  .............  A              Extensive sternum           17.38          NA         NA       13.47      13.73      1.95          NA         NA       32.80      33.06       090
                                                surgery.
21632..........  .............  A              Extensive sternum           18.14          NA         NA       15.46      13.99      2.27          NA         NA       35.87      34.40       090
                                                surgery.
21700..........  .............  A              Revision of neck             6.19        7.79       6.15        7.44       5.98      0.74       14.72      13.08       14.37      12.91       090
                                                muscle.
21705..........  .............  A              Revision of neck             9.60          NA         NA        6.91       6.09      1.27          NA         NA       17.78      16.96       090
                                                muscle/rib.
21720..........  .............  A              Revision of neck             5.68        6.61       5.39        6.28       5.23      0.82       13.11      11.89       12.78      11.73       090
                                                muscle.
21725..........  .............  A              Revision of neck             6.99          NA         NA        6.15       5.70      0.68          NA         NA       13.82      13.37       090
                                                muscle.
21740..........  .............  A              Reconstruction of           16.50          NA         NA       15.80      12.78      1.95          NA         NA       34.25      31.23       090
                                                sternum.
21750..........  .............  A              Repair of sternum           10.77          NA         NA       13.66      10.81      1.35          NA         NA       25.78      22.93       090
                                                separation.
21800..........  .............  A              Treatment of rib             0.96        1.85       1.35        0.92       0.88      0.09        2.90       2.40        1.97       1.93       090
                                                fracture.
21805..........  .............  A              Treatment of rib             2.75          NA         NA        6.38       3.93      0.29          NA         NA        9.42       6.97       090
                                                fracture.
21810..........  .............  A              Treatment of rib             6.86          NA         NA        7.52       7.74      0.56          NA         NA       14.94      15.16       090
                                                fracture(s).
21820..........  .............  A              Treat sternum fracture       1.28        2.23       1.86        1.29       1.39      0.12        3.63       3.26        2.69       2.79       090
21825..........  .............  A              Treat sternum fracture       7.41          NA         NA       12.61      10.05      0.95          NA         NA       20.97      18.41       090
21899..........  .............  C              Neck/chest surgery           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
21920..........  .............  A              Biopsy soft tissue of        2.06        2.34       1.60        0.78       0.61      0.10        4.50       3.76        2.94       2.77       010
                                                back.
21925..........  .............  A              Biopsy soft tissue of        4.49       10.67       6.40        4.21       3.17      0.43       15.59      11.32        9.13       8.09       090
                                                back.
21930..........  .............  A              Remove lesion, back or       5.00        4.44       3.70        2.67       2.81      0.47        9.91       9.17        8.14       8.28       090
                                                flank.
21935..........  .............  A              Remove tumor, back....      17.96          NA         NA       11.50       9.33      1.79          NA         NA       31.25      29.08       090
22100..........  .............  A              Remove part of neck          9.73          NA         NA        8.21       8.25      1.34          NA         NA       19.28      19.32       090
                                                vertebra.
22101..........  .............  A              Remove part, thorax          9.81          NA         NA        8.40       8.55      1.23          NA         NA       19.44      19.59       090
                                                vertebra.
22102..........  .............  A              Remove part, lumbar          9.81          NA         NA        8.27       6.58      1.37          NA         NA       19.45      17.76       090
                                                vertebra.
22103..........  .............  A              Remove extra spine           2.34          NA         NA        1.22       1.82      0.33          NA         NA        3.89       4.49       ZZZ
                                                segment.
22110..........  .............  A              Remove part of neck         12.74          NA         NA       10.38      10.47      1.88          NA         NA       25.00      25.09       090
                                                vertebra.
22112..........  .............  A              Remove part, thorax         12.81          NA         NA       10.04      10.39      1.57          NA         NA       24.42      24.77       090
                                                vertebra.
22114..........  .............  A              Remove part, lumbar         12.81          NA         NA       12.03       9.95      1.37          NA         NA       26.21      24.13       090
                                                vertebra.
22116..........  .............  A              Remove extra spine           2.32          NA         NA        1.19       1.80      0.32          NA         NA        3.83       4.44       ZZZ
                                                segment.
22210..........  .............  A              Revision of neck spine      23.82          NA         NA       16.42      15.72      3.46          NA         NA       43.70      43.00       090
22212..........  .............  A              Revision of thorax          19.42          NA         NA       14.26      16.51      1.99          NA         NA       35.67      37.92       090
                                                spine.
22214..........  .............  A              Revision of lumbar          19.45          NA         NA       14.84      15.62      2.35          NA         NA       36.64      37.42       090
                                                spine.
22216..........  .............  A              Revise, extra spine          6.04          NA         NA        3.18       4.34      0.81          NA         NA       10.03      11.19       ZZZ
                                                segment.
22220..........  .............  A              Revision of neck spine      21.37          NA         NA       14.77      16.42      3.15          NA         NA       39.29      40.94       090
22222..........  .............  A              Revision of thorax          21.52          NA         NA       13.09      13.93      1.01          NA         NA       35.62      36.46       090
                                                spine.
22224..........  .............  A              Revision of lumbar          21.52          NA         NA       14.83      15.38      2.43          NA         NA       38.78      39.33       090
                                                spine.
22226..........  .............  A              Revise, extra spine          6.04          NA         NA        3.16       4.33      0.73          NA         NA        9.93      11.10       ZZZ
                                                segment.
22305..........  .............  A              Treat spine process          2.05        2.69       2.57        1.72       2.09      0.21        4.95       4.83        3.98       4.35       090
                                                fracture.
22310..........  .............  A              Treat spine fracture..       2.61        3.88       3.31        2.97       2.85      0.27        6.76       6.19        5.85       5.73       090
22315..........  .............  A              Treat spine fracture..       8.84          NA         NA        8.29       7.14      1.14          NA         NA       18.27      17.12       090
22318..........  .............  A              Treat odontoid fx w/o       21.50          NA         NA       14.50      14.50      3.89          NA         NA       39.89      39.89       090
                                                graft.
22319..........  .............  A              Treat odontoid fx w/        24.00          NA         NA       16.72      16.72      4.34          NA         NA       45.06      45.06       090
                                                graft.
22325..........  .............  A              Treat spine fracture..      18.30          NA         NA       13.73      11.38      2.29          NA         NA       34.32      31.97       090
22326..........  .............  A              Treat neck spine            19.59          NA         NA       14.88      16.09      3.18          NA         NA       37.65      38.86       090
                                                fracture.
22327..........  .............  A              Treat thorax spine          19.20          NA         NA       14.47      15.89      2.64          NA         NA       36.31      37.73       090
                                                fracture.
22328..........  .............  A              Treat each add spine         4.61          NA         NA        2.41       3.60      0.68          NA         NA        7.70       8.89       ZZZ
                                                fx.
22505..........  .............  A              Manipulation of spine.       1.87        4.03       2.73        2.69       2.06      0.13        6.03       4.73        4.69       4.06       010
22548..........  .............  A              Neck spine fusion.....      25.82          NA         NA       17.59      21.14      4.66          NA         NA       48.07      51.62       090
22554..........  .............  A              Neck spine fusion.....      18.62          NA         NA       13.50      17.50      3.14          NA         NA       35.26      39.26       090
22556..........  .............  A              Thorax spine fusion...      23.46          NA         NA       16.52      20.03      3.20          NA         NA       43.18      46.69       090
22558..........  .............  A              Lumbar spine fusion...      22.28          NA         NA       14.96      18.43      2.62          NA         NA       39.86      43.33       090
22585..........  .............  A              Additional spinal            5.53          NA         NA        2.90       4.38      0.85          NA         NA        9.28      10.76       ZZZ
                                                fusion.
22590..........  .............  A              Spine & skull spinal        20.51          NA         NA       14.94      19.18      3.38          NA         NA       38.83      43.07       090
                                                fusion.
22595..........  .............  A              Neck spinal fusion....      19.39          NA         NA       13.99      18.57      3.23          NA         NA       36.61      41.19       090
22600..........  .............  A              Neck spine fusion.....      16.14          NA         NA       12.34      15.80      2.53          NA         NA       31.01      34.47       090
22610..........  .............  A              Thorax spine fusion...      16.02          NA         NA       12.29      15.71      2.22          NA         NA       30.53      33.95       090
22612..........  .............  A              Lumbar spine fusion...      21.00          NA         NA       15.00      18.68      2.62          NA         NA       38.62      42.30       090
22614..........  .............  A              Spine fusion, extra          6.44          NA         NA        3.43       4.78      0.82          NA         NA       10.69      12.04       ZZZ
                                                segment.
22630..........  .............  A              Lumbar spine fusion...      20.84          NA         NA       15.55      17.78      3.05          NA         NA       39.44      41.67       090
22632..........  .............  A              Spine fusion, extra          5.23          NA         NA        2.76       4.09      0.72          NA         NA        8.71      10.04       ZZZ
                                                segment.
22800..........  .............  A              Fusion of spine.......      18.25          NA         NA       13.08      17.44      2.09          NA         NA       33.42      37.78       090
22802..........  .............  A              Fusion of spine.......      30.88          NA         NA       20.41      25.57      3.38          NA         NA       54.67      59.83       090
22804..........  .............  A              Fusion of spine.......      36.27          NA         NA       23.20      26.97      3.82          NA         NA       63.29      67.06       090
22808..........  .............  A              Fusion of spine.......      26.27          NA         NA       17.93      18.96      3.79          NA         NA       47.99      49.02       090
22810..........  .............  A              Fusion of spine.......      30.27          NA         NA       19.54      19.76      3.51          NA         NA       53.32      53.54       090
22812..........  .............  A              Fusion of spine.......      32.70          NA         NA       20.85      24.50      3.60          NA         NA       57.15      60.80       090
22818..........  .............  A              Kyphectomy, 1-2             31.83          NA         NA       19.82      25.24      4.31          NA         NA       55.96      61.38       090
                                                segments.
22819..........  .............  A              Kyphectomy, 3 or more.      36.44          NA         NA       21.49      26.08      4.93          NA         NA       62.86      67.45       090
22830..........  .............  A              Exploration of spinal       10.85          NA         NA        9.34      11.15      1.31          NA         NA       21.50      23.31       090
                                                fusion.
22840..........  .............  A              Insert spine fixation       12.54          NA         NA        8.07       7.28      1.61          NA         NA       22.22      21.43       ZZZ
                                                device.
22841..........  .............  B              Insert spine fixation        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                device.
22842..........  .............  A              Insert spine fixation       12.58          NA         NA        6.67       7.06      1.63          NA         NA       20.88      21.27       ZZZ
                                                device.
22843..........  .............  A              Insert spine fixation       13.46          NA         NA        7.24       8.26      1.64          NA         NA       22.34      23.36       ZZZ
                                                device.
22844..........  .............  A              Insert spine fixation       16.44          NA         NA       10.32      10.83      1.76          NA         NA       28.52      29.03       ZZZ
                                                device.
22845..........  .............  A              Insert spine fixation       11.96          NA         NA        7.81       7.00      1.95          NA         NA       21.72      20.91       ZZZ
                                                device.
22846..........  .............  A              Insert spine fixation       12.42          NA         NA        8.08       8.33      2.00          NA         NA       22.50      22.75       ZZZ
                                                device.

[[Page 59452]]


22847..........  .............  A              Insert spine fixation       13.80          NA         NA        8.56       9.04      1.63          NA         NA       23.99      24.47       ZZZ
                                                device.
22848..........  .............  A              Insert pelv fixation         6.00          NA         NA        4.55       5.38      0.64          NA         NA       11.19      12.02       ZZZ
                                                device.
22849..........  .............  A              Reinsert spinal             18.51          NA         NA       13.27      13.02      2.25          NA         NA       34.03      33.78       090
                                                fixation.
22850..........  .............  A              Remove spine fixation        9.52          NA         NA        8.26       9.11      1.19          NA         NA       18.97      19.82       090
                                                device.
22851..........  .............  A              Apply spine prosth           6.71          NA         NA        5.02       5.99      0.93          NA         NA       12.66      13.63       ZZZ
                                                device.
22852..........  .............  A              Remove spine fixation        9.01          NA         NA        7.99       9.32      1.09          NA         NA       18.09      19.42       090
                                                device.
22855..........  .............  A              Remove spine fixation       15.13          NA         NA       11.16       9.63      2.35          NA         NA       28.64      27.11       090
                                                device.
22899..........  .............  C              Spine surgery                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
22900..........  .............  A              Remove abdominal wall        5.80          NA         NA        4.25       3.77      0.57          NA         NA       10.62      10.14       090
                                                lesion.
22999..........  .............  C              Abdomen surgery              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
23000..........  .............  A              Removal of calcium           4.36        7.26       5.39        6.86       5.19      0.40       12.02      10.15       11.62       9.95       090
                                                deposits.
23020..........  .............  A              Release shoulder joint       8.93          NA         NA        9.07       8.48      0.93          NA         NA       18.93      18.34       090
23030..........  .............  A              Drain shoulder lesion.       3.43        5.09       3.72        3.75       3.05      0.33        8.85       7.48        7.51       6.81       010
23031..........  .............  A              Drain shoulder bursa..       2.74        5.07       2.81        3.46       1.87      0.26        8.07       5.81        6.46       4.87       010
23035..........  .............  A              Drain shoulder bone          8.61          NA         NA       13.99      10.37      0.88          NA         NA       23.48      19.86       090
                                                lesion.
23040..........  .............  A              Exploratory shoulder         9.20          NA         NA       10.47      10.27      0.95          NA         NA       20.62      20.42       090
                                                surgery.
23044..........  .............  A              Exploratory shoulder         7.12          NA         NA        8.98       8.24      0.74          NA         NA       16.84      16.10       090
                                                surgery.
23065..........  .............  A              Biopsy shoulder              2.27        2.56       1.64        1.32       1.02      0.11        4.94       4.02        3.70       3.40       010
                                                tissues.
23066..........  .............  A              Biopsy shoulder              4.16        6.36       3.82        5.36       3.32      0.41       10.93       8.39        9.93       7.89       090
                                                tissues.
23075..........  .............  A              Removal of shoulder          2.39        4.44       3.13        2.76       2.29      0.23        7.06       5.75        5.38       4.91       010
                                                lesion.
23076..........  .............  A              Removal of shoulder          7.63          NA         NA        7.22       5.53      0.78          NA         NA       15.63      13.94       090
                                                lesion.
23077..........  .............  A              Remove tumor of             16.09          NA         NA       12.44      10.23      1.58          NA         NA       30.11      27.90       090
                                                shoulder.
23100..........  .............  A              Biopsy of shoulder           6.03          NA         NA        7.52       7.36      0.60          NA         NA       14.15      13.99       090
                                                joint.
23101..........  .............  A              Shoulder joint surgery       5.58          NA         NA        7.51       7.09      0.57          NA         NA       13.66      13.24       090
23105..........  .............  A              Remove shoulder joint        8.23          NA         NA        9.01       9.42      0.85          NA         NA       18.09      18.50       090
                                                lining.
23106..........  .............  A              Incision of collarbone       5.96          NA         NA        8.05       6.60      0.64          NA         NA       14.65      13.20       090
                                                joint.
23107..........  .............  A              Explore treat shoulder       8.62          NA         NA        9.41       9.85      0.88          NA         NA       18.91      19.35       090
                                                joint.
23120..........  .............  A              Partial removal,             7.11          NA         NA        8.65       6.83      0.73          NA         NA       16.49      14.67       090
                                                collar bone.
23125..........  .............  A              Removal of collar bone       9.39          NA         NA        9.39       9.30      0.97          NA         NA       19.75      19.66       090
23130..........  .............  A              Remove shoulder bone,        7.55          NA         NA        8.53       8.09      0.77          NA         NA       16.85      16.41       090
                                                part.
23140..........  .............  A              Removal of bone lesion       6.89          NA         NA        7.46       5.99      0.68          NA         NA       15.03      13.56       090
23145..........  .............  A              Removal of bone lesion       9.09          NA         NA       11.74      10.28      0.84          NA         NA       21.67      20.21       090
23146..........  .............  A              Removal of bone lesion       7.83          NA         NA        9.01       7.35      0.82          NA         NA       17.66      16.00       090
23150..........  .............  A              Removal of humerus           8.48          NA         NA        8.44       7.83      0.85          NA         NA       17.77      17.16       090
                                                lesion.
23155..........  .............  A              Removal of humerus          10.35          NA         NA       10.54      10.05      1.08          NA         NA       21.97      21.48       090
                                                lesion.
23156..........  .............  A              Removal of humerus           8.68          NA         NA        8.67       8.48      0.89          NA         NA       18.24      18.05       090
                                                lesion.
23170..........  .............  A              Remove collar bone           6.86          NA         NA        8.94       7.08      0.72          NA         NA       16.52      14.66       090
                                                lesion.
23172..........  .............  A              Remove shoulder blade        6.90          NA         NA        8.18       6.89      0.72          NA         NA       15.80      14.51       090
                                                lesion.
23174..........  .............  A              Remove humerus lesion.       9.51          NA         NA        9.90       9.59      0.94          NA         NA       20.35      20.04       090
23180..........  .............  A              Remove collar bone           8.53          NA         NA       13.35       9.01      0.88          NA         NA       22.76      18.42       090
                                                lesion.
23182..........  .............  A              Remove shoulder blade        8.15          NA         NA       15.09      11.11      0.84          NA         NA       24.08      20.10       090
                                                lesion.
23184..........  .............  A              Remove humerus lesion.       9.38          NA         NA       13.49      11.54      0.95          NA         NA       23.82      21.87       090
23190..........  .............  A              Partial removal of           7.24          NA         NA        7.28       6.94      0.74          NA         NA       15.26      14.92       090
                                                scapula.
23195..........  .............  A              Removal of head of           9.81          NA         NA        9.64       9.66      1.02          NA         NA       20.47      20.49       090
                                                humerus.
23200..........  .............  A              Removal of collar bone      12.08          NA         NA       13.22      11.59      1.22          NA         NA       26.52      24.89       090
23210..........  .............  A              Removal of shoulder         12.49          NA         NA       12.52      11.15      1.25          NA         NA       26.26      24.89       090
                                                blade.
23220..........  .............  A              Partial removal of          14.56          NA         NA       14.26      13.67      1.47          NA         NA       30.29      29.70       090
                                                humerus.
23221..........  .............  A              Partial removal of          17.74          NA         NA       13.19      16.44      1.26          NA         NA       32.19      35.44       090
                                                humerus.
23222..........  .............  A              Partial removal of          23.92          NA         NA       18.33      17.32      2.43          NA         NA       44.68      43.67       090
                                                humerus.
23330..........  .............  A              Remove shoulder              1.85        4.44       2.52        3.20       1.75      0.18        6.47       4.55        5.23       3.78       010
                                                foreign body.
23331..........  .............  A              Remove shoulder              7.38          NA         NA        8.31       5.38      0.76          NA         NA       16.45      13.52       090
                                                foreign body.
23332..........  .............  A              Remove shoulder             11.62          NA         NA       10.61      10.58      1.19          NA         NA       23.42      23.39       090
                                                foreign body.
23350..........  .............  A              Injection for shoulder       1.00        8.70       4.63        0.28       0.42      0.04        9.74       5.67        1.32       1.46       000
                                                x-ray.
23395..........  .............  A              Muscle transfer,            16.85          NA         NA       12.83      12.46      1.74          NA         NA       31.42      31.05       090
                                                shoulder/arm.
23397..........  .............  A              Muscle transfers......      16.13          NA         NA       12.97      14.07      1.68          NA         NA       30.78      31.88       090
23400..........  .............  A              Fixation of shoulder        13.54          NA         NA       13.77      12.23      1.42          NA         NA       28.73      27.19       090
                                                blade.
23405..........  .............  A              Incision of tendon &         8.37          NA         NA        9.72       8.93      0.86          NA         NA       18.95      18.16       090
                                                muscle.
23406..........  .............  A              Incise tendon(s) &          10.79          NA         NA       10.34      10.28      1.13          NA         NA       22.26      22.20       090
                                                muscle(s).
23410..........  .............  A              Repair of tendon(s)...      12.45          NA         NA       11.54      11.71      1.27          NA         NA       25.26      25.43       090
23412..........  .............  A              Repair of tendon(s)...      13.31          NA         NA       12.03      13.27      1.36          NA         NA       26.70      27.94       090
23415..........  .............  A              Release of shoulder          9.97          NA         NA        9.05       7.34      1.02          NA         NA       20.04      18.33       090
                                                ligament.
23420..........  .............  A              Repair of shoulder....      13.30          NA         NA       12.78      14.33      1.36          NA         NA       27.44      28.99       090
23430..........  .............  A              Repair biceps tendon..       9.98          NA         NA       10.23       9.10      1.02          NA         NA       21.23      20.10       090
23440..........  .............  A              Remove/transplant           10.48          NA         NA       10.30       9.04      1.08          NA         NA       21.86      20.60       090
                                                tendon.
23450..........  .............  A              Repair shoulder             13.40          NA         NA       11.63      12.74      1.37          NA         NA       26.40      27.51       090
                                                capsule.
23455..........  .............  A              Repair shoulder             14.37          NA         NA       12.34      14.62      1.47          NA         NA       28.18      30.46       090
                                                capsule.
23460..........  .............  A              Repair shoulder             15.37          NA         NA       12.88      14.08      1.56          NA         NA       29.81      31.01       090
                                                capsule.
23462..........  .............  A              Repair shoulder             15.30          NA         NA       12.83      14.63      1.50          NA         NA       29.63      31.43       090
                                                capsule.
23465..........  .............  A              Repair shoulder             15.85          NA         NA       13.21      14.29      1.63          NA         NA       30.69      31.77       090
                                                capsule.
23466..........  .............  A              Repair shoulder             14.22          NA         NA       12.21      14.59      1.47          NA         NA       27.90      30.28       090
                                                capsule.
23470..........  .............  A              Reconstruct shoulder        17.15          NA         NA       13.98      16.09      1.76          NA         NA       32.89      35.00       090
                                                joint.
23472..........  .............  A              Reconstruct shoulder        16.92          NA         NA       13.86      17.03      1.74          NA         NA       32.52      35.69       090
                                                joint.
23480..........  .............  A              Revision of collar          11.18          NA         NA       10.27       8.71      1.16          NA         NA       22.61      21.05       090
                                                bone.
23485..........  .............  A              Revision of collar          13.43          NA         NA       11.78      12.05      1.37          NA         NA       26.58      26.85       090
                                                bone.
23490..........  .............  A              Reinforce clavicle....      11.86          NA         NA       10.12      10.48      1.24          NA         NA       23.22      23.58       090
23491..........  .............  A              Reinforce shoulder          14.21          NA         NA       11.72      12.75      1.48          NA         NA       27.41      28.44       090
                                                bones.
23500..........  .............  A              Treat clavicle               2.08        3.16       2.48        2.16       1.98      0.21        5.45       4.77        4.45       4.27       090
                                                fracture.
23505..........  .............  A              Treat clavicle               3.69        4.84       3.82        3.43       3.11      0.37        8.90       7.88        7.49       7.17       090
                                                fracture.
23515..........  .............  A              Treat clavicle               7.41          NA         NA        7.40       7.46      0.76          NA         NA       15.57      15.63       090
                                                fracture.
23520..........  .............  A              Treat clavicle               2.16        3.26       2.38        2.20       1.85      0.21        5.63       4.75        4.57       4.22       090
                                                dislocation.
23525..........  .............  A              Treat clavicle               3.60        4.45       3.30        3.32       2.74      0.37        8.42       7.27        7.29       6.71       090
                                                dislocation.

[[Page 59453]]


23530..........  .............  A              Treat clavicle               7.31          NA         NA        6.69       6.92      0.74          NA         NA       14.74      14.97       090
                                                dislocation.
23532..........  .............  A              Treat clavicle               8.01          NA         NA        6.86       7.36      0.84          NA         NA       15.71      16.21       090
                                                dislocation.
23540..........  .............  A              Treat clavicle               2.23        3.60       2.64        2.20       1.94      0.21        6.04       5.08        4.64       4.38       090
                                                dislocation.
23545..........  .............  A              Treat clavicle               3.25        4.19       3.17        3.10       2.63      0.32        7.76       6.74        6.67       6.20       090
                                                dislocation.
23550..........  .............  A              Treat clavicle               7.24          NA         NA        7.28       7.96      0.73          NA         NA       15.25      15.93       090
                                                dislocation.
23552..........  .............  A              Treat clavicle               8.45          NA         NA        7.74       7.83      0.84          NA         NA       17.03      17.12       090
                                                dislocation.
23570..........  .............  A              Treat shoulder blade         2.23        3.17       2.51        2.28       2.06      0.23        5.63       4.97        4.74       4.52       090
                                                fx.
23575..........  .............  A              Treat shoulder blade         4.06        5.10       4.04        3.84       3.41      0.41        9.57       8.51        8.31       7.88       090
                                                fx.
23585..........  .............  A              Treat scapula fracture       8.96          NA         NA        8.66       8.51      0.92          NA         NA       18.54      18.39       090
23600..........  .............  A              Treat humerus fracture       2.93        4.83       3.99        3.21       3.18      0.30        8.06       7.22        6.44       6.41       090
23605..........  .............  A              Treat humerus fracture       4.87        7.30       6.24        5.81       5.49      0.51       12.68      11.62       11.19      10.87       090
23615..........  .............  A              Treat humerus fracture       9.35          NA         NA        9.10      10.14      0.96          NA         NA       19.41      20.45       090
23616..........  .............  A              Treat humerus fracture      21.27          NA         NA       14.98      19.60      2.19          NA         NA       38.44      43.06       090
23620..........  .............  A              Treat humerus fracture       2.40        4.54       3.84        3.00       2.22      0.25        7.19       6.49        5.65       4.87       090
23625..........  .............  A              Treat humerus fracture       3.93        6.35       5.25        4.82       4.49      0.41       10.69       9.59        9.16       8.83       090
23630..........  .............  A              Treat humerus fracture       7.35          NA         NA        7.37       8.08      0.75          NA         NA       15.47      16.18       090
23650..........  .............  A              Treat shoulder               3.39        4.54       3.41        3.05       2.67      0.32        8.25       7.12        6.76       6.38       090
                                                dislocation.
23655..........  .............  A              Treat shoulder               4.57          NA         NA        3.73       3.46      0.46          NA         NA        8.76       8.49       090
                                                dislocation.
23660..........  .............  A              Treat shoulder               7.49          NA         NA        7.08       8.01      0.69          NA         NA       15.26      16.19       090
                                                dislocation.
23665..........  .............  A              Treat dislocation/           4.47        6.51       5.08        5.10       4.37      0.46       11.44      10.01       10.03       9.30       090
                                                fracture.
23670..........  .............  A              Treat dislocation/           7.90          NA         NA        7.63       8.53      0.81          NA         NA       16.34      17.24       090
                                                fracture.
23675..........  .............  A              Treat dislocation/           6.05        7.38       5.83        5.93       5.10      0.62       14.05      12.50       12.60      11.77       090
                                                fracture.
23680..........  .............  A              Treat dislocation/          10.06          NA         NA        8.74      10.38      1.03          NA         NA       19.83      21.47       090
                                                fracture.
23700..........  .............  A              Fixation of shoulder..       2.52          NA         NA        2.93       2.60      0.26          NA         NA        5.71       5.38       010
23800..........  .............  A              Fusion of shoulder          14.16          NA         NA       13.11      15.01      1.41          NA         NA       28.68      30.58       090
                                                joint.
23802..........  .............  A              Fusion of shoulder          16.60          NA         NA       10.33      12.80      1.70          NA         NA       28.63      31.10       090
                                                joint.
23900..........  .............  A              Amputation of arm &         19.72          NA         NA       14.14      13.89      1.86          NA         NA       35.72      35.47       090
                                                girdle.
23920..........  .............  A              Amputation at shoulder      14.61          NA         NA       11.81      13.42      1.52          NA         NA       27.94      29.55       090
                                                joint.
23921..........  .............  A              Amputation follow-up         5.49        5.99       5.31        5.96       5.30      0.50       11.98      11.30       11.95      11.29       090
                                                surgery.
23929..........  .............  C              Shoulder surgery             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
23930..........  .............  A              Drainage of arm lesion       2.94        4.96       3.36        3.46       2.61      0.29        8.19       6.59        6.69       5.84       010
23931..........  .............  A              Drainage of arm bursa.       1.79        4.62       2.72        2.99       1.70      0.17        6.58       4.68        4.95       3.66       010
23935..........  .............  A              Drain arm/elbow bone         6.09          NA         NA       10.32       7.71      0.62          NA         NA       17.03      14.42       090
                                                lesion.
24000..........  .............  A              Exploratory elbow            5.82          NA         NA        5.23       6.09      0.58          NA         NA       11.63      12.49       090
                                                surgery.
24006..........  .............  A              Release elbow joint...       9.31          NA         NA        7.76       7.76      0.96          NA         NA       18.03      18.03       090
24065..........  .............  A              Biopsy arm/elbow soft        2.08        4.83       2.85        2.77       1.60      0.11        7.02       5.04        4.96       3.79       010
                                                tissue.
24066..........  .............  A              Biopsy arm/elbow soft        5.21        7.18       5.06        5.75       4.35      0.55       12.94      10.82       11.51      10.11       090
                                                tissue.
24075..........  .............  A              Remove arm/elbow             3.92        6.71       4.43        5.08       3.62      0.38       11.01       8.73        9.38       7.92       090
                                                lesion.
24076..........  .............  A              Remove arm/elbow             6.30          NA         NA        6.16       5.08      0.64          NA         NA       13.10      12.02       090
                                                lesion.
24077..........  .............  A              Remove tumor of arm/        11.76          NA         NA       11.59      11.11      1.17          NA         NA       24.52      24.04       090
                                                elbow.
24100..........  .............  A              Biopsy elbow joint           4.93          NA         NA        5.86       5.23      0.46          NA         NA       11.25      10.62       090
                                                lining.
24101..........  .............  A              Explore/treat elbow          6.13          NA         NA        6.05       6.68      0.63          NA         NA       12.81      13.44       090
                                                joint.
24102..........  .............  A              Remove elbow joint           8.03          NA         NA        7.02       8.30      0.83          NA         NA       15.88      17.16       090
                                                lining.
24105..........  .............  A              Removal of elbow bursa       3.61          NA         NA        4.30       4.20      0.37          NA         NA        8.28       8.18       090
24110..........  .............  A              Remove humerus lesion.       7.39          NA         NA        8.21       8.28      0.78          NA         NA       16.38      16.45       090
24115..........  .............  A              Remove/graft bone            9.63          NA         NA       11.53       9.93      0.85          NA         NA       22.01      20.41       090
                                                lesion.
24116..........  .............  A              Remove/graft bone           11.81          NA         NA       10.57      10.56      1.20          NA         NA       23.58      23.57       090
                                                lesion.
24120..........  .............  A              Remove elbow lesion...       6.65          NA         NA        5.85       6.19      0.68          NA         NA       13.18      13.52       090
24125..........  .............  A              Remove/graft bone            7.89          NA         NA        6.55       6.42      0.76          NA         NA       15.20      15.07       090
                                                lesion.
24126..........  .............  A              Remove/graft bone            8.31          NA         NA        6.84       7.44      0.87          NA         NA       16.02      16.62       090
                                                lesion.
24130..........  .............  A              Removal of head of           6.25          NA         NA        5.97       6.63      0.65          NA         NA       12.87      13.53       090
                                                radius.
24134..........  .............  A              Removal of arm bone          9.73          NA         NA       13.12      11.28      0.94          NA         NA       23.79      21.95       090
                                                lesion.
24136..........  .............  A              Remove radius bone           7.99          NA         NA        5.60       7.57      0.80          NA         NA       14.39      16.36       090
                                                lesion.
24138..........  .............  A              Remove elbow bone            8.05          NA         NA        6.95       6.94      0.84          NA         NA       15.84      15.83       090
                                                lesion.
24140..........  .............  A              Partial removal of arm       9.18          NA         NA       13.98      11.75      0.95          NA         NA       24.11      21.88       090
                                                bone.
24145..........  .............  A              Partial removal of           7.58          NA         NA        9.58       8.25      0.77          NA         NA       17.93      16.60       090
                                                radius.
24147..........  .............  A              Partial removal of           7.54          NA         NA        9.24       8.21      0.80          NA         NA       17.58      16.55       090
                                                elbow.
24149..........  .............  A              Radical resection of        14.20          NA         NA       10.60      12.16      1.46          NA         NA       26.26      27.82       090
                                                elbow.
24150..........  .............  A              Extensive humerus           13.27          NA         NA       12.97      14.13      1.34          NA         NA       27.58      28.74       090
                                                surgery.
24151..........  .............  A              Extensive humerus           15.58          NA         NA       13.68      14.35      1.50          NA         NA       30.76      31.43       090
                                                surgery.
24152..........  .............  A              Extensive radius            10.06          NA         NA        8.25       7.82      0.95          NA         NA       19.26      18.83       090
                                                surgery.
24153..........  .............  A              Extensive radius            11.54          NA         NA        6.78       9.06      0.67          NA         NA       18.99      21.27       090
                                                surgery.
24155..........  .............  A              Removal of elbow joint      11.73          NA         NA        8.82      10.25      1.18          NA         NA       21.73      23.16       090
24160..........  .............  A              Remove elbow joint           7.83          NA         NA        6.79       6.02      0.78          NA         NA       15.40      14.63       090
                                                implant.
24164..........  .............  A              Remove radius head           6.23          NA         NA        5.85       5.93      0.65          NA         NA       12.73      12.81       090
                                                implant.
24200..........  .............  A              Removal of arm foreign       1.76        4.49       2.55        2.69       1.50      0.14        6.39       4.45        4.59       3.40       010
                                                body.
24201..........  .............  A              Removal of arm foreign       4.56        7.05       5.19        5.77       4.55      0.48       12.09      10.23       10.81       9.59       090
                                                body.
24220..........  .............  A              Injection for elbow x-       1.31       10.17       5.36        0.37       0.46      0.07       11.55       6.74        1.75       1.84       000
                                                ray.
24301..........  .............  A              Muscle/tendon transfer      10.20          NA         NA        8.44       8.51      1.04          NA         NA       19.68      19.75       090
24305..........  .............  A              Arm tendon lengthening       7.45          NA         NA        6.57       4.96      0.75          NA         NA       14.77      13.16       090
24310..........  .............  A              Revision of arm tendon       5.98          NA         NA        6.79       5.00      0.63          NA         NA       13.40      11.61       090
24320..........  .............  A              Repair of arm tendon..      10.56          NA         NA        9.85       9.92      0.98          NA         NA       21.39      21.46       090
24330..........  .............  A              Revision of arm              9.60          NA         NA        7.65       8.57      1.03          NA         NA       18.28      19.20       090
                                                muscles.
24331..........  .............  A              Revision of arm             10.65          NA         NA        8.18       9.31      1.11          NA         NA       19.94      21.07       090
                                                muscles.
24340..........  .............  A              Repair of biceps             7.89          NA         NA        6.70       7.15      0.81          NA         NA       15.40      15.85       090
                                                tendon.
24341..........  .............  A              Repair arm tendon/           7.90          NA         NA        6.86       7.23      0.82          NA         NA       15.58      15.95       090
                                                muscle.
24342..........  .............  A              Repair of ruptured          10.62          NA         NA        8.46       9.86      1.10          NA         NA       20.18      21.58       090
                                                tendon.
24350..........  .............  A              Repair of tennis elbow       5.25          NA         NA        5.24       4.92      0.54          NA         NA       11.03      10.71       090
24351..........  .............  A              Repair of tennis elbow       5.91          NA         NA        5.71       5.34      0.62          NA         NA       12.24      11.87       090
24352..........  .............  A              Repair of tennis elbow       6.43          NA         NA        6.23       6.21      0.66          NA         NA       13.32      13.30       090
24354..........  .............  A              Repair of tennis elbow       6.48          NA         NA        6.15       6.12      0.68          NA         NA       13.31      13.28       090

[[Page 59454]]


24356..........  .............  A              Revision of tennis           6.68          NA         NA        6.14       7.02      0.70          NA         NA       13.52      14.40       090
                                                elbow.
24360..........  .............  A              Reconstruct elbow           12.34          NA         NA        9.17      11.95      1.27          NA         NA       22.78      25.56       090
                                                joint.
24361..........  .............  A              Reconstruct elbow           14.08          NA         NA        9.90      12.08      1.46          NA         NA       25.44      27.62       090
                                                joint.
24362..........  .............  A              Reconstruct elbow           14.99          NA         NA       10.74       8.94      1.34          NA         NA       27.07      25.27       090
                                                joint.
24363..........  .............  A              Replace elbow joint...      18.49          NA         NA       12.73      17.40      1.91          NA         NA       33.13      37.80       090
24365..........  .............  A              Reconstruct head of          8.39          NA         NA        7.27       7.72      0.87          NA         NA       16.53      16.98       090
                                                radius.
24366..........  .............  A              Reconstruct head of          9.13          NA         NA        7.57       9.24      0.95          NA         NA       17.65      19.32       090
                                                radius.
24400..........  .............  A              Revision of humerus...      11.06          NA         NA       11.50      10.33      1.13          NA         NA       23.69      22.52       090
24410..........  .............  A              Revision of humerus...      14.82          NA         NA       12.33      13.79      1.37          NA         NA       28.52      29.98       090
24420..........  .............  A              Revision of humerus...      13.44          NA         NA       14.52      13.94      1.36          NA         NA       29.32      28.74       090
24430..........  .............  A              Repair of humerus.....      12.81          NA         NA       11.38      13.34      1.32          NA         NA       25.51      27.47       090
24435..........  .............  A              Repair humerus with         13.17          NA         NA       12.48      14.11      1.36          NA         NA       27.01      28.64       090
                                                graft.
24470..........  .............  A              Revision of elbow            8.74          NA         NA        7.28       7.94      0.92          NA         NA       16.94      17.60       090
                                                joint.
24495..........  .............  A              Decompression of             8.12          NA         NA        9.44       7.84      0.91          NA         NA       18.47      16.87       090
                                                forearm.
24498..........  .............  A              Reinforce humerus.....      11.92          NA         NA       11.35      11.30      1.23          NA         NA       24.50      24.45       090
24500..........  .............  A              Treat humerus fracture       3.21        6.75       4.76        2.97       2.87      0.32       10.28       8.29        6.50       6.40       090
24505..........  .............  A              Treat humerus fracture       5.17        9.99       7.44        6.03       5.46      0.53       15.69      13.14       11.73      11.16       090
24515..........  .............  A              Treat humerus fracture      11.65          NA         NA       10.18      10.33      1.16          NA         NA       22.99      23.14       090
24516..........  .............  A              Treat humerus fracture      11.65          NA         NA       10.61      10.54      1.20          NA         NA       23.46      23.39       090
24530..........  .............  A              Treat humerus fracture       3.50        7.70       5.33        4.28       3.62      0.35       11.55       9.18        8.13       7.47       090
24535..........  .............  A              Treat humerus fracture       6.87       10.08       7.67        6.07       5.67      0.72       17.67      15.26       13.66      13.26       090
24538..........  .............  A              Treat humerus fracture       9.43          NA         NA        9.20       8.93      0.96          NA         NA       19.59      19.32       090
24545..........  .............  A              Treat humerus fracture      10.46          NA         NA        9.08       9.95      1.08          NA         NA       20.62      21.49       090
24546..........  .............  A              Treat humerus fracture      15.69          NA         NA       12.41      11.62      1.62          NA         NA       29.72      28.93       090
24560..........  .............  A              Treat humerus fracture       2.80        6.54       4.44        2.77       2.56      0.28        9.62       7.52        5.85       5.64       090
24565..........  .............  A              Treat humerus fracture       5.56        9.08       6.41        5.22       4.48      0.57       15.21      12.54       11.35      10.61       090
24566..........  .............  A              Treat humerus fracture       7.79          NA         NA        8.31       7.45      0.78          NA         NA       16.88      16.02       090
24575..........  .............  A              Treat humerus fracture      10.66          NA         NA        7.66       8.06      1.10          NA         NA       19.42      19.82       090
24576..........  .............  A              Treat humerus fracture       2.86        6.31       4.33        2.86       2.60      0.29        9.46       7.48        6.01       5.75       090
24577..........  .............  A              Treat humerus fracture       5.79        9.38       6.86        5.48       4.91      0.60       15.77      13.25       11.87      11.30       090
24579..........  .............  A              Treat humerus fracture      11.60          NA         NA        9.13       9.11      1.19          NA         NA       21.92      21.90       090
24582..........  .............  A              Treat humerus fracture       8.55          NA         NA        9.10       8.14      0.88          NA         NA       18.53      17.57       090
24586..........  .............  A              Treat elbow fracture..      15.21          NA         NA       10.20      13.09      1.56          NA         NA       26.97      29.86       090
24587..........  .............  A              Treat elbow fracture..      15.16          NA         NA        9.96      12.43      1.46          NA         NA       26.58      29.05       090
24600..........  .............  A              Treat elbow                  4.23        8.26       5.19        4.52       3.32      0.42       12.91       9.84        9.17       7.97       090
                                                dislocation.
24605..........  .............  A              Treat elbow                  5.42          NA         NA        4.36       3.43      0.56          NA         NA       10.34       9.41       090
                                                dislocation.
24615..........  .............  A              Treat elbow                  9.42          NA         NA        7.13       8.61      0.98          NA         NA       17.53      19.01       090
                                                dislocation.
24620..........  .............  A              Treat elbow fracture..       6.98          NA         NA        5.98       5.04      0.70          NA         NA       13.66      12.72       090
24635..........  .............  A              Treat elbow fracture..      13.19          NA         NA       19.27      15.64      1.37          NA         NA       33.83      30.20       090
24640..........  .............  A              Treat elbow                  1.20        5.18       3.14        1.61       1.36      0.11        6.49       4.45        2.92       2.67       010
                                                dislocation.
24650..........  .............  A              Treat radius fracture.       2.16        6.23       4.34        2.55       1.89      0.22        8.61       6.72        4.93       4.27       090
24655..........  .............  A              Treat radius fracture.       4.40        8.62       5.95        4.66       3.97      0.45       13.47      10.80        9.51       8.82       090
24665..........  .............  A              Treat radius fracture.       8.14          NA         NA        8.36       8.05      0.84          NA         NA       17.34      17.03       090
24666..........  .............  A              Treat radius fracture.       9.49          NA         NA        9.02      10.09      0.98          NA         NA       19.49      20.56       090
24670..........  .............  A              Treat ulnar fracture..       2.54        6.15       4.14        2.73       2.43      0.26        8.95       6.94        5.53       5.23       090
24675..........  .............  A              Treat ulnar fracture..       4.72        8.77       6.29        4.91       4.36      0.49       13.98      11.50       10.12       9.57       090
24685..........  .............  A              Treat ulnar fracture..       8.80          NA         NA        8.69       8.91      0.91          NA         NA       18.40      18.62       090
24800..........  .............  A              Fusion of elbow joint.      11.20          NA         NA        8.56      10.03      1.13          NA         NA       20.89      22.36       090
24802..........  .............  A              Fusion/graft of elbow       13.69          NA         NA       10.33      11.78      1.37          NA         NA       25.39      26.84       090
                                                joint.
24900..........  .............  A              Amputation of upper          9.60          NA         NA        9.49       8.91      1.00          NA         NA       20.09      19.51       090
                                                arm.
24920..........  .............  A              Amputation of upper          9.54          NA         NA       10.32       8.84      0.95          NA         NA       20.81      19.33       090
                                                arm.
24925..........  .............  A              Amputation follow-up         7.07          NA         NA        7.69       7.25      0.71          NA         NA       15.47      15.03       090
                                                surgery.
24930..........  .............  A              Amputation follow-up        10.25          NA         NA       10.82       9.84      0.99          NA         NA       22.06      21.08       090
                                                surgery.
24931..........  .............  A              Amputate upper arm &        12.72          NA         NA        8.15      10.14      1.29          NA         NA       22.16      24.15       090
                                                implant.
24935..........  .............  A              Revision of amputation      15.56          NA         NA       11.18      13.03      1.58          NA         NA       28.32      30.17       090
24940..........  .............  C              Revision of upper arm.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       090
24999..........  .............  C              Upper arm/elbow              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                surgery.
25000..........  .............  A              Incision of tendon           3.38          NA         NA        5.80       4.92      0.35          NA         NA        9.53       8.65       090
                                                sheath.
25020..........  .............  A              Decompression of             5.92          NA         NA        9.13       6.93      0.66          NA         NA       15.71      13.51       090
                                                forearm.
25023..........  .............  A              Decompression of            12.96          NA         NA       14.45      10.18      1.34          NA         NA       28.75      24.48       090
                                                forearm.
25028..........  .............  A              Drainage of forearm          5.25          NA         NA        8.56       5.40      0.53          NA         NA       14.34      11.18       090
                                                lesion.
25031..........  .............  A              Drainage of forearm          4.14          NA         NA        8.30       4.51      0.36          NA         NA       12.80       9.01       090
                                                bursa.
25035..........  .............  A              Treat forearm bone           7.36          NA         NA       13.04       9.94      0.74          NA         NA       21.14      18.04       090
                                                lesion.
25040..........  .............  A              Explore/treat wrist          7.18          NA         NA        7.72       6.95      0.74          NA         NA       15.64      14.87       090
                                                joint.
25065..........  .............  A              Biopsy forearm soft          1.99        2.44       1.63        2.44       1.43      0.10        4.53       3.72        4.53       3.52       010
                                                tissues.
25066..........  .............  A              Biopsy forearm soft          4.13          NA         NA        6.57       4.12      0.42          NA         NA       11.12       8.67       090
                                                tissues.
25075..........  .............  A              Removal of forearm           3.74          NA         NA        6.22       4.30      0.36          NA         NA       10.32       8.40       090
                                                lesion.
25076..........  .............  A              Removal of forearm           4.92          NA         NA       10.22       7.16      0.51          NA         NA       15.65      12.59       090
                                                lesion.
25077..........  .............  A              Remove tumor, forearm/       9.76          NA         NA       12.85      11.03      0.97          NA         NA       23.58      21.76       090
                                                wrist.
25085..........  .............  A              Incision of wrist            5.50          NA         NA        8.41       6.71      0.57          NA         NA       14.48      12.78       090
                                                capsule.
25100..........  .............  A              Biopsy of wrist joint.       3.90          NA         NA        5.81       5.24      0.41          NA         NA       10.12       9.55       090
25101..........  .............  A              Explore/treat wrist          4.69          NA         NA        6.40       6.00      0.49          NA         NA       11.58      11.18       090
                                                joint.
25105..........  .............  A              Remove wrist joint           5.85          NA         NA        8.97       7.98      0.60          NA         NA       15.42      14.43       090
                                                lining.
25107..........  .............  A              Remove wrist joint           6.43          NA         NA        9.07       7.40      0.67          NA         NA       16.17      14.50       090
                                                cartilage.
25110..........  .............  A              Remove wrist tendon          3.92          NA         NA        6.81       4.93      0.39          NA         NA       11.12       9.24       090
                                                lesion.
25111..........  .............  A              Remove wrist tendon          3.39          NA         NA        5.23       4.36      0.34          NA         NA        8.96       8.09       090
                                                lesion.
25112..........  .............  A              Reremove wrist tendon        4.53          NA         NA        6.02       5.03      0.47          NA         NA       11.02      10.03       090
                                                lesion.
25115..........  .............  A              Remove wrist/forearm         8.82          NA         NA       13.51      10.63      0.92          NA         NA       23.25      20.37       090
                                                lesion.
25116..........  .............  A              Remove wrist/forearm         7.11          NA         NA       12.46      10.48      0.74          NA         NA       20.31      18.33       090
                                                lesion.
25118..........  .............  A              Excise wrist tendon          4.37          NA         NA        6.29       5.76      0.46          NA         NA       11.12      10.59       090
                                                sheath.
25119..........  .............  A              Partial removal of           6.04          NA         NA        9.12       8.17      0.62          NA         NA       15.78      14.83       090
                                                ulna.

[[Page 59455]]


25120..........  .............  A              Removal of forearm           6.10          NA         NA       11.79       9.44      0.64          NA         NA       18.53      16.18       090
                                                lesion.
25125..........  .............  A              Remove/graft forearm         7.48          NA         NA       12.59      10.01      0.77          NA         NA       20.84      18.26       090
                                                lesion.
25126..........  .............  A              Remove/graft forearm         7.55          NA         NA       11.49       9.44      0.77          NA         NA       19.81      17.76       090
                                                lesion.
25130..........  .............  A              Removal of wrist             5.26          NA         NA        6.62       5.60      0.54          NA         NA       12.42      11.40       090
                                                lesion.
25135..........  .............  A              Remove & graft wrist         6.89          NA         NA        7.48       6.71      0.73          NA         NA       15.10      14.33       090
                                                lesion.
25136..........  .............  A              Remove & graft wrist         5.97          NA         NA        6.48       5.81      0.62          NA         NA       13.07      12.40       090
                                                lesion.
25145..........  .............  A              Remove forearm bone          6.37          NA         NA       11.88       9.17      0.66          NA         NA       18.91      16.20       090
                                                lesion.
25150..........  .............  A              Partial removal of           7.09          NA         NA        9.85       8.55      0.72          NA         NA       17.66      16.36       090
                                                ulna.
25151..........  .............  A              Partial removal of           7.39          NA         NA       12.50       9.37      0.77          NA         NA       20.66      17.53       090
                                                radius.
25170..........  .............  A              Extensive forearm           11.09          NA         NA       14.22      12.42      1.16          NA         NA       26.47      24.67       090
                                                surgery.
25210..........  .............  A              Removal of wrist bone.       5.95          NA         NA        7.05       6.18      0.62          NA         NA       13.62      12.75       090
25215..........  .............  A              Removal of wrist bones       7.89          NA         NA       10.32       9.87      0.81          NA         NA       19.02      18.57       090
25230..........  .............  A              Partial removal of           5.23          NA         NA        6.56       6.30      0.53          NA         NA       12.32      12.06       090
                                                radius.
25240..........  .............  A              Partial removal of           5.17          NA         NA        8.60       7.18      0.53          NA         NA       14.30      12.88       090
                                                ulna.
25246..........  .............  A              Injection for wrist x-       1.45        8.81       4.68        0.40       0.47      0.06       10.32       6.19        1.91       1.98       000
                                                ray.
25248..........  .............  A              Remove forearm foreign       5.14          NA         NA        8.97       5.67      0.51          NA         NA       14.62      11.32       090
                                                body.
25250..........  .............  A              Removal of wrist             6.60          NA         NA        7.34       6.73      0.68          NA         NA       14.62      14.01       090
                                                prosthesis.
25251..........  .............  A              Removal of wrist             9.57          NA         NA       12.36      10.66      0.98          NA         NA       22.91      21.21       090
                                                prosthesis.
25260..........  .............  A              Repair forearm tendon/       7.80          NA         NA       13.24       9.12      0.81          NA         NA       21.85      17.73       090
                                                muscle.
25263..........  .............  A              Repair forearm tendon/       7.82          NA         NA       14.42      10.34      0.81          NA         NA       23.05      18.97       090
                                                muscle.
25265..........  .............  A              Repair forearm tendon/       9.88          NA         NA       14.96      11.79      1.02          NA         NA       25.86      22.69       090
                                                muscle.
25270..........  .............  A              Repair forearm tendon/       6.00          NA         NA       12.30       7.98      0.62          NA         NA       18.92      14.60       090
                                                muscle.
25272..........  .............  A              Repair forearm tendon/       7.04          NA         NA       12.82       8.28      0.74          NA         NA       20.60      16.06       090
                                                muscle.
25274..........  .............  A              Repair forearm tendon/       8.75          NA         NA       13.79      10.49      0.91          NA         NA       23.45      20.15       090
                                                muscle.
25280..........  .............  A              Revise wrist/forearm         7.22          NA         NA       12.43       8.51      0.74          NA         NA       20.39      16.47       090
                                                tendon.
25290..........  .............  A              Incise wrist/forearm         5.29          NA         NA       13.83       8.26      0.55          NA         NA       19.67      14.10       090
                                                tendon.
25295..........  .............  A              Release wrist/forearm        6.55          NA         NA       12.25       7.78      0.68          NA         NA       19.48      15.01       090
                                                tendon.
25300..........  .............  A              Fusion of tendons at         8.80          NA         NA        9.37       8.68      0.87          NA         NA       19.04      18.35       090
                                                wrist.
25301..........  .............  A              Fusion of tendons at         8.40          NA         NA        8.58       7.97      0.83          NA         NA       17.81      17.20       090
                                                wrist.
25310..........  .............  A              Transplant forearm           8.14          NA         NA       13.62      10.69      0.84          NA         NA       22.60      19.67       090
                                                tendon.
25312..........  .............  A              Transplant forearm           9.57          NA         NA       14.64      11.46      0.98          NA         NA       25.19      22.01       090
                                                tendon.
25315..........  .............  A              Revise palsy hand           10.20          NA         NA       14.29      11.52      1.10          NA         NA       25.59      22.82       090
                                                tendon(s).
25316..........  .............  A              Revise palsy hand           12.33          NA         NA       16.10      13.79      1.23          NA         NA       29.66      27.35       090
                                                tendon(s).
25320..........  .............  A              Repair/revise wrist         10.77          NA         NA       10.24       9.79      1.11          NA         NA       22.12      21.67       090
                                                joint.
25332..........  .............  A              Revise wrist joint....      11.41          NA         NA       10.48      10.66      1.16          NA         NA       23.05      23.23       090
25335..........  .............  A              Realignment of hand...      12.88          NA         NA       12.16      12.27      1.36          NA         NA       26.40      26.51       090
25337..........  .............  A              Reconstruct ulna/           10.17          NA         NA       11.18      10.26      1.06          NA         NA       22.41      21.49       090
                                                radioulnar.
25350..........  .............  A              Revision of radius....       8.78          NA         NA       13.85      11.06      0.91          NA         NA       23.54      20.75       090
25355..........  .............  A              Revision of radius....      10.17          NA         NA       13.76      11.83      1.05          NA         NA       24.98      23.05       090
25360..........  .............  A              Revision of ulna......       8.43          NA         NA       13.95      10.46      0.90          NA         NA       23.28      19.79       090
25365..........  .............  A              Revise radius & ulna..      12.40          NA         NA       16.87      14.03      1.20          NA         NA       30.47      27.63       090
25370..........  .............  A              Revise radius or ulna.      13.36          NA         NA       13.09      12.93      1.30          NA         NA       27.75      27.59       090
25375..........  .............  A              Revise radius & ulna..      13.04          NA         NA       15.05      14.79      1.27          NA         NA       29.36      29.10       090
25390..........  .............  A              Shorten radius or ulna      10.40          NA         NA       14.88      12.23      1.07          NA         NA       26.35      23.70       090
25391..........  .............  A              Lengthen radius or          13.65          NA         NA       18.97      15.59      1.42          NA         NA       34.04      30.66       090
                                                ulna.
25392..........  .............  A              Shorten radius & ulna.      13.95          NA         NA       14.47      13.99      1.46          NA         NA       29.88      29.40       090
25393..........  .............  A              Lengthen radius & ulna      15.87          NA         NA       16.54      15.98      1.62          NA         NA       34.03      33.47       090
25400..........  .............  A              Repair radius or ulna.      10.92          NA         NA       14.74      13.22      1.13          NA         NA       26.79      25.27       090
25405..........  .............  A              Repair/graft radius or      14.38          NA         NA       17.88      15.68      1.48          NA         NA       33.74      31.54       090
                                                ulna.
25415..........  .............  A              Repair radius & ulna..      13.35          NA         NA       19.16      15.78      1.39          NA         NA       33.90      30.52       090
25420..........  .............  A              Repair/graft radius &       16.33          NA         NA       18.64      17.30      1.69          NA         NA       36.66      35.32       090
                                                ulna.
25425..........  .............  A              Repair/graft radius or      13.21          NA         NA       21.63      17.34      1.33          NA         NA       36.17      31.88       090
                                                ulna.
25426..........  .............  A              Repair/graft radius &       15.82          NA         NA       16.66      14.69      1.33          NA         NA       33.81      31.84       090
                                                ulna.
25440..........  .............  A              Repair/graft wrist          10.44          NA         NA        9.46       9.64      1.09          NA         NA       20.99      21.17       090
                                                bone.
25441..........  .............  A              Reconstruct wrist           12.90          NA         NA       11.28      11.81      1.35          NA         NA       25.53      26.06       090
                                                joint.
25442..........  .............  A              Reconstruct wrist           10.85          NA         NA       10.92       9.29      1.13          NA         NA       22.90      21.27       090
                                                joint.
25443..........  .............  A              Reconstruct wrist           10.39          NA         NA       10.94      10.56      1.09          NA         NA       22.42      22.04       090
                                                joint.
25444..........  .............  A              Reconstruct wrist           11.15          NA         NA       11.23      11.12      1.16          NA         NA       23.54      23.43       090
                                                joint.
25445..........  .............  A              Reconstruct wrist            9.69          NA         NA       10.96      11.10      1.00          NA         NA       21.65      21.79       090
                                                joint.
25446..........  .............  A              Wrist replacement.....      16.55          NA         NA       13.82      16.79      1.70          NA         NA       32.07      35.04       090
25447..........  .............  A              Repair wrist joint(s).      10.37          NA         NA        9.91      10.19      1.07          NA         NA       21.35      21.63       090
25449..........  .............  A              Remove wrist joint          14.49          NA         NA       13.47      10.99      1.50          NA         NA       29.46      26.98       090
                                                implant.
25450..........  .............  A              Revision of wrist            7.87          NA         NA       11.63       9.78      0.65          NA         NA       20.15      18.30       090
                                                joint.
25455..........  .............  A              Revision of wrist            9.49          NA         NA       10.99      10.22      0.72          NA         NA       21.20      20.43       090
                                                joint.
25490..........  .............  A              Reinforce radius......       9.54          NA         NA       12.91      11.17      0.99          NA         NA       23.44      21.70       090
25491..........  .............  A              Reinforce ulna........       9.96          NA         NA       13.86      11.87      1.04          NA         NA       24.86      22.87       090
25492..........  .............  A              Reinforce radius and        12.33          NA         NA       13.76      12.96      1.29          NA         NA       27.38      26.58       090
                                                ulna.
25500..........  .............  A              Treat fracture of            2.45        5.89       4.21        2.56       1.92      0.23        8.57       6.89        5.24       4.60       090
                                                radius.
25505..........  .............  A              Treat fracture of            5.21        8.97       6.42        5.02       4.45      0.53       14.71      12.16       10.76      10.19       090
                                                radius.
25515..........  .............  A              Treat fracture of            9.18          NA         NA        8.92       8.60      0.86          NA         NA       18.96      18.64       090
                                                radius.
25520..........  .............  A              Treat fracture of            6.26        9.24       7.74        5.65       5.94      0.64       16.14      14.64       12.55      12.84       090
                                                radius.
25525..........  .............  A              Treat fracture of           12.24          NA         NA       10.74      11.42      1.28          NA         NA       24.26      24.94       090
                                                radius.
25526..........  .............  A              Treat fracture of           12.98          NA         NA       17.25      15.06      1.34          NA         NA       31.57      29.38       090
                                                radius.
25530..........  .............  A              Treat fracture of ulna       2.09        5.92       4.29        2.51       1.88      0.21        8.22       6.59        4.81       4.18       090
25535..........  .............  A              Treat fracture of ulna       5.14        8.80       6.34        5.11       4.49      0.51       14.45      11.99       10.76      10.14       090
25545..........  .............  A              Treat fracture of ulna       8.90          NA         NA        8.64       8.44      0.92          NA         NA       18.46      18.26       090
25560..........  .............  A              Treat fracture radius        2.44        5.95       4.21        2.59       2.53      0.23        8.62       6.88        5.26       5.20       090
                                                & ulna.
25565..........  .............  A              Treat fracture radius        5.63        9.36       7.21        5.19       5.13      0.57       15.56      13.41       11.39      11.33       090
                                                & ulna.
25574..........  .............  A              Treat fracture radius        7.01          NA         NA        7.62       8.00      0.73          NA         NA       15.36      15.74       090
                                                & ulna.
25575..........  .............  A              Treat fracture radius/      10.45          NA         NA        9.59      10.60      1.08          NA         NA       21.12      22.13       090
                                                ulna.
25600..........  .............  A              Treat fracture radius/       2.63        6.22       4.65        2.74       2.14      0.27        9.12       7.55        5.64       5.04       090
                                                ulna.

[[Page 59456]]


25605..........  .............  A              Treat fracture radius/       5.81        9.47       6.88        5.48       4.89      0.60       15.88      13.29       11.89      11.30       090
                                                ulna.
25611..........  .............  A              Treat fracture radius/       7.77          NA         NA        8.46       7.49      0.80          NA         NA       17.03      16.06       090
                                                ulna.
25620..........  .............  A              Treat fracture radius/       8.55          NA         NA        8.34       8.04      0.88          NA         NA       17.77      17.47       090
                                                ulna.
25622..........  .............  A              Treat wrist bone             2.61        6.19       4.33        2.72       1.98      0.27        9.07       7.21        5.60       4.86       090
                                                fracture.
25624..........  .............  A              Treat wrist bone             4.53        8.75       6.37        4.70       3.35      0.47       13.75      11.37        9.70       8.35       090
                                                fracture.
25628..........  .............  A              Treat wrist bone             8.43          NA         NA        8.39       8.07      0.89          NA         NA       17.71      17.39       090
                                                fracture.
25630..........  .............  A              Treat wrist bone             2.88        6.33       4.36        2.71       1.95      0.29        9.50       7.53        5.88       5.12       090
                                                fracture.
25635..........  .............  A              Treat wrist bone             4.39        8.59       6.12        4.51       3.17      0.45       13.43      10.96        9.35       8.01       090
                                                fracture.
25645..........  .............  A              Treat wrist bone             7.25          NA         NA        7.71       7.48      0.75          NA         NA       15.71      15.48       090
                                                fracture.
25650..........  .............  A              Treat wrist bone             3.05        6.35       4.62        2.94       2.20      0.31        9.71       7.98        6.30       5.56       090
                                                fracture.
25660..........  .............  A              Treat wrist                  4.76          NA         NA        4.74       3.36      0.48          NA         NA        9.98       8.60       090
                                                dislocation.
25670..........  .............  A              Treat wrist                  7.92          NA         NA        8.07       7.88      0.82          NA         NA       16.81      16.62       090
                                                dislocation.
25675..........  .............  A              Treat wrist                  4.67        8.28       5.38        4.77       3.62      0.47       13.42      10.52        9.91       8.76       090
                                                dislocation.
25676..........  .............  A              Treat wrist                  8.04          NA         NA        8.06       8.00      0.81          NA         NA       16.91      16.85       090
                                                dislocation.
25680..........  .............  A              Treat wrist fracture..       5.99          NA         NA        5.71       4.18      0.53          NA         NA       12.23      10.70       090
25685..........  .............  A              Treat wrist fracture..       9.78          NA         NA        9.27       9.41      0.98          NA         NA       20.03      20.17       090
25690..........  .............  A              Treat wrist                  5.50          NA         NA        6.10       5.71      0.56          NA         NA       12.16      11.77       090
                                                dislocation.
25695..........  .............  A              Treat wrist                  8.34          NA         NA        8.37       8.01      0.87          NA         NA       17.58      17.22       090
                                                dislocation.
25800..........  .............  A              Fusion of wrist joint.       9.76          NA         NA        9.53      10.60      1.00          NA         NA       20.29      21.36       090
25805..........  .............  A              Fusion/graft of wrist       11.28          NA         NA       10.60      12.04      1.17          NA         NA       23.05      24.49       090
                                                joint.
25810..........  .............  A              Fusion/graft of wrist       10.57          NA         NA        9.88      11.25      1.08          NA         NA       21.53      22.90       090
                                                joint.
25820..........  .............  A              Fusion of hand bones..       7.45          NA         NA        8.22       8.56      0.74          NA         NA       16.41      16.75       090
25825..........  .............  A              Fuse hand bones with         9.27          NA         NA        9.18      10.13      0.95          NA         NA       19.40      20.35       090
                                                graft.
25830..........  .............  A              Fusion, radioulnar jnt/     10.06          NA         NA       13.53      11.43      1.03          NA         NA       24.62      22.52       090
                                                ulna.
25900..........  .............  A              Amputation of forearm.       9.01          NA         NA       11.99       9.84      0.95          NA         NA       21.95      19.80       090
25905..........  .............  A              Amputation of forearm.       9.12          NA         NA       13.04      10.38      0.95          NA         NA       23.11      20.45       090
25907..........  .............  A              Amputation follow-up         7.80          NA         NA       12.86       9.55      0.82          NA         NA       21.48      18.17       090
                                                surgery.
25909..........  .............  A              Amputation follow-up         8.96          NA         NA       12.73       9.38      0.96          NA         NA       22.65      19.30       090
                                                surgery.
25915..........  .............  A              Amputation of forearm.      17.08          NA         NA       14.24      15.71      1.83          NA         NA       33.15      34.62       090
25920..........  .............  A              Amputate hand at wrist       8.68          NA         NA        8.24       7.92      0.92          NA         NA       17.84      17.52       090
25922..........  .............  A              Amputate hand at wrist       7.42          NA         NA        8.04       7.03      0.77          NA         NA       16.23      15.22       090
25924..........  .............  A              Amputation follow-up         8.46          NA         NA        8.61       8.38      0.61          NA         NA       17.68      17.45       090
                                                surgery.
25927..........  .............  A              Amputation of hand....       8.80          NA         NA       11.44       9.14      0.93          NA         NA       21.17      18.87       090
25929..........  .............  A              Amputation follow-up         7.59          NA         NA        7.50       6.32      0.76          NA         NA       15.85      14.67       090
                                                surgery.
25931..........  .............  A              Amputation follow-up         7.81          NA         NA       13.63       9.28      0.79          NA         NA       22.23      17.88       090
                                                surgery.
25999..........  .............  C              Forearm or wrist             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                surgery.
26010..........  .............  A              Drainage of finger           1.54        4.36       2.44        3.16       1.71      0.12        6.02       4.10        4.82       3.37       010
                                                abscess.
26011..........  .............  A              Drainage of finger           2.19        5.79       3.73        4.88       3.28      0.22        8.20       6.14        7.29       5.69       010
                                                abscess.
26020..........  .............  A              Drain hand tendon            4.67          NA         NA        9.73       6.89      0.49          NA         NA       14.89      12.05       090
                                                sheath.
26025..........  .............  A              Drainage of palm bursa       4.82          NA         NA        9.83       7.36      0.50          NA         NA       15.15      12.68       090
26030..........  .............  A              Drainage of palm             5.93          NA         NA       10.46       8.34      0.62          NA         NA       17.01      14.89       090
                                                bursa(s).
26034..........  .............  A              Treat hand bone lesion       6.23          NA         NA       11.65       8.12      0.64          NA         NA       18.52      14.99       090
26035..........  .............  A              Decompress fingers/          9.51          NA         NA       13.52       9.57      0.97          NA         NA       24.00      20.05       090
                                                hand.
26037..........  .............  A              Decompress fingers/          7.25          NA         NA       10.26       8.59      0.75          NA         NA       18.26      16.59       090
                                                hand.
26040..........  .............  A              Release palm                 3.33          NA         NA        9.42       6.26      0.34          NA         NA       13.09       9.93       090
                                                contracture.
26045..........  .............  A              Release palm                 5.56          NA         NA       10.72       7.98      0.57          NA         NA       16.85      14.11       090
                                                contracture.
26055..........  .............  A              Incise finger tendon         2.69        6.10       4.83        5.85       4.71      0.28        9.07       7.80        8.82       7.68       090
                                                sheath.
26060..........  .............  A              Incision of finger           2.81          NA         NA        6.07       3.65      0.30          NA         NA        9.18       6.76       090
                                                tendon.
26070..........  .............  A              Explore/treat hand           3.69          NA         NA        8.97       5.24      0.32          NA         NA       12.98       9.25       090
                                                joint.
26075..........  .............  A              Explore/treat finger         3.79          NA         NA        9.44       6.77      0.35          NA         NA       13.58      10.91       090
                                                joint.
26080..........  .............  A              Explore/treat finger         4.24          NA         NA        9.96       6.69      0.43          NA         NA       14.63      11.36       090
                                                joint.
26100..........  .............  A              Biopsy hand joint            3.67          NA         NA        6.79       5.02      0.36          NA         NA       10.82       9.05       090
                                                lining.
26105..........  .............  A              Biopsy finger joint          3.71          NA         NA        9.88       7.21      0.38          NA         NA       13.97      11.30       090
                                                lining.
26110..........  .............  A              Biopsy finger joint          3.53          NA         NA        9.29       6.24      0.36          NA         NA       13.18      10.13       090
                                                lining.
26115..........  .............  A              Removal of hand lesion       3.86        6.17       4.18        6.17       4.18      0.39       10.42       8.43       10.42       8.43       090
26116..........  .............  A              Removal of hand lesion       5.53          NA         NA       10.62       7.33      0.57          NA         NA       16.72      13.43       090
26117..........  .............  A              Remove tumor, hand/          8.55          NA         NA       12.26       8.88      0.88          NA         NA       21.69      18.31       090
                                                finger.
26121..........  .............  A              Release palm                 7.54          NA         NA       12.24      10.62      0.78          NA         NA       20.56      18.94       090
                                                contracture.
26123..........  .............  A              Release palm                 9.29          NA         NA       13.19      11.54      0.97          NA         NA       23.45      21.80       090
                                                contracture.
26125..........  .............  A              Release palm                 4.61          NA         NA        2.50       2.67      0.49          NA         NA        7.60       7.77       ZZZ
                                                contracture.
26130..........  .............  A              Remove wrist joint           5.42          NA         NA       11.89       8.67      0.56          NA         NA       17.87      14.65       090
                                                lining.
26135..........  .............  A              Revise finger joint,         6.96          NA         NA       13.28       9.28      0.73          NA         NA       20.97      16.97       090
                                                each.
26140..........  .............  A              Revise finger joint,         6.17          NA         NA       12.39       8.59      0.64          NA         NA       19.20      15.40       090
                                                each.
26145..........  .............  A              Tendon excision, palm/       6.32          NA         NA       12.67       8.89      0.66          NA         NA       19.65      15.87       090
                                                finger.
26160..........  .............  A              Remove tendon sheath         3.15        6.10       4.31        6.03       4.28      0.32        9.57       7.78        9.50       7.75       090
                                                lesion.
26170..........  .............  A              Removal of palm              4.77          NA         NA        6.99       5.03      0.53          NA         NA       12.29      10.33       090
                                                tendon, each.
26180..........  .............  A              Removal of finger            5.18          NA         NA        7.27       5.81      0.55          NA         NA       13.00      11.54       090
                                                tendon.
26185..........  .............  A              Remove finger bone....       5.25          NA         NA        7.06       5.83      0.54          NA         NA       12.85      11.62       090
26200..........  .............  A              Remove hand bone             5.51          NA         NA       10.76       7.81      0.56          NA         NA       16.83      13.88       090
                                                lesion.
26205..........  .............  A              Remove/graft bone            7.70          NA         NA       11.85       9.40      0.81          NA         NA       20.36      17.91       090
                                                lesion.
26210..........  .............  A              Removal of finger            5.15          NA         NA       10.94       7.59      0.53          NA         NA       16.62      13.27       090
                                                lesion.
26215..........  .............  A              Remove/graft finger          7.10          NA         NA       11.70       8.86      0.66          NA         NA       19.46      16.62       090
                                                lesion.
26230..........  .............  A              Partial removal of           6.33          NA         NA       10.45       7.54      0.66          NA         NA       17.44      14.53       090
                                                hand bone.
26235..........  .............  A              Partial removal,             6.19          NA         NA        9.86       7.20      0.65          NA         NA       16.70      14.04       090
                                                finger bone.
26236..........  .............  A              Partial removal,             5.32          NA         NA        9.65       6.92      0.55          NA         NA       15.52      12.79       090
                                                finger bone.
26250..........  .............  A              Extensive hand surgery       7.55          NA         NA       13.89      10.20      0.75          NA         NA       22.19      18.50       090
26255..........  .............  A              Extensive hand surgery      12.43          NA         NA       16.86      13.28      1.19          NA         NA       30.48      26.90       090
26260..........  .............  A              Extensive finger             7.03          NA         NA       12.72       9.47      0.72          NA         NA       20.47      17.22       090
                                                surgery.
26261..........  .............  A              Extensive finger             9.09          NA         NA       15.25      11.81      0.66          NA         NA       25.00      21.56       090
                                                surgery.
26262..........  .............  A              Partial removal of           5.67          NA         NA       11.30       8.23      0.59          NA         NA       17.56      14.49       090
                                                finger.
26320..........  .............  A              Removal of implant           3.98          NA         NA        9.96       6.90      0.41          NA         NA       14.35      11.29       090
                                                from hand.

[[Page 59457]]


26350..........  .............  A              Repair finger/hand           5.99          NA         NA       15.17      10.70      0.62          NA         NA       21.78      17.31       090
                                                tendon.
26352..........  .............  A              Repair/graft hand            7.68          NA         NA       16.81      11.99      0.80          NA         NA       25.29      20.47       090
                                                tendon.
26356..........  .............  A              Repair finger/hand           8.07          NA         NA       16.30      12.06      0.85          NA         NA       25.22      20.98       090
                                                tendon.
26357..........  .............  A              Repair finger/hand           8.58          NA         NA       16.28      11.71      0.89          NA         NA       25.75      21.18       090
                                                tendon.
26358..........  .............  A              Repair/graft hand            9.14          NA         NA       16.29      12.16      0.95          NA         NA       26.38      22.25       090
                                                tendon.
26370..........  .............  A              Repair finger/hand           7.11          NA         NA       15.70      11.49      0.74          NA         NA       23.55      19.34       090
                                                tendon.
26372..........  .............  A              Repair/graft hand            8.76          NA         NA       16.71      11.82      0.90          NA         NA       26.37      21.48       090
                                                tendon.
26373..........  .............  A              Repair finger/hand           8.16          NA         NA       15.64      11.54      0.84          NA         NA       24.64      20.54       090
                                                tendon.
26390..........  .............  A              Revise hand/finger           9.19          NA         NA       13.18      10.91      0.95          NA         NA       23.32      21.05       090
                                                tendon.
26392..........  .............  A              Repair/graft hand           10.26          NA         NA       20.11      14.73      1.07          NA         NA       31.44      26.06       090
                                                tendon.
26410..........  .............  A              Repair hand tendon....       4.63          NA         NA       12.14       7.86      0.48          NA         NA       17.25      12.97       090
26412..........  .............  A              Repair/graft hand            6.31          NA         NA       13.47      10.00      0.66          NA         NA       20.44      16.97       090
                                                tendon.
26415..........  .............  A              Excision, hand/finger        8.34          NA         NA       12.95      10.14      0.74          NA         NA       22.03      19.22       090
                                                tendon.
26416..........  .............  A              Graft hand or finger         9.37          NA         NA       22.26      15.82      0.96          NA         NA       32.59      26.15       090
                                                tendon.
26418..........  .............  A              Repair finger tendon..       4.25          NA         NA       12.21       8.05      0.44          NA         NA       16.90      12.74       090
26420..........  .............  A              Repair/graft finger          6.77          NA         NA       15.68      10.92      0.70          NA         NA       23.15      18.39       090
                                                tendon.
26426..........  .............  A              Repair finger/hand           6.15          NA         NA       12.86       9.86      0.64          NA         NA       19.65      16.65       090
                                                tendon.
26428..........  .............  A              Repair/graft finger          7.21          NA         NA       14.86      10.42      0.74          NA         NA       22.81      18.37       090
                                                tendon.
26432..........  .............  A              Repair finger tendon..       4.02          NA         NA       10.07       5.89      0.42          NA         NA       14.51      10.33       090
26433..........  .............  A              Repair finger tendon..       4.56          NA         NA       10.76       7.52      0.48          NA         NA       15.80      12.56       090
26434..........  .............  A              Repair/graft finger          6.09          NA         NA       11.03       8.20      0.61          NA         NA       17.73      14.90       090
                                                tendon.
26437..........  .............  A              Realignment of tendons       5.82          NA         NA       10.95       7.68      0.61          NA         NA       17.38      14.11       090
26440..........  .............  A              Release palm/finger          5.02          NA         NA       14.09       8.98      0.53          NA         NA       19.64      14.53       090
                                                tendon.
26442..........  .............  A              Release palm & finger        8.16          NA         NA       15.68       9.67      0.85          NA         NA       24.69      18.68       090
                                                tendon.
26445..........  .............  A              Release hand/finger          4.31          NA         NA       13.87       8.70      0.45          NA         NA       18.63      13.46       090
                                                tendon.
26449..........  .............  A              Release forearm/hand         7.00          NA         NA       14.65      10.35      0.74          NA         NA       22.39      18.09       090
                                                tendon.
26450..........  .............  A              Incision of palm             3.67          NA         NA        6.58       4.53      0.38          NA         NA       10.63       8.58       090
                                                tendon.
26455..........  .............  A              Incision of finger           3.64          NA         NA        6.47       4.26      0.38          NA         NA       10.49       8.28       090
                                                tendon.
26460..........  .............  A              Incise hand/finger           3.46          NA         NA        6.22       4.05      0.36          NA         NA       10.04       7.87       090
                                                tendon.
26471..........  .............  A              Fusion of finger             5.73          NA         NA       10.55       7.53      0.59          NA         NA       16.87      13.85       090
                                                tendons.
26474..........  .............  A              Fusion of finger             5.32          NA         NA       10.81       7.91      0.55          NA         NA       16.68      13.78       090
                                                tendons.
26476..........  .............  A              Tendon lengthening....       5.18          NA         NA       10.62       6.88      0.52          NA         NA       16.32      12.58       090
26477..........  .............  A              Tendon shortening.....       5.15          NA         NA       10.65       7.49      0.53          NA         NA       16.33      13.17       090
26478..........  .............  A              Lengthening of hand          5.80          NA         NA       11.23       7.95      0.60          NA         NA       17.63      14.35       090
                                                tendon.
26479..........  .............  A              Shortening of hand           5.74          NA         NA       11.23       8.49      0.60          NA         NA       17.57      14.83       090
                                                tendon.
26480..........  .............  A              Transplant hand tendon       6.69          NA         NA       14.87      10.98      0.70          NA         NA       22.26      18.37       090
26483..........  .............  A              Transplant/graft hand        8.29          NA         NA       17.30      13.26      0.86          NA         NA       26.45      22.41       090
                                                tendon.
26485..........  .............  A              Transplant palm tendon       7.70          NA         NA       16.49      11.77      0.79          NA         NA       24.98      20.26       090
26489..........  .............  A              Transplant/graft palm        9.55          NA         NA       13.45       8.57      0.86          NA         NA       23.86      18.98       090
                                                tendon.
26490..........  .............  A              Revise thumb tendon...       8.41          NA         NA       12.40      10.44      0.88          NA         NA       21.69      19.73       090
26492..........  .............  A              Tendon transfer with         9.62          NA         NA       13.48      11.49      0.95          NA         NA       24.05      22.06       090
                                                graft.
26494..........  .............  A              Hand tendon/muscle           8.47          NA         NA       16.33      12.12      0.90          NA         NA       25.70      21.49       090
                                                transfer.
26496..........  .............  A              Revise thumb tendon...       9.59          NA         NA       12.49      10.98      1.00          NA         NA       23.08      21.57       090
26497..........  .............  A              Finger tendon transfer       9.57          NA         NA       13.21      10.96      0.96          NA         NA       23.74      21.49       090
26498..........  .............  A              Finger tendon transfer      14.00          NA         NA       16.17      14.48      1.45          NA         NA       31.62      29.93       090
26499..........  .............  A              Revision of finger....       8.98          NA         NA       14.46      11.44      0.81          NA         NA       24.25      21.23       090
26500..........  .............  A              Hand tendon                  5.96          NA         NA       11.42       7.61      0.62          NA         NA       18.00      14.19       090
                                                reconstruction.
26502..........  .............  A              Hand tendon                  7.14          NA         NA       11.07       8.40      0.71          NA         NA       18.92      16.25       090
                                                reconstruction.
26504..........  .............  A              Hand tendon                  7.47          NA         NA       10.89       9.09      0.74          NA         NA       19.10      17.30       090
                                                reconstruction.
26508..........  .............  A              Release thumb                6.01          NA         NA       11.40       7.95      0.62          NA         NA       18.03      14.58       090
                                                contracture.
26510..........  .............  A              Thumb tendon transfer.       5.43          NA         NA       10.83       7.67      0.56          NA         NA       16.82      13.66       090
26516..........  .............  A              Fusion of knuckle            7.15          NA         NA       11.57       8.04      0.74          NA         NA       19.46      15.93       090
                                                joint.
26517..........  .............  A              Fusion of knuckle            8.83          NA         NA       13.32      10.50      0.90          NA         NA       23.05      20.23       090
                                                joints.
26518..........  .............  A              Fusion of knuckle            9.02          NA         NA       12.86       9.97      0.94          NA         NA       22.82      19.93       090
                                                joints.
26520..........  .............  A              Release knuckle              5.30          NA         NA       14.10       9.48      0.55          NA         NA       19.95      15.33       090
                                                contracture.
26525..........  .............  A              Release finger               5.33          NA         NA       14.22       9.09      0.55          NA         NA       20.10      14.97       090
                                                contracture.
26530..........  .............  A              Revise knuckle joint..       6.69          NA         NA       16.09      10.85      0.68          NA         NA       23.46      18.22       090
26531..........  .............  A              Revise knuckle with          7.91          NA         NA       15.97      11.60      0.82          NA         NA       24.70      20.33       090
                                                implant.
26535..........  .............  A              Revise finger joint...       5.24          NA         NA        8.30       6.78      0.39          NA         NA       13.93      12.41       090
26536..........  .............  A              Revise/implant finger        6.37          NA         NA       13.37      10.49      0.64          NA         NA       20.38      17.50       090
                                                joint.
26540..........  .............  A              Repair hand joint.....       6.43          NA         NA       11.58       9.40      0.67          NA         NA       18.68      16.50       090
26541..........  .............  A              Repair hand joint with       8.62          NA         NA       13.40      11.55      0.88          NA         NA       22.90      21.05       090
                                                graft.
26542..........  .............  A              Repair hand joint with       6.78          NA         NA       11.42       8.79      0.71          NA         NA       18.91      16.28       090
                                                graft.
26545..........  .............  A              Reconstruct finger           6.92          NA         NA       11.82       8.77      0.73          NA         NA       19.47      16.42       090
                                                joint.
26546..........  .............  A              Repair nonunion hand..       8.92          NA         NA       13.21      11.01      0.93          NA         NA       23.06      20.86       090
26548..........  .............  A              Reconstruct finger           8.03          NA         NA       12.84       9.56      0.84          NA         NA       21.71      18.43       090
                                                joint.
26550..........  .............  A              Construct thumb             21.24          NA         NA       16.14      18.82      2.24          NA         NA       39.62      42.30       090
                                                replacement.
26551..........  .............  A              Great toe-hand              46.58          NA         NA       28.30      37.08      4.99          NA         NA       79.87      88.65       090
                                                transfer.
26553..........  .............  A              Single transfer, toe-       46.27          NA         NA       27.81      36.68      4.95          NA         NA       79.03      87.90       090
                                                hand.
26554..........  .............  A              Double transfer, toe-       54.95          NA         NA       31.16      42.75      5.74          NA         NA       91.85     103.44       090
                                                hand.
26555..........  .............  A              Positional change of        16.63          NA         NA       17.80      17.26      1.73          NA         NA       36.16      35.62       090
                                                finger.
26556..........  .............  A              Toe joint transfer....      47.26          NA         NA       31.11      38.71      5.06          NA         NA       83.43      91.03       090
26560..........  .............  A              Repair of web finger..       5.38          NA         NA        9.32       7.19      0.53          NA         NA       15.23      13.10       090
26561..........  .............  A              Repair of web finger..      10.92          NA         NA       14.72      12.19      1.13          NA         NA       26.77      24.24       090
26562..........  .............  A              Repair of web finger..       9.68          NA         NA       13.27      12.42      1.02          NA         NA       23.97      23.12       090
26565..........  .............  A              Correct metacarpal           6.74          NA         NA       12.00       9.16      0.70          NA         NA       19.44      16.60       090
                                                flaw.
26567..........  .............  A              Correct finger               6.82          NA         NA       11.38       8.01      0.71          NA         NA       18.91      15.54       090
                                                deformity.
26568..........  .............  A              Lengthen metacarpal/         9.08          NA         NA       16.44      12.81      0.91          NA         NA       26.43      22.80       090
                                                finger.
26580..........  .............  A              Repair hand deformity.      18.18          NA         NA       14.34      16.34      1.51          NA         NA       34.03      36.03       090
26585..........  .............  A              Repair finger               14.05          NA         NA       11.86      12.96      0.84          NA         NA       26.75      27.85       090
                                                deformity.
26587..........  .............  C              Reconstruct extra            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       090
                                                finger.

[[Page 59458]]


26590..........  .............  A              Repair finger               17.96          NA         NA       15.57      16.81      1.79          NA         NA       35.32      36.56       090
                                                deformity.
26591..........  .............  A              Repair muscles of hand       3.25          NA         NA        9.92       6.21      0.34          NA         NA       13.51       9.80       090
26593..........  .............  A              Release muscles of           5.31          NA         NA       10.46       7.47      0.55          NA         NA       16.32      13.33       090
                                                hand.
26596..........  .............  A              Excision constricting        8.95          NA         NA        8.17       8.56      0.87          NA         NA       17.99      18.38       090
                                                tissue.
26597..........  .............  A              Release of scar              9.82          NA         NA       13.61      11.16      1.03          NA         NA       24.46      22.01       090
                                                contracture.
26600..........  .............  A              Treat metacarpal             1.96        5.84       3.76        2.48       1.66      0.20        8.00       5.92        4.64       3.82       090
                                                fracture.
26605..........  .............  A              Treat metacarpal             2.85        7.44       4.97        3.73       2.49      0.30       10.59       8.12        6.88       5.64       090
                                                fracture.
26607..........  .............  A              Treat metacarpal             5.36          NA         NA        6.97       5.41      0.55          NA         NA       12.88      11.32       090
                                                fracture.
26608..........  .............  A              Treat metacarpal             5.36          NA         NA        6.90       5.38      0.56          NA         NA       12.82      11.30       090
                                                fracture.
26615..........  .............  A              Treat metacarpal             5.33          NA         NA        6.60       5.95      0.55          NA         NA       12.48      11.83       090
                                                fracture.
26641..........  .............  A              Treat thumb                  3.94        7.74       4.47        4.35       2.78      0.37       12.05       8.78        8.66       7.09       090
                                                dislocation.
26645..........  .............  A              Treat thumb fracture..       4.41        8.57       5.48        4.60       3.50      0.42       13.40      10.31        9.43       8.33       090
26650..........  .............  A              Treat thumb fracture..       5.72          NA         NA        7.24       5.80      0.59          NA         NA       13.55      12.11       090
26665..........  .............  A              Treat thumb fracture..       7.60          NA         NA        7.78       7.36      0.78          NA         NA       16.16      15.74       090
26670..........  .............  A              Treat hand dislocation       3.69        7.67       4.36        4.22       2.63      0.35       11.71       8.40        8.26       6.67       090
26675..........  .............  A              Treat hand dislocation       4.64        7.84       6.28        3.77       4.24      0.47       12.95      11.39        8.88       9.35       090
26676..........  .............  A              Pin hand dislocation..       5.52          NA         NA        7.52       6.40      0.57          NA         NA       13.61      12.49       090
26685..........  .............  A              Treat hand dislocation       6.98          NA         NA        7.41       6.83      0.72          NA         NA       15.11      14.53       090
26686..........  .............  A              Treat hand dislocation       7.94          NA         NA        7.91       7.38      0.81          NA         NA       16.66      16.13       090
26700..........  .............  A              Treat knuckle                3.69        4.20       2.58        2.56       1.76      0.35        8.24       6.62        6.60       5.80       090
                                                dislocation.
26705..........  .............  A              Treat knuckle                4.19        7.30       4.62        3.80       2.87      0.41       11.90       9.22        8.40       7.47       090
                                                dislocation.
26706..........  .............  A              Pin knuckle                  5.12          NA         NA        4.95       5.02      0.53          NA         NA       10.60      10.67       090
                                                dislocation.
26715..........  .............  A              Treat knuckle                5.74          NA         NA        6.73       5.61      0.60          NA         NA       13.07      11.95       090
                                                dislocation.
26720..........  .............  A              Treat finger fracture,       1.66        2.50       1.85        1.44       1.02      0.16        4.32       3.67        3.26       2.84       090
                                                each.
26725..........  .............  A              Treat finger fracture,       3.33        4.31       2.99        2.80       1.82      0.34        7.98       6.66        6.47       5.49       090
                                                each.
26727..........  .............  A              Treat finger fracture,       5.23          NA         NA        7.08       4.87      0.54          NA         NA       12.85      10.64       090
                                                each.
26735..........  .............  A              Treat finger fracture,       5.98          NA         NA        6.97       5.51      0.61          NA         NA       13.56      12.10       090
                                                each.
26740..........  .............  A              Treat finger fracture,       1.94        3.06       2.16        2.15       1.39      0.19        5.19       4.29        4.28       3.52       090
                                                each.
26742..........  .............  A              Treat finger fracture,       3.85        8.25       5.20        4.44       3.30      0.39       12.49       9.44        8.68       7.54       090
                                                each.
26746..........  .............  A              Treat finger fracture,       5.81          NA         NA        6.92       6.04      0.61          NA         NA       13.34      12.46       090
                                                each.
26750..........  .............  A              Treat finger fracture,       1.70        2.92       1.91        2.01       1.46      0.16        4.78       3.77        3.87       3.32       090
                                                each.
26755..........  .............  A              Treat finger fracture,       3.10        4.12       2.65        2.58       1.88      0.31        7.53       6.06        5.99       5.29       090
                                                each.
26756..........  .............  A              Pin finger fracture,         4.39          NA         NA        6.67       4.37      0.46          NA         NA       11.52       9.22       090
                                                each.
26765..........  .............  A              Treat finger fracture,       4.17          NA         NA        6.00       4.45      0.43          NA         NA       10.60       9.05       090
                                                each.
26770..........  .............  A              Treat finger                 3.02        4.03       2.43        2.35       1.59      0.29        7.34       5.74        5.66       4.90       090
                                                dislocation.
26775..........  .............  A              Treat finger                 3.71        7.16       4.20        3.40       2.32      0.37       11.24       8.28        7.48       6.40       090
                                                dislocation.
26776..........  .............  A              Pin finger dislocation       4.80          NA         NA        6.85       4.56      0.51          NA         NA       12.16       9.87       090
26785..........  .............  A              Treat finger                 4.21          NA         NA        6.03       4.63      0.44          NA         NA       10.68       9.28       090
                                                dislocation.
26820..........  .............  A              Thumb fusion with            8.26          NA         NA       13.37      10.30      0.86          NA         NA       22.49      19.42       090
                                                graft.
26841..........  .............  A              Fusion of thumb.......       7.13          NA         NA       11.93       9.32      0.74          NA         NA       19.80      17.19       090
26842..........  .............  A              Thumb fusion with            8.24          NA         NA       13.45      11.38      0.85          NA         NA       22.54      20.47       090
                                                graft.
26843..........  .............  A              Fusion of hand joint..       7.61          NA         NA       12.71       9.81      0.76          NA         NA       21.08      18.18       090
26844..........  .............  A              Fusion/graft of hand         8.73          NA         NA       12.58      10.28      0.88          NA         NA       22.19      19.89       090
                                                joint.
26850..........  .............  A              Fusion of knuckle.....       6.97          NA         NA       11.57       8.30      0.73          NA         NA       19.27      16.00       090
26852..........  .............  A              Fusion of knuckle with       8.46          NA         NA       12.81       9.51      0.88          NA         NA       22.15      18.85       090
                                                graft.
26860..........  .............  A              Fusion of finger joint       4.69          NA         NA       10.23       7.45      0.49          NA         NA       15.41      12.63       090
26861..........  .............  A              Fusion of finger jnt,        1.74          NA         NA        0.94       1.51      0.18          NA         NA        2.86       3.43       ZZZ
                                                add-on.
26862..........  .............  A              Fusion/graft of finger       7.37          NA         NA       12.51       9.06      0.76          NA         NA       20.64      17.19       090
                                                joint.
26863..........  .............  A              Fuse/graft added joint       3.90          NA         NA        2.13       2.90      0.40          NA         NA        6.43       7.20       ZZZ
26910..........  .............  A              Amputate metacarpal          7.60          NA         NA       11.56       8.58      0.79          NA         NA       19.95      16.97       090
                                                bone.
26951..........  .............  A              Amputation of finger/        4.59          NA         NA       10.10       6.61      0.48          NA         NA       15.17      11.68       090
                                                thumb.
26952..........  .............  A              Amputation of finger/        6.31          NA         NA       11.19       7.77      0.66          NA         NA       18.16      14.74       090
                                                thumb.
26989..........  .............  C              Hand/finger surgery...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
26990..........  .............  A              Drainage of pelvis           7.48          NA         NA       12.99       8.18      0.73          NA         NA       21.20      16.39       090
                                                lesion.
26991..........  .............  A              Drainage of pelvis           6.68       10.23       6.10        7.86       4.91      0.65       17.56      13.43       15.19      12.24       090
                                                bursa.
26992..........  .............  A              Drainage of bone            13.02          NA         NA       16.40      11.66      1.36          NA         NA       30.78      26.04       090
                                                lesion.
27000..........  .............  A              Incision of hip tendon       5.62          NA         NA        6.41       4.21      0.58          NA         NA       12.61      10.41       090
27001..........  .............  A              Incision of hip tendon       6.94          NA         NA        7.17       4.86      0.71          NA         NA       14.82      12.51       090
27003..........  .............  A              Incision of hip tendon       7.34          NA         NA        8.16       7.76      0.76          NA         NA       16.26      15.86       090
27005..........  .............  A              Incision of hip tendon       9.66          NA         NA        9.00       6.33      0.98          NA         NA       19.64      16.97       090
27006..........  .............  A              Incision of hip              9.68          NA         NA        9.39       7.22      1.01          NA         NA       20.08      17.91       090
                                                tendons.
27025..........  .............  A              Incision of hip/thigh       11.16          NA         NA        9.43       8.04      1.17          NA         NA       21.76      20.37       090
                                                fascia.
27030..........  .............  A              Drainage of hip joint.      13.01          NA         NA       11.09      11.74      1.34          NA         NA       25.44      26.09       090
27033..........  .............  A              Exploration of hip          13.39          NA         NA       11.32      11.91      1.37          NA         NA       26.08      26.67       090
                                                joint.
27035..........  .............  A              Denervation of hip          16.69          NA         NA       14.60      13.74      1.69          NA         NA       32.98      32.12       090
                                                joint.
27036..........  .............  A              Excision of hip joint/      12.88          NA         NA       12.60      12.51      1.33          NA         NA       26.81      26.72       090
                                                muscle.
27040..........  .............  A              Biopsy of soft tissues       2.87        4.90       2.84        3.25       2.02      0.17        7.94       5.88        6.29       5.06       010
27041..........  .............  A              Biopsy of soft tissues       9.89          NA         NA        7.41       5.16      0.84          NA         NA       18.14      15.89       090
27047..........  .............  A              Remove hip/pelvis            7.45        8.16       5.11        6.39       4.22      0.74       16.35      13.30       14.58      12.41       090
                                                lesion.
27048..........  .............  A              Remove hip/pelvis            6.25          NA         NA        7.07       5.89      0.63          NA         NA       13.95      12.77       090
                                                lesion.
27049..........  .............  A              Remove tumor, hip/          13.66          NA         NA       11.83      11.42      1.33          NA         NA       26.82      26.41       090
                                                pelvis.
27050..........  .............  A              Biopsy of sacroiliac         4.36          NA         NA        5.63       5.41      0.44          NA         NA       10.43      10.21       090
                                                joint.
27052..........  .............  A              Biopsy of hip joint...       6.23          NA         NA        7.19       7.31      0.64          NA         NA       14.06      14.18       090
27054..........  .............  A              Removal of hip joint         8.54          NA         NA        9.32       9.76      0.87          NA         NA       18.73      19.17       090
                                                lining.
27060..........  .............  A              Removal of ischial           5.43          NA         NA        6.07       5.17      0.55          NA         NA       12.05      11.15       090
                                                bursa.
27062..........  .............  A              Remove femur lesion/         5.37          NA         NA        6.23       5.41      0.55          NA         NA       12.15      11.33       090
                                                bursa.
27065..........  .............  A              Removal of hip bone          5.90          NA         NA        7.45       6.76      0.60          NA         NA       13.95      13.26       090
                                                lesion.
27066..........  .............  A              Removal of hip bone         10.33          NA         NA       11.03       9.80      1.04          NA         NA       22.40      21.17       090
                                                lesion.
27067..........  .............  A              Remove/graft hip bone       13.83          NA         NA       12.98      12.80      1.42          NA         NA       28.23      28.05       090
                                                lesion.
27070..........  .............  A              Partial removal of hip      10.72          NA         NA       15.60      11.82      1.10          NA         NA       27.42      23.64       090
                                                bone.
27071..........  .............  A              Partial removal of hip      11.46          NA         NA       16.05      12.64      1.17          NA         NA       28.68      25.27       090
                                                bone.

[[Page 59459]]


27075..........  .............  A              Extensive hip surgery.      17.23          NA         NA       14.84      14.77      1.76          NA         NA       33.83      33.76       090
27076..........  .............  A              Extensive hip surgery.      22.12          NA         NA       18.03      17.90      2.24          NA         NA       42.39      42.26       090
27077..........  .............  A              Extensive hip surgery.      23.13          NA         NA       18.09      19.35      2.42          NA         NA       43.64      44.90       090
27078..........  .............  A              Extensive hip surgery.      13.44          NA         NA       13.26      11.62      1.39          NA         NA       28.09      26.45       090
27079..........  .............  A              Extensive hip surgery.      13.75          NA         NA       13.49      11.44      1.40          NA         NA       28.64      26.59       090
27080..........  .............  A              Removal of tail bone..       6.39          NA         NA        6.51       5.85      0.67          NA         NA       13.57      12.91       090
27086..........  .............  A              Remove hip foreign           1.87        4.24       2.44        3.21       1.77      0.15        6.26       4.46        5.23       3.79       010
                                                body.
27087..........  .............  A              Remove hip foreign           8.54          NA         NA        7.87       5.90      0.85          NA         NA       17.26      15.29       090
                                                body.
27090..........  .............  A              Removal of hip              11.15          NA         NA       10.12       9.99      1.15          NA         NA       22.42      22.29       090
                                                prosthesis.
27091..........  .............  A              Removal of hip              22.14          NA         NA       16.16      18.83      2.17          NA         NA       40.47      43.14       090
                                                prosthesis.
27093..........  .............  A              Injection for hip x-         1.30       10.02       5.46        0.44       0.67      0.08       11.40       6.84        1.82       2.05       000
                                                ray.
27095..........  .............  A              Injection for hip x-         1.50       10.11       5.56        0.48       0.75      0.09       11.70       7.15        2.07       2.34       000
                                                ray.
27096..........  .............  A              Inject sacroiliac            1.10        9.96       9.96        0.36       0.36      0.09       11.15      11.15        1.55       1.55       000
                                                joint.
27097..........  .............  A              Revision of hip tendon       8.80          NA         NA        8.33       8.35      0.92          NA         NA       18.05      18.07       090
27098..........  .............  A              Transfer tendon to           8.83          NA         NA        8.42       8.40      0.92          NA         NA       18.17      18.15       090
                                                pelvis.
27100..........  .............  A              Transfer of abdominal       11.08          NA         NA       12.18      10.26      1.10          NA         NA       24.36      22.44       090
                                                muscle.
27105..........  .............  A              Transfer of spinal          11.77          NA         NA       10.63       8.51      1.23          NA         NA       23.63      21.51       090
                                                muscle.
27110..........  .............  A              Transfer of iliopsoas       13.26          NA         NA       12.97      12.24      1.18          NA         NA       27.41      26.68       090
                                                muscle.
27111..........  .............  A              Transfer of iliopsoas       12.15          NA         NA       10.50      11.56      1.27          NA         NA       23.92      24.98       090
                                                muscle.
27120..........  .............  A              Reconstruction of hip       18.01          NA         NA       13.53      16.59      1.84          NA         NA       33.38      36.44       090
                                                socket.
27122..........  .............  A              Reconstruction of hip       14.98          NA         NA       12.96      15.43      1.54          NA         NA       29.48      31.95       090
                                                socket.
27125..........  .............  A              Partial hip                 14.69          NA         NA       12.42      14.98      1.50          NA         NA       28.61      31.17       090
                                                replacement.
27130..........  .............  A              Total hip replacement.      20.12          NA         NA       15.85      19.94      2.05          NA         NA       38.02      42.11       090
27132..........  .............  A              Total hip replacement.      23.30          NA         NA       17.55      22.69      2.38          NA         NA       43.23      48.37       090
27134..........  .............  A              Revise hip joint            28.52          NA         NA       20.16      27.10      2.92          NA         NA       51.60      58.54       090
                                                replacement.
27137..........  .............  A              Revise hip joint            21.17          NA         NA       16.47      20.88      2.17          NA         NA       39.81      44.22       090
                                                replacement.
27138..........  .............  A              Revise hip joint            22.17          NA         NA       16.86      21.58      2.28          NA         NA       41.31      46.03       090
                                                replacement.
27140..........  .............  A              Transplant femur ridge      12.24          NA         NA       10.64      11.32      1.26          NA         NA       24.14      24.82       090
27146..........  .............  A              Incision of hip bone..      17.43          NA         NA       14.80      13.31      1.80          NA         NA       34.03      32.54       090
27147..........  .............  A              Revision of hip bone..      20.58          NA         NA       15.53      16.98      2.08          NA         NA       38.19      39.64       090
27151..........  .............  A              Incision of hip bones.      22.51          NA         NA        9.75      14.49      2.36          NA         NA       34.62      39.36       090
27156..........  .............  A              Revision of hip bones.      24.63          NA         NA       17.40      18.64      2.57          NA         NA       44.60      45.84       090
27158..........  .............  A              Revision of pelvis....      19.74          NA         NA       12.92      14.29      2.06          NA         NA       34.72      36.09       090
27161..........  .............  A              Incision of neck of         16.71          NA         NA       13.20      14.37      1.71          NA         NA       31.62      32.79       090
                                                femur.
27165..........  .............  A              Incision/fixation of        17.91          NA         NA       13.79      15.99      1.82          NA         NA       33.52      35.72       090
                                                femur.
27170..........  .............  A              Repair/graft femur          16.07          NA         NA       12.80      15.31      1.65          NA         NA       30.52      33.03       090
                                                head/neck.
27175..........  .............  A              Treat slipped                8.46          NA         NA        6.43       3.86      0.89          NA         NA       15.78      13.21       090
                                                epiphysis.
27176..........  .............  A              Treat slipped               12.05          NA         NA        8.79      10.04      1.19          NA         NA       22.03      23.28       090
                                                epiphysis.
27177..........  .............  A              Treat slipped               15.08          NA         NA       10.38      11.92      1.57          NA         NA       27.03      28.57       090
                                                epiphysis.
27178..........  .............  A              Treat slipped               11.99          NA         NA        8.96      10.16      1.03          NA         NA       21.98      23.18       090
                                                epiphysis.
27179..........  .............  A              Revise head/neck of         12.98          NA         NA        9.56      10.83      1.35          NA         NA       23.89      25.16       090
                                                femur.
27181..........  .............  A              Treat slipped               14.68          NA         NA        8.48      11.37      1.37          NA         NA       24.53      27.42       090
                                                epiphysis.
27185..........  .............  A              Revision of femur            9.18          NA         NA        7.75       5.38      0.80          NA         NA       17.73      15.36       090
                                                epiphysis.
27187..........  .............  A              Reinforce hip bones...      13.54          NA         NA       12.20      14.18      1.38          NA         NA       27.12      29.10       090
27193..........  .............  A              Treat pelvic ring            5.56        6.31       4.47        4.84       3.73      0.57       12.44      10.60       10.97       9.86       090
                                                fracture.
27194..........  .............  A              Treat pelvic ring            9.65        8.08       6.16        7.01       5.62      1.01       18.74      16.82       17.67      16.28       090
                                                fracture.
27200..........  .............  A              Treat tail bone              1.84        2.52       2.07        1.54       1.58      0.18        4.54       4.09        3.56       3.60       090
                                                fracture.
27202..........  .............  A              Treat tail bone              7.04          NA         NA       13.51      10.09      0.89          NA         NA       21.44      18.02       090
                                                fracture.
27215..........  .............  A              Treat pelvic                10.05          NA         NA        9.28      10.64      1.00          NA         NA       20.33      21.69       090
                                                fracture(s).
27216..........  .............  A              Treat pelvic ring           15.19          NA         NA       11.12       7.90      1.56          NA         NA       27.87      24.65       090
                                                fracture.
27217..........  .............  A              Treat pelvic ring           14.11          NA         NA       11.51      13.65      1.44          NA         NA       27.06      29.20       090
                                                fracture.
27218..........  .............  A              Treat pelvic ring           20.15          NA         NA       11.37      13.58      1.96          NA         NA       33.48      35.69       090
                                                fracture.
27220..........  .............  A              Treat hip socket             6.18        6.69       5.66        5.18       4.90      0.64       13.51      12.48       12.00      11.72       090
                                                fracture.
27222..........  .............  A              Treat hip socket            12.70          NA         NA        9.27       8.09      1.32          NA         NA       23.29      22.11       090
                                                fracture.
27226..........  .............  A              Treat hip wall              14.91          NA         NA       12.19      14.66      1.11          NA         NA       28.21      30.68       090
                                                fracture.
27227..........  .............  A              Treat hip fracture(s).      23.45          NA         NA       16.06      18.72      2.53          NA         NA       42.04      44.70       090
27228..........  .............  A              Treat hip fracture(s).      27.16          NA         NA       18.21      19.93      2.79          NA         NA       48.16      49.88       090
27230..........  .............  A              Treat thigh fracture..       5.50        6.61       5.10        5.35       4.47      0.55       12.66      11.15       11.40      10.52       090
27232..........  .............  A              Treat thigh fracture..      10.68          NA         NA        8.28       9.02      1.11          NA         NA       20.07      20.81       090
27235..........  .............  A              Treat thigh fracture..      12.16          NA         NA        9.92      12.22      1.25          NA         NA       23.33      25.63       090
27236..........  .............  A              Treat thigh fracture..      15.60          NA         NA       11.85      15.10      1.59          NA         NA       29.04      32.29       090
27238..........  .............  A              Treat thigh fracture..       5.52          NA         NA        5.40       5.37      0.56          NA         NA       11.48      11.45       090
27240..........  .............  A              Treat thigh fracture..      12.50          NA         NA        9.26       9.90      1.30          NA         NA       23.06      23.70       090
27244..........  .............  A              Treat thigh fracture..      15.94          NA         NA       12.01      14.85      1.63          NA         NA       29.58      32.42       090
27245..........  .............  A              Treat thigh fracture..      20.31          NA         NA       14.39      16.04      2.09          NA         NA       36.79      38.44       090
27246..........  .............  A              Treat thigh fracture..       4.71        6.25       5.23        5.03       4.62      0.49       11.45      10.43       10.23       9.82       090
27248..........  .............  A              Treat thigh fracture..      10.45          NA         NA        9.05      10.77      1.06          NA         NA       20.56      22.28       090
27250..........  .............  A              Treat hip dislocation.       6.95          NA         NA        5.57       4.52      0.68          NA         NA       13.20      12.15       090
27252..........  .............  A              Treat hip dislocation.      10.39          NA         NA        7.47       6.09      1.08          NA         NA       18.94      17.56       090
27253..........  .............  A              Treat hip dislocation.      12.92          NA         NA       10.05      12.16      1.33          NA         NA       24.30      26.41       090
27254..........  .............  A              Treat hip dislocation.      18.26          NA         NA       12.35      13.49      1.83          NA         NA       32.44      33.58       090
27256..........  .............  A              Treat hip dislocation.       4.12          NA         NA        4.36       3.20      0.39          NA         NA        8.87       7.71       010
27257..........  .............  A              Treat hip dislocation.       5.22          NA         NA        4.17       4.59      0.53          NA         NA        9.92      10.34       010
27258..........  .............  A              Treat hip dislocation.      15.43          NA         NA       12.67      13.79      1.58          NA         NA       29.68      30.80       090
27259..........  .............  A              Treat hip dislocation.      21.55          NA         NA       15.89      17.28      2.14          NA         NA       39.58      40.97       090
27265..........  .............  A              Treat hip dislocation.       5.05          NA         NA        5.16       4.46      0.53          NA         NA       10.74      10.04       090
27266..........  .............  A              Treat hip dislocation.       7.49          NA         NA        6.52       5.68      0.78          NA         NA       14.79      13.95       090
27275..........  .............  A              Manipulation of hip          2.27          NA         NA        2.93       2.49      0.24          NA         NA        5.44       5.00       010
                                                joint.
27280..........  .............  A              Fusion of sacroiliac        13.39          NA         NA       13.14      12.03      1.38          NA         NA       27.91      26.80       090
                                                joint.
27282..........  .............  A              Fusion of pubic bones.      11.34          NA         NA       10.85      10.32      0.84          NA         NA       23.03      22.50       090
27284..........  .............  A              Fusion of hip joint...      16.76          NA         NA       12.67      14.21      1.65          NA         NA       31.08      32.62       090

[[Page 59460]]


27286..........  .............  A              Fusion of hip joint...      16.79          NA         NA       14.71      15.61      1.76          NA         NA       33.26      34.16       090
27290..........  .............  A              Amputation of leg at        23.28          NA         NA       15.53      21.55      2.28          NA         NA       41.09      47.11       090
                                                hip.
27295..........  .............  A              Amputation of leg at        18.65          NA         NA       13.27      15.61      1.97          NA         NA       33.89      36.23       090
                                                hip.
27299..........  .............  C              Pelvis/hip joint             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                surgery.
27301..........  .............  A              Drain thigh/knee             6.49       13.32       8.00       11.90       7.29      0.67       20.48      15.16       19.06      14.45       090
                                                lesion.
27303..........  .............  A              Drainage of bone             8.28          NA         NA       12.65       9.51      0.85          NA         NA       21.78      18.64       090
                                                lesion.
27305..........  .............  A              Incise thigh tendon &        5.92          NA         NA        8.01       6.07      0.63          NA         NA       14.56      12.62       090
                                                fascia.
27306..........  .............  A              Incision of thigh            4.62          NA         NA        6.47       4.32      0.48          NA         NA       11.57       9.42       090
                                                tendon.
27307..........  .............  A              Incision of thigh            5.80          NA         NA        6.83       5.05      0.60          NA         NA       13.23      11.45       090
                                                tendons.
27310..........  .............  A              Exploration of knee          9.27          NA         NA        9.00       9.71      0.95          NA         NA       19.22      19.93       090
                                                joint.
27315..........  .............  A              Partial removal, thigh       6.97          NA         NA        4.69       5.27      0.72          NA         NA       12.38      12.96       090
                                                nerve.
27320..........  .............  A              Partial removal, thigh       6.30          NA         NA        4.28       4.95      0.62          NA         NA       11.20      11.87       090
                                                nerve.
27323..........  .............  A              Biopsy, thigh soft           2.28        4.86       2.93        3.04       1.77      0.14        7.28       5.35        5.46       4.19       010
                                                tissues.
27324..........  .............  A              Biopsy, thigh soft           4.90          NA         NA        5.98       4.42      0.53          NA         NA       11.41       9.85       090
                                                tissues.
27327..........  .............  A              Removal of thigh             4.47        7.18       4.84        5.50       4.00      0.45       12.10       9.76       10.42       8.92       090
                                                lesion.
27328..........  .............  A              Removal of thigh             5.57          NA         NA        6.17       5.30      0.56          NA         NA       12.30      11.43       090
                                                lesion.
27329..........  .............  A              Remove tumor, thigh/        14.14          NA         NA       13.00      12.85      1.40          NA         NA       28.54      28.39       090
                                                knee.
27330..........  .............  A              Biopsy, knee joint           4.97          NA         NA        5.46       5.70      0.51          NA         NA       10.94      11.18       090
                                                lining.
27331..........  .............  A              Explore/treat knee           5.88          NA         NA        6.59       6.81      0.60          NA         NA       13.07      13.29       090
                                                joint.
27332..........  .............  A              Removal of knee              8.27          NA         NA        7.66       8.77      0.83          NA         NA       16.76      17.87       090
                                                cartilage.
27333..........  .............  A              Removal of knee              7.30          NA         NA        7.10       7.91      0.74          NA         NA       15.14      15.95       090
                                                cartilage.
27334..........  .............  A              Remove knee joint            8.70          NA         NA        8.61       9.50      0.90          NA         NA       18.21      19.10       090
                                                lining.
27335..........  .............  A              Remove knee joint           10.00          NA         NA        9.62      10.78      1.02          NA         NA       20.64      21.80       090
                                                lining.
27340..........  .............  A              Removal of kneecap           4.18          NA         NA        4.99       4.59      0.43          NA         NA        9.60       9.20       090
                                                bursa.
27345..........  .............  A              Removal of knee cyst..       5.92          NA         NA        6.52       6.32      0.61          NA         NA       13.05      12.85       090
27347..........  .............  A              Remove knee cyst......       5.78        2.58       2.58        2.58       2.58      0.59        8.95       8.95        8.95       8.95       090
27350..........  .............  A              Removal of kneecap....       8.17          NA         NA        7.96       8.86      0.84          NA         NA       16.97      17.87       090
27355..........  .............  A              Remove femur lesion...       7.65          NA         NA        9.59       8.91      0.78          NA         NA       18.02      17.34       090
27356..........  .............  A              Remove femur lesion/         9.48          NA         NA       10.28       9.59      0.97          NA         NA       20.73      20.04       090
                                                graft.
27357..........  .............  A              Remove femur lesion/        10.53          NA         NA       10.41       9.98      1.08          NA         NA       22.02      21.59       090
                                                graft.
27358..........  .............  A              Remove femur lesion/         4.74          NA         NA        2.50       3.72      0.49          NA         NA        7.73       8.95       ZZZ
                                                fixation.
27360..........  .............  A              Partial removal, leg        10.50          NA         NA       15.68      12.49      1.09          NA         NA       27.27      24.08       090
                                                bone(s).
27365..........  .............  A              Extensive leg surgery.      16.27          NA         NA       13.63      14.38      1.64          NA         NA       31.54      32.29       090
27370..........  .............  A              Injection for knee x-        0.96       10.37       5.51        0.27       0.46      0.04       11.37       6.51        1.27       1.46       000
                                                ray.
27372..........  .............  A              Removal of foreign           5.07        6.85       5.28        5.80       4.76      0.51       12.43      10.86       11.38      10.34       090
                                                body.
27380..........  .............  A              Repair of kneecap            7.16          NA         NA        7.38       7.97      0.74          NA         NA       15.28      15.87       090
                                                tendon.
27381..........  .............  A              Repair/graft kneecap        10.34          NA         NA        9.17      10.70      1.07          NA         NA       20.58      22.11       090
                                                tendon.
27385..........  .............  A              Repair of thigh muscle       7.76          NA         NA        7.87       8.57      0.79          NA         NA       16.42      17.12       090
27386..........  .............  A              Repair/graft of thigh       10.56          NA         NA        9.97      11.29      1.08          NA         NA       21.61      22.93       090
                                                muscle.
27390..........  .............  A              Incision of thigh            5.33          NA         NA        6.50       5.62      0.54          NA         NA       12.37      11.49       090
                                                tendon.
27391..........  .............  A              Incision of thigh            7.20          NA         NA        7.62       6.75      0.75          NA         NA       15.57      14.70       090
                                                tendons.
27392..........  .............  A              Incision of thigh            9.20          NA         NA        9.32       8.82      0.93          NA         NA       19.45      18.95       090
                                                tendons.
27393..........  .............  A              Lengthening of thigh         6.39          NA         NA        7.41       6.78      0.64          NA         NA       14.44      13.81       090
                                                tendon.
27394..........  .............  A              Lengthening of thigh         8.50          NA         NA        9.05       7.64      0.87          NA         NA       18.42      17.01       090
                                                tendons.
27395..........  .............  A              Lengthening of thigh        11.73          NA         NA       12.41      11.89      1.21          NA         NA       25.35      24.83       090
                                                tendons.
27396..........  .............  A              Transplant of thigh          7.86          NA         NA        8.75       8.21      0.80          NA         NA       17.41      16.87       090
                                                tendon.
27397..........  .............  A              Transplants of thigh        11.28          NA         NA       10.42      10.03      1.17          NA         NA       22.87      22.48       090
                                                tendons.
27400..........  .............  A              Revise thigh muscles/        9.02          NA         NA        9.38       8.97      0.92          NA         NA       19.32      18.91       090
                                                tendons.
27403..........  .............  A              Repair of knee               8.33          NA         NA        8.07       8.81      0.86          NA         NA       17.26      18.00       090
                                                cartilage.
27405..........  .............  A              Repair of knee               8.65          NA         NA        8.85       9.59      0.89          NA         NA       18.39      19.13       090
                                                ligament.
27407..........  .............  A              Repair of knee              10.28          NA         NA        9.51       9.57      1.02          NA         NA       20.81      20.87       090
                                                ligament.
27409..........  .............  A              Repair of knee              12.90          NA         NA       11.22      13.31      1.34          NA         NA       25.46      27.55       090
                                                ligaments.
27418..........  .............  A              Repair degenerated          10.85          NA         NA        9.78      11.37      1.12          NA         NA       21.75      23.34       090
                                                kneecap.
27420..........  .............  A              Revision of unstable         9.83          NA         NA        8.75      10.24      0.99          NA         NA       19.57      21.06       090
                                                kneecap.
27422..........  .............  A              Revision of unstable         9.78          NA         NA        9.01      10.35      1.00          NA         NA       19.79      21.13       090
                                                kneecap.
27424..........  .............  A              Revision/removal of          9.81          NA         NA        8.77      10.24      1.02          NA         NA       19.60      21.07       090
                                                kneecap.
27425..........  .............  A              Lateral retinacular          5.22          NA         NA        6.23       6.23      0.53          NA         NA       11.98      11.98       090
                                                release.
27427..........  .............  A              Reconstruction, knee..       9.36          NA         NA        8.73       9.96      0.94          NA         NA       19.03      20.26       090
27428..........  .............  A              Reconstruction, knee..      14.00          NA         NA       11.89      13.37      1.40          NA         NA       27.29      28.77       090
27429..........  .............  A              Reconstruction, knee..      15.52          NA         NA       11.48      11.86      1.56          NA         NA       28.56      28.94       090
27430..........  .............  A              Revision of thigh            9.67          NA         NA        8.74       9.45      0.97          NA         NA       19.38      20.09       090
                                                muscles.
27435..........  .............  A              Incision of knee joint       9.49          NA         NA        8.58       8.11      0.98          NA         NA       19.05      18.58       090
27437..........  .............  A              Revise kneecap........       8.46          NA         NA        8.51       9.31      0.85          NA         NA       17.82      18.62       090
27438..........  .............  A              Revise kneecap with         11.23          NA         NA       10.23      11.82      1.15          NA         NA       22.61      24.20       090
                                                implant.
27440..........  .............  A              Revision of knee joint      10.43          NA         NA        9.78      11.12      0.73          NA         NA       20.94      22.28       090
27441..........  .............  A              Revision of knee joint      10.82          NA         NA        9.65       9.79      0.78          NA         NA       21.25      21.39       090
27442..........  .............  A              Revision of knee joint      11.89          NA         NA       10.33      12.27      1.22          NA         NA       23.44      25.38       090
27443..........  .............  A              Revision of knee joint      10.93          NA         NA        9.98      11.51      1.12          NA         NA       22.03      23.56       090
27445..........  .............  A              Revision of knee joint      17.68          NA         NA       13.43      17.27      1.83          NA         NA       32.94      36.78       090
27446..........  .............  A              Revision of knee joint      15.84          NA         NA       13.34      16.13      1.60          NA         NA       30.78      33.57       090
27447..........  .............  A              Total knee replacement      21.48          NA         NA       16.12      20.88      2.19          NA         NA       39.79      44.55       090
27448..........  .............  A              Incision of thigh.....      11.06          NA         NA       10.55      11.88      1.14          NA         NA       22.75      24.08       090
27450..........  .............  A              Incision of thigh.....      13.98          NA         NA       12.66      14.39      1.43          NA         NA       28.07      29.80       090
27454..........  .............  A              Realignment of thigh        17.56          NA         NA       13.57      15.31      1.76          NA         NA       32.89      34.63       090
                                                bone.
27455..........  .............  A              Realignment of knee...      12.82          NA         NA       11.39      12.21      1.27          NA         NA       25.48      26.30       090
27457..........  .............  A              Realignment of knee...      13.45          NA         NA       10.87      12.65      1.37          NA         NA       25.69      27.47       090
27465..........  .............  A              Shortening of thigh         13.87          NA         NA       13.06      13.17      1.43          NA         NA       28.36      28.47       090
                                                bone.
27466..........  .............  A              Lengthening of thigh        16.33          NA         NA       14.92      14.75      1.67          NA         NA       32.92      32.75       090
                                                bone.
27468..........  .............  A              Shorten/lengthen            18.97          NA         NA       13.23      15.76      1.94          NA         NA       34.14      36.67       090
                                                thighs.
27470..........  .............  A              Repair of thigh.......      16.07          NA         NA       14.73      16.41      1.64          NA         NA       32.44      34.12       090
27472..........  .............  A              Repair/graft of thigh.      17.72          NA         NA       15.45      18.30      1.83          NA         NA       35.00      37.85       090

[[Page 59461]]


27475..........  .............  A              Surgery to stop leg          8.64          NA         NA        8.15       8.28      0.86          NA         NA       17.65      17.78       090
                                                growth.
27477..........  .............  A              Surgery to stop leg          9.85          NA         NA        9.26      10.51      0.96          NA         NA       20.07      21.32       090
                                                growth.
27479..........  .............  A              Surgery to stop leg         12.80          NA         NA       10.12      11.37      1.35          NA         NA       24.27      25.52       090
                                                growth.
27485..........  .............  A              Surgery to stop leg          8.84          NA         NA        8.17       8.38      0.89          NA         NA       17.90      18.11       090
                                                growth.
27486..........  .............  A              Revise/replace knee         19.27          NA         NA       14.99      19.00      1.97          NA         NA       36.23      40.24       090
                                                joint.
27487..........  .............  A              Revise/replace knee         25.27          NA         NA       18.20      24.17      2.57          NA         NA       46.04      52.01       090
                                                joint.
27488..........  .............  A              Removal of knee             15.74          NA         NA       13.12      15.33      1.61          NA         NA       30.47      32.68       090
                                                prosthesis.
27495..........  .............  A              Reinforce thigh.......      15.55          NA         NA       14.29      16.43      1.59          NA         NA       31.43      33.57       090
27496..........  .............  A              Decompression of thigh/      6.11          NA         NA        7.14       6.03      0.66          NA         NA       13.91      12.80       090
                                                knee.
27497..........  .............  A              Decompression of thigh/      7.17          NA         NA        7.77       6.90      0.75          NA         NA       15.69      14.82       090
                                                knee.
27498..........  .............  A              Decompression of thigh/      7.99          NA         NA        7.28       7.07      0.87          NA         NA       16.14      15.93       090
                                                knee.
27499..........  .............  A              Decompression of thigh/      9.00          NA         NA        7.78       7.84      0.93          NA         NA       17.71      17.77       090
                                                knee.
27500..........  .............  A              Treatment of thigh           5.92       13.49       9.68        6.36       6.12      0.61       20.02      16.21       12.89      12.65       090
                                                fracture.
27501..........  .............  A              Treatment of thigh           5.92       14.23      10.05        7.23       6.55      0.62       20.77      16.59       13.77      13.09       090
                                                fracture.
27502..........  .............  A              Treatment of thigh          10.58          NA         NA        9.64       8.98      1.10          NA         NA       21.32      20.66       090
                                                fracture.
27503..........  .............  A              Treatment of thigh          10.58          NA         NA        9.73       9.03      1.10          NA         NA       21.41      20.71       090
                                                fracture.
27506..........  .............  A              Treatment of thigh          17.45          NA         NA       13.28      15.34      1.79          NA         NA       32.52      34.58       090
                                                fracture.
27507..........  .............  A              Treatment of thigh          13.99          NA         NA       11.41      14.06      1.43          NA         NA       26.83      29.48       090
                                                fracture.
27508..........  .............  A              Treatment of thigh           5.83        8.67       6.63        4.90       4.74      0.60       15.10      13.06       11.33      11.17       090
                                                fracture.
27509..........  .............  A              Treatment of thigh           7.71          NA         NA        7.88       6.23      0.80          NA         NA       16.39      14.74       090
                                                fracture.
27510..........  .............  A              Treatment of thigh           9.13          NA         NA        6.73       7.07      0.95          NA         NA       16.81      17.15       090
                                                fracture.
27511..........  .............  A              Treatment of thigh          13.64          NA         NA       11.87      14.08      1.40          NA         NA       26.91      29.12       090
                                                fracture.
27513..........  .............  A              Treatment of thigh          17.92          NA         NA       14.12      15.76      1.83          NA         NA       33.87      35.51       090
                                                fracture.
27514..........  .............  A              Treatment of thigh          17.30          NA         NA       13.27      15.19      1.78          NA         NA       32.35      34.27       090
                                                fracture.
27516..........  .............  A              Treat thigh fx growth        5.37        9.25       7.24        5.23       5.23      0.56       15.18      13.17       11.16      11.16       090
                                                plate.
27517..........  .............  A              Treat thigh fx growth        8.78        9.41       8.95        7.02       7.76      0.90       19.09      18.63       16.70      17.44       090
                                                plate.
27519..........  .............  A              Treat thigh fx growth       15.02          NA         NA       12.76      13.26      1.51          NA         NA       29.29      29.79       090
                                                plate.
27520..........  .............  A              Treat kneecap fracture       2.86        7.06       5.18        3.39       2.52      0.30       10.22       8.34        6.55       5.68       090
27524..........  .............  A              Treat kneecap fracture      10.00          NA         NA        8.08       9.65      1.03          NA         NA       19.11      20.68       090
27530..........  .............  A              Treat knee fracture...       3.78        7.55       5.62        3.86       3.78      0.39       11.72       9.79        8.03       7.95       090
27532..........  .............  A              Treat knee fracture...       7.30        6.83       6.50        5.34       5.75      0.76       14.89      14.56       13.40      13.81       090
27535..........  .............  A              Treat knee fracture...      11.50          NA         NA       10.80      11.75      1.18          NA         NA       23.48      24.43       090
27536..........  .............  A              Treat knee fracture...      15.65          NA         NA       11.05      11.87      1.61          NA         NA       28.31      29.13       090
27538..........  .............  A              Treat knee fracture(s)       4.87        8.86       6.26        4.92       4.29      0.51       14.24      11.64       10.30       9.67       090
27540..........  .............  A              Treat knee fracture...      13.10          NA         NA        9.51      10.70      1.33          NA         NA       23.94      25.13       090
27550..........  .............  A              Treat knee dislocation       5.76        8.76       5.78        5.20       4.00      0.57       15.09      12.11       11.53      10.33       090
27552..........  .............  A              Treat knee dislocation       7.90          NA         NA        6.95       5.34      0.82          NA         NA       15.67      14.06       090
27556..........  .............  A              Treat knee dislocation      14.41          NA         NA       12.97      13.26      1.51          NA         NA       28.89      29.18       090
27557..........  .............  A              Treat knee dislocation      16.77          NA         NA       14.42      15.13      1.72          NA         NA       32.91      33.62       090
27558..........  .............  A              Treat knee dislocation      17.72          NA         NA       14.59      15.22      1.80          NA         NA       34.11      34.74       090
27560..........  .............  A              Treat kneecap                3.82        7.55       4.55        3.64       2.60      0.36       11.73       8.73        7.82       6.78       090
                                                dislocation.
27562..........  .............  A              Treat kneecap                5.79          NA         NA        4.98       5.30      0.59          NA         NA       11.36      11.68       090
                                                dislocation.
27566..........  .............  A              Treat kneecap               12.23          NA         NA        9.14      10.31      1.26          NA         NA       22.63      23.80       090
                                                dislocation.
27570..........  .............  A              Fixation of knee joint       1.74          NA         NA        2.65       2.26      0.18          NA         NA        4.57       4.18       010
27580..........  .............  A              Fusion of knee........      19.37          NA         NA       15.00      16.02      1.98          NA         NA       36.35      37.37       090
27590..........  .............  A              Amputate leg at thigh.      12.03          NA         NA       11.59      10.74      1.30          NA         NA       24.92      24.07       090
27591..........  .............  A              Amputate leg at thigh.      12.68          NA         NA       12.90      12.84      1.34          NA         NA       26.92      26.86       090
27592..........  .............  A              Amputate leg at thigh.      10.02          NA         NA       10.43       9.62      1.07          NA         NA       21.52      20.71       090
27594..........  .............  A              Amputation follow-up         6.92          NA         NA        7.95       5.96      0.75          NA         NA       15.62      13.63       090
                                                surgery.
27596..........  .............  A              Amputation follow-up        10.60          NA         NA       10.81       9.41      1.15          NA         NA       22.56      21.16       090
                                                surgery.
27598..........  .............  A              Amputate lower leg at       10.53          NA         NA       10.20      10.55      1.10          NA         NA       21.83      22.18       090
                                                knee.
27599..........  .............  C              Leg surgery procedure.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
27600..........  .............  A              Decompression of lower       5.65          NA         NA        7.35       5.52      0.65          NA         NA       13.65      11.82       090
                                                leg.
27601..........  .............  A              Decompression of lower       5.64          NA         NA        7.47       5.57      0.64          NA         NA       13.75      11.85       090
                                                leg.
27602..........  .............  A              Decompression of lower       7.35          NA         NA        7.41       5.91      0.86          NA         NA       15.62      14.12       090
                                                leg.
27603..........  .............  A              Drain lower leg lesion       4.94       13.17       7.88        8.84       5.71      0.50       18.61      13.32       14.28      11.15       090
27604..........  .............  A              Drain lower leg bursa.       4.47        8.77       4.94        7.10       3.83      0.37       13.61       9.78       11.94       8.67       090
27605..........  .............  A              Incision of achilles         2.87        7.07       4.18        3.48       2.38      0.28       10.22       7.33        6.63       5.53       010
                                                tendon.
27606..........  .............  A              Incision of achilles         4.14        8.16       5.23        4.43       3.37      0.42       12.72       9.79        8.99       7.93       010
                                                tendon.
27607..........  .............  A              Treat lower leg bone         7.97          NA         NA       12.52       9.52      0.80          NA         NA       21.29      18.29       090
                                                lesion.
27610..........  .............  A              Explore/treat ankle          8.34          NA         NA        8.90       8.48      0.84          NA         NA       18.08      17.66       090
                                                joint.
27612..........  .............  A              Exploration of ankle         7.33          NA         NA        7.19       7.92      0.68          NA         NA       15.20      15.93       090
                                                joint.
27613..........  .............  A              Biopsy lower leg soft        2.17        5.38       3.06        2.63       1.50      0.13        7.68       5.36        4.93       3.80       010
                                                tissue.
27614..........  .............  A              Biopsy lower leg soft        5.66        9.15       5.80        6.20       4.33      0.55       15.36      12.01       12.41      10.54       090
                                                tissue.
27615..........  .............  A              Remove tumor, lower         12.56          NA         NA       13.71      11.32      1.26          NA         NA       27.53      25.14       090
                                                leg.
27618..........  .............  A              Remove lower leg             5.09        9.98       6.13        5.68       3.98      0.48       15.55      11.70       11.25       9.55       090
                                                lesion.
27619..........  .............  A              Remove lower leg             8.40       10.50       7.49        7.85       6.17      0.80       19.70      16.69       17.05      15.37       090
                                                lesion.
27620..........  .............  A              Explore/treat ankle          5.98          NA         NA        7.02       6.78      0.58          NA         NA       13.58      13.34       090
                                                joint.
27625..........  .............  A              Remove ankle joint           8.30          NA         NA        8.55       9.00      0.78          NA         NA       17.63      18.08       090
                                                lining.
27626..........  .............  A              Remove ankle joint           8.91          NA         NA        9.00       9.82      0.88          NA         NA       18.79      19.61       090
                                                lining.
27630..........  .............  A              Removal of tendon            4.80        9.81       6.59        5.84       4.60      0.45       15.06      11.84       11.09       9.85       090
                                                lesion.
27635..........  .............  A              Remove lower leg bone        7.78          NA         NA        9.63       9.18      0.78          NA         NA       18.19      17.74       090
                                                lesion.
27637..........  .............  A              Remove/graft leg bone        9.85          NA         NA       10.94      10.07      1.01          NA         NA       21.80      20.93       090
                                                lesion.
27638..........  .............  A              Remove/graft leg bone       10.57          NA         NA       11.27      10.60      1.06          NA         NA       22.90      22.23       090
                                                lesion.
27640..........  .............  A              Partial removal of          11.37          NA         NA       15.30      12.98      1.14          NA         NA       27.81      25.49       090
                                                tibia.
27641..........  .............  A              Partial removal of           9.24          NA         NA       13.84      10.79      0.92          NA         NA       24.00      20.95       090
                                                fibula.
27645..........  .............  A              Extensive lower leg         14.17          NA         NA       15.28      13.96      1.46          NA         NA       30.91      29.59       090
                                                surgery.
27646..........  .............  A              Extensive lower leg         12.66          NA         NA       15.63      13.65      1.24          NA         NA       29.53      27.55       090
                                                surgery.
27647..........  .............  A              Extensive ankle/heel        12.24          NA         NA       10.11      10.46      1.02          NA         NA       23.37      23.72       090
                                                surgery.
27648..........  .............  A              Injection for ankle x-       0.96        8.03       4.30        0.29       0.43      0.05        9.04       5.31        1.30       1.44       000
                                                ray.
27650..........  .............  A              Repair achilles tendon       9.69          NA         NA        8.48       9.12      0.95          NA         NA       19.12      19.76       090

[[Page 59462]]


27652..........  .............  A              Repair/graft achilles       10.33          NA         NA        8.56       9.93      0.98          NA         NA       19.87      21.24       090
                                                tendon.
27654..........  .............  A              Repair of achilles          10.02          NA         NA        8.89      10.38      0.90          NA         NA       19.81      21.30       090
                                                tendon.
27656..........  .............  A              Repair leg fascia            4.57       11.57       7.51        6.19       4.82      0.44       16.58      12.52       11.20       9.83       090
                                                defect.
27658..........  .............  A              Repair of leg tendon,        4.98       11.28       7.82        7.64       6.00      0.46       16.72      13.26       13.08      11.44       090
                                                each.
27659..........  .............  A              Repair of leg tendon,        6.81       11.75       9.06        8.24       7.31      0.61       19.17      16.48       15.66      14.73       090
                                                each.
27664..........  .............  A              Repair of leg tendon,        4.59        9.13       6.42        7.53       5.62      0.45       14.17      11.46       12.57      10.66       090
                                                each.
27665..........  .............  A              Repair of leg tendon,        5.40       12.40       8.89        8.13       6.75      0.53       18.33      14.82       14.06      12.68       090
                                                each.
27675..........  .............  A              Repair lower leg             7.18          NA         NA        7.12       7.04      0.69          NA         NA       14.99      14.91       090
                                                tendons.
27676..........  .............  A              Repair lower leg             8.42          NA         NA        8.11       8.16      0.74          NA         NA       17.27      17.32       090
                                                tendons.
27680..........  .............  A              Release of lower leg         5.74          NA         NA        6.74       5.61      0.54          NA         NA       13.02      11.89       090
                                                tendon.
27681..........  .............  A              Release of lower leg         6.82          NA         NA        7.32       6.90      0.68          NA         NA       14.82      14.40       090
                                                tendons.
27685..........  .............  A              Revision of lower leg        6.50        7.41       5.79        7.41       5.79      0.56       14.47      12.85       14.47      12.85       090
                                                tendon.
27686..........  .............  A              Revise lower leg             7.46        8.56       7.84        8.31       7.72      0.74       16.76      16.04       16.51      15.92       090
                                                tendons.
27687..........  .............  A              Revision of calf             6.24          NA         NA        7.25       6.58      0.56          NA         NA       14.05      13.38       090
                                                tendon.
27690..........  .............  A              Revise lower leg             8.71          NA         NA        8.14       7.73      0.76          NA         NA       17.61      17.20       090
                                                tendon.
27691..........  .............  A              Revise lower leg             9.96          NA         NA       10.02       9.29      0.95          NA         NA       20.93      20.20       090
                                                tendon.
27692..........  .............  A              Revise additional leg        1.87          NA         NA        0.90       1.55      0.19          NA         NA        2.96       3.61       ZZZ
                                                tendon.
27695..........  .............  A              Repair of ankle              6.51          NA         NA        7.87       7.82      0.63          NA         NA       15.01      14.96       090
                                                ligament.
27696..........  .............  A              Repair of ankle              8.27          NA         NA        8.71       8.19      0.76          NA         NA       17.74      17.22       090
                                                ligaments.
27698..........  .............  A              Repair of ankle              9.36          NA         NA        8.48       9.83      0.84          NA         NA       18.68      20.03       090
                                                ligament.
27700..........  .............  A              Revision of ankle            9.29          NA         NA        6.90       9.00      0.68          NA         NA       16.87      18.97       090
                                                joint.
27702..........  .............  A              Reconstruct ankle           13.67          NA         NA       11.60      13.96      1.41          NA         NA       26.68      29.04       090
                                                joint.
27703..........  .............  A              Reconstruction, ankle       15.87          NA         NA       11.39      13.20      1.32          NA         NA       28.58      30.39       090
                                                joint.
27704..........  .............  A              Removal of ankle             7.62          NA         NA        8.14       7.24      0.67          NA         NA       16.43      15.53       090
                                                implant.
27705..........  .............  A              Incision of tibia.....      10.38          NA         NA       10.22      10.94      1.06          NA         NA       21.66      22.38       090
27707..........  .............  A              Incision of fibula....       4.37          NA         NA        7.19       6.17      0.45          NA         NA       12.01      10.99       090
27709..........  .............  A              Incision of tibia &          9.95          NA         NA        9.98      10.93      1.02          NA         NA       20.95      21.90       090
                                                fibula.
27712..........  .............  A              Realignment of lower        14.25          NA         NA       12.42      12.18      1.46          NA         NA       28.13      27.89       090
                                                leg.
27715..........  .............  A              Revision of lower leg.      14.39          NA         NA       13.00      13.35      1.47          NA         NA       28.86      29.21       090
27720..........  .............  A              Repair of tibia.......      11.79          NA         NA       12.04      13.06      1.21          NA         NA       25.04      26.06       090
27722..........  .............  A              Repair/graft of tibia.      11.82          NA         NA       11.45      11.43      1.21          NA         NA       24.48      24.46       090
27724..........  .............  A              Repair/graft of tibia.      14.99          NA         NA       13.86      15.34      1.54          NA         NA       30.39      31.87       090
27725..........  .............  A              Repair of lower leg...      15.59          NA         NA       13.98      12.65      1.58          NA         NA       31.15      29.82       090
27727..........  .............  A              Repair of lower leg...      14.01          NA         NA       12.39      11.29      1.41          NA         NA       27.81      26.71       090
27730..........  .............  A              Repair of tibia              7.41       13.83       8.87        8.57       6.24      0.74       21.98      17.02       16.72      14.39       090
                                                epiphysis.
27732..........  .............  A              Repair of fibula             5.32       13.02       9.14        6.78       6.02      0.53       18.87      14.99       12.63      11.87       090
                                                epiphysis.
27734..........  .............  A              Repair lower leg             8.48          NA         NA        8.16       8.17      0.76          NA         NA       17.40      17.41       090
                                                epiphyses.
27740..........  .............  A              Repair of leg                9.30       17.83      13.45        8.59       8.83      0.97       28.10      23.72       18.86      19.10       090
                                                epiphyses.
27742..........  .............  A              Repair of leg               10.30       14.94      12.51        8.98       9.53      0.93       26.17      23.74       20.21      20.76       090
                                                epiphyses.
27745..........  .............  A              Reinforce tibia.......      10.07          NA         NA       10.81      10.27      1.02          NA         NA       21.90      21.36       090
27750..........  .............  A              Treatment of tibia           3.19        7.22       5.48        3.53       3.64      0.32       10.73       8.99        7.04       7.15       090
                                                fracture.
27752..........  .............  A              Treatment of tibia           5.84        9.50       7.51        5.54       5.53      0.61       15.95      13.96       11.99      11.98       090
                                                fracture.
27756..........  .............  A              Treatment of tibia           6.78          NA         NA        9.12       8.61      0.70          NA         NA       16.60      16.09       090
                                                fracture.
27758..........  .............  A              Treatment of tibia          11.67          NA         NA       11.03      12.48      1.19          NA         NA       23.89      25.34       090
                                                fracture.
27759..........  .............  A              Treatment of tibia          13.76          NA         NA       12.13      13.52      1.41          NA         NA       27.30      28.69       090
                                                fracture.
27760..........  .............  A              Treatment of ankle           3.01        6.94       4.87        3.46       2.43      0.31       10.26       8.19        6.78       5.75       090
                                                fracture.
27762..........  .............  A              Treatment of ankle           5.25        8.95       6.30        5.12       4.39      0.53       14.73      12.08       10.90      10.17       090
                                                fracture.
27766..........  .............  A              Treatment of ankle           8.36          NA         NA        7.52       8.03      0.86          NA         NA       16.74      17.25       090
                                                fracture.
27780..........  .............  A              Treatment of fibula          2.65        4.70       3.42        3.23       2.15      0.26        7.61       6.33        6.14       5.06       090
                                                fracture.
27781..........  .............  A              Treatment of fibula          4.40        8.05       5.81        4.20       3.89      0.45       12.90      10.66        9.05       8.74       090
                                                fracture.
27784..........  .............  A              Treatment of fibula          7.11          NA         NA        7.47       6.77      0.73          NA         NA       15.31      14.61       090
                                                fracture.
27786..........  .............  A              Treatment of ankle           2.84        6.94       4.84        3.37       2.37      0.29       10.07       7.97        6.50       5.50       090
                                                fracture.
27788..........  .............  A              Treatment of ankle           4.45        7.97       5.76        4.16       2.97      0.46       12.88      10.67        9.07       7.88       090
                                                fracture.
27792..........  .............  A              Treatment of ankle           7.66          NA         NA        7.21       7.61      0.78          NA         NA       15.65      16.05       090
                                                fracture.
27808..........  .............  A              Treatment of ankle           2.83        7.80       5.42        3.94       3.49      0.29       10.92       8.54        7.06       6.61       090
                                                fracture.
27810..........  .............  A              Treatment of ankle           5.13        8.97       7.23        5.11       5.30      0.53       14.63      12.89       10.77      10.96       090
                                                fracture.
27814..........  .............  A              Treatment of ankle          10.68          NA         NA        9.75      10.30      1.10          NA         NA       21.53      22.08       090
                                                fracture.
27816..........  .............  A              Treatment of ankle           2.89        7.40       5.59        3.98       3.72      0.29       10.58       8.77        7.16       6.90       090
                                                fracture.
27818..........  .............  A              Treatment of ankle           5.50        9.18       7.88        5.29       5.93      0.56       15.24      13.94       11.35      11.99       090
                                                fracture.
27822..........  .............  A              Treatment of ankle           9.20          NA         NA       34.89      22.94      0.95          NA         NA       45.04      33.09       090
                                                fracture.
27823..........  .............  A              Treatment of ankle          11.80          NA         NA       35.41      24.65      1.21          NA         NA       48.42      37.66       090
                                                fracture.
27824..........  .............  A              Treat lower leg              2.89        7.79       5.78        3.90       3.68      0.29       10.97       8.96        7.08       6.86       090
                                                fracture.
27825..........  .............  A              Treat lower leg              6.19        9.70       8.39        5.71       6.39      0.64       16.53      15.22       12.54      13.22       090
                                                fracture.
27826..........  .............  A              Treat lower leg              8.54          NA         NA       33.17      21.68      0.88          NA         NA       42.59      31.10       090
                                                fracture.
27827..........  .............  A              Treat lower leg             14.06          NA         NA       36.76      24.74      1.44          NA         NA       52.26      40.24       090
                                                fracture.
27828..........  .............  A              Treat lower leg             16.23          NA         NA       38.05      25.97      1.67          NA         NA       55.95      43.87       090
                                                fracture.
27829..........  .............  A              Treat lower leg joint.       5.49          NA         NA       25.16      15.86      0.56          NA         NA       31.21      21.91       090
27830..........  .............  A              Treat lower leg              3.79        7.44       5.49        3.48       3.51      0.38       11.61       9.66        7.65       7.68       090
                                                dislocation.
27831..........  .............  A              Treat lower leg              4.56          NA         NA        4.50       4.41      0.46          NA         NA        9.52       9.43       090
                                                dislocation.
27832..........  .............  A              Treat lower leg              6.49          NA         NA        7.50       6.85      0.68          NA         NA       14.67      14.02       090
                                                dislocation.
27840..........  .............  A              Treat ankle                  4.58          NA         NA        5.05       3.54      0.45          NA         NA       10.08       8.57       090
                                                dislocation.
27842..........  .............  A              Treat ankle                  6.21          NA         NA        4.62       3.52      0.64          NA         NA       11.47      10.37       090
                                                dislocation.
27846..........  .............  A              Treat ankle                  9.79          NA         NA        9.03       9.18      0.96          NA         NA       19.78      19.93       090
                                                dislocation.
27848..........  .............  A              Treat ankle                 11.20          NA         NA       26.90      17.99      1.15          NA         NA       39.25      30.34       090
                                                dislocation.
27860..........  .............  A              Fixation of ankle            2.34          NA         NA        2.95       2.23      0.23          NA         NA        5.52       4.80       010
                                                joint.
27870..........  .............  A              Fusion of ankle joint.      13.91          NA         NA       12.58      13.53      1.40          NA         NA       27.89      28.84       090
27871..........  .............  A              Fusion of tibiofibular       9.17          NA         NA        9.70       9.08      0.92          NA         NA       19.79      19.17       090
                                                joint.
27880..........  .............  A              Amputation of lower         11.85          NA         NA       10.82       9.95      1.27          NA         NA       23.94      23.07       090
                                                leg.
27881..........  .............  A              Amputation of lower         12.34          NA         NA       11.88      11.81      1.31          NA         NA       25.53      25.46       090
                                                leg.
27882..........  .............  A              Amputation of lower          8.94          NA         NA       10.97       9.48      0.98          NA         NA       20.89      19.40       090
                                                leg.
27884..........  .............  A              Amputation follow-up         8.21          NA         NA        9.47       6.57      0.89          NA         NA       18.57      15.67       090
                                                surgery.

[[Page 59463]]


27886..........  .............  A              Amputation follow-up         9.32          NA         NA        9.50       8.64      1.01          NA         NA       19.83      18.97       090
                                                surgery.
27888..........  .............  A              Amputation of foot at        9.67          NA         NA        9.74      10.02      1.01          NA         NA       20.42      20.70       090
                                                ankle.
27889..........  .............  A              Amputation of foot at        9.98          NA         NA        8.62       8.89      1.10          NA         NA       19.70      19.97       090
                                                ankle.
27892..........  .............  A              Decompression of leg..       7.39          NA         NA        7.23       5.46      0.80          NA         NA       15.42      13.65       090
27893..........  .............  A              Decompression of leg..       7.35          NA         NA        6.59       5.13      0.69          NA         NA       14.63      13.17       090
27894..........  .............  A              Decompression of leg..      10.49          NA         NA        8.55       6.48      1.12          NA         NA       20.16      18.09       090
27899..........  .............  C              Leg/ankle surgery            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
28001..........  .............  A              Drainage of bursa of         2.73        4.29       2.43        2.72       1.50      0.18        7.20       5.34        5.63       4.41       010
                                                foot.
28002..........  .............  A              Treatment of foot            4.62        5.47       3.96        3.77       3.11      0.37       10.46       8.95        8.76       8.10       010
                                                infection.
28003..........  .............  A              Treatment of foot            8.41        8.65       6.23        8.65       5.28      0.66       17.72      15.30       17.72      14.35       090
                                                infection.
28005..........  .............  A              Treat foot bone lesion       8.68          NA         NA        8.74       6.59      0.74          NA         NA       18.16      16.01       090
28008..........  .............  A              Incision of foot             4.45        6.03       4.47        5.13       4.02      0.31       10.79       9.23        9.89       8.78       090
                                                fascia.
28010..........  .............  A              Incision of toe tendon       2.84        5.56       4.75        3.93       2.95      0.19        8.59       7.78        6.96       5.98       090
28011..........  .............  A              Incision of toe              4.14        6.81       4.37        5.68       3.32      0.33       11.28       8.84       10.15       7.79       090
                                                tendons.
28020..........  .............  A              Exploration of foot          5.01        7.49       6.14        5.44       5.11      0.41       12.91      11.56       10.86      10.53       090
                                                joint.
28022..........  .............  A              Exploration of foot          4.67        6.14       4.56        4.92       3.21      0.35       11.16       9.58        9.94       8.23       090
                                                joint.
28024..........  .............  A              Exploration of toe           4.38        6.24       4.42        4.94       3.12      0.32       10.94       9.12        9.64       7.82       090
                                                joint.
28030..........  .............  A              Removal of foot nerve.       6.15          NA         NA        3.19       3.73      0.42          NA         NA        9.76      10.30       090
28035..........  .............  A              Decompression of tibia       5.09        6.42       6.57        4.67       5.38      0.42       11.93      12.08       10.18      10.89       090
                                                nerve.
28043..........  .............  A              Excision of foot             3.54        5.67       3.78        4.11       3.00      0.27        9.48       7.59        7.92       6.81       090
                                                lesion.
28045..........  .............  A              Excision of foot             4.72        6.25       5.29        4.71       4.52      0.36       11.33      10.37        9.79       9.60       090
                                                lesion.
28046..........  .............  A              Resection of tumor,         10.18        9.19       7.50        8.94       7.38      0.82       20.19      18.50       19.94      18.38       090
                                                foot.
28050..........  .............  A              Biopsy of foot joint         4.25        5.48       4.83        4.55       4.36      0.33       10.06       9.41        9.13       8.94       090
                                                lining.
28052..........  .............  A              Biopsy of foot joint         3.94        5.60       4.88        4.86       3.47      0.32        9.86       9.14        9.12       7.73       090
                                                lining.
28054..........  .............  A              Biopsy of toe joint          3.45        5.61       4.02        5.38       3.91      0.29        9.35       7.76        9.12       7.65       090
                                                lining.
28060..........  .............  A              Partial removal, foot        5.23        6.68       5.63        5.39       4.99      0.38       12.29      11.24       11.00      10.60       090
                                                fascia.
28062..........  .............  A              Removal of foot fascia       6.52        8.28       7.97        5.26       6.46      0.45       15.25      14.94       12.23      13.43       090
28070..........  .............  A              Removal of foot joint        5.10        5.82       5.34        5.12       4.99      0.37       11.29      10.81       10.59      10.46       090
                                                lining.
28072..........  .............  A              Removal of foot joint        4.58        6.77       5.13        5.79       4.64      0.41       11.76      10.12       10.78       9.63       090
                                                lining.
28080..........  .............  A              Removal of foot lesion       3.58        5.74       5.08        4.36       4.39      0.26        9.58       8.92        8.20       8.23       090
28086..........  .............  A              Excise foot tendon           4.78        8.36       5.88        6.81       5.10      0.47       13.61      11.13       12.06      10.35       090
                                                sheath.
28088..........  .............  A              Excise foot tendon           3.86        6.48       5.21        5.56       4.75      0.35       10.69       9.42        9.77       8.96       090
                                                sheath.
28090..........  .............  A              Removal of foot lesion       4.41        6.05       4.67        4.50       3.89      0.32       10.78       9.40        9.23       8.62       090
28092..........  .............  A              Removal of toe lesions       3.64        6.70       4.45        4.84       3.52      0.28       10.62       8.37        8.76       7.44       090
28100..........  .............  A              Removal of ankle/heel        5.66        8.69       6.83        6.40       5.69      0.49       14.84      12.98       12.55      11.84       090
                                                lesion.
28102..........  .............  A              Remove/graft foot            7.73          NA         NA        7.47       7.45      0.72          NA         NA       15.92      15.90       090
                                                lesion.
28103..........  .............  A              Remove/graft foot            6.50       13.37       9.73        5.53       5.81      0.52       20.39      16.75       12.55      12.83       090
                                                lesion.
28104..........  .............  A              Removal of foot lesion       5.12        6.59       5.65        5.78       5.24      0.38       12.09      11.15       11.28      10.74       090
28106..........  .............  A              Remove/graft foot            7.16          NA         NA        6.39       6.68      0.53          NA         NA       14.08      14.37       090
                                                lesion.
28107..........  .............  A              Remove/graft foot            5.56        6.30       5.79        5.98       5.63      0.40       12.26      11.75       11.94      11.59       090
                                                lesion.
28108..........  .............  A              Removal of toe lesions       4.16        5.54       5.05        4.26       3.27      0.28        9.98       9.49        8.70       7.71       090
28110..........  .............  A              Part removal of              4.08        6.57       5.18        5.63       4.71      0.31       10.96       9.57       10.02       9.10       090
                                                metatarsal.
28111..........  .............  A              Part removal of              5.01        8.06       6.77        6.19       5.83      0.42       13.49      12.20       11.62      11.26       090
                                                metatarsal.
28112..........  .............  A              Part removal of              4.49        6.79       5.55        5.98       5.14      0.35       11.63      10.39       10.82       9.98       090
                                                metatarsal.
28113..........  .............  A              Part removal of              4.79        6.76       5.79        5.69       5.26      0.36       11.91      10.94       10.84      10.41       090
                                                metatarsal.
28114..........  .............  A              Removal of metatarsal        9.79        9.29       9.62        9.29       9.62      0.82       19.90      20.23       19.90      20.23       090
                                                heads.
28116..........  .............  A              Revision of foot......       7.75        6.87       6.41        5.72       5.84      0.56       15.18      14.72       14.03      14.15       090
28118..........  .............  A              Removal of heel bone..       5.96        6.71       6.46        5.92       6.06      0.48       13.15      12.90       12.36      12.50       090
28119..........  .............  A              Removal of heel spur..       5.39        6.38       6.14        4.99       5.45      0.37       12.14      11.90       10.75      11.21       090
28120..........  .............  A              Part removal of ankle/       5.40       10.25       7.86        7.60       6.54      0.47       16.12      13.73       13.47      12.41       090
                                                heel.
28122..........  .............  A              Partial removal of           7.29        8.45       6.66        7.79       6.33      0.56       16.30      14.51       15.64      14.18       090
                                                foot bone.
28124..........  .............  A              Partial removal of toe       4.81        7.08       5.77        6.06       4.15      0.32       12.21      10.90       11.19       9.28       090
28126..........  .............  A              Partial removal of toe       3.52        6.03       5.18        5.45       3.81      0.24        9.79       8.94        9.21       7.57       090
28130..........  .............  A              Removal of ankle bone.       8.11          NA         NA        7.68       7.66      0.75          NA         NA       16.54      16.52       090
28140..........  .............  A              Removal of metatarsal.       6.91        7.40       6.38        6.50       5.93      0.59       14.90      13.88       14.00      13.43       090
28150..........  .............  A              Removal of toe........       4.09        6.52       5.05        5.65       4.61      0.32       10.93       9.46       10.06       9.02       090
28153..........  .............  A              Partial removal of toe       3.66        6.07       5.20        4.36       3.27      0.24        9.97       9.10        8.26       7.17       090
28160..........  .............  A              Partial removal of toe       3.74        6.22       5.35        5.69       3.97      0.27       10.23       9.36        9.70       7.98       090
28171..........  .............  A              Extensive foot surgery       9.60          NA         NA        6.75       7.71      0.62          NA         NA       16.97      17.93       090
28173..........  .............  A              Extensive foot surgery       8.80        8.71       7.47        7.49       6.86      0.71       18.22      16.98       17.00      16.37       090
28175..........  .............  A              Extensive foot surgery       6.05        7.17       6.51        5.67       5.76      0.41       13.63      12.97       12.13      12.22       090
28190..........  .............  A              Removal of foot              1.96        5.06       2.81        2.93       1.61      0.13        7.15       4.90        5.02       3.70       010
                                                foreign body.
28192..........  .............  A              Removal of foot              4.64        6.55       4.34        4.58       3.35      0.36       11.55       9.34        9.58       8.35       090
                                                foreign body.
28193..........  .............  A              Removal of foot              5.73        6.71       4.65        5.35       3.97      0.42       12.86      10.80       11.50      10.12       090
                                                foreign body.
28200..........  .............  A              Repair of foot tendon.       4.60        6.36       5.93        5.25       5.37      0.33       11.29      10.86       10.18      10.30       090
28202..........  .............  A              Repair/graft of foot         6.84        6.81       6.57        5.74       6.03      0.53       14.18      13.94       13.11      13.40       090
                                                tendon.
28208..........  .............  A              Repair of foot tendon.       4.37        6.05       4.55        4.77       3.91      0.31       10.73       9.23        9.45       8.59       090
28210..........  .............  A              Repair/graft of foot         6.35        7.96       7.02        5.72       5.90      0.46       14.77      13.83       12.53      12.71       090
                                                tendon.
28220..........  .............  A              Release of foot tendon       4.53        5.92       5.06        4.94       3.52      0.30       10.75       9.89        9.77       8.35       090
28222..........  .............  A              Release of foot              5.62        6.33       6.64        5.86       4.67      0.36       12.31      12.62       11.84      10.65       090
                                                tendons.
28225..........  .............  A              Release of foot tendon       3.66        5.68       4.13        4.54       3.56      0.25        9.59       8.04        8.45       7.47       090
28226..........  .............  A              Release of foot              4.53        5.90       4.79        5.11       4.39      0.33       10.76       9.65        9.97       9.25       090
                                                tendons.
28230..........  .............  A              Incision of foot             4.24        6.00       4.32        5.45       3.39      0.31       10.55       8.87       10.00       7.94       090
                                                tendon(s).
28232..........  .............  A              Incision of toe tendon       3.39        6.13       3.94        5.18       3.03      0.25        9.77       7.58        8.82       6.67       090
28234..........  .............  A              Incision of foot             3.37        6.28       3.97        4.60       2.72      0.24        9.89       7.58        8.21       6.33       090
                                                tendon.
28238..........  .............  A              Revision of foot             7.73        7.16       7.51        6.43       7.14      0.56       15.45      15.80       14.72      15.43       090
                                                tendon.
28240..........  .............  A              Release of big toe....       4.36        5.87       4.09        5.11       3.71      0.32       10.55       8.77        9.79       8.39       090
28250..........  .............  A              Revision of foot             5.92        6.77       5.81        6.08       5.46      0.42       13.11      12.15       12.42      11.80       090
                                                fascia.
28260..........  .............  A              Release of midfoot           7.96        7.25       6.03        6.19       5.50      0.57       15.78      14.56       14.72      14.03       090
                                                joint.
28261..........  .............  A              Revision of foot            11.73        9.10       7.76        8.32       7.37      0.84       21.67      20.33       20.89      19.94       090
                                                tendon.
28262..........  .............  A              Revision of foot and        15.83       14.39      13.66       12.98      12.96      1.48       31.70      30.97       30.29      30.27       090
                                                ankle.

[[Page 59464]]


28264..........  .............  A              Release of midfoot          10.35        8.63       9.51        8.63       9.51      0.86       19.84      20.72       19.84      20.72       090
                                                joint.
28270..........  .............  A              Release of foot              4.76        6.49       4.67        5.77       3.60      0.32       11.57       9.75       10.85       8.68       090
                                                contracture.
28272..........  .............  A              Release of toe joint,        3.80        5.63       3.92        4.32       2.72      0.24        9.67       7.96        8.36       6.76       090
                                                each.
28280..........  .............  A              Fusion of toes........       5.19        6.49       4.45        5.75       4.08      0.45       12.13      10.09       11.39       9.72       090
28285..........  .............  A              Repair of hammertoe...       4.59        6.48       5.61        5.33       5.04      0.32       11.39      10.52       10.24       9.95       090
28286..........  .............  A              Repair of hammertoe...       4.56        6.41       5.15        5.09       4.49      0.32       11.29      10.03        9.97       9.37       090
28288..........  .............  A              Partial removal of           4.74        6.67       5.37        6.53       5.30      0.38       11.79      10.49       11.65      10.42       090
                                                foot bone.
28289..........  .............  A              Repair hallux rigidus.       7.04        2.82       2.82        2.82       2.82      0.55       10.41      10.41       10.41      10.41       090
28290..........  .............  A              Correction of bunion..       5.66        7.28       6.55        7.18       6.50      0.46       13.40      12.67       13.30      12.62       090
28292..........  .............  A              Correction of bunion..       7.04        7.53       7.59        6.30       6.98      0.50       15.07      15.13       13.84      14.52       090
28293..........  .............  A              Correction of bunion..       9.15        8.54       9.45        6.71       8.54      0.61       18.30      19.21       16.47      18.30       090
28294..........  .............  A              Correction of bunion..       8.56        8.06       9.00        6.55       8.25      0.55       17.17      18.11       15.66      17.36       090
28296..........  .............  A              Correction of bunion..       9.18        8.59       9.08        7.34       8.45      0.66       18.43      18.92       17.18      18.29       090
28297..........  .............  A              Correction of bunion..       9.18        8.47       9.13        8.47       9.13      0.74       18.39      19.05       18.39      19.05       090
28298..........  .............  A              Correction of bunion..       7.94        7.89       8.68        6.92       8.20      0.54       16.37      17.16       15.40      16.68       090
28299..........  .............  A              Correction of bunion..       8.88        8.11       9.36        6.93       8.77      0.61       17.60      18.85       16.42      18.26       090
28300..........  .............  A              Incision of heel bone.       9.54       11.65       9.37        8.35       7.72      0.87       22.06      19.78       18.76      18.13       090
28302..........  .............  A              Incision of ankle bone       9.55       11.95      10.80        8.50       9.08      0.78       22.28      21.13       18.83      19.41       090
28304..........  .............  A              Incision of midfoot          9.16        8.59       7.79        6.97       6.98      0.68       18.43      17.63       16.81      16.82       090
                                                bones.
28305..........  .............  A              Incise/graft midfoot        10.50       13.89      12.29        9.66      10.18      0.61       25.00      23.40       20.77      21.29       090
                                                bones.
28306..........  .............  A              Incision of metatarsal       5.86        6.50       5.73        5.36       5.16      0.45       12.81      12.04       11.67      11.47       090
28307..........  .............  A              Incision of metatarsal       6.33        7.85       7.11        7.44       6.91      0.51       14.69      13.95       14.28      13.75       090
28308..........  .............  A              Incision of metatarsal       5.29        5.96       6.08        4.39       5.30      0.35       11.60      11.72       10.03      10.94       090
28309..........  .............  A              Incision of                 12.78          NA         NA        9.28       8.37      0.99          NA         NA       23.05      22.14       090
                                                metatarsals.
28310..........  .............  A              Revision of big toe...       5.43        6.83       5.68        5.50       5.02      0.37       12.63      11.48       11.30      10.82       090
28312..........  .............  A              Revision of toe.......       4.55        6.59       5.77        6.01       5.48      0.33       11.47      10.65       10.89      10.36       090
28313..........  .............  A              Repair deformity of          5.01        7.12       4.96        7.12       4.26      0.45       12.58      10.42       12.58       9.72       090
                                                toe.
28315..........  .............  A              Removal of sesamoid          4.86        6.02       5.31        4.58       4.59      0.33       11.21      10.50        9.77       9.78       090
                                                bone.
28320..........  .............  A              Repair of foot bones..       9.18          NA         NA        8.45       8.94      0.82          NA         NA       18.45      18.94       090
28322..........  .............  A              Repair of metatarsals.       8.34        7.10       6.09        7.10       6.09      0.74       16.18      15.17       16.18      15.17       090
28340..........  .............  A              Resect enlarged toe          6.98        7.60       7.24        5.59       6.24      0.52       15.10      14.74       13.09      13.74       090
                                                tissue.
28341..........  .............  A              Resect enlarged toe...       8.41        8.00       8.16        6.02       7.17      0.55       16.96      17.12       14.98      16.13       090
28344..........  .............  A              Repair extra toe(s)...       4.26        5.49       4.76        4.97       4.50      0.38       10.13       9.40        9.61       9.14       090
28345..........  .............  A              Repair webbed toe(s)..       5.92        6.73       6.27        6.25       6.03      0.48       13.13      12.67       12.65      12.43       090
28360..........  .............  A              Reconstruct cleft foot      13.34          NA         NA       12.03      12.48      1.39          NA         NA       26.76      27.21       090
28400..........  .............  A              Treatment of heel            2.16        6.94       4.87        4.09       2.75      0.21        9.31       7.24        6.46       5.12       090
                                                fracture.
28405..........  .............  A              Treatment of heel            4.57        7.25       5.74        5.18       4.71      0.44       12.26      10.75       10.19       9.72       090
                                                fracture.
28406..........  .............  A              Treatment of heel            6.31          NA         NA        7.48       7.05      0.65          NA         NA       14.44      14.01       090
                                                fracture.
28415..........  .............  A              Treat heel fracture...      15.97          NA         NA       35.81      22.80      1.58          NA         NA       53.36      40.35       090
28420..........  .............  A              Treat/graft heel            16.64          NA         NA       35.95      23.89      1.67          NA         NA       54.26      42.20       090
                                                fracture.
28430..........  .............  A              Treatment of ankle           2.09        6.58       4.62        3.68       2.51      0.20        8.87       6.91        5.97       4.80       090
                                                fracture.
28435..........  .............  A              Treatment of ankle           3.40        6.81       5.23        4.20       3.93      0.31       10.52       8.94        7.91       7.64       090
                                                fracture.
28436..........  .............  A              Treatment of ankle           4.71          NA         NA        6.09       5.32      0.50          NA         NA       11.30      10.53       090
                                                fracture.
28445..........  .............  A              Treat ankle fracture..       9.33          NA         NA        9.73       9.64      0.90          NA         NA       19.96      19.87       090
28450..........  .............  A              Treat midfoot                1.90        6.22       4.13        3.59       2.31      0.18        8.30       6.21        5.67       4.39       090
                                                fracture, each.
28455..........  .............  A              Treat midfoot                3.09        5.15       3.96        3.99       2.69      0.25        8.49       7.30        7.33       6.03       090
                                                fracture, each.
28456..........  .............  A              Treat midfoot fracture       2.68          NA         NA        4.89       3.68      0.26          NA         NA        7.83       6.62       090
28465..........  .............  A              Treat midfoot                7.01          NA         NA       20.63      13.32      0.65          NA         NA       28.29      20.98       090
                                                fracture, each.
28470..........  .............  A              Treat metatarsal             1.99        5.81       3.88        3.02       2.00      0.19        7.99       6.06        5.20       4.18       090
                                                fracture.
28475..........  .............  A              Treat metatarsal             2.97        5.78       4.16        3.87       2.57      0.26        9.01       7.39        7.10       5.80       090
                                                fracture.
28476..........  .............  A              Treat metatarsal             3.38          NA         NA        5.49       4.58      0.32          NA         NA        9.19       8.28       090
                                                fracture.
28485..........  .............  A              Treat metatarsal             5.71          NA         NA       20.72      12.90      0.48          NA         NA       26.91      19.09       090
                                                fracture.
28490..........  .............  A              Treat big toe fracture       1.09        2.13       1.56        1.78       1.14      0.10        3.32       2.75        2.97       2.33       090
28495..........  .............  A              Treat big toe fracture       1.58        2.17       1.70        1.89       1.25      0.12        3.87       3.40        3.59       2.95       090
28496..........  .............  A              Treat big toe fracture       2.33        6.61       4.43        4.31       3.28      0.23        9.17       6.99        6.87       5.84       090
28505..........  .............  A              Treat big toe fracture       3.81       17.83      10.54       17.83      10.54      0.34       21.98      14.69       21.98      14.69       090
28510..........  .............  A              Treatment of toe             1.09        1.88       1.43        1.80       1.15      0.09        3.06       2.61        2.98       2.33       090
                                                fracture.
28515..........  .............  A              Treatment of toe             1.46        2.06       1.64        1.89       1.25      0.11        3.63       3.21        3.46       2.82       090
                                                fracture.
28525..........  .............  A              Treat toe fracture....       3.32       16.35       9.30       16.35       9.30      0.30       19.97      12.92       19.97      12.92       090
28530..........  .............  A              Treat sesamoid bone          1.06        3.90       2.50        2.22       1.39      0.08        5.04       3.64        3.36       2.53       090
                                                fracture.
28531..........  .............  A              Treat sesamoid bone          2.35       13.22       7.65        8.81       5.44      0.17       15.74      10.17       11.33       7.96       090
                                                fracture.
28540..........  .............  A              Treat foot dislocation       2.04        4.21       2.43        3.38       1.86      0.15        6.40       4.62        5.57       4.05       090
28545..........  .............  A              Treat foot dislocation       2.45        3.60       2.51        3.60       2.51      0.22        6.27       5.18        6.27       5.18       090
28546..........  .............  A              Treat foot dislocation       3.20        4.79       3.88        4.79       3.88      0.30        8.29       7.38        8.29       7.38       090
28555..........  .............  A              Repair foot                  6.30        9.83       7.95        9.83       7.95      0.59       16.72      14.84       16.72      14.84       090
                                                dislocation.
28570..........  .............  A              Treat foot dislocation       1.66        5.01       3.37        3.36       2.12      0.14        6.81       5.17        5.16       3.92       090
28575..........  .............  A              Treat foot dislocation       3.31        3.72       3.37        3.72       3.37      0.32        7.35       7.00        7.35       7.00       090
28576..........  .............  A              Treat foot dislocation       4.17        5.18       4.10        5.18       4.10      0.41        9.76       8.68        9.76       8.68       090
28585..........  .............  A              Repair foot                  7.99       13.84       9.61       13.84       9.61      0.71       22.54      18.31       22.54      18.31       090
                                                dislocation.
28600..........  .............  A              Treat foot dislocation       1.89        5.50       3.12        3.63       2.00      0.16        7.55       5.17        5.68       4.05       090
28605..........  .............  A              Treat foot dislocation       2.71        6.00       4.23        3.85       3.15      0.26        8.97       7.20        6.82       6.12       090
28606..........  .............  A              Treat foot dislocation       4.90       13.40       8.60        6.01       4.90      0.50       18.80      14.00       11.41      10.30       090
28615..........  .............  A              Repair foot                  7.77          NA         NA       24.09      14.74      0.77          NA         NA       32.63      23.28       090
                                                dislocation.
28630..........  .............  A              Treat toe dislocation.       1.70        1.78       1.45        1.78       1.17      0.14        3.62       3.29        3.62       3.01       010
28635..........  .............  A              Treat toe dislocation.       1.91        2.88       2.23        2.24       1.52      0.15        4.94       4.29        4.30       3.58       010
28636..........  .............  A              Treat toe dislocation.       2.77        5.61       4.20        2.65       2.72      0.26        8.64       7.23        5.68       5.75       010
28645..........  .............  A              Repair toe dislocation       4.22        7.74       5.63        7.74       5.63      0.31       12.27      10.16       12.27      10.16       090
28660..........  .............  A              Treat toe dislocation.       1.23        3.83       2.26        2.03       1.36      0.11        5.17       3.60        3.37       2.70       010
28665..........  .............  A              Treat toe dislocation.       1.92        3.17       2.12        2.60       1.57      0.14        5.23       4.18        4.66       3.63       010
28666..........  .............  A              Treat toe dislocation.       2.66        8.39       5.52        2.53       2.59      0.26       11.31       8.44        5.45       5.51       010
28675..........  .............  A              Repair of toe                2.92       11.17       7.22       11.17       7.22      0.28       14.37      10.42       14.37      10.42       090
                                                dislocation.

[[Page 59465]]


28705..........  .............  A              Fusion of foot bones..      15.21          NA         NA       11.89      14.15      1.40          NA         NA       28.50      30.76       090
28715..........  .............  A              Fusion of foot bones..      13.10          NA         NA       11.44      12.41      1.28          NA         NA       25.82      26.79       090
28725..........  .............  A              Fusion of foot bones..      11.61          NA         NA       10.53      10.39      1.06          NA         NA       23.20      23.06       090
28730..........  .............  A              Fusion of foot bones..      10.76          NA         NA        9.64       9.71      1.00          NA         NA       21.40      21.47       090
28735..........  .............  A              Fusion of foot bones..      10.85          NA         NA        9.48      10.04      0.96          NA         NA       21.29      21.85       090
28737..........  .............  A              Revision of foot bones       9.64          NA         NA        9.05       9.34      0.86          NA         NA       19.55      19.84       090
28740..........  .............  A              Fusion of foot bones..       8.02        9.65       7.62        7.98       6.78      0.70       18.37      16.34       16.70      15.50       090
28750..........  .............  A              Fusion of big toe            7.30        9.61       7.69        7.82       6.80      0.70       17.61      15.69       15.82      14.80       090
                                                joint.
28755..........  .............  A              Fusion of big toe            4.74        6.92       5.46        5.42       4.71      0.38       12.04      10.58       10.54       9.83       090
                                                joint.
28760..........  .............  A              Fusion of big toe            7.75        7.17       6.52        6.63       6.25      0.59       15.51      14.86       14.97      14.59       090
                                                joint.
28800..........  .............  A              Amputation of midfoot.       8.21          NA         NA        7.96       7.59      0.82          NA         NA       16.99      16.62       090
28805..........  .............  A              Amputation thru              8.39          NA         NA        7.82       7.34      0.89          NA         NA       17.10      16.62       090
                                                metatarsal.
28810..........  .............  A              Amputation toe &             6.21          NA         NA        6.70       5.47      0.65          NA         NA       13.56      12.33       090
                                                metatarsal.
28820..........  .............  A              Amputation of toe.....       4.41        8.44       5.62        5.97       4.39      0.44       13.29      10.47       10.82       9.24       090
28825..........  .............  A              Partial amputation of        3.59        7.81       5.21        5.58       4.09      0.35       11.75       9.15        9.52       8.03       090
                                                toe.
28899..........  .............  C              Foot/toes surgery            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
29000..........  .............  A              Application of body          2.25        9.84       5.93        1.15       1.58      0.34       12.43       8.52        3.74       4.17       000
                                                cast.
29010..........  .............  A              Application of body          2.06        9.88       6.21        1.11       1.79      0.26       12.20       8.53        3.43       4.11       000
                                                cast.
29015..........  .............  A              Application of body          2.41        8.96       5.75        1.03       1.15      0.14       11.51       8.30        3.58       3.70       000
                                                cast.
29020..........  .............  A              Application of body          2.11        8.90       5.44        0.91       0.95      0.12       11.13       7.67        3.14       3.18       000
                                                cast.
29025..........  .............  A              Application of body          2.40       11.77       6.29        1.23       0.82      0.27       14.44       8.96        3.90       3.49       000
                                                cast.
29035..........  .............  A              Application of body          1.77       11.95       7.04        0.81       0.94      0.19       13.91       9.00        2.77       2.90       000
                                                cast.
29040..........  .............  A              Application of body          2.22        8.60       5.40        0.76       1.48      0.18       11.00       7.80        3.16       3.88       000
                                                cast.
29044..........  .............  A              Application of body          2.12       14.95       8.61        1.16       1.72      0.23       17.30      10.96        3.51       4.07       000
                                                cast.
29046..........  .............  A              Application of body          2.41       14.97       8.70        1.31       1.87      0.25       17.63      11.36        3.97       4.53       000
                                                cast.
29049..........  .............  A              Application of figure        0.89        5.90       3.18        0.24       0.24      0.09        6.88       4.16        1.22       1.22       000
                                                eight.
29055..........  .............  A              Application of               1.78        9.53       5.42        0.90       1.10      0.18       11.49       7.38        2.86       3.06       000
                                                shoulder cast.
29058..........  .............  A              Application of               1.31        6.44       3.58        0.53       0.62      0.12        7.87       5.01        1.96       2.05       000
                                                shoulder cast.
29065..........  .............  A              Application of long          0.87        4.32       2.60        0.44       0.44      0.09        5.28       3.56        1.40       1.40       000
                                                arm cast.
29075..........  .............  A              Application of forearm       0.77        3.87       2.27        0.37       0.35      0.08        4.72       3.12        1.22       1.20       000
                                                cast.
29085..........  .............  A              Apply hand/wrist cast.       0.87        3.80       2.17        0.38       0.33      0.09        4.76       3.13        1.34       1.29       000
29105..........  .............  A              Apply long arm splint.       0.87        2.86       1.70        0.29       0.28      0.09        3.82       2.66        1.25       1.24       000
29125..........  .............  A              Apply forearm splint..       0.59        2.37       1.39        0.17       0.19      0.06        3.02       2.04        0.82       0.84       000
29126..........  .............  A              Apply forearm splint..       0.77        2.86       1.65        0.24       0.23      0.07        3.70       2.49        1.08       1.07       000
29130..........  .............  A              Application of finger        0.50        0.77       0.48        0.14       0.12      0.05        1.32       1.03        0.69       0.67       000
                                                splint.
29131..........  .............  A              Application of finger        0.55        1.33       0.88        0.21       0.21      0.05        1.93       1.48        0.81       0.81       000
                                                splint.
29200..........  .............  A              Strapping of chest....       0.65        1.33       0.81        0.17       0.16      0.06        2.04       1.52        0.88       0.87       000
29220..........  .............  A              Strapping of low back.       0.64        1.09       0.75        0.26       0.24      0.05        1.78       1.44        0.95       0.93       000
29240..........  .............  A              Strapping of shoulder.       0.71        1.30       0.80        0.19       0.24      0.07        2.08       1.58        0.97       1.02       000
29260..........  .............  A              Strapping of elbow or        0.55        1.04       0.65        0.15       0.14      0.05        1.64       1.25        0.75       0.74       000
                                                wrist.
29280..........  .............  A              Strapping of hand or         0.51        1.07       0.65        0.14       0.13      0.05        1.63       1.21        0.70       0.69       000
                                                finger.
29305..........  .............  A              Application of hip           2.03       11.84       6.94        1.10       1.57      0.21       14.08       9.18        3.34       3.81       000
                                                cast.
29325..........  .............  A              Application of hip           2.32        9.18       5.65        1.19       1.65      0.24       11.74       8.21        3.75       4.21       000
                                                casts.
29345..........  .............  A              Application of long          1.40        5.41       3.26        0.71       0.64      0.14        6.95       4.80        2.25       2.18       000
                                                leg cast.
29355..........  .............  A              Application of long          1.53        5.67       3.43        0.77       0.69      0.15        7.35       5.11        2.45       2.37       000
                                                leg cast.
29358..........  .............  A              Apply long leg cast          1.43        6.31       4.01        0.76       0.81      0.14        7.88       5.58        2.33       2.38       000
                                                brace.
29365..........  .............  A              Application of long          1.18        4.61       2.77        0.61       0.54      0.12        5.91       4.07        1.91       1.84       000
                                                leg cast.
29405..........  .............  A              Apply short leg cast..       0.86        3.92       2.39        0.41       0.42      0.09        4.87       3.34        1.36       1.37       000
29425..........  .............  A              Apply short leg cast..       1.01        3.69       2.37        0.48       0.51      0.10        4.80       3.48        1.59       1.62       000
29435..........  .............  A              Apply short leg cast..       1.18        6.16       3.72        0.62       0.63      0.11        7.45       5.01        1.91       1.92       000
29440..........  .............  A              Addition of walker to        0.57        2.26       1.26        0.24       0.19      0.06        2.89       1.89        0.87       0.82       000
                                                cast.
29445..........  .............  A              Apply rigid leg cast..       1.78        5.90       3.87        0.74       1.29      0.16        7.84       5.81        2.68       3.23       000
29450..........  .............  A              Application of leg           1.02        2.85       1.64        0.44       0.33      0.08        3.95       2.74        1.54       1.43       000
                                                cast.
29505..........  .............  A              Application, long leg        0.69        3.18       1.90        0.21       0.42      0.07        3.94       2.66        0.97       1.18       000
                                                splint.
29515..........  .............  A              Application lower leg        0.73        2.45       1.48        0.22       0.24      0.06        3.24       2.27        1.01       1.03       000
                                                splint.
29520..........  .............  A              Strapping of hip......       0.54        1.17       0.78        0.28       0.24      0.03        1.74       1.35        0.85       0.81       000
29530..........  .............  A              Strapping of knee.....       0.57        1.12       0.75        0.16       0.27      0.05        1.74       1.37        0.78       0.89       000
29540..........  .............  A              Strapping of ankle....       0.51        0.50       0.42        0.17       0.17      0.03        1.04       0.96        0.71       0.71       000
29550..........  .............  A              Strapping of toes.....       0.47        0.46       0.38        0.18       0.17      0.03        0.96       0.88        0.68       0.67       000
29580..........  .............  A              Application of paste         0.57        0.97       0.92        0.22       0.21      0.05        1.59       1.54        0.84       0.83       000
                                                boot.
29590..........  .............  A              Application of foot          0.76        0.68       0.49        0.26       0.21      0.05        1.49       1.30        1.07       1.02       000
                                                splint.
29700..........  .............  A              Removal/revision of          0.57        0.72       0.54        0.21       0.20      0.06        1.35       1.17        0.84       0.83       000
                                                cast.
29705..........  .............  A              Removal/revision of          0.76        0.88       0.63        0.31       0.25      0.08        1.72       1.47        1.15       1.09       000
                                                cast.
29710..........  .............  A              Removal/revision of          1.34        1.47       0.98        0.63       0.44      0.12        2.93       2.44        2.09       1.90       000
                                                cast.
29715..........  .............  A              Removal/revision of          0.94        4.58       2.76        0.29       0.38      0.10        5.62       3.80        1.33       1.42       000
                                                cast.
29720..........  .............  A              Repair of body cast...       0.68        4.36       2.31        0.35       0.24      0.07        5.11       3.06        1.10       0.99       000
29730..........  .............  A              Windowing of cast.....       0.75        0.85       0.57        0.29       0.22      0.08        1.68       1.40        1.12       1.05       000
29740..........  .............  A              Wedging of cast.......       1.12        2.99       1.70        0.43       0.32      0.11        4.22       2.93        1.66       1.55       000
29750..........  .............  A              Wedging of clubfoot          1.26        2.25       1.40        0.58       0.43      0.11        3.62       2.77        1.95       1.80       000
                                                cast.
29799..........  .............  C              Casting/strapping            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
29800..........  .............  A              Jaw arthroscopy/             6.43          NA         NA        7.25       5.80      0.59          NA         NA       14.27      12.82       090
                                                surgery.
29804..........  .............  A              Jaw arthroscopy/             8.14          NA         NA        8.32       9.02      0.62          NA         NA       17.08      17.78       090
                                                surgery.
29815..........  .............  A              Shoulder arthroscopy..       5.89          NA         NA        6.63       5.94      0.58          NA         NA       13.10      12.41       090
29819..........  .............  A              Shoulder arthroscopy/        7.62          NA         NA        8.46       8.78      0.78          NA         NA       16.86      17.18       090
                                                surgery.
29820..........  .............  A              Shoulder arthroscopy/        7.07          NA         NA        8.58       8.51      0.73          NA         NA       16.38      16.31       090
                                                surgery.
29821..........  .............  A              Shoulder arthroscopy/        7.72          NA         NA        8.42       8.82      0.78          NA         NA       16.92      17.32       090
                                                surgery.
29822..........  .............  A              Shoulder arthroscopy/        7.43          NA         NA        8.79       8.83      0.76          NA         NA       16.98      17.02       090
                                                surgery.
29823..........  .............  A              Shoulder arthroscopy/        8.17          NA         NA        9.01       9.39      0.83          NA         NA       18.01      18.39       090
                                                surgery.
29825..........  .............  A              Shoulder arthroscopy/        7.62          NA         NA        8.55       8.82      0.78          NA         NA       16.95      17.22       090
                                                surgery.
29826..........  .............  A              Shoulder arthroscopy/        8.99          NA         NA        9.52      10.13      0.93          NA         NA       19.44      20.05       090
                                                surgery.
29830..........  .............  A              Elbow arthroscopy.....       5.76          NA         NA        5.26       5.52      0.62          NA         NA       11.64      11.90       090

[[Page 59466]]


29834..........  .............  A              Elbow arthroscopy/           6.28          NA         NA        6.20       6.27      0.64          NA         NA       13.12      13.19       090
                                                surgery.
29835..........  .............  A              Elbow arthroscopy/           6.48          NA         NA        6.44       6.49      0.66          NA         NA       13.58      13.63       090
                                                surgery.
29836..........  .............  A              Elbow arthroscopy/           7.55          NA         NA        6.63       7.13      0.77          NA         NA       14.95      15.45       090
                                                surgery.
29837..........  .............  A              Elbow arthroscopy/           6.87          NA         NA        6.38       6.67      0.71          NA         NA       13.96      14.25       090
                                                surgery.
29838..........  .............  A              Elbow arthroscopy/           7.71          NA         NA        6.70       7.18      0.80          NA         NA       15.21      15.69       090
                                                surgery.
29840..........  .............  A              Wrist arthroscopy.....       5.54          NA         NA        6.82       5.20      0.57          NA         NA       12.93      11.31       090
29843..........  .............  A              Wrist arthroscopy/           6.01          NA         NA        6.96       6.52      0.66          NA         NA       13.63      13.19       090
                                                surgery.
29844..........  .............  A              Wrist arthroscopy/           6.37          NA         NA        7.64       6.86      0.67          NA         NA       14.68      13.90       090
                                                surgery.
29845..........  .............  A              Wrist arthroscopy/           7.52          NA         NA        7.46       7.53      0.77          NA         NA       15.75      15.82       090
                                                surgery.
29846..........  .............  A              Wrist arthroscopy/           6.75          NA         NA        9.53       8.80      0.71          NA         NA       16.99      16.26       090
                                                surgery.
29847..........  .............  A              Wrist arthroscopy/           7.08          NA         NA       10.52       8.94      0.74          NA         NA       18.34      16.76       090
                                                surgery.
29848..........  .............  A              Wrist endoscopy/             5.44          NA         NA        6.81       5.50      0.58          NA         NA       12.83      11.52       090
                                                surgery.
29850..........  .............  A              Knee arthroscopy/            8.19          NA         NA        6.57       5.73      0.71          NA         NA       15.47      14.63       090
                                                surgery.
29851..........  .............  A              Knee arthroscopy/           13.10          NA         NA       10.84      11.36      1.37          NA         NA       25.31      25.83       090
                                                surgery.
29855..........  .............  A              Tibial arthroscopy/         10.62          NA         NA        9.65      11.17      1.09          NA         NA       21.36      22.88       090
                                                surgery.
29856..........  .............  A              Tibial arthroscopy/         14.14          NA         NA       12.03      12.36      1.47          NA         NA       27.64      27.97       090
                                                surgery.
29860..........  .............  A              Hip arthroscopy, dx...       8.05          NA         NA        7.01       6.13      0.77          NA         NA       15.83      14.95       090
29861..........  .............  A              Hip arthroscopy/             9.15          NA         NA        8.17       9.18      0.88          NA         NA       18.20      19.21       090
                                                surgery.
29862..........  .............  A              Hip arthroscopy/             9.90          NA         NA        8.58       9.76      0.95          NA         NA       19.43      20.61       090
                                                surgery.
29863..........  .............  A              Hip arthroscopy/             9.90          NA         NA        8.86       9.16      0.95          NA         NA       19.71      20.01       090
                                                surgery.
29870..........  .............  A              Knee arthroscopy, dx..       5.07          NA         NA        5.36       4.86      0.52          NA         NA       10.95      10.45       090
29871..........  .............  A              Knee arthroscopy/            6.55          NA         NA        7.03       7.19      0.59          NA         NA       14.17      14.33       090
                                                drainage.
29874..........  .............  A              Knee arthroscopy/            7.05          NA         NA        6.83       7.63      0.68          NA         NA       14.56      15.36       090
                                                surgery.
29875..........  .............  A              Knee arthroscopy/            6.31          NA         NA        6.55       7.04      0.66          NA         NA       13.52      14.01       090
                                                surgery.
29876..........  .............  A              Knee arthroscopy/            7.92          NA         NA        7.86       8.66      0.80          NA         NA       16.58      17.38       090
                                                surgery.
29877..........  .............  A              Knee arthroscopy/            7.35          NA         NA        7.14       7.96      0.76          NA         NA       15.25      16.07       090
                                                surgery.
29879..........  .............  A              Knee arthroscopy/            8.04          NA         NA        7.49       8.54      0.84          NA         NA       16.37      17.42       090
                                                surgery.
29880..........  .............  A              Knee arthroscopy/            8.50          NA         NA        7.77       8.96      0.89          NA         NA       17.16      18.35       090
                                                surgery.
29881..........  .............  A              Knee arthroscopy/            7.76          NA         NA        7.36       8.32      0.80          NA         NA       15.92      16.88       090
                                                surgery.
29882..........  .............  A              Knee arthroscopy/            8.65          NA         NA        7.79       9.06      0.90          NA         NA       17.34      18.61       090
                                                surgery.
29883..........  .............  A              Knee arthroscopy/            9.46          NA         NA        8.26       9.78      0.98          NA         NA       18.70      20.22       090
                                                surgery.
29884..........  .............  A              Knee arthroscopy/            7.33          NA         NA        7.86       8.31      0.75          NA         NA       15.94      16.39       090
                                                surgery.
29885..........  .............  A              Knee arthroscopy/            9.09          NA         NA        8.79       8.86      0.95          NA         NA       18.83      18.90       090
                                                surgery.
29886..........  .............  A              Knee arthroscopy/            7.54          NA         NA        7.66       7.52      0.78          NA         NA       15.98      15.84       090
                                                surgery.
29887..........  .............  A              Knee arthroscopy/            9.04          NA         NA        8.59       9.69      0.94          NA         NA       18.57      19.67       090
                                                surgery.
29888..........  .............  A              Knee arthroscopy/           13.90          NA         NA       11.68      14.14      1.41          NA         NA       26.99      29.45       090
                                                surgery.
29889..........  .............  A              Knee arthroscopy/           15.13          NA         NA       12.54      11.84      1.56          NA         NA       29.23      28.53       090
                                                surgery.
29891..........  .............  A              Ankle arthroscopy/           8.40          NA         NA        8.12       8.87      0.81          NA         NA       17.33      18.08       090
                                                surgery.
29892..........  .............  A              Ankle arthroscopy/           9.00          NA         NA        8.60       9.11      0.87          NA         NA       18.47      18.98       090
                                                surgery.
29893..........  .............  A              Scope, plantar               5.22          NA         NA        4.62       5.13      0.37          NA         NA       10.21      10.72       090
                                                fasciotomy.
29894..........  .............  A              Ankle arthroscopy/           7.21          NA         NA        7.04       7.83      0.65          NA         NA       14.90      15.69       090
                                                surgery.
29895..........  .............  A              Ankle arthroscopy/           6.99          NA         NA        7.22       7.79      0.65          NA         NA       14.86      15.43       090
                                                surgery.
29897..........  .............  A              Ankle arthroscopy/           7.18          NA         NA        7.56       8.07      0.68          NA         NA       15.42      15.93       090
                                                surgery.
29898..........  .............  A              Ankle arthroscopy/           8.32          NA         NA        7.55       8.74      0.74          NA         NA       16.61      17.80       090
                                                surgery.
29909..........  .............  C              Arthroscopy of joint..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
30000..........  .............  A              Drainage of nose             1.43        2.10       1.37        1.33       0.83      0.11        3.64       2.91        2.87       2.37       010
                                                lesion.
30020..........  .............  A              Drainage of nose             1.43        2.33       1.49        1.37       0.85      0.07        3.83       2.99        2.87       2.35       010
                                                lesion.
30100..........  .............  A              Intranasal biopsy.....       0.94        1.12       0.94        0.54       0.46      0.07        2.13       1.95        1.55       1.47       000
30110..........  .............  A              Removal of nose              1.63        2.26       1.83        0.90       0.80      0.11        4.00       3.57        2.64       2.54       010
                                                polyp(s).
30115..........  .............  A              Removal of nose              4.35          NA         NA        3.98       3.52      0.31          NA         NA        8.64       8.18       090
                                                polyp(s).
30117..........  .............  A              Removal of intranasal        3.16        3.79       3.44        2.85       2.97      0.23        7.18       6.83        6.24       6.36       090
                                                lesion.
30118..........  .............  A              Removal of intranasal        9.69          NA         NA        7.73       8.21      0.71          NA         NA       18.13      18.61       090
                                                lesion.
30120..........  .............  A              Revision of nose......       5.27        5.10       5.70        5.10       5.70      0.40       10.77      11.37       10.77      11.37       090
30124..........  .............  A              Removal of nose lesion       3.10          NA         NA        2.96       1.85      0.21          NA         NA        6.27       5.16       090
30125..........  .............  A              Removal of nose lesion       7.16          NA         NA        5.91       5.97      0.48          NA         NA       13.55      13.61       090
30130..........  .............  A              Removal of turbinate         3.38          NA         NA        3.48       2.65      0.23          NA         NA        7.09       6.26       090
                                                bones.
30140..........  .............  A              Removal of turbinate         3.43          NA         NA        3.88       3.59      0.25          NA         NA        7.56       7.27       090
                                                bones.
30150..........  .............  A              Partial removal of           9.14          NA         NA        7.47       8.04      0.77          NA         NA       17.38      17.95       090
                                                nose.
30160..........  .............  A              Removal of nose.......       9.58          NA         NA        7.67       9.56      0.75          NA         NA       18.00      19.89       090
30200..........  .............  A              Injection treatment of       0.78        1.02       0.71        0.45       0.33      0.06        1.86       1.55        1.29       1.17       000
                                                nose.
30210..........  .............  A              Nasal sinus therapy...       1.08        1.73       1.01        0.64       0.39      0.08        2.89       2.17        1.80       1.55       010
30220..........  .............  A              Insert nasal septal          1.54        2.08       1.86        0.89       0.86      0.11        3.73       3.51        2.54       2.51       010
                                                button.
30300..........  .............  A              Remove nasal foreign         1.04        2.15       1.33        0.39       0.32      0.08        3.27       2.45        1.51       1.44       010
                                                body.
30310..........  .............  A              Remove nasal foreign         1.96          NA         NA        1.75       1.76      0.14          NA         NA        3.85       3.86       010
                                                body.
30320..........  .............  A              Remove nasal foreign         4.52          NA         NA        4.70       4.68      0.33          NA         NA        9.55       9.53       090
                                                body.
30400..........  .............  R              Reconstruction of nose       9.83          NA         NA        7.91       9.37      0.84          NA         NA       18.58      20.04       090
30410..........  .............  R              Reconstruction of nose      12.98          NA         NA        9.59      12.55      1.14          NA         NA       23.71      26.67       090
30420..........  .............  R              Reconstruction of nose      15.88          NA         NA       11.49      15.23      1.25          NA         NA       28.62      32.36       090
30430..........  .............  R              Revision of nose......       7.21          NA         NA        6.17       6.39      0.62          NA         NA       14.00      14.22       090
30435..........  .............  R              Revision of nose......      11.71          NA         NA        9.14      10.09      1.03          NA         NA       21.88      22.83       090
30450..........  .............  R              Revision of nose......      18.65          NA         NA       12.87      12.54      1.65          NA         NA       33.17      32.84       090
30460..........  .............  A              Revision of nose......       9.96          NA         NA        7.96       8.64      0.87          NA         NA       18.79      19.47       090
30462..........  .............  A              Revision of nose......      19.57          NA         NA       12.66      15.64      1.90          NA         NA       34.13      37.11       090
30520..........  .............  A              Repair of nasal septum       5.70          NA         NA        5.21       6.01      0.41          NA         NA       11.32      12.12       090
30540..........  .............  A              Repair nasal defect...       7.75          NA         NA        5.43       6.32      0.54          NA         NA       13.72      14.61       090
30545..........  .............  A              Repair nasal defect...      11.38          NA         NA        8.33      10.04      0.88          NA         NA       20.59      22.30       090
30560..........  .............  A              Release of nasal             1.26        1.93       1.27        1.31       0.81      0.09        3.28       2.62        2.66       2.16       010
                                                adhesions.
30580..........  .............  A              Repair upper jaw             6.69        4.60       5.69        4.60       4.00      0.49       11.78      12.87       11.78      11.18       090
                                                fistula.
30600..........  .............  A              Repair mouth/nose            6.02        4.10       4.10        4.10       4.10      0.47       10.59      10.59       10.59      10.59       090
                                                fistula.
30620..........  .............  A              Intranasal                   5.97          NA         NA        5.65       6.39      0.45          NA         NA       12.07      12.81       090
                                                reconstruction.
30630..........  .............  A              Repair nasal septum          7.12          NA         NA        6.31       6.54      0.53          NA         NA       13.96      14.19       090
                                                defect.

[[Page 59467]]


30801..........  .............  A              Cauterization, inner         1.09        2.15       1.33        1.96       1.11      0.08        3.32       2.50        3.13       2.28       010
                                                nose.
30802..........  .............  A              Cauterization, inner         2.03        2.64       1.83        2.42       1.72      0.14        4.81       4.00        4.59       3.89       010
                                                nose.
30901..........  .............  A              Control of nosebleed..       1.21        1.89       1.25        0.33       0.32      0.10        3.20       2.56        1.64       1.63       000
30903..........  .............  A              Control of nosebleed..       1.54        2.21       1.57        0.52       0.72      0.12        3.87       3.23        2.18       2.38       000
30905..........  .............  A              Control of nosebleed..       1.97        3.97       2.96        0.81       1.38      0.15        6.09       5.08        2.93       3.50       000
30906..........  .............  A              Repeat control of            2.45        4.29       2.73        1.29       1.23      0.18        6.92       5.36        3.92       3.86       000
                                                nosebleed.
30915..........  .............  A              Ligation, nasal sinus        7.20          NA         NA        6.26       5.82      0.52          NA         NA       13.98      13.54       090
                                                artery.
30920..........  .............  A              Ligation, upper jaw          9.83          NA         NA        7.78       9.07      0.70          NA         NA       18.31      19.60       090
                                                artery.
30930..........  .............  A              Therapy, fracture of         1.26          NA         NA        1.75       1.26      0.09          NA         NA        3.10       2.61       010
                                                nose.
30999..........  .............  C              Nasal surgery                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
31000..........  .............  A              Irrigation, maxillary        1.15        1.98       1.23        0.66       0.45      0.08        3.21       2.46        1.89       1.68       010
                                                sinus.
31002..........  .............  A              Irrigation, sphenoid         1.91          NA         NA        1.78       1.02      0.13          NA         NA        3.82       3.06       010
                                                sinus.
31020..........  .............  A              Exploration, maxillary       2.94        3.57       3.23        3.17       3.03      0.21        6.72       6.38        6.32       6.18       090
                                                sinus.
31030..........  .............  A              Exploration, maxillary       5.92        4.36       5.72        4.36       5.72      0.43       10.71      12.07       10.71      12.07       090
                                                sinus.
31032..........  .............  A              Explore sinus, remove        6.57          NA         NA        5.50       6.68      0.48          NA         NA       12.55      13.73       090
                                                polyps.
31040..........  .............  A              Exploration behind           9.42          NA         NA        6.22       7.44      0.69          NA         NA       16.33      17.55       090
                                                upper jaw.
31050..........  .............  A              Exploration, sphenoid        5.28          NA         NA        4.56       5.44      0.39          NA         NA       10.23      11.11       090
                                                sinus.
31051..........  .............  A              Sphenoid sinus surgery       7.11          NA         NA        5.93       7.21      0.55          NA         NA       13.59      14.87       090
31070..........  .............  A              Exploration of frontal       4.28          NA         NA        4.34       4.72      0.31          NA         NA        8.93       9.31       090
                                                sinus.
31075..........  .............  A              Exploration of frontal       9.16          NA         NA        7.61       9.28      0.63          NA         NA       17.40      19.07       090
                                                sinus.
31080..........  .............  A              Removal of frontal          11.42          NA         NA        8.36       9.18      0.81          NA         NA       20.59      21.41       090
                                                sinus.
31081..........  .............  A              Removal of frontal          12.75          NA         NA        9.08      10.14      1.86          NA         NA       23.69      24.75       090
                                                sinus.
31084..........  .............  A              Removal of frontal          13.51          NA         NA        9.88      12.97      1.03          NA         NA       24.42      27.51       090
                                                sinus.
31085..........  .............  A              Removal of frontal          14.20          NA         NA       10.17      13.56      1.35          NA         NA       25.72      29.11       090
                                                sinus.
31086..........  .............  A              Removal of frontal          12.86          NA         NA        9.70      10.75      0.96          NA         NA       23.52      24.57       090
                                                sinus.
31087..........  .............  A              Removal of frontal          13.10          NA         NA        9.51      10.40      0.93          NA         NA       23.54      24.43       090
                                                sinus.
31090..........  .............  A              Exploration of sinuses       9.53          NA         NA        8.08       9.73      0.68          NA         NA       18.29      19.94       090
31200..........  .............  A              Removal of ethmoid           4.97          NA         NA        5.52       5.27      0.28          NA         NA       10.77      10.52       090
                                                sinus.
31201..........  .............  A              Removal of ethmoid           8.37          NA         NA        7.01       7.31      0.59          NA         NA       15.97      16.27       090
                                                sinus.
31205..........  .............  A              Removal of ethmoid          10.24          NA         NA        8.29       8.50      0.61          NA         NA       19.14      19.35       090
                                                sinus.
31225..........  .............  A              Removal of upper jaw..      19.23          NA         NA       14.11      17.61      1.41          NA         NA       34.75      38.25       090
31230..........  .............  A              Removal of upper jaw..      21.94          NA         NA       15.90      19.75      1.67          NA         NA       39.51      43.36       090
31231..........  .............  A              Nasal endoscopy, dx...       1.10        1.70       1.60        0.61       1.05      0.08        2.88       2.78        1.79       2.23       000
31233..........  .............  A              Nasal/sinus endoscopy,       2.18        2.34       2.69        1.27       1.40      0.15        4.67       5.02        3.60       3.73       000
                                                dx.
31235..........  .............  A              Nasal/sinus endoscopy,       2.64        2.61       2.60        1.55       1.43      0.18        5.43       5.42        4.37       4.25       000
                                                dx.
31237..........  .............  A              Nasal/sinus endoscopy,       2.98        2.87       3.22        1.70       1.74      0.21        6.06       6.41        4.89       4.93       000
                                                surg.
31238..........  .............  A              Nasal/sinus endoscopy,       3.26        3.26       3.58        1.91       1.93      0.23        6.75       7.07        5.40       5.42       000
                                                surg.
31239..........  .............  A              Nasal/sinus endoscopy,       8.70          NA         NA        6.54       8.47      0.44          NA         NA       15.68      17.61       010
                                                surg.
31240..........  .............  A              Nasal/sinus endoscopy,       2.61          NA         NA        1.48       2.30      0.18          NA         NA        4.27       5.09       000
                                                surg.
31254..........  .............  A              Revision of ethmoid          4.65          NA         NA        2.74       4.15      0.32          NA         NA        7.71       9.12       000
                                                sinus.
31255..........  .............  A              Removal of ethmoid           6.96          NA         NA        4.10       6.21      0.50          NA         NA       11.56      13.67       000
                                                sinus.
31256..........  .............  A              Exploration maxillary        3.29          NA         NA        1.94       2.94      0.23          NA         NA        5.46       6.46       000
                                                sinus.
31267..........  .............  A              Endoscopy, maxillary         5.46          NA         NA        3.22       4.45      0.39          NA         NA        9.07      10.30       000
                                                sinus.
31276..........  .............  A              Sinus endoscopy,             8.85          NA         NA        5.12       6.21      0.63          NA         NA       14.60      15.69       000
                                                surgical.
31287..........  .............  A              Nasal/sinus endoscopy,       3.92          NA         NA        2.31       3.50      0.28          NA         NA        6.51       7.70       000
                                                surg.
31288..........  .............  A              Nasal/sinus endoscopy,       4.58          NA         NA        2.70       4.09      0.32          NA         NA        7.60       8.99       000
                                                surg.
31290..........  .............  A              Nasal/sinus endoscopy,      17.24          NA         NA       11.53      14.70      1.28          NA         NA       30.05      33.22       010
                                                surg.
31291..........  .............  A              Nasal/sinus endoscopy,      18.19          NA         NA       11.87      15.33      1.73          NA         NA       31.79      35.25       010
                                                surg.
31292..........  .............  A              Nasal/sinus endoscopy,      14.76          NA         NA       10.02      12.27      1.03          NA         NA       25.81      28.06       010
                                                surg.
31293..........  .............  A              Nasal/sinus endoscopy,      16.21          NA         NA       10.66      13.28      1.09          NA         NA       27.96      30.58       010
                                                surg.
31294..........  .............  A              Nasal/sinus endoscopy,      19.06          NA         NA       12.43      15.29      1.71          NA         NA       33.20      36.06       010
                                                surg.
31299..........  .............  C              Sinus surgery                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
31300..........  .............  A              Removal of larynx           14.29          NA         NA       15.68      14.13      1.02          NA         NA       30.99      29.44       090
                                                lesion.
31320..........  .............  A              Diagnostic incision,         5.26          NA         NA       10.85       7.53      0.39          NA         NA       16.50      13.18       090
                                                larynx.
31360..........  .............  A              Removal of larynx.....      17.08          NA         NA       17.05      18.72      1.24          NA         NA       35.37      37.04       090
31365..........  .............  A              Removal of larynx.....      24.16          NA         NA       21.02      24.94      1.77          NA         NA       46.95      50.87       090
31367..........  .............  A              Partial removal of          21.86          NA         NA       21.37      20.03      1.59          NA         NA       44.82      43.48       090
                                                larynx.
31368..........  .............  A              Partial removal of          27.09          NA         NA       25.45      27.25      1.98          NA         NA       54.52      56.32       090
                                                larynx.
31370..........  .............  A              Partial removal of          21.38          NA         NA       21.33      19.99      1.60          NA         NA       44.31      42.97       090
                                                larynx.
31375..........  .............  A              Partial removal of          20.21          NA         NA       18.85      17.48      1.41          NA         NA       40.47      39.10       090
                                                larynx.
31380..........  .............  A              Partial removal of          20.21          NA         NA       18.98      18.86      1.44          NA         NA       40.63      40.51       090
                                                larynx.
31382..........  .............  A              Partial removal of          20.52          NA         NA       21.34      19.39      1.51          NA         NA       43.37      41.42       090
                                                larynx.
31390..........  .............  A              Removal of larynx &         27.53          NA         NA       25.78      27.59      1.99          NA         NA       55.30      57.11       090
                                                pharynx.
31395..........  .............  A              Reconstruct larynx &        31.09          NA         NA       30.43      33.41      2.25          NA         NA       63.77      66.75       090
                                                pharynx.
31400..........  .............  A              Revision of larynx....      10.31          NA         NA       13.45      10.97      0.74          NA         NA       24.50      22.02       090
31420..........  .............  A              Removal of epiglottis.      10.22          NA         NA       13.35      11.06      0.74          NA         NA       24.31      22.02       090
31500..........  .............  A              Insert emergency             2.33          NA         NA        0.56       0.90      0.17          NA         NA        3.06       3.40       000
                                                airway.
31502..........  .............  A              Change of windpipe           0.65        1.58       1.11        0.27       0.45      0.04        2.27       1.80        0.96       1.14       000
                                                airway.
31505..........  .............  A              Diagnostic                   0.61        1.48       0.98        0.23       0.24      0.05        2.14       1.64        0.89       0.90       000
                                                laryngoscopy.
31510..........  .............  A              Laryngoscopy with            1.92        2.37       1.49        1.01       0.81      0.14        4.43       3.55        3.07       2.87       000
                                                biopsy.
31511..........  .............  A              Remove foreign body,         2.16        2.55       1.80        0.81       0.93      0.18        4.89       4.14        3.15       3.27       000
                                                larynx.
31512..........  .............  A              Removal of larynx            2.07        2.48       2.21        1.13       1.54      0.19        4.74       4.47        3.39       3.80       000
                                                lesion.
31513..........  .............  A              Injection into vocal         2.10          NA         NA        1.25       1.88      0.15          NA         NA        3.50       4.13       000
                                                cord.
31515..........  .............  A              Laryngoscopy for             1.80        2.21       1.72        0.77       1.00      0.12        4.13       3.64        2.69       2.92       000
                                                aspiration.
31520..........  .............  A              Diagnostic                   2.56          NA         NA        1.34       1.56      0.18          NA         NA        4.08       4.30       000
                                                laryngoscopy.
31525..........  .............  A              Diagnostic                   2.63        2.60       2.50        1.45       1.33      0.18        5.41       5.31        4.26       4.14       000
                                                laryngoscopy.
31526..........  .............  A              Diagnostic                   2.57          NA         NA        1.51       2.29      0.18          NA         NA        4.26       5.04       000
                                                laryngoscopy.
31527..........  .............  A              Laryngoscopy for             3.27          NA         NA        1.68       2.46      0.23          NA         NA        5.18       5.96       000
                                                treatment.
31528..........  .............  A              Laryngoscopy and             2.37          NA         NA        1.26       2.05      0.18          NA         NA        3.81       4.60       000
                                                dilatation.
31529..........  .............  A              Laryngoscopy and             2.68          NA         NA        1.46       2.07      0.19          NA         NA        4.33       4.94       000
                                                dilatation.
31530..........  .............  A              Operative laryngoscopy       3.39          NA         NA        1.73       2.84      0.23          NA         NA        5.35       6.46       000

[[Page 59468]]


31531..........  .............  A              Operative laryngoscopy       3.59          NA         NA        2.13       3.21      0.26          NA         NA        5.98       7.06       000
31535..........  .............  A              Operative laryngoscopy       3.16          NA         NA        1.82       2.80      0.23          NA         NA        5.21       6.19       000
31536..........  .............  A              Operative laryngoscopy       3.56          NA         NA        2.09       3.17      0.26          NA         NA        5.91       6.99       000
31540..........  .............  A              Operative laryngoscopy       4.13          NA         NA        2.42       3.68      0.30          NA         NA        6.85       8.11       000
31541..........  .............  A              Operative laryngoscopy       4.53          NA         NA        2.65       3.80      0.32          NA         NA        7.50       8.65       000
31560..........  .............  A              Operative laryngoscopy       5.46          NA         NA        3.13       4.28      0.39          NA         NA        8.98      10.13       000
31561..........  .............  A              Operative laryngoscopy       6.00          NA         NA        3.47       5.14      0.43          NA         NA        9.90      11.57       000
31570..........  .............  A              Laryngoscopy with            3.87        3.83       4.23        2.21       2.26      0.29        7.99       8.39        6.37       6.42       000
                                                injection.
31571..........  .............  A              Laryngoscopy with            4.27          NA         NA        2.47       3.68      0.31          NA         NA        7.05       8.26       000
                                                injection.
31575..........  .............  A              Diagnostic                   1.10        1.79       1.74        0.59       0.72      0.08        2.97       2.92        1.77       1.90       000
                                                laryngoscopy.
31576..........  .............  A              Laryngoscopy with            1.97        1.89       2.13        1.09       1.73      0.13        3.99       4.23        3.19       3.83       000
                                                biopsy.
31577..........  .............  A              Remove foreign body,         2.47        2.20       2.58        1.33       2.14      0.18        4.85       5.23        3.98       4.79       000
                                                larynx.
31578..........  .............  A              Removal of larynx            2.84        2.51       2.95        0.94       2.17      0.20        5.55       5.99        3.98       5.21       000
                                                lesion.
31579..........  .............  A              Diagnostic                   2.26        2.56       2.55        1.26       1.27      0.16        4.98       4.97        3.68       3.69       000
                                                laryngoscopy.
31580..........  .............  A              Revision of larynx....      12.38          NA         NA       13.82      14.30      0.88          NA         NA       27.08      27.56       090
31582..........  .............  A              Revision of larynx....      21.62          NA         NA       19.80      19.60      1.54          NA         NA       42.96      42.76       090
31584..........  .............  A              Treat larynx fracture.      19.64          NA         NA       17.28      15.54      1.54          NA         NA       38.46      36.72       090
31585..........  .............  A              Treat larynx fracture.       4.64          NA         NA        7.52       5.81      0.32          NA         NA       12.48      10.77       090
31586..........  .............  A              Treat larynx fracture.       8.03          NA         NA       11.05       9.08      0.57          NA         NA       19.65      17.68       090
31587..........  .............  A              Revision of larynx....      11.99          NA         NA       12.50      10.16      0.88          NA         NA       25.37      23.03       090
31588..........  .............  A              Revision of larynx....      13.11          NA         NA       15.12      13.37      0.94          NA         NA       29.17      27.42       090
31590..........  .............  A              Reinnervate larynx....       6.97          NA         NA       10.28       8.27      0.47          NA         NA       17.72      15.71       090
31595..........  .............  A              Larynx nerve surgery..       8.34          NA         NA        9.81       8.62      0.61          NA         NA       18.76      17.57       090
31599..........  .............  C              Larynx surgery               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
31600..........  .............  A              Incision of windpipe..       3.62          NA         NA        1.66       2.99      0.34          NA         NA        5.62       6.95       000
31601..........  .............  A              Incision of windpipe..       4.45          NA         NA        2.28       3.80      0.36          NA         NA        7.09       8.61       000
31603..........  .............  A              Incision of windpipe..       4.15          NA         NA        1.93       3.26      0.38          NA         NA        6.46       7.79       000
31605..........  .............  A              Incision of windpipe..       3.58          NA         NA        1.33       2.81      0.36          NA         NA        5.27       6.75       000
31610..........  .............  A              Incision of windpipe..       8.76          NA         NA        9.92       8.58      0.70          NA         NA       19.38      18.04       090
31611..........  .............  A              Surgery/speech               5.64          NA         NA        8.80       7.90      0.41          NA         NA       14.85      13.95       090
                                                prosthesis.
31612..........  .............  A              Puncture/clear               0.91        1.26       1.27        0.36       0.73      0.06        2.23       2.24        1.33       1.70       000
                                                windpipe.
31613..........  .............  A              Repair windpipe              4.59          NA         NA        8.15       5.28      0.37          NA         NA       13.11      10.24       090
                                                opening.
31614..........  .............  A              Repair windpipe              7.12          NA         NA       10.85       9.08      0.53          NA         NA       18.50      16.73       090
                                                opening.
31615..........  .............  A              Visualization of             2.09        3.10       2.61        0.95       1.54      0.14        5.33       4.84        3.18       3.77       000
                                                windpipe.
31622..........  .............  A              Dx bronchoscope/wash..       2.78        3.26       3.30        0.92       2.13      0.13        6.17       6.21        3.83       5.04       000
31623..........  .............  A              Dx bronchoscope/brush.       2.88        3.30       3.32        0.95       2.15      0.15        6.33       6.35        3.98       5.18       000
31624..........  .............  A              Dx bronchoscope/lavage       2.88        2.89       3.12        0.95       2.15      0.15        5.92       6.15        3.98       5.18       000
31625..........  .............  A              Bronchoscopy with            3.37        2.88       3.46        1.07       2.55      0.16        6.41       6.99        4.60       6.08       000
                                                biopsy.
31628..........  .............  A              Bronchoscopy with            3.81        3.35       3.95        1.15       2.85      0.13        7.29       7.89        5.09       6.79       000
                                                biopsy.
31629..........  .............  A              Bronchoscopy with            3.37          NA         NA        1.03       2.53      0.11          NA         NA        4.51       6.01       000
                                                biopsy.
31630..........  .............  A              Bronchoscopy with            3.82          NA         NA        1.62       2.83      0.34          NA         NA        5.78       6.99       000
                                                repair.
31631..........  .............  A              Bronchoscopy with            4.37          NA         NA        1.63       2.96      0.31          NA         NA        6.31       7.64       000
                                                dilation.
31635..........  .............  A              Remove foreign body,         3.68          NA         NA        1.33       2.87      0.23          NA         NA        5.24       6.78       000
                                                airway.
31640..........  .............  A              Bronchoscopy & remove        4.94          NA         NA        2.07       3.76      0.37          NA         NA        7.38       9.07       000
                                                lesion.
31641..........  .............  A              Bronchoscopy, treat          5.03          NA         NA        1.77       3.89      0.28          NA         NA        7.08       9.20       000
                                                blockage.
31643..........  .............  A              Diag bronchoscope/           3.50        1.83       2.59        1.27       2.31      0.20        5.53       6.29        4.97       6.01       000
                                                catheter.
31645..........  .............  A              Bronchoscopy, clear          3.16          NA         NA        0.98       2.38      0.13          NA         NA        4.27       5.67       000
                                                airways.
31646..........  .............  A              Bronchoscopy, reclear        2.72          NA         NA        0.85       2.05      0.12          NA         NA        3.69       4.89       000
                                                airway.
31656..........  .............  A              Bronchoscopy, inj for        2.17          NA         NA        0.58       1.59      0.10          NA         NA        2.85       3.86       000
                                                xray.
31700..........  .............  A              Insertion of airway          1.34        1.85       1.68        0.38       0.94      0.08        3.27       3.10        1.80       2.36       000
                                                catheter.
31708..........  .............  A              Instill airway               1.41          NA         NA        0.41       0.63      0.06          NA         NA        1.88       2.10       000
                                                contrast dye.
31710..........  .............  A              Insertion of airway          1.30          NA         NA        0.39       0.69      0.05          NA         NA        1.74       2.04       000
                                                catheter.
31715..........  .............  A              Injection for bronchus       1.11          NA         NA        0.30       0.41      0.04          NA         NA        1.45       1.56       000
                                                x-ray.
31717..........  .............  A              Bronchial brush biopsy       2.12        3.10       1.95        0.66       0.73      0.08        5.30       4.15        2.86       2.93       000
31720..........  .............  A              Clearance of airways..       1.06        1.82       1.31        0.33       0.57      0.06        2.94       2.43        1.45       1.69       000
31725..........  .............  A              Clearance of airways..       1.96          NA         NA        0.64       1.09      0.08          NA         NA        2.68       3.13       000
31730..........  .............  A              Intro, windpipe wire/        2.85        2.39       2.54        0.99       1.84      0.15        5.39       5.54        3.99       4.84       000
                                                tube.
31750..........  .............  A              Repair of windpipe....      13.02          NA         NA       14.34      11.99      1.00          NA         NA       28.36      26.01       090
31755..........  .............  A              Repair of windpipe....      15.93          NA         NA       17.11      15.77      1.20          NA         NA       34.24      32.90       090
31760..........  .............  A              Repair of windpipe....      22.35          NA         NA       14.17      13.01      2.09          NA         NA       38.61      37.45       090
31766..........  .............  A              Reconstruction of           30.43          NA         NA       16.93      18.45      3.73          NA         NA       51.09      52.61       090
                                                windpipe.
31770..........  .............  A              Repair/graft of             22.51          NA         NA       17.03      16.69      2.06          NA         NA       41.60      41.26       090
                                                bronchus.
31775..........  .............  A              Reconstruct bronchus..      23.54          NA         NA       19.25      18.51      2.80          NA         NA       45.59      44.85       090
31780..........  .............  A              Reconstruct windpipe..      17.72          NA         NA       14.00      16.41      1.70          NA         NA       33.42      35.83       090
31781..........  .............  A              Reconstruct windpipe..      23.53          NA         NA       16.97      17.64      2.83          NA         NA       43.33      44.00       090
31785..........  .............  A              Remove windpipe lesion      17.23          NA         NA       13.17      11.43      1.35          NA         NA       31.75      30.01       090
31786..........  .............  A              Remove windpipe lesion      23.98          NA         NA       18.42      16.43      1.99          NA         NA       44.39      42.40       090
31800..........  .............  A              Repair of windpipe           7.43          NA         NA        6.89       6.11      0.74          NA         NA       15.06      14.28       090
                                                injury.
31805..........  .............  A              Repair of windpipe          13.13          NA         NA       13.03      11.85      1.72          NA         NA       27.88      26.70       090
                                                injury.
31820..........  .............  A              Closure of windpipe          4.49        7.27       5.58        7.25       5.57      0.34       12.10      10.41       12.08      10.40       090
                                                lesion.
31825..........  .............  A              Repair of windpipe           6.81        9.86       7.65        9.86       7.65      0.52       17.19      14.98       17.19      14.98       090
                                                defect.
31830..........  .............  A              Revise windpipe scar..       4.50        7.20       5.59        7.20       5.59      0.36       12.06      10.45       12.06      10.45       090
31899..........  .............  C              Airways surgical             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
32000..........  .............  A              Drainage of chest.....       1.54        3.17       2.08        0.47       0.73      0.07        4.78       3.69        2.08       2.34       000
32001..........  .............  D              Total lung lavage.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       000
32002..........  .............  A              Treatment of collapsed       2.19          NA         NA        0.67       1.06      0.11          NA         NA        2.97       3.36       000
                                                lung.
32005..........  .............  A              Treat lung lining            2.19          NA         NA        0.77       0.98      0.18          NA         NA        3.14       3.35       000
                                                chemically.
32020..........  .............  A              Insertion of chest           3.98          NA         NA        1.42       2.14      0.37          NA         NA        5.77       6.49       000
                                                tube.
32035..........  .............  A              Exploration of chest..       8.67          NA         NA       10.53       8.94      1.05          NA         NA       20.25      18.66       090
32036..........  .............  A              Exploration of chest..       9.68          NA         NA       11.78       9.76      1.19          NA         NA       22.65      20.63       090
32095..........  .............  A              Biopsy through chest         8.36          NA         NA       10.93       9.94      0.98          NA         NA       20.27      19.28       090
                                                wall.

[[Page 59469]]


32100..........  .............  A              Exploration/biopsy of       11.84          NA         NA       12.11      12.16      1.45          NA         NA       25.40      25.45       090
                                                chest.
32110..........  .............  A              Explore/repair chest..      13.62          NA         NA       12.52      12.51      1.67          NA         NA       27.81      27.80       090
32120..........  .............  A              Re-exploration of           11.54          NA         NA       12.71      11.49      1.45          NA         NA       25.70      24.48       090
                                                chest.
32124..........  .............  A              Explore chest free          12.72          NA         NA       11.54      11.71      1.57          NA         NA       25.83      26.00       090
                                                adhesions.
32140..........  .............  A              Removal of lung             13.93          NA         NA       13.74      13.58      1.68          NA         NA       29.35      29.19       090
                                                lesion(s).
32141..........  .............  A              Remove/treat lung           14.00          NA         NA       11.53      13.05      1.74          NA         NA       27.27      28.79       090
                                                lesions.
32150..........  .............  A              Removal of lung             14.15          NA         NA       12.78      12.00      1.71          NA         NA       28.64      27.86       090
                                                lesion(s).
32151..........  .............  A              Remove lung foreign         14.21          NA         NA       14.09      12.01      1.76          NA         NA       30.06      27.98       090
                                                body.
32160..........  .............  A              Open chest heart             9.30          NA         NA        7.61       8.76      1.07          NA         NA       17.98      19.13       090
                                                massage.
32200..........  .............  A              Drain, open, lung           15.29          NA         NA       10.89       9.19      1.25          NA         NA       27.43      25.73       090
                                                lesion.
32201..........  .............  A              Drain, percut, lung          4.00          NA         NA        5.64       4.47      0.32          NA         NA        9.96       8.79       000
                                                lesion.
32215..........  .............  A              Treat chest lining....      11.33          NA         NA       12.89      10.58      1.37          NA         NA       25.59      23.28       090
32220..........  .............  A              Release of lung.......      19.27          NA         NA       16.10      16.63      2.28          NA         NA       37.65      38.18       090
32225..........  .............  A              Partial release of          13.96          NA         NA       13.36      13.11      1.74          NA         NA       29.06      28.81       090
                                                lung.
32310..........  .............  A              Removal of chest            13.44          NA         NA       12.66      12.65      1.65          NA         NA       27.75      27.74       090
                                                lining.
32320..........  .............  A              Free/remove chest           20.54          NA         NA       15.49      17.57      2.50          NA         NA       38.53      40.61       090
                                                lining.
32400..........  .............  A              Needle biopsy chest          1.76        1.70       1.66        0.52       1.07      0.07        3.53       3.49        2.35       2.90       000
                                                lining.
32402..........  .............  A              Open biopsy chest            7.56          NA         NA       11.02       9.63      0.94          NA         NA       19.52      18.13       090
                                                lining.
32405..........  .............  A              Biopsy, lung or              1.93        2.25       2.28        0.53       1.42      0.08        4.26       4.29        2.54       3.43       000
                                                mediastinum.
32420..........  .............  A              Puncture/clear lung...       2.18          NA         NA        0.64       1.14      0.10          NA         NA        2.92       3.42       000
32440..........  .............  A              Removal of lung.......      21.02          NA         NA       16.12      18.13      2.60          NA         NA       39.74      41.75       090
32442..........  .............  A              Sleeve pneumonectomy..      26.24          NA         NA       16.60      18.04      3.28          NA         NA       46.12      47.56       090
32445..........  .............  A              Removal of lung.......      25.09          NA         NA       16.55      19.38      3.09          NA         NA       44.73      47.56       090
32480..........  .............  A              Partial removal of          18.32          NA         NA       13.97      16.29      2.25          NA         NA       34.54      36.86       090
                                                lung.
32482..........  .............  A              Bilobectomy...........      19.71          NA         NA       15.10      16.86      2.38          NA         NA       37.19      38.95       090
32484..........  .............  A              Segmentectomy.........      20.69          NA         NA       15.42      17.02      2.54          NA         NA       38.65      40.25       090
32486..........  .............  A              Sleeve lobectomy......      23.92          NA         NA       17.84      17.90      3.04          NA         NA       44.80      44.86       090
32488..........  .............  A              Completion                  25.71          NA         NA       18.14      18.70      3.19          NA         NA       47.04      47.60       090
                                                pneumonectomy.
32491..........  .............  R              Lung volume reduction.      21.25          NA         NA       16.12      16.45      2.84          NA         NA       40.21      40.54       090
32500..........  .............  A              Partial removal of          14.30          NA         NA       13.67      14.15      1.79          NA         NA       29.76      30.24       090
                                                lung.
32501..........  .............  A              Repair bronchus add-on       4.69          NA         NA        1.87       3.28      0.53          NA         NA        7.09       8.50       ZZZ
32520..........  .............  A              Remove lung & revise        21.68          NA         NA       16.65      19.54      2.75          NA         NA       41.08      43.97       090
                                                chest.
32522..........  .............  A              Remove lung & revise        24.20          NA         NA       17.31      20.54      3.03          NA         NA       44.54      47.77       090
                                                chest.
32525..........  .............  A              Remove lung & revise        26.50          NA         NA       17.81      21.66      3.29          NA         NA       47.60      51.45       090
                                                chest.
32540..........  .............  A              Removal of lung lesion      14.64          NA         NA       13.89      13.28      1.81          NA         NA       30.34      29.73       090
32601..........  .............  A              Thoracoscopy,                5.46          NA         NA        4.66       4.22      0.68          NA         NA       10.80      10.36       000
                                                diagnostic.
32602..........  .............  A              Thoracoscopy,                5.96          NA         NA        4.86       4.53      0.74          NA         NA       11.56      11.23       000
                                                diagnostic.
32603..........  .............  A              Thoracoscopy,                7.81          NA         NA        5.62       4.70      0.78          NA         NA       14.21      13.29       000
                                                diagnostic.
32604..........  .............  A              Thoracoscopy,                8.78          NA         NA        6.22       5.21      1.07          NA         NA       16.07      15.06       000
                                                diagnostic.
32605..........  .............  A              Thoracoscopy,                6.93          NA         NA        5.67       4.72      0.86          NA         NA       13.46      12.51       000
                                                diagnostic.
32606..........  .............  A              Thoracoscopy,                8.40          NA         NA        5.86       5.03      1.04          NA         NA       15.30      14.47       000
                                                diagnostic.
32650..........  .............  A              Thoracoscopy, surgical      10.75          NA         NA       11.21       9.74      1.26          NA         NA       23.22      21.75       090
32651..........  .............  A              Thoracoscopy, surgical      12.91          NA         NA       11.23      12.04      1.55          NA         NA       25.69      26.50       090
32652..........  .............  A              Thoracoscopy, surgical      18.66          NA         NA       14.31      15.74      2.30          NA         NA       35.27      36.70       090
32653..........  .............  A              Thoracoscopy, surgical      12.87          NA         NA       11.96      11.59      1.55          NA         NA       26.38      26.01       090
32654..........  .............  A              Thoracoscopy, surgical      12.44          NA         NA        9.46      10.98      1.48          NA         NA       23.38      24.90       090
32655..........  .............  A              Thoracoscopy, surgical      13.10          NA         NA       11.28      12.92      1.54          NA         NA       25.92      27.56       090
32656..........  .............  A              Thoracoscopy, surgical      12.91          NA         NA       12.02      13.26      1.61          NA         NA       26.54      27.78       090
32657..........  .............  A              Thoracoscopy, surgical      13.65          NA         NA       12.09      13.36      1.65          NA         NA       27.39      28.66       090
32658..........  .............  A              Thoracoscopy, surgical      11.63          NA         NA       11.87      12.88      1.45          NA         NA       24.95      25.96       090
32659..........  .............  A              Thoracoscopy, surgical      11.59          NA         NA       11.94      12.89      1.46          NA         NA       24.99      25.94       090
32660..........  .............  A              Thoracoscopy, surgical      17.43          NA         NA       16.64      18.72      2.29          NA         NA       36.36      38.44       090
32661..........  .............  A              Thoracoscopy, surgical      13.25          NA         NA       13.12      11.58      1.65          NA         NA       28.02      26.48       090
32662..........  .............  A              Thoracoscopy, surgical      16.44          NA         NA       13.61      14.70      2.03          NA         NA       32.08      33.17       090
32663..........  .............  A              Thoracoscopy, surgical      18.47          NA         NA       14.31      16.46      2.25          NA         NA       35.03      37.18       090
32664..........  .............  A              Thoracoscopy, surgical      14.20          NA         NA       11.27      11.36      1.64          NA         NA       27.11      27.20       090
32665..........  .............  A              Thoracoscopy, surgical      15.54          NA         NA       11.56      13.56      1.80          NA         NA       28.90      30.90       090
32800..........  .............  A              Repair lung hernia....      13.69          NA         NA       13.79      11.39      1.41          NA         NA       28.89      26.49       090
32810..........  .............  A              Close chest after           13.05          NA         NA       12.87       9.96      1.66          NA         NA       27.58      24.67       090
                                                drainage.
32815..........  .............  A              Close bronchial             23.15          NA         NA       18.44      17.48      2.94          NA         NA       44.53      43.57       090
                                                fistula.
32820..........  .............  A              Reconstruct injured         21.48          NA         NA       15.61      18.12      2.40          NA         NA       39.49      42.00       090
                                                chest.
32850..........  .............  X              Donor pneumonectomy...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
32851..........  .............  A              Lung transplant,            38.63          NA         NA       25.49      26.61      5.21          NA         NA       69.33      70.45       090
                                                single.
32852..........  .............  A              Lung transplant with        41.80          NA         NA       26.49      28.28      5.81          NA         NA       74.10      75.89       090
                                                bypass.
32853..........  .............  A              Lung transplant,            47.81          NA         NA       29.00      31.83      6.43          NA         NA       83.24      86.07       090
                                                double.
32854..........  .............  A              Lung transplant with        50.98          NA         NA       31.09      34.05      6.75          NA         NA       88.82      91.78       090
                                                bypass.
32900..........  .............  A              Removal of rib(s).....      20.27          NA         NA       15.10      12.15      2.40          NA         NA       37.77      34.82       090
32905..........  .............  A              Revise & repair chest       20.75          NA         NA       15.06      14.45      2.55          NA         NA       38.36      37.75       090
                                                wall.
32906..........  .............  A              Revise & repair chest       26.77          NA         NA       18.49      17.61      3.34          NA         NA       48.60      47.72       090
                                                wall.
32940..........  .............  A              Revision of lung......      19.43          NA         NA       14.72      13.53      2.37          NA         NA       36.52      35.33       090
32960..........  .............  A              Therapeutic                  1.84        1.91       1.46        0.41       0.71      0.13        3.88       3.43        2.38       2.68       000
                                                pneumothorax.
32997..........  .............  A              Total lung lavage.....       6.00        2.28       2.28        2.28       2.28      0.58        8.86       8.86        8.86       8.86       000
32999..........  .............  C              Chest surgery                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
33010..........  .............  A              Drainage of heart sac.       2.24          NA         NA        0.84       1.26      0.27          NA         NA        3.35       3.77       000
33011..........  .............  A              Repeat drainage of           2.24          NA         NA        0.86       0.73      0.26          NA         NA        3.36       3.23       000
                                                heart sac.
33015..........  .............  A              Incision of heart sac.       6.80          NA         NA        5.25       4.94      0.88          NA         NA       12.93      12.62       090
33020..........  .............  A              Incision of heart sac.      12.61          NA         NA       10.68      12.54      1.63          NA         NA       24.92      26.78       090
33025..........  .............  A              Incision of heart sac.      12.09          NA         NA       11.23      12.83      1.55          NA         NA       24.87      26.47       090
33030..........  .............  A              Partial removal of          18.71          NA         NA       16.61      19.47      2.41          NA         NA       37.73      40.59       090
                                                heart sac.
33031..........  .............  A              Partial removal of          21.79          NA         NA       18.80      16.59      2.90          NA         NA       43.49      41.28       090
                                                heart sac.
33050..........  .............  A              Removal of heart sac        14.36          NA         NA       13.33      11.69      1.77          NA         NA       29.46      27.82       090
                                                lesion.

[[Page 59470]]


33120..........  .............  A              Removal of heart            24.56          NA         NA       22.33      25.83      3.19          NA         NA       50.08      53.58       090
                                                lesion.
33130..........  .............  A              Removal of heart            21.39          NA         NA       16.52      15.59      2.42          NA         NA       40.33      39.40       090
                                                lesion.
33140..........  .............  A              Heart revascularize         20.00          NA         NA       13.15      13.15      2.56          NA         NA       35.71      35.71       090
                                                (tmr).
33200..........  .............  A              Insertion of heart          12.48          NA         NA       11.99      12.66      1.45          NA         NA       25.92      26.59       090
                                                pacemaker.
33201..........  .............  A              Insertion of heart          10.18          NA         NA       12.63      12.39      1.34          NA         NA       24.15      23.91       090
                                                pacemaker.
33206..........  .............  A              Insertion of heart           6.67          NA         NA        6.17       7.07      0.84          NA         NA       13.68      14.58       090
                                                pacemaker.
33207..........  .............  A              Insertion of heart           8.04          NA         NA        6.50       8.05      1.03          NA         NA       15.57      17.12       090
                                                pacemaker.
33208..........  .............  A              Insertion of heart           8.13          NA         NA        6.64       8.17      1.07          NA         NA       15.84      17.37       090
                                                pacemaker.
33210..........  .............  A              Insertion of heart           3.30          NA         NA        1.34       2.46      0.42          NA         NA        5.06       6.18       000
                                                electrode.
33211..........  .............  A              Insertion of heart           3.40          NA         NA        1.44       2.51      0.44          NA         NA        5.28       6.35       000
                                                electrode.
33212..........  .............  A              Insertion of pulse           5.52          NA         NA        4.93       5.39      0.71          NA         NA       11.16      11.62       090
                                                generator.
33213..........  .............  A              Insertion of pulse           6.37          NA         NA        5.25       5.55      0.82          NA         NA       12.44      12.74       090
                                                generator.
33214..........  .............  A              Upgrade of pacemaker         7.75          NA         NA        6.29       6.08      0.99          NA         NA       15.03      14.82       090
                                                system.
33216..........  .............  A              Revise eltrd pacing-         5.39          NA         NA        5.43       5.44      0.70          NA         NA       11.52      11.53       090
                                                defib.
33217..........  .............  A              Revise eltrd pacing-         5.75          NA         NA        5.54       5.50      0.76          NA         NA       12.05      12.01       090
                                                defib.
33218..........  .............  A              Revise eltrd pacing-         5.44          NA         NA        4.93       4.96      0.70          NA         NA       11.07      11.10       090
                                                defib.
33220..........  .............  A              Revise eltrd pacing-         5.52          NA         NA        4.98       4.98      0.71          NA         NA       11.21      11.21       090
                                                defib.
33222..........  .............  A              Revise pocket,               4.96          NA         NA        4.31       5.12      0.62          NA         NA        9.89      10.70       090
                                                pacemaker.
33223..........  .............  A              Revise pocket, pacing-       6.46          NA         NA        5.70       5.95      0.88          NA         NA       13.04      13.29       090
                                                defib.
33233..........  .............  A              Removal of pacemaker         3.29          NA         NA        4.24       3.56      0.44          NA         NA        7.97       7.29       090
                                                system.
33234..........  .............  A              Removal of pacemaker         7.82          NA         NA        6.33       4.71      1.05          NA         NA       15.20      13.58       090
                                                system.
33235..........  .............  A              Removal pacemaker            9.40          NA         NA        6.96       5.19      1.26          NA         NA       17.62      15.85       090
                                                electrode.
33236..........  .............  A              Remove electrode/           12.60          NA         NA       11.48       7.90      1.63          NA         NA       25.71      22.13       090
                                                thoracotomy.
33237..........  .............  A              Remove electrode/           13.71          NA         NA       12.46      11.44      1.77          NA         NA       27.94      26.92       090
                                                thoracotomy.
33238..........  .............  A              Remove electrode/           15.22          NA         NA       11.68      11.43      1.41          NA         NA       28.31      28.06       090
                                                thoracotomy.
33240..........  .............  A              Insert pulse generator       7.60          NA         NA        6.36       6.10      1.03          NA         NA       14.99      14.73       090
33241..........  .............  A              Remove pulse generator       3.24          NA         NA        3.95       3.15      0.44          NA         NA        7.63       6.83       090
33242..........  .............  D              Repair pulse generator/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       090
                                                leads.
33243..........  .............  A              Remove eltrd/               22.64          NA         NA       13.87      11.83      3.03          NA         NA       39.54      37.50       090
                                                thoracotomy.
33244..........  .............  A              Remove eltrd, transven      13.76          NA         NA        9.22       9.51      1.83          NA         NA       24.81      25.10       090
33245..........  .............  A              Insert epic eltrd pace-     14.30          NA         NA       14.30      15.69      1.83          NA         NA       30.43      31.82       090
                                                defib.
33246..........  .............  A              Insert epic eltrd/          20.71          NA         NA       16.35      19.46      2.74          NA         NA       39.80      42.91       090
                                                generator.
33247..........  .............  D              Insert/replace leads..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       090
33249..........  .............  A              Eltrd/insert pace-          14.23          NA         NA        9.87      12.87      1.79          NA         NA       25.89      28.89       090
                                                defib.
33250..........  .............  A              Ablate heart dysrhythm      21.85          NA         NA       14.51      13.53      2.97          NA         NA       39.33      38.35       090
                                                focus.
33251..........  .............  A              Ablate heart dysrhythm      24.88          NA         NA       20.04      18.93      3.26          NA         NA       48.18      47.07       090
                                                focus.
33253..........  .............  A              Reconstruct atria.....      31.06          NA         NA       22.48      23.08      4.12          NA         NA       57.66      58.26       090
33261..........  .............  A              Ablate heart dysrhythm      24.88          NA         NA       19.80      17.48      2.94          NA         NA       47.62      45.30       090
                                                focus.
33282..........  .............  A              Implant pat-active ht        4.17          NA         NA        5.99       5.99      0.53          NA         NA       10.69      10.69       090
                                                record.
33284..........  .............  A              Remove pat-active ht         2.50          NA         NA        5.46       5.46      0.33          NA         NA        8.29       8.29       090
                                                record.
33300..........  .............  A              Repair of heart wound.      17.92          NA         NA       15.54      15.56      2.33          NA         NA       35.79      35.81       090
33305..........  .............  A              Repair of heart wound.      21.44          NA         NA       18.48      18.68      2.81          NA         NA       42.73      42.93       090
33310..........  .............  A              Exploratory heart           18.51          NA         NA       17.47      14.86      2.48          NA         NA       38.46      35.85       090
                                                surgery.
33315..........  .............  A              Exploratory heart           22.37          NA         NA       18.77      17.24      3.00          NA         NA       44.14      42.61       090
                                                surgery.
33320..........  .............  A              Repair major blood          16.79          NA         NA       14.26      14.81      2.14          NA         NA       33.19      33.74       090
                                                vessel(s).
33321..........  .............  A              Repair major vessel...      20.20          NA         NA       17.18      20.39      2.36          NA         NA       39.74      42.95       090
33322..........  .............  A              Repair major blood          20.62          NA         NA       17.70      20.65      2.70          NA         NA       41.02      43.97       090
                                                vessel(s).
33330..........  .............  A              Insert major vessel         21.43          NA         NA       16.24      15.00      2.79          NA         NA       40.46      39.22       090
                                                graft.
33332..........  .............  A              Insert major vessel         23.96          NA         NA       16.19      16.27      3.29          NA         NA       43.44      43.52       090
                                                graft.
33335..........  .............  A              Insert major vessel         30.01          NA         NA       21.84      19.10      3.99          NA         NA       55.84      53.10       090
                                                graft.
33400..........  .............  A              Repair of aortic valve      25.34          NA         NA       23.32      25.88      3.34          NA         NA       52.00      54.56       090
33401..........  .............  A              Valvuloplasty, open...      23.91          NA         NA       18.63      23.54      3.19          NA         NA       45.73      50.64       090
33403..........  .............  A              Valvuloplasty, w/cp         24.89          NA         NA       22.49      25.47      3.47          NA         NA       50.85      53.83       090
                                                bypass.
33404..........  .............  A              Prepare heart-aorta         28.54          NA         NA       24.27      29.09      3.68          NA         NA       56.49      61.31       090
                                                conduit.
33405..........  .............  A              Replacement of aortic       30.61          NA         NA       22.51      27.80      3.97          NA         NA       57.09      62.38       090
                                                valve.
33406..........  .............  A              Replacement of aortic       32.30          NA         NA       23.12      30.84      4.18          NA         NA       59.60      67.32       090
                                                valve.
33410..........  .............  A              Replacement of aortic       32.46          NA         NA       23.27      23.27      4.21          NA         NA       59.94      59.94       090
                                                valve.
33411..........  .............  A              Replacement of aortic       32.47          NA         NA       23.37      31.07      4.21          NA         NA       60.05      67.75       090
                                                valve.
33412..........  .............  A              Replacement of aortic       34.79          NA         NA       26.56      34.05      4.18          NA         NA       65.53      73.02       090
                                                valve.
33413..........  .............  A              Replacement of aortic       35.24          NA         NA       27.44      34.75      4.59          NA         NA       67.27      74.58       090
                                                valve.
33414..........  .............  A              Repair of aortic valve      30.35          NA         NA       27.32      31.78      3.88          NA         NA       61.55      66.01       090
33415..........  .............  A              Revision, subvalvular       27.15          NA         NA       24.07      28.25      2.84          NA         NA       54.06      58.24       090
                                                tissue.
33416..........  .............  A              Revise ventricle            30.35          NA         NA       22.76      26.65      4.00          NA         NA       57.11      61.00       090
                                                muscle.
33417..........  .............  A              Repair of aortic valve      28.53          NA         NA       26.71      30.39      3.72          NA         NA       58.96      62.64       090
33420..........  .............  A              Revision of mitral          22.70          NA         NA       11.55      16.53      1.58          NA         NA       35.83      40.81       090
                                                valve.
33422..........  .............  A              Revision of mitral          25.94          NA         NA       21.00      25.98      3.34          NA         NA       50.28      55.26       090
                                                valve.
33425..........  .............  A              Repair of mitral valve      27.00          NA         NA       20.88      26.56      3.47          NA         NA       51.35      57.03       090
33426..........  .............  A              Repair of mitral valve      31.03          NA         NA       22.76      28.72      4.03          NA         NA       57.82      63.78       090
33427..........  .............  A              Repair of mitral valve      33.72          NA         NA       23.61      30.64      4.42          NA         NA       61.75      68.78       090
33430..........  .............  A              Replacement of mitral       31.43          NA         NA       22.84      30.18      4.09          NA         NA       58.36      65.70       090
                                                valve.
33460..........  .............  A              Revision of tricuspid       23.60          NA         NA       19.32      23.75      3.00          NA         NA       45.92      50.35       090
                                                valve.
33463..........  .............  A              Valvuloplasty,              25.62          NA         NA       20.41      25.50      3.34          NA         NA       49.37      54.46       090
                                                tricuspid.
33464..........  .............  A              Valvuloplasty,              27.33          NA         NA       21.36      26.99      3.57          NA         NA       52.26      57.89       090
                                                tricuspid.
33465..........  .............  A              Replace tricuspid           28.79          NA         NA       21.88      28.13      3.65          NA         NA       54.32      60.57       090
                                                valve.
33468..........  .............  A              Revision of tricuspid       30.12          NA         NA       30.14      33.05      3.93          NA         NA       64.19      67.10       090
                                                valve.
33470..........  .............  A              Revision of pulmonary       20.81          NA         NA       11.39      16.45      2.50          NA         NA       34.70      39.76       090
                                                valve.
33471..........  .............  A              Valvotomy, pulmonary        22.25          NA         NA       13.10      19.84      1.75          NA         NA       37.10      43.84       090
                                                valve.
33472..........  .............  A              Revision of pulmonary       22.25          NA         NA       14.82      20.70      2.53          NA         NA       39.60      45.48       090
                                                valve.
33474..........  .............  A              Revision of pulmonary       23.04          NA         NA       19.95      23.73      2.62          NA         NA       45.61      49.39       090
                                                valve.
33475..........  .............  A              Replacement, pulmonary      28.41          NA         NA       23.01      28.46      3.73          NA         NA       55.15      60.60       090
                                                valve.
33476..........  .............  A              Revision of heart           25.77          NA         NA       16.31      23.43      2.38          NA         NA       44.46      51.58       090
                                                chamber.

[[Page 59471]]


33478..........  .............  A              Revision of heart           26.74          NA         NA       22.86      27.39      3.68          NA         NA       53.28      57.81       090
                                                chamber.
33496..........  .............  A              Repair, prosth valve        27.25          NA         NA       23.63      28.09      3.63          NA         NA       54.51      58.97       090
                                                clot.
33500..........  .............  A              Repair heart vessel         25.55          NA         NA       19.92      25.22      3.10          NA         NA       48.57      53.87       090
                                                fistula.
33501..........  .............  A              Repair heart vessel         17.78          NA         NA       15.19      15.27      2.09          NA         NA       35.06      35.14       090
                                                fistula.
33502..........  .............  A              Coronary artery             21.04          NA         NA       24.95      20.15      2.86          NA         NA       48.85      44.05       090
                                                correction.
33503..........  .............  A              Coronary artery graft.      21.78          NA         NA       15.16      20.58      2.70          NA         NA       39.64      45.06       090
33504..........  .............  A              Coronary artery graft.      24.66          NA         NA       25.77      27.61      2.63          NA         NA       53.06      54.90       090
33505..........  .............  A              Repair artery w/tunnel      26.84          NA         NA       18.09      25.07      3.16          NA         NA       48.09      55.07       090
33506..........  .............  A              Repair artery,              26.71          NA         NA       20.10      25.99      2.94          NA         NA       49.75      55.64       090
                                                translocation.
33510..........  .............  A              CABG, vein, single....      25.12          NA         NA       20.20      25.10      3.27          NA         NA       48.59      53.49       090
33511..........  .............  A              CABG, vein, two.......      27.40          NA         NA       21.09      26.90      3.56          NA         NA       52.05      57.86       090
33512..........  .............  A              CABG, vein, three.....      29.67          NA         NA       21.86      28.64      3.79          NA         NA       55.32      62.10       090
33513..........  .............  A              CABG, vein, four......      31.95          NA         NA       23.05      30.60      4.11          NA         NA       59.11      66.66       090
33514..........  .............  A              CABG, vein, five......      35.00          NA         NA       24.57      33.18      4.49          NA         NA       64.06      72.67       090
33516..........  .............  A              Cabg, vein, six or          37.40          NA         NA       25.70      35.18      4.78          NA         NA       67.88      77.36       090
                                                more.
33517..........  .............  A              CABG, artery-vein,           2.57          NA         NA        1.08       2.08      0.33          NA         NA        3.98       4.98       ZZZ
                                                single.
33518..........  .............  A              CABG, artery-vein, two       4.85          NA         NA        2.04       3.92      0.63          NA         NA        7.52       9.40       ZZZ
33519..........  .............  A              CABG, artery-vein,           7.12          NA         NA        2.99       5.75      0.92          NA         NA       11.03      13.79       ZZZ
                                                three.
33521..........  .............  A              CABG, artery-vein,           9.40          NA         NA        3.95       7.59      1.21          NA         NA       14.56      18.20       ZZZ
                                                four.
33522..........  .............  A              CABG, artery-vein,          11.67          NA         NA        4.92       9.43      1.49          NA         NA       18.08      22.59       ZZZ
                                                five.
33523..........  .............  A              Cabg, art-vein, six or      13.95          NA         NA        5.91      11.29      1.78          NA         NA       21.64      27.02       ZZZ
                                                more.
33530..........  .............  A              Coronary artery,             5.86          NA         NA        2.45       4.73      0.76          NA         NA        9.07      11.35       ZZZ
                                                bypass/reop.
33533..........  .............  A              CABG, arterial, single      25.83          NA         NA       20.61      25.72      3.33          NA         NA       49.77      54.88       090
33534..........  .............  A              CABG, arterial, two...      28.82          NA         NA       21.24      27.82      3.68          NA         NA       53.74      60.32       090
33535..........  .............  A              CABG, arterial, three.      31.81          NA         NA       22.27      30.12      3.96          NA         NA       58.04      65.89       090
33536..........  .............  A              Cabg, arterial, four        34.79          NA         NA       22.99      32.26      4.39          NA         NA       62.17      71.44       090
                                                or more.
33542..........  .............  A              Removal of heart            28.85          NA         NA       23.85      28.60      3.76          NA         NA       56.46      61.21       090
                                                lesion.
33545..........  .............  A              Repair of heart damage      36.78          NA         NA       26.66      32.28      4.80          NA         NA       68.24      73.86       090
33572..........  .............  A              Open coronary                4.45          NA         NA        1.86       2.69      0.58          NA         NA        6.89       7.72       ZZZ
                                                endarterectomy.
33600..........  .............  A              Closure of valve......      29.51          NA         NA       20.75      27.99      2.58          NA         NA       52.84      60.08       090
33602..........  .............  A              Closure of valve......      28.54          NA         NA       20.34      26.71      2.84          NA         NA       51.72      58.09       090
33606..........  .............  A              Anastomosis/artery-         30.74          NA         NA       22.57      29.63      3.97          NA         NA       57.28      64.34       090
                                                aorta.
33608..........  .............  A              Repair anomaly w/           31.09          NA         NA       25.80      31.46      4.27          NA         NA       61.16      66.82       090
                                                conduit.
33610..........  .............  A              Repair by enlargement.      30.61          NA         NA       25.46      31.00      3.64          NA         NA       59.71      65.25       090
33611..........  .............  A              Repair double               32.30          NA         NA       23.66      31.11      4.44          NA         NA       60.40      67.85       090
                                                ventricle.
33612..........  .............  A              Repair double               33.26          NA         NA       28.03      33.87      4.51          NA         NA       65.80      71.64       090
                                                ventricle.
33615..........  .............  A              Repair, simple fontan.      32.06          NA         NA       28.54      33.41      3.88          NA         NA       64.48      69.35       090
33617..........  .............  A              Repair, modified            34.03          NA         NA       30.55      35.59      4.75          NA         NA       69.33      74.37       090
                                                fontan.
33619..........  .............  A              Repair single               37.57          NA         NA       37.15      41.00      5.03          NA         NA       79.75      83.60       090
                                                ventricle.
33641..........  .............  A              Repair heart septum         21.39          NA         NA       16.18      20.86      2.78          NA         NA       40.35      45.03       090
                                                defect.
33645..........  .............  A              Revision of heart           24.82          NA         NA       20.99      25.31      3.32          NA         NA       49.13      53.45       090
                                                veins.
33647..........  .............  A              Repair heart septum         28.73          NA         NA       24.78      29.54      3.81          NA         NA       57.32      62.08       090
                                                defects.
33660..........  .............  A              Repair of heart             25.54          NA         NA       23.25      26.87      3.13          NA         NA       51.92      55.54       090
                                                defects.
33665..........  .............  A              Repair of heart             28.60          NA         NA       23.59      28.77      4.00          NA         NA       56.19      61.37       090
                                                defects.
33670..........  .............  A              Repair of heart             32.73          NA         NA       16.95      28.01      3.35          NA         NA       53.03      64.09       090
                                                chambers.
33681..........  .............  A              Repair heart septum         27.67          NA         NA       25.17      29.11      3.60          NA         NA       56.44      60.38       090
                                                defect.
33684..........  .............  A              Repair heart septum         29.65          NA         NA       22.59      29.00      3.63          NA         NA       55.87      62.28       090
                                                defect.
33688..........  .............  A              Repair heart septum         30.62          NA         NA       13.00      24.78      3.74          NA         NA       47.36      59.14       090
                                                defect.
33690..........  .............  A              Reinforce pulmonary         19.55          NA         NA       18.43      20.89      2.38          NA         NA       40.36      42.82       090
                                                artery.
33692..........  .............  A              Repair of heart             30.75          NA         NA       21.37      29.04      4.22          NA         NA       56.34      64.01       090
                                                defects.
33694..........  .............  A              Repair of heart             31.73          NA         NA       21.76      29.82      3.36          NA         NA       56.85      64.91       090
                                                defects.
33697..........  .............  A              Repair of heart             33.71          NA         NA       22.55      31.40      4.52          NA         NA       60.78      69.63       090
                                                defects.
33702..........  .............  A              Repair of heart             26.54          NA         NA       23.99      27.84      3.55          NA         NA       54.08      57.93       090
                                                defects.
33710..........  .............  A              Repair of heart             29.71          NA         NA       20.95      28.21      4.15          NA         NA       54.81      62.07       090
                                                defects.
33720..........  .............  A              Repair of heart defect      26.56          NA         NA       22.02      26.87      3.56          NA         NA       52.14      56.99       090
33722..........  .............  A              Repair of heart defect      28.41          NA         NA       25.06      29.07      3.97          NA         NA       57.44      61.45       090
33730..........  .............  A              Repair heart-vein           31.67          NA         NA       16.96      27.39      4.24          NA         NA       52.87      63.30       090
                                                defect(s).
33732..........  .............  A              Repair heart-vein           28.16          NA         NA       21.40      27.51      3.93          NA         NA       53.49      59.60       090
                                                defect.
33735..........  .............  A              Revision of heart           21.39          NA         NA       17.48      22.68      2.21          NA         NA       41.08      46.28       090
                                                chamber.
33736..........  .............  A              Revision of heart           23.52          NA         NA       23.03      25.46      3.03          NA         NA       49.58      52.01       090
                                                chamber.
33737..........  .............  A              Revision of heart           21.76          NA         NA       18.63      22.31      0.86          NA         NA       41.25      44.93       090
                                                chamber.
33750..........  .............  A              Major vessel shunt....      21.41          NA         NA       13.10      18.54      2.72          NA         NA       37.23      42.67       090
33755..........  .............  A              Major vessel shunt....      21.79          NA         NA       12.92      18.45      1.37          NA         NA       36.08      41.61       090
33762..........  .............  A              Major vessel shunt....      21.79          NA         NA       12.92      18.45      2.95          NA         NA       37.66      43.19       090
33764..........  .............  A              Major vessel shunt &        21.79          NA         NA       14.44      19.21      2.07          NA         NA       38.30      43.07       090
                                                graft.
33766..........  .............  A              Major vessel shunt....      22.76          NA         NA       20.65      22.32      3.08          NA         NA       46.49      48.16       090
33767..........  .............  A              Major vessel shunt....      24.50          NA         NA       14.91      21.40      3.49          NA         NA       42.90      49.39       090
33770..........  .............  A              Repair great vessels        33.29          NA         NA       22.43      31.09      2.76          NA         NA       58.48      67.14       090
                                                defect.
33771..........  .............  A              Repair great vessels        34.65          NA         NA       16.50      28.94      2.87          NA         NA       54.02      66.46       090
                                                defect.
33774..........  .............  A              Repair great vessels        30.98          NA         NA       23.62      28.78      1.18          NA         NA       55.78      60.94       090
                                                defect.
33775..........  .............  A              Repair great vessels        32.20          NA         NA       16.95      25.45      2.67          NA         NA       51.82      60.32       090
                                                defect.
33776..........  .............  A              Repair great vessels        34.04          NA         NA       17.66      27.78      2.82          NA         NA       54.52      64.64       090
                                                defect.
33777..........  .............  A              Repair great vessels        33.46          NA         NA       17.44      25.69      2.77          NA         NA       53.67      61.92       090
                                                defect.
33778..........  .............  A              Repair great vessels        35.82          NA         NA       25.08      33.92      2.97          NA         NA       63.87      72.71       090
                                                defect.
33779..........  .............  A              Repair great vessels        36.21          NA         NA       16.77      30.00      4.72          NA         NA       57.70      70.93       090
                                                defect.
33780..........  .............  A              Repair great vessels        36.94          NA         NA       18.78      31.44      5.08          NA         NA       60.80      73.46       090
                                                defect.
33781..........  .............  A              Repair great vessels        36.45          NA         NA       16.47      30.00      3.02          NA         NA       55.94      69.47       090
                                                defect.
33786..........  .............  A              Repair arterial trunk.      34.84          NA         NA       17.97      29.78      2.88          NA         NA       55.69      67.50       090
33788..........  .............  A              Revision of pulmonary       26.62          NA         NA       14.54      23.16      2.21          NA         NA       43.37      51.99       090
                                                artery.
33800..........  .............  A              Aortic suspension.....      16.24          NA         NA       18.55      16.95      1.95          NA         NA       36.74      35.14       090
33802..........  .............  A              Repair vessel defect..      17.66          NA         NA       18.40      19.75      2.40          NA         NA       38.46      39.81       090

[[Page 59472]]


33803..........  .............  A              Repair vessel defect..      19.60          NA         NA       12.08      17.74      2.35          NA         NA       34.03      39.69       090
33813..........  .............  A              Repair septal defect..      20.65          NA         NA       16.82      20.40      2.92          NA         NA       40.39      43.97       090
33814..........  .............  A              Repair septal defect..      25.77          NA         NA       22.73      26.75      3.47          NA         NA       51.97      55.99       090
33820..........  .............  A              Revise major vessel...      16.29          NA         NA       17.44      18.45      2.05          NA         NA       35.78      36.79       090
33822..........  .............  A              Revise major vessel...      17.32          NA         NA       11.19      15.93      2.19          NA         NA       30.70      35.44       090
33824..........  .............  A              Revise major vessel...      19.52          NA         NA       18.40      20.85      2.45          NA         NA       40.37      42.82       090
33840..........  .............  A              Remove aorta                20.63          NA         NA       20.55      22.59      2.89          NA         NA       44.07      46.11       090
                                                constriction.
33845..........  .............  A              Remove aorta                22.12          NA         NA       19.92      23.16      3.10          NA         NA       45.14      48.38       090
                                                constriction.
33851..........  .............  A              Remove aorta                21.27          NA         NA       23.00      24.20      2.92          NA         NA       47.19      48.39       090
                                                constriction.
33852..........  .............  A              Repair septal defect..      23.71          NA         NA       23.20      25.75      3.07          NA         NA       49.98      52.53       090
33853..........  .............  A              Repair septal defect..      31.72          NA         NA       29.49      33.68      4.07          NA         NA       65.28      69.47       090
33860..........  .............  A              Ascending aortic graft      33.96          NA         NA       23.85      30.76      4.46          NA         NA       62.27      69.18       090
33861..........  .............  A              Ascending aortic graft      34.52          NA         NA       23.62      30.65      4.58          NA         NA       62.72      69.75       090
33863..........  .............  A              Ascending aortic graft      36.47          NA         NA       24.53      31.10      4.77          NA         NA       65.77      72.34       090
33870..........  .............  A              Transverse aortic arch      40.31          NA         NA       25.91      37.00      5.38          NA         NA       71.60      82.69       090
                                                graft.
33875..........  .............  A              Thoracic aortic graft.      33.06          NA         NA       22.17      28.04      4.27          NA         NA       59.50      65.37       090
33877..........  .............  A              Thoracoabdominal graft      42.60          NA         NA       27.20      37.54      5.48          NA         NA       75.28      85.62       090
33910..........  .............  A              Remove lung artery          24.59          NA         NA       19.00      17.45      3.12          NA         NA       46.71      45.16       090
                                                emboli.
33915..........  .............  A              Remove lung artery          21.02          NA         NA       12.58      12.81      2.26          NA         NA       35.86      36.09       090
                                                emboli.
33916..........  .............  A              Surgery of great            25.83          NA         NA       18.00      18.54      3.27          NA         NA       47.10      47.64       090
                                                vessel.
33917..........  .............  A              Repair pulmonary            24.50          NA         NA       21.74      25.50      3.30          NA         NA       49.54      53.30       090
                                                artery.
33918..........  .............  A              Repair pulmonary            26.45          NA         NA       14.73      23.16      3.77          NA         NA       44.95      53.38       090
                                                atresia.
33919..........  .............  A              Repair pulmonary            32.67          NA         NA       17.13      28.07      4.56          NA         NA       54.36      65.30       090
                                                atresia.
33920..........  .............  A              Repair pulmonary            31.95          NA         NA       24.52      31.34      4.47          NA         NA       60.94      67.76       090
                                                atresia.
33922..........  .............  A              Transect pulmonary          23.52          NA         NA       21.31      24.70      2.40          NA         NA       47.23      50.62       090
                                                artery.
33924..........  .............  A              Remove pulmonary shunt       5.50          NA         NA        2.24       3.29      0.77          NA         NA        8.51       9.56       ZZZ
33930..........  .............  X              Removal of donor heart/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lung.
33935..........  .............  R              Transplantation, heart/     60.96          NA         NA       35.30      54.04      8.06          NA         NA      104.32     123.06       090
                                                lung.
33940..........  .............  X              Removal of donor heart       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
33945..........  .............  R              Transplantation of          42.10          NA         NA       27.65      38.96      5.60          NA         NA       75.35      86.66       090
                                                heart.
33960..........  .............  A              External circulation        19.36          NA         NA        5.96       6.79      1.59          NA         NA       26.91      27.74       XXX
                                                assist.
33961..........  .............  A              External circulation        10.93          NA         NA        4.18       5.90      1.35          NA         NA       16.46      18.18       ZZZ
                                                assist.
33968..........  .............  A              Remove aortic assist         0.64        0.25       0.25        0.25       0.25      0.27        1.16       1.16        1.16       1.16       090
                                                device.
33970..........  .............  A              Aortic circulation           6.75          NA         NA        2.81       5.44      0.91          NA         NA       10.47      13.10       000
                                                assist.
33971..........  .............  A              Aortic circulation           9.69          NA         NA       10.07       7.84      1.29          NA         NA       21.05      18.82       090
                                                assist.
33973..........  .............  A              Insert balloon device.       9.76          NA         NA        4.01       6.10      1.32          NA         NA       15.09      17.18       000
33974..........  .............  A              Remove intra-aortic         14.41          NA         NA       13.03       9.53      1.94          NA         NA       29.38      25.88       090
                                                balloon.
33975..........  .............  A              Implant ventricular         39.00          NA         NA       22.02      18.71      2.86          NA         NA       63.88      60.57       XXX
                                                device.
33976..........  .............  A              Implant ventricular         43.00          NA         NA       23.99      22.49      3.91          NA         NA       70.90      69.40       XXX
                                                device.
33977..........  .............  A              Remove ventricular          19.29          NA         NA       13.77      13.62      2.56          NA         NA       35.62      35.47       090
                                                device.
33978..........  .............  A              Remove ventricular          21.73          NA         NA       15.09      15.25      2.89          NA         NA       39.71      39.87       090
                                                device.
33999..........  .............  C              Cardiac surgery              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
34001..........  .............  A              Removal of artery clot      12.91          NA         NA        6.63       8.52      1.56          NA         NA       21.10      22.99       090
34051..........  .............  A              Removal of artery clot      15.21          NA         NA        7.88       8.72      1.85          NA         NA       24.94      25.78       090
34101..........  .............  A              Removal of artery clot       9.97          NA         NA        5.10       7.08      1.13          NA         NA       16.20      18.18       090
34111..........  .............  A              Removal of arm artery        8.07          NA         NA        4.35       6.30      0.84          NA         NA       13.26      15.21       090
                                                clot.
34151..........  .............  A              Removal of artery clot      16.86          NA         NA        8.09      10.54      1.87          NA         NA       26.82      29.27       090
34201..........  .............  A              Removal of artery clot       9.13          NA         NA        5.25       7.46      1.06          NA         NA       15.44      17.65       090
34203..........  .............  A              Removal of leg artery       12.21          NA         NA        6.47       7.92      1.43          NA         NA       20.11      21.56       090
                                                clot.
34401..........  .............  A              Removal of vein clot..      12.86          NA         NA        6.32       7.54      1.25          NA         NA       20.43      21.65       090
34421..........  .............  A              Removal of vein clot..       9.93          NA         NA        5.53       6.81      0.97          NA         NA       16.43      17.71       090
34451..........  .............  A              Removal of vein clot..      14.44          NA         NA        7.10       9.35      1.60          NA         NA       23.14      25.39       090
34471..........  .............  A              Removal of vein clot..      10.18          NA         NA        4.97       4.39      1.00          NA         NA       16.15      15.57       090
34490..........  .............  A              Removal of vein clot..       7.60          NA         NA        5.38       6.64      0.76          NA         NA       13.74      15.00       090
34501..........  .............  A              Repair valve, femoral       10.93          NA         NA        8.66       8.32      1.43          NA         NA       21.02      20.68       090
                                                vein.
34502..........  .............  A              Reconstruct vena cava.      26.95          NA         NA       12.81      16.53      2.97          NA         NA       42.73      46.45       090
34510..........  .............  A              Transposition of vein       13.25          NA         NA       10.92      10.29      1.64          NA         NA       25.81      25.18       090
                                                valve.
34520..........  .............  A              Cross-over vein graft.      13.74          NA         NA        8.07       9.10      1.64          NA         NA       23.45      24.48       090
34530..........  .............  A              Leg vein fusion.......      17.61          NA         NA        9.56      11.48      2.00          NA         NA       29.17      31.09       090
35001..........  .............  A              Repair defect of            19.64          NA         NA        9.54      13.40      2.51          NA         NA       31.69      35.55       090
                                                artery.
35002..........  .............  A              Repair artery rupture,      21.00          NA         NA        9.75      11.74      2.43          NA         NA       33.18      35.17       090
                                                neck.
35005..........  .............  A              Repair defect of            18.12          NA         NA        7.42       9.29      1.40          NA         NA       26.94      28.81       090
                                                artery.
35011..........  .............  A              Repair defect of            11.65          NA         NA        5.84       9.88      1.36          NA         NA       18.85      22.89       090
                                                artery.
35013..........  .............  A              Repair artery rupture,      17.40          NA         NA        7.80      11.88      2.00          NA         NA       27.20      31.28       090
                                                arm.
35021..........  .............  A              Repair defect of            19.65          NA         NA       10.50      15.09      2.42          NA         NA       32.57      37.16       090
                                                artery.
35022..........  .............  A              Repair artery rupture,      23.18          NA         NA        9.92      12.98      2.15          NA         NA       35.25      38.31       090
                                                chest.
35045..........  .............  A              Repair defect of arm        11.26          NA         NA        6.77      10.09      1.26          NA         NA       19.29      22.61       090
                                                artery.
35081..........  .............  A              Repair defect of            28.01          NA         NA       12.98      18.13      3.30          NA         NA       44.29      49.44       090
                                                artery.
35082..........  .............  A              Repair artery rupture,      36.35          NA         NA       15.12      19.99      4.14          NA         NA       55.61      60.48       090
                                                aorta.
35091..........  .............  A              Repair defect of            35.40          NA         NA       15.78      20.19      4.28          NA         NA       55.46      59.87       090
                                                artery.
35092..........  .............  A              Repair artery rupture,      38.39          NA         NA       16.31      22.41      4.48          NA         NA       59.18      65.28       090
                                                aorta.
35102..........  .............  A              Repair defect of            30.76          NA         NA       13.76      18.90      3.65          NA         NA       48.17      53.31       090
                                                artery.
35103..........  .............  A              Repair artery rupture,      33.57          NA         NA       14.39      21.39      3.84          NA         NA       51.80      58.80       090
                                                groin.
35111..........  .............  A              Repair defect of            16.43          NA         NA        7.93      13.52      1.82          NA         NA       26.18      31.77       090
                                                artery.
35112..........  .............  A              Repair artery rupture,      18.69          NA         NA        8.41       9.88      2.14          NA         NA       29.24      30.71       090
                                                spleen.
35121..........  .............  A              Repair defect of            25.99          NA         NA       11.98      16.37      3.10          NA         NA       41.07      45.46       090
                                                artery.
35122..........  .............  A              Repair artery rupture,      33.45          NA         NA       14.53      16.99      3.69          NA         NA       51.67      54.13       090
                                                belly.
35131..........  .............  A              Repair defect of            18.55          NA         NA        9.20      13.22      2.20          NA         NA       29.95      33.97       090
                                                artery.
35132..........  .............  A              Repair artery rupture,      21.95          NA         NA       10.05      15.16      2.47          NA         NA       34.47      39.58       090
                                                groin.
35141..........  .............  A              Repair defect of            14.46          NA         NA        7.61      11.78      1.73          NA         NA       23.80      27.97       090
                                                artery.
35142..........  .............  A              Repair artery rupture,      15.86          NA         NA        7.83      12.65      1.92          NA         NA       25.61      30.43       090
                                                thigh.

[[Page 59473]]


35151..........  .............  A              Repair defect of            17.00          NA         NA        8.50      12.59      2.01          NA         NA       27.51      31.60       090
                                                artery.
35152..........  .............  A              Repair artery rupture,      16.70          NA         NA        8.40       9.23      2.01          NA         NA       27.11      27.94       090
                                                knee.
35161..........  .............  A              Repair defect of            18.76          NA         NA        9.76      13.50      2.19          NA         NA       30.71      34.45       090
                                                artery.
35162..........  .............  A              Repair artery rupture.      19.78          NA         NA        9.89      15.08      2.26          NA         NA       31.93      37.12       090
35180..........  .............  A              Repair blood vessel         13.62          NA         NA        7.04       7.52      1.53          NA         NA       22.19      22.67       090
                                                lesion.
35182..........  .............  A              Repair blood vessel         17.74          NA         NA        9.71      10.64      2.19          NA         NA       29.64      30.57       090
                                                lesion.
35184..........  .............  A              Repair blood vessel         12.25          NA         NA        6.40       8.48      1.45          NA         NA       20.10      22.18       090
                                                lesion.
35188..........  .............  A              Repair blood vessel         14.28          NA         NA        6.86       7.83      1.70          NA         NA       22.84      23.81       090
                                                lesion.
35189..........  .............  A              Repair blood vessel         18.43          NA         NA        9.24      10.77      2.17          NA         NA       29.84      31.37       090
                                                lesion.
35190..........  .............  A              Repair blood vessel         12.75          NA         NA        6.57       8.90      1.48          NA         NA       20.80      23.13       090
                                                lesion.
35201..........  .............  A              Repair blood vessel          9.99          NA         NA        5.36       8.15      1.23          NA         NA       16.58      19.37       090
                                                lesion.
35206..........  .............  A              Repair blood vessel          9.25          NA         NA        6.29       8.66      1.06          NA         NA       16.60      18.97       090
                                                lesion.
35207..........  .............  A              Repair blood vessel         10.15          NA         NA        8.37      10.05      1.06          NA         NA       19.58      21.26       090
                                                lesion.
35211..........  .............  A              Repair blood vessel         22.12          NA         NA       18.73      16.63      2.91          NA         NA       43.76      41.66       090
                                                lesion.
35216..........  .............  A              Repair blood vessel         18.75          NA         NA       14.34      12.97      2.24          NA         NA       35.33      33.96       090
                                                lesion.
35221..........  .............  A              Repair blood vessel         16.42          NA         NA        7.99      10.02      1.81          NA         NA       26.22      28.25       090
                                                lesion.
35226..........  .............  A              Repair blood vessel          9.06          NA         NA        6.97       8.90      1.15          NA         NA       17.18      19.11       090
                                                lesion.
35231..........  .............  A              Repair blood vessel         12.00          NA         NA        6.76      10.55      1.38          NA         NA       20.14      23.93       090
                                                lesion.
35236..........  .............  A              Repair blood vessel         10.54          NA         NA        6.94       9.76      1.23          NA         NA       18.71      21.53       090
                                                lesion.
35241..........  .............  A              Repair blood vessel         23.12          NA         NA       21.00      17.82      2.84          NA         NA       46.96      43.78       090
                                                lesion.
35246..........  .............  A              Repair blood vessel         19.84          NA         NA       14.39      16.40      2.42          NA         NA       36.65      38.66       090
                                                lesion.
35251..........  .............  A              Repair blood vessel         17.49          NA         NA        8.12       9.27      1.87          NA         NA       27.48      28.63       090
                                                lesion.
35256..........  .............  A              Repair blood vessel         11.38          NA         NA        7.25      10.36      1.37          NA         NA       20.00      23.11       090
                                                lesion.
35261..........  .............  A              Repair blood vessel         11.63          NA         NA        5.93       9.91      1.38          NA         NA       18.94      22.92       090
                                                lesion.
35266..........  .............  A              Repair blood vessel         10.30          NA         NA        6.47       9.39      1.24          NA         NA       18.01      20.93       090
                                                lesion.
35271..........  .............  A              Repair blood vessel         22.12          NA         NA       18.70      16.15      2.95          NA         NA       43.77      41.22       090
                                                lesion.
35276..........  .............  A              Repair blood vessel         18.75          NA         NA       15.75      13.77      2.50          NA         NA       37.00      35.02       090
                                                lesion.
35281..........  .............  A              Repair blood vessel         16.48          NA         NA        8.06      13.41      1.84          NA         NA       26.38      31.73       090
                                                lesion.
35286..........  .............  A              Repair blood vessel         11.87          NA         NA        7.84      10.28      1.39          NA         NA       21.10      23.54       090
                                                lesion.
35301..........  .............  A              Rechanneling of artery      18.70          NA         NA        9.86      12.78      2.29          NA         NA       30.85      33.77       090
35311..........  .............  A              Rechanneling of artery      23.85          NA         NA       12.98      18.46      3.12          NA         NA       39.95      45.43       090
35321..........  .............  A              Rechanneling of artery      11.97          NA         NA        6.06      10.06      1.40          NA         NA       19.43      23.43       090
35331..........  .............  A              Rechanneling of artery      23.52          NA         NA       11.10      12.79      2.88          NA         NA       37.50      39.19       090
35341..........  .............  A              Rechanneling of artery      25.11          NA         NA       11.52      15.19      3.07          NA         NA       39.70      43.37       090
35351..........  .............  A              Rechanneling of artery      20.11          NA         NA        9.57      12.90      2.33          NA         NA       32.01      35.34       090
35355..........  .............  A              Rechanneling of artery      16.09          NA         NA        8.08      12.41      1.86          NA         NA       26.03      30.36       090
35361..........  .............  A              Rechanneling of artery      23.59          NA         NA       10.84      15.93      2.74          NA         NA       37.17      42.26       090
35363..........  .............  A              Rechanneling of artery      24.66          NA         NA       11.54      18.13      2.81          NA         NA       39.01      45.60       090
35371..........  .............  A              Rechanneling of artery      11.64          NA         NA        6.12       9.85      1.37          NA         NA       19.13      22.86       090
35372..........  .............  A              Rechanneling of artery      13.56          NA         NA        6.85       9.50      1.59          NA         NA       22.00      24.65       090
35381..........  .............  A              Rechanneling of artery      15.81          NA         NA        7.94      11.39      1.85          NA         NA       25.60      29.05       090
35390..........  .............  A              Reoperation, carotid         3.19          NA         NA        1.24       1.53      0.40          NA         NA        4.83       5.12       ZZZ
                                                add-on.
35400..........  .............  A              Angioscopy............       3.00          NA         NA        1.15       1.81      0.27          NA         NA        4.42       5.08       ZZZ
35450..........  .............  A              Repair arterial             10.07          NA         NA        4.45       8.24      1.17          NA         NA       15.69      19.48       000
                                                blockage.
35452..........  .............  A              Repair arterial              6.91          NA         NA        3.34       4.03      0.83          NA         NA       11.08      11.77       000
                                                blockage.
35454..........  .............  A              Repair arterial              6.04          NA         NA        2.93       5.07      0.71          NA         NA        9.68      11.82       000
                                                blockage.
35456..........  .............  A              Repair arterial              7.35          NA         NA        3.48       6.13      0.87          NA         NA       11.70      14.35       000
                                                blockage.
35458..........  .............  A              Repair arterial              9.49          NA         NA        4.30       7.65      1.13          NA         NA       14.92      18.27       000
                                                blockage.
35459..........  .............  A              Repair arterial              8.63          NA         NA        3.90       7.10      0.99          NA         NA       13.52      16.72       000
                                                blockage.
35460..........  .............  A              Repair venous blockage       6.04          NA         NA        2.74       3.09      0.64          NA         NA        9.42       9.77       000
35470..........  .............  A              Repair arterial              8.63          NA         NA        3.59       6.95      0.68          NA         NA       12.90      16.26       000
                                                blockage.
35471..........  .............  A              Repair arterial             10.07          NA         NA        4.15       8.09      0.82          NA         NA       15.04      18.98       000
                                                blockage.
35472..........  .............  A              Repair arterial              6.91          NA         NA        2.97       3.45      0.55          NA         NA       10.43      10.91       000
                                                blockage.
35473..........  .............  A              Repair arterial              6.04          NA         NA        2.60       4.91      0.41          NA         NA        9.05      11.36       000
                                                blockage.
35474..........  .............  A              Repair arterial              7.36          NA         NA        3.07       5.93      0.53          NA         NA       10.96      13.82       000
                                                blockage.
35475..........  .............  R              Repair arterial              9.49          NA         NA        3.48       7.24      0.51          NA         NA       13.48      17.24       000
                                                blockage.
35476..........  .............  A              Repair venous blockage       6.04          NA         NA        2.34       2.89      0.26          NA         NA        8.64       9.19       000
35480..........  .............  A              Atherectomy, open.....      11.08          NA         NA        4.76       9.00      1.16          NA         NA       17.00      21.24       000
35481..........  .............  A              Atherectomy, open.....       7.61          NA         NA        3.85       4.29      0.95          NA         NA       12.41      12.85       000
35482..........  .............  A              Atherectomy, open.....       6.65          NA         NA        3.31       5.63      0.83          NA         NA       10.79      13.11       000
35483..........  .............  A              Atherectomy, open.....       8.10          NA         NA        3.80       6.74      0.98          NA         NA       12.88      15.82       000
35484..........  .............  A              Atherectomy, open.....      10.44          NA         NA        4.69       7.84      1.11          NA         NA       16.24      19.39       000
35485..........  .............  A              Atherectomy, open.....       9.49          NA         NA        4.26       4.59      1.15          NA         NA       14.90      15.23       000
35490..........  .............  A              Atherectomy,                11.08          NA         NA        4.42       8.83      1.03          NA         NA       16.53      20.94       000
                                                percutaneous.
35491..........  .............  A              Atherectomy,                 7.61          NA         NA        3.09       3.91      0.77          NA         NA       11.47      12.29       000
                                                percutaneous.
35492..........  .............  A              Atherectomy,                 6.65          NA         NA        2.97       5.46      0.71          NA         NA       10.33      12.82       000
                                                percutaneous.
35493..........  .............  A              Atherectomy,                 8.10          NA         NA        3.98       6.83      0.91          NA         NA       12.99      15.84       000
                                                percutaneous.
35494..........  .............  A              Atherectomy,                10.44          NA         NA        3.77       7.38      0.50          NA         NA       14.71      18.32       000
                                                percutaneous.
35495..........  .............  A              Atherectomy,                 9.49          NA         NA        4.64       4.78      1.09          NA         NA       15.22      15.36       000
                                                percutaneous.
35500..........  .............  C              Harvest vein for             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       ZZZ
                                                bypass.
35501..........  .............  A              Artery bypass graft...      19.19          NA         NA        7.16      14.08      2.39          NA         NA       28.74      35.66       090
35506..........  .............  A              Artery bypass graft...      19.67          NA         NA        9.61      15.21      2.41          NA         NA       31.69      37.29       090
35507..........  .............  A              Artery bypass graft...      19.67          NA         NA        9.34      14.40      2.43          NA         NA       31.44      36.50       090
35508..........  .............  A              Artery bypass graft...      18.65          NA         NA        9.30      14.48      2.42          NA         NA       30.37      35.55       090
35509..........  .............  A              Artery bypass graft...      18.07          NA         NA        8.42      14.47      2.21          NA         NA       28.70      34.75       090
35511..........  .............  A              Artery bypass graft...      16.83          NA         NA        8.12       9.71      2.00          NA         NA       26.95      28.54       090
35515..........  .............  A              Artery bypass graft...      18.65          NA         NA        8.74      10.48      2.39          NA         NA       29.78      31.52       090
35516..........  .............  A              Artery bypass graft...      16.32          NA         NA        7.73      13.29      2.00          NA         NA       26.05      31.61       090
35518..........  .............  A              Artery bypass graft...      15.42          NA         NA        6.97      12.69      1.74          NA         NA       24.13      29.85       090
35521..........  .............  A              Artery bypass graft...      16.17          NA         NA        8.17      13.60      1.88          NA         NA       26.22      31.65       090
35526..........  .............  A              Artery bypass graft...      20.00          NA         NA       10.39      12.22      2.48          NA         NA       32.87      34.70       090

[[Page 59474]]


35531..........  .............  A              Artery bypass graft...      25.61          NA         NA       11.64      16.81      3.04          NA         NA       40.29      45.46       090
35533..........  .............  A              Artery bypass graft...      20.52          NA         NA        9.61      16.22      2.27          NA         NA       32.40      39.01       090
35536..........  .............  A              Artery bypass graft...      23.11          NA         NA       10.58      16.89      2.90          NA         NA       36.59      42.90       090
35541..........  .............  A              Artery bypass graft...      25.80          NA         NA       12.16      16.69      3.08          NA         NA       41.04      45.57       090
35546..........  .............  A              Artery bypass graft...      25.54          NA         NA       11.80      17.51      2.91          NA         NA       40.25      45.96       090
35548..........  .............  A              Artery bypass graft...      21.57          NA         NA       10.54      15.88      2.34          NA         NA       34.45      39.79       090
35549..........  .............  A              Artery bypass graft...      23.35          NA         NA       11.16      17.19      2.69          NA         NA       37.20      43.23       090
35551..........  .............  A              Artery bypass graft...      26.67          NA         NA       12.61      16.75      2.85          NA         NA       42.13      46.27       090
35556..........  .............  A              Artery bypass graft...      21.76          NA         NA       10.32      15.32      2.57          NA         NA       34.65      39.65       090
35558..........  .............  A              Artery bypass graft...      14.04          NA         NA        7.36      12.06      1.61          NA         NA       23.01      27.71       090
35560..........  .............  A              Artery bypass graft...      23.56          NA         NA       11.55      16.75      2.84          NA         NA       37.95      43.15       090
35563..........  .............  A              Artery bypass graft...      15.14          NA         NA        7.95       8.49      1.71          NA         NA       24.80      25.34       090
35565..........  .............  A              Artery bypass graft...      15.14          NA         NA        7.71      12.89      1.78          NA         NA       24.63      29.81       090
35566..........  .............  A              Artery bypass graft...      26.92          NA         NA       15.55      18.97      3.22          NA         NA       45.69      49.11       090
35571..........  .............  A              Artery bypass graft...      18.58          NA         NA       10.67      15.84      2.22          NA         NA       31.47      36.64       090
35582..........  .............  A              Vein bypass graft.....      27.13          NA         NA       12.13      18.95      3.14          NA         NA       42.40      49.22       090
35583..........  .............  A              Vein bypass graft.....      22.37          NA         NA       11.58      16.88      2.63          NA         NA       36.58      41.88       090
35585..........  .............  A              Vein bypass graft.....      28.39          NA         NA       15.14      20.03      3.33          NA         NA       46.86      51.75       090
35587..........  .............  A              Vein bypass graft.....      19.05          NA         NA       11.88      17.32      2.23          NA         NA       33.16      38.60       090
35601..........  .............  A              Artery bypass graft...      17.50          NA         NA        8.20      14.32      2.16          NA         NA       27.86      33.98       090
35606..........  .............  A              Artery bypass graft...      18.71          NA         NA        8.94      14.00      2.27          NA         NA       29.92      34.98       090
35612..........  .............  A              Artery bypass graft...      15.76          NA         NA        7.81      13.00      1.90          NA         NA       25.47      30.66       090
35616..........  .............  A              Artery bypass graft...      15.70          NA         NA        7.67      12.95      1.93          NA         NA       25.30      30.58       090
35621..........  .............  A              Artery bypass graft...      14.54          NA         NA        7.57      12.46      1.74          NA         NA       23.85      28.74       090
35623..........  .............  A              Bypass graft, not vein      16.62          NA         NA        8.22       8.49      2.00          NA         NA       26.84      27.11       090
35626..........  .............  A              Artery bypass graft...      23.63          NA         NA       11.85      17.06      2.98          NA         NA       38.46      43.67       090
35631..........  .............  A              Artery bypass graft...      24.60          NA         NA       11.36      15.38      3.00          NA         NA       38.96      42.98       090
35636..........  .............  A              Artery bypass graft...      22.46          NA         NA       10.28      12.47      2.70          NA         NA       35.44      37.63       090
35641..........  .............  A              Artery bypass graft...      24.57          NA         NA       11.93      17.12      3.00          NA         NA       39.50      44.69       090
35642..........  .............  A              Artery bypass graft...      17.98          NA         NA        7.51       9.36      2.16          NA         NA       27.65      29.50       090
35645..........  .............  A              Artery bypass graft...      17.47          NA         NA        8.52      10.31      1.85          NA         NA       27.84      29.63       090
35646..........  .............  A              Artery bypass graft...      25.81          NA         NA       12.08      18.95      3.08          NA         NA       40.97      47.84       090
35650..........  .............  A              Artery bypass graft...      14.36          NA         NA        6.90      12.03      1.71          NA         NA       22.97      28.10       090
35651..........  .............  A              Artery bypass graft...      25.04          NA         NA       11.56      18.85      2.81          NA         NA       39.41      46.70       090
35654..........  .............  A              Artery bypass graft...      18.61          NA         NA        9.01      15.62      2.20          NA         NA       29.82      36.43       090
35656..........  .............  A              Artery bypass graft...      19.53          NA         NA        9.37      14.31      2.27          NA         NA       31.17      36.11       090
35661..........  .............  A              Artery bypass graft...      13.18          NA         NA        6.85      11.30      1.55          NA         NA       21.58      26.03       090
35663..........  .............  A              Artery bypass graft...      14.17          NA         NA        7.54      12.23      1.72          NA         NA       23.43      28.12       090
35665..........  .............  A              Artery bypass graft...      15.40          NA         NA        7.72      13.05      1.84          NA         NA       24.96      30.29       090
35666..........  .............  A              Artery bypass graft...      19.19          NA         NA       11.92      16.85      2.28          NA         NA       33.39      38.32       090
35671..........  .............  A              Artery bypass graft...      14.80          NA         NA        9.75      13.34      1.75          NA         NA       26.30      29.89       090
35681..........  .............  A              Composite bypass graft       1.60          NA         NA        2.58       6.10      0.19          NA         NA        4.37       7.89       ZZZ
35682..........  .............  A              Composite bypass graft       7.20        2.77       6.20        2.71       6.17      0.85       10.82      14.25       10.76      14.22       ZZZ
35683..........  .............  A              Composite bypass graft       8.50        3.27       6.45        3.20       6.41      1.01       12.78      15.96       12.71      15.92       ZZZ
35691..........  .............  A              Arterial transposition      18.05          NA         NA        8.33      14.81      2.27          NA         NA       28.65      35.13       090
35693..........  .............  A              Arterial transposition      15.36          NA         NA        7.01       8.61      1.94          NA         NA       24.31      25.91       090
35694..........  .............  A              Arterial transposition      19.16          NA         NA        8.39       9.26      2.33          NA         NA       29.88      30.75       090
35695..........  .............  A              Arterial transposition      19.16          NA         NA        8.64       9.39      2.16          NA         NA       29.96      30.71       090
35700..........  .............  A              Reoperation, bypass          3.08          NA         NA        3.34       2.55      0.38          NA         NA        6.80       6.01       ZZZ
                                                graft.
35701..........  .............  A              Exploration, carotid         5.55          NA         NA        3.74       5.03      0.64          NA         NA        9.93      11.22       090
                                                artery.
35721..........  .............  A              Exploration, femoral         5.28          NA         NA        4.90       5.47      0.62          NA         NA       10.80      11.37       090
                                                artery.
35741..........  .............  A              Exploration popliteal        5.37          NA         NA        4.47       5.35      0.62          NA         NA       10.46      11.34       090
                                                artery.
35761..........  .............  A              Exploration of artery/       5.37          NA         NA        4.43       5.37      0.61          NA         NA       10.41      11.35       090
                                                vein.
35800..........  .............  A              Explore neck vessels..       7.02          NA         NA        4.34       5.04      0.82          NA         NA       12.18      12.88       090
35820..........  .............  A              Explore chest vessels.      12.88          NA         NA        5.45       7.03      1.70          NA         NA       20.03      21.61       090
35840..........  .............  A              Explore abdominal            9.77          NA         NA        5.50       6.68      1.08          NA         NA       16.35      17.53       090
                                                vessels.
35860..........  .............  A              Explore limb vessels..       5.55          NA         NA        3.85       5.08      0.65          NA         NA       10.05      11.28       090
35870..........  .............  A              Repair vessel graft         22.17          NA         NA       10.81      11.18      2.63          NA         NA       35.61      35.98       090
                                                defect.
35875..........  .............  A              Removal of clot in          10.13          NA         NA        6.26       7.59      1.08          NA         NA       17.47      18.80       090
                                                graft.
35876..........  .............  A              Removal of clot in          17.00          NA         NA        9.24       9.08      1.92          NA         NA       28.16      28.00       090
                                                graft.
35879..........  .............  A              Revise graft w/vein...      16.00          NA         NA        8.46       8.46      1.97          NA         NA       26.43      26.43       090
35881..........  .............  A              Revise graft w/vein...      18.00          NA         NA        8.77       8.77      2.21          NA         NA       28.98      28.98       090
35901..........  .............  A              Excision, graft, neck.       8.19          NA         NA        6.10       6.95      0.97          NA         NA       15.26      16.11       090
35903..........  .............  A              Excision, graft,             9.39          NA         NA        8.44       8.12      1.08          NA         NA       18.91      18.59       090
                                                extremity.
35905..........  .............  A              Excision, graft,            18.19          NA         NA       12.59      10.19      2.15          NA         NA       32.93      30.53       090
                                                thorax.
35907..........  .............  A              Excision, graft,            19.24          NA         NA        9.84       8.82      2.29          NA         NA       31.37      30.35       090
                                                abdomen.
36000..........  .............  A              Place needle in vein..       0.18        0.53       0.40        0.05       0.08      0.01        0.72       0.59        0.24       0.27       XXX
36005..........  .............  A              Injection, venography.       0.95       15.15       7.83        0.27       0.39      0.05       16.15       8.83        1.27       1.39       000
36010..........  .............  A              Place catheter in vein       2.43          NA         NA        0.79       1.54      0.16          NA         NA        3.38       4.13       XXX
36011..........  .............  A              Place catheter in vein       3.14          NA         NA        1.00       1.53      0.20          NA         NA        4.34       4.87       XXX
36012..........  .............  A              Place catheter in vein       3.52          NA         NA        1.01       1.96      0.15          NA         NA        4.68       5.63       XXX
36013..........  .............  A              Place catheter in            2.52          NA         NA        0.78       1.54      0.21          NA         NA        3.51       4.27       XXX
                                                artery.
36014..........  .............  A              Place catheter in            3.02          NA         NA        0.88       1.68      0.12          NA         NA        4.02       4.82       XXX
                                                artery.
36015..........  .............  A              Place catheter in            3.52          NA         NA        1.03       1.97      0.15          NA         NA        4.70       5.64       XXX
                                                artery.
36100..........  .............  A              Establish access to          3.02          NA         NA        1.17       1.99      0.32          NA         NA        4.51       5.33       XXX
                                                artery.
36120..........  .............  A              Establish access to          2.01          NA         NA        0.64       1.52      0.12          NA         NA        2.77       3.65       XXX
                                                artery.
36140..........  .............  A              Establish access to          2.01          NA         NA        0.63       1.08      0.13          NA         NA        2.77       3.22       XXX
                                                artery.
36145..........  .............  A              Artery to vein shunt..       2.01          NA         NA        0.59       1.50      0.09          NA         NA        2.69       3.60       XXX
36160..........  .............  A              Establish access to          2.52          NA         NA        0.89       1.71      0.23          NA         NA        3.64       4.46       XXX
                                                aorta.
36200..........  .............  A              Place catheter in            3.02          NA         NA        0.90       1.93      0.16          NA         NA        4.08       5.11       XXX
                                                aorta.
36215..........  .............  A              Place catheter in            4.68          NA         NA        1.42       2.22      0.28          NA         NA        6.38       7.18       XXX
                                                artery.

[[Page 59475]]


36216..........  .............  A              Place catheter in            5.28          NA         NA        1.54       2.56      0.25          NA         NA        7.07       8.09       XXX
                                                artery.
36217..........  .............  A              Place catheter in            6.30          NA         NA        1.93       3.09      0.36          NA         NA        8.59       9.75       XXX
                                                artery.
36218..........  .............  A              Place catheter in            1.01          NA         NA        0.34       0.51      0.06          NA         NA        1.41       1.58       ZZZ
                                                artery.
36245..........  .............  A              Place catheter in            4.68          NA         NA        1.60       2.51      0.35          NA         NA        6.63       7.54       XXX
                                                artery.
36246..........  .............  A              Place catheter in            5.28          NA         NA        1.66       2.62      0.33          NA         NA        7.27       8.23       XXX
                                                artery.
36247..........  .............  A              Place catheter in            6.30          NA         NA        1.91       3.08      0.35          NA         NA        8.56       9.73       XXX
                                                artery.
36248..........  .............  A              Place catheter in            1.01          NA         NA        0.36       0.52      0.07          NA         NA        1.44       1.60       ZZZ
                                                artery.
36260..........  .............  A              Insertion of infusion        9.71          NA         NA        5.47       6.39      0.93          NA         NA       16.11      17.03       090
                                                pump.
36261..........  .............  A              Revision of infusion         5.45          NA         NA        3.23       2.83      0.53          NA         NA        9.21       8.81       090
                                                pump.
36262..........  .............  A              Removal of infusion          4.02          NA         NA        2.52       2.31      0.41          NA         NA        6.95       6.74       090
                                                pump.
36299..........  .............  C              Vessel injection             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
36400..........  .............  A              Drawing blood.........       0.18        0.58       0.34        0.05       0.05      0.02        0.78       0.54        0.25       0.25       XXX
36405..........  .............  A              Drawing blood.........       0.18        0.47       0.48        0.05       0.15      0.01        0.66       0.67        0.24       0.34       XXX
36406..........  .............  A              Drawing blood.........       0.18        0.53       0.35        0.05       0.07      0.01        0.72       0.54        0.24       0.26       XXX
36410..........  .............  A              Drawing blood.........       0.18        0.44       0.34        0.05       0.08      0.01        0.63       0.53        0.24       0.27       XXX
36415..........  .............  I              Drawing blood.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
36420..........  .............  A              Establish access to          1.01          NA         NA        0.33       0.44      0.10          NA         NA        1.44       1.55       XXX
                                                vein.
36425..........  .............  A              Establish access to          0.76        2.62       1.36        0.18       0.14      0.06        3.44       2.18        1.00       0.96       XXX
                                                vein.
36430..........  .............  A              Blood transfusion            0.00        1.01       1.03        1.01       0.77      0.05        1.06       1.08        1.06       0.82       XXX
                                                service.
36440..........  .............  A              Blood transfusion            1.03          NA         NA        0.27       0.65      0.10          NA         NA        1.40       1.78       XXX
                                                service.
36450..........  .............  A              Exchange transfusion         2.23          NA         NA        0.71       0.87      0.14          NA         NA        3.08       3.24       XXX
                                                service.
36455..........  .............  A              Exchange transfusion         2.43          NA         NA        0.93       1.70      0.14          NA         NA        3.50       4.27       XXX
                                                service.
36460..........  .............  A              Transfusion service,         6.59          NA         NA        2.30       3.71      0.60          NA         NA        9.49      10.90       XXX
                                                fetal.
36468..........  .............  R              Injection(s), spider         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                veins.
36469..........  .............  R              Injection(s), spider         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                veins.
36470..........  .............  A              Injection therapy of         1.09        2.69       1.49        0.40       0.28      0.11        3.89       2.69        1.60       1.48       010
                                                vein.
36471..........  .............  A              Injection therapy of         1.57        3.13       1.78        0.58       0.40      0.14        4.84       3.49        2.29       2.11       010
                                                veins.
36481..........  .............  A              Insertion of catheter,       6.99          NA         NA        2.12       3.94      0.40          NA         NA        9.51      11.33       000
                                                vein.
36488..........  .............  A              Insertion of catheter,       1.35          NA         NA        0.43       0.74      0.11          NA         NA        1.89       2.20       000
                                                vein.
36489..........  .............  A              Insertion of catheter,       1.22        3.45       2.34        0.34       0.78      0.09        4.76       3.65        1.65       2.09       000
                                                vein.
36490..........  .............  A              Insertion of catheter,       1.67          NA         NA        0.56       1.03      0.13          NA         NA        2.36       2.83       000
                                                vein.
36491..........  .............  A              Insertion of catheter,       1.43          NA         NA        0.47       1.09      0.13          NA         NA        2.03       2.65       000
                                                vein.
36493..........  .............  A              Repositioning of cvc..       1.21          NA         NA        0.35       0.52      0.06          NA         NA        1.62       1.79       000
36500..........  .............  A              Insertion of catheter,       3.52          NA         NA        1.14       0.62      0.17          NA         NA        4.83       4.31       000
                                                vein.
36510..........  .............  A              Insertion of catheter,       1.09          NA         NA        0.39       0.29      0.07          NA         NA        1.55       1.45       000
                                                vein.
36520..........  .............  A              Plasma and/or cell           1.74          NA         NA        0.65       1.36      0.10          NA         NA        2.49       3.20       000
                                                exchange.
36521..........  .............  A              Apheresis w/ adsorp/         1.74          NA         NA        0.65       0.65      0.09          NA         NA        2.48       2.48       000
                                                reinfuse.
36522..........  .............  A              Photopheresis.........       1.67        8.21       5.45        0.81       1.41      0.06        9.94       7.18        2.54       3.14       000
36530..........  .............  R              Insertion of infusion        6.20          NA         NA        3.51       4.37      0.63          NA         NA       10.34      11.20       010
                                                pump.
36531..........  .............  R              Revision of infusion         4.87          NA         NA        3.26       4.00      0.49          NA         NA        8.62       9.36       010
                                                pump.
36532..........  .............  R              Removal of infusion          3.30          NA         NA        1.59       1.76      0.33          NA         NA        5.22       5.39       010
                                                pump.
36533..........  .............  A              Insertion of access          5.32        4.03       4.35        3.25       3.96      0.52        9.87      10.19        9.09       9.80       010
                                                device.
36534..........  .............  A              Revision of access           2.80          NA         NA        1.32       2.33      0.22          NA         NA        4.34       5.35       010
                                                device.
36535..........  .............  A              Removal of access            2.27        2.72       2.34        1.89       1.93      0.23        5.22       4.84        4.39       4.43       010
                                                device.
36550..........  .............  A              Declot vascular device       0.00        0.51       0.51        0.06       0.06      0.32        0.83       0.83        0.38       0.38       XXX
36600..........  .............  A              Withdrawal of arterial       0.32        0.40       0.35        0.09       0.20      0.02        0.74       0.69        0.43       0.54       XXX
                                                blood.
36620..........  .............  A              Insertion catheter,          1.15          NA         NA        0.23       0.48      0.08          NA         NA        1.46       1.71       000
                                                artery.
36625..........  .............  A              Insertion catheter,          2.11          NA         NA        0.53       0.73      0.17          NA         NA        2.81       3.01       000
                                                artery.
36640..........  .............  A              Insertion catheter,          2.10          NA         NA        0.76       1.64      0.19          NA         NA        3.05       3.93       000
                                                artery.
36660..........  .............  A              Insertion catheter,          1.40          NA         NA        0.45       0.49      0.07          NA         NA        1.92       1.96       000
                                                artery.
36680..........  .............  A              Insert needle, bone          1.20          NA         NA        0.40       0.88      0.11          NA         NA        1.71       2.19       000
                                                cavity.
36800..........  .............  A              Insertion of cannula..       2.43          NA         NA        1.57       1.99      0.21          NA         NA        4.21       4.63       000
36810..........  .............  A              Insertion of cannula..       3.97          NA         NA        2.21       3.48      0.39          NA         NA        6.57       7.84       000
36815..........  .............  A              Insertion of cannula..       2.62          NA         NA        1.83       2.48      0.27          NA         NA        4.72       5.37       000
36819..........  .............  A              Av fusion by basilic        14.00          NA         NA        6.65       6.65      1.55          NA         NA       22.20      22.20       090
                                                vein.
36821..........  .............  A              Av fusion direct any         8.93          NA         NA        5.08       6.47      0.99          NA         NA       15.00      16.39       090
                                                site.
36822..........  .............  A              Insertion of                 5.42          NA         NA       10.32       8.20      0.70          NA         NA       16.44      14.32       090
                                                cannula(s).
36823..........  .............  C              Insertion of                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cannula(s).
36825..........  .............  A              Artery-vein graft.....       9.84          NA         NA        5.80       8.77      1.10          NA         NA       16.74      19.71       090
36830..........  .............  A              Artery-vein graft.....      12.00          NA         NA        6.41       8.61      1.36          NA         NA       19.77      21.97       090
36831..........  .............  A              Av fistula excision...       8.00        2.23       2.23        2.23       2.23      0.85       11.08      11.08       11.08      11.08       090
36832..........  .............  A              Av fistula revision...      10.50          NA         NA        5.77       6.74      1.16          NA         NA       17.43      18.40       090
36833..........  .............  A              Av fistula revision...      11.95        4.45       4.45        4.45       4.45      1.33       17.73      17.73       17.73      17.73       090
36834..........  .............  A              Repair A-V aneurysm...       9.93          NA         NA        3.98       6.23      1.13          NA         NA       15.04      17.29       090
36835..........  .............  A              Artery to vein shunt..       7.15          NA         NA        5.01       4.36      0.80          NA         NA       12.96      12.31       090
36860..........  .............  A              External cannula             2.01        1.95       2.37        1.43       1.92      0.13        4.09       4.51        3.57       4.06       000
                                                declotting.
36861..........  .............  A              Cannula declotting....       2.52          NA         NA        1.55       2.28      0.22          NA         NA        4.29       5.02       000
37140..........  .............  A              Revision of                 23.60          NA         NA        8.71      13.20      1.06          NA         NA       33.37      37.86       090
                                                circulation.
37145..........  .............  A              Revision of                 24.61          NA         NA        9.42      14.01      0.95          NA         NA       34.98      39.57       090
                                                circulation.
37160..........  .............  A              Revision of                 21.60          NA         NA        9.38      14.32      2.29          NA         NA       33.27      38.21       090
                                                circulation.
37180..........  .............  A              Revision of                 24.61          NA         NA       10.89      13.15      2.45          NA         NA       37.95      40.21       090
                                                circulation.
37181..........  .............  A              Splice spleen/kidney        26.68          NA         NA       11.10      14.46      2.56          NA         NA       40.34      43.70       090
                                                veins.
37195..........  .............  A              Thrombolytic therapy,        0.00        8.09       8.21        8.09       8.21      0.39        8.48       8.60        8.48       8.60       XXX
                                                stroke.
37200..........  .............  A              Transcatheter biopsy..       4.56          NA         NA        1.31       1.52      0.25          NA         NA        6.12       6.33       000
37201..........  .............  A              Transcatheter therapy        5.00          NA         NA        2.09       4.03      0.25          NA         NA        7.34       9.28       000
                                                infuse.
37202..........  .............  A              Transcatheter therapy        5.68          NA         NA        3.03       3.85      0.74          NA         NA        9.45      10.27       000
                                                infuse.
37203..........  .............  A              Transcatheter                5.03          NA         NA        2.12       3.14      0.25          NA         NA        7.40       8.42       000
                                                retrieval.
37204..........  .............  A              Transcatheter               18.14          NA         NA        5.23      10.08      0.77          NA         NA       24.14      28.99       000
                                                occlusion.
37205..........  .............  A              Transcatheter stent...       8.28          NA         NA        3.40       4.50      0.61          NA         NA       12.29      13.39       000
37206..........  .............  A              Transcatheter stent          4.13          NA         NA        1.40       2.10      0.32          NA         NA        5.85       6.55       ZZZ
                                                add-on.
37207..........  .............  A              Transcatheter stent...       8.28          NA         NA        3.75       4.68      0.97          NA         NA       13.00      13.93       000

[[Page 59476]]


37208..........  .............  A              Transcatheter stent          4.13          NA         NA        1.56       2.18      0.49          NA         NA        6.18       6.80       ZZZ
                                                add-on.
37209..........  .............  A              Exchange arterial            2.27          NA         NA        0.68       1.11      0.11          NA         NA        3.06       3.49       000
                                                catheter.
37250..........  .............  A              Iv us first vessel add-      2.10          NA         NA        0.85       1.05      0.24          NA         NA        3.19       3.39       ZZZ
                                                on.
37251..........  .............  A              Iv us each add vessel        1.60          NA         NA        0.66       0.80      0.19          NA         NA        2.45       2.59       ZZZ
                                                add-on.
37565..........  .............  A              Ligation of neck vein.       4.44          NA         NA        2.67       3.39      0.44          NA         NA        7.55       8.27       090
37600..........  .............  A              Ligation of neck             4.57          NA         NA        3.44       4.42      0.42          NA         NA        8.43       9.41       090
                                                artery.
37605..........  .............  A              Ligation of neck             6.19          NA         NA        3.79       4.91      0.75          NA         NA       10.73      11.85       090
                                                artery.
37606..........  .............  A              Ligation of neck             6.28          NA         NA        4.39       5.41      1.11          NA         NA       11.78      12.80       090
                                                artery.
37607..........  .............  A              Ligation of a-v              6.16          NA         NA        3.69       3.51      0.69          NA         NA       10.54      10.36       090
                                                fistula.
37609..........  .............  A              Temporal artery              2.30        6.21       4.31        2.17       2.29      0.22        8.73       6.83        4.69       4.81       010
                                                procedure.
37615..........  .............  A              Ligation of neck             5.73          NA         NA        3.80       4.95      0.58          NA         NA       10.11      11.26       090
                                                artery.
37616..........  .............  A              Ligation of chest           16.49          NA         NA       13.37       8.97      1.70          NA         NA       31.56      27.16       090
                                                artery.
37617..........  .............  A              Ligation of abdomen         15.95          NA         NA        7.63       8.16      1.61          NA         NA       25.19      25.72       090
                                                artery.
37618..........  .............  A              Ligation of extremity        4.84          NA         NA        3.52       4.46      0.54          NA         NA        8.90       9.84       090
                                                artery.
37620..........  .............  A              Revision of major vein      10.56          NA         NA        4.96       7.26      0.78          NA         NA       16.30      18.60       090
37650..........  .............  A              Revision of major vein       5.13          NA         NA        3.74       4.05      0.60          NA         NA        9.47       9.78       090
37660..........  .............  A              Revision of major vein      10.61          NA         NA        6.01       6.13      1.19          NA         NA       17.81      17.93       090
37700..........  .............  A              Revise leg vein.......       3.73          NA         NA        3.03       3.49      0.41          NA         NA        7.17       7.63       090
37720..........  .............  A              Removal of leg vein...       5.66          NA         NA        3.69       4.62      0.62          NA         NA        9.97      10.90       090
37730..........  .............  A              Removal of leg veins..       7.33          NA         NA        4.57       6.06      0.80          NA         NA       12.70      14.19       090
37735..........  .............  A              Removal of leg veins/       10.53          NA         NA        6.07       7.56      1.16          NA         NA       17.76      19.25       090
                                                lesion.
37760..........  .............  A              Revision of leg veins.      10.47          NA         NA        5.74       6.93      1.08          NA         NA       17.29      18.48       090
37780..........  .............  A              Revision of leg vein..       3.84          NA         NA        3.07       2.56      0.43          NA         NA        7.34       6.83       090
37785..........  .............  A              Revise secondary             3.88        6.73       3.90        2.86       1.96      0.40       11.01       8.18        7.14       6.24       090
                                                varicosity.
37788..........  .............  A              Revascularization,          22.01          NA         NA       11.87      14.15      1.43          NA         NA       35.31      37.59       090
                                                penis.
37790..........  .............  A              Penile venous                8.34          NA         NA        7.42       6.81      0.53          NA         NA       16.29      15.68       090
                                                occlusion.
37799..........  .............  C              Vascular surgery             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
38100..........  .............  A              Removal of spleen,          13.01          NA         NA        6.35       7.82      1.30          NA         NA       20.66      22.13       090
                                                total.
38101..........  .............  A              Removal of spleen,          13.74          NA         NA        6.77       7.18      1.39          NA         NA       21.90      22.31       090
                                                partial.
38102..........  .............  A              Removal of spleen,           4.80          NA         NA        1.81       2.27      0.48          NA         NA        7.09       7.55       ZZZ
                                                total.
38115..........  .............  A              Repair of ruptured          14.19          NA         NA        6.82       7.56      1.43          NA         NA       22.44      23.18       090
                                                spleen.
38120..........  .............  C              Laparoscopy,                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                splenectomy.
38129..........  .............  C              Laparoscope proc,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                spleen.
38200..........  .............  A              Injection for spleen x-      2.64          NA         NA        0.82       1.34      0.12          NA         NA        3.58       4.10       000
                                                ray.
38230..........  .............  R              Bone marrow collection       4.54          NA         NA        2.36       2.69      0.23          NA         NA        7.13       7.46       010
38231..........  .............  R              Stem cell collection..       1.50          NA         NA        0.60       1.05      0.06          NA         NA        2.16       2.61       000
38240..........  .............  R              Bone marrow/stem             2.24          NA         NA        0.82       1.54      0.11          NA         NA        3.17       3.89       XXX
                                                transplant.
38241..........  .............  R              Bone marrow/stem             2.24          NA         NA        0.87       1.54      0.10          NA         NA        3.21       3.88       XXX
                                                transplant.
38300..........  .............  A              Drainage, lymph node         1.53        3.76       2.20        2.22       1.27      0.14        5.43       3.87        3.89       2.94       010
                                                lesion.
38305..........  .............  A              Drainage, lymph node         4.61        7.52       4.83        5.83       3.98      0.36       12.49       9.80       10.80       8.95       090
                                                lesion.
38308..........  .............  A              Incision of lymph            4.95          NA         NA        4.92       4.29      0.43          NA         NA       10.30       9.67       090
                                                channels.
38380..........  .............  A              Thoracic duct                7.46          NA         NA        7.61       6.22      0.60          NA         NA       15.67      14.28       090
                                                procedure.
38381..........  .............  A              Thoracic duct               12.88          NA         NA       12.11      10.16      1.66          NA         NA       26.65      24.70       090
                                                procedure.
38382..........  .............  A              Thoracic duct               10.08          NA         NA        8.74       7.00      1.06          NA         NA       19.88      18.14       090
                                                procedure.
38500..........  .............  A              Biopsy/removal, lymph        2.88        2.56       2.15        2.15       1.94      0.28        5.72       5.31        5.31       5.10       010
                                                nodes.
38505..........  .............  A              Needle biopsy, lymph         1.14        2.86       2.04        0.98       0.80      0.09        4.09       3.27        2.21       2.03       000
                                                nodes.
38510..........  .............  A              Biopsy/removal, lymph        4.14          NA         NA        4.05       3.41      0.38          NA         NA        8.57       7.93       090
                                                nodes.
38520..........  .............  A              Biopsy/removal, lymph        5.12          NA         NA        5.06       4.15      0.53          NA         NA       10.71       9.80       090
                                                nodes.
38525..........  .............  A              Biopsy/removal, lymph        4.66          NA         NA        3.71       3.26      0.47          NA         NA        8.84       8.39       090
                                                nodes.
38530..........  .............  A              Biopsy/removal, lymph        6.13          NA         NA        6.45       4.95      0.66          NA         NA       13.24      11.74       090
                                                nodes.
38542..........  .............  A              Explore deep node(s),        5.91          NA         NA        5.61       5.12      0.50          NA         NA       12.02      11.53       090
                                                neck.
38550..........  .............  A              Removal, neck/armpit         6.73          NA         NA        5.24       4.38      0.50          NA         NA       12.47      11.61       090
                                                lesion.
38555..........  .............  A              Removal, neck/armpit        14.27          NA         NA       11.47       9.68      1.53          NA         NA       27.27      25.48       090
                                                lesion.
38562..........  .............  A              Removal, pelvic lymph       10.49          NA         NA        6.17       6.82      0.84          NA         NA       17.50      18.15       090
                                                nodes.
38564..........  .............  A              Removal, abdomen lymph      10.83          NA         NA        6.09       7.06      1.00          NA         NA       17.92      18.89       090
                                                nodes.
38570..........  .............  A              Laparoscopy, lymph           9.25          NA         NA        4.55       5.74      0.81          NA         NA       14.61      15.80       010
                                                node biop.
38571..........  .............  A              Laparoscopy,                12.38          NA         NA        5.36       7.33      0.78          NA         NA       18.52      20.49       010
                                                lymphadenectomy.
38572..........  .............  A              Laparoscopy,                14.32          NA         NA        6.12       8.49      1.04          NA         NA       21.48      23.85       010
                                                lymphadenectomy.
38589..........  .............  C              Laparoscope proc,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                lymphatic.
38700..........  .............  A              Removal of lymph             8.24          NA         NA       11.66      10.75      0.63          NA         NA       20.53      19.62       090
                                                nodes, neck.
38720..........  .............  A              Removal of lymph            13.61          NA         NA       14.83      15.54      1.03          NA         NA       29.47      30.18       090
                                                nodes, neck.
38724..........  .............  A              Removal of lymph            14.54          NA         NA       15.22      15.40      1.11          NA         NA       30.87      31.05       090
                                                nodes, neck.
38740..........  .............  A              Remove armpit lymph          6.77          NA         NA        4.52       4.82      0.67          NA         NA       11.96      12.26       090
                                                nodes.
38745..........  .............  A              Remove armpit lymph          8.84          NA         NA        6.60       7.80      0.86          NA         NA       16.30      17.50       090
                                                nodes.
38746..........  .............  A              Remove thoracic lymph        4.39          NA         NA        1.79       2.14      0.56          NA         NA        6.74       7.09       ZZZ
                                                nodes.
38747..........  .............  A              Remove abdominal lymph       4.89          NA         NA        1.83       2.31      0.45          NA         NA        7.17       7.65       ZZZ
                                                nodes.
38760..........  .............  A              Remove groin lymph           8.74          NA         NA        5.42       6.31      0.83          NA         NA       14.99      15.88       090
                                                nodes.
38765..........  .............  A              Remove groin lymph          16.06          NA         NA        9.74      11.75      1.34          NA         NA       27.14      29.15       090
                                                nodes.
38770..........  .............  A              Remove pelvis lymph         13.23          NA         NA        6.57      11.18      0.85          NA         NA       20.65      25.26       090
                                                nodes.
38780..........  .............  A              Remove abdomen lymph        16.59          NA         NA        8.57      13.00      1.26          NA         NA       26.42      30.85       090
                                                nodes.
38790..........  .............  A              Inject for lymphatic x-      1.29       24.03      12.91        0.46       1.00      0.09       25.41      14.29        1.84       2.38       000
                                                ray.
38792..........  .............  C              Identify sentinel node       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       000
38794..........  .............  A              Access thoracic lymph        4.45          NA         NA        1.21       2.15      0.17          NA         NA        5.83       6.77       090
                                                duct.
38999..........  .............  C              Blood/lymph system           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
39000..........  .............  A              Exploration of chest..       6.10          NA         NA        9.93       8.25      0.75          NA         NA       16.78      15.10       090
39010..........  .............  A              Exploration of chest..      11.79          NA         NA       13.11      12.78      1.52          NA         NA       26.42      26.09       090
39200..........  .............  A              Removal chest lesion..      13.62          NA         NA       13.66      13.12      1.65          NA         NA       28.93      28.39       090
39220..........  .............  A              Removal chest lesion..      17.42          NA         NA       14.71      15.46      2.16          NA         NA       34.29      35.04       090
39400..........  .............  A              Visualization of chest       5.61          NA         NA        9.70       7.63      0.72          NA         NA       16.03      13.96       010
39499..........  .............  C              Chest procedure.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
39501..........  .............  A              Repair diaphragm            13.19          NA         NA        8.57      10.07      1.35          NA         NA       23.11      24.61       090
                                                laceration.

[[Page 59477]]


39502..........  .............  A              Repair paraesophageal       16.33          NA         NA        8.74      10.85      1.64          NA         NA       26.71      28.82       090
                                                hernia.
39503..........  .............  A              Repair of diaphragm         34.85          NA         NA       14.98      21.16      3.26          NA         NA       53.09      59.27       090
                                                hernia.
39520..........  .............  A              Repair of diaphragm         16.10          NA         NA       11.70      12.65      1.82          NA         NA       29.62      30.57       090
                                                hernia.
39530..........  .............  A              Repair of diaphragm         15.41          NA         NA        9.44      12.35      1.68          NA         NA       26.53      29.44       090
                                                hernia.
39531..........  .............  A              Repair of diaphragm         16.42          NA         NA        9.21      10.03      1.79          NA         NA       27.42      28.24       090
                                                hernia.
39540..........  .............  A              Repair of diaphragm         13.32          NA         NA        9.09      11.05      1.39          NA         NA       23.80      25.76       090
                                                hernia.
39541..........  .............  A              Repair of diaphragm         14.41          NA         NA        8.62      10.91      1.47          NA         NA       24.50      26.79       090
                                                hernia.
39545..........  .............  A              Revision of diaphragm.      13.37          NA         NA       11.61      10.09      1.59          NA         NA       26.57      25.05       090
39560..........  .............  A              Resect diaphragm,           12.00          NA         NA        8.79       8.79      1.22          NA         NA       22.01      22.01       090
                                                simple.
39561..........  .............  A              Resect diaphragm,           17.50          NA         NA        6.43       6.43      1.79          NA         NA       30.18      30.18       090
                                                complex.
39599..........  .............  C              Diaphragm surgery            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
40490..........  .............  A              Biopsy of lip.........       1.22        1.56       1.18        0.62       0.51      0.06        2.84       2.46        1.90       1.79       000
40500..........  .............  A              Partial excision of          4.28        4.91       5.01        4.69       4.90      0.31        9.50       9.60        9.28       9.49       090
                                                lip.
40510..........  .............  A              Partial excision of          4.70        5.58       5.60        5.37       5.49      0.37       10.65      10.67       10.44      10.56       090
                                                lip.
40520..........  .............  A              Partial excision of          4.67        6.19       5.54        5.47       5.18      0.41       11.27      10.62       10.55      10.26       090
                                                lip.
40525..........  .............  A              Reconstruct lip with         7.55          NA         NA        6.95       7.99      0.69          NA         NA       15.19      16.23       090
                                                flap.
40527..........  .............  A              Reconstruct lip with         9.13          NA         NA        7.96       9.43      0.79          NA         NA       17.88      19.35       090
                                                flap.
40530..........  .............  A              Partial removal of lip       5.40        5.55       5.54        5.20       5.37      0.45       11.40      11.39       11.05      11.22       090
40650..........  .............  A              Repair lip............       3.64        4.47       4.41        3.92       4.13      0.32        8.43       8.37        7.88       8.09       090
40652..........  .............  A              Repair lip............       4.26        5.55       5.32        5.23       5.16      0.40       10.21       9.98        9.89       9.82       090
40654..........  .............  A              Repair lip............       5.31        6.12       6.23        5.80       6.07      0.48       11.91      12.02       11.59      11.86       090
40700..........  .............  A              Repair cleft lip/nasal      12.79          NA         NA        9.15       9.17      0.98          NA         NA       22.92      22.94       090
40701..........  .............  A              Repair cleft lip/nasal      15.85          NA         NA       10.54      15.76      1.38          NA         NA       27.77      32.99       090
40702..........  .............  A              Repair cleft lip/nasal      13.04          NA         NA        8.68       9.43      0.95          NA         NA       22.67      23.42       090
40720..........  .............  A              Repair cleft lip/nasal      13.55          NA         NA       10.18      10.30      1.31          NA         NA       25.04      25.16       090
40761..........  .............  A              Repair cleft lip/nasal      14.72          NA         NA       10.79      11.28      1.31          NA         NA       26.82      27.31       090
40799..........  .............  C              Lip surgery procedure.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
40800..........  .............  A              Drainage of mouth            1.17        1.65       1.23        0.48       0.44      0.09        2.91       2.49        1.74       1.70       010
                                                lesion.
40801..........  .............  A              Drainage of mouth            2.53        2.19       2.02        1.69       1.31      0.18        4.90       4.73        4.40       4.02       010
                                                lesion.
40804..........  .............  A              Removal, foreign body,       1.24        2.22       1.43        2.05       1.19      0.09        3.55       2.76        3.38       2.52       010
                                                mouth.
40805..........  .............  A              Removal, foreign body,       2.69        2.64       2.68        2.33       2.52      0.19        5.52       5.56        5.21       5.40       010
                                                mouth.
40806..........  .............  A              Incision of lip fold..       0.31        0.67       0.53        0.44       0.42      0.03        1.01       0.87        0.78       0.76       000
40808..........  .............  A              Biopsy of mouth lesion       0.96        1.73       1.28        1.71       1.06      0.07        2.76       2.31        2.74       2.09       010
40810..........  .............  A              Excision of mouth            1.31        2.30       1.79        1.92       1.28      0.10        3.71       3.20        3.33       2.69       010
                                                lesion.
40812..........  .............  A              Excise/repair mouth          2.31        2.59       2.11        2.45       1.64      0.17        5.07       4.59        4.93       4.12       010
                                                lesion.
40814..........  .............  A              Excise/repair mouth          3.42          NA         NA        3.85       3.68      0.25          NA         NA        7.52       7.35       090
                                                lesion.
40816..........  .............  A              Excision of mouth            3.67        3.93       3.71        3.93       2.84      0.26        7.86       7.64        7.86       6.77       090
                                                lesion.
40818..........  .............  A              Excise oral mucosa for       2.41        3.77       3.11        3.77       3.11      0.14        6.32       5.66        6.32       5.66       090
                                                graft.
40819..........  .............  A              Excise lip or cheek          2.41        3.17       2.25        3.01       1.84      0.17        5.75       4.83        5.59       4.42       090
                                                fold.
40820..........  .............  A              Treatment of mouth           1.28        2.02       1.30        1.85       1.07      0.09        3.39       2.67        3.22       2.44       010
                                                lesion.
40830..........  .............  A              Repair mouth                 1.76        2.12       1.43        2.12       1.43      0.15        4.03       3.34        4.03       3.34       010
                                                laceration.
40831..........  .............  A              Repair mouth                 2.46        2.22       2.17        2.22       2.17      0.21        4.89       4.84        4.89       4.84       010
                                                laceration.
40840..........  .............  R              Reconstruction of            8.73        5.61       6.22        5.61       6.22      0.66       15.00      15.61       15.00      15.61       090
                                                mouth.
40842..........  .............  R              Reconstruction of            8.73        5.38       6.10        5.38       6.10      0.71       14.82      15.54       14.82      15.54       090
                                                mouth.
40843..........  .............  R              Reconstruction of           12.10        8.04       8.80        6.27       7.91      0.63       20.77      21.53       19.00      20.64       090
                                                mouth.
40844..........  .............  R              Reconstruction of           16.01        8.48      10.55        8.48      10.55      1.44       25.93      28.00       25.93      28.00       090
                                                mouth.
40845..........  .............  R              Reconstruction of           18.58        9.95      16.07        9.95      16.07      1.56       30.09      36.21       30.09      36.21       090
                                                mouth.
40899..........  .............  C              Mouth surgery                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedure.
41000..........  .............  A              Drainage of mouth            1.30        1.96       1.39        1.28       0.85      0.10        3.36       2.79        2.68       2.25       010
                                                lesion.
41005..........  .............  A              Drainage of mouth            1.26        1.80       1.24        1.28       0.98      0.10        3.16       2.60        2.64       2.34       010
                                                lesion.
41006..........  .............  A              Drainage of mouth            3.24        3.54       2.32        2.97       2.04      0.24        7.02       5.80        6.45       5.52       090
                                                lesion.
41007..........  .............  A              Drainage of mouth            3.10        3.19       3.17        2.82       2.99      0.16        6.45       6.43        6.08       6.25       090
                                                lesion.
41008..........  .............  A              Drainage of mouth            3.37        3.08       2.12        2.95       1.77      0.24        6.69       5.73        6.56       5.38       090
                                                lesion.
41009..........  .............  A              Drainage of mouth            3.59        3.21       3.40        2.77       3.18      0.27        7.07       7.26        6.63       7.04       090
                                                lesion.
41010..........  .............  A              Incision of tongue           1.06        2.70       1.55        2.70       1.55      0.06        3.82       2.67        3.82       2.67       010
                                                fold.
41015..........  .............  A              Drainage of mouth            3.96        3.70       2.32        2.95       1.95      0.29        7.95       6.57        7.20       6.20       090
                                                lesion.
41016..........  .............  A              Drainage of mouth            4.07        3.46       3.73        3.00       3.50      0.32        7.85       8.12        7.39       7.89       090
                                                lesion.
41017..........  .............  A              Drainage of mouth            4.07        3.68       2.60        3.03       2.28      0.32        8.07       6.99        7.42       6.67       090
                                                lesion.
41018..........  .............  A              Drainage of mouth            5.10        4.11       4.19        3.44       3.86      0.34        9.55       9.63        8.88       9.30       090
                                                lesion.
41100..........  .............  A              Biopsy of tongue......       1.63        2.22       1.55        2.14       1.29      0.11        3.96       3.29        3.88       3.03       010
41105..........  .............  A              Biopsy of tongue......       1.42        2.00       1.56        2.00       1.28      0.11        3.53       3.09        3.53       2.81       010
41108..........  .............  A              Biopsy of floor of           1.05        1.91       1.42        1.82       1.14      0.08        3.04       2.55        2.95       2.27       010
                                                mouth.
41110..........  .............  A              Excision of tongue           1.51        2.57       1.99        2.12       1.42      0.11        4.19       3.61        3.74       3.04       010
                                                lesion.
41112..........  .............  A              Excision of tongue           2.73        3.13       2.86        3.13       2.22      0.20        6.06       5.79        6.06       5.15       090
                                                lesion.
41113..........  .............  A              Excision of tongue           3.19        3.13       3.42        3.13       2.49      0.23        6.55       6.84        6.55       5.91       090
                                                lesion.
41114..........  .............  A              Excision of tongue           8.47          NA         NA        5.87       6.40      0.62          NA         NA       14.96      15.49       090
                                                lesion.
41115..........  .............  A              Excision of tongue           1.74        2.36       2.15        2.13       2.03      0.12        4.22       4.01        3.99       3.89       010
                                                fold.
41116..........  .............  A              Excision of mouth            2.44        3.03       2.87        2.98       2.84      0.18        5.65       5.49        5.60       5.46       090
                                                lesion.
41120..........  .............  A              Partial removal of           9.77          NA         NA        8.03       7.97      0.73          NA         NA       18.53      18.47       090
                                                tongue.
41130..........  .............  A              Partial removal of          11.15          NA         NA        8.83       9.33      0.82          NA         NA       20.80      21.30       090
                                                tongue.
41135..........  .............  A              Tongue and neck             23.09          NA         NA       15.49      17.68      1.71          NA         NA       40.29      42.48       090
                                                surgery.
41140..........  .............  A              Removal of tongue.....      25.50          NA         NA       15.83      18.17      1.90          NA         NA       43.23      45.57       090
41145..........  .............  A              Tongue removal, neck        30.06          NA         NA       20.11      22.42      2.20          NA         NA       52.37      54.68       090
                                                surgery.
41150..........  .............  A              Tongue, mouth, jaw          23.04          NA         NA       16.17      18.38      1.70          NA         NA       40.91      43.12       090
                                                surgery.
41153..........  .............  A              Tongue, mouth, neck         23.77          NA         NA       16.78      21.96      1.79          NA         NA       42.34      47.52       090
                                                surgery.
41155..........  .............  A              Tongue, jaw, & neck         27.72          NA         NA       19.27      25.89      2.03          NA         NA       49.02      55.64       090
                                                surgery.
41250..........  .............  A              Repair tongue                1.91        2.33       1.75        1.52       1.34      0.16        4.40       3.82        3.59       3.41       010
                                                laceration.
41251..........  .............  A              Repair tongue                2.27        2.10       2.18        1.77       2.01      0.17        4.54       4.62        4.21       4.45       010
                                                laceration.
41252..........  .............  A              Repair tongue                2.97        2.89       2.72        2.14       2.35      0.24        6.10       5.93        5.35       5.56       010
                                                laceration.
41500..........  .............  A              Fixation of tongue....       3.71          NA         NA        3.68       3.63      0.25          NA         NA        7.64       7.59       090
41510..........  .............  A              Tongue to lip surgery.       3.42          NA         NA        4.22       3.49      0.21          NA         NA        7.85       7.12       090


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