Addendum AA -- Proposed ASC Covered Surgical Procedures for CY 2012 (Including Surgical 

Procedures for Which Payment is Packaged) 

HCPCS CodeShort DescriptorSubject To Multiple Procedure DiscountingCY 2012 Comment 

IndicatorCY 2012 Payment IndicatorCY 2012 Payment Weight CY 2012 Payment

0099T*Implant corneal ringYR223.6808"$1,002.38"

0100TProsth retina receive&genYG238.7337"$1,639.56"

0101TExtracorp shockwv tx hi enrgYG230.378"$1,285.87"

0102TExtracorp shockwv tx anesthYG230.378"$1,285.87"

0123TScleral fistulizationYG223.6808"$1,002.38"

0124T*Conjunctival drug placementYR22.7589$116.78

0186TSuprachoroidal drug deliveryYG221.3578$904.05

0190TPlace intraoc radiation srcYG221.3578$904.05

0191TInsert ant segment drain intYG239.1634"$1,657.75"

0192TInsert ant segment drain extYG239.1634"$1,657.75"

0200TPerq sacral augmt unilat injYG230.378"$1,285.87"

0201TPerq sacral augmt bilat injYG230.378"$1,285.87"

0213TNjx paravert w/us cer/thorYCHR27.0747$299.46

0214TNjx paravert w/us cer/thorYCHR22.5957$109.87

0215TNjx paravert w/us cer/thorYCHR22.5957$109.87

0216TNjx paravert w/us lumb/sacYCHR27.0747$299.46

0217TNjx paravert w/us lumb/sacYCHR22.5957$109.87

0218TNjx paravert w/us lumb/sacYCHR22.5957$109.87

0226T*Anoscopy hra w/spec collectNR20.6316$26.73

0227T*Anoscopy hra w/biopsyYR25.9086$250.11

0228TNjx tfrml eprl w/us cer/thorYG27.0747$299.46

0229TNjx tfrml eprl w/us cer/thorYG23.6902$156.20

0230TNjx tfrml eprl w/us lumb/sacYG27.0747$299.46

0231TNjx tfrml eprl w/us lumb/sacYG23.6902$156.20

0232T*Njx platelet plasmaNR20.6316$26.73

0238TTrluml perip athrc iliac artYG298.3094"$4,161.34"

0249TLigation hemorrhoid w/usYG215.0188$635.73

0250TInsert bronchial valveYG227.2989"$1,155.54"

0251TRemov bronchial valveYG29.7594$413.11

0252TRemov bronch valve addlYG29.7594$413.11

0253TInsert aqueous drain deviceYG223.6808"$1,002.38"

0260THypthrm bdy neonate 28d/<NN1

0261THypthrm head neonate 28d/<NN1

10021Fna w/o imageYCHP3$66.62

10022Fna w/imageYG24.3075$182.33

10040Acne surgeryYCHP3$38.34

10060Drainage of skin abscessYCHP3$46.97

10061Drainage of skin abscessYP21.3573$57.45

10080Drainage of pilonidal cystYP21.3573$57.45

10081Drainage of pilonidal cystYP3$116.70

10120Remove foreign bodyYP3$63.74

10121Remove foreign bodyYA216.113$682.05

10140Drainage of hematoma/fluidYP3$69.01

10160Puncture drainage of lesionYCHP3$55.83

10180Complex drainage woundYA219.2522$814.93

11000Debride infected skinYP3$21.81

11001Debride infected skin add-onYP3$6.95

11010Debride skin at fx siteYA24.5706$193.47

11011Debride skin musc at fx siteYA24.5706$193.47

11012Deb skin bone at fx siteYA24.5706$193.47

11042Deb subq tissue 20 sq cm/<YA22.6477$112.07

11043Deb musc/fascia 20 sq cm/<YA22.6477$112.07

11044Deb bone 20 sq cm/<YA28.0762$341.86

11045Deb subq tissue add-onYG22.6477$112.07

11046Deb musc/fascia add-onYG22.6477$112.07

11047Deb bone add-onYG28.0762$341.86

11055Trim skin lesionYP3$23.72

11056Trim skin lesions 2 to 4YCHP3$25.88

11057Trim skin lesions over 4YCHP3$28.76

11100Biopsy skin lesionYCHP3$50.56

11101Biopsy skin add-onYP3$11.98

11200Removal of skin tagsYCHP3$38.10
11201Remove skin tags add-onYP3$5.27

11300Shave skin lesionYCHP3$34.99

11301Shave skin lesionYP20.9172$38.82

11302Shave skin lesionYP20.9172$38.82

11303Shave skin lesionYCHP3$57.99

11305Shave skin lesionYCHP3$31.39

11306Shave skin lesionYP20.9172$38.82

11307Shave skin lesionYP20.9172$38.82

11308Shave skin lesionYP20.9172$38.82

11310Shave skin lesionYP20.9172$38.82

11311Shave skin lesionYP20.9172$38.82

11312Shave skin lesionYP20.9172$38.82

11313Shave skin lesionYP20.9172$38.82

11400Exc tr-ext b9+marg 0.5 < cmYP3$60.39

11401Exc tr-ext b9+marg 0.6-1 cmYP3$67.82

11402Exc tr-ext b9+marg 1.1-2 cmYP3$74.53

11403Exc tr-ext b9+marg 2.1-3 cmYP3$81.00

11404Exc tr-ext b9+marg 3.1-4 cmYA216.113$682.05

11406Exc tr-ext b9+marg > 4.0 cmYA216.113$682.05

11420Exc h-f-nk-sp b9+marg 0.5 <YP3$57.03

11421Exc h-f-nk-sp b9+marg 0.6-1YP3$68.78

11422Exc h-f-nk-sp b9+marg 1.1-2YP3$75.01

11423Exc h-f-nk-sp b9+marg 2.1-3YP3$83.39

11424Exc h-f-nk-sp b9+marg 3.1-4YA216.113$682.05

11426Exc h-f-nk-sp b9+marg > 4 cmYA221.9487$929.07

11440Exc face-mm b9+marg 0.5 < cmYP3$63.98

11441Exc face-mm b9+marg 0.6-1 cmYP3$74.29

11442Exc face-mm b9+marg 1.1-2 cmYP3$81.96

11443Exc face-mm b9+marg 2.1-3 cmYP3$91.30

11444Exc face-mm b9+marg 3.1-4 cmYA28.0762$341.86

11446Exc face-mm b9+marg > 4 cmYA221.9487$929.07

11450Removal sweat gland lesionYA221.9487$929.07

11451Removal sweat gland lesionYA221.9487$929.07

11462Removal sweat gland lesionYA221.9487$929.07

11463Removal sweat gland lesionYA221.9487$929.07

11470Removal sweat gland lesionYA221.9487$929.07

11471Removal sweat gland lesionYA221.9487$929.07

11600Exc tr-ext mlg+marg 0.5 < cmYP3$86.99

11601Exc tr-ext mlg+marg 0.6-1 cmYP3$102.08

11602Exc tr-ext mlg+marg 1.1-2 cmYP3$110.71

11603Exc tr-ext mlg+marg 2.1-3 cmYP3$119.34

11604Exc tr-ext mlg+marg 3.1-4 cmYA28.0762$341.86

11606Exc tr-ext mlg+marg > 4 cmYA216.113$682.05

11620Exc h-f-nk-sp mlg+marg 0.5 <YP3$88.66

11621Exc h-f-nk-sp mlg+marg 0.6-1YP3$103.04

11622Exc h-f-nk-sp mlg+marg 1.1-2YP3$112.87

11623Exc h-f-nk-sp mlg+marg 2.1-3YP3$123.65

11624Exc h-f-nk-sp mlg+marg 3.1-4YA216.113$682.05

11626Exc h-f-nk-sp mlg+mar > 4 cmYA221.9487$929.07

11640Exc face-mm malig+marg 0.5 <YP3$92.98

11641Exc face-mm malig+marg 0.6-1YP3$106.64

11642Exc face-mm malig+marg 1.1-2YP3$118.38

11643Exc face-mm malig+marg 2.1-3YP3$129.64

11644Exc face-mm malig+marg 3.1-4YA216.113$682.05

11646Exc face-mm mlg+marg > 4 cmYA221.9487$929.07

11719Trim nail(s)YP3$11.02

11720Debride nail 1-5YP3$13.66

11721Debride nail 6 or moreYP3$15.82

11730Removal of nail plateYP20.9172$38.82

11732Remove nail plate add-onYP3$13.66

11740Drain blood from under nailYP20.3793$16.06

11750Removal of nail bedYP3$87.71

11752Remove nail bed/finger tipYP3$124.37

11755Biopsy nail unitYP3$59.19

11760Repair of nail bedYG21.1378$48.16

11762Reconstruction of nail bedYP3$115.02
11765Excision of nail fold toeYP20.9172$38.82

11770Removal of pilonidal lesionYA221.9487$929.07

11771Removal of pilonidal lesionYA221.9487$929.07

11772Removal of pilonidal lesionYA221.9487$929.07

11900Injection into skin lesionsYCHP3$24.92

11901Added skin lesions injectionYCHP3$27.56

11920Correct skin color defectsYP3$78.12

11921Correct skin color defectsYP3$87.47

11922Correct skin color defectsYP3$29.71

11950Therapy for contour defectsYP3$27.32

11951Therapy for contour defectsYP3$40.50

11952Therapy for contour defectsYCHP3$53.92

11954Therapy for contour defectsYP21.1378$48.16

11960Insert tissue expander(s)YA220.437$865.08

11970Replace tissue expanderYA244.2257"$1,872.03"

11971Remove tissue expander(s)YA221.9487$929.07

11976Removal of contraceptive capYP3$52.24

11980Implant hormone pellet(s)NP20.6316$26.73

11981Insert drug implant deviceNP20.6316$26.73

11982Remove drug implant deviceNP20.6316$26.73

11983Remove/insert drug implantNP20.6316$26.73

12001Repair superficial wound(s)YCHP3$41.94

12002Repair superficial wound(s)YCHP3$46.25

12004Repair superficial wound(s)YP21.1378$48.16

12005Repair superficial wound(s)YA21.1378$48.16

12006Repair superficial wound(s)YA21.1378$48.16

12007Repair superficial wound(s)YA21.1378$48.16

12011Repair superficial wound(s)YP21.1378$48.16

12013Repair superficial wound(s)YP21.1378$48.16

12014Repair superficial wound(s)YP21.1378$48.16

12015Repair superficial wound(s)YG21.1378$48.16

12016Repair superficial wound(s)YA21.1378$48.16

12017Repair superficial wound(s)YA21.1378$48.16

12018Repair superficial wound(s)YA23.0787$130.32

12020Closure of split woundYA24.8714$206.20

12021Closure of split woundYA23.0787$130.32

12031Intmd wnd repair s/tr/extYCHP3$109.03

12032Intmd wnd repair s/tr/extYP23.0787$130.32

12034Intmd wnd repair s/tr/extYA23.0787$130.32

12035Intmd wnd repair s/tr/extYA23.0787$130.32

12036Intmd wnd repair s/tr/extYA23.0787$130.32

12037Intmd wnd repair s/tr/extYA23.0787$130.32

12041Intmd wnd repair n-hf/genitYP21.1378$48.16

12042Intmd wnd repair n-hg/genitYCHP3$125.81

12044Intmd wnd repair n-hg/genitYA23.0787$130.32

12045Intmd wnd repair n-hg/genitYA23.0787$130.32

12046Intmd wnd repair n-hg/genitYA23.0787$130.32

12047Intmd wnd repair n-hg/genitYA23.0787$130.32

12051Intmd wnd repair face/mmYCHP3$117.18

12052Intmd wnd repair face/mmYCHP3$129.16

12053Intmd wnd repair face/mmYP23.0787$130.32

12054Intmd wnd repair face/mmYA21.1378$48.16

12055Intmd wnd repair face/mmYA23.0787$130.32

12056Intmd wnd repair face/mmYA23.0787$130.32

12057Intmd wnd repair face/mmYA23.0787$130.32

13100Repair of wound or lesionYA24.8714$206.20

13101Repair of wound or lesionYA24.8714$206.20

13102Repair wound/lesion add-onYA23.0787$130.32

13120Repair of wound or lesionYA23.0787$130.32

13121Repair of wound or lesionYA23.0787$130.32

13122Repair wound/lesion add-onYA21.1378$48.16

13131Repair of wound or lesionYA23.0787$130.32

13132Repair of wound or lesionYA24.8714$206.20

13133Repair wound/lesion add-onYA23.0787$130.32

13150Repair of wound or lesionYA24.8714$206.20

13151Repair of wound or lesionYA24.8714$206.20
13152Repair of wound or lesionYA24.8714$206.20

13153Repair wound/lesion add-onYA23.0787$130.32

13160Late closure of woundYA220.437$865.08

14000Skin tissue rearrangementYA216.1914$685.37

14001Skin tissue rearrangementYA216.1914$685.37

14020Skin tissue rearrangementYA216.1914$685.37

14021Skin tissue rearrangementYA216.1914$685.37

14040Skin tissue rearrangementYA216.1914$685.37

14041Skin tissue rearrangementYA216.1914$685.37

14060Skin tissue rearrangementYA216.1914$685.37

14061Skin tissue rearrangementYA216.1914$685.37

14301Skin tissue rearrangementYG220.437$865.08

14302Skin tissue rearrange add-onYG220.437$865.08

14350Skin tissue rearrangementYA220.437$865.08

15002Wound prep trk/arm/legYA24.8714$206.20

15003Wound prep addl 100 cmYA24.8714$206.20

15004Wound prep f/n/hf/gYA23.0787$130.32

15005Wnd prep f/n/hf/g addl cmYA24.8714$206.20

15040Harvest cultured skin graftYA23.0787$130.32

15050Skin pinch graftYA23.0787$130.32

15100Skin splt grft trnk/arm/legYA220.437$865.08

15101Skin splt grft t/a/l add-onYA220.437$865.08

15110Epidrm autogrft trnk/arm/legYA24.8714$206.20

15111Epidrm autogrft t/a/l add-onYA24.8714$206.20

15115Epidrm a-grft face/nck/hf/gYA24.8714$206.20

15116Epidrm a-grft f/n/hf/g addlYA23.0787$130.32

15120Skn splt a-grft fac/nck/hf/gYA220.437$865.08

15121Skn splt a-grft f/n/hf/g addYA220.437$865.08

15130Derm autograft trnk/arm/legYA216.1914$685.37

15131Derm autograft t/a/l add-onYA216.1914$685.37

15135Derm autograft face/nck/hf/gYA216.1914$685.37

15136Derm autograft f/n/hf/g addYA216.1914$685.37

15150Cult epiderm grft t/arm/legYA24.8714$206.20

15151Cult epiderm grft t/a/l addlYA24.8714$206.20

15152Cult epiderm graft t/a/l +%YA24.8714$206.20

15155Cult epiderm graft f/n/hf/gYA24.8714$206.20

15156Cult epidrm grft f/n/hfg addYA24.8714$206.20

15157Cult epiderm grft f/n/hfg +%YA24.8714$206.20

15170Acell graft trunk/arms/legsYG24.8714$206.20

15171Acell graft t/arm/leg add-onYG23.0787$130.32

15175Acellular graft f/n/hf/gYG24.8714$206.20

15176Acell graft f/n/hf/g add-onYG24.8714$206.20

15200Skin full graft trunkYA216.1914$685.37

15201Skin full graft trunk add-onYA216.1914$685.37

15220Skin full graft sclp/arm/legYA216.1914$685.37

15221Skin full graft add-onYA24.8714$206.20

15240Skin full grft face/genit/hfYA216.1914$685.37

15241Skin full graft add-onYA23.0787$130.32

15260Skin full graft een & lipsYA216.1914$685.37

15261Skin full graft add-onYA216.1914$685.37

15300Apply skinallogrft t/arm/lgYA24.8714$206.20

15301Apply sknallogrft t/a/l addlYA24.8714$206.20

15320Apply skin allogrft f/n/hf/gYA24.8714$206.20

15321Aply sknallogrft f/n/hfg addYA24.8714$206.20

15330Aply acell alogrft t/arm/legYA24.8714$206.20

15331Aply acell grft t/a/l add-onYA24.8714$206.20

15335Apply acell graft f/n/hf/gYA24.8714$206.20

15336Aply acell grft f/n/hf/g addYA24.8714$206.20

15340Apply cult skin substituteYG23.0787$130.32

15341Apply cult skin sub add-onYG23.0787$130.32

15360Apply cult derm sub t/a/lYG23.0787$130.32

15361Aply cult derm sub t/a/l addYG23.0787$130.32

15365Apply cult derm sub f/n/hf/gYG23.0787$130.32

15366Apply cult derm f/hf/g addYG23.0787$130.32

15400Apply skin xenograft t/a/lYA24.8714$206.20

15401Apply skn xenogrft t/a/l addYA24.8714$206.20
15420Apply skin xgraft f/n/hf/gYA24.8714$206.20

15421Apply skn xgrft f/n/hf/g addYA24.8714$206.20

15430Apply acellular xenograftYA23.0787$130.32

15431Apply acellular xgraft addYA24.8714$206.20

15570Form skin pedicle flapYA220.437$865.08

15572Form skin pedicle flapYA220.437$865.08

15574Form skin pedicle flapYA220.437$865.08

15576Form skin pedicle flapYA220.437$865.08

15600Skin graftYA220.437$865.08

15610Skin graftYA220.437$865.08

15620Skin graftYA220.437$865.08

15630Skin graftYA220.437$865.08

15650Transfer skin pedicle flapYA220.437$865.08

15731Forehead flap w/vasc pedicleYA220.437$865.08

15732Muscle-skin graft head/neckYA220.437$865.08

15734Muscle-skin graft trunkYA220.437$865.08

15736Muscle-skin graft armYA220.437$865.08

15738Muscle-skin graft legYA220.437$865.08

15740Island pedicle flap graftYA216.1914$685.37

15750Neurovascular pedicle graftYA220.437$865.08

15760Composite skin graftYA220.437$865.08

15770Derma-fat-fascia graftYA220.437$865.08

15775Hair transplant punch graftsYA21.1378$48.16

15776Hair transplant punch graftsYA21.1378$48.16

15780Abrasion treatment of skinYP3$345.79

15781Abrasion treatment of skinYP24.5706$193.47

15782Abrasion treatment of skinYP24.5706$193.47

15783Abrasion treatment of skinYP22.6477$112.07

15786Abrasion lesion singleYP20.9172$38.82

15787Abrasion lesions add-onYP3$25.40

15788Chemical peel face epidermYP20.9172$38.82

15789Chemical peel face dermalYP21.4$59.26

15792Chemical peel nonfacialYP21.4$59.26

15793Chemical peel nonfacialYP20.9172$38.82

15819Plastic surgery neckYG23.0787$130.32

15820Revision of lower eyelidYA220.437$865.08

15821Revision of lower eyelidYA220.437$865.08

15822Revision of upper eyelidYA220.437$865.08

15823Revision of upper eyelidYA220.437$865.08

15824Removal of forehead wrinklesYA220.437$865.08

15825Removal of neck wrinklesYA220.437$865.08

15826Removal of brow wrinklesYA220.437$865.08

15828Removal of face wrinklesYA220.437$865.08

15829Removal of skin wrinklesYA220.437$865.08

15830Exc skin abdYA221.9487$929.07

15832Excise excessive skin tissueYA221.9487$929.07

15833Excise excessive skin tissueYA221.9487$929.07

15834Excise excessive skin tissueYA221.9487$929.07

15835Excise excessive skin tissueYA221.9487$929.07

15836Excise excessive skin tissueYA216.113$682.05

15837Excise excessive skin tissueYG216.113$682.05

15838Excise excessive skin tissueYG216.113$682.05

15839Excise excessive skin tissueYA216.113$682.05

15840Graft for face nerve palsyYA220.437$865.08

15841Graft for face nerve palsyYA220.437$865.08

15842Flap for face nerve palsyYG220.437$865.08

15845Skin and muscle repair faceYA220.437$865.08

15847Exc skin abd add-onYA221.9487$929.07

15850Removal of suturesYG22.6477$112.07

15851Removal of suturesYP3$44.57

15852Dressing change not for burnNR20.6316$26.73

15860Test for blood flow in graftNG20.6316$26.73

15876Suction assisted lipectomyYA220.437$865.08

15877Suction assisted lipectomyYA220.437$865.08

15878Suction assisted lipectomyYA220.437$865.08

15879Suction assisted lipectomyYA220.437$865.08
15920Removal of tail bone ulcerYA24.5706$193.47

15922Removal of tail bone ulcerYA220.437$865.08

15931Remove sacrum pressure soreYA221.9487$929.07

15933Remove sacrum pressure soreYA221.9487$929.07

15934Remove sacrum pressure soreYA220.437$865.08

15935Remove sacrum pressure soreYA220.437$865.08

15936Remove sacrum pressure soreYA216.1914$685.37

15937Remove sacrum pressure soreYA220.437$865.08

15940Remove hip pressure soreYA221.9487$929.07

15941Remove hip pressure soreYA221.9487$929.07

15944Remove hip pressure soreYA220.437$865.08

15945Remove hip pressure soreYA220.437$865.08

15946Remove hip pressure soreYA220.437$865.08

15950Remove thigh pressure soreYA221.9487$929.07

15951Remove thigh pressure soreYA221.9487$929.07

15952Remove thigh pressure soreYA216.1914$685.37

15953Remove thigh pressure soreYA216.1914$685.37

15956Remove thigh pressure soreYA216.1914$685.37

15958Remove thigh pressure soreYA216.1914$685.37

16000Initial treatment of burn(s)YP3$23.96

16020Dress/debrid p-thick burn sYP3$37.62

16025Dress/debrid p-thick burn mYA21.4$59.26

16030Dress/debrid p-thick burn lYA21.4$59.26

16035Incision of burn scab initiYG21.4$59.26

17000Destruct premalg lesionYP20.9172$38.82

17003Destruct premalg les 2-14YP3$2.88

17004Destroy premlg lesions 15+YP3$69.73

17106Destruction of skin lesionsYP22.6477$112.07

17107Destruction of skin lesionsYP22.6477$112.07

17108Destruction of skin lesionsYP22.6477$112.07

17110Destruct b9 lesion 1-14YP20.9172$38.82

17111Destruct lesion 15 or moreYP21.4$59.26

17250Chemical cautery tissueYP3$40.74

17260Destruction of skin lesionsYP3$40.50

17261Destruction of skin lesionsYP21.4$59.26

17262Destruction of skin lesionsYP21.4$59.26

17263Destruction of skin lesionsYP21.4$59.26

17264Destruction of skin lesionsYP21.4$59.26

17266Destruction of skin lesionsYCHP3$97.53

17270Destruction of skin lesionsYP21.4$59.26

17271Destruction of skin lesionsYP21.4$59.26

17272Destruction of skin lesionsYP21.4$59.26

17273Destruction of skin lesionsYCHP3$88.66

17274Destruction of skin lesionsYCHP3$100.41

17276Destruction of skin lesionsYCHP3$110.95

17280Destruction of skin lesionsYP21.4$59.26

17281Destruction of skin lesionsYCHP3$76.44

17282Destruction of skin lesionsYCHP3$86.51

17283Destruction of skin lesionsYCHP3$98.97

17284Destruction of skin lesionsYCHP3$109.27

17286Destruction of skin lesionsYP22.6477$112.07

17311Mohs 1 stage h/n/hf/gYP25.0323$213.01

17312Mohs addl stageYCHP3$187.87

17313Mohs 1 stage t/a/lYP25.0323$213.01

17314Mohs addl stage t/a/lYCHP3$174.21

17315Mohs surg addl blockYP3$32.35

17340Cryotherapy of skinYP3$14.62

17360Skin peel therapyYP20.9172$38.82

17380Hair removal by electrolysisYR20.9172$38.82

19000Drainage of breast lesionYP3$53.92

19001Drain breast lesion add-onYP3$7.19

19020Incision of breast lesionYA219.2522$814.93

19030Injection for breast x-rayNN1

19100Bx breast percut w/o imageYA24.3075$182.33

19101Biopsy of breast openYA224.2182"$1,025.13"

19102Bx breast percut w/imageYA27.631$323.01
19103Bx breast percut w/deviceYA214.3964$609.39

19105Cryosurg ablate fa eachYP231.7198"$1,342.67"

19110Nipple explorationYA224.2182"$1,025.13"

19112Excise breast duct fistulaYA224.2182"$1,025.13"

19120Removal of breast lesionYA224.2182"$1,025.13"

19125Excision breast lesionYA224.2182"$1,025.13"

19126Excision addl breast lesionYA224.2182"$1,025.13"

19290Place needle wire breastNN1

19291Place needle wire breastNN1

19295Place breast clip percutNN1

19296Place po breast cath for radYA257.8024"$2,446.72"

19297Place breast cath for radYA257.8024"$2,446.72"

19298Place breast rad tube/cathsYA257.8024"$2,446.72"

19300Removal of breast tissueYA224.2182"$1,025.13"

19301Partical mastectomyYA224.2182"$1,025.13"

19302P-mastectomy w/ln removalYA242.2696"$1,789.23"

19303Mast simple completeYA231.7198"$1,342.67"

19304Mast subqYA231.7198"$1,342.67"

19316Suspension of breastYA231.7198"$1,342.67"

19318Reduction of large breastYA242.2696"$1,789.23"

19324Enlarge breastYA242.2696"$1,789.23"

19325Enlarge breast with implantYA257.8024"$2,446.72"

19328Removal of breast implantYA231.7198"$1,342.67"

19330Removal of implant materialYA231.7198"$1,342.67"

19340Immediate breast prosthesisYA242.2696"$1,789.23"

19342Delayed breast prosthesisYA257.8024"$2,446.72"

19350Breast reconstructionYA224.2182"$1,025.13"

19355Correct inverted nipple(s)YA231.7198"$1,342.67"

19357Breast reconstructionYA257.8024"$2,446.72"

19366Breast reconstructionYA231.7198"$1,342.67"

19370Surgery of breast capsuleYA231.7198"$1,342.67"

19371Removal of breast capsuleYA231.7198"$1,342.67"

19380Revise breast reconstructionYA242.2696"$1,789.23"

19396Design custom breast implantYG231.7198"$1,342.67"

20005I&d abscess subfascialYG28.0762$341.86

20103Explore wound extremityYG212.6328$534.73

20150Excise epiphyseal barYG244.2257"$1,872.03"

20200Muscle biopsyYA216.113$682.05

20205Deep muscle biopsyYA216.113$682.05

20206Needle biopsy muscleYA27.631$323.01

20220Bone biopsy trocar/needleYA28.0762$341.86

20225Bone biopsy trocar/needleYA216.113$682.05

20240Bone biopsy excisionalYA221.9487$929.07

20245Bone biopsy excisionalYA221.9487$929.07

20250Open bone biopsyYA230.378"$1,285.87"

20251Open bone biopsyYA230.378"$1,285.87"

20500Injection of sinus tractYP3$42.18

20501Inject sinus tract for x-rayNN1

20520Removal of foreign bodyYP3$87.47

20525Removal of foreign bodyYA221.9487$929.07

20526Ther injection carp tunnelYP3$26.84

20550Inj tendon sheath/ligamentYP3$20.13

20551Inj tendon origin/insertionYP3$21.09

20552Inj trigger point 1/2 musclYP3$20.13

20553Inject trigger points =/> 3YP3$23.48

20555Place ndl musc/tis for rtYR230.378"$1,285.87"

20600Drain/inject joint/bursaYP3$20.37

20605Drain/inject joint/bursaYP3$23.24

20610Drain/inject joint/bursaYP3$34.03

20612Aspirate/inj ganglion cystYP3$22.77

20615Treatment of bone cystYP3$99.45

20650Insert and remove bone pinYA230.378"$1,285.87"

20662Application of pelvis braceYR220.7775$879.49

20663Application of thigh braceYR230.378"$1,285.87"

20665Removal of fixation deviceNG20.6316$26.73

20670Removal of support implantYA216.113$682.05
20680Removal of support implantYA221.9487$929.07

20690Apply bone fixation deviceYA230.378"$1,285.87"

20692Apply bone fixation deviceYA230.378"$1,285.87"

20693Adjust bone fixation deviceYA230.378"$1,285.87"

20694Remove bone fixation deviceYA220.7775$879.49

20696Comp multiplane ext fixationYG230.378"$1,285.87"

20697Comp ext fixate strut changeYP217.5202$741.61

20822Replantation digit completeYG227.1987"$1,151.29"

20900Removal of bone for graftYA230.378"$1,285.87"

20902Removal of bone for graftYA230.378"$1,285.87"

20910Remove cartilage for graftYA220.437$865.08

20912Remove cartilage for graftYA220.437$865.08

20920Removal of fascia for graftYA216.1914$685.37

20922Removal of fascia for graftYA216.1914$685.37

20924Removal of tendon for graftYA230.378"$1,285.87"

20926Removal of tissue for graftYA24.8714$206.20

20950Fluid pressure muscleYG21.3573$57.45

20972Bone/skin graft metatarsalYG253.6228"$2,269.80"

20973Bone/skin graft great toeYR253.6228"$2,269.80"

20975Electrical bone stimulationNN1

20979Us bone stimulationNCHP3$20.37

20982Ablate bone tumor(s) perqYG244.2257"$1,872.03"

20985Cptr-asst dir ms pxNN1

21010Incision of jaw jointYA223.5618$997.35

21011Exc face les sc < 2 cmYP3$165.11

21012Exc face les sbq 2+ cmYR28.0762$341.86

21013Exc face tum deep < 2 cmYP3$222.62

21014Exc face tum deep 2+ cmYR28.0762$341.86

21015Resect face tum < 2 cmYCHG216.113$682.05

21016Resect face tum + cmYG221.9487$929.07

21025Excision of bone lower jawYA242.299"$1,790.47"

21026Excision of facial bone(s)YA242.299"$1,790.47"

21029Contour of face bone lesionYA242.299"$1,790.47"

21030Excise max/zygoma b9 tumorYP3$225.02

21031Remove exostosis mandibleYP3$182.12

21032Remove exostosis maxillaYP3$185.24

21034Excise max/zygoma mlg tumorYA242.299"$1,790.47"

21040Excise mandible lesionYA223.5618$997.35

21044Removal of jaw bone lesionYA242.299"$1,790.47"

21046Remove mandible cyst complexYA242.299"$1,790.47"

21047Excise lwr jaw cyst w/repairYA242.299"$1,790.47"

21048Remove maxilla cyst complexYR242.299"$1,790.47"

21050Removal of jaw jointYA242.299"$1,790.47"

21060Remove jaw joint cartilageYA242.299"$1,790.47"

21070Remove coronoid processYA242.299"$1,790.47"

21073Mnpj of tmj w/anesthYP3$172.54

21076Prepare face/oral prosthesisYP3$326.38

21077Prepare face/oral prosthesisYP3$805.65

21079Prepare face/oral prosthesisYP3$560.75

21080Prepare face/oral prosthesisYP3$632.40

21081Prepare face/oral prosthesisYP3$586.87

21082Prepare face/oral prosthesisYP3$572.97

21083Prepare face/oral prosthesisYP3$561.94

21084Prepare face/oral prosthesisYP3$632.40

21085Prepare face/oral prosthesisYP3$273.66

21086Prepare face/oral prosthesisYP3$597.89

21087Prepare face/oral prosthesisYP3$594.29

21088Prepare face/oral prosthesisYR242.299"$1,790.47"

21100Maxillofacial fixationYA242.299"$1,790.47"

21110Interdental fixationYP27.5315$318.80

21116Injection jaw joint x-rayNN1

21120Reconstruction of chinYA223.5618$997.35

21121Reconstruction of chinYA223.5618$997.35

21122Reconstruction of chinYA223.5618$997.35

21123Reconstruction of chinYA223.5618$997.35

21125Augmentation lower jaw boneYA223.5618$997.35
21127Augmentation lower jaw boneYA242.299"$1,790.47"

21137Reduction of foreheadYG223.5618$997.35

21138Reduction of foreheadYG242.299"$1,790.47"

21139Reduction of foreheadYG242.299"$1,790.47"

21150Reconstruct midface lefortYG242.299"$1,790.47"

21181Contour cranial bone lesionYA223.5618$997.35

21198Reconstr lwr jaw segmentYG242.299"$1,790.47"

21199Reconstr lwr jaw w/advanceYG242.299"$1,790.47"

21206Reconstruct upper jaw boneYA242.299"$1,790.47"

21208Augmentation of facial bonesYA242.299"$1,790.47"

21209Reduction of facial bonesYA242.299"$1,790.47"

21210Face bone graftYA242.299"$1,790.47"

21215Lower jaw bone graftYA242.299"$1,790.47"

21230Rib cartilage graftYA242.299"$1,790.47"

21235Ear cartilage graftYA223.5618$997.35

21240Reconstruction of jaw jointYA242.299"$1,790.47"

21242Reconstruction of jaw jointYA242.299"$1,790.47"

21243Reconstruction of jaw jointYA242.299"$1,790.47"

21244Reconstruction of lower jawYA242.299"$1,790.47"

21245Reconstruction of jawYA242.299"$1,790.47"

21246Reconstruction of jawYA242.299"$1,790.47"

21248Reconstruction of jawYA242.299"$1,790.47"

21249Reconstruction of jawYA242.299"$1,790.47"

21260Revise eye socketsYG242.299"$1,790.47"

21267Revise eye socketsYA242.299"$1,790.47"

21270Augmentation cheek boneYA242.299"$1,790.47"

21275Revision orbitofacial bonesYA242.299"$1,790.47"

21280Revision of eyelidYA242.299"$1,790.47"

21282Revision of eyelidYA215.8572$671.22

21295Revision of jaw muscle/boneYA27.5315$318.80

21296Revision of jaw muscle/boneYA223.5618$997.35

21310Treatment of nose fractureYA21.0193$43.15

21315Treatment of nose fractureYA215.8572$671.22

21320Treatment of nose fractureYA215.8572$671.22

21325Treatment of nose fractureYA223.5618$997.35

21330Treatment of nose fractureYA223.5618$997.35

21335Treatment of nose fractureYA223.5618$997.35

21336Treat nasal septal fractureYA224.5925"$1,040.98"

21337Treat nasal septal fractureYA215.8572$671.22

21338Treat nasoethmoid fractureYA223.5618$997.35

21339Treat nasoethmoid fractureYA223.5618$997.35

21340Treatment of nose fractureYA242.299"$1,790.47"

21345Treat nose/jaw fractureYA223.5618$997.35

21355Treat cheek bone fractureYA242.299"$1,790.47"

21356Treat cheek bone fractureYA223.5618$997.35

21360Treat cheek bone fractureYG223.5618$997.35

21390Treat eye socket fractureYG242.299"$1,790.47"

21400Treat eye socket fractureYA27.5315$318.80

21401Treat eye socket fractureYA215.8572$671.22

21406Treat eye socket fractureYG242.299"$1,790.47"

21407Treat eye socket fractureYG242.299"$1,790.47"

21421Treat mouth roof fractureYA223.5618$997.35

21440Treat dental ridge fractureYP3$302.18

21445Treat dental ridge fractureYA223.5618$997.35

21450Treat lower jaw fractureYA23.1429$133.04

21451Treat lower jaw fractureYA27.5315$318.80

21452Treat lower jaw fractureYA215.8572$671.22

21453Treat lower jaw fractureYA242.299"$1,790.47"

21454Treat lower jaw fractureYA223.5618$997.35

21461Treat lower jaw fractureYA242.299"$1,790.47"

21462Treat lower jaw fractureYA242.299"$1,790.47"

21465Treat lower jaw fractureYA242.299"$1,790.47"

21480Reset dislocated jawYA21.0193$43.15

21485Reset dislocated jawYA215.8572$671.22

21490Repair dislocated jawYA242.299"$1,790.47"

21495Treat hyoid bone fractureYG215.8572$671.22
21497Interdental wiringYA215.8572$671.22

21501Drain neck/chest lesionYA219.2522$814.93

21502Drain chest lesionYA220.7775$879.49

21550Biopsy of neck/chestYG216.113$682.05

21552Exc neck les sc 3+ cmYG221.9487$929.07

21554Exc neck tum deep 5+ cmYG221.9487$929.07

21555Exc neck les sc < 3 cmYCHG216.113$682.05

21556Exc neck tum deep < 5 cmYG221.9487$929.07

21557Resect neck tum < 5 cmYG216.113$682.05

21558Resect neck tum 5+ cmYG221.9487$929.07

21600Partial removal of ribYA230.378"$1,285.87"

21610Partial removal of ribYA230.378"$1,285.87"

21685Hyoid myotomy & suspensionYG27.5315$318.80

21700Revision of neck muscleYA220.7775$879.49

21720Revision of neck muscleYA220.7775$879.49

21725Revision of neck muscleYA21.3573$57.45

21800Treatment of rib fractureYA21.5056$63.73

21805Treatment of rib fractureYA224.5925"$1,040.98"

21820Treat sternum fractureYA21.5056$63.73

21920Biopsy soft tissue of backYP3$124.13

21925Biopsy soft tissue of backYA221.9487$929.07

21930Exc back les sc < 3 cmYCHG216.113$682.05

21931Exc back les sc 3+ cmYG221.9487$929.07

21932Exc back tum deep < 5 cmYG216.113$682.05

21933Exc back tum deep 5+ cmYG221.9487$929.07

21935Resect back tum < 5 cmYG216.113$682.05

21936Resect back tum 5+ cmYG221.9487$929.07

22102Remove part lumbar vertebraYG247.9122"$2,028.08"

22103Remove extra spine segmentYG247.9122"$2,028.08"

22305Treat spine process fractureYA21.5056$63.73

22310Treat spine fractureYA24.6747$197.88

22315Treat spine fractureYA217.5202$741.61

22505Manipulation of spineYA214.5437$615.62

22520Percut vertebroplasty thorYA230.378"$1,285.87"

22521Percut vertebroplasty lumbYA230.378"$1,285.87"

22522Percut vertebroplasty addlYA230.378"$1,285.87"

22523Percut kyphoplasty thorYG282.0766"$3,474.22"

22524Percut kyphoplasty lumbarYG282.0766"$3,474.22"

22525Percut kyphoplasty add-onYG282.0766"$3,474.22"

22900Exc abdl tum deep < 5 cm YG221.9487$929.07

22901Exc abdl tum deep > 5 cmYG221.9487$929.07

22902Exc abd les sc < 3 cmYG216.113$682.05

22903Exc abd les sc > 3 cmYG221.9487$929.07

22904Resect abd tum < 5 cmYG216.113$682.05

22905Resect abd tum > 5 cmYG221.9487$929.07

23000Removal of calcium depositsYA216.113$682.05

23020Release shoulder jointYA230.378"$1,285.87"

23030Drain shoulder lesionYA219.2522$814.93

23031Drain shoulder bursaYA219.2522$814.93

23035Drain shoulder bone lesionYA220.7775$879.49

23040Exploratory shoulder surgeryYA230.378"$1,285.87"

23044Exploratory shoulder surgeryYA230.378"$1,285.87"

23065Biopsy shoulder tissuesYP3$89.86

23066Biopsy shoulder tissuesYA221.9487$929.07

23071Exc shoulder les sc > 3 cmYG221.9487$929.07

23073Exc shoulder tum deep > 5 cmYG221.9487$929.07

23075Exc shoulder les sc < 3 cmYCHG216.113$682.05

23076Exc shoulder tum deep < 5 cmYG216.113$682.05

23077Resect shoulder tum < 5 cmYG216.113$682.05

23078Resect shoulder tum > 5 cmYG221.9487$929.07

23100Biopsy of shoulder jointYA220.7775$879.49

23101Shoulder joint surgeryYA230.378"$1,285.87"

23105Remove shoulder joint liningYA230.378"$1,285.87"

23106Incision of collarbone jointYA230.378"$1,285.87"

23107Explore treat shoulder jointYA230.378"$1,285.87"

23120Partial removal collar boneYA230.378"$1,285.87"
23125Removal of collar boneYA230.378"$1,285.87"

23130Remove shoulder bone partYA244.2257"$1,872.03"

23140Removal of bone lesionYA220.7775$879.49

23145Removal of bone lesionYA230.378"$1,285.87"

23146Removal of bone lesionYA230.378"$1,285.87"

23150Removal of humerus lesionYA230.378"$1,285.87"

23155Removal of humerus lesionYA230.378"$1,285.87"

23156Removal of humerus lesionYA230.378"$1,285.87"

23170Remove collar bone lesionYA230.378"$1,285.87"

23172Remove shoulder blade lesionYA230.378"$1,285.87"

23174Remove humerus lesionYA230.378"$1,285.87"

23180Remove collar bone lesionYA230.378"$1,285.87"

23182Remove shoulder blade lesionYA230.378"$1,285.87"

23184Remove humerus lesionYA230.378"$1,285.87"

23190Partial removal of scapulaYA230.378"$1,285.87"

23195Removal of head of humerusYA230.378"$1,285.87"

23330Remove shoulder foreign bodyYA28.0762$341.86

23331Remove shoulder foreign bodyYA221.9487$929.07

23350Injection for shoulder x-rayNN1

23395Muscle transfer shoulder/armYA244.2257"$1,872.03"

23397Muscle transfersYA282.0766"$3,474.22"

23400Fixation of shoulder bladeYA230.378"$1,285.87"

23405Incision of tendon & muscleYA230.378"$1,285.87"

23406Incise tendon(s) & muscle(s)YA230.378"$1,285.87"

23410Repair rotator cuff acuteYA244.2257"$1,872.03"

23412Repair rotator cuff chronicYA244.2257"$1,872.03"

23415Release of shoulder ligamentYA244.2257"$1,872.03"

23420Repair of shoulderYA244.2257"$1,872.03"

23430Repair biceps tendonYA244.2257"$1,872.03"

23440Remove/transplant tendonYA230.378"$1,285.87"

23450Repair shoulder capsuleYA282.0766"$3,474.22"

23455Repair shoulder capsuleYA282.0766"$3,474.22"

23460Repair shoulder capsuleYA282.0766"$3,474.22"

23462Repair shoulder capsuleYA244.2257"$1,872.03"

23465Repair shoulder capsuleYA282.0766"$3,474.22"

23466Repair shoulder capsuleYA244.2257"$1,872.03"

23480Revision of collar boneYA244.2257"$1,872.03"

23485Revision of collar boneYA282.0766"$3,474.22"

23490Reinforce clavicleYA282.0766"$3,474.22"

23491Reinforce shoulder bonesYA282.0766"$3,474.22"

23500Treat clavicle fractureYA21.5056$63.73

23505Treat clavicle fractureYA217.5202$741.61

23515Treat clavicle fractureYA262.8575"$2,660.70"

23520Treat clavicle dislocationYA24.6747$197.88

23525Treat clavicle dislocationYA24.6747$197.88

23530Treat clavicle dislocationYA246.3836"$1,963.37"

23532Treat clavicle dislocationYA224.5925"$1,040.98"

23540Treat clavicle dislocationYA21.5056$63.73

23545Treat clavicle dislocationYA24.6747$197.88

23550Treat clavicle dislocationYA246.3836"$1,963.37"

23552Treat clavicle dislocationYA246.3836"$1,963.37"

23570Treat shoulder blade fxYA21.5056$63.73

23575Treat shoulder blade fxYA24.6747$197.88

23585Treat scapula fractureYA262.8575"$2,660.70"

23600Treat humerus fractureYP21.5056$63.73

23605Treat humerus fractureYA217.5202$741.61

23615Treat humerus fractureYA262.8575"$2,660.70"

23616Treat humerus fractureYA262.8575"$2,660.70"

23620Treat humerus fractureYP21.5056$63.73

23625Treat humerus fractureYA217.5202$741.61

23630Treat humerus fractureYA262.8575"$2,660.70"

23650Treat shoulder dislocationYA21.5056$63.73

23655Treat shoulder dislocationYA214.5437$615.62

23660Treat shoulder dislocationYA246.3836"$1,963.37"

23665Treat dislocation/fractureYA24.6747$197.88

23670Treat dislocation/fractureYA262.8575"$2,660.70"
23675Treat dislocation/fractureYA21.5056$63.73

23680Treat dislocation/fractureYA246.3836"$1,963.37"

23700Fixation of shoulderYA214.5437$615.62

23800Fusion of shoulder jointYA282.0766"$3,474.22"

23802Fusion of shoulder jointYA282.0766"$3,474.22"

23921Amputation follow-up surgeryYA216.1914$685.37

23930Drainage of arm lesionYA219.2522$814.93

23931Drainage of arm bursaYA219.2522$814.93

23935Drain arm/elbow bone lesionYA220.7775$879.49

24000Exploratory elbow surgeryYA230.378"$1,285.87"

24006Release elbow jointYA230.378"$1,285.87"

24065Biopsy arm/elbow soft tissueYP3$121.26

24066Biopsy arm/elbow soft tissueYA216.113$682.05

24071Exc arm/elbow les sc 3+ cmYG221.9487$929.07

24073Ex arm/elbow tum deep > 5 cmYG221.9487$929.07

24075Exc arm/elbow les sc < 3 cmYCHG216.113$682.05

24076Ex arm/elbow tum deep < 5 cmYG216.113$682.05

24077Resect arm/elbow tum < 5 cmYG216.113$682.05

24079Resect arm/elbow tum > 5 cmYG221.9487$929.07

24100Biopsy elbow joint liningYA220.7775$879.49

24101Explore/treat elbow jointYA230.378"$1,285.87"

24102Remove elbow joint liningYA230.378"$1,285.87"

24105Removal of elbow bursaYA220.7775$879.49

24110Remove humerus lesionYA220.7775$879.49

24115Remove/graft bone lesionYA230.378"$1,285.87"

24116Remove/graft bone lesionYA230.378"$1,285.87"

24120Remove elbow lesionYA220.7775$879.49

24125Remove/graft bone lesionYA230.378"$1,285.87"

24126Remove/graft bone lesionYA230.378"$1,285.87"

24130Removal of head of radiusYA230.378"$1,285.87"

24134Removal of arm bone lesionYA230.378"$1,285.87"

24136Remove radius bone lesionYA230.378"$1,285.87"

24138Remove elbow bone lesionYA230.378"$1,285.87"

24140Partial removal of arm boneYA230.378"$1,285.87"

24145Partial removal of radiusYA230.378"$1,285.87"

24147Partial removal of elbowYA230.378"$1,285.87"

24149Radical resection of elbowYG230.378"$1,285.87"

24152Resect radius tumorYG244.2257"$1,872.03"

24155Removal of elbow jointYA230.378"$1,285.87"

24160Remove elbow joint implantYA230.378"$1,285.87"

24164Remove radius head implantYA230.378"$1,285.87"

24200Removal of arm foreign bodyYP3$91.54

24201Removal of arm foreign bodyYA216.113$682.05

24220Injection for elbow x-rayNN1

24300Manipulate elbow w/anesthYG214.5437$615.62

24301Muscle/tendon transferYA230.378"$1,285.87"

24305Arm tendon lengtheningYA230.378"$1,285.87"

24310Revision of arm tendonYA220.7775$879.49

24320Repair of arm tendonYA230.378"$1,285.87"

24330Revision of arm musclesYA282.0766"$3,474.22"

24331Revision of arm musclesYA244.2257"$1,872.03"

24332Tenolysis tricepsYG230.378"$1,285.87"

24340Repair of biceps tendonYA244.2257"$1,872.03"

24341Repair arm tendon/muscleYA244.2257"$1,872.03"

24342Repair of ruptured tendonYA244.2257"$1,872.03"

24343Repr elbow lat ligmnt w/tissYG230.378"$1,285.87"

24344Reconstruct elbow lat ligmntYG282.0766"$3,474.22"

24345Repr elbw med ligmnt w/tissuYA230.378"$1,285.87"

24346Reconstruct elbow med ligmntYG282.0766"$3,474.22"

24357Repair elbow percYG230.378"$1,285.87"

24358Repair elbow w/deb openYG230.378"$1,285.87"

24359Repair elbow deb/attch openYG230.378"$1,285.87"

24360Reconstruct elbow jointYA238.7078"$1,638.46"

24361Reconstruct elbow jointYCHJ8177.1433"$7,498.30"

24362Reconstruct elbow jointYA256.2694"$2,381.83"

24363Replace elbow jointYCHJ8177.1433"$7,498.30"
24365Reconstruct head of radiusYA238.7078"$1,638.46"

24366Reconstruct head of radiusYCHJ8177.1433"$7,498.30"

24400Revision of humerusYA282.0766"$3,474.22"

24410Revision of humerusYA244.2257"$1,872.03"

24420Revision of humerusYA244.2257"$1,872.03"

24430Repair of humerusYA282.0766"$3,474.22"

24435Repair humerus with graftYA282.0766"$3,474.22"

24470Revision of elbow jointYA244.2257"$1,872.03"

24495Decompression of forearmYA230.378"$1,285.87"

24498Reinforce humerusYA282.0766"$3,474.22"

24500Treat humerus fractureYA21.5056$63.73

24505Treat humerus fractureYA21.5056$63.73

24515Treat humerus fractureYA262.8575"$2,660.70"

24516Treat humerus fractureYA262.8575"$2,660.70"

24530Treat humerus fractureYA21.5056$63.73

24535Treat humerus fractureYA24.6747$197.88

24538Treat humerus fractureYA224.5925"$1,040.98"

24545Treat humerus fractureYA262.8575"$2,660.70"

24546Treat humerus fractureYA262.8575"$2,660.70"

24560Treat humerus fractureYA21.5056$63.73

24565Treat humerus fractureYA21.5056$63.73

24566Treat humerus fractureYA224.5925"$1,040.98"

24575Treat humerus fractureYA262.8575"$2,660.70"

24576Treat humerus fractureYA21.5056$63.73

24577Treat humerus fractureYA21.5056$63.73

24579Treat humerus fractureYA262.8575"$2,660.70"

24582Treat humerus fractureYA224.5925"$1,040.98"

24586Treat elbow fractureYA262.8575"$2,660.70"

24587Treat elbow fractureYA262.8575"$2,660.70"

24600Treat elbow dislocationYA21.5056$63.73

24605Treat elbow dislocationYA214.5437$615.62

24615Treat elbow dislocationYA262.8575"$2,660.70"

24620Treat elbow fractureYA217.5202$741.61

24635Treat elbow fractureYA262.8575"$2,660.70"

24640Treat elbow dislocationYCHP3$58.23

24650Treat radius fractureYP21.5056$63.73

24655Treat radius fractureYA24.6747$197.88

24665Treat radius fractureYA246.3836"$1,963.37"

24666Treat radius fractureYA262.8575"$2,660.70"

24670Treat ulnar fractureYA21.5056$63.73

24675Treat ulnar fractureYA21.5056$63.73

24685Treat ulnar fractureYA246.3836"$1,963.37"

24800Fusion of elbow jointYA244.2257"$1,872.03"

24802Fusion/graft of elbow jointYA282.0766"$3,474.22"

24925Amputation follow-up surgeryYA220.7775$879.49

25000Incision of tendon sheathYA220.7775$879.49

25001Incise flexor carpi radialisYG220.7775$879.49

25020Decompress forearm 1 spaceYA230.378"$1,285.87"

25023Decompress forearm 1 spaceYA230.378"$1,285.87"

25024Decompress forearm 2 spacesYA230.378"$1,285.87"

25025Decompress forearm 2 spacesYA230.378"$1,285.87"

25028Drainage of forearm lesionYA220.7775$879.49

25031Drainage of forearm bursaYA220.7775$879.49

25035Treat forearm bone lesionYA220.7775$879.49

25040Explore/treat wrist jointYA230.378"$1,285.87"

25065Biopsy forearm soft tissuesYP3$122.21

25066Biopsy forearm soft tissuesYA221.9487$929.07

25071Exc forearm les sc > 3 cmYG221.9487$929.07

25073Exc forearm tum deep 3+ cmYG221.9487$929.07

25075Exc forearm les sc < 3 cmYCHG216.113$682.05

25076Exc forearm tum deep < 3 cmYG216.113$682.05

25077Resect forearm/wrist tum<3cmYG216.113$682.05

25078Resect forearm/wrist tum3+cmYG221.9487$929.07

25085Incision of wrist capsuleYA220.7775$879.49

25100Biopsy of wrist jointYA220.7775$879.49

25101Explore/treat wrist jointYA230.378"$1,285.87"
25105Remove wrist joint liningYA230.378"$1,285.87"

25107Remove wrist joint cartilageYA230.378"$1,285.87"

25109Excise tendon forearm/wristYG220.7775$879.49

25110Remove wrist tendon lesionYA220.7775$879.49

25111Remove wrist tendon lesionYA220.7775$879.49

25112Reremove wrist tendon lesionYA220.7775$879.49

25115Remove wrist/forearm lesionYA220.7775$879.49

25116Remove wrist/forearm lesionYA220.7775$879.49

25118Excise wrist tendon sheathYA230.378"$1,285.87"

25119Partial removal of ulnaYA230.378"$1,285.87"

25120Removal of forearm lesionYA230.378"$1,285.87"

25125Remove/graft forearm lesionYA230.378"$1,285.87"

25126Remove/graft forearm lesionYA230.378"$1,285.87"

25130Removal of wrist lesionYA230.378"$1,285.87"

25135Remove & graft wrist lesionYA230.378"$1,285.87"

25136Remove & graft wrist lesionYA230.378"$1,285.87"

25145Remove forearm bone lesionYA230.378"$1,285.87"

25150Partial removal of ulnaYA230.378"$1,285.87"

25151Partial removal of radiusYA230.378"$1,285.87"

25210Removal of wrist boneYA230.378"$1,285.87"

25215Removal of wrist bonesYA230.378"$1,285.87"

25230Partial removal of radiusYA230.378"$1,285.87"

25240Partial removal of ulnaYA230.378"$1,285.87"

25246Injection for wrist x-rayNN1

25248Remove forearm foreign bodyYA220.7775$879.49

25250Removal of wrist prosthesisYA230.378"$1,285.87"

25251Removal of wrist prosthesisYA230.378"$1,285.87"

25259Manipulate wrist w/anesthesYG217.5202$741.61

25260Repair forearm tendon/muscleYA230.378"$1,285.87"

25263Repair forearm tendon/muscleYA230.378"$1,285.87"

25265Repair forearm tendon/muscleYA230.378"$1,285.87"

25270Repair forearm tendon/muscleYA230.378"$1,285.87"

25272Repair forearm tendon/muscleYA230.378"$1,285.87"

25274Repair forearm tendon/muscleYA230.378"$1,285.87"

25275Repair forearm tendon sheathYA230.378"$1,285.87"

25280Revise wrist/forearm tendonYA230.378"$1,285.87"

25290Incise wrist/forearm tendonYA230.378"$1,285.87"

25295Release wrist/forearm tendonYA220.7775$879.49

25300Fusion of tendons at wristYA230.378"$1,285.87"

25301Fusion of tendons at wristYA230.378"$1,285.87"

25310Transplant forearm tendonYA230.378"$1,285.87"

25312Transplant forearm tendonYA244.2257"$1,872.03"

25315Revise palsy hand tendon(s)YA230.378"$1,285.87"

25316Revise palsy hand tendon(s)YA282.0766"$3,474.22"

25320Repair/revise wrist jointYA244.2257"$1,872.03"

25332Revise wrist jointYA238.7078"$1,638.46"

25335Realignment of handYA244.2257"$1,872.03"

25337Reconstruct ulna/radioulnarYA244.2257"$1,872.03"

25350Revision of radiusYA244.2257"$1,872.03"

25355Revision of radiusYA244.2257"$1,872.03"

25360Revision of ulnaYA244.2257"$1,872.03"

25365Revise radius & ulnaYA282.0766"$3,474.22"

25370Revise radius or ulnaYA244.2257"$1,872.03"

25375Revise radius & ulnaYA244.2257"$1,872.03"

25390Shorten radius or ulnaYA244.2257"$1,872.03"

25391Lengthen radius or ulnaYA282.0766"$3,474.22"

25392Shorten radius & ulnaYA230.378"$1,285.87"

25393Lengthen radius & ulnaYA244.2257"$1,872.03"

25394Repair carpal bone shortenYG244.2257"$1,872.03"

25400Repair radius or ulnaYA282.0766"$3,474.22"

25405Repair/graft radius or ulnaYA282.0766"$3,474.22"

25415Repair radius & ulnaYA282.0766"$3,474.22"

25420Repair/graft radius & ulnaYA282.0766"$3,474.22"

25425Repair/graft radius or ulnaYA282.0766"$3,474.22"

25426Repair/graft radius & ulnaYA244.2257"$1,872.03"

25430Vasc graft into carpal boneYG244.2257"$1,872.03"
25431Repair nonunion carpal boneYG244.2257"$1,872.03"

25440Repair/graft wrist boneYA282.0766"$3,474.22"

25441Reconstruct wrist jointYCHJ8177.1433"$7,498.30"

25442Reconstruct wrist jointYCHJ8177.1433"$7,498.30"

25443Reconstruct wrist jointYA256.2694"$2,381.83"

25444Reconstruct wrist jointYA256.2694"$2,381.83"

25445Reconstruct wrist jointYA256.2694"$2,381.83"

25446Wrist replacementYCHJ8177.1433"$7,498.30"

25447Repair wrist joint(s)YA238.7078"$1,638.46"

25449Remove wrist joint implantYA238.7078"$1,638.46"

25450Revision of wrist jointYA244.2257"$1,872.03"

25455Revision of wrist jointYA244.2257"$1,872.03"

25490Reinforce radiusYA244.2257"$1,872.03"

25491Reinforce ulnaYA244.2257"$1,872.03"

25492Reinforce radius and ulnaYA244.2257"$1,872.03"

25500Treat fracture of radiusYP21.5056$63.73

25505Treat fracture of radiusYA24.6747$197.88

25515Treat fracture of radiusYA246.3836"$1,963.37"

25520Treat fracture of radiusYA24.6747$197.88

25525Treat fracture of radiusYA246.3836"$1,963.37"

25526Treat fracture of radiusYA246.3836"$1,963.37"

25530Treat fracture of ulnaYP21.5056$63.73

25535Treat fracture of ulnaYA21.5056$63.73

25545Treat fracture of ulnaYA246.3836"$1,963.37"

25560Treat fracture radius & ulnaYP21.5056$63.73

25565Treat fracture radius & ulnaYA24.6747$197.88

25574Treat fracture radius & ulnaYA262.8575"$2,660.70"

25575Treat fracture radius/ulnaYA262.8575"$2,660.70"

25600Treat fracture radius/ulnaYP21.5056$63.73

25605Treat fracture radius/ulnaYA24.6747$197.88

25606Treat fx distal radialYA224.5925"$1,040.98"

25607Treat fx rad extra-articulYA262.8575"$2,660.70"

25608Treat fx rad intra-articulYA262.8575"$2,660.70"

25609Treat fx radial 3+ fragYA262.8575"$2,660.70"

25622Treat wrist bone fractureYP21.5056$63.73

25624Treat wrist bone fractureYA24.6747$197.88

25628Treat wrist bone fractureYA246.3836"$1,963.37"

25630Treat wrist bone fractureYP21.5056$63.73

25635Treat wrist bone fractureYA21.5056$63.73

25645Treat wrist bone fractureYA246.3836"$1,963.37"

25650Treat wrist bone fractureYP21.5056$63.73

25651Pin ulnar styloid fractureYG224.5925"$1,040.98"

25652Treat fracture ulnar styloidYG246.3836"$1,963.37"

25660Treat wrist dislocationYA21.5056$63.73

25670Treat wrist dislocationYA224.5925"$1,040.98"

25671Pin radioulnar dislocationYA224.5925"$1,040.98"

25675Treat wrist dislocationYA21.5056$63.73

25676Treat wrist dislocationYA224.5925"$1,040.98"

25680Treat wrist fractureYA21.5056$63.73

25685Treat wrist fractureYA224.5925"$1,040.98"

25690Treat wrist dislocationYA217.5202$741.61

25695Treat wrist dislocationYA224.5925"$1,040.98"

25800Fusion of wrist jointYA282.0766"$3,474.22"

25805Fusion/graft of wrist jointYA282.0766"$3,474.22"

25810Fusion/graft of wrist jointYA282.0766"$3,474.22"

25820Fusion of hand bonesYA244.2257"$1,872.03"

25825Fuse hand bones with graftYA282.0766"$3,474.22"

25830Fusion radioulnar jnt/ulnaYA282.0766"$3,474.22"

25907Amputation follow-up surgeryYA220.7775$879.49

25922Amputate hand at wristYA220.7775$879.49

25929Amputation follow-up surgeryYA216.1914$685.37

25931Amputation follow-up surgeryYG220.7775$879.49

26010Drainage of finger abscessYP21.3573$57.45

26011Drainage of finger abscessYA212.6328$534.73

26020Drain hand tendon sheathYA216.318$690.72

26025Drainage of palm bursaYA216.318$690.72
26030Drainage of palm bursa(s)YA216.318$690.72

26034Treat hand bone lesionYA216.318$690.72

26035Decompress fingers/handYG216.318$690.72

26037Decompress fingers/handYG216.318$690.72

26040Release palm contractureYA216.318$690.72

26045Release palm contractureYA227.1987"$1,151.29"

26055Incise finger tendon sheathYA216.318$690.72

26060Incision of finger tendonYA216.318$690.72

26070Explore/treat hand jointYA216.318$690.72

26075Explore/treat finger jointYA216.318$690.72

26080Explore/treat finger jointYA216.318$690.72

26100Biopsy hand joint liningYA216.318$690.72

26105Biopsy finger joint liningYA216.318$690.72

26110Biopsy finger joint liningYA216.318$690.72

26111Exc hand les sc > 1.5 cmYG221.9487$929.07

26113Exc hand tum deep > 1.5 cmYG221.9487$929.07

26115Exc hand les sc < 1.5 cmYCHG216.113$682.05

26116Exc hand tum deep < 1.5 cmYG216.113$682.05

26117Exc hand tum ra < 3 cmYG216.113$682.05

26118Exc hand tum ra > 3 cmYG221.9487$929.07

26121Release palm contractureYA227.1987"$1,151.29"

26123Release palm contractureYA227.1987"$1,151.29"

26125Release palm contractureYA216.318$690.72

26130Remove wrist joint liningYA216.318$690.72

26135Revise finger joint eachYA227.1987"$1,151.29"

26140Revise finger joint eachYA216.318$690.72

26145Tendon excision palm/fingerYA216.318$690.72

26160Remove tendon sheath lesionYA216.318$690.72

26170Removal of palm tendon eachYA216.318$690.72

26180Removal of finger tendonYA216.318$690.72

26185Remove finger boneYA216.318$690.72

26200Remove hand bone lesionYA216.318$690.72

26205Remove/graft bone lesionYA227.1987"$1,151.29"

26210Removal of finger lesionYA216.318$690.72

26215Remove/graft finger lesionYA216.318$690.72

26230Partial removal of hand boneYA216.318$690.72

26235Partial removal finger boneYA216.318$690.72

26236Partial removal finger boneYA216.318$690.72

26250Extensive hand surgeryYA216.318$690.72

26260Resect prox finger tumorYA216.318$690.72

26262Resect distal finger tumorYA216.318$690.72

26320Removal of implant from handYA216.113$682.05

26340Manipulate finger w/anesthYG24.6747$197.88

26350Repair finger/hand tendonYA227.1987"$1,151.29"

26352Repair/graft hand tendonYA227.1987"$1,151.29"

26356Repair finger/hand tendonYA227.1987"$1,151.29"

26357Repair finger/hand tendonYA227.1987"$1,151.29"

26358Repair/graft hand tendonYA227.1987"$1,151.29"

26370Repair finger/hand tendonYA227.1987"$1,151.29"

26372Repair/graft hand tendonYA227.1987"$1,151.29"

26373Repair finger/hand tendonYA227.1987"$1,151.29"

26390Revise hand/finger tendonYA227.1987"$1,151.29"

26392Repair/graft hand tendonYA227.1987"$1,151.29"

26410Repair hand tendonYA216.318$690.72

26412Repair/graft hand tendonYA227.1987"$1,151.29"

26415Excision hand/finger tendonYA227.1987"$1,151.29"

26416Graft hand or finger tendonYA227.1987"$1,151.29"

26418Repair finger tendonYA216.318$690.72

26420Repair/graft finger tendonYA227.1987"$1,151.29"

26426Repair finger/hand tendonYA227.1987"$1,151.29"

26428Repair/graft finger tendonYA227.1987"$1,151.29"

26432Repair finger tendonYA216.318$690.72

26433Repair finger tendonYA216.318$690.72

26434Repair/graft finger tendonYA227.1987"$1,151.29"

26437Realignment of tendonsYA216.318$690.72

26440Release palm/finger tendonYA216.318$690.72
26442Release palm & finger tendonYA227.1987"$1,151.29"

26445Release hand/finger tendonYA216.318$690.72

26449Release forearm/hand tendonYA227.1987"$1,151.29"

26450Incision of palm tendonYA216.318$690.72

26455Incision of finger tendonYA216.318$690.72

26460Incise hand/finger tendonYA216.318$690.72

26471Fusion of finger tendonsYA216.318$690.72

26474Fusion of finger tendonsYA216.318$690.72

26476Tendon lengtheningYA216.318$690.72

26477Tendon shorteningYA216.318$690.72

26478Lengthening of hand tendonYA216.318$690.72

26479Shortening of hand tendonYA216.318$690.72

26480Transplant hand tendonYA227.1987"$1,151.29"

26483Transplant/graft hand tendonYA227.1987"$1,151.29"

26485Transplant palm tendonYA227.1987"$1,151.29"

26489Transplant/graft palm tendonYA227.1987"$1,151.29"

26490Revise thumb tendonYA227.1987"$1,151.29"

26492Tendon transfer with graftYA227.1987"$1,151.29"

26494Hand tendon/muscle transferYA227.1987"$1,151.29"

26496Revise thumb tendonYA227.1987"$1,151.29"

26497Finger tendon transferYA227.1987"$1,151.29"

26498Finger tendon transferYA227.1987"$1,151.29"

26499Revision of fingerYA227.1987"$1,151.29"

26500Hand tendon reconstructionYA216.318$690.72

26502Hand tendon reconstructionYA227.1987"$1,151.29"

26508Release thumb contractureYA216.318$690.72

26510Thumb tendon transferYA227.1987"$1,151.29"

26516Fusion of knuckle jointYA227.1987"$1,151.29"

26517Fusion of knuckle jointsYA227.1987"$1,151.29"

26518Fusion of knuckle jointsYA227.1987"$1,151.29"

26520Release knuckle contractureYA216.318$690.72

26525Release finger contractureYA216.318$690.72

26530Revise knuckle jointYA238.7078"$1,638.46"

26531Revise knuckle with implantYA256.2694"$2,381.83"

26535Revise finger jointYA238.7078"$1,638.46"

26536Revise/implant finger jointYA256.2694"$2,381.83"

26540Repair hand jointYA216.318$690.72

26541Repair hand joint with graftYA227.1987"$1,151.29"

26542Repair hand joint with graftYA216.318$690.72

26545Reconstruct finger jointYA227.1987"$1,151.29"

26546Repair nonunion handYA227.1987"$1,151.29"

26548Reconstruct finger jointYA227.1987"$1,151.29"

26550Construct thumb replacementYA227.1987"$1,151.29"

26555Positional change of fingerYA227.1987"$1,151.29"

26560Repair of web fingerYA216.318$690.72

26561Repair of web fingerYA227.1987"$1,151.29"

26562Repair of web fingerYA227.1987"$1,151.29"

26565Correct metacarpal flawYA227.1987"$1,151.29"

26567Correct finger deformityYA227.1987"$1,151.29"

26568Lengthen metacarpal/fingerYA227.1987"$1,151.29"

26580Repair hand deformityYA216.318$690.72

26587Reconstruct extra fingerYA216.318$690.72

26590Repair finger deformityYA216.318$690.72

26591Repair muscles of handYA227.1987"$1,151.29"

26593Release muscles of handYA216.318$690.72

26596Excision constricting tissueYA216.318$690.72

26600Treat metacarpal fractureYP21.5056$63.73

26605Treat metacarpal fractureYA21.5056$63.73

26607Treat metacarpal fractureYA217.5202$741.61

26608Treat metacarpal fractureYA224.5925"$1,040.98"

26615Treat metacarpal fractureYA246.3836"$1,963.37"

26641Treat thumb dislocationYP21.5056$63.73

26645Treat thumb fractureYA24.6747$197.88

26650Treat thumb fractureYA224.5925"$1,040.98"

26665Treat thumb fractureYA246.3836"$1,963.37"

26670Treat hand dislocationYP21.5056$63.73
26675Treat hand dislocationYA21.5056$63.73

26676Pin hand dislocationYA224.5925"$1,040.98"

26685Treat hand dislocationYA224.5925"$1,040.98"

26686Treat hand dislocationYA262.8575"$2,660.70"

26700Treat knuckle dislocationYP21.5056$63.73

26705Treat knuckle dislocationYA21.5056$63.73

26706Pin knuckle dislocationYA217.5202$741.61

26715Treat knuckle dislocationYA224.5925"$1,040.98"

26720Treat finger fracture eachYP21.5056$63.73

26725Treat finger fracture eachYP21.5056$63.73

26727Treat finger fracture eachYA224.5925"$1,040.98"

26735Treat finger fracture eachYA224.5925"$1,040.98"

26740Treat finger fracture eachYP21.5056$63.73

26742Treat finger fracture eachYA21.5056$63.73

26746Treat finger fracture eachYA224.5925"$1,040.98"

26750Treat finger fracture eachYP21.5056$63.73

26755Treat finger fracture eachYG21.5056$63.73

26756Pin finger fracture eachYA224.5925"$1,040.98"

26765Treat finger fracture eachYA224.5925"$1,040.98"

26770Treat finger dislocationYG21.5056$63.73

26775Treat finger dislocationYP3$156.24

26776Pin finger dislocationYA224.5925"$1,040.98"

26785Treat finger dislocationYA224.5925"$1,040.98"

26820Thumb fusion with graftYA227.1987"$1,151.29"

26841Fusion of thumbYA227.1987"$1,151.29"

26842Thumb fusion with graftYA227.1987"$1,151.29"

26843Fusion of hand jointYA227.1987"$1,151.29"

26844Fusion/graft of hand jointYA227.1987"$1,151.29"

26850Fusion of knuckleYA227.1987"$1,151.29"

26852Fusion of knuckle with graftYA227.1987"$1,151.29"

26860Fusion of finger jointYA227.1987"$1,151.29"

26861Fusion of finger jnt add-onYA227.1987"$1,151.29"

26862Fusion/graft of finger jointYA227.1987"$1,151.29"

26863Fuse/graft added jointYA227.1987"$1,151.29"

26910Amputate metacarpal boneYA227.1987"$1,151.29"

26951Amputation of finger/thumbYA216.318$690.72

26952Amputation of finger/thumbYA216.318$690.72

26990Drainage of pelvis lesionYA220.7775$879.49

26991Drainage of pelvis bursaYA220.7775$879.49

27000Incision of hip tendonYA220.7775$879.49

27001Incision of hip tendonYA230.378"$1,285.87"

27003Incision of hip tendonYA230.378"$1,285.87"

27033Exploration of hip jointYA244.2257"$1,872.03"

27035Denervation of hip jointYA230.378"$1,285.87"

27040Biopsy of soft tissuesYA28.0762$341.86

27041Biopsy of soft tissuesYA28.0762$341.86

27043Exc hip pelvis les sc > 3 cmYG221.9487$929.07

27045Exc hip/pelv tum deep > 5 cmYG221.9487$929.07

27047Exc hip/pelvis les sc < 3 cmYCHG216.113$682.05

27048Exc hip/pelv tum deep < 5 cmYG216.113$682.05

27049Resect hip/pelv tum < 5 cmYG216.113$682.05

27050Biopsy of sacroiliac jointYA220.7775$879.49

27052Biopsy of hip jointYA220.7775$879.49

27059Resect hip/pelv tum > 5 cmYG221.9487$929.07

27060Removal of ischial bursaYA220.7775$879.49

27062Remove femur lesion/bursaYA220.7775$879.49

27065Remove hip bone les superYA220.7775$879.49

27066Remove hip bone les deepYA230.378"$1,285.87"

27067Remove/graft hip bone lesionYA230.378"$1,285.87"

27080Removal of tail boneYA230.378"$1,285.87"

27086Remove hip foreign bodyYA28.0762$341.86

27087Remove hip foreign bodyYA220.7775$879.49

27093Injection for hip x-rayNN1

27095Injection for hip x-rayNN1

27097Revision of hip tendonYA230.378"$1,285.87"

27098Transfer tendon to pelvisYA230.378"$1,285.87"
27100Transfer of abdominal muscleYA244.2257"$1,872.03"

27105Transfer of spinal muscleYA244.2257"$1,872.03"

27110Transfer of iliopsoas muscleYA244.2257"$1,872.03"

27111Transfer of iliopsoas muscleYA244.2257"$1,872.03"

27193Treat pelvic ring fractureYA21.5056$63.73

27194Treat pelvic ring fractureYA214.5437$615.62

27200Treat tail bone fractureYP21.5056$63.73

27202Treat tail bone fractureYA246.3836"$1,963.37"

27220Treat hip socket fractureYG21.5056$63.73

27230Treat thigh fractureYA21.5056$63.73

27238Treat thigh fractureYA24.6747$197.88

27246Treat thigh fractureYA24.6747$197.88

27250Treat hip dislocationYA21.5056$63.73

27252Treat hip dislocationYA214.5437$615.62

27256Treat hip dislocationYG21.5056$63.73

27257Treat hip dislocationYA214.5437$615.62

27265Treat hip dislocationYA21.5056$63.73

27266Treat hip dislocationYA214.5437$615.62

27267Cltx thigh fxYG21.5056$63.73

27275Manipulation of hip jointYA214.5437$615.62

27301Drain thigh/knee lesionYA219.2522$814.93

27305Incise thigh tendon & fasciaYA220.7775$879.49

27306Incision of thigh tendonYA220.7775$879.49

27307Incision of thigh tendonsYA230.378"$1,285.87"

27310Exploration of knee jointYA230.378"$1,285.87"

27323Biopsy thigh soft tissuesYA28.0762$341.86

27324Biopsy thigh soft tissuesYA221.9487$929.07

27325Neurectomy hamstringYA217.8674$756.31

27326Neurectomy poplitealYA217.8674$756.31

27327Exc thigh/knee les sc < 3 cmYCHG221.9487$929.07

27328Exc thigh/knee tum deep <5cmYG216.113$682.05

27329Resect thigh/knee tum < 5 cmYG216.113$682.05

27330Biopsy knee joint liningYA230.378"$1,285.87"

27331Explore/treat knee jointYA230.378"$1,285.87"

27332Removal of knee cartilageYA230.378"$1,285.87"

27333Removal of knee cartilageYA230.378"$1,285.87"

27334Remove knee joint liningYA230.378"$1,285.87"

27335Remove knee joint liningYA230.378"$1,285.87"

27337Exc thigh/knee les sc 3+ cmYG221.9487$929.07

27339Exc thigh/knee tum deep 5+cmYG221.9487$929.07

27340Removal of kneecap bursaYA220.7775$879.49

27345Removal of knee cystYA220.7775$879.49

27347Remove knee cystYA220.7775$879.49

27350Removal of kneecapYA230.378"$1,285.87"

27355Remove femur lesionYA230.378"$1,285.87"

27356Remove femur lesion/graftYA230.378"$1,285.87"

27357Remove femur lesion/graftYA230.378"$1,285.87"

27358Remove femur lesion/fixationYA230.378"$1,285.87"

27360Partial removal leg bone(s)YA230.378"$1,285.87"

27364Resect thigh/knee tum 5+ cmYG221.9487$929.07

27370Injection for knee x-rayNN1

27372Removal of foreign bodyYA221.9487$929.07

27380Repair of kneecap tendonYA230.378"$1,285.87"

27381Repair/graft kneecap tendonYA230.378"$1,285.87"

27385Repair of thigh muscleYA230.378"$1,285.87"

27386Repair/graft of thigh muscleYA230.378"$1,285.87"

27390Incision of thigh tendonYA220.7775$879.49

27391Incision of thigh tendonsYA220.7775$879.49

27392Incision of thigh tendonsYA230.378"$1,285.87"

27393Lengthening of thigh tendonYA230.378"$1,285.87"

27394Lengthening of thigh tendonsYA230.378"$1,285.87"

27395Lengthening of thigh tendonsYA244.2257"$1,872.03"

27396Transplant of thigh tendonYA230.378"$1,285.87"

27397Transplants of thigh tendonsYA244.2257"$1,872.03"

27400Revise thigh muscles/tendonsYA244.2257"$1,872.03"

27403Repair of knee cartilageYA230.378"$1,285.87"
27405Repair of knee ligamentYA244.2257"$1,872.03"

27407Repair of knee ligamentYA282.0766"$3,474.22"

27409Repair of knee ligamentsYA282.0766"$3,474.22"

27416Osteochondral knee autograftYG244.2257"$1,872.03"

27418Repair degenerated kneecapYA244.2257"$1,872.03"

27420Revision of unstable kneecapYA244.2257"$1,872.03"

27422Revision of unstable kneecapYA244.2257"$1,872.03"

27424Revision/removal of kneecapYA244.2257"$1,872.03"

27425Lat retinacular release openYA230.378"$1,285.87"

27427Reconstruction kneeYA282.0766"$3,474.22"

27428Reconstruction kneeYA282.0766"$3,474.22"

27429Reconstruction kneeYA282.0766"$3,474.22"

27430Revision of thigh musclesYA244.2257"$1,872.03"

27435Incision of knee jointYA230.378"$1,285.87"

27437Revise kneecapYA238.7078"$1,638.46"

27438Revise kneecap with implantYA256.2694"$2,381.83"

27440Revision of knee jointYG238.7078"$1,638.46"

27441Revision of knee jointYA238.7078"$1,638.46"

27442Revision of knee jointYA238.7078"$1,638.46"

27443Revision of knee jointYA238.7078"$1,638.46"

27446Revision of knee jointYJ8177.1433"$7,498.30"

27475Surgery to stop leg growthYG230.378"$1,285.87"

27479Surgery to stop leg growthYG230.378"$1,285.87"

27496Decompression of thigh/kneeYA230.378"$1,285.87"

27497Decompression of thigh/kneeYA220.7775$879.49

27498Decompression of thigh/kneeYA230.378"$1,285.87"

27499Decompression of thigh/kneeYA230.378"$1,285.87"

27500Treatment of thigh fractureYA24.6747$197.88

27501Treatment of thigh fractureYA21.5056$63.73

27502Treatment of thigh fractureYA217.5202$741.61

27503Treatment of thigh fractureYA21.5056$63.73

27508Treatment of thigh fractureYA21.5056$63.73

27509Treatment of thigh fractureYA224.5925"$1,040.98"

27510Treatment of thigh fractureYA24.6747$197.88

27516Treat thigh fx growth plateYA21.5056$63.73

27517Treat thigh fx growth plateYA21.5056$63.73

27520Treat kneecap fractureYA21.5056$63.73

27530Treat knee fractureYA21.5056$63.73

27532Treat knee fractureYA217.5202$741.61

27538Treat knee fracture(s)YA21.5056$63.73

27550Treat knee dislocationYA21.5056$63.73

27552Treat knee dislocationYA214.5437$615.62

27560Treat kneecap dislocationYA21.5056$63.73

27562Treat kneecap dislocationYA214.5437$615.62

27566Treat kneecap dislocationYA246.3836"$1,963.37"

27570Fixation of knee jointYA214.5437$615.62

27594Amputation follow-up surgeryYA220.7775$879.49

27600Decompression of lower legYA220.7775$879.49

27601Decompression of lower legYA220.7775$879.49

27602Decompression of lower legYA230.378"$1,285.87"

27603Drain lower leg lesionYA219.2522$814.93

27604Drain lower leg bursaYA230.378"$1,285.87"

27605Incision of achilles tendonYA220.7836$879.75

27606Incision of achilles tendonYA220.7775$879.49

27607Treat lower leg bone lesionYA220.7775$879.49

27610Explore/treat ankle jointYA230.378"$1,285.87"

27612Exploration of ankle jointYA230.378"$1,285.87"

27613Biopsy lower leg soft tissueYP3$117.90

27614Biopsy lower leg soft tissueYA221.9487$929.07

27615Resect leg/ankle tum < 5 cmYG216.113$682.05

27616Resect leg/ankle tum 5+ cmYG221.9487$929.07

27618Exc leg/ankle tum < 3 cmYCHG216.113$682.05

27619Exc leg/ankle tum deep <5 cmYG216.113$682.05

27620Explore/treat ankle jointYA230.378"$1,285.87"

27625Remove ankle joint liningYA230.378"$1,285.87"

27626Remove ankle joint liningYA230.378"$1,285.87"
27630Removal of tendon lesionYA220.7775$879.49

27632Exc leg/ankle les sc 3+ cmYG221.9487$929.07

27634Exc leg/ankle tum deep 5+ cmYG221.9487$929.07

27635Remove lower leg bone lesionYA230.378"$1,285.87"

27637Remove/graft leg bone lesionYA230.378"$1,285.87"

27638Remove/graft leg bone lesionYA230.378"$1,285.87"

27640Partial removal of tibiaYA230.378"$1,285.87"

27641Partial removal of fibulaYA230.378"$1,285.87"

27647Resect talus/calcaneus tumYA230.378"$1,285.87"

27648Injection for ankle x-rayNN1

27650Repair achilles tendonYA244.2257"$1,872.03"

27652Repair/graft achilles tendonYA282.0766"$3,474.22"

27654Repair of achilles tendonYA244.2257"$1,872.03"

27656Repair leg fascia defectYA220.7775$879.49

27658Repair of leg tendon eachYA220.7775$879.49

27659Repair of leg tendon eachYA220.7775$879.49

27664Repair of leg tendon eachYA230.378"$1,285.87"

27665Repair of leg tendon eachYA230.378"$1,285.87"

27675Repair lower leg tendonsYA220.7775$879.49

27676Repair lower leg tendonsYA230.378"$1,285.87"

27680Release of lower leg tendonYA230.378"$1,285.87"

27681Release of lower leg tendonsYA230.378"$1,285.87"

27685Revision of lower leg tendonYA230.378"$1,285.87"

27686Revise lower leg tendonsYA230.378"$1,285.87"

27687Revision of calf tendonYA230.378"$1,285.87"

27690Revise lower leg tendonYA244.2257"$1,872.03"

27691Revise lower leg tendonYA244.2257"$1,872.03"

27692Revise additional leg tendonYA244.2257"$1,872.03"

27695Repair of ankle ligamentYA230.378"$1,285.87"

27696Repair of ankle ligamentsYA230.378"$1,285.87"

27698Repair of ankle ligamentYA230.378"$1,285.87"

27700Revision of ankle jointYA238.7078"$1,638.46"

27704Removal of ankle implantYA220.7775$879.49

27705Incision of tibiaYA244.2257"$1,872.03"

27707Incision of fibulaYA230.378"$1,285.87"

27709Incision of tibia & fibulaYA230.378"$1,285.87"

27720Repair of tibiaYG246.3836"$1,963.37"

27726Repair fibula nonunionYG246.3836"$1,963.37"

27730Repair of tibia epiphysisYA230.378"$1,285.87"

27732Repair of fibula epiphysisYA230.378"$1,285.87"

27734Repair lower leg epiphysesYA230.378"$1,285.87"

27740Repair of leg epiphysesYA230.378"$1,285.87"

27742Repair of leg epiphysesYA244.2257"$1,872.03"

27745Reinforce tibiaYA282.0766"$3,474.22"

27750Treatment of tibia fractureYA21.5056$63.73

27752Treatment of tibia fractureYA217.5202$741.61

27756Treatment of tibia fractureYA224.5925"$1,040.98"

27758Treatment of tibia fractureYA246.3836"$1,963.37"

27759Treatment of tibia fractureYA262.8575"$2,660.70"

27760Cltx medial ankle fxYA21.5056$63.73

27762Cltx med ankle fx w/mnpjYA217.5202$741.61

27766Optx medial ankle fxYA246.3836"$1,963.37"

27767Cltx post ankle fxYP21.5056$63.73

27768Cltx post ankle fx w/mnpjYG21.5056$63.73

27769Optx post ankle fxYG246.3836"$1,963.37"

27780Treatment of fibula fractureYA21.5056$63.73

27781Treatment of fibula fractureYA217.5202$741.61

27784Treatment of fibula fractureYA246.3836"$1,963.37"

27786Treatment of ankle fractureYA21.5056$63.73

27788Treatment of ankle fractureYA21.5056$63.73

27792Treatment of ankle fractureYA246.3836"$1,963.37"

27808Treatment of ankle fractureYA21.5056$63.73

27810Treatment of ankle fractureYA21.5056$63.73

27814Treatment of ankle fractureYA246.3836"$1,963.37"

27816Treatment of ankle fractureYA21.5056$63.73

27818Treatment of ankle fractureYA24.6747$197.88
27822Treatment of ankle fractureYA246.3836"$1,963.37"

27823Treatment of ankle fractureYA262.8575"$2,660.70"

27824Treat lower leg fractureYA21.5056$63.73

27825Treat lower leg fractureYA217.5202$741.61

27826Treat lower leg fractureYA246.3836"$1,963.37"

27827Treat lower leg fractureYA262.8575"$2,660.70"

27828Treat lower leg fractureYA262.8575"$2,660.70"

27829Treat lower leg jointYA246.3836"$1,963.37"

27830Treat lower leg dislocationYA21.5056$63.73

27831Treat lower leg dislocationYA217.5202$741.61

27832Treat lower leg dislocationYA246.3836"$1,963.37"

27840Treat ankle dislocationYA21.5056$63.73

27842Treat ankle dislocationYA214.5437$615.62

27846Treat ankle dislocationYA246.3836"$1,963.37"

27848Treat ankle dislocationYA246.3836"$1,963.37"

27860Fixation of ankle jointYA214.5437$615.62

27870Fusion of ankle joint openYA282.0766"$3,474.22"

27871Fusion of tibiofibular jointYA282.0766"$3,474.22"

27884Amputation follow-up surgeryYA220.7775$879.49

27889Amputation of foot at ankleYA230.378"$1,285.87"

27892Decompression of legYA230.378"$1,285.87"

27893Decompression of legYA230.378"$1,285.87"

27894Decompression of legYA230.378"$1,285.87"

28001Drainage of bursa of footYP3$118.14

28002Treatment of foot infectionYA220.7775$879.49

28003Treatment of foot infectionYA220.7775$879.49

28005Treat foot bone lesionYA220.7836$879.75

28008Incision of foot fasciaYA220.7836$879.75

28010Incision of toe tendonYP3$85.07

28011Incision of toe tendonsYA220.7836$879.75

28020Exploration of foot jointYA220.7836$879.75

28022Exploration of foot jointYA220.7836$879.75

28024Exploration of toe jointYA220.7836$879.75

28035Decompression of tibia nerveYA217.8674$756.31

28039Exc foot/toe tum sc > 1.5 cmYCHG221.9487$929.07

28041Exc foot/toe tum deep 1.5cm+YCHG221.9487$929.07

28043Exc foot/toe tum sc < 1.5 cmYCHG216.113$682.05

28045Exc foot/toe tum deep <1.5cmYCHG216.113$682.05

28046Resect foot/toe tumor < 3 cmYCHG216.113$682.05

28047Resect foot/toe tumor > 3 cmYG221.9487$929.07

28050Biopsy of foot joint liningYA220.7836$879.75

28052Biopsy of foot joint liningYA220.7836$879.75

28054Biopsy of toe joint liningYA220.7836$879.75

28055Neurectomy footYA217.8674$756.31

28060Partial removal foot fasciaYA220.7836$879.75

28062Removal of foot fasciaYA220.7836$879.75

28070Removal of foot joint liningYA220.7836$879.75

28072Removal of foot joint liningYA220.7836$879.75

28080Removal of foot lesionYA220.7836$879.75

28086Excise foot tendon sheathYA220.7836$879.75

28088Excise foot tendon sheathYA220.7836$879.75

28090Removal of foot lesionYA220.7836$879.75

28092Removal of toe lesionsYA220.7836$879.75

28100Removal of ankle/heel lesionYA220.7836$879.75

28102Remove/graft foot lesionYA253.6228"$2,269.80"

28103Remove/graft foot lesionYA253.6228"$2,269.80"

28104Removal of foot lesionYA220.7836$879.75

28106Remove/graft foot lesionYA253.6228"$2,269.80"

28107Remove/graft foot lesionYA253.6228"$2,269.80"

28108Removal of toe lesionsYA220.7836$879.75

28110Part removal of metatarsalYA220.7836$879.75

28111Part removal of metatarsalYA220.7836$879.75

28112Part removal of metatarsalYA220.7836$879.75

28113Part removal of metatarsalYA220.7836$879.75

28114Removal of metatarsal headsYA220.7836$879.75

28116Revision of footYA220.7836$879.75
28118Removal of heel boneYA220.7836$879.75

28119Removal of heel spurYA220.7836$879.75

28120Part removal of ankle/heelYA220.7836$879.75

28122Partial removal of foot boneYA220.7836$879.75

28124Partial removal of toeYP3$201.05

28126Partial removal of toeYA220.7836$879.75

28130Removal of ankle boneYA220.7836$879.75

28140Removal of metatarsalYA220.7836$879.75

28150Removal of toeYA220.7836$879.75

28153Partial removal of toeYA220.7836$879.75

28160Partial removal of toeYA220.7836$879.75

28171Resect tarsal tumorYA220.7836$879.75

28173Resect metatarsal tumorYA220.7836$879.75

28175Resect phalanx of toe tumorYA220.7836$879.75

28190Removal of foot foreign bodyYP3$124.13

28192Removal of foot foreign bodyYA216.113$682.05

28193Removal of foot foreign bodyYA28.0762$341.86

28200Repair of foot tendonYA220.7836$879.75

28202Repair/graft of foot tendonYA220.7836$879.75

28208Repair of foot tendonYA220.7836$879.75

28210Repair/graft of foot tendonYA253.6228"$2,269.80"

28220Release of foot tendonYP3$190.27

28222Release of foot tendonsYA220.7836$879.75

28225Release of foot tendonYA220.7836$879.75

28226Release of foot tendonsYA220.7836$879.75

28230Incision of foot tendon(s)YP3$186.44

28232Incision of toe tendonYP3$180.68

28234Incision of foot tendonYA220.7836$879.75

28238Revision of foot tendonYA253.6228"$2,269.80"

28240Release of big toeYA220.7836$879.75

28250Revision of foot fasciaYA220.7836$879.75

28260Release of midfoot jointYA220.7836$879.75

28261Revision of foot tendonYA220.7836$879.75

28262Revision of foot and ankleYA220.7836$879.75

28264Release of midfoot jointYA253.6228"$2,269.80"

28270Release of foot contractureYA220.7836$879.75

28272Release of toe joint eachYP3$171.82

28280Fusion of toesYA220.7836$879.75

28285Repair of hammertoeYA220.7836$879.75

28286Repair of hammertoeYA220.7836$879.75

28288Partial removal of foot boneYA220.7836$879.75

28289Repair hallux rigidusYA220.7836$879.75

28290Correction of bunionYA230.505"$1,291.25"

28292Correction of bunionYA230.505"$1,291.25"

28293Correction of bunionYA230.505"$1,291.25"

28294Correction of bunionYA230.505"$1,291.25"

28296Correction of bunionYA230.505"$1,291.25"

28297Correction of bunionYA230.505"$1,291.25"

28298Correction of bunionYA230.505"$1,291.25"

28299Correction of bunionYA230.505"$1,291.25"

28300Incision of heel boneYA253.6228"$2,269.80"

28302Incision of ankle boneYA220.7836$879.75

28304Incision of midfoot bonesYA253.6228"$2,269.80"

28305Incise/graft midfoot bonesYA253.6228"$2,269.80"

28306Incision of metatarsalYA220.7836$879.75

28307Incision of metatarsalYA220.7836$879.75

28308Incision of metatarsalYA220.7836$879.75

28309Incision of metatarsalsYA253.6228"$2,269.80"

28310Revision of big toeYA220.7836$879.75

28312Revision of toeYA220.7836$879.75

28313Repair deformity of toeYA220.7836$879.75

28315Removal of sesamoid boneYA220.7836$879.75

28320Repair of foot bonesYA253.6228"$2,269.80"

28322Repair of metatarsalsYA253.6228"$2,269.80"

28340Resect enlarged toe tissueYA220.7836$879.75

28341Resect enlarged toeYA220.7836$879.75
28344Repair extra toe(s)YA220.7836$879.75

28345Repair webbed toe(s)YA220.7836$879.75

28400Treatment of heel fractureYA21.5056$63.73

28405Treatment of heel fractureYA217.5202$741.61

28406Treatment of heel fractureYA224.5925"$1,040.98"

28415Treat heel fractureYA262.8575"$2,660.70"

28420Treat/graft heel fractureYA246.3836"$1,963.37"

28430Treatment of ankle fractureYP21.5056$63.73

28435Treatment of ankle fractureYA21.5056$63.73

28436Treatment of ankle fractureYA224.5925"$1,040.98"

28445Treat ankle fractureYA246.3836"$1,963.37"

28446Osteochondral talus autogrftYG253.6228"$2,269.80"

28450Treat midfoot fracture eachYP21.5056$63.73

28455Treat midfoot fracture eachYP21.5056$63.73

28456Treat midfoot fractureYA224.5925"$1,040.98"

28465Treat midfoot fracture eachYA246.3836"$1,963.37"

28470Treat metatarsal fractureYP21.5056$63.73

28475Treat metatarsal fractureYP21.5056$63.73

28476Treat metatarsal fractureYA224.5925"$1,040.98"

28485Treat metatarsal fractureYA246.3836"$1,963.37"

28490Treat big toe fractureYP21.5056$63.73

28495Treat big toe fractureYP21.5056$63.73

28496Treat big toe fractureYA224.5925"$1,040.98"

28505Treat big toe fractureYA224.5925"$1,040.98"

28510Treatment of toe fractureYCHP3$53.44

28515Treatment of toe fractureYP21.5056$63.73

28525Treat toe fractureYA224.5925"$1,040.98"

28530Treat sesamoid bone fractureYCHP3$50.32

28531Treat sesamoid bone fractureYA224.5925"$1,040.98"

28540Treat foot dislocationYP21.5056$63.73

28545Treat foot dislocationYA224.5925"$1,040.98"

28546Treat foot dislocationYA224.5925"$1,040.98"

28555Repair foot dislocationYA246.3836"$1,963.37"

28570Treat foot dislocationYP21.5056$63.73

28575Treat foot dislocationYA217.5202$741.61

28576Treat foot dislocationYA224.5925"$1,040.98"

28585Repair foot dislocationYA224.5925"$1,040.98"

28600Treat foot dislocationYP21.5056$63.73

28605Treat foot dislocationYA21.5056$63.73

28606Treat foot dislocationYA224.5925"$1,040.98"

28615Repair foot dislocationYA246.3836"$1,963.37"

28630Treat toe dislocationYCHP3$59.91

28635Treat toe dislocationYA214.5437$615.62

28636Treat toe dislocationYA224.5925"$1,040.98"

28645Repair toe dislocationYA224.5925"$1,040.98"

28660Treat toe dislocationYP3$44.33

28665Treat toe dislocationYA214.5437$615.62

28666Treat toe dislocationYA224.5925"$1,040.98"

28675Repair of toe dislocationYA224.5925"$1,040.98"

28705Fusion of foot bonesYA253.6228"$2,269.80"

28715Fusion of foot bonesYA282.0766"$3,474.22"

28725Fusion of foot bonesYA253.6228"$2,269.80"

28730Fusion of foot bonesYA253.6228"$2,269.80"

28735Fusion of foot bonesYA253.6228"$2,269.80"

28737Revision of foot bonesYA253.6228"$2,269.80"

28740Fusion of foot bonesYA253.6228"$2,269.80"

28750Fusion of big toe jointYA253.6228"$2,269.80"

28755Fusion of big toe jointYA220.7836$879.75

28760Fusion of big toe jointYA253.6228"$2,269.80"

28810Amputation toe & metatarsalYA220.7836$879.75

28820Amputation of toeYA220.7836$879.75

28825Partial amputation of toeYA220.7836$879.75

28890High energy eswt plantar fYP3$144.98

29000Application of body castNG21.0665$45.14

29010Application of body castNCHP3$93.22

29015Application of body castNP22.5362$107.35
29020Application of body castNG21.0665$45.14

29025Application of body castNP21.0665$45.14

29035Application of body castNP22.5362$107.35

29040Application of body castNG21.0665$45.14

29044Application of body castNP22.5362$107.35

29046Application of body castNG22.5362$107.35

29049Application of figure eightNCHP3$41.46

29055Application of shoulder castNCHP3$101.61

29058Application of shoulder castNCHP3$31.39

29065Application of long arm castNP3$42.18

29075Application of forearm castNP3$40.74

29085Apply hand/wrist castNCHP3$41.70

29086Apply finger castNCHP3$36.90

29105Apply long arm splintNCHP3$36.66

29125Apply forearm splintNP3$30.67

29126Apply forearm splintNCHP3$34.51

29130Application of finger splintNP3$14.62

29131Application of finger splintNP3$21.09

29200Strapping of chestNP3$19.65

29240Strapping of shoulderNP3$21.33

29260Strapping of elbow or wristNP3$21.57

29280Strapping of hand or fingerNP3$21.81

29305Application of hip castNP22.5362$107.35

29325Application of hip castsNP22.5362$107.35

29345Application of long leg castNP3$55.12

29355Application of long leg castNP3$55.12

29358Apply long leg cast braceNP3$69.49

29365Application of long leg castNP3$51.52

29405Apply short leg castNP3$35.71

29425Apply short leg castNP3$34.27

29435Apply short leg castNP3$49.84

29440Addition of walker to castNP3$23.96

29445Apply rigid leg castNP3$47.93

29450Application of leg castNP21.0665$45.14

29505Application long leg splintNCHP3$36.66

29515Application lower leg splintNP3$29.48

29520Strapping of hipNP3$20.37

29530Strapping of kneeNP3$21.09

29540Strapping of ankle and/or ftNP3$15.10

29550Strapping of toesNP3$15.34

29580Application of paste bootNP3$21.81

29581Apply multlay comprs lwr legNP21.0665$45.14

29590Application of foot splintNP3$17.49

29700Removal/revision of castNP3$29.71

29705Removal/revision of castNP3$25.16

29710Removal/revision of castNP3$37.62

29715Removal/revision of castNCHP3$35.47

29720Repair of body castNCHP3$38.58

29730Windowing of castNP3$24.68

29740Wedging of castNCHP3$32.59

29750Wedging of clubfoot castNCHP3$35.71

29800Jaw arthroscopy/surgeryYA227.5786"$1,167.37"

29804Jaw arthroscopy/surgeryYA227.5786"$1,167.37"

29805Shoulder arthroscopy dxYA227.5786"$1,167.37"

29806Shoulder arthroscopy/surgeryYA245.4164"$1,922.43"

29807Shoulder arthroscopy/surgeryYA245.4164"$1,922.43"

29819Shoulder arthroscopy/surgeryYA245.4164"$1,922.43"

29820Shoulder arthroscopy/surgeryYA245.4164"$1,922.43"

29821Shoulder arthroscopy/surgeryYA245.4164"$1,922.43"

29822Shoulder arthroscopy/surgeryYA227.5786"$1,167.37"

29823Shoulder arthroscopy/surgeryYA245.4164"$1,922.43"

29824Shoulder arthroscopy/surgeryYA227.5786"$1,167.37"

29825Shoulder arthroscopy/surgeryYA245.4164"$1,922.43"

29826Shoulder arthroscopy/surgeryYA245.4164"$1,922.43"

29827Arthroscop rotator cuff reprYA245.4164"$1,922.43"

29828Arthroscopy biceps tenodesisYG245.4164"$1,922.43"
29830Elbow arthroscopyYA227.5786"$1,167.37"

29834Elbow arthroscopy/surgeryYA227.5786"$1,167.37"

29835Elbow arthroscopy/surgeryYA227.5786"$1,167.37"

29836Elbow arthroscopy/surgeryYA227.5786"$1,167.37"

29837Elbow arthroscopy/surgeryYA227.5786"$1,167.37"

29838Elbow arthroscopy/surgeryYA227.5786"$1,167.37"

29840Wrist arthroscopyYA227.5786"$1,167.37"

29843Wrist arthroscopy/surgeryYA227.5786"$1,167.37"

29844Wrist arthroscopy/surgeryYA227.5786"$1,167.37"

29845Wrist arthroscopy/surgeryYA227.5786"$1,167.37"

29846Wrist arthroscopy/surgeryYA227.5786"$1,167.37"

29847Wrist arthroscopy/surgeryYA245.4164"$1,922.43"

29848Wrist endoscopy/surgeryYA227.5786"$1,167.37"

29850Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29851Knee arthroscopy/surgeryYA245.4164"$1,922.43"

29855Tibial arthroscopy/surgeryYA245.4164"$1,922.43"

29856Tibial arthroscopy/surgeryYA245.4164"$1,922.43"

29860Hip arthroscopy dxYA245.4164"$1,922.43"

29861Hip arthro w/fb removalYA245.4164"$1,922.43"

29862Hip arthr0 w/debridementYA245.4164"$1,922.43"

29863Hip arthr0 w/synovectomyYA245.4164"$1,922.43"

29866Autgrft implnt knee w/scopeYG245.4164"$1,922.43"

29870Knee arthroscopy dxYA227.5786"$1,167.37"

29871Knee arthroscopy/drainageYA227.5786"$1,167.37"

29873Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29874Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29875Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29876Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29877Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29879Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29880Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29881Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29882Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29883Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29884Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29885Knee arthroscopy/surgeryYA245.4164"$1,922.43"

29886Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29887Knee arthroscopy/surgeryYA227.5786"$1,167.37"

29888Knee arthroscopy/surgeryYA282.0766"$3,474.22"

29889Knee arthroscopy/surgeryYA282.0766"$3,474.22"

29891Ankle arthroscopy/surgeryYA245.4164"$1,922.43"

29892Ankle arthroscopy/surgeryYA282.0766"$3,474.22"

29893Scope plantar fasciotomyYA220.7836$879.75

29894Ankle arthroscopy/surgeryYA227.5786"$1,167.37"

29895Ankle arthroscopy/surgeryYA227.5786"$1,167.37"

29897Ankle arthroscopy/surgeryYA227.5786"$1,167.37"

29898Ankle arthroscopy/surgeryYA227.5786"$1,167.37"

29899Ankle arthroscopy/surgeryYA245.4164"$1,922.43"

29900Mcp joint arthroscopy dxYA227.5786"$1,167.37"

29901Mcp joint arthroscopy surgYA227.5786"$1,167.37"

29902Mcp joint arthroscopy surgYA227.5786"$1,167.37"

29904Subtalar arthro w/fb rmvlYG227.5786"$1,167.37"

29905Subtalar arthro w/excYG227.5786"$1,167.37"

29906Subtalar arthro w/debYG227.5786"$1,167.37"

29907Subtalar arthro w/fusionYG245.4164"$1,922.43"

29914Hip arthro w/femoroplastyYG245.4164"$1,922.43"

29915Hip arthro acetabuloplastyYG245.4164"$1,922.43"

29916Hip arthro w/labral repairYG245.4164"$1,922.43"

30000Drainage of nose lesionYCHP3$124.61

30020Drainage of nose lesionYCHP3$125.09

30100Intranasal biopsyYP3$76.20

30110Removal of nose polyp(s)YP3$118.38

30115Removal of nose polyp(s)YA215.8572$671.22

30117Removal of intranasal lesionYA215.8572$671.22

30118Removal of intranasal lesionYA223.5618$997.35

30120Revision of noseYA223.5618$997.35
30124Removal of nose lesionYR27.5315$318.80

30125Removal of nose lesionYA242.299"$1,790.47"

30130Excise inferior turbinateYA215.8572$671.22

30140Resect inferior turbinateYA223.5618$997.35

30150Partial removal of noseYA242.299"$1,790.47"

30160Removal of noseYA242.299"$1,790.47"

30200Injection treatment of noseYP3$60.39

30210Nasal sinus therapyYP3$76.44

30220Insert nasal septal buttonYA27.5315$318.80

30300Remove nasal foreign bodyNP20.6316$26.73

30310Remove nasal foreign bodyYA215.8572$671.22

30320Remove nasal foreign bodyYA215.8572$671.22

30400Reconstruction of noseYA242.299"$1,790.47"

30410Reconstruction of noseYA242.299"$1,790.47"

30420Reconstruction of noseYA242.299"$1,790.47"

30430Revision of noseYA223.5618$997.35

30435Revision of noseYA242.299"$1,790.47"

30450Revision of noseYA242.299"$1,790.47"

30460Revision of noseYA242.299"$1,790.47"

30462Revision of noseYA242.299"$1,790.47"

30465Repair nasal stenosisYA242.299"$1,790.47"

30520Repair of nasal septumYA223.5618$997.35

30540Repair nasal defectYA242.299"$1,790.47"

30545Repair nasal defectYA242.299"$1,790.47"

30560Release of nasal adhesionsYA23.1429$133.04

30580Repair upper jaw fistulaYA242.299"$1,790.47"

30600Repair mouth/nose fistulaYA242.299"$1,790.47"

30620Intranasal reconstructionYA242.299"$1,790.47"

30630Repair nasal septum defectYA223.5618$997.35

30801Ablate inf turbinate superfYA27.5315$318.80

30802Ablate inf turbinate submucYA215.8572$671.22

30901Control of nosebleedYCHP3$37.86

30903Control of nosebleedYA21.0193$43.15

30905Control of nosebleedYA21.0193$43.15

30906Repeat control of nosebleedYA21.0193$43.15

30915Ligation nasal sinus arteryYA225.2303"$1,067.97"

30920Ligation upper jaw arteryYA225.2303"$1,067.97"

30930Ther fx nasal inf turbinateYA215.8572$671.22

31000Irrigation maxillary sinusYP3$96.33

31002Irrigation sphenoid sinusYR27.5315$318.80

31020Exploration maxillary sinusYA223.5618$997.35

31030Exploration maxillary sinusYA242.299"$1,790.47"

31032Explore sinus remove polypsYA242.299"$1,790.47"

31040Exploration behind upper jawYR223.5618$997.35

31050Exploration sphenoid sinusYA242.299"$1,790.47"

31051Sphenoid sinus surgeryYA242.299"$1,790.47"

31070Exploration of frontal sinusYA223.5618$997.35

31075Exploration of frontal sinusYA242.299"$1,790.47"

31080Removal of frontal sinusYA242.299"$1,790.47"

31081Removal of frontal sinusYA242.299"$1,790.47"

31084Removal of frontal sinusYA242.299"$1,790.47"

31085Removal of frontal sinusYA242.299"$1,790.47"

31086Removal of frontal sinusYA242.299"$1,790.47"

31087Removal of frontal sinusYA242.299"$1,790.47"

31090Exploration of sinusesYA242.299"$1,790.47"

31200Removal of ethmoid sinusYA242.299"$1,790.47"

31201Removal of ethmoid sinusYA242.299"$1,790.47"

31205Removal of ethmoid sinusYA242.299"$1,790.47"

31231Nasal endoscopy dxYP21.8254$77.27

31233Nasal/sinus endoscopy dxYA21.8254$77.27

31235Nasal/sinus endoscopy dxYA220.0293$847.82

31237Nasal/sinus endoscopy surgYA220.0293$847.82

31238Nasal/sinus endoscopy surgYA220.0293$847.82

31239Nasal/sinus endoscopy surgYA228.3273"$1,199.07"

31240Nasal/sinus endoscopy surgYA220.0293$847.82

31254Revision of ethmoid sinusYA228.3273"$1,199.07"
31255Removal of ethmoid sinusYA228.3273"$1,199.07"

31256Exploration maxillary sinusYA228.3273"$1,199.07"

31267Endoscopy maxillary sinusYA228.3273"$1,199.07"

31276Sinus endoscopy surgicalYA228.3273"$1,199.07"

31287Nasal/sinus endoscopy surgYA228.3273"$1,199.07"

31288Nasal/sinus endoscopy surgYA228.3273"$1,199.07"

31295Sinus endo w/balloon dilYG228.3273"$1,199.07"

31296Sinus endo w/balloon dilYG228.3273"$1,199.07"

31297Sinus endo w/balloon dilYG228.3273"$1,199.07"

31300Removal of larynx lesionYA223.5618$997.35

31320Diagnostic incision larynxYA242.299"$1,790.47"

31400Revision of larynxYA242.299"$1,790.47"

31420Removal of epiglottisYA242.299"$1,790.47"

31500Insert emergency airwayNG22.1345$90.35

31502Change of windpipe airwayNG21.313$55.58

31505Diagnostic laryngoscopyYP20.9861$41.74

31510Laryngoscopy with biopsyYA220.0293$847.82

31511Remove foreign body larynxYA21.8254$77.27

31512Removal of larynx lesionYA220.0293$847.82

31513Injection into vocal cordYA21.8254$77.27

31515Laryngoscopy for aspirationYA220.0293$847.82

31520Dx laryngoscopy newbornYG21.8254$77.27

31525Dx laryngoscopy excl nbYA220.0293$847.82

31526Dx laryngoscopy w/oper scopeYA220.0293$847.82

31527Laryngoscopy for treatmentYA228.3273"$1,199.07"

31528Laryngoscopy and dilationYA220.0293$847.82

31529Laryngoscopy and dilationYA220.0293$847.82

31530Laryngoscopy w/fb removalYA220.0293$847.82

31531Laryngoscopy w/fb & op scopeYA220.0293$847.82

31535Laryngoscopy w/biopsyYA220.0293$847.82

31536Laryngoscopy w/bx & op scopeYA220.0293$847.82

31540Laryngoscopy w/exc of tumorYA220.0293$847.82

31541Larynscop w/tumr exc + scopeYA220.0293$847.82

31545Remove vc lesion w/scopeYA228.3273"$1,199.07"

31546Remove vc lesion scope/graftYA228.3273"$1,199.07"

31560Laryngoscop w/arytenoidectomYA228.3273"$1,199.07"

31561Larynscop remve cart + scopYA228.3273"$1,199.07"

31570Laryngoscope w/vc injYA220.0293$847.82

31571Laryngoscop w/vc inj + scopeYA228.3273"$1,199.07"

31575Diagnostic laryngoscopyYP3$52.72

31576Laryngoscopy with biopsyYA220.0293$847.82

31577Remove foreign body larynxYA24.2293$179.02

31578Removal of larynx lesionYA228.3273"$1,199.07"

31579Diagnostic laryngoscopyYP3$91.30

31580Revision of larynxYA242.299"$1,790.47"

31582Revision of larynxYA242.299"$1,790.47"

31588Revision of larynxYA242.299"$1,790.47"

31590Reinnervate larynxYA242.299"$1,790.47"

31595Larynx nerve surgeryYA242.299"$1,790.47"

31603Incision of windpipeYA27.5315$318.80

31605Incision of windpipeYG27.5315$318.80

31611Surgery/speech prosthesisYA223.5618$997.35

31612Puncture/clear windpipeYA223.5618$997.35

31613Repair windpipe openingYA223.5618$997.35

31614Repair windpipe openingYA242.299"$1,790.47"

31615Visualization of windpipeYA27.5315$318.80

31620Endobronchial us add-onNN1

31622Dx bronchoscope/washYA29.7594$413.11

31623Dx bronchoscope/brushYA29.7594$413.11

31624Dx bronchoscope/lavageYA29.7594$413.11

31625Bronchoscopy w/biopsy(s)YA29.7594$413.11

31626Bronchoscopy w/markersYG227.2989"$1,155.54"

31627Navigational bronchoscopyNN1

31628Bronchoscopy/lung bx eachYA29.7594$413.11

31629Bronchoscopy/needle bx eachYA29.7594$413.11

31630Bronchoscopy dilate/fx reprYA227.2989"$1,155.54"
31631Bronchoscopy dilate w/stentYA227.2989"$1,155.54"

31632Bronchoscopy/lung bx addlYG29.7594$413.11

31633Bronchoscopy/needle bx addlYG29.7594$413.11

31634Bronch w/balloon occlusionYG29.7594$413.11

31635Bronchoscopy w/fb removalYA29.7594$413.11

31636Bronchoscopy bronch stentsYA227.2989"$1,155.54"

31637Bronchoscopy stent add-onYA29.7594$413.11

31638Bronchoscopy revise stentYA227.2989"$1,155.54"

31640Bronchoscopy w/tumor exciseYA227.2989"$1,155.54"

31641Bronchoscopy treat blockageYA227.2989"$1,155.54"

31643Diag bronchoscope/catheterYA29.7594$413.11

31645Bronchoscopy clear airwaysYA29.7594$413.11

31646Bronchoscopy reclear airwayYA29.7594$413.11

31656Bronchoscopy inj for x-rayYA29.7594$413.11

31715Injection for bronchus x-rayNN1

31717Bronchial brush biopsyYA24.2293$179.02

31720Clearance of airwaysNA20.3959$16.76

31730Intro windpipe wire/tubeYA24.2293$179.02

31750Repair of windpipeYA242.299"$1,790.47"

31755Repair of windpipeYA242.299"$1,790.47"

31820Closure of windpipe lesionYA223.5618$997.35

31825Repair of windpipe defectYA223.5618$997.35

31830Revise windpipe scarYA223.5618$997.35

32400Needle biopsy chest liningYA29.1181$385.96

32405Biopsy lung or mediastinumYA29.1181$385.96

32420Puncture/clear lungYA25.2088$220.48

32421Thoracentesis for aspirationYA25.2088$220.48

32422Thoracentesis w/tube insertYG25.2088$220.48

32550Insert pleural cathYG228.7055"$1,215.08"

32552Remove lung catheterNG21.313$55.58

32553Ins mark thor for rt perqNG212.4155$525.54

32960Therapeutic pneumothoraxYG25.2088$220.48

32998Perq rf ablate tx pul tumorYG253.5857"$2,268.23"

33010Drainage of heart sacYA25.2088$220.48

33011Repeat drainage of heart sacYA25.2088$220.48

33206Insertion of heart pacemakerYJ8159.1438"$6,736.40"

33207Insertion of heart pacemakerYJ8159.1438"$6,736.40"

33208Insertion of heart pacemakerYJ8197.4745"$8,358.90"

33210Insertion of heart electrodeYG245.5308"$1,927.27"

33211Insertion of heart electrodeYG245.5308"$1,927.27"

33212Insertion of pulse generatorYCHJ8135.5021"$5,735.67"

33213Insertion of pulse generatorYCHJ8145.9713"$6,178.82"

33214Upgrade of pacemaker systemYJ8197.4745"$8,358.90"

33215Reposition pacing-defib leadYG221.7851$922.14

33216Insert 1 electrode pm-defibYG245.5308"$1,927.27"

33217Insert 2 electrode pm-defibYG245.5308"$1,927.27"

33218Repair lead pace-defib oneYG221.7851$922.14

33220Repair lead pace-defib dualYG221.7851$922.14

33222Revise pocket pacemakerYA216.1914$685.37

33223Revise pocket for defibYA216.1914$685.37

33224Insert pacing lead & connectYJ8197.4745"$8,358.90"

33225L ventric pacing lead add-onYJ8586.7483"$24,836.47"

33226Reposition l ventric leadYG221.7851$922.14

33233Removal of pacemaker systemYA221.7851$922.14

33234Removal of pacemaker systemYG221.7851$922.14

33235Removal pacemaker electrodeYG221.7851$922.14

33240Insert pulse generatorYJ8512.0414"$21,674.20"

33241Remove pulse generatorYG221.7851$922.14

33249Eltrd/insert pace-defibYJ8586.7483"$24,836.47"

33282Implant pat-active ht recordNJ8112.9401"$4,780.64"

33284Remove pat-active ht recordYG28.0762$341.86

33508Endoscopic vein harvestNN1

34490Removal of vein clotYG238.6411"$1,635.64"

35188Repair blood vessel lesionYA238.6411"$1,635.64"

35207Repair blood vessel lesionYA238.6411"$1,635.64"

35460Repair venous blockageYG261.0293"$2,583.31"
35475Repair arterial blockageYCHP3"$1,375.27"

35476Repair venous blockageYCHP3"$1,075.24"

35572Harvest femoropopliteal veinNN1

35761Exploration of artery/veinYG228.847"$1,221.06"

35875Removal of clot in graftYA238.6411"$1,635.64"

35876Removal of clot in graftYA238.6411"$1,635.64"

36000Place needle in veinNN1

36002Pseudoaneurysm injection trtNG22.0509$86.81

36005Injection ext venographyNN1

36010Place catheter in veinNN1

36011Place catheter in veinNN1

36012Place catheter in veinNN1

36013Place catheter in arteryNN1

36014Place catheter in arteryNN1

36015Place catheter in arteryNN1

36100Establish access to arteryNN1

36120Establish access to arteryNN1

36140Establish access to arteryNN1

36147Access av dial grft for evalYP28.8399$374.18

36148Access av dial grft for procNN1

36160Establish access to aortaNN1

36200Place catheter in aortaNN1

36215Place catheter in arteryNN1

36216Place catheter in arteryNN1

36217Place catheter in arteryNN1

36218Place catheter in arteryNN1

36245Place catheter in arteryNN1

36246Place catheter in arteryNN1

36247Place catheter in arteryNN1

36248Place catheter in arteryNN1

36260Insertion of infusion pumpYA228.3971"$1,202.02"

36261Revision of infusion pumpYA221.7851$922.14

36262Removal of infusion pumpYA221.7851$922.14

36400Bl draw < 3 yrs fem/jugularNN1

36405Bl draw < 3 yrs scalp veinNN1

36406Bl draw < 3 yrs other veinNN1

36410Non-routine bl draw > 3 yrsNN1

36416Capillary blood drawNN1

36420Vein access cutdown < 1 yrNR20.2547$10.78

36425Vein access cutdown > 1 yrNR20.2547$10.78

36430Blood transfusion serviceNP3$23.72

36440Bl push transfuse 2 yr or <NR23.156$133.59

36450Bl exchange/transfuse nbNR23.156$133.59

36455Bl exchange/transfuse non-nbNG23.156$133.59

36468Injection(s) spider veinsYR20.9172$38.82

36469Injection(s) spider veinsYR20.9172$38.82

36470Injection therapy of veinYP20.9172$38.82

36471Injection therapy of veinsYP20.9172$38.82

36475Endovenous rf 1st veinYA240.9473"$1,733.26"

36476Endovenous rf vein add-onYA225.2303"$1,067.97"

36478Endovenous laser 1st veinYA225.2303"$1,067.97"

36479Endovenous laser vein addonYA225.2303"$1,067.97"

36481Insertion of catheter veinNN1

36500Insertion of catheter veinNN1

36510Insertion of catheter veinNN1

36511Apheresis wbcNG211.0009$465.66

36512Apheresis rbcNG211.0009$465.66

36513Apheresis plateletsNG211.0009$465.66

36514Apheresis plasmaNG211.0009$465.66

36515Apheresis adsorp/reinfuseNP230.5575"$1,293.47"

36516Apheresis selectiveNP230.5575"$1,293.47"

36522PhotopheresisNG230.5575"$1,293.47"

36555Insert non-tunnel cv cathYA210.4623$442.86

36556Insert non-tunnel cv cathYA210.4623$442.86

36557Insert tunneled cv cathYA223.5534$996.99

36558Insert tunneled cv cathYA223.5534$996.99
36560Insert tunneled cv cathYA228.3971"$1,202.02"

36561Insert tunneled cv cathYA228.3971"$1,202.02"

36563Insert tunneled cv cathYA228.3971"$1,202.02"

36565Insert tunneled cv cathYA228.3971"$1,202.02"

36566Insert tunneled cv cathYA228.3971"$1,202.02"

36568Insert picc cathYA210.4623$442.86

36569Insert picc cathYA210.4623$442.86

36570Insert picvad cathYA223.5534$996.99

36571Insert picvad cathYA223.5534$996.99

36575Repair tunneled cv cathYA25.9217$250.66

36576Repair tunneled cv cathYA210.4623$442.86

36578Replace tunneled cv cathYA223.5534$996.99

36580Replace cvad cathYA210.4623$442.86

36581Replace tunneled cv cathYA223.5534$996.99

36582Replace tunneled cv cathYA228.3971"$1,202.02"

36583Replace tunneled cv cathYA228.3971"$1,202.02"

36584Replace picc cathYA210.4623$442.86

36585Replace picvad cathYA223.5534$996.99

36589Removal tunneled cv cathYA25.9217$250.66

36590Removal tunneled cv cathYA210.4623$442.86

36591Draw blood off venous deviceNN1

36592Collect blood from piccNN1

36593Declot vascular deviceYP3$20.37

36595Mech remov tunneled cv cathYG223.5534$996.99

36596Mech remov tunneled cv cathYG210.4623$442.86

36597Reposition venous catheterYG210.4623$442.86

36598Inj w/fluor eval cv deviceYP3$59.67

36600Withdrawal of arterial bloodNN1

36620Insertion catheter arteryNN1

36625Insertion catheter arteryNN1

36640Insertion catheter arteryYA228.3971"$1,202.02"

36680Insert needle bone cavityYG21.6367$69.28

36800Insertion of cannulaYA234.5668"$1,463.18"

36810Insertion of cannulaYA234.5668"$1,463.18"

36815Insertion of cannulaYA234.5668"$1,463.18"

36818Av fuse uppr arm cephalicYA238.6411"$1,635.64"

36819Av fuse uppr arm basilicYA238.6411"$1,635.64"

36820Av fusion/forearm veinYA238.6411"$1,635.64"

36821Av fusion direct any siteYA238.6411"$1,635.64"

36825Artery-vein autograftYA238.6411"$1,635.64"

36830Artery-vein nonautograftYA238.6411"$1,635.64"

36831Open thrombect av fistulaYA238.6411"$1,635.64"

36832Av fistula revision openYA238.6411"$1,635.64"

36833Av fistula revisionYA238.6411"$1,635.64"

36835Artery to vein shuntYA234.5668"$1,463.18"

36860External cannula declottingYA22.1942$92.88

36861Cannula declottingYA234.5668"$1,463.18"

36870Percut thrombect av fistulaYA240.4355"$1,711.59"

37184Prim art mech thrombectomyYG238.6411"$1,635.64"

37185Prim art m-thrombect add-onYG238.6411"$1,635.64"

37186Sec art m-thrombect add-onYG238.6411"$1,635.64"

37187Venous mech thrombectomyYG238.6411"$1,635.64"

37188Venous m-thrombectomy add-onYG238.6411"$1,635.64"

37200Transcatheter biopsyYG228.3971"$1,202.02"

37203Transcatheter retrievalYG228.3971"$1,202.02"

37204Transcatheter occlusionYG298.3094"$4,161.34"

37210Embolization uterine fibroidYG2107.0983"$4,533.36"

37220Iliac revascYG261.0293"$2,583.31"

37221Iliac revasc w/stentYG2107.0983"$4,533.36"

37222Iliac revasc add-onYG261.0293"$2,583.31"

37223Iliac revasc w/stent add-onYG261.0293"$2,583.31"

37250Iv us first vessel add-onNN1

37251Iv us each add vessel add-onNN1

37500Endoscopy ligate perf veinsYA240.9473"$1,733.26"

37607Ligation of a-v fistulaYA225.2303"$1,067.97"

37609Temporal artery procedureYA216.113$682.05
37650Revision of major veinYA225.2303"$1,067.97"

37700Revise leg veinYA225.2303"$1,067.97"

37718Ligate/strip short leg veinYA225.2303"$1,067.97"

37722Ligate/strip long leg veinYA240.9473"$1,733.26"

37735Removal of leg veins/lesionYA240.9473"$1,733.26"

37760Ligate leg veins radicalYA225.2303"$1,067.97"

37761*Ligate leg veins openYR225.2303"$1,067.97"

37765Stab phleb veins xtr 10-20YP3$258.09

37766Phleb veins - extrem 20+YP3$288.76

37780Revision of leg veinYA225.2303"$1,067.97"

37785Ligate/divide/excise veinYA225.2303"$1,067.97"

37790Penile venous occlusionYA232.2247"$1,364.04"

38200Injection for spleen x-rayNN1

38204Bl donor search managementNN1

38206Harvest auto stem cellsNG211.0009$465.66

38220Bone marrow aspirationYP3$82.67

38221Bone marrow biopsyYP3$81.00

38230Bone marrow collectionNG230.5575"$1,293.47"

38241Bone marrow/stem transplantNG230.5575"$1,293.47"

38242Lymphocyte infuse transplantNR211.0009$465.66

38300Drainage lymph node lesionYA212.6328$534.73

38305Drainage lymph node lesionYA219.2522$814.93

38308Incision of lymph channelsYA223.8893"$1,011.21"

38500Biopsy/removal lymph nodesYA223.8893"$1,011.21"

38505Needle biopsy lymph nodesYA27.631$323.01

38510Biopsy/removal lymph nodesYA223.8893"$1,011.21"

38520Biopsy/removal lymph nodesYA223.8893"$1,011.21"

38525Biopsy/removal lymph nodesYA223.8893"$1,011.21"

38530Biopsy/removal lymph nodesYA223.8893"$1,011.21"

38542Explore deep node(s) neckYA248.0198"$2,032.63"

38550Removal neck/armpit lesionYA223.8893"$1,011.21"

38555Removal neck/armpit lesionYA223.8893"$1,011.21"

38570Laparoscopy lymph node biopYA244.7246"$1,893.15"

38571Laparoscopy lymphadenectomyYA266.5906"$2,818.71"

38572Laparoscopy lymphadenectomyYA244.7246"$1,893.15"

38700Removal of lymph nodes neckYG223.8893"$1,011.21"

38740Remove armpit lymph nodesYA248.0198"$2,032.63"

38745Remove armpit lymph nodesYA248.0198"$2,032.63"

38760Remove groin lymph nodesYA223.8893"$1,011.21"

38790Inject for lymphatic x-rayNN1

38792Identify sentinel nodeNN1

38794Access thoracic lymph ductNN1

38900Io map of sent lymph nodeNN1

40490Biopsy of lipYP3$57.51

40500Partial excision of lipYA215.8572$671.22

40510Partial excision of lipYA223.5618$997.35

40520Partial excision of lipYA215.8572$671.22

40525Reconstruct lip with flapYA223.5618$997.35

40527Reconstruct lip with flapYA223.5618$997.35

40530Partial removal of lipYA223.5618$997.35

40650Repair lipYA27.5315$318.80

40652Repair lipYA27.5315$318.80

40654Repair lipYA27.5315$318.80

40700Repair cleft lip/nasalYA242.299"$1,790.47"

40701Repair cleft lip/nasalYA242.299"$1,790.47"

40702Repair cleft lip/nasalYR242.299"$1,790.47"

40720Repair cleft lip/nasalYA242.299"$1,790.47"

40761Repair cleft lip/nasalYA242.299"$1,790.47"

40800Drainage of mouth lesionYP21.3573$57.45

40801Drainage of mouth lesionYA27.5315$318.80

40804Removal foreign body mouthNP20.6316$26.73

40805Removal foreign body mouthYP3$177.33

40806Incision of lip foldYP3$98.25

40808Biopsy of mouth lesionYCHP3$104.96

40810Excision of mouth lesionYP3$109.75

40812Excise/repair mouth lesionYP3$138.51
40814Excise/repair mouth lesionYA215.8572$671.22

40816Excision of mouth lesionYA223.5618$997.35

40818Excise oral mucosa for graftYA23.1429$133.04

40819Excise lip or cheek foldYA27.5315$318.80

40820Treatment of mouth lesionYP3$153.61

40830Repair mouth lacerationYG23.1429$133.04

40831Repair mouth lacerationYA27.5315$318.80

40840Reconstruction of mouthYA223.5618$997.35

40842Reconstruction of mouthYA223.5618$997.35

40843Reconstruction of mouthYA223.5618$997.35

40844Reconstruction of mouthYA242.299"$1,790.47"

40845Reconstruction of mouthYA242.299"$1,790.47"

41000Drainage of mouth lesionYP3$78.36

41005Drainage of mouth lesionYA23.1429$133.04

41006Drainage of mouth lesionYA223.5618$997.35

41007Drainage of mouth lesionYA215.8572$671.22

41008Drainage of mouth lesionYA215.8572$671.22

41009Drainage of mouth lesionYA23.1429$133.04

41010Incision of tongue foldYA27.5315$318.80

41015Drainage of mouth lesionYA23.1429$133.04

41016Drainage of mouth lesionYA27.5315$318.80

41017Drainage of mouth lesionYA27.5315$318.80

41018Drainage of mouth lesionYA27.5315$318.80

41019Place needles h&n for rtYG223.5618$997.35

41100Biopsy of tongueYP3$81.72

41105Biopsy of tongueYP3$81.96

41108Biopsy of floor of mouthYP3$75.96

41110Excision of tongue lesionYP3$110.47

41112Excision of tongue lesionYA215.8572$671.22

41113Excision of tongue lesionYA215.8572$671.22

41114Excision of tongue lesionYA223.5618$997.35

41115Excision of tongue foldYP3$130.60

41116Excision of mouth lesionYA215.8572$671.22

41120Partial removal of tongueYA223.5618$997.35

41250Repair tongue lacerationYA21.0193$43.15

41251Repair tongue lacerationYA23.1429$133.04

41252Repair tongue lacerationYA27.5315$318.80

41500Fixation of tongueYA223.5618$997.35

41510Tongue to lip surgeryYA215.8572$671.22

41512Tongue suspensionYG27.5315$318.80

41520Reconstruction tongue foldYA27.5315$318.80

41530Tongue base vol reductionYCHP223.5618$997.35

41800Drainage of gum lesionYA21.3573$57.45

41805Removal foreign body gumYP3$136.11

41806Removal foreign body jawboneYP3$174.93

41820Excision gum each quadrantYR27.5315$318.80

41821Excision of gum flapYG27.5315$318.80

41822Excision of gum lesionYP3$138.51

41823Excision of gum lesionYP3$198.90

41825Excision of gum lesionYP3$110.23

41826Excision of gum lesionYP3$152.17

41827Excision of gum lesionYA223.5618$997.35

41828Excision of gum lesionYP3$129.16

41830Removal of gum tissueYP3$181.40

41850Treatment of gum lesionYR215.8572$671.22

41870Gum graftYG223.5618$997.35

41872Repair gumYP3$208.24

41874Repair tooth socketYP3$174.69

42000Drainage mouth roof lesionYA23.1429$133.04

42100Biopsy roof of mouthYP3$70.21

42104Excision lesion mouth roofYP3$107.60

42106Excision lesion mouth roofYP3$133.96

42107Excision lesion mouth roofYA223.5618$997.35

42120Remove palate/lesionYA242.299"$1,790.47"

42140Excision of uvulaYA27.5315$318.80

42145Repair palate pharynx/uvulaYA223.5618$997.35
42160Treatment mouth roof lesionYP3$118.38

42180Repair palateYA23.1429$133.04

42182Repair palateYA242.299"$1,790.47"

42200Reconstruct cleft palateYA242.299"$1,790.47"

42205Reconstruct cleft palateYA242.299"$1,790.47"

42210Reconstruct cleft palateYA242.299"$1,790.47"

42215Reconstruct cleft palateYA242.299"$1,790.47"

42220Reconstruct cleft palateYA242.299"$1,790.47"

42225Reconstruct cleft palateYG242.299"$1,790.47"

42226Lengthening of palateYA242.299"$1,790.47"

42227Lengthening of palateYG242.299"$1,790.47"

42235Repair palateYA215.8572$671.22

42260Repair nose to lip fistulaYA223.5618$997.35

42280Preparation palate moldYP3$70.69

42281Insertion palate prosthesisYG215.8572$671.22

42300Drainage of salivary glandYA215.8572$671.22

42305Drainage of salivary glandYA215.8572$671.22

42310Drainage of salivary glandYA23.1429$133.04

42320Drainage of salivary glandYA23.1429$133.04

42330Removal of salivary stoneYP3$105.92

42335Removal of salivary stoneYP3$177.33

42340Removal of salivary stoneYA215.8572$671.22

42400Biopsy of salivary glandYP3$56.07

42405Biopsy of salivary glandYA223.5618$997.35

42408Excision of salivary cystYA215.8572$671.22

42409Drainage of salivary cystYA215.8572$671.22

42410Excise parotid gland/lesionYA242.299"$1,790.47"

42415Excise parotid gland/lesionYA242.299"$1,790.47"

42420Excise parotid gland/lesionYA242.299"$1,790.47"

42425Excise parotid gland/lesionYA242.299"$1,790.47"

42440Excise submaxillary glandYA242.299"$1,790.47"

42450Excise sublingual glandYA223.5618$997.35

42500Repair salivary ductYA223.5618$997.35

42505Repair salivary ductYA242.299"$1,790.47"

42507Parotid duct diversionYA242.299"$1,790.47"

42508Parotid duct diversionYA242.299"$1,790.47"

42509Parotid duct diversionYA242.299"$1,790.47"

42510Parotid duct diversionYA242.299"$1,790.47"

42550Injection for salivary x-rayNN1

42600Closure of salivary fistulaYA215.8572$671.22

42650Dilation of salivary ductYP3$39.30

42660Dilation of salivary ductYP3$45.29

42665Ligation of salivary ductYA223.5618$997.35

42700Drainage of tonsil abscessYA23.1429$133.04

42720Drainage of throat abscessYA215.8572$671.22

42725Drainage of throat abscessYA242.299"$1,790.47"

42800Biopsy of throatYP3$75.72

42802Biopsy of throatYA215.8572$671.22

42804Biopsy of upper nose/throatYA215.8572$671.22

42806Biopsy of upper nose/throatYA223.5618$997.35

42808Excise pharynx lesionYA223.5618$997.35

42809Remove pharynx foreign bodyNG20.6316$26.73

42810Excision of neck cystYA223.5618$997.35

42815Excision of neck cystYA242.299"$1,790.47"

42820Remove tonsils and adenoidsYA223.5618$997.35

42821Remove tonsils and adenoidsYA223.5618$997.35

42825Removal of tonsilsYA223.5618$997.35

42826Removal of tonsilsYA223.5618$997.35

42830Removal of adenoidsYA223.5618$997.35

42831Removal of adenoidsYA223.5618$997.35

42835Removal of adenoidsYA223.5618$997.35

42836Removal of adenoidsYA223.5618$997.35

42860Excision of tonsil tagsYA223.5618$997.35

42870Excision of lingual tonsilYA223.5618$997.35

42890Partial removal of pharynxYA242.299"$1,790.47"

42892Revision of pharyngeal wallsYA242.299"$1,790.47"
42900Repair throat woundYA27.5315$318.80

42950Reconstruction of throatYA223.5618$997.35

42955Surgical opening of throatYA223.5618$997.35

42960Control throat bleedingYA21.0193$43.15

42962Control throat bleedingYA242.299"$1,790.47"

42970Control nose/throat bleedingYR21.0193$43.15

42972Control nose/throat bleedingYA215.8572$671.22

43030Throat muscle surgeryYG215.8572$671.22

43130Removal of esophagus pouchYG242.299"$1,790.47"

43200Esophagus endoscopyYA27.8534$332.43

43201Esoph scope w/submucous injYA211.7812$498.69

43202Esophagus endoscopy biopsyYA27.8534$332.43

43204Esoph scope w/sclerosis injYA27.8534$332.43

43205Esophagus endoscopy/ligationYA211.7812$498.69

43215Esophagus endoscopyYA211.7812$498.69

43216Esophagus endoscopy/lesionYA223.8908"$1,011.27"

43217Esophagus endoscopyYA211.7812$498.69

43219Esophagus endoscopyYA227.2035"$1,151.50"

43220Esoph endoscopy dilationYA211.7812$498.69

43226Esoph endoscopy dilationYA211.7812$498.69

43227Esoph endoscopy repairYA211.7812$498.69

43228Esoph endoscopy ablationYA223.8908"$1,011.27"

43231Esoph endoscopy w/us examYA211.7812$498.69

43232Esoph endoscopy w/us fn bxYA211.7812$498.69

43234Upper gi endoscopy examYA27.8534$332.43

43235Uppr gi endoscopy diagnosisYA27.8534$332.43

43236Uppr gi scope w/submuc injYA27.8534$332.43

43237Endoscopic us exam esophYA211.7812$498.69

43238Uppr gi endoscopy w/us fn bxYA211.7812$498.69

43239Upper gi endoscopy biopsyYA27.8534$332.43

43240Esoph endoscope w/drain cystYA211.7812$498.69

43241Upper GI endoscopy with tubeYA27.8534$332.43

43242Uppr gi endoscopy w/us fn bxYA211.7812$498.69

43243Upper gi endoscopy & injectYA27.8534$332.43

43244Upper GI endoscopy/ligationYA211.7812$498.69

43245Uppr gi scope dilate strictrYA211.7812$498.69

43246Place gastrostomy tubeYA211.7812$498.69

43247Operative upper GI endoscopyYA27.8534$332.43

43248Uppr gi endoscopy/guide wireYA27.8534$332.43

43249Esoph endoscopy dilationYA211.7812$498.69

43250Upper GI endoscopy/tumorYA211.7812$498.69

43251Operative upper GI endoscopyYA211.7812$498.69

43255Operative upper GI endoscopyYA211.7812$498.69

43256Uppr gi endoscopy w/stentYA227.2035"$1,151.50"

43257Uppr gi scope w/thrml txmntYA223.8908"$1,011.27"

43258Operative upper GI endoscopyYA211.7812$498.69

43259Endoscopic ultrasound examYA211.7812$498.69

43260Endo cholangiopancreatographYA222.871$968.11

43261Endo cholangiopancreatographYA222.871$968.11

43262Endo cholangiopancreatographYA222.871$968.11

43263Endo cholangiopancreatographYA222.871$968.11

43264Endo cholangiopancreatographYA222.871$968.11

43265Endo cholangiopancreatographYA222.871$968.11

43267Endo cholangiopancreatographYA222.871$968.11

43268Endo cholangiopancreatographYA227.2035"$1,151.50"

43269Endo cholangiopancreatographYA227.2035"$1,151.50"

43271Endo cholangiopancreatographYA222.871$968.11

43272Endo cholangiopancreatographYA222.871$968.11

43273Endoscopic pancreatoscopyYG222.871$968.11

43450Dilate esophagusYA26.1328$259.60

43453Dilate esophagusYA26.1328$259.60

43456Dilate esophagusYA26.1328$259.60

43458Dilate esophagusYA211.7812$498.69

43653Laparoscopy gastrostomyYA244.7246"$1,893.15"

43752Nasal/orogastric w/stentNG21.1698$49.52

43753Tx gastro intub w/aspNG20.6316$26.73
43754Dx gastr intub w/asp specNG20.6316$26.73

43755Dx gastr intub w/asp specsNG20.8884$37.61

43756Dx duod intub w/asp specNG21.1698$49.52

43757Dx duod intub w/asp specsNG21.1698$49.52

43760Change gastrostomy tubeYA22.1942$92.88

43761Reposition gastrostomy tubeYA27.8534$332.43

43870Repair stomach openingYA223.8908"$1,011.27"

43886Revise gastric port openYG220.437$865.08

43887Remove gastric port openYG24.8714$206.20

43888Change gastric port openYG220.437$865.08

44100Biopsy of bowelYA211.7812$498.69

44312Revision of ileostomyYA220.437$865.08

44340Revision of colostomyYA220.437$865.08

44360Small bowel endoscopyYA29.527$403.27

44361Small bowel endoscopy/biopsyYA29.527$403.27

44363Small bowel endoscopyYA29.527$403.27

44364Small bowel endoscopyYA214.848$628.50

44365Small bowel endoscopyYA214.848$628.50

44366Small bowel endoscopyYA214.848$628.50

44369Small bowel endoscopyYA214.848$628.50

44370Small bowel endoscopy/stentYA227.2035"$1,151.50"

44372Small bowel endoscopyYA214.848$628.50

44373Small bowel endoscopyYA214.848$628.50

44376Small bowel endoscopyYA29.527$403.27

44377Small bowel endoscopy/biopsyYA29.527$403.27

44378Small bowel endoscopyYA214.848$628.50

44379S bowel endoscope w/stentYA227.2035"$1,151.50"

44380Small bowel endoscopyYA29.527$403.27

44382Small bowel endoscopyYA29.527$403.27

44383Ileoscopy w/stentYA227.2035"$1,151.50"

44385Endoscopy of bowel pouchYA28.734$369.70

44386Endoscopy bowel pouch/biopYA28.734$369.70

44388ColonoscopyYA28.734$369.70

44389Colonoscopy with biopsyYA28.734$369.70

44390Colonoscopy for foreign bodyYA28.734$369.70

44391Colonoscopy for bleedingYA28.734$369.70

44392Colonoscopy & polypectomyYA28.734$369.70

44393Colonoscopy lesion removalYA28.734$369.70

44394Colonoscopy w/snareYA28.734$369.70

44397Colonoscopy w/stentYA227.2035"$1,151.50"

44500Intro gastrointestinal tubeYG25.9217$250.66

44701Intraop colon lavage add-onNN1

45000Drainage of pelvic abscessYA222.9144$969.94

45005Drainage of rectal abscessYA222.9144$969.94

45020Drainage of rectal abscessYA215.0188$635.73

45100Biopsy of rectumYA222.9144$969.94

45108Removal of anorectal lesionYA222.9144$969.94

45150Excision of rectal strictureYA222.9144$969.94

45160Excision of rectal lesionYA222.9144$969.94

45171Exc rect tum transanal partYG222.9144$969.94

45172Exc rect tum transanal fullYG222.9144$969.94

45190Destruction rectal tumorYA222.9144$969.94

45300Proctosigmoidoscopy dxYP3$62.54

45303Proctosigmoidoscopy dilateYP210.3308$437.29

45305Proctosigmoidoscopy w/bxYA210.3308$437.29

45307Proctosigmoidoscopy fbYA222.4689$951.09

45308Proctosigmoidoscopy removalYA210.3308$437.29

45309Proctosigmoidoscopy removalYA210.3308$437.29

45315Proctosigmoidoscopy removalYA210.3308$437.29

45317Proctosigmoidoscopy bleedYA210.3308$437.29

45320Proctosigmoidoscopy ablateYA222.4689$951.09

45321Proctosigmoidoscopy volvulYA222.4689$951.09

45327Proctosigmoidoscopy w/stentYA227.2035"$1,151.50"

45330Diagnostic sigmoidoscopyYP3$73.33

45331Sigmoidoscopy and biopsyYA25.9086$250.11

45332Sigmoidoscopy w/fb removalYA25.9086$250.11
45333Sigmoidoscopy & polypectomyYA25.9086$250.11

45334Sigmoidoscopy for bleedingYA210.3308$437.29

45335Sigmoidoscopy w/submuc injYA25.9086$250.11

45337Sigmoidoscopy & decompressYA25.9086$250.11

45338Sigmoidoscopy w/tumr removeYA25.9086$250.11

45339Sigmoidoscopy w/ablate tumrYA210.3308$437.29

45340Sig w/balloon dilationYA210.3308$437.29

45341Sigmoidoscopy w/ultrasoundYA25.9086$250.11

45342Sigmoidoscopy w/us guide bxYA210.3308$437.29

45345Sigmoidoscopy w/stentYA227.2035"$1,151.50"

45355Surgical colonoscopyYA28.734$369.70

45378Diagnostic colonoscopyYA28.734$369.70

45379Colonoscopy w/fb removalYA28.734$369.70

45380Colonoscopy and biopsyYA28.734$369.70

45381Colonoscopy submucous injYA28.734$369.70

45382Colonoscopy/control bleedingYA28.734$369.70

45383Lesion removal colonoscopyYA28.734$369.70

45384Lesion remove colonoscopyYA28.734$369.70

45385Lesion removal colonoscopyYA28.734$369.70

45386Colonoscopy dilate strictureYA28.734$369.70

45387Colonoscopy w/stentYA227.2035"$1,151.50"

45391Colonoscopy w/endoscope usYA28.734$369.70

45392Colonoscopy w/endoscopic fnbYA28.734$369.70

45500Repair of rectumYA222.9144$969.94

45505Repair of rectumYA230.9056"$1,308.20"

45520Treatment of rectal prolapseYP20.9172$38.82

45541Correct rectal prolapseYG230.9056"$1,308.20"

45560Repair of rectoceleYA230.9056"$1,308.20"

45900Reduction of rectal prolapseYA25.7224$242.22

45905Dilation of anal sphincterYA222.9144$969.94

45910Dilation of rectal narrowingYA222.9144$969.94

45915Remove rectal obstructionYA215.0188$635.73

45990Surg dx exam anorectalYA222.9144$969.94

46020Placement of setonYA222.9144$969.94

46030Removal of rectal markerYA25.7224$242.22

46040Incision of rectal abscessYA222.9144$969.94

46045Incision of rectal abscessYA222.9144$969.94

46050Incision of anal abscessYA25.7224$242.22

46060Incision of rectal abscessYA222.9144$969.94

46070Incision of anal septumYG215.0188$635.73

46080Incision of anal sphincterYA222.9144$969.94

46083Incise external hemorrhoidYCHP3$83.15

46200Removal of anal fissureYA222.9144$969.94

46220Excise anal ext tag/papillaYA215.0188$635.73

46221Ligation of hemorrhoid(s)YP3$118.86

46230Removal of anal tagsYA222.9144$969.94

46250Remove ext hem groups 2+YA222.9144$969.94

46255Remove int/ext hem 1 groupYA222.9144$969.94

46257Remove in/ex hem grp & fissYA222.9144$969.94

46258Remove in/ex hem grp w/fistuYA222.9144$969.94

46260Remove in/ex hem groups 2+YA222.9144$969.94

46261Remove in/ex hem grps & fissYA222.9144$969.94

46262Remove in/ex hem grps w/fistYA222.9144$969.94

46270Remove anal fist subqYA222.9144$969.94

46275Remove anal fist interYA222.9144$969.94

46280Remove anal fist complexYA222.9144$969.94

46285Remove anal fist 2 stageYA222.9144$969.94

46288Repair anal fistulaYA222.9144$969.94

46320Removal of hemorrhoid clotYP3$80.04

46500Injection into hemorrhoid(s)YP3$114.31

46505Chemodenervation anal muscYG222.9144$969.94

46600Diagnostic anoscopyNP20.6316$26.73

46604Anoscopy and dilationYCHP3$391.08

46606Anoscopy and biopsyYP3$122.21

46608Anoscopy remove for bodyYA25.9086$250.11

46610Anoscopy remove lesionYA222.4689$951.09
46611AnoscopyYA210.3308$437.29

46612Anoscopy remove lesionsYA222.4689$951.09

46614Anoscopy control bleedingYP3$62.07

46615AnoscopyYA222.4689$951.09

46700Repair of anal strictureYA222.9144$969.94

46706Repr of anal fistula w/glueYA230.9056"$1,308.20"

46707Repair anorectal fist w/plugYG230.9056"$1,308.20"

46750Repair of anal sphincterYA230.9056"$1,308.20"

46753Reconstruction of anusYA222.9144$969.94

46754Removal of suture from anusYA222.9144$969.94

46760Repair of anal sphincterYA230.9056"$1,308.20"

46761Repair of anal sphincterYA230.9056"$1,308.20"

46762Implant artificial sphincterYA230.9056"$1,308.20"

46900Destruction anal lesion(s)YP22.6477$112.07

46910Destruction anal lesion(s)YP3$121.73

46916Cryosurgery anal lesion(s)YP21.4$59.26

46917Laser surgery anal lesionsYA220.6797$875.35

46922Excision of anal lesion(s)YA220.6797$875.35

46924Destruction anal lesion(s)YA220.6797$875.35

46930Destroy internal hemorrhoidsYP3$100.17

46940Treatment of anal fissureYP3$92.74

46942Treatment of anal fissureYP3$90.34

46945Remove by ligat int hem grpYP3$149.05

46946Remove by ligat int hem grpsYA222.9144$969.94

46947Hemorrhoidopexy by staplingYA230.9056"$1,308.20"

47000Needle biopsy of liverYA29.1181$385.96

47001Needle biopsy liver add-onNN1

47382Percut ablate liver rfYG253.5857"$2,268.23"

47500Injection for liver x-raysNN1

47505Injection for liver x-raysNN1

47510Insert catheter bile ductYA229.3168"$1,240.95"

47511Insert bile duct drainYA229.3168"$1,240.95"

47525Change bile duct catheterYA215.1986$643.34

47530Revise/reinsert bile tubeYA215.1986$643.34

47552Biliary endoscopy thru skinYA229.3168"$1,240.95"

47553Biliary endoscopy thru skinYA229.3168"$1,240.95"

47554Biliary endoscopy thru skinYA229.3168"$1,240.95"

47555Biliary endoscopy thru skinYA229.3168"$1,240.95"

47556Biliary endoscopy thru skinYA229.3168"$1,240.95"

47560Laparoscopy w/cholangioYA236.6358"$1,550.76"

47561Laparo w/cholangio/biopsyYA236.6358"$1,550.76"

47562Laparoscopic cholecystectomyYG244.7246"$1,893.15"

47563Laparo cholecystectomy/graphYG244.7246"$1,893.15"

47564Laparo cholecystectomy/explrYG244.7246"$1,893.15"

47630Remove bile duct stoneYA229.3168"$1,240.95"

48102Needle biopsy pancreasYA29.1181$385.96

49080Puncture peritoneal cavityYA25.2088$220.48

49081Removal of abdominal fluidYA25.2088$220.48

49180Biopsy abdominal massYA29.1181$385.96

49250Excision of umbilicusYA224.9768"$1,057.24"

49320Diag laparo separate procYA236.6358"$1,550.76"

49321Laparoscopy biopsyYA236.6358"$1,550.76"

49322Laparoscopy aspirationYA236.6358"$1,550.76"

49324Lap insert tunnel ip cathYG236.6358"$1,550.76"

49325Lap revision perm ip cathYG236.6358"$1,550.76"

49326Lap w/omentopexy add-onYG236.6358"$1,550.76"

49327Lap ins device for rtYG236.6358"$1,550.76"

49400Air injection into abdomenNN1

49402Remove foreign body adbomenYA224.9768"$1,057.24"

49411Ins mark abd/pel for rt perqNP3$285.17

49418Insert tun ip cath percYG228.7055"$1,215.08"

49419Insert tun ip cath w/portYA234.5668"$1,463.18"

49421Ins tun ip cath for dial opnYG228.7055"$1,215.08"

49422Remove tunneled ip cathYA221.7851$922.14

49423Exchange drainage catheterYG215.1986$643.34

49424Assess cyst contrast injectNN1
49426Revise abdomen-venous shuntYA224.9768"$1,057.24"

49427Injection abdominal shuntNN1

49429Removal of shuntYG221.7851$922.14

49435Insert subq exten to ip cathYG215.1986$643.34

49436Embedded ip cath exit-siteYG215.1986$643.34

49440Place gastrostomy tube percYG211.7812$498.69

49441Place duod/jej tube percYG211.7812$498.69

49442Place cecostomy tube percYG222.9144$969.94

49446Change g-tube to g-j percYG211.7812$498.69

49450Replace g/c tube percYG25.9217$250.66

49451Replace duod/jej tube percYG25.9217$250.66

49452Replace g-j tube percYG25.9217$250.66

49460Fix g/colon tube w/deviceYG25.9217$250.66

49465Fluoro exam of g/colon tubeNN1

49495Rpr ing hernia baby reducYA230.9069"$1,308.26"

49496Rpr ing hernia baby blockedYA230.9069"$1,308.26"

49500Rpr ing hernia init reduceYA230.9069"$1,308.26"

49501Rpr ing hernia init blockedYA230.9069"$1,308.26"

49505Prp i/hern init reduc >5 yrYA230.9069"$1,308.26"

49507Prp i/hern init block >5 yrYA230.9069"$1,308.26"

49520Rerepair ing hernia reduceYA230.9069"$1,308.26"

49521Rerepair ing hernia blockedYA230.9069"$1,308.26"

49525Repair ing hernia slidingYA230.9069"$1,308.26"

49540Repair lumbar herniaYA230.9069"$1,308.26"

49550Rpr rem hernia init reduceYA230.9069"$1,308.26"

49553Rpr fem hernia init blockedYA230.9069"$1,308.26"

49555Rerepair fem hernia reduceYA230.9069"$1,308.26"

49557Rerepair fem hernia blockedYA230.9069"$1,308.26"

49560Rpr ventral hern init reducYA230.9069"$1,308.26"

49561Rpr ventral hern init blockYA230.9069"$1,308.26"

49565Rerepair ventrl hern reduceYA230.9069"$1,308.26"

49566Rerepair ventrl hern blockYA230.9069"$1,308.26"

49568Hernia repair w/meshYA230.9069"$1,308.26"

49570Rpr epigastric hern reduceYA230.9069"$1,308.26"

49572Rpr epigastric hern blockedYA230.9069"$1,308.26"

49580Rpr umbil hern reduc < 5 yrYA230.9069"$1,308.26"

49582Rpr umbil hern block < 5 yrYA230.9069"$1,308.26"

49585Rpr umbil hern reduc > 5 yrYA230.9069"$1,308.26"

49587Rpr umbil hern block > 5 yrYA230.9069"$1,308.26"

49590Repair spigelian herniaYA230.9069"$1,308.26"

49600Repair umbilical lesionYA230.9069"$1,308.26"

49650Lap ing hernia repair initYA244.7246"$1,893.15"

49651Lap ing hernia repair recurYA244.7246"$1,893.15"

49652Lap vent/abd hernia repairYG266.5906"$2,818.71"

49653Lap vent/abd hern proc compYG266.5906"$2,818.71"

49654Lap inc hernia repairYG266.5906"$2,818.71"

49655Lap inc hern repair compYG266.5906"$2,818.71"

49656Lap inc hernia repair recurYG266.5906"$2,818.71"

49657Lap inc hern recur compYG266.5906"$2,818.71"

50080Removal of kidney stoneYG242.989"$1,819.68"

50081Removal of kidney stoneYG242.989"$1,819.68"

50200Renal biopsy perqYA29.1181$385.96

50382Change ureter stent percutYG224.6219"$1,042.22"

50384Remove ureter stent percutYG216.5657$701.21

50385Change stent via transurethYG224.6219"$1,042.22"

50386Remove stent via transurethYP26.898$291.99

50387Change ext/int ureter stentYG215.1986$643.34

50389Remove renal tube w/fluoroYG26.898$291.99

50390Drainage of kidney lesionYA29.1181$385.96

50391Instll rx agnt into rnal tubYCHP3$35.47

50392Insert kidney drainYA216.5657$701.21

50393Insert ureteral tubeYA224.6219"$1,042.22"

50394Injection for kidney x-rayNN1

50395Create passage to kidneyYA224.6219"$1,042.22"

50396Measure kidney pressureYA21.9658$83.21

50398Change kidney tubeYA215.1986$643.34
50551Kidney endoscopyYA26.898$291.99

50553Kidney endoscopyYA224.6219"$1,042.22"

50555Kidney endoscopy & biopsyYA26.898$291.99

50557Kidney endoscopy & treatmentYA224.6219"$1,042.22"

50561Kidney endoscopy & treatmentYA224.6219"$1,042.22"

50562Renal scope w/tumor resectYG26.898$291.99

50570Kidney endoscopyYG26.898$291.99

50572Kidney endoscopyYG26.898$291.99

50574Kidney endoscopy & biopsyYG26.898$291.99

50575Kidney endoscopyYG234.6431"$1,466.41"

50576Kidney endoscopy & treatmentYG216.5657$701.21

50580Kidney endoscopy & treatmentYG216.5657$701.21

50590Fragmenting of kidney stoneYG248.1808"$2,039.45"

50592Perc rf ablate renal tumorYG253.5857"$2,268.23"

50593Perc cryo ablate renal tumYG253.5857"$2,268.23"

50684Injection for ureter x-rayNN1

50686Measure ureter pressureYP21.0965$46.41

50688Change of ureter tube/stentYA215.1986$643.34

50690Injection for ureter x-rayNN1

50727Revise ureterYG218.9297$801.28

50947Laparo new ureter/bladderYA244.7246"$1,893.15"

50948Laparo new ureter/bladderYA244.7246"$1,893.15"

50951Endoscopy of ureterYA26.898$291.99

50953Endoscopy of ureterYA26.898$291.99

50955Ureter endoscopy & biopsyYA224.6219"$1,042.22"

50957Ureter endoscopy & treatmentYA224.6219"$1,042.22"

50961Ureter endoscopy & treatmentYA224.6219"$1,042.22"

50970Ureter endoscopyYA26.898$291.99

50972Ureter endoscopy & catheterYA26.898$291.99

50974Ureter endoscopy & biopsyYA216.5657$701.21

50976Ureter endoscopy & treatmentYA216.5657$701.21

50980Ureter endoscopy & treatmentYA224.6219"$1,042.22"

51020Incise & treat bladderYA224.6219"$1,042.22"

51030Incise & treat bladderYA224.6219"$1,042.22"

51040Incise & drain bladderYA224.6219"$1,042.22"

51045Incise bladder/drain ureterYA26.898$291.99

51050Removal of bladder stoneYA224.6219"$1,042.22"

51065Remove ureter calculusYA224.6219"$1,042.22"

51080Drainage of bladder abscessYA219.2522$814.93

51100Drain bladder by needleYP3$22.53

51101Drain bladder by trocar/cathYP21.0965$46.41

51102Drain bl w/cath insertionYA218.9297$801.28

51500Removal of bladder cystYA230.9069"$1,308.26"

51520Removal of bladder lesionYA224.6219"$1,042.22"

51535Repair of ureter lesionYG224.6219"$1,042.22"

51600Injection for bladder x-rayNN1

51605Preparation for bladder xrayNN1

51610Injection for bladder x-rayNN1

51700Irrigation of bladderYP3$36.42

51701Insert bladder catheterNP20.6316$26.73

51702Insert temp bladder cathNP20.6316$26.73

51703Insert bladder cath complexYP21.0965$46.41

51705Change of bladder tubeYP3$38.34

51710Change of bladder tubeYA25.9217$250.66

51715Endoscopic injection/implantYA230.0914"$1,273.74"

51720Treatment of bladder lesionYP3$38.58

51725Simple cystometrogramYCHP3$85.55

51726Complex cystometrogramYA22.9971$126.86

51727Cystometrogram w/upYP22.9971$126.86

51728Cystometrogram w/vpYP22.9971$126.86

51729Cystometrogram w/vp&upYP22.9971$126.86

51736Urine flow measurementNP3$15.58

51741Electro-uroflowmetry firstYP3$18.21

51784Anal/urinary muscle studyYP21.0965$46.41

51785Anal/urinary muscle studyYA21.9658$83.21

51792Urinary reflex studyYP21.0965$46.41
51797Intraabdominal pressure testYCHP3$57.51

51798Us urine capacity measureNP3$13.42

51880Repair of bladder openingYA224.6219"$1,042.22"

51992Laparo sling operationYA244.7246"$1,893.15"

52000CystoscopyYA26.898$291.99

52001Cystoscopy removal of clotsYA216.5657$701.21

52005Cystoscopy & ureter catheterYA224.6219"$1,042.22"

52007Cystoscopy and biopsyYA224.6219"$1,042.22"

52010Cystoscopy & duct catheterYA26.898$291.99

52204Cystoscopy w/biopsy(s)YA224.6219"$1,042.22"

52214Cystoscopy and treatmentYA224.6219"$1,042.22"

52224Cystoscopy and treatmentYA224.6219"$1,042.22"

52234Cystoscopy and treatmentYA224.6219"$1,042.22"

52235Cystoscopy and treatmentYA224.6219"$1,042.22"

52240Cystoscopy and treatmentYA224.6219"$1,042.22"

52250Cystoscopy and radiotracerYA224.6219"$1,042.22"

52260Cystoscopy and treatmentYA216.5657$701.21

52265Cystoscopy and treatmentYCHP3$193.63

52270Cystoscopy & revise urethraYA216.5657$701.21

52275Cystoscopy & revise urethraYA224.6219"$1,042.22"

52276Cystoscopy and treatmentYA224.6219"$1,042.22"

52277Cystoscopy and treatmentYA224.6219"$1,042.22"

52281Cystoscopy and treatmentYA216.5657$701.21

52282Cystoscopy implant stentYA234.6431"$1,466.41"

52283Cystoscopy and treatmentYA224.6219"$1,042.22"

52285Cystoscopy and treatmentYA216.5657$701.21

52290Cystoscopy and treatmentYA224.6219"$1,042.22"

52300Cystoscopy and treatmentYA224.6219"$1,042.22"

52301Cystoscopy and treatmentYA224.6219"$1,042.22"

52305Cystoscopy and treatmentYA224.6219"$1,042.22"

52310Cystoscopy and treatmentYA216.5657$701.21

52315Cystoscopy and treatmentYA224.6219"$1,042.22"

52317Remove bladder stoneYA224.6219"$1,042.22"

52318Remove bladder stoneYA224.6219"$1,042.22"

52320Cystoscopy and treatmentYA224.6219"$1,042.22"

52325Cystoscopy stone removalYA224.6219"$1,042.22"

52327Cystoscopy inject materialYA234.6431"$1,466.41"

52330Cystoscopy and treatmentYA224.6219"$1,042.22"

52332Cystoscopy and treatmentYA224.6219"$1,042.22"

52334Create passage to kidneyYA224.6219"$1,042.22"

52341Cysto w/ureter stricture txYA224.6219"$1,042.22"

52342Cysto w/up stricture txYA224.6219"$1,042.22"

52343Cysto w/renal stricture txYA224.6219"$1,042.22"

52344Cysto/uretero stricture txYA224.6219"$1,042.22"

52345Cysto/uretero w/up strictureYA224.6219"$1,042.22"

52346Cystouretero w/renal strictYA224.6219"$1,042.22"

52351Cystouretero & or pyeloscopeYA224.6219"$1,042.22"

52352Cystouretero w/stone removeYA224.6219"$1,042.22"

52353Cystouretero w/lithotripsyYA234.6431"$1,466.41"

52354Cystouretero w/biopsyYA224.6219"$1,042.22"

52355Cystouretero w/excise tumorYA224.6219"$1,042.22"

52400Cystouretero w/congen reprYA224.6219"$1,042.22"

52402Cystourethro cut ejacul ductYA224.6219"$1,042.22"

52450Incision of prostateYA224.6219"$1,042.22"

52500Revision of bladder neckYA224.6219"$1,042.22"

52601Prostatectomy (TURP)YA234.6431"$1,466.41"

52630Remove prostate regrowthYA234.6431"$1,466.41"

52640Relieve bladder contractureYA224.6219"$1,042.22"

52647Laser surgery of prostateYA242.989"$1,819.68"

52648Laser surgery of prostateYA242.989"$1,819.68"

52649Prostate laser enucleationYG242.989"$1,819.68"

52700Drainage of prostate abscessYA224.6219"$1,042.22"

53000Incision of urethraYA219.4946$825.19

53010Incision of urethraYA219.4946$825.19

53020Incision of urethraYA219.4946$825.19

53025Incision of urethraYR219.4946$825.19
53040Drainage of urethra abscessYA219.4946$825.19

53060Drainage of urethra abscessYP3$58.23

53080Drainage of urinary leakageYA219.4946$825.19

53085Drainage of urinary leakageYG219.4946$825.19

53200Biopsy of urethraYA219.4946$825.19

53210Removal of urethraYA230.0914"$1,273.74"

53215Removal of urethraYA219.4946$825.19

53220Treatment of urethra lesionYA230.0914"$1,273.74"

53230Removal of urethra lesionYA230.0914"$1,273.74"

53235Removal of urethra lesionYA219.4946$825.19

53240Surgery for urethra pouchYA230.0914"$1,273.74"

53250Removal of urethra glandYA219.4946$825.19

53260Treatment of urethra lesionYA219.4946$825.19

53265Treatment of urethra lesionYA219.4946$825.19

53270Removal of urethra glandYA219.4946$825.19

53275Repair of urethra defectYA219.4946$825.19

53400Revise urethra stage 1YA230.0914"$1,273.74"

53405Revise urethra stage 2YA230.0914"$1,273.74"

53410Reconstruction of urethraYA230.0914"$1,273.74"

53420Reconstruct urethra stage 1YA230.0914"$1,273.74"

53425Reconstruct urethra stage 2YA230.0914"$1,273.74"

53430Reconstruction of urethraYA230.0914"$1,273.74"

53431Reconstruct urethra/bladderYA230.0914"$1,273.74"

53440Male sling procedureNCHJ8141.6995"$5,998.00"

53442Remove/revise male slingYA230.0914"$1,273.74"

53444Insert tandem cuffNCHJ8141.6995"$5,998.00"

53445Insert uro/ves nck sphincterNCHJ8241.3804"$10,217.39"

53446Remove uro sphincterYA230.0914"$1,273.74"

53447Remove/replace ur sphincterNCHJ8241.3804"$10,217.39"

53449Repair uro sphincterYA230.0914"$1,273.74"

53450Revision of urethraYA230.0914"$1,273.74"

53460Revision of urethraYA219.4946$825.19

53502Repair of urethra injuryYA219.4946$825.19

53505Repair of urethra injuryYA230.0914"$1,273.74"

53510Repair of urethra injuryYA219.4946$825.19

53515Repair of urethra injuryYA230.0914"$1,273.74"

53520Repair of urethra defectYA230.0914"$1,273.74"

53600Dilate urethra strictureYP3$27.32

53601Dilate urethra strictureYCHP3$32.11

53605Dilate urethra strictureYA216.5657$701.21

53620Dilate urethra strictureYP3$40.74

53621Dilate urethra strictureYP3$43.13

53660Dilation of urethraYCHP3$31.63

53661Dilation of urethraYCHP3$30.67

53665Dilation of urethraYA219.4946$825.19

53850Prostatic microwave thermotxYCHP3"$1,239.87"

53852Prostatic rf thermotxYCHP3"$1,167.98"

53855Insert prost urethral stentYP21.9658$83.21

53860Transurethral rf treatmentYG218.9297$801.28

54000Slitting of prepuceYA219.4946$825.19

54001Slitting of prepuceYA219.4946$825.19

54015Drain penis lesionYA219.2522$814.93

54050Destruction penis lesion(s)YP20.9172$38.82

54055Destruction penis lesion(s)YP3$50.08

54056Cryosurgery penis lesion(s)YP20.9172$38.82

54057Laser surg penis lesion(s)YA220.6797$875.35

54060Excision of penis lesion(s)YA220.6797$875.35

54065Destruction penis lesion(s)YA220.6797$875.35

54100Biopsy of penisYA216.113$682.05

54105Biopsy of penisYA221.9487$929.07

54110Treatment of penis lesionYA232.2247"$1,364.04"

54111Treat penis lesion graftYA232.2247"$1,364.04"

54112Treat penis lesion graftYA232.2247"$1,364.04"

54115Treatment of penis lesionYA219.2522$814.93

54120Partial removal of penisYA232.2247"$1,364.04"

54150Circumcision w/regionl blockYA222.236$941.23
54160Circumcision neonateYA222.236$941.23

54161Circum 28 days or olderYA222.236$941.23

54162Lysis penil circumic lesionYA222.236$941.23

54163Repair of circumcisionYA222.236$941.23

54164Frenulotomy of penisYA222.236$941.23

54200Treatment of penis lesionYP3$47.45

54205Treatment of penis lesionYA232.2247"$1,364.04"

54220Treatment of penis lesionYA21.9658$83.21

54230Prepare penis studyNN1

54231Dynamic cavernosometryYP3$45.53

54235Penile injectionYP3$32.59

54240Penis studyYP3$24.20

54250Penis studyYP3$7.67

54300Revision of penisYA232.2247"$1,364.04"

54304Revision of penisYA232.2247"$1,364.04"

54308Reconstruction of urethraYA232.2247"$1,364.04"

54312Reconstruction of urethraYA232.2247"$1,364.04"

54316Reconstruction of urethraYA232.2247"$1,364.04"

54318Reconstruction of urethraYA232.2247"$1,364.04"

54322Reconstruction of urethraYA232.2247"$1,364.04"

54324Reconstruction of urethraYA232.2247"$1,364.04"

54326Reconstruction of urethraYA232.2247"$1,364.04"

54328Revise penis/urethraYA232.2247"$1,364.04"

54340Secondary urethral surgeryYA232.2247"$1,364.04"

54344Secondary urethral surgeryYA232.2247"$1,364.04"

54348Secondary urethral surgeryYA232.2247"$1,364.04"

54352Reconstruct urethra/penisYA232.2247"$1,364.04"

54360Penis plastic surgeryYA232.2247"$1,364.04"

54380Repair penisYA232.2247"$1,364.04"

54385Repair penisYA232.2247"$1,364.04"

54400Insert semi-rigid prosthesisNCHJ8141.6995"$5,998.00"

54401Insert self-contd prosthesisNCHJ8241.3804"$10,217.39"

54405Insert multi-comp penis prosNCHJ8241.3804"$10,217.39"

54406Remove muti-comp penis prosYA232.2247"$1,364.04"

54408Repair multi-comp penis prosYA232.2247"$1,364.04"

54410Remove/replace penis prosthNCHJ8241.3804"$10,217.39"

54415Remove self-contd penis prosYA232.2247"$1,364.04"

54416Remv/repl penis contain prosNCHJ8241.3804"$10,217.39"

54420Revision of penisYA232.2247"$1,364.04"

54435Revision of penisYA232.2247"$1,364.04"

54440Repair of penisYA232.2247"$1,364.04"

54450Preputial stretchingYA22.9971$126.86

54500Biopsy of testisYA214.3964$609.39

54505Biopsy of testisYA222.236$941.23

54512Excise lesion testisYA222.236$941.23

54520Removal of testisYA222.236$941.23

54522Orchiectomy partialYA222.236$941.23

54530Removal of testisYA230.9069"$1,308.26"

54550Exploration for testisYA230.9069"$1,308.26"

54560Exploration for testisYG222.236$941.23

54600Reduce testis torsionYA222.236$941.23

54620Suspension of testisYA222.236$941.23

54640Suspension of testisYA230.9069"$1,308.26"

54660Revision of testisYA222.236$941.23

54670Repair testis injuryYA222.236$941.23

54680Relocation of testis(es)YA222.236$941.23

54690Laparoscopy orchiectomyYA244.7246"$1,893.15"

54692Laparoscopy orchiopexyYG266.5906"$2,818.71"

54700Drainage of scrotumYA222.236$941.23

54800Biopsy of epididymisYA24.3075$182.33

54830Remove epididymis lesionYA222.236$941.23

54840Remove epididymis lesionYA222.236$941.23

54860Removal of epididymisYA222.236$941.23

54861Removal of epididymisYA222.236$941.23

54865Explore epididymisYA222.236$941.23

54900Fusion of spermatic ductsYA222.236$941.23
54901Fusion of spermatic ductsYA222.236$941.23

55000Drainage of hydroceleYP3$46.01

55040Removal of hydroceleYA230.9069"$1,308.26"

55041Removal of hydrocelesYA230.9069"$1,308.26"

55060Repair of hydroceleYA222.236$941.23

55100Drainage of scrotum abscessYA212.6328$534.73

55110Explore scrotumYA222.236$941.23

55120Removal of scrotum lesionYA222.236$941.23

55150Removal of scrotumYA222.236$941.23

55175Revision of scrotumYA222.236$941.23

55180Revision of scrotumYA222.236$941.23

55200Incision of sperm ductYA222.236$941.23

55250Removal of sperm duct(s)YA222.236$941.23

55300Prepare sperm duct x-rayNN1

55400Repair of sperm ductYA222.236$941.23

55450Ligation of sperm ductYP3$141.86

55500Removal of hydroceleYA222.236$941.23

55520Removal of sperm cord lesionYA222.236$941.23

55530Revise spermatic cord veinsYA222.236$941.23

55535Revise spermatic cord veinsYA230.9069"$1,308.26"

55540Revise hernia & sperm veinsYA230.9069"$1,308.26"

55550Laparo ligate spermatic veinYA244.7246"$1,893.15"

55600Incise sperm duct pouchYR222.236$941.23

55680Remove sperm pouch lesionYA222.236$941.23

55700Biopsy of prostateYA213.3543$565.27

55705Biopsy of prostateYA213.3543$565.27

55706Prostate saturation samplingYG213.3543$565.27

55720Drainage of prostate abscessYA224.6219"$1,042.22"

55725Drainage of prostate abscessYA224.6219"$1,042.22"

55860Surgical exposure prostateYG218.9297$801.28

55870ElectroejaculationYP3$56.07

55873Cryoablate prostateYCHJ8148.617"$6,290.81"

55875Transperi needle place prosNA234.6431"$1,466.41"

55876Place rt device/marker prosNP3$50.32

55920Place needles pelvic for rtYG224.9768"$1,057.24"

56405I & D of vulva/perineumYP3$36.18

56420Drainage of gland abscessYCHP3$46.97

56440Surgery for vulva lesionYA219.4744$824.33

56441Lysis of labial lesion(s)YA219.4744$824.33

56442HymenotomyYA219.4744$824.33

56501Destroy vulva lesions simYP3$48.89

56515Destroy vulva lesion/s complYA220.6797$875.35

56605Biopsy of vulva/perineumYP3$28.04

56606Biopsy of vulva/perineumYP3$11.50

56620Partial removal of vulvaYA219.4744$824.33

56625Complete removal of vulvaYA219.4744$824.33

56700Partial removal of hymenYA219.4744$824.33

56740Remove vagina gland lesionYA219.4744$824.33

56800Repair of vaginaYA219.4744$824.33

56805Repair clitorisYG219.4744$824.33

56810Repair of perineumYA219.4744$824.33

56820Exam of vulva w/scopeYP3$36.66

56821Exam/biopsy of vulva w/scopeYCHP3$47.21

57000Exploration of vaginaYA219.4744$824.33

57010Drainage of pelvic abscessYA219.4744$824.33

57020Drainage of pelvic fluidYA26.5922$279.04

57022I & d vaginal hematoma ppYR212.6328$534.73

57023I & d vag hematoma non-obYA219.2522$814.93

57061Destroy vag lesions simpleYP3$44.57

57065Destroy vag lesions complexYA219.4744$824.33

57100Biopsy of vaginaYP3$29.24

57105Biopsy of vaginaYA219.4744$824.33

57130Remove vagina lesionYA219.4744$824.33

57135Remove vagina lesionYA219.4744$824.33

57150Treat vagina infectionYP3$17.97

57155Insert uteri tandems/ovoidsYA26.5922$279.04
57156Ins vag brachytx deviceYG23.3856$143.31

57160Insert pessary/other deviceYP3$29.71

57170Fitting of diaphragm/capYP20.1194$5.05

57180Treat vaginal bleedingYA21.509$63.87

57200Repair of vaginaYA219.4744$824.33

57210Repair vagina/perineumYA219.4744$824.33

57220Revision of urethraYA242.7236"$1,808.45"

57230Repair of urethral lesionYA233.6791"$1,425.60"

57240Repair bladder & vaginaYA233.6791"$1,425.60"

57250Repair rectum & vaginaYA233.6791"$1,425.60"

57260Repair of vaginaYA233.6791"$1,425.60"

57265Extensive repair of vaginaYA242.7236"$1,808.45"

57267Insert mesh/pelvic flr addonYA233.6791"$1,425.60"

57268Repair of bowel bulgeYA233.6791"$1,425.60"

57287Revise/remove sling repairYG233.6791"$1,425.60"

57288Repair bladder defectYA242.7236"$1,808.45"

57289Repair bladder & vaginaYA233.6791"$1,425.60"

57291Construction of vaginaYA233.6791"$1,425.60"

57295Revise vag graft via vaginaYG219.4744$824.33

57300Repair rectum-vagina fistulaYA233.6791"$1,425.60"

57320Repair bladder-vagina lesionYG233.6791"$1,425.60"

57400Dilation of vaginaYA219.4744$824.33

57410Pelvic examinationYA219.4744$824.33

57415Remove vaginal foreign bodyYA219.4744$824.33

57420Exam of vagina w/scopeYP3$37.86

57421Exam/biopsy of vag w/scopeYP3$49.36

57426Revise prosth vag graft lapYG219.4744$824.33

57452Exam of cervix w/scopeYP3$35.47

57454Bx/curett of cervix w/scopeYP3$44.33

57455Biopsy of cervix w/scopeYP3$46.25

57456Endocerv curettage w/scopeYP3$44.57

57460Bx of cervix w/scope leepYP3$125.33

57461Conz of cervix w/scope leepYP3$134.44

57500Biopsy of cervixYP3$58.23

57505Endocervical curettageYP3$39.30

57510Cauterization of cervixYP3$40.50

57511Cryocautery of cervixYCHP3$49.13

57513Laser surgery of cervixYA219.4744$824.33

57520Conization of cervixYA219.4744$824.33

57522Conization of cervixYA219.4744$824.33

57530Removal of cervixYA233.6791"$1,425.60"

57550Removal of residual cervixYA233.6791"$1,425.60"

57556Remove cervix repair bowelYA242.7236"$1,808.45"

57558D&c of cervical stumpYA219.4744$824.33

57700Revision of cervixYA219.4744$824.33

57720Revision of cervixYA219.4744$824.33

57800Dilation of cervical canalYP3$21.33

58100Biopsy of uterus liningYP3$35.23

58110Bx done w/colposcopy add-onNN1

58120Dilation and curettageYA219.4744$824.33

58145Myomectomy vag methodYA233.6791"$1,425.60"

58301Remove intrauterine deviceYP3$32.35

58321Artificial inseminationYP3$29.24

58322Artificial inseminationYP3$30.67

58323Sperm washingYP3$5.27

58340Catheter for hysterographyNN1

58345Reopen fallopian tubeYR219.4744$824.33

58346Insert heyman uteri capsuleYA219.4744$824.33

58350Reopen fallopian tubeYA233.6791"$1,425.60"

58353Endometr ablate thermalYA233.6791"$1,425.60"

58356Endometrial cryoablationYP3"$1,200.09"

58545Laparoscopic myomectomyYA236.6358"$1,550.76"

58546Laparo-myomectomy complexYA244.7246"$1,893.15"

58550Laparo-asst vag hysterectomyYA266.5906"$2,818.71"

58552Laparo-vag hyst incl t/oYG244.7246"$1,893.15"

58555Hysteroscopy dx sep procYA221.733$919.94
58558Hysteroscopy biopsyYA221.733$919.94

58559Hysteroscopy lysisYA221.733$919.94

58560Hysteroscopy resect septumYA235.5353"$1,504.17"

58561Hysteroscopy remove myomaYA235.5353"$1,504.17"

58562Hysteroscopy remove fbYA221.733$919.94

58563Hysteroscopy ablationYA235.5353"$1,504.17"

58565Hysteroscopy sterilizationYA242.7236"$1,808.45"

58600Division of fallopian tubeYG233.6791"$1,425.60"

58615Occlude fallopian tube(s)YG219.4744$824.33

58660Laparoscopy lysisYA244.7246"$1,893.15"

58661Laparoscopy remove adnexaYA244.7246"$1,893.15"

58662Laparoscopy excise lesionsYA244.7246"$1,893.15"

58670Laparoscopy tubal cauteryYA244.7246"$1,893.15"

58671Laparoscopy tubal blockYA244.7246"$1,893.15"

58672Laparoscopy fimbrioplastyYA244.7246"$1,893.15"

58673Laparoscopy salpingostomyYA244.7246"$1,893.15"

58800Drainage of ovarian cyst(s)YA219.4744$824.33

58805Drainage of ovarian cyst(s)YG233.6791"$1,425.60"

58820Drain ovary abscess openYA233.6791"$1,425.60"

58900Biopsy of ovary(s)YA219.4744$824.33

58970Retrieval of oocyteYA23.3856$143.31

58974Transfer of embryoYA23.3856$143.31

58976Transfer of embryoYA23.3856$143.31

59000Amniocentesis diagnosticYP3$50.80

59001Amniocentesis therapeuticYR26.5922$279.04

59012Fetal cord puncture prenatalYG23.3856$143.31

59015Chorion biopsyYP3$44.33

59020Fetal contract stress testYP3$23.24

59025Fetal non-stress testYP3$12.70

59070Transabdom amnioinfus w/usYG21.509$63.87

59072Umbilical cord occlud w/usYG23.3856$143.31

59076Fetal shunt placement w/usYG23.3856$143.31

59100Remove uterus lesionYR233.6791"$1,425.60"

59150Treat ectopic pregnancyYG244.7246"$1,893.15"

59151Treat ectopic pregnancyYG244.7246"$1,893.15"

59160D & c after deliveryYA219.4744$824.33

59200Insert cervical dilatorYP3$27.80

59300Episiotomy or vaginal repairYP3$64.22

59320Revision of cervixYA219.4744$824.33

59412Antepartum manipulationYG219.4744$824.33

59414Deliver placentaYG219.4744$824.33

59812Treatment of miscarriageYA219.4744$824.33

59820Care of miscarriageYA219.4744$824.33

59821Treatment of miscarriageYA219.4744$824.33

59840AbortionYA219.4744$824.33

59841AbortionYA219.4744$824.33

59866Abortion (mpr)YG23.3856$143.31

59870Evacuate mole of uterusYA219.4744$824.33

59871Remove cerclage sutureYA219.4744$824.33

60000Drain thyroid/tongue cystYA27.5315$318.80

60100Biopsy of thyroidYP3$36.66

60200Remove thyroid lesionYA248.0198"$2,032.63"

60210Partial thyroid excisionYG248.0198"$2,032.63"

60212Partial thyroid excisionYG248.0198"$2,032.63"

60220Partial removal of thyroidYG248.0198"$2,032.63"

60225Partial removal of thyroidYG248.0198"$2,032.63"

60280Remove thyroid duct lesionYA248.0198"$2,032.63"

60281Remove thyroid duct lesionYA248.0198"$2,032.63"

60300Aspir/inj thyroid cystYP3$53.92

61000Remove cranial cavity fluidYR27.0747$299.46

61001Remove cranial cavity fluidYR27.0747$299.46

61020Remove brain cavity fluidYA27.0747$299.46

61026Injection into brain canalYA27.0747$299.46

61050Remove brain canal fluidYA27.0747$299.46

61055Injection into brain canalYA27.0747$299.46

61070Brain canal shunt procedureYA25.9217$250.66
61215Insert brain-fluid deviceYA239.8529"$1,686.93"

61330Decompress eye socketYG242.299"$1,790.47"

61334Explore orbit/remove objectYG242.299"$1,790.47"

61770Incise skull for treatmentYG235.0613"$1,484.11"

61781Scan proc cranial intraNN1

61782Scan proc cranial extraNN1

61783Scan proc spinalNN1

61790Treat trigeminal nerveYA217.8674$756.31

61791Treat trigeminal tractYA212.0974$512.07

61880Revise/remove neuroelectrodeYG219.4458$823.12

61885Insrt/redo neurostim 1 arrayNCHJ8322.5018"$13,651.18"

61886Implant neurostim arraysNCHJ8443.4685"$18,771.58"

61888Revise/remove neuroreceiverYA229.4193"$1,245.29"

62160Neuroendoscopy add-onNN1

62194Replace/irrigate catheterYA27.0747$299.46

62225Replace/irrigate catheterYA215.1986$643.34

62230Replace/revise brain shuntYA239.8529"$1,686.93"

62252Csf shunt reprogramNP3$30.43

62263Epidural lysis mult sessionsYA212.0974$512.07

62264Epidural lysis on single dayYA212.0974$512.07

62267Interdiscal perq aspir dxYG24.3075$182.33

62268Drain spinal cord cystYA27.0747$299.46

62269Needle biopsy spinal cordYA29.1181$385.96

62270Spinal fluid tap diagnosticYA23.6902$156.20

62272Drain cerebro spinal fluidYA23.6902$156.20

62273Inject epidural patchYA27.0747$299.46

62280Treat spinal cord lesionYA27.0747$299.46

62281Treat spinal cord lesionYA212.0974$512.07

62282Treat spinal canal lesionYA212.0974$512.07

62284Injection for myelogramNN1

62287Percutaneous diskectomyYA235.0613"$1,484.11"

62290Inject for spine disk x-rayNN1

62291Inject for spine disk x-rayNN1

62292Injection into disk lesionYR27.0747$299.46

62294Injection into spinal arteryYA27.0747$299.46

62310Inject spine c/tYA27.0747$299.46

62311Inject spine l/s (cd)YA27.0747$299.46

62318Inject spine w/cath c/tYA27.0747$299.46

62319Inject spine w/cath l/s (cd)YA212.0974$512.07

62350Implant spinal canal cathYA239.8529"$1,686.93"

62355Remove spinal canal catheterYA212.0974$512.07

62360Insert spine infusion deviceYA239.8529"$1,686.93"

62361Implant spine infusion pumpYCHJ8286.3545"$12,121.10"

62362Implant spine infusion pumpYCHJ8286.3545"$12,121.10"

62365Remove spine infusion deviceYA235.0613"$1,484.11"

62367Analyze spine infusion pumpNP3$16.77

62368Analyze spine infusion pumpNP3$23.00

63600Remove spinal cord lesionYA217.8674$756.31

63610Stimulation of spinal cordYA217.8674$756.31

63615Remove lesion of spinal cordYR217.8674$756.31

63650Implant neuroelectrodesNCHJ882.8451"$3,506.75"

63655Implant neuroelectrodesNJ8120.6589"$5,107.37"

63661Remove spine eltrd perq arayYG219.4458$823.12

63662Remove spine eltrd plateYG219.4458$823.12

63663Revise spine eltrd perq arayYCHJ882.8451"$3,506.75"

63664Revise spine eltrd plateYCHJ882.8451"$3,506.75"

63685Insrt/redo spine n generatorNCHJ8322.5018"$13,651.18"

63688Revise/remove neuroreceiverYA229.4193"$1,245.29"

63744Revision of spinal shuntYA239.8529"$1,686.93"

63746Removal of spinal shuntYA212.0974$512.07

64400N block inj trigeminalYP3$51.76

64402N block inj facialYP3$48.65

64405N block inj occipitalYP3$40.98

64408N block inj vagusYP3$36.90

64410N block inj phrenicYA22.5957$109.87

64412N block inj spinal accessorYP3$71.17
64413N block inj cervical plexusYP3$47.93

64415N block inj brachial plexusYA23.6902$156.20

64416N block cont infuse b plexYG27.0747$299.46

64417N block inj axillaryYA23.6902$156.20

64418N block inj suprascapularYP3$62.54

64420N block inj intercost sngYA23.6902$156.20

64421N block inj intercost mltYA27.0747$299.46

64425N block inj ilio-ing/hypogiYP3$47.21

64430N block inj pudendalYA27.0747$299.46

64435N block inj paracervicalYP3$57.99

64445N block inj sciatic sngYP3$55.60

64446N blk inj sciatic cont infYG27.0747$299.46

64447N block inj fem singleYP3$46.73

64448N block inj fem cont infYG27.0747$299.46

64449N block inj lumbar plexusYG27.0747$299.46

64450N block other peripheralYP3$40.98

64455N block inj plantar digitYP3$14.14

64479Inj foramen epidural c/tYA27.0747$299.46

64480Inj foramen epidural add-onYA23.6902$156.20

64483Inj foramen epidural l/sYA27.0747$299.46

64484Inj foramen epidural add-onYA23.6902$156.20

64490Inj paravert f jnt c/t 1 levYG27.0747$299.46

64491Inj paravert f jnt c/t 2 levYG22.5957$109.87

64492Inj paravert f jnt c/t 3 levYG22.5957$109.87

64493Inj paravert f jnt l/s 1 levYG27.0747$299.46

64494Inj paravert f jnt l/s 2 levYG22.5957$109.87

64495Inj paravert f jnt l/s 3 levYG22.5957$109.87

64505N block spenopalatine ganglYP3$35.47

64508N block carotid sinus s/pYP3$22.53

64510N block stellate ganglionYA27.0747$299.46

64517N block inj hypogas plxsYA27.0747$299.46

64520N block lumbar/thoracicYA27.0747$299.46

64530N block inj celiac pelusYA27.0747$299.46

64553Implant neuroelectrodesNCHJ882.8451"$3,506.75"

64555Implant neuroelectrodesNJ882.8451"$3,506.75"

64560Implant neuroelectrodesNJ882.8451"$3,506.75"

64561Implant neuroelectrodesNCHJ882.8451"$3,506.75"

64565Implant neuroelectrodesNJ882.8451"$3,506.75"

64566Neuroeltrd stim post tibialYG22.5957$109.87

64568Inc for vagus n elect implNJ8519.6534"$21,996.41"

64569Revise/repl vagus n eltrdYG219.4458$823.12

64570Remove vagus n eltrdYG235.0613"$1,484.11"

64575Implant neuroelectrodesNCHJ8120.6589"$5,107.37"

64577Implant neuroelectrodesNCHJ8120.6589"$5,107.37"

64580Implant neuroelectrodesNCHJ8120.6589"$5,107.37"

64581Implant neuroelectrodesNCHJ8120.6589"$5,107.37"

64585Revise/remove neuroelectrodeYA219.4458$823.12

64590Insrt/redo pn/gastr stimulNCHJ8322.5018"$13,651.18"

64595Revise/rmv pn/gastr stimulYA229.4193"$1,245.29"

64600Injection treatment of nerveYA212.0974$512.07

64605Injection treatment of nerveYA217.8674$756.31

64610Injection treatment of nerveYA217.8674$756.31

64611Chemodenerv saliv glandsYP3$39.78

64612Destroy nerve face muscleYP3$58.95

64613Destroy nerve neck muscleYP3$54.64

64614Destroy nerve extrem muscYP3$62.31

64620Injection treatment of nerveYA212.0974$512.07

64622Destr paravertebrl nerve l/sYA212.0974$512.07

64623Destr paravertebral n add-onYA27.0747$299.46

64626Destr paravertebrl nerve c/tYA212.0974$512.07

64627Destr paravertebral n add-onYA22.5957$109.87

64630Injection treatment of nerveYA27.0747$299.46

64632N block inj common digitYP3$27.80

64640Injection treatment of nerveYP3$81.48

64650Chemodenerv eccrine glandsYP3$57.03

64653Chemodenerv eccrine glandsYP3$63.26
64680Injection treatment of nerveYA212.0974$512.07

64681Injection treatment of nerveYA212.0974$512.07

64702Revise finger/toe nerveYA217.8674$756.31

64704Revise hand/foot nerveYA217.8674$756.31

64708Revise arm/leg nerveYG217.8674$756.31

64712Revision of sciatic nerveYG217.8674$756.31

64713Revision of arm nerve(s)YG217.8674$756.31

64714Revise low back nerve(s)YG217.8674$756.31

64716Revision of cranial nerveYA217.8674$756.31

64718Revise ulnar nerve at elbowYA217.8674$756.31

64719Revise ulnar nerve at wristYA217.8674$756.31

64721Carpal tunnel surgeryYA217.8674$756.31

64722Relieve pressure on nerve(s)YA217.8674$756.31

64726Release foot/toe nerveYA217.8674$756.31

64727Internal nerve revisionYA217.8674$756.31

64732Incision of brow nerveYA217.8674$756.31

64734Incision of cheek nerveYA217.8674$756.31

64736Incision of chin nerveYA217.8674$756.31

64738Incision of jaw nerveYA217.8674$756.31

64740Incision of tongue nerveYA217.8674$756.31

64742Incision of facial nerveYA217.8674$756.31

64744Incise nerve back of headYA217.8674$756.31

64746Incise diaphragm nerveYA217.8674$756.31

64761Incision of pelvis nerveYG217.8674$756.31

64763Incise hip/thigh nerveYG217.8674$756.31

64766Incise hip/thigh nerveYG235.0613"$1,484.11"

64771Sever cranial nerveYA217.8674$756.31

64772Incision of spinal nerveYA217.8674$756.31

64774Remove skin nerve lesionYA217.8674$756.31

64776Remove digit nerve lesionYA217.8674$756.31

64778Digit nerve surgery add-onYA217.8674$756.31

64782Remove limb nerve lesionYA217.8674$756.31

64783Limb nerve surgery add-onYA217.8674$756.31

64784Remove nerve lesionYA217.8674$756.31

64786Remove sciatic nerve lesionYA235.0613"$1,484.11"

64787Implant nerve endYA217.8674$756.31

64788Remove skin nerve lesionYA217.8674$756.31

64790Removal of nerve lesionYA217.8674$756.31

64792Removal of nerve lesionYA235.0613"$1,484.11"

64795Biopsy of nerveYA217.8674$756.31

64802Remove sympathetic nervesYA217.8674$756.31

64820Remove sympathetic nervesYG217.8674$756.31

64821Remove sympathetic nervesYA227.1987"$1,151.29"

64822Remove sympathetic nervesYG227.1987"$1,151.29"

64823Remove sympathetic nervesYG227.1987"$1,151.29"

64831Repair of digit nerveYA235.0613"$1,484.11"

64832Repair nerve add-onYA235.0613"$1,484.11"

64834Repair of hand or foot nerveYA235.0613"$1,484.11"

64835Repair of hand or foot nerveYA235.0613"$1,484.11"

64836Repair of hand or foot nerveYA235.0613"$1,484.11"

64837Repair nerve add-onYA235.0613"$1,484.11"

64840Repair of leg nerveYA235.0613"$1,484.11"

64856Repair/transpose nerveYA235.0613"$1,484.11"

64857Repair arm/leg nerveYA235.0613"$1,484.11"

64858Repair sciatic nerveYA235.0613"$1,484.11"

64859Nerve surgeryYA235.0613"$1,484.11"

64861Repair of arm nervesYA235.0613"$1,484.11"

64862Repair of low back nervesYA235.0613"$1,484.11"

64864Repair of facial nerveYA235.0613"$1,484.11"

64865Repair of facial nerveYA235.0613"$1,484.11"

64870Fusion of facial/other nerveYA235.0613"$1,484.11"

64872Subsequent repair of nerveYA235.0613"$1,484.11"

64874Repair & revise nerve add-onYA235.0613"$1,484.11"

64876Repair nerve/shorten boneYA235.0613"$1,484.11"

64885Nerve graft head or neckYA235.0613"$1,484.11"

64886Nerve graft head or neckYA235.0613"$1,484.11"
64890Nerve graft hand or footYA235.0613"$1,484.11"

64891Nerve graft hand or footYA235.0613"$1,484.11"

64892Nerve graft arm or legYA235.0613"$1,484.11"

64893Nerve graft arm or legYA235.0613"$1,484.11"

64895Nerve graft hand or footYA235.0613"$1,484.11"

64896Nerve graft hand or footYA235.0613"$1,484.11"

64897Nerve graft arm or legYA235.0613"$1,484.11"

64898Nerve graft arm or legYA235.0613"$1,484.11"

64901Nerve graft add-onYA235.0613"$1,484.11"

64902Nerve graft add-onYA235.0613"$1,484.11"

64905Nerve pedicle transferYA235.0613"$1,484.11"

64907Nerve pedicle transferYA235.0613"$1,484.11"

64910Nerve repair w/allograftYG235.0613"$1,484.11"

65091Revise eyeYA238.3708"$1,624.20"

65093Revise eye with implantYA238.3708"$1,624.20"

65101Removal of eyeYA238.3708"$1,624.20"

65103Remove eye/insert implantYA238.3708"$1,624.20"

65105Remove eye/attach implantYA238.3708"$1,624.20"

65110Removal of eyeYA238.3708"$1,624.20"

65112Remove eye/revise socketYA238.3708"$1,624.20"

65114Remove eye/revise socketYA238.3708"$1,624.20"

65125Revise ocular implantYG225.3533"$1,073.18"

65130Insert ocular implantYA225.3533"$1,073.18"

65135Insert ocular implantYA225.3533"$1,073.18"

65140Attach ocular implantYA238.3708"$1,624.20"

65150Revise ocular implantYA225.3533"$1,073.18"

65155Reinsert ocular implantYA238.3708"$1,624.20"

65175Removal of ocular implantYA219.0333$805.66

65205Remove foreign body from eyeNP3$18.93

65210Remove foreign body from eyeNP3$24.92

65220Remove foreign body from eyeNG21.315$55.66

65222Remove foreign body from eyeNP3$27.08

65235Remove foreign body from eyeYA215.8195$669.62

65260Remove foreign body from eyeYA24.6051$194.93

65265Remove foreign body from eyeYA221.3578$904.05

65270Repair of eye woundYA219.0333$805.66

65272Repair of eye woundYA223.6808"$1,002.38"

65275Repair of eye woundYA223.6808"$1,002.38"

65280Repair of eye woundYA221.3578$904.05

65285Repair of eye woundYA238.7337"$1,639.56"

65286Repair of eye woundYCHP3$303.38

65290Repair of eye socket woundYA223.6997"$1,003.18"

65400Removal of eye lesionYA215.8195$669.62

65410Biopsy of corneaYA215.8195$669.62

65420Removal of eye lesionYA215.8195$669.62

65426Removal of eye lesionYA223.6808"$1,002.38"

65430Corneal smearNCHP3$39.54

65435Curette/treat corneaYP3$30.19

65436Curette/treat corneaYP3$136.35

65450Treatment of corneal lesionNG22.164$91.60

65600Revision of corneaYP3$157.20

65710Corneal transplantYA236.0588"$1,526.33"

65730Corneal transplantYA236.0588"$1,526.33"

65750Corneal transplantYA236.0588"$1,526.33"

65755Corneal transplantYA236.0588"$1,526.33"

65756Corneal trnspl endothelialYG236.0588"$1,526.33"

65757Prep corneal endo allograftNN1

65770Revise cornea with implantYCHJ8166.0519"$7,028.81"

65772Correction of astigmatismYA215.8195$669.62

65775Correction of astigmatismYA215.8195$669.62

65778Cover eye w/membraneYG215.8195$669.62

65779Cover eye w/membrane suture YG215.8195$669.62

65780Ocular reconst transplantYA236.0588"$1,526.33"

65781Ocular reconst transplantYA236.0588"$1,526.33"

65782Ocular reconst transplantYA236.0588"$1,526.33"

65800Drainage of eyeYA27.3589$311.49
65805Drainage of eyeYA223.6808"$1,002.38"

65810Drainage of eyeYA223.6808"$1,002.38"

65815Drainage of eyeYA223.6808"$1,002.38"

65820Relieve inner eye pressureYA223.6808"$1,002.38"

65850Incision of eyeYA223.6808"$1,002.38"

65855Laser surgery of eyeYP3$125.81

65860Incise inner eye adhesionsYP3$116.46

65865Incise inner eye adhesionsYA215.8195$669.62

65870Incise inner eye adhesionsYA223.6808"$1,002.38"

65875Incise inner eye adhesionsYA223.6808"$1,002.38"

65880Incise inner eye adhesionsYA215.8195$669.62

65900Remove eye lesionYA22.7589$116.78

65920Remove implant of eyeYA223.6808"$1,002.38"

65930Remove blood clot from eyeYA223.6808"$1,002.38"

66020Injection treatment of eyeYA215.8195$669.62

66030Injection treatment of eyeYA215.8195$669.62

66130Remove eye lesionYA223.6808"$1,002.38"

66150Glaucoma surgeryYA223.6808"$1,002.38"

66155Glaucoma surgeryYA223.6808"$1,002.38"

66160Glaucoma surgeryYA223.6808"$1,002.38"

66165Glaucoma surgeryYA223.6808"$1,002.38"

66170Glaucoma surgeryYA223.6808"$1,002.38"

66172Incision of eyeYA223.6808"$1,002.38"

66174Translum dil eye canalYA239.1634"$1,657.75"

66175Trnslum dil eye canal w/stntYA239.1634"$1,657.75"

66180Implant eye shuntYA239.1634"$1,657.75"

66185Revise eye shuntYA223.6808"$1,002.38"

66220Repair eye lesionYA238.7337"$1,639.56"

66225Repair/graft eye lesionYA239.1634"$1,657.75"

66250Follow-up surgery of eyeYA215.8195$669.62

66500Incision of irisYA22.7589$116.78

66505Incision of irisYA27.3589$311.49

66600Remove iris and lesionYA223.6808"$1,002.38"

66605Removal of irisYA223.6808"$1,002.38"

66625Removal of irisYA27.3589$311.49

66630Removal of irisYA223.6808"$1,002.38"

66635Removal of irisYA223.6808"$1,002.38"

66680Repair iris & ciliary bodyYA223.6808"$1,002.38"

66682Repair iris & ciliary bodyYA223.6808"$1,002.38"

66700Destruction ciliary bodyYA215.8195$669.62

66710Ciliary transsleral therapyYA215.8195$669.62

66711Ciliary endoscopic ablationYA215.8195$669.62

66720Destruction ciliary bodyYA215.8195$669.62

66740Destruction ciliary bodyYA223.6808"$1,002.38"

66761Revision of irisYP3$133.24

66762Revision of irisYCHP3$181.16

66770Removal of inner eye lesionYCHP3$196.74

66820Incision secondary cataractYG27.3589$311.49

66821After cataract laser surgeryYA25.2302$221.39

66825Reposition intraocular lensYA223.6808"$1,002.38"

66830Removal of lens lesionYA27.3589$311.49

66840Removal of lens materialYA214.3197$606.14

66850Removal of lens materialYA228.8511"$1,221.24"

66852Removal of lens materialYA228.8511"$1,221.24"

66920Extraction of lensYA228.8511"$1,221.24"

66930Extraction of lensYA228.8511"$1,221.24"

66940Extraction of lensYA214.3197$606.14

66982Cataract surgery complexYA222.51$952.83

66983Cataract surg w/iol 1 stageYA222.51$952.83

66984Cataract surg w/iol 1 stageYA222.51$952.83

66985Insert lens prosthesisYA222.51$952.83

66986Exchange lens prosthesisYA222.51$952.83

66990Ophthalmic endoscope add-onNN1

67005Partial removal of eye fluidYA221.3578$904.05

67010Partial removal of eye fluidYA238.7337"$1,639.56"

67015Release of eye fluidYA238.7337"$1,639.56"
67025Replace eye fluidYA238.7337"$1,639.56"

67027Implant eye drug systemYA238.7337"$1,639.56"

67028Injection eye drugYP3$41.94

67030Incise inner eye strandsYA221.3578$904.05

67031Laser surgery eye strandsYA25.2302$221.39

67036Removal of inner eye fluidYA238.7337"$1,639.56"

67039Laser treatment of retinaYA238.7337"$1,639.56"

67040Laser treatment of retinaYA238.7337"$1,639.56"

67041Vit for macular puckerYG238.7337"$1,639.56"

67042Vit for macular holeYG238.7337"$1,639.56"

67043Vit for membrane dissectYG238.7337"$1,639.56"

67101Repair detached retinaYP3$300.50

67105Repair detached retinaYP25.2302$221.39

67107Repair detached retinaYA238.7337"$1,639.56"

67108Repair detached retinaYA238.7337"$1,639.56"

67110Repair detached retinaYP3$320.63

67112Rerepair detached retinaYA238.7337"$1,639.56"

67113Repair retinal detach cplxYG238.7337"$1,639.56"

67115Release encircling materialYA221.3578$904.05

67120Remove eye implant materialYA221.3578$904.05

67121Remove eye implant materialYA238.7337"$1,639.56"

67141Treatment of retinaYA24.6051$194.93

67145Treatment of retinaYCHP3$191.95

67208Treatment of retinal lesionYP24.6051$194.93

67210Treatment of retinal lesionYCHP3$220.70

67218Treatment of retinal lesionYA221.3578$904.05

67220Treatment of choroid lesionYP24.6051$194.93

67221Ocular photodynamic therYP3$106.40

67225Eye photodynamic ther add-onYP3$8.15

67227Treatment of retinal lesionYA221.3578$904.05

67228Treatment of retinal lesionYP25.2302$221.39

67229*Tr retinal les preterm infYR25.2302$221.39

67250Reinforce eye wallYA219.0333$805.66

67255Reinforce/graft eye wallYA221.3578$904.05

67311Revise eye muscleYA223.6997"$1,003.18"

67312Revise two eye musclesYA223.6997"$1,003.18"

67314Revise eye muscleYA223.6997"$1,003.18"

67316Revise two eye musclesYA223.6997"$1,003.18"

67318Revise eye muscle(s)YA223.6997"$1,003.18"

67320Revise eye muscle(s) add-onYA223.6997"$1,003.18"

67331Eye surgery follow-up add-onYA223.6997"$1,003.18"

67332Rerevise eye muscles add-onYA223.6997"$1,003.18"

67334Revise eye muscle w/sutureYA223.6997"$1,003.18"

67335Eye suture during surgeryYA223.6997"$1,003.18"

67340Revise eye muscle add-onYA223.6997"$1,003.18"

67343Release eye tissueYA223.6997"$1,003.18"

67345Destroy nerve of eye muscleYP3$81.00

67346Biopsy eye muscleYA214.635$619.48

67400Explore/biopsy eye socketYA219.0333$805.66

67405Explore/drain eye socketYA225.3533"$1,073.18"

67412Explore/treat eye socketYA219.0333$805.66

67413Explore/treat eye socketYA225.3533"$1,073.18"

67414Explr/decompress eye socketYG238.3708"$1,624.20"

67415Aspiration orbital contentsYA219.0333$805.66

67420Explore/treat eye socketYA238.3708"$1,624.20"

67430Explore/treat eye socketYA238.3708"$1,624.20"

67440Explore/drain eye socketYA238.3708"$1,624.20"

67445Explr/decompress eye socketYA238.3708"$1,624.20"

67450Explore/biopsy eye socketYA238.3708"$1,624.20"

67500Inject/treat eye socketNG22.164$91.60

67505Inject/treat eye socketYP3$27.08

67515Inject/treat eye socketYP3$28.76

67550Insert eye socket implantYA238.3708"$1,624.20"

67560Revise eye socket implantYA225.3533"$1,073.18"

67570Decompress optic nerveYA238.3708"$1,624.20"

67700Drainage of eyelid abscessYP23.1191$132.03
67710Incision of eyelidYP3$123.65

67715Incision of eyelid foldYA219.0333$805.66

67800Remove eyelid lesionYP3$49.36

67801Remove eyelid lesionsYP3$59.91

67805Remove eyelid lesionsYP3$77.40

67808Remove eyelid lesion(s)YA219.0333$805.66

67810Biopsy of eyelidYCHP3$110.47

67820Revise eyelashesNP3$15.82

67825Revise eyelashesYP3$49.60

67830Revise eyelashesYA27.788$329.66

67835Revise eyelashesYA219.0333$805.66

67840Remove eyelid lesionYP3$132.52

67850Treat eyelid lesionYP3$102.80

67875Closure of eyelid by sutureYG27.788$329.66

67880Revision of eyelidYA215.8195$669.62

67882Revision of eyelidYA219.0333$805.66

67900Repair brow defectYA225.3533"$1,073.18"

67901Repair eyelid defectYA219.0333$805.66

67902Repair eyelid defectYA225.3533"$1,073.18"

67903Repair eyelid defectYA219.0333$805.66

67904Repair eyelid defectYA219.0333$805.66

67906Repair eyelid defectYA219.0333$805.66

67908Repair eyelid defectYA219.0333$805.66

67909Revise eyelid defectYA219.0333$805.66

67911Revise eyelid defectYA219.0333$805.66

67912Correction eyelid w/implantYA219.0333$805.66

67914Repair eyelid defectYA219.0333$805.66

67915Repair eyelid defectYP3$150.73

67916Repair eyelid defectYA219.0333$805.66

67917Repair eyelid defectYA219.0333$805.66

67921Repair eyelid defectYA219.0333$805.66

67922Repair eyelid defectYP3$146.18

67923Repair eyelid defectYA219.0333$805.66

67924Repair eyelid defectYA219.0333$805.66

67930Repair eyelid woundYP3$152.89

67935Repair eyelid woundYA219.0333$805.66

67938Remove eyelid foreign bodyNP22.164$91.60

67950Revision of eyelidYA219.0333$805.66

67961Revision of eyelidYA219.0333$805.66

67966Revision of eyelidYA219.0333$805.66

67971Reconstruction of eyelidYA219.0333$805.66

67973Reconstruction of eyelidYA225.3533"$1,073.18"

67974Reconstruction of eyelidYA219.0333$805.66

67975Reconstruction of eyelidYA219.0333$805.66

68020Incise/drain eyelid liningYP3$44.09

68040Treatment of eyelid lesionsNP3$21.81

68100Biopsy of eyelid liningYP3$79.80

68110Remove eyelid lining lesionYP3$105.20

68115Remove eyelid lining lesionYA219.0333$805.66

68130Remove eyelid lining lesionYA215.8195$669.62

68135Remove eyelid lining lesionYP3$56.79

68200Treat eyelid by injectionNP3$16.06

68320Revise/graft eyelid liningYA225.3533"$1,073.18"

68325Revise/graft eyelid liningYA225.3533"$1,073.18"

68326Revise/graft eyelid liningYA219.0333$805.66

68328Revise/graft eyelid liningYA225.3533"$1,073.18"

68330Revise eyelid liningYA223.6808"$1,002.38"

68335Revise/graft eyelid liningYA225.3533"$1,073.18"

68340Separate eyelid adhesionsYA219.0333$805.66

68360Revise eyelid liningYA223.6808"$1,002.38"

68362Revise eyelid liningYA223.6808"$1,002.38"

68371Harvest eye tissue alograftYA223.6808"$1,002.38"

68400Incise/drain tear glandYP23.1191$132.03

68420Incise/drain tear sacYP3$155.52

68440Incise tear duct openingYP3$44.33

68500Removal of tear glandYA225.3533"$1,073.18"
68505Partial removal tear glandYA225.3533"$1,073.18"

68510Biopsy of tear glandYA219.0333$805.66

68520Removal of tear sacYA225.3533"$1,073.18"

68525Biopsy of tear sacYA219.0333$805.66

68530Clearance of tear ductYP23.1191$132.03

68540Remove tear gland lesionYA219.0333$805.66

68550Remove tear gland lesionYA225.3533"$1,073.18"

68700Repair tear ductsYA219.0333$805.66

68705Revise tear duct openingYCHP3$104.96

68720Create tear sac drainYA225.3533"$1,073.18"

68745Create tear duct drainYA225.3533"$1,073.18"

68750Create tear duct drainYA225.3533"$1,073.18"

68760Close tear duct openingYP3$89.62

68761Close tear duct openingYP3$63.26

68770Close tear system fistulaYA225.3533"$1,073.18"

68801Dilate tear duct openingNP21.315$55.66

68810Probe nasolacrimal ductYA23.1191$132.03

68811Probe nasolacrimal ductYA219.0333$805.66

68815Probe nasolacrimal ductYA219.0333$805.66

68816Probe nl duct w/balloonYG219.0333$805.66

68840Explore/irrigate tear ductsNP3$52.24

68850Injection for tear sac x-rayNN1

69000Drain external ear lesionYP21.3573$57.45

69005Drain external ear lesionYP3$94.66

69020Drain outer ear canal lesionYP21.3573$57.45

69100Biopsy of external earYP3$50.08

69105Biopsy of external ear canalYP3$78.60

69110Remove external ear partialYA216.113$682.05

69120Removal of external earYA223.5618$997.35

69140Remove ear canal lesion(s)YA223.5618$997.35

69145Remove ear canal lesion(s)YA216.113$682.05

69150Extensive ear canal surgeryYA27.5315$318.80

69200Clear outer ear canalNP20.6316$26.73

69205Clear outer ear canalYA221.9487$929.07

69210Remove impacted ear waxNCHP3$19.65

69220Clean out mastoid cavityYP20.9172$38.82

69222Clean out mastoid cavityYP3$120.06

69300Revise external earYA223.5618$997.35

69310Rebuild outer ear canalYA242.299"$1,790.47"

69320Rebuild outer ear canalYA242.299"$1,790.47"

69400Inflate middle ear canalYP3$83.39

69401Inflate middle ear canalYP3$45.53

69405Catheterize middle ear canalYP3$115.02

69420Incision of eardrumYCHP3$101.13

69421Incision of eardrumYA215.8572$671.22

69424Remove ventilating tubeYP3$70.45

69433Create eardrum openingYP3$101.37

69436Create eardrum openingYA215.8572$671.22

69440Exploration of middle earYA223.5618$997.35

69450Eardrum revisionYA242.299"$1,790.47"

69501MastoidectomyYA242.299"$1,790.47"

69502MastoidectomyYA223.5618$997.35

69505Remove mastoid structuresYA242.299"$1,790.47"

69511Extensive mastoid surgeryYA242.299"$1,790.47"

69530Extensive mastoid surgeryYA242.299"$1,790.47"

69540Remove ear lesionYP3$117.66

69550Remove ear lesionYA242.299"$1,790.47"

69552Remove ear lesionYA242.299"$1,790.47"

69601Mastoid surgery revisionYA242.299"$1,790.47"

69602Mastoid surgery revisionYA242.299"$1,790.47"

69603Mastoid surgery revisionYA242.299"$1,790.47"

69604Mastoid surgery revisionYA242.299"$1,790.47"

69605Mastoid surgery revisionYA242.299"$1,790.47"

69610Repair of eardrumYP3$156.72

69620Repair of eardrumYA223.5618$997.35

69631Repair eardrum structuresYA242.299"$1,790.47"
69632Rebuild eardrum structuresYA242.299"$1,790.47"

69633Rebuild eardrum structuresYA242.299"$1,790.47"

69635Repair eardrum structuresYA242.299"$1,790.47"

69636Rebuild eardrum structuresYA242.299"$1,790.47"

69637Rebuild eardrum structuresYA242.299"$1,790.47"

69641Revise middle ear & mastoidYA242.299"$1,790.47"

69642Revise middle ear & mastoidYA242.299"$1,790.47"

69643Revise middle ear & mastoidYA242.299"$1,790.47"

69644Revise middle ear & mastoidYA242.299"$1,790.47"

69645Revise middle ear & mastoidYA242.299"$1,790.47"

69646Revise middle ear & mastoidYA242.299"$1,790.47"

69650Release middle ear boneYA223.5618$997.35

69660Revise middle ear boneYA242.299"$1,790.47"

69661Revise middle ear boneYA242.299"$1,790.47"

69662Revise middle ear boneYA242.299"$1,790.47"

69666Repair middle ear structuresYA242.299"$1,790.47"

69667Repair middle ear structuresYA242.299"$1,790.47"

69670Remove mastoid air cellsYA242.299"$1,790.47"

69676Remove middle ear nerveYA242.299"$1,790.47"

69700Close mastoid fistulaYA242.299"$1,790.47"

69711Remove/repair hearing aidYA242.299"$1,790.47"

69714Implant temple bone w/stimulYCHJ8177.1433"$7,498.30"

69715Temple bne implnt w/stimulatYCHJ8177.1433"$7,498.30"

69717Temple bone implant revisionYCHJ8177.1433"$7,498.30"

69718Revise temple bone implantYCHJ8177.1433"$7,498.30"

69720Release facial nerveYA242.299"$1,790.47"

69740Repair facial nerveYA242.299"$1,790.47"

69745Repair facial nerveYA242.299"$1,790.47"

69801Incise inner earYCHP3$86.51

69802Incise inner earYG223.5618$997.35

69805Explore inner earYA242.299"$1,790.47"

69806Explore inner earYA242.299"$1,790.47"

69820Establish inner ear windowYA242.299"$1,790.47"

69840Revise inner ear windowYA242.299"$1,790.47"

69905Remove inner earYA242.299"$1,790.47"

69910Remove inner ear & mastoidYA242.299"$1,790.47"

69915Incise inner ear nerveYA242.299"$1,790.47"

69930Implant cochlear deviceYCHJ8600.6346"$25,424.26"

69990Microsurgery add-onNN1

C9716Radiofrequency energy to anuYG230.9056"$1,308.20"

C9724EPS gast cardia plicYG223.8908"$1,011.27"

C9725Place endorectal appYG25.7224$242.22

C9726Rxt breast appl place/removYG224.2182"$1,025.13"

C9727Insert palate implantsYG27.5315$318.80

C9728"Place device/marker, non pro"NR212.4155$525.54

C9800*Dermal filler inj px/supplYR24.8714$206.20

G0104**CA screen;flexi sigmoidscopeNP3$73.33

G0105**Colorectal scrn; hi risk indYA27.7959$329.99

G0121**Colon ca scrn not hi rsk indYA27.7959$329.99

G0127Trim nail(s)YP3$11.26

G0186"Dstry eye lesn,fdr vssl tech"YR24.6051$194.93

G0247Routine footcare pt w lopsYCHP3$37.14

G0259Inject for sacroiliac jointNN1

G0260Inj for sacroiliac jt anesthYA27.0747$299.46

G0268Removal of impacted wax mdNN1

G0269Occlusive device in vein artNN1

G0289"Arthro, loose body + chondro"NN1

G0364Bone marrow aspirate &biopsyNP3$4.31

NOTE 1: The Medicare program payment is 80 percent of the total payment amount and 

beneficiary coinsurance is 20 percent of the total payment amount. Sections 4104 and 

10406 of the Affordable Care Act (ACA) waive coinsurance and the Part B deductible for 

most preventive services. These preventive services are identified with a double 
asterisk (**).

"NOTE 2: Proposed payment indicators for ""office-based"" procedures (P2, P3) are based 

on a comparison of the proposed rates according to the ASC standard ratesetting 

methodology and the MPFS proposed rates. Under current law, the MPFS payment rates will 

have a negative update for CY 2012. For a discussion of those rates, we refer readers to 

the CY 2012 MPFS proposed rule."

"*: Asterisked codes(*) indicate that the procedure?s ""office-based"" designation is 

temporary because we have insufficient claims data. We will reconsider this designation 

when new claims data become available."