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 Department of Health and Human Services Centers for Medicare & Medicaid Services 42 CFR Parts 409, 410, 411, 413, 414, 415, 418, 423, 424, 482, 484, and 485
[CMS-1385-CN2]
RIN 0938-A065
 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
 ACTION: Correction Notice of Final Rule with Comment Period.
 SUMMARY: This correction notice corrects several technical and typographical errors in the final rule with comment period that appeared in the November 27, 2007 
                            **Federal Register**
                             (72 FR 66222).  The final rule with comment period addressed Medicare Part B payment policy, including the physician fee schedule (PFS) that is applicable for calendar year (CY) 2008; the competitive acquisition program (CAP); clinical lab fee schedule issues; performance standards for diagnostic testing facilities; conforming and clarifying changes for comprehensive outpatient rehabilitation facilities (CORFs); physician self-referral issues; and standards and requirements related to therapy services under Medicare Parts A and B.  The final rule with comment period also updated the list of services subject to the physician self-referral prohibitions.
 Effective Date: This correction notice is effective January 1, 2008.
 FOR FURTHER INFORMATION CONTACT: Diane Milstead, (410) 786-3355.


SUPPLEMENTARY INFORMATION: I. Background In FR Doc. 07-5506 of November 27, 2007 (72 FR 66222) (hereinafter referred to as the CY 2008 PFS final rule with comment period), there were a number of technical and typographical errors that are identified and corrected in the Correction of Errors section of this notice. The provisions of this notice are effective as if they had been included in the CY 2008 PFS final rule with comment period. Accordingly, the corrections are effective January 1, 2008. II. Summary of Errors A. Errors in the Preamble On page 66276, the third column, the third paragraph, lines are 10 through 13, the sentence “It is not unusual for us to provide for discretionary reopening or reconsideration of final agency action” is deleted because the sentence was inadvertently repeated. On page 66392, Table 40, Impact of Final Rule with Comment Period and Estimated Physician Update on 2008 Payment for Selected Procedures, the columns for 2008 payment amount and the percent change for both facility and non-facility are corrected due to a methodological error. B. Errors in the Addenda On pages 66410 through 66543, Addendum B, Relative Value Units and Related Information Used in Determining Medicare Payments for 2008, incorrect PE RVUs were listed for many CPT codes due to a methodological error.  Therefore, for the convenience of health care providers and the public, we are republishing Addendum B in its entirety.  In addition, the work RVUs are corrected for CPT code 67113 and the status indicator, work RVUs, and malpractice RVUs are corrected for CPT code 93503 in this revised addendum. On pages 66543 through 66545, Addendum C, Codes with Interim RVUs, incorrect PE RVUs were listed for many CPT codes due to a methodological error.  Therefore, for the convenience of health care providers and the public, we are republishing Addendum C in its entirety. On pages 66545 through 66546, Addendum D, 2008 Geographic Adjustment Factors (GAFs), we identified errors in the data used to calculate the GAFs, and therefore, we are republishing Addendum D in its entirety. On pages 66546 through 66547, Addendum E, 2008 * * * Geographic Practice Cost Indices by State and Medicare Locality, we identified errors in the data used to calculate the Geographic Practice Cost Indices (GPCIs), and therefore, we are republishing Addendum E in its entirety. On pages 66575 through 66578, Addendum I, List of CPT 1
                        /HCPCS Codes Used to Describe Certain Designated Health Service Categories 2
                         Under Section 1877 of the Social Security Act, Correction to Addendum I, we incorrectly included CPT code 0147T and its short descriptor within the short descriptor for CPT code 0146T, and CPT code 71015 and its short descriptor within the short descriptor for CPT code 71010.  Therefore, we are republishing the entries for CPT 0146T, 0147T, 71010, and 71015 on separate lines.  We are removing CPT codes 75558, 75560, 75562, and 75564 because these codes are considered non-covered services and were incorrectly included on the Code List.  We are removing HCPCS code C2637 because it is paid for as part of an ASC service and should not have been included on the Code List.  (We note that when provided in an inpatient or outpatient hospital setting, this source 
                        *is*
                         considered to be a Designated Health Service.)  In addition, the short descriptor for the HCPCS code G0103 was incorrect, and therefore, we are revising. Also, we omitted CPT code 76801 and we are adding it to Addendum I. III. Correction of Errors A. Corrections to the Preamble 1. On page 66226, 3rd column, 4th paragraph, lines 5 through 7, the phrase “we are applying a separate budget neutrality (BN) adjustor” is corrected to read “we applied a separate budget neutrality (BN) adjustor”. 2. On page 66227, at the top of the 1st column, the formula “Payment = [(RVU work × budget neutrality adjustor × work GPCI) + (RVU PE × PE GPCI) + (MP RVU × MP GPCI)] × CF” is corrected to read “Payment = [(RVU work × budget neutrality adjustor (round product to two decimal places) × GPCI work) + (RVU PE × GPCI PE) + (RVU malpractice × GPCI malpractice)] × CF”. 3. On page 66241, in Table 4, Practice Expense Supply Item Additions for CY 2008, the 8th row, with the supply description “fee, image analysis” is corrected by deleting this row. 4. On page 66242, in Table 5, Practice Expense Equipment Item Additions for CY 2008, a. In the 2nd row, in the 5th column, CPT codes “7557” and “7558” are corrected to read “75557” and “75558”. b. In the 5th row, the equipment description “Camera, ocular photoscreening, w-laptop and software” is corrected by deleting this row. 5. On page 66253, in the 2nd column, following the 2nd full paragraph, 2nd bullet, line 1, the term “angioscopy” is corrected to read “angiography”. 6. On page 66254, a. First column, after the 1st full paragraph, the title of item 2, lines 3 and 4, the phrase “(CPT codes 17311 Through 17315)” is corrected to read “(CPT codes 17311 and 17313)”.
                        ( print page 2569) b.  Second column, the 2nd full paragraph, (1)  Line 6, the phrase “17311 through 17315” is corrected to read “17311 and 17313”. (2)  Line 11, following the phrase “created in 2007.” insert the sentence “(
                        **Note:**
                         CPT codes 17312, 17314, and 17315 are not subject to the multiple surgery payment reduction because they are add-on codes.)” 7. On page 66262, 3rd column, 3rd full paragraph, lines 32 through 35, the Web site reference to “
                        *http://www.cmsm.hhs.gov/​CompetitiveAcquisforBios/​15_​_​_​_​Approved_​_​_​_​Vendor.asp#TopOfPage”*
                         is corrected to read “
                        *http://www.cms.hhs.gov/​CompetitiveAcquisforBios/​15_​_​_​_​Approved_​_​_​_​Vendor.asp#TopOfPage*.” 8. On page 66263, 1st column, 1st partial paragraph, lines 20 and 21, the Web site reference to “
                        *http://www.cms.hhs.gov/​manuals/​downloads/​pim83co2pdf*
                        ” is corrected to read “
                        *http://www.cms.hhs.gov/​Manuals/​01_​Overview.asp*.” 9. On page 66268, 1st column, the last paragraph, line 1, the phrase “section 1847B((b)(4)(E)” is corrected to read “section 1847B(b)(4)(E)”. 10. On page 66270, 2nd column, 1st full paragraph, line 1, the phrase “commercially-available” is corrected to read “commercially available”. 11. On page 66273, 3rd column, 1st full paragraph, lines 14 and 15, the Web site reference to “
                        *http://www.grants.nih.gov/​grants/​guide/​rfa-files/​FRA-HS-06-001.html*
                        ” is corrected to read “
                        *http://www.grants.nih.gov/​grants/​guide/​rfa-files/​RFA-HS-06-001.html*.” 12. On page 66276, 3rd column, 3rd full paragraph, lines 10 through 13, the sentence “It is not unusual for us to provide for discretionary reopening or reconsideration of final agency action” is corrected by deleting the sentence. 13. On page 66285, 3rd column, 1st partial paragraph, line 3, the term “Administrator” is corrected to “Administrative”. 14. On page 66287, 1st column, 5th full paragraph, line 6, the phrase “by noting that term” is corrected to read “by noting that the term”. 15. On page 66291, 1st column, 2nd paragraph, line 14, the phrase “procedure to another Medicare-enrolled” is corrected to read “procedure from another Medicare-enrolled”. 16. On page 66292, 3rd column, 2nd paragraph, a. Line 6, the phrase “a fixed-base IDTF does not-” is corrected to read “a fixed-base IDTF is prohibited from—”. b. Line 7 (1st bullet), the term “Share” is corrected to read “Sharing.” c. Line 10 (2nd bullet), the phrase “Lease or sublease” is corrected to read “Leasing or subleasing.” d. Line 14 (3rd bullet), the term “Share” is corrected to read “Sharing.” 17. On page 66301, 3rd column, 1st partial paragraph, lines 3 and 4, the phrase “and should not be referring” is corrected to read “and should not be understood to refer”. 18. In Table 16, “AMA RUC and HCPAC Recommendations and CMS' Decisions for New and Revised 2008 CPT Codes”, in the second column labeled “Mod”, the “26” following CPT code 93503 is removed. 19. On page 66372, 3rd column, 1st partial paragraph, line 1, the reference to “Addendum x” is corrected to read “Addendum I.” 20. On pages 66372 and 66373, Table 19, Additions to the Physician Self-Referral List of CPT/HCPCS Codes, the table is corrected by— a. Deleting the following entries: (1) Under the heading “Radiology and Certain Other Imaging Services”, **Radiology and Certain Other Imaging Services**75558
Cardiac mri flow/velocity.75560
Cardiac mri flow/vel/stress.75562
Card mri flow/vel w/dye.75564
Ht mri w/flow/vel/strs & dye.
 (2). Under the heading “Radiation Therapy Services and Supplies”, **Radiation Therapy Services and Supplies**C2637
Brachytx, Ytterbium-169
 b.  Correcting the following entries: C1716
Brachytx, non-str, Gold-198.C1717
Brachytx, non-str, HDR Ir-192.C1719
Brachytx, NS, Non-HDRIr-192.C2616
Brachytx, non-str, Yttrium-90.C2634
Brachytx, non-str, HA, I-125.C2635
Brachytx, non-str, HA, P-103.C2636
Brachy linear, non-str, P-103.C2640
Brachytx, stranded, P-103.C2641
Brachytx, non-stranded, P-103.
 21. On page 66383, Table 35, Calculation for the 2008 Anesthesia Conversion Factor, a. Third row (2007 Combined Adjustment for PE and BN), 2nd column, the figure “0.9089” is corrected to read “0.911”. b. Fourth row (CY 2007 Pre-TRHCA Anesthesia Conversion Factor), 2nd column, the figure “$15.3328” is corrected to read “$15.3682”. c. Seventh row (CY 2008 Anesthesia CF after MEI and 2008 Adjustment Factor), 2nd column, the figure “$14.5162” is corrected to read “$14.5497”. d. Eighth row (2008 Combined Adjustment for PE and BN), 2nd column, the figure “1.1250” is corrected to read “1.2277”. e. Ninth row (CY 2008 Anesthesia Conversion Factor), 2nd column, the figure “16.3307” is corrected to read “$17.8627”. 22. On page 66391, Table 39, Combined CY 2008 Total Allowed Charge Impact for the Remaining 5-Year Review of Work RVUs and Practice Expense Changes, OPPS Imagining Cap, and the CY 2008 Update, the 1st footnote “*PE changes are CY 2008 second year transition changes.  For fully implemented CY 2010 PE changes see Table 1.” is corrected to read “*PE changes are CY 2008 second year transition changes.  For fully implemented CY 2010 PE changes see Table 38.” 23. On page 66392, Table 40, Impact of Final Rule with Comment Period and Estimated Physician Update on 2008 Payment for Selected Procedures, the columns for 2008 payment amount and the percent change are corrected to read as follows: Table 40.—Impact of Final Rule With Comment Period and Physician Update on 2008 Payment for Selected Procedures
CPT/HCPCS
MOD
Description
Facility
Non-facility2007
2008
Percent
                                 change
2007
2008
Percent 
                                 change11721

Debride nail, 6 or more
$28.80
$24.53
−15
$39.03
$35.43
−917000

Destruct premalg lesion
44.72
41.56
−7
63.29
60.30
−527130

Total hip arthroplasty
1,360.52
1,195.11
−12
na
na
na27244

Treat thigh fracture
1,100.92
963.45
−12
na
na
na( print page 2570)27447

Total knee arthroplasty
1,464.74
1,283.69
−12
na
na
na33533

CABG, arterial, single
1,908.52
1,659.12
−13
na
na
na35301

Rechanneling of artery
1,071.74
934.83
−13
na
na
na43239

Upper GI endoscopy, biopsy
155.00
140.36
−9
325.16
294.35
−966821

After cataract laser surgery
253.53
223.15
−12
270.97
238.14
−1266984

Cataract surg w/iol, 1 stage
641.98
560.08
−13
na
na
na67210

Treatment of retinal lesion
556.34
488.20
−12
580.59
507.96
−1371010

Chest x-ray
na
na
na
26.15
22.83
−1371010
26
Chest x-ray
8.72
7.84
−10
8.72
7.84
−1077056

Mammogram, both breasts
na
na
na
97.40
93.69
−477056
26
Mammogram, both breasts
41.31
37.48
−9
41.31
37.48
−977057

Mammogram, screening
na
na
na
81.86
73.93
−1077057
26
Mammogram, screening
33.35
30.32
−9
33.35
30.32
−977427

Radiation tx management, x5
176.22
158.42
−10
176.22
158.42
−1078465
26
Heart image (3d), multiple
73.14
66.43
−9
73.14
66.43
−988305
26
Tissue exam by pathologist
37.90
32.36
−15
37.90
32.36
−1590801

Psy dx interview
129.99
112.08
−14
145.15
131.50
−990862

Medication management
44.72
39.18
−12
50.40
46.67
−790935

Hemodialysis, one evaluation
67.46
58.26
−14
na
na
na92012

Eye exam established pat
34.11
38.50
13
61.77
62.69
192014

Eye exam & treatment
55.71
59.28
6
91.33
90.96
092980

Insert intracoronary stent
795.85
721.22
−9
na
na
na93000

Electrocardiogram, complete
24.63
20.78
−16
24.63
20.78
−1693010

Electrocardiogram report
8.34
7.50
−10
8.34
7.50
−1093015

Cardiovascular stress test
104.22
93.01
−11
104.22
93.01
−1193307
26
Echo exam of heart
46.99
42.24
−10
46.99
42.24
−1093510
26
Left heart catheterization
242.92
215.65
−11
242.92
215.65
−1198941

Chiropractic manipulation
28.80
25.55
−11
33.35
29.64
−1199203

Office/outpatient visit, new
67.08
58.60
−13
91.71
81.42
−1199213

Office/outpatient visit, est
42.07
37.48
−11
59.50
53.49
−1099214

Office/outpatient visit, est
66.32
58.60
−12
90.20
80.40
−1199222

Initial hospital care
119.00
104.59
−12
na
na
na99223

Initial hospital care
173.57
153.65
−11
na
na
na99231

Subsequent hospital care
35.62
31.68
−11
na
na
na99232

Subsequent hospital care
63.67
56.55
−11
na
na
na99233

Subsequent hospital care
90.95
81.08
−11
na
na
na99236

Observ/hosp same date
205.40
179.20
−13
na
na
na99239

Hospital discharge day
94.74
83.13
−12
na
na
na99243

Office consultation
93.23
83.13
−11
122.41
109.36
−1199244

Office consultation
145.91
130.14
−11
179.26
160.12
−1199253

Inpatient consultation
108.77
97.09
−11
na
na
na99254

Inpatient consultation
156.52
140.02
−11
na
na
na99283

Emergency dept visit
60.64
52.81
−13
na
na
na99284

Emergency dept visit
110.28
97.44
−12
na
na
na99291

Critical care, first hour
208.82
182.61
−13
256.19
224.51
−1299292

Critical care, add'l 30 min
104.60
91.64
−12
114.45
100.16
−1299348

Home visit, est patient
na
na
na
66.32
68.14
399350

Home visit, est patient
na
na
na
150.83
139.34
−8G0008

Admin influenza virus vac
na
na
na
18.95
18.40
−3G0317

ESRD related svs 4+mo 20+yrs
283.09
245.63
−13
283.09
245.63
−13
 23. On page 66393, a.  First column, after the 2nd full paragraph, the following paragraph is inserted as a result of corrections to Addendum D noted below in this notice.  The insertion reads as follows: “In 2008, the counties with the three highest GAFs were in California.  Thirty-one payment localities had increases in the GAF of less than one percent.  Thirty-eight payment localities had decreases of less than 1 percent.  Fifteen payment localities had decreases of over 1 percent and eight payment localities had increases of over 1 percent.” b.  First column, the 3rd full paragraph and 4th partial paragraph are deleted as a result of corrections to Addendum D noted below in this notice. c.  Second column, the 1st partial paragraph is deleted as a result of corrections to Addendum D noted below in this notice. B.  Corrections to the Addenda The corrections to Addenda B, C, D, E, F, and I will not appear in the Code of Federal Regulations. 1.  On pages 66410 through 66543, Addendum B, Relative Value Units and Related Information Used in Determining Medicare Payments for 2008, the table is corrected to read as follows: 
 
         1 2 Addendum B.—Relative Value Units and Related Information Used in Determining Medicare Payments for 2008; Corrected
CPT1
                                / HCPCS
Mod
Status
Description
Physician work
                                 
                                    RVUs2
Fully Implemented
                                 non-facility 
                                 
                                    PE RVUs2
Year 2008
                                 transitional non-facility 
                                 
                                    PE RVUs2
Fully implemented facility
                                 
                                    PE RVUs2
Year 2008 transitional facility
                                 
                                    PE RVUs2
Mal-practice
                                 
                                    RVUs2
Global0016T

C
Thermotx choroid vasc lesion
0.00
0.00
0.00
0.00
0.00
0.00
XXX0017T

C
Photocoagulat macular drusen
0.00
0.00
0.00
0.00
0.00
0.00
XXX0019T

C
Extracorp shock wv tx,ms nos
0.00
0.00
0.00
0.00
0.00
0.00
XXX0026T

C
Measure remnant lipoproteins
0.00
0.00
0.00
0.00
0.00
0.00
XXX0027T

C
Endoscopic epidural lysis
0.00
0.00
0.00
0.00
0.00
0.00
XXX0028T

C
Dexa body composition study
0.00
0.00
0.00
0.00
0.00
0.00
XXX0029T

C
Magnetic tx for incontinence
0.00
0.00
0.00
0.00
0.00
0.00
XXX0030T

C
Antiprothrombin antibody
0.00
0.00
0.00
0.00
0.00
0.00
XXX0031T

C
Speculoscopy
0.00
0.00
0.00
0.00
0.00
0.00
XXX0032T

C
Speculoscopy w/direct sample
0.00
0.00
0.00
0.00
0.00
0.00
XXX0041T

C
Detect ur infect agnt w/cpas
0.00
0.00
0.00
0.00
0.00
0.00
XXX0042T

C
Ct perfusion w/contrast, cbf
0.00
0.00
0.00
0.00
0.00
0.00
XXX0043T

C
Co expired gas analysis
0.00
0.00
0.00
0.00
0.00
0.00
XXX0046T

C
Cath lavage, mammary duct(s)
0.00
0.00
0.00
0.00
0.00
0.00
XXX0047T

C
Cath lavage, mammary duct(s)
0.00
0.00
0.00
0.00
0.00
0.00
XXX0048T

C
Implant ventricular device
0.00
0.00
0.00
0.00
0.00
0.00
XXX0049T

C
External circulation assist
0.00
0.00
0.00
0.00
0.00
0.00
XXX0050T

C
Removal circulation assist
0.00
0.00
0.00
0.00
0.00
0.00
XXX0051T

C
Implant total heart system
0.00
0.00
0.00
0.00
0.00
0.00
XXX0052T

C
Replace component heart syst
0.00
0.00
0.00
0.00
0.00
0.00
XXX0053T

C
Replace component heart syst
0.00
0.00
0.00
0.00
0.00
0.00
XXX0058T

C
Cryopreservation, ovary tiss
0.00
0.00
0.00
0.00
0.00
0.00
XXX0059T

C
Cryopreservation, oocyte
0.00
0.00
0.00
0.00
0.00
0.00
XXX0060T

C
Electrical impedance scan
0.00
0.00
0.00
0.00
0.00
0.00
XXX0061T

C
Destruction of tumor, breast
0.00
0.00
0.00
0.00
0.00
0.00
XXX0062T

C
Rep intradisc annulus;1 lev
0.00
0.00
0.00
0.00
0.00
0.00
XXX0063T

C
Rep intradisc annulus;>1lev
0.00
0.00
0.00
0.00
0.00
0.00
XXX0064T

C
Spectroscop eval expired gas
0.00
0.00
0.00
0.00
0.00
0.00
XXX0066T

N
Ct colonography;screen
0.00
0.00
0.00
NA
NA
0.00
XXX0066T
TC
N
Ct colonography;screen
0.00
0.00
0.00
NA
NA
0.00
XXX0066T
26
N
Ct colonography;screen
0.00
0.00
0.00
0.00
0.00
0.00
XXX0067T

C
Ct colonography;dx
0.00
0.00
0.00
NA
NA
0.00
XXX0067T
TC
C
Ct colonography;dx
0.00
0.00
0.00
NA
NA
0.00
XXX0067T
26
C
Ct colonography;dx
0.00
0.00
0.00
0.00
0.00
0.00
XXX0068T

C
Interp/rept heart sound
0.00
0.00
0.00
0.00
0.00
0.00
XXX0069T

C
Analysis only heart sound
0.00
0.00
0.00
0.00
0.00
0.00
XXX0070T

C
Interp only heart sound
0.00
0.00
0.00
0.00
0.00
0.00
XXX0071T

C
U/s leiomyomata ablate <200
0.00
0.00
0.00
0.00
0.00
0.00
XXX0072T

C
U/s leiomyomata ablate >200
0.00
0.00
0.00
0.00
0.00
0.00
XXX0073T

A
Delivery, comp imrt
0.00
13.17
15.60
NA
NA
0.13
XXX0075T

C
Perq stent/chest vert art
0.00
0.00
0.00
NA
NA
0.00
XXX0075T
TC
C
Perq stent/chest vert art
0.00
0.00
0.00
NA
NA
0.00
XXX0075T
26
C
Perq stent/chest vert art
0.00
0.00
0.00
0.00
0.00
0.00
XXX0076T

C
S&i stent/chest vert art
0.00
0.00
0.00
NA
NA
0.00
XXX0076T
TC
C
S&i stent/chest vert art
0.00
0.00
0.00
NA
NA
0.00
XXX0076T
26
C
S&i stent/chest vert art
0.00
0.00
0.00
0.00
0.00
0.00
XXX0077T

C
Cereb therm perfusion probe
0.00
0.00
0.00
0.00
0.00
0.00
XXX0078T

C
Endovasc aort repr w/device
0.00
0.00
0.00
0.00
0.00
0.00
XXX0079T

C
Endovasc visc extnsn repr
0.00
0.00
0.00
0.00
0.00
0.00
XXX0080T

C
Endovasc aort repr rad s&i
0.00
0.00
0.00
0.00
0.00
0.00
XXX0081T

C
Endovasc visc extnsn s&i
0.00
0.00
0.00
0.00
0.00
0.00
XXX0084T

C
Temp prostate urethral stent
0.00
0.00
0.00
0.00
0.00
0.00
XXX0085T

C
Breath test heart reject
0.00
0.00
0.00
0.00
0.00
0.00
XXX0086T

C
L ventricle fill pressure
0.00
0.00
0.00
0.00
0.00
0.00
XXX0087T

C
Sperm eval hyaluronan
0.00
0.00
0.00
0.00
0.00
0.00
XXX0088T

C
Rf tongue base vol reduxn
0.00
0.00
0.00
0.00
0.00
0.00
XXX0089T

C
Actigraphy testing, 3-day
0.00
0.00
0.00
0.00
0.00
0.00
XXX0090T

C
Cervical artific disc
0.00
0.00
0.00
0.00
0.00
0.00
XXX0092T

C
Artific disc addl
0.00
0.00
0.00
0.00
0.00
0.00
XXX0093T

C
Cervical artific diskectomy
0.00
0.00
0.00
0.00
0.00
0.00
XXX0095T

C
Artific diskectomy addl
0.00
0.00
0.00
0.00
0.00
0.00
XXX0096T

C
Rev cervical artific disc
0.00
0.00
0.00
0.00
0.00
0.00
XXX0098T

C
Rev artific disc addl
0.00
0.00
0.00
0.00
0.00
0.00
XXX0099T

C
Implant corneal ring
0.00
0.00
0.00
0.00
0.00
0.00
XXX0100T

C
Prosth retina receive&gen
0.00
0.00
0.00
0.00
0.00
0.00
XXX0101T

C
Extracorp shockwv tx,hi enrg
0.00
0.00
0.00
0.00
0.00
0.00
XXX0102T

C
Extracorp shockwv tx,anesth
0.00
0.00
0.00
0.00
0.00
0.00
XXX0103T

C
Holotranscobalamin
0.00
0.00
0.00
0.00
0.00
0.00
XXX0104T

C
At rest cardio gas rebreathe
0.00
0.00
0.00
0.00
0.00
0.00
XXX0105T

C
Exerc cardio gas rebreathe
0.00
0.00
0.00
0.00
0.00
0.00
XXX0106T

C
Touch quant sensory test
0.00
0.00
0.00
0.00
0.00
0.00
XXX0107T

C
Vibrate quant sensory test
0.00
0.00
0.00
0.00
0.00
0.00
XXX0108T

C
Cool quant sensory test
0.00
0.00
0.00
0.00
0.00
0.00
XXX( print page 2572)0109T

C
Heat quant sensory test
0.00
0.00
0.00
0.00
0.00
0.00
XXX0110T

C
Nos quant sensory test
0.00
0.00
0.00
0.00
0.00
0.00
XXX0111T

C
Rbc membranes fatty acids
0.00
0.00
0.00
0.00
0.00
0.00
XXX0123T

C
Scleral fistulization
0.00
0.00
0.00
0.00
0.00
0.00
XXX0124T

C
Conjunctival drug placement
0.00
0.00
0.00
0.00
0.00
0.00
XXX0126T

C
Chd risk imt study
0.00
0.00
0.00
0.00
0.00
0.00
XXX0130T

C
Chron care drug investigatn
0.00
0.00
0.00
0.00
0.00
0.00
XXX0137T

C
Prostate saturation sampling
0.00
0.00
0.00
0.00
0.00
0.00
XXX0140T

C
Exhaled breath condensate ph
0.00
0.00
0.00
0.00
0.00
0.00
XXX0141T

I
Perq islet transplant
0.00
0.00
0.00
0.00
0.00
0.00
XXX0142T

I
Open islet transplant
0.00
0.00
0.00
0.00
0.00
0.00
XXX0143T

I
Laparoscopic islet transplnt
0.00
0.00
0.00
0.00
0.00
0.00
XXX0144T

C
CT heart wo dye; qual calc
0.00
0.00
0.00
NA
NA
0.00
XXX0144T
TC
C
CT heart wo dye; qual calc
0.00
0.00
0.00
NA
NA
0.00
XXX0144T
26
C
CT heart wo dye; qual calc
0.00
0.00
0.00
0.00
0.00
0.00
XXX0145T

C
CT heart w/wo dye funct
0.00
0.00
0.00
NA
NA
0.00
XXX0145T
TC
C
CT heart w/wo dye funct
0.00
0.00
0.00
NA
NA
0.00
XXX0145T
26
C
CT heart w/wo dye funct
0.00
0.00
0.00
0.00
0.00
0.00
XXX0146T

C
CCTA w/wo dye
0.00
0.00
0.00
NA
NA
0.00
XXX0146T
TC
C
CCTA w/wo dye
0.00
0.00
0.00
NA
NA
0.00
XXX0146T
26
C
CCTA w/wo dye
0.00
0.00
0.00
0.00
0.00
0.00
XXX0147T

C
CCTA w/wo, quan calcium
0.00
0.00
0.00
NA
NA
0.00
XXX0147T
TC
C
CCTA w/wo, quan calcium
0.00
0.00
0.00
NA
NA
0.00
XXX0147T
26
C
CCTA w/wo, quan calcium
0.00
0.00
0.00
0.00
0.00
0.00
XXX0148T

C
CCTA w/wo, strxr
0.00
0.00
0.00
NA
NA
0.00
XXX0148T
TC
C
CCTA w/wo, strxr
0.00
0.00
0.00
NA
NA
0.00
XXX0148T
26
C
CCTA w/wo, strxr
0.00
0.00
0.00
0.00
0.00
0.00
XXX0149T

C
CCTA w/wo, strxr quan calc
0.00
0.00
0.00
NA
NA
0.00
XXX0149T
TC
C
CCTA w/wo, strxr quan calc
0.00
0.00
0.00
NA
NA
0.00
XXX0149T
26
C
CCTA w/wo, strxr quan calc
0.00
0.00
0.00
0.00
0.00
0.00
XXX0150T

C
CCTA w/wo, disease strxr
0.00
0.00
0.00
NA
NA
0.00
XXX0150T
TC
C
CCTA w/wo, disease strxr
0.00
0.00
0.00
NA
NA
0.00
XXX0150T
26
C
CCTA w/wo, disease strxr
0.00
0.00
0.00
0.00
0.00
0.00
XXX0151T

C
CT heart funct add-on
0.00
0.00
0.00
NA
NA
0.00
XXX0151T
TC
C
CT heart funct add-on
0.00
0.00
0.00
NA
NA
0.00
XXX0151T
26
C
CT heart funct add-on
0.00
0.00
0.00
0.00
0.00
0.00
XXX0155T

C
Lap impl gast curve electrd
0.00
0.00
0.00
0.00
0.00
0.00
XXX0156T

C
Lap remv gast curve electrd
0.00
0.00
0.00
0.00
0.00
0.00
XXX0157T

C
Open impl gast curve electrd
0.00
0.00
0.00
0.00
0.00
0.00
XXX0158T

C
Open remv gast curve electrd
0.00
0.00
0.00
0.00
0.00
0.00
XXX0159T

C
Cad breast mri
0.00
0.00
0.00
NA
NA
0.00
ZZZ0159T
TC
C
Cad breast mri
0.00
0.00
0.00
NA
NA
0.00
ZZZ0159T
26
C
Cad breast mri
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ0160T

C
Tcranial magn stim tx plan
0.00
0.00
0.00
0.00
0.00
0.00
XXX0161T

C
Tcranial magn stim tx deliv
0.00
0.00
0.00
0.00
0.00
0.00
XXX0162T

C
Anal program gast neurostim
0.00
0.00
0.00
0.00
0.00
0.00
XXX0163T

C
Lumb artif diskectomy addl
0.00
0.00
0.00
0.00
0.00
0.00
YYY0164T

C
Remove lumb artif disc addl
0.00
0.00
0.00
0.00
0.00
0.00
YYY0165T

C
Revise lumb artif disc addl
0.00
0.00
0.00
0.00
0.00
0.00
YYY0166T

C
Tcath vsd close w/o bypass
0.00
0.00
0.00
0.00
0.00
0.00
XXX0167T

C
Tcath vsd close w bypass
0.00
0.00
0.00
0.00
0.00
0.00
XXX0168T

C
Rhinophototx light app bilat
0.00
0.00
0.00
0.00
0.00
0.00
XXX0169T

C
Place stereo cath brain
0.00
0.00
0.00
0.00
0.00
0.00
XXX0170T

C
Anorectal fistula plug rpr
0.00
0.00
0.00
0.00
0.00
0.00
XXX0171T

C
Lumbar spine proces distract
0.00
0.00
0.00
0.00
0.00
0.00
XXX0172T

C
Lumbar spine process addl
0.00
0.00
0.00
0.00
0.00
0.00
XXX0173T

C
Iop monit io pressure
0.00
0.00
0.00
0.00
0.00
0.00
XXX0174T

C
Cad cxr with interp
0.00
0.00
0.00
0.00
0.00
0.00
XXX0175T

C
Cad cxr remote
0.00
0.00
0.00
0.00
0.00
0.00
XXX0176T

C
Aqu canal dilat w/o retent
0.00
0.00
0.00
0.00
0.00
0.00
XXX0177T

C
Aqu canal dilat w retent
0.00
0.00
0.00
0.00
0.00
0.00
XXX0178T

C
64 lead ecg w i&r
0.00
0.00
0.00
0.00
0.00
0.00
XXX0179T

C
64 lead ecg w tracing
0.00
0.00
0.00
0.00
0.00
0.00
XXX0180T

C
64 lead ecg w i&r only
0.00
0.00
0.00
0.00
0.00
0.00
XXX0181T

C
Corneal hysteresis
0.00
0.00
0.00
0.00
0.00
0.00
XXX0182T

C
Hdr elect brachytherapy
0.00
0.00
0.00
0.00
0.00
0.00
XXX0183T

C
Wound ultrasound
0.00
0.00
0.00
0.00
0.00
0.00
XXX0184T

C
Exc rectal tumor endoscopic
0.00
0.00
0.00
0.00
0.00
0.00
XXX0185T

C
Comptr probability analysis
0.00
0.00
0.00
0.00
0.00
0.00
XXX0186T

C
Suprachoroidal drug delivery
0.00
0.00
0.00
0.00
0.00
0.00
XXX0187T

C
Ophthalmic dx image anterior
0.00
0.00
0.00
0.00
0.00
0.00
XXX10021

A
Fna w/o image
1.27
2.18
2.17
0.37
0.46
0.10
XXX( print page 2573)10022

A
Fna w/image
1.27
2.15
2.35
0.41
0.41
0.08
XXX10040

A
Acne surgery
1.19
1.33
1.17
0.98
0.88
0.05
01010060

A
Drainage of skin abscess
1.19
1.51
1.36
1.08
1.01
0.12
01010061

A
Drainage of skin abscess
2.42
2.07
1.95
1.51
1.50
0.26
01010080

A
Drainage of pilonidal cyst
1.19
2.68
2.89
1.10
1.11
0.11
01010081

A
Drainage of pilonidal cyst
2.47
3.49
3.78
1.45
1.47
0.24
01010120

A
Remove foreign body
1.23
1.95
2.06
0.94
0.96
0.12
01010121

A
Remove foreign body
2.71
3.51
3.51
1.65
1.72
0.33
01010140

A
Drainage of hematoma/fluid
1.55
2.26
2.02
1.29
1.29
0.19
01010160

A
Puncture drainage of lesion
1.22
1.85
1.72
1.08
1.08
0.14
01010180

A
Complex drainage, wound
2.27
3.25
3.12
1.80
1.89
0.35
01011000

A
Debride infected skin
0.60
0.72
0.65
0.16
0.19
0.07
00011001

A
Debride infected skin add-on
0.30
0.23
0.23
0.08
0.10
0.04
ZZZ11004

A
Debride genitalia & perineum
10.80
NA
NA
3.21
3.55
0.67
00011005

A
Debride abdom wall
14.24
NA
NA
3.78
4.67
0.96
00011006

A
Debride genit/per/abdom wall
13.10
NA
NA
3.96
4.40
1.28
00011008

A
Remove mesh from abd wall
5.00
NA
NA
1.29
1.66
0.61
ZZZ11010

A
Debride skin, fx
4.19
6.81
6.84
2.34
2.48
0.66
01011011

A
Debride skin/muscle, fx
4.94
7.04
7.60
2.01
2.18
0.74
00011012

A
Debride skin/muscle/bone, fx
6.87
9.01
10.56
3.11
3.47
1.16
00011040

A
Debride skin, partial
0.50
0.68
0.60
0.16
0.18
0.06
00011041

A
Debride skin, full
0.60
0.72
0.69
0.19
0.26
0.10
00011042

A
Debride skin/tissue
0.80
0.95
0.96
0.24
0.34
0.13
00011043

A
Debride tissue/muscle
3.04
3.51
3.44
2.60
2.60
0.32
01011044

A
Debride tissue/muscle/bone
4.11
4.84
4.65
3.58
3.67
0.43
01011055

R
Trim skin lesion
0.43
0.81
0.68
0.11
0.14
0.05
00011056

R
Trim skin lesions, 2 to 4
0.61
0.88
0.76
0.16
0.19
0.07
00011057

R
Trim skin lesions, over 4
0.79
0.99
0.86
0.20
0.25
0.10
00011100

A
Biopsy, skin lesion
0.81
1.88
1.56
0.38
0.38
0.03
00011101

A
Biopsy, skin add-on
0.41
0.41
0.37
0.20
0.19
0.02
ZZZ11200

A
Removal of skin tags
0.79
1.23
1.13
0.90
0.83
0.04
01011201

A
Remove skin tags add-on
0.29
0.16
0.16
0.11
0.12
0.02
ZZZ11300

A
Shave skin lesion
0.51
1.19
1.09
0.21
0.21
0.03
00011301

A
Shave skin lesion
0.85
1.51
1.31
0.38
0.38
0.04
00011302

A
Shave skin lesion
1.05
1.76
1.53
0.48
0.47
0.05
00011303

A
Shave skin lesion
1.24
2.03
1.81
0.55
0.54
0.07
00011305

A
Shave skin lesion
0.67
1.07
0.96
0.20
0.24
0.07
00011306

A
Shave skin lesion
0.99
1.43
1.26
0.38
0.40
0.07
00011307

A
Shave skin lesion
1.14
1.70
1.49
0.47
0.48
0.07
00011308

A
Shave skin lesion
1.41
1.71
1.58
0.49
0.54
0.13
00011310

A
Shave skin lesion
0.73
1.38
1.25
0.31
0.32
0.04
00011311

A
Shave skin lesion
1.05
1.64
1.43
0.48
0.48
0.05
00011312

A
Shave skin lesion
1.20
1.92
1.67
0.56
0.55
0.06
00011313

A
Shave skin lesion
1.62
2.19
2.00
0.73
0.72
0.10
00011400

A
Exc tr-ext b9+marg 0.5 < cm
0.87
1.88
1.94
0.93
0.91
0.06
01011401

A
Exc tr-ext b9+marg 0.6-1 cm
1.25
2.19
2.12
1.15
1.09
0.10
01011402

A
Exc tr-ext b9+marg 1.1-2 cm
1.42
2.40
2.31
1.21
1.14
0.13
01011403

A
Exc tr-ext b9+marg 2.1-3 cm
1.81
2.56
2.48
1.57
1.44
0.17
01011404

A
Exc tr-ext b9+marg 3.1-4 cm
2.08
2.86
2.78
1.63
1.51
0.21
01011406

A
Exc tr-ext b9+marg > 4.0 cm
3.47
3.54
3.30
2.10
1.87
0.32
01011420

A
Exc h-f-nk-sp b9+marg 0.5 <
1.00
1.83
1.80
0.93
0.93
0.09
01011421

A
Exc h-f-nk-sp b9+marg 0.6-1
1.44
2.22
2.14
1.16
1.14
0.13
01011422

A
Exc h-f-nk-sp b9+marg 1.1-2
1.65
2.44
2.35
1.53
1.43
0.16
01011423

A
Exc h-f-nk-sp b9+marg 2.1-3
2.03
2.67
2.63
1.66
1.55
0.20
01011424

A
Exc h-f-nk-sp b9+marg 3.1-4
2.45
2.97
2.89
1.77
1.69
0.25
01011426

A
Exc h-f-nk-sp b9+marg > 4 cm
4.04
3.59
3.54
2.31
2.21
0.44
01011440

A
Exc face-mm b9+marg 0.5 < cm
1.02
2.00
2.10
1.31
1.31
0.08
01011441

A
Exc face-mm b9+marg 0.6-1 cm
1.50
2.38
2.36
1.55
1.52
0.13
01011442

A
Exc face-mm b9+marg 1.1-2 cm
1.74
2.65
2.59
1.66
1.61
0.16
01011443

A
Exc face-mm b9+marg 2.1-3 cm
2.31
2.89
2.90
1.84
1.83
0.22
01011444

A
Exc face-mm b9+marg 3.1-4 cm
3.16
3.32
3.40
2.10
2.14
0.30
01011446

A
Exc face-mm b9+marg > 4 cm
4.75
4.10
4.07
2.68
2.73
0.43
01011450

A
Removal, sweat gland lesion
3.14
5.13
5.08
2.41
2.22
0.34
09011451

A
Removal, sweat gland lesion
4.35
6.38
6.49
2.91
2.73
0.53
09011462

A
Removal, sweat gland lesion
2.92
5.33
5.22
2.47
2.24
0.32
09011463

A
Removal, sweat gland lesion
4.35
6.53
6.68
2.94
2.81
0.54
09011470

A
Removal, sweat gland lesion
3.66
5.47
5.27
2.63
2.45
0.40
09011471

A
Removal, sweat gland lesion
4.81
6.51
6.61
3.01
2.89
0.58
09011600

A
Exc tr-ext mlg+marg 0.5 < cm
1.58
2.74
2.69
1.14
1.05
0.10
01011601

A
Exc tr-ext mlg+marg 0.6-1 cm
2.02
3.44
3.07
1.51
1.36
0.12
01011602

A
Exc tr-ext mlg+marg 1.1-2 cm
2.22
3.85
3.34
1.69
1.47
0.12
01011603

A
Exc tr-ext mlg+marg 2.1-3 cm
2.77
4.05
3.56
1.87
1.60
0.16
010( print page 2574)11604

A
Exc tr-ext mlg+marg 3.1-4 cm
3.12
4.34
3.86
1.93
1.66
0.20
01011606

A
Exc tr-ext mlg+marg > 4 cm
4.97
5.50
4.78
2.46
2.10
0.36
01011620

A
Exc h-f-nk-sp mlg+marg 0.5 <
1.59
2.85
2.72
1.19
1.07
0.09
01011621

A
Exc h-f-nk-sp mlg+marg 0.6-1
2.03
3.51
3.10
1.54
1.39
0.12
01011622

A
Exc h-f-nk-sp mlg+marg 1.1-2
2.36
3.90
3.43
1.75
1.57
0.14
01011623

A
Exc h-f-nk-sp mlg+marg 2.1-3
3.06
4.12
3.73
1.95
1.77
0.20
01011624

A
Exc h-f-nk-sp mlg+marg 3.1-4
3.57
4.43
4.09
2.08
1.93
0.27
01011626

A
Exc h-f-nk-sp mlg+mar > 4 cm
4.56
4.96
4.80
2.33
2.36
0.45
01011640

A
Exc face-mm malig+marg 0.5 <
1.62
3.06
2.86
1.29
1.20
0.11
01011641

A
Exc face-mm malig+marg 0.6-1
2.12
3.64
3.33
1.61
1.57
0.16
01011642

A
Exc face-mm malig+marg 1.1-2
2.57
4.04
3.72
1.84
1.78
0.19
01011643

A
Exc face-mm malig+marg 2.1-3
3.37
4.28
4.04
2.11
2.04
0.26
01011644

A
Exc face-mm malig+marg 3.1-4
4.29
5.07
4.88
2.47
2.46
0.37
01011646

A
Exc face-mm mlg+marg > 4 cm
6.21
5.91
5.83
3.14
3.30
0.61
01011719

R
Trim nail(s)
0.17
0.38
0.31
0.04
0.06
0.02
00011720

A
Debride nail, 1-5
0.32
0.47
0.40
0.08
0.10
0.04
00011721

A
Debride nail, 6 or more
0.54
0.55
0.49
0.14
0.17
0.07
00011730

A
Removal of nail plate
1.10
1.33
1.18
0.28
0.36
0.14
00011732

A
Remove nail plate, add-on
0.57
0.55
0.49
0.15
0.18
0.07
ZZZ11740

A
Drain blood from under nail
0.37
0.80
0.67
0.43
0.39
0.04
00011750

A
Removal of nail bed
2.40
2.96
2.56
1.88
1.82
0.22
01011752

A
Remove nail bed/finger tip
3.48
4.06
3.53
2.78
2.88
0.35
01011755

A
Biopsy, nail unit
1.31
2.03
1.80
0.76
0.76
0.14
00011760

A
Repair of nail bed
1.60
3.40
3.01
1.43
1.61
0.21
01011762

A
Reconstruction of nail bed
2.91
3.70
3.29
1.68
2.01
0.36
01011765

A
Excision of nail fold, toe
0.71
2.67
2.23
1.01
0.88
0.08
01011770

A
Removal of pilonidal lesion
2.63
3.46
3.47
1.52
1.51
0.33
01011771

A
Removal of pilonidal lesion
5.98
6.64
6.14
3.69
3.50
0.74
09011772

A
Removal of pilonidal lesion
7.23
8.04
7.77
5.56
5.31
0.89
09011900

A
Injection into skin lesions
0.52
0.92
0.78
0.25
0.23
0.02
00011901

A
Added skin lesions injection
0.80
1.01
0.83
0.39
0.37
0.03
00011920

R
Correct skin color defects
1.61
2.35
3.02
1.09
1.09
0.24
00011921

R
Correct skin color defects
1.93
2.66
3.31
1.26
1.26
0.29
00011922

R
Correct skin color defects
0.49
0.92
1.03
0.22
0.24
0.07
ZZZ11950

R
Therapy for contour defects
0.84
0.88
1.01
0.36
0.37
0.06
00011951

R
Therapy for contour defects
1.19
0.90
1.20
0.36
0.43
0.11
00011952

R
Therapy for contour defects
1.69
1.63
1.74
0.77
0.72
0.16
00011954

R
Therapy for contour defects
1.85
1.79
2.12
0.77
0.83
0.25
00011960

A
Insert tissue expander(s)
11.01
NA
NA
10.58
10.49
1.31
09011970

A
Replace tissue expander
7.86
NA
NA
6.17
6.15
1.05
09011971

A
Remove tissue expander(s)
3.21
7.40
8.26
4.02
3.91
0.32
09011975

N
Insert contraceptive cap
1.48
1.54
1.48
0.34
0.45
0.17
XXX11976

R
Removal of contraceptive cap
1.78
1.73
1.72
0.48
0.58
0.21
00011977

N
Removal/reinsert contra cap
3.30
1.98
2.13
0.76
1.01
0.37
XXX11980

A
Implant hormone pellet(s)
1.48
1.07
1.08
0.49
0.51
0.13
00011981

A
Insert drug implant device
1.48
1.90
1.80
0.58
0.63
0.12
XXX11982

A
Remove drug implant device
1.78
2.02
1.98
0.70
0.76
0.17
XXX11983

A
Remove/insert drug implant
3.30
2.64
2.46
1.32
1.39
0.23
XXX12001

A
Repair superficial wound(s)
1.72
1.73
1.86
0.73
0.75
0.15
01012002

A
Repair superficial wound(s)
1.88
1.80
1.92
0.84
0.87
0.17
01012004

A
Repair superficial wound(s)
2.26
2.08
2.20
0.92
0.97
0.21
01012005

A
Repair superficial wound(s)
2.88
2.52
2.67
1.06
1.13
0.27
01012006

A
Repair superficial wound(s)
3.68
3.06
3.23
1.30
1.40
0.35
01012007

A
Repair superficial wound(s)
4.13
3.36
3.59
1.46
1.64
0.45
01012011

A
Repair superficial wound(s)
1.78
1.91
2.02
0.76
0.77
0.16
01012013

A
Repair superficial wound(s)
2.01
2.07
2.17
0.89
0.91
0.18
01012014

A
Repair superficial wound(s)
2.48
2.29
2.43
0.98
1.02
0.23
01012015

A
Repair superficial wound(s)
3.21
2.79
2.96
1.12
1.18
0.29
01012016

A
Repair superficial wound(s)
3.94
3.17
3.36
1.28
1.40
0.37
01012017

A
Repair superficial wound(s)
4.72
NA
NA
1.52
1.71
0.47
01012018

A
Repair superficial wound(s)
5.54
NA
NA
1.92
2.09
0.64
01012020

A
Closure of split wound
2.64
3.69
3.76
1.75
1.84
0.30
01012021

A
Closure of split wound
1.86
1.85
1.84
1.33
1.37
0.24
01012031

A
Layer closure of wound(s)
2.17
3.90
3.09
1.77
1.37
0.17
01012032

A
Layer closure of wound(s)
2.49
5.22
4.53
2.28
2.04
0.16
01012034

A
Layer closure of wound(s)
2.94
4.61
3.90
2.00
1.72
0.25
01012035

A
Layer closure of wound(s)
3.44
5.30
5.25
2.11
2.13
0.39
01012036

A
Layer closure of wound(s)
4.06
5.41
5.48
2.23
2.39
0.55
01012037

A
Layer closure of wound(s)
4.68
5.99
6.04
2.63
2.80
0.66
01012041

A
Layer closure of wound(s)
2.39
3.87
3.21
1.78
1.45
0.19
01012042

A
Layer closure of wound(s)
2.76
4.50
3.88
2.13
1.79
0.17
01012044

A
Layer closure of wound(s)
3.16
5.41
4.31
1.95
1.77
0.27
010( print page 2575)12045

A
Layer closure of wound(s)
3.65
5.03
5.15
2.06
2.17
0.41
01012046

A
Layer closure of wound(s)
4.26
5.66
6.08
2.29
2.52
0.54
01012047

A
Layer closure of wound(s)
4.66
6.50
6.42
2.66
2.87
0.58
01012051

A
Layer closure of wound(s)
2.49
4.11
3.69
1.92
1.69
0.20
01012052

A
Layer closure of wound(s)
2.81
4.87
4.04
2.56
2.00
0.17
01012053

A
Layer closure of wound(s)
3.14
5.39
4.32
2.13
1.83
0.23
01012054

A
Layer closure of wound(s)
3.47
5.43
4.50
2.06
1.84
0.30
01012055

A
Layer closure of wound(s)
4.44
6.01
5.25
2.09
2.11
0.45
01012056

A
Layer closure of wound(s)
5.25
6.57
6.66
2.58
2.82
0.59
01012057

A
Layer closure of wound(s)
5.97
7.76
6.95
2.93
3.34
0.56
01013100

A
Repair of wound or lesion
3.14
4.42
4.24
2.47
2.39
0.26
01013101

A
Repair of wound or lesion
3.93
5.95
5.30
2.97
2.83
0.26
01013102

A
Repair wound/lesion add-on
1.24
1.35
1.26
0.53
0.55
0.13
ZZZ13120

A
Repair of wound or lesion
3.32
4.58
4.36
2.58
2.46
0.26
01013121

A
Repair of wound or lesion
4.36
6.72
5.78
3.64
3.22
0.25
01013122

A
Repair wound/lesion add-on
1.44
1.37
1.44
0.58
0.60
0.15
ZZZ13131

A
Repair of wound or lesion
3.80
5.01
4.69
2.88
2.78
0.26
01013132

A
Repair of wound or lesion
6.48
7.89
6.90
4.96
4.56
0.32
01013133

A
Repair wound/lesion add-on
2.19
1.88
1.77
0.98
1.00
0.18
ZZZ13150

A
Repair of wound or lesion
3.82
4.72
4.80
2.72
2.74
0.34
01013151

A
Repair of wound or lesion
4.46
5.52
5.16
3.22
3.18
0.31
01013152

A
Repair of wound or lesion
6.34
7.54
6.79
3.92
3.98
0.40
01013153

A
Repair wound/lesion add-on
2.38
2.05
1.99
1.03
1.08
0.24
ZZZ13160

A
Late closure of wound
11.84
NA
NA
7.02
7.09
1.54
09014000

A
Skin tissue rearrangement
6.83
8.95
8.40
6.04
5.76
0.59
09014001

A
Skin tissue rearrangement
9.60
11.02
10.22
7.49
7.28
0.82
09014020

A
Skin tissue rearrangement
7.66
10.04
9.32
6.89
6.71
0.64
09014021

A
Skin tissue rearrangement
11.18
12.47
11.23
8.66
8.47
0.81
09014040

A
Skin tissue rearrangement
8.44
10.20
9.50
6.99
7.10
0.62
09014041

A
Skin tissue rearrangement
12.67
13.58
12.09
9.35
9.01
0.73
09014060

A
Skin tissue rearrangement
9.07
9.69
9.24
7.18
7.31
0.68
09014061

A
Skin tissue rearrangement
13.67
14.84
13.22
10.18
9.84
0.76
09014300

A
Skin tissue rearrangement
13.26
13.53
12.33
9.45
9.31
1.16
09014350

A
Skin tissue rearrangement
10.82
NA
NA
6.90
7.02
1.34
09015002

A
Wnd prep, ch/inf, trk/arm/lg
3.65
4.22
4.22
1.69
1.69
0.49
00015003

A
Wnd prep, ch/inf addl 100 cm
0.80
0.90
0.90
0.26
0.26
0.11
ZZZ15004

A
Wnd prep ch/inf, f/n/hf/g
4.58
4.88
4.88
2.02
2.02
0.62
00015005

A
Wnd prep, f/n/hf/g, addl cm
1.60
1.24
1.24
0.53
0.53
0.22
ZZZ15040

A
Harvest cultured skin graft
2.00
3.94
4.25
1.05
1.09
0.24
00015050

A
Skin pinch graft
5.37
7.63
7.27
5.01
5.06
0.57
09015100

A
Skin splt grft, trnk/arm/leg
9.74
9.77
11.18
6.68
7.25
1.28
09015101

A
Skin splt grft t/a/l, add-on
1.72
2.47
3.10
0.85
1.01
0.24
ZZZ15110

A
Epidrm autogrft trnk/arm/leg
10.88
8.75
9.71
6.36
6.68
1.31
09015111

A
Epidrm autogrft t/a/l add-on
1.85
0.87
1.08
0.62
0.70
0.26
ZZZ15115

A
Epidrm a-grft face/nck/hf/g
11.19
9.23
9.23
6.74
7.05
1.15
09015116

A
Epidrm a-grft f/n/hf/g addl
2.50
1.19
1.39
0.86
0.99
0.33
ZZZ15120

A
Skn splt a-grft fac/nck/hf/g
10.96
11.35
11.04
7.45
7.62
1.16
09015121

A
Skn splt a-grft f/n/hf/g add
2.67
3.44
3.97
1.29
1.57
0.36
ZZZ15130

A
Derm autograft, trnk/arm/leg
7.41
7.96
8.91
5.58
5.96
0.97
09015131

A
Derm autograft t/a/l add-on
1.50
0.66
0.86
0.48
0.56
0.21
ZZZ15135

A
Derm autograft face/nck/hf/g
10.91
9.49
9.68
7.05
7.59
1.23
09015136

A
Derm autograft, f/n/hf/g add
1.50
0.66
0.77
0.51
0.59
0.20
ZZZ15150

A
Cult epiderm grft t/arm/leg
9.30
7.05
7.75
5.76
6.10
1.14
09015151

A
Cult epiderm grft t/a/l addl
2.00
0.88
1.09
0.67
0.76
0.28
ZZZ15152

A
Cult epiderm graft t/a/l +%
2.50
1.05
1.30
0.84
0.95
0.35
ZZZ15155

A
Cult epiderm graft, f/n/hf/g
10.05
7.66
7.74
6.31
6.64
1.05
09015156

A
Cult epidrm grft f/n/hfg add
2.75
1.15
1.35
0.94
1.09
0.36
ZZZ15157

A
Cult epiderm grft f/n/hfg +%
3.00
1.34
1.56
1.03
1.19
0.39
ZZZ15170

A
Acell graft trunk/arms/legs
5.99
4.01
3.92
2.60
2.48
0.55
09015171

A
Acell graft t/arm/leg add-on
1.55
0.60
0.64
0.46
0.54
0.19
ZZZ15175

A
Acellular graft, f/n/hf/g
7.99
4.47
4.95
3.15
3.57
0.82
09015176

A
Acell graft, f/n/hf/g add-on
2.45
1.04
1.07
0.79
0.89
0.29
ZZZ15200

A
Skin full graft, trunk
8.97
9.91
9.66
6.35
6.28
0.98
09015201

A
Skin full graft trunk add-on
1.32
2.02
2.29
0.47
0.54
0.19
ZZZ15220

A
Skin full graft sclp/arm/leg
7.95
10.47
9.83
6.70
6.69
0.84
09015221

A
Skin full graft add-on
1.19
2.00
2.16
0.50
0.53
0.16
ZZZ15240

A
Skin full grft face/genit/hf
10.15
12.04
11.12
8.90
8.43
0.92
09015241

A
Skin full graft add-on
1.86
2.54
2.49
0.81
0.86
0.23
ZZZ15260

A
Skin full graft een & lips
11.39
13.02
11.62
9.34
8.96
0.69
09015261

A
Skin full graft add-on
2.23
2.98
2.84
1.16
1.28
0.21
ZZZ15300

A
Apply skinallogrft, t/arm/lg
4.65
3.44
3.32
2.15
2.19
0.49
09015301

A
Apply sknallogrft t/a/l addl
1.00
0.46
0.46
0.32
0.36
0.14
ZZZ( print page 2576)15320

A
Apply skin allogrft f/n/hf/g
5.36
3.78
3.70
2.36
2.45
0.58
09015321

A
Aply sknallogrft f/n/hfg add
1.50
0.69
0.69
0.51
0.55
0.21
ZZZ15330

A
Aply acell alogrft t/arm/leg
3.99
3.50
3.34
2.14
2.18
0.49
09015331

A
Aply acell grft t/a/l add-on
1.00
0.49
0.47
0.36
0.38
0.14
ZZZ15335

A
Apply acell graft, f/n/hf/g
4.50
3.32
3.40
2.01
2.23
0.55
09015336

A
Aply acell grft f/n/hf/g add
1.43
0.74
0.71
0.51
0.54
0.20
ZZZ15340

A
Apply cult skin substitute
3.76
3.69
3.84
2.64
2.70
0.41
01015341

A
Apply cult skin sub add-on
0.50
0.64
0.62
0.13
0.17
0.06
ZZZ15360

A
Apply cult derm sub, t/a/l
3.93
4.85
4.66
3.54
3.31
0.43
09015361

A
Aply cult derm sub t/a/l add
1.15
0.50
0.54
0.32
0.39
0.14
ZZZ15365

A
Apply cult derm sub f/n/hf/g
4.21
4.22
4.38
3.10
3.15
0.46
09015366

A
Apply cult derm f/hf/g add
1.45
0.67
0.68
0.47
0.53
0.17
ZZZ15400

A
Apply skin xenograft, t/a/l
4.38
5.00
4.50
3.76
3.89
0.47
09015401

A
Apply skn xenogrft t/a/l add
1.00
1.01
1.45
0.33
0.39
0.14
ZZZ15420

A
Apply skin xgraft, f/n/hf/g
4.89
5.43
5.11
4.18
3.98
0.52
09015421

A
Apply skn xgrft f/n/hf/g add
1.50
1.16
1.24
0.48
0.55
0.21
ZZZ15430

A
Apply acellular xenograft
5.93
6.61
6.76
6.06
6.34
0.66
09015431

C
Apply acellular xgraft add
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ15570

A
Form skin pedicle flap
10.00
10.09
10.70
6.27
6.52
1.34
09015572

A
Form skin pedicle flap
9.94
9.79
9.64
6.66
6.56
1.20
09015574

A
Form skin pedicle flap
10.52
10.55
10.62
7.04
7.42
1.20
09015576

A
Form skin pedicle flap
9.24
9.67
9.72
6.52
6.70
0.87
09015600

A
Skin graft
1.95
5.32
6.46
2.75
2.91
0.27
09015610

A
Skin graft
2.46
5.57
5.13
3.05
3.24
0.35
09015620

A
Skin graft
3.62
6.47
7.13
3.90
3.89
0.35
09015630

A
Skin graft
3.95
7.08
7.06
4.32
4.23
0.34
09015650

A
Transfer skin pedicle flap
4.64
7.28
7.21
4.39
4.30
0.42
09015731

A
Forehead flap w/vasc pedicle
14.12
11.90
11.90
9.34
9.34
1.28
09015732

A
Muscle-skin graft, head/neck
19.70
14.66
16.36
11.10
11.66
2.00
09015734

A
Muscle-skin graft, trunk
19.62
15.70
16.91
11.85
12.12
2.62
09015736

A
Muscle-skin graft, arm
16.92
13.40
15.82
9.60
10.41
2.46
09015738

A
Muscle-skin graft, leg
18.92
13.78
15.88
10.20
10.96
2.66
09015740

A
Island pedicle flap graft
11.57
13.58
11.86
9.43
8.84
0.63
09015750

A
Neurovascular pedicle graft
12.73
NA
NA
8.86
8.95
1.42
09015756

A
Free myo/skin flap microvasc
36.74
NA
NA
18.57
19.57
4.62
09015757

A
Free skin flap, microvasc
36.95
NA
NA
17.87
19.74
3.90
09015758

A
Free fascial flap, microvasc
36.70
NA
NA
17.58
19.58
4.24
09015760

A
Composite skin graft
9.68
10.42
10.23
7.06
7.16
0.85
09015770

A
Derma-fat-fascia graft
8.73
NA
NA
6.64
6.66
1.05
09015775

R
Hair transplant punch grafts
3.95
2.88
3.56
1.23
1.26
0.52
00015776

R
Hair transplant punch grafts
5.53
4.85
5.11
2.14
2.47
0.72
00015780

A
Abrasion treatment of skin
8.50
11.24
11.38
6.53
7.39
0.67
09015781

A
Abrasion treatment of skin
4.91
8.68
7.80
5.64
5.51
0.34
09015782

A
Abrasion treatment of skin
4.36
8.72
9.29
4.97
5.76
0.34
09015783

A
Abrasion treatment of skin
4.33
7.92
7.40
4.97
4.58
0.28
09015786

A
Abrasion, lesion, single
2.05
3.90
3.63
1.25
1.28
0.11
01015787

A
Abrasion, lesions, add-on
0.33
0.83
0.96
0.08
0.12
0.04
ZZZ15788

R
Chemical peel, face, epiderm
2.09
9.47
8.09
4.13
3.60
0.11
09015789

R
Chemical peel, face, dermal
4.91
9.43
8.76
5.83
5.32
0.20
09015792

R
Chemical peel, nonfacial
1.86
8.98
8.04
4.58
4.52
0.13
09015793

A
Chemical peel, nonfacial
3.82
8.10
7.20
4.90
4.64
0.19
09015819

A
Plastic surgery, neck
10.45
NA
NA
6.68
6.93
0.97
09015820

A
Revision of lower eyelid
6.09
6.39
6.68
5.20
5.38
0.40
09015821

A
Revision of lower eyelid
6.66
6.57
6.96
5.28
5.50
0.45
09015822

A
Revision of upper eyelid
4.51
5.23
5.53
4.09
4.29
0.37
09015823

A
Revision of upper eyelid
8.12
7.39
7.62
6.11
6.27
0.50
09015824

R
Removal of forehead wrinkles
0.00
0.00
0.00
0.00
0.00
0.00
00015825

R
Removal of neck wrinkles
0.00
0.00
0.00
0.00
0.00
0.00
00015826

R
Removal of brow wrinkles
0.00
0.00
0.00
0.00
0.00
0.00
00015828

R
Removal of face wrinkles
0.00
0.00
0.00
0.00
0.00
0.00
00015829

R
Removal of skin wrinkles
0.00
0.00
0.00
0.00
0.00
0.00
00015830

R
Exc skin abd
16.90
NA
NA
9.82
9.82
2.93
09015832

A
Excise excessive skin tissue
12.65
NA
NA
8.28
8.31
1.66
09015833

A
Excise excessive skin tissue
11.70
NA
NA
7.50
7.86
1.49
09015834

A
Excise excessive skin tissue
11.97
NA
NA
8.16
7.93
1.61
09015835

A
Excise excessive skin tissue
12.79
NA
NA
7.86
7.70
1.60
09015836

A
Excise excessive skin tissue
10.41
NA
NA
6.83
6.81
1.34
09015837

A
Excise excessive skin tissue
9.37
8.68
8.62
5.79
6.58
1.18
09015838

A
Excise excessive skin tissue
8.07
NA
NA
5.45
5.76
0.58
09015839

A
Excise excessive skin tissue
10.32
9.76
9.30
6.47
6.43
1.22
09015840

A
Graft for face nerve palsy
14.76
NA
NA
8.93
9.45
1.32
09015841

A
Graft for face nerve palsy
25.69
NA
NA
13.54
14.27
2.55
090( print page 2577)15842

A
Flap for face nerve palsy
40.68
NA
NA
20.89
21.91
4.94
09015845

A
Skin and muscle repair, face
14.04
NA
NA
8.36
8.84
0.81
09015847

C
Exc skin abd add-on
0.00
0.00
0.00
0.00
0.00
0.00
YYY15850

B
Removal of sutures
0.78
1.20
1.38
0.18
0.24
0.05
XXX15851

A
Removal of sutures
0.86
1.33
1.51
0.24
0.27
0.06
00015852

A
Dressing change not for burn
0.86
NA
NA
0.25
0.29
0.09
00015860

A
Test for blood flow in graft
1.95
NA
NA
0.64
0.71
0.27
00015876

R
Suction assisted lipectomy
0.00
0.00
0.00
0.00
0.00
0.00
00015877

R
Suction assisted lipectomy
0.00
0.00
0.00
0.00
0.00
0.00
00015878

R
Suction assisted lipectomy
0.00
0.00
0.00
0.00
0.00
0.00
00015879

R
Suction assisted lipectomy
0.00
0.00
0.00
0.00
0.00
0.00
00015920

A
Removal of tail bone ulcer
8.15
NA
NA
5.35
5.45
1.04
09015922

A
Removal of tail bone ulcer
10.23
NA
NA
7.17
7.19
1.42
09015931

A
Remove sacrum pressure sore
9.96
NA
NA
5.56
5.63
1.25
09015933

A
Remove sacrum pressure sore
11.60
NA
NA
7.31
7.58
1.52
09015934

A
Remove sacrum pressure sore
13.54
NA
NA
7.73
7.88
1.79
09015935

A
Remove sacrum pressure sore
15.58
NA
NA
9.18
9.75
2.10
09015936

A
Remove sacrum pressure sore
13.04
NA
NA
7.42
7.82
1.77
09015937

A
Remove sacrum pressure sore
15.00
NA
NA
8.94
9.38
2.07
09015940

A
Remove hip pressure sore
10.11
NA
NA
5.81
5.99
1.31
09015941

A
Remove hip pressure sore
12.24
NA
NA
8.43
8.94
1.66
09015944

A
Remove hip pressure sore
12.27
NA
NA
8.14
8.37
1.65
09015945

A
Remove hip pressure sore
13.57
NA
NA
8.81
9.23
1.85
09015946

A
Remove hip pressure sore
23.80
NA
NA
13.71
14.04
3.17
09015950

A
Remove thigh pressure sore
7.91
NA
NA
5.40
5.41
1.04
09015951

A
Remove thigh pressure sore
11.41
NA
NA
7.34
7.60
1.49
09015952

A
Remove thigh pressure sore
12.14
NA
NA
7.46
7.61
1.60
09015953

A
Remove thigh pressure sore
13.39
NA
NA
8.23
8.62
1.80
09015956

A
Remove thigh pressure sore
16.59
NA
NA
9.55
10.16
2.22
09015958

A
Remove thigh pressure sore
16.55
NA
NA
10.43
10.74
2.26
09015999

C
Removal of pressure sore
0.00
0.00
0.00
0.00
0.00
0.00
YYY16000

A
Initial treatment of burn(s)
0.89
0.72
0.79
0.23
0.25
0.08
00016020

A
Dress/debrid p-thick burn, s
0.80
1.11
1.20
0.56
0.57
0.08
00016025

A
Dress/debrid p-thick burn, m
1.85
1.57
1.67
0.86
0.91
0.19
00016030

A
Dress/debrid p-thick burn, l
2.08
2.08
2.13
1.02
1.07
0.24
00016035

A
Incision of burn scab, initi
3.74
NA
NA
1.22
1.40
0.46
00016036

A
Escharotomy; addÆl incision
1.50
NA
NA
0.46
0.53
0.20
ZZZ17000

A
Destruct premalg lesion
0.62
1.41
1.19
0.74
0.64
0.03
01017003

A
Destruct premalg les, 2-14
0.07
0.10
0.11
0.03
0.05
0.01
ZZZ17004

A
Destroy premlg lesions 15+
1.82
2.44
2.37
1.38
1.48
0.11
01017106

A
Destruction of skin lesions
4.62
4.69
4.65
3.28
3.31
0.35
09017107

A
Destruction of skin lesions
9.19
6.98
7.09
4.95
5.20
0.63
09017108

A
Destruction of skin lesions
13.22
8.87
9.07
6.39
7.03
0.54
09017110

A
Destruct b9 lesion, 1-14
0.67
1.79
1.70
0.88
0.79
0.05
01017111

A
Destruct lesion, 15 or more
0.94
2.25
1.96
1.11
0.96
0.05
01017250

A
Chemical cautery, tissue
0.50
1.32
1.27
0.38
0.36
0.06
00017260

A
Destruction of skin lesions
0.93
1.41
1.34
0.71
0.69
0.04
01017261

A
Destruction of skin lesions
1.19
2.49
2.05
1.07
0.95
0.05
01017262

A
Destruction of skin lesions
1.60
2.84
2.36
1.27
1.15
0.06
01017263

A
Destruction of skin lesions
1.81
3.07
2.56
1.37
1.23
0.07
01017264

A
Destruction of skin lesions
1.96
3.27
2.75
1.44
1.28
0.08
01017266

A
Destruction of skin lesions
2.36
3.50
3.00
1.59
1.40
0.09
01017270

A
Destruction of skin lesions
1.34
2.44
2.07
1.10
0.98
0.05
01017271

A
Destruction of skin lesions
1.51
2.66
2.22
1.22
1.10
0.06
01017272

A
Destruction of skin lesions
1.79
2.97
2.49
1.37
1.24
0.07
01017273

A
Destruction of skin lesions
2.07
3.21
2.71
1.49
1.35
0.08
01017274

A
Destruction of skin lesions
2.61
3.61
3.09
1.74
1.59
0.10
01017276

A
Destruction of skin lesions
3.22
3.89
3.42
1.97
1.82
0.16
01017280

A
Destruction of skin lesions
1.19
2.36
1.99
1.03
0.92
0.05
01017281

A
Destruction of skin lesions
1.74
2.74
2.32
1.33
1.21
0.07
01017282

A
Destruction of skin lesions
2.06
3.14
2.65
1.49
1.36
0.08
01017283

A
Destruction of skin lesions
2.66
3.56
3.05
1.77
1.63
0.11
01017284

A
Destruction of skin lesions
3.23
3.97
3.45
2.03
1.89
0.13
01017286

A
Destruction of skin lesions
4.45
4.45
4.06
2.49
2.47
0.23
01017311

A
Mohs, 1 stage, h/n/hf/g
6.20
10.71
10.71
3.05
3.05
0.24
00017312

A
Mohs addl stage
3.30
6.89
6.89
1.62
1.62
0.13
ZZZ17313

A
Mohs, 1 stage, t/a/l
5.56
9.88
9.88
2.74
2.74
0.22
00017314

A
Mohs, addl stage, t/a/l
3.06
6.37
6.37
1.50
1.50
0.12
ZZZ17315

A
Mohs surg, addl block
0.87
1.14
1.14
0.43
0.43
0.03
ZZZ17340

A
Cryotherapy of skin
0.76
0.35
0.36
0.38
0.37
0.05
01017360

A
Skin peel therapy
1.44
1.86
1.65
1.01
0.94
0.06
01017380

R
Hair removal by electrolysis
0.00
0.00
0.00
0.00
0.00
0.00
000( print page 2578)17999

C
Skin tissue procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY19000

A
Drainage of breast lesion
0.84
1.91
1.95
0.26
0.29
0.08
00019001

A
Drain breast lesion add-on
0.42
0.26
0.25
0.14
0.14
0.04
ZZZ19020

A
Incision of breast lesion
3.74
6.63
6.48
3.04
2.86
0.45
09019030

A
Injection for breast x-ray
1.53
2.67
2.77
0.54
0.52
0.09
00019100

A
Bx breast percut w/o image
1.27
2.08
2.08
0.33
0.37
0.16
00019101

A
Biopsy of breast, open
3.20
4.37
4.44
1.78
1.85
0.39
01019102

A
Bx breast percut w/image
2.00
3.47
3.65
0.68
0.67
0.14
00019103

A
Bx breast percut w/device
3.69
10.10
10.80
1.19
1.21
0.30
00019105

A
Cryosurg ablate fa, each
3.69
46.51
46.51
1.00
1.00
0.30
00019110

A
Nipple exploration
4.35
6.07
5.93
3.10
2.98
0.57
09019112

A
Excise breast duct fistula
3.72
6.23
6.15
3.13
2.91
0.48
09019120

A
Removal of breast lesion
5.84
5.09
4.81
3.37
3.21
0.73
09019125

A
Excision, breast lesion
6.59
5.56
5.17
3.65
3.47
0.80
09019126

A
Excision, addl breast lesion
2.93
NA
NA
0.75
0.87
0.38
ZZZ19260

A
Removal of chest wall lesion
17.60
NA
NA
10.15
10.65
2.14
09019271

A
Revision of chest wall
21.86
NA
NA
15.83
16.90
2.63
09019272

A
Extensive chest wall surgery
24.82
NA
NA
16.97
17.95
3.00
09019290

A
Place needle wire, breast
1.27
2.89
2.87
0.45
0.43
0.07
00019291

A
Place needle wire, breast
0.63
1.14
1.17
0.22
0.21
0.04
ZZZ19295

A
Place breast clip, percut
0.00
2.28
2.49
NA
NA
0.01
ZZZ19296

A
Place po breast cath for rad
3.63
86.03
105.75
1.19
1.36
0.36
00019297

A
Place breast cath for rad
1.72
NA
NA
0.44
0.54
0.17
ZZZ19298

A
Place breast rad tube/caths
6.00
22.02
32.10
2.11
2.26
0.43
00019300

A
Removal of breast tissue
5.20
8.06
7.60
3.86
3.63
0.69
09019301

A
Partical mastectomy
10.00
NA
NA
4.63
4.02
0.79
09019302

A
P-mastectomy w/ln removal
13.88
NA
NA
6.14
6.24
1.80
09019303

A
Mast, simple, complete
15.67
NA
NA
7.00
6.01
1.18
09019304

A
Mast, subq
7.81
NA
NA
4.94
4.85
1.04
09019305

A
Mast, radical
17.23
NA
NA
8.12
8.04
1.93
09019306

A
Mast, rad, urban type
17.85
NA
NA
8.72
8.48
2.08
09019307

A
Mast, mod rad
17.95
NA
NA
8.77
8.49
2.13
09019316

A
Suspension of breast
10.98
NA
NA
6.95
7.23
1.64
09019318

A
Reduction of large breast
15.91
NA
NA
9.91
10.54
2.93
09019324

A
Enlarge breast
6.65
NA
NA
4.47
4.68
0.84
09019325

A
Enlarge breast with implant
8.52
NA
NA
6.41
6.47
1.33
09019328

A
Removal of breast implant
6.35
NA
NA
4.99
5.01
0.91
09019330

A
Removal of implant material
8.39
NA
NA
5.95
6.00
1.26
09019340

A
Immediate breast prosthesis
6.32
NA
NA
2.81
2.96
1.06
ZZZ19342

A
Delayed breast prosthesis
12.40
NA
NA
8.93
8.93
1.84
09019350

A
Breast reconstruction
8.99
9.89
11.87
6.59
6.88
1.41
09019355

A
Correct inverted nipple(s)
8.37
7.41
8.83
4.68
4.69
0.92
09019357

A
Breast reconstruction
20.57
NA
NA
15.39
15.51
2.94
09019361

A
Breast reconstr w/lat flap
23.17
NA
NA
16.80
14.62
2.93
09019364

A
Breast reconstruction
42.40
NA
NA
22.17
22.87
6.24
09019366

A
Breast reconstruction
21.70
NA
NA
9.91
10.75
3.25
09019367

A
Breast reconstruction
26.59
NA
NA
15.19
15.95
4.04
09019368

A
Breast reconstruction
33.61
NA
NA
18.04
18.48
5.54
09019369

A
Breast reconstruction
31.02
NA
NA
16.33
17.37
4.51
09019370

A
Surgery of breast capsule
8.99
NA
NA
6.79
6.85
1.29
09019371

A
Removal of breast capsule
10.42
NA
NA
7.69
7.76
1.62
09019380

A
Revise breast reconstruction
10.21
NA
NA
7.61
7.66
1.44
09019396

A
Design custom breast implant
2.17
4.53
2.81
1.28
1.14
0.30
00019499

C
Breast surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY20000

A
Incision of abscess
2.14
2.78
2.74
1.53
1.63
0.25
01020005

A
Incision of deep abscess
3.55
3.67
3.58
2.01
2.13
0.46
01020100

A
Explore wound, neck
10.33
NA
NA
3.58
4.02
1.21
01020101

A
Explore wound, chest
3.22
6.60
6.26
1.53
1.57
0.44
01020102

A
Explore wound, abdomen
3.95
6.95
7.21
1.84
1.87
0.49
01020103

A
Explore wound, extremity
5.31
7.81
8.20
2.79
3.09
0.75
01020150

A
Excise epiphyseal bar
14.60
NA
NA
7.65
7.34
2.04
09020200

A
Muscle biopsy
1.46
3.09
3.06
0.69
0.72
0.23
00020205

A
Deep muscle biopsy
2.35
3.83
3.86
1.10
1.14
0.33
00020206

A
Needle biopsy, muscle
0.99
5.22
5.86
0.57
0.60
0.07
00020220

A
Bone biopsy, trocar/needle
1.27
2.71
3.63
0.68
0.73
0.08
00020225

A
Bone biopsy, trocar/needle
1.87
12.00
18.23
1.02
1.08
0.22
00020240

A
Bone biopsy, excisional
3.25
NA
NA
2.02
2.29
0.44
01020245

A
Bone biopsy, excisional
8.77
NA
NA
5.75
6.16
1.31
01020250

A
Open bone biopsy
5.16
NA
NA
3.63
3.57
1.02
01020251

A
Open bone biopsy
5.69
NA
NA
3.85
4.00
1.15
01020500

A
Injection of sinus tract
1.25
1.34
1.80
0.88
1.20
0.12
01020501

A
Inject sinus tract for x-ray
0.76
2.37
2.64
0.27
0.26
0.04
000( print page 2579)20520

A
Removal of foreign body
1.87
2.61
2.76
1.45
1.61
0.21
01020525

A
Removal of foreign body
3.51
7.11
8.13
2.21
2.42
0.51
01020526

A
Ther injection, carp tunnel
0.94
0.81
0.89
0.41
0.46
0.13
00020550

A
Inj tendon sheath/ligament
0.75
0.63
0.67
0.28
0.26
0.09
00020551

A
Inj tendon origin/insertion
0.75
0.64
0.66
0.29
0.31
0.08
00020552

A
Inj trigger point, 1/2 muscl
0.66
0.58
0.65
0.24
0.22
0.05
00020553

A
Inject trigger points, =/> 3
0.75
0.64
0.73
0.26
0.24
0.04
00020555

A
Place ndl musc/tis for rt
6.00
NA
NA
2.18
2.18
0.43
00020600

A
Drain/inject, joint/bursa
0.66
0.66
0.66
0.31
0.33
0.08
00020605

A
Drain/inject, joint/bursa
0.68
0.74
0.75
0.32
0.34
0.08
00020610

A
Drain/inject, joint/bursa
0.79
1.07
1.01
0.40
0.41
0.11
00020612

A
Aspirate/inj ganglion cyst
0.70
0.70
0.70
0.32
0.34
0.10
00020615

A
Treatment of bone cyst
2.30
2.71
3.11
1.42
1.63
0.20
01020650

A
Insert and remove bone pin
2.25
2.46
2.41
1.45
1.50
0.31
01020660

A
Apply, rem fixation device
4.00
1.50
2.28
1.50
1.55
0.59
00020661

A
Application of head brace
5.14
NA
NA
6.05
5.48
1.14
09020662

A
Application of pelvis brace
6.26
NA
NA
4.81
5.17
0.56
09020663

A
Application of thigh brace
5.62
NA
NA
4.86
4.84
0.94
09020664

A
Halo brace application
9.86
NA
NA
7.81
7.43
1.75
09020665

A
Removal of fixation device
1.33
1.37
1.76
0.98
1.16
0.19
01020670

A
Removal of support implant
1.76
6.63
9.08
1.67
1.89
0.28
01020680

A
Removal of support implant
5.90
8.14
8.47
4.07
3.89
0.56
09020690

A
Apply bone fixation device
8.65
NA
NA
4.91
3.71
0.59
09020692

A
Apply bone fixation device
16.00
NA
NA
9.81
6.79
1.05
09020693

A
Adjust bone fixation device
5.97
NA
NA
4.49
4.97
0.98
09020694

A
Remove bone fixation device
4.20
5.31
6.23
3.53
3.78
0.71
09020802

A
Replantation, arm, complete
42.30
NA
NA
13.23
17.10
3.82
09020805

A
Replant forearm, complete
51.14
NA
NA
17.99
26.16
4.85
09020808

A
Replantation hand, complete
62.77
NA
NA
30.34
36.29
6.88
09020816

A
Replantation digit, complete
31.74
NA
NA
16.37
27.09
4.53
09020822

A
Replantation digit, complete
26.42
NA
NA
15.07
24.84
4.19
09020824

A
Replantation thumb, complete
31.74
NA
NA
16.21
26.39
4.62
09020827

A
Replantation thumb, complete
27.24
NA
NA
14.75
25.62
3.67
09020838

A
Replantation foot, complete
42.56
NA
NA
14.03
18.16
1.12
09020900

A
Removal of bone for graft
5.77
9.23
8.83
4.90
5.29
0.94
09020902

A
Removal of bone for graft
7.98
NA
NA
5.98
6.43
1.30
09020910

A
Remove cartilage for graft
5.41
NA
NA
4.57
4.88
0.71
09020912

A
Remove cartilage for graft
6.42
NA
NA
4.95
5.37
0.69
09020920

A
Removal of fascia for graft
5.42
NA
NA
4.34
4.28
0.66
09020922

A
Removal of fascia for graft
6.84
7.56
7.55
5.00
4.93
0.70
09020924

A
Removal of tendon for graft
6.59
NA
NA
4.97
5.43
1.04
09020926

A
Removal of tissue for graft
5.70
NA
NA
4.50
4.62
0.87
09020930

B
Sp bone algrft morsel add-on
0.00
0.00
0.00
0.00
0.00
0.00
XXX20931

A
Sp bone algrft struct add-on
1.81
NA
NA
0.68
0.80
0.43
ZZZ20936

B
Sp bone agrft local add-on
0.00
0.00
0.00
0.00
0.00
0.00
XXX20937

A
Sp bone agrft morsel add-on
2.79
NA
NA
1.08
1.26
0.54
ZZZ20938

A
Sp bone agrft struct add-on
3.02
NA
NA
1.15
1.35
0.64
ZZZ20950

A
Fluid pressure, muscle
1.26
4.23
5.54
0.88
0.94
0.20
00020955

A
Fibula bone graft, microvasc
40.02
NA
NA
18.55
21.42
4.90
09020956

A
Iliac bone graft, microvasc
40.93
NA
NA
20.34
22.55
7.03
09020957

A
Mt bone graft, microvasc
42.33
NA
NA
15.89
17.42
7.07
09020962

A
Other bone graft, microvasc
39.21
NA
NA
21.32
23.93
6.57
09020969

A
Bone/skin graft, microvasc
45.11
NA
NA
21.12
23.88
4.80
09020970

A
Bone/skin graft, iliac crest
44.26
NA
NA
20.92
23.16
6.62
09020972

A
Bone/skin graft, metatarsal
44.19
NA
NA
14.93
17.76
5.32
09020973

A
Bone/skin graft, great toe
46.95
NA
NA
14.16
19.67
5.56
09020974

A
Electrical bone stimulation
0.62
0.98
0.83
0.48
0.51
0.11
00020975

A
Electrical bone stimulation
2.60
NA
NA
1.46
1.58
0.51
00020979

A
Us bone stimulation
0.62
0.61
0.71
0.20
0.27
0.09
00020982

A
Ablate, bone tumor(s) perq
7.27
80.09
94.85
2.69
2.83
0.69
00020985

A
Cptr-asst dir ms px
2.50
0.99
0.99
0.99
0.99
0.48
ZZZ20986

C
Cptr-asst dir ms px io img
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ20987

C
Cptr-asst dir ms px  pre img
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ20999

C
Musculoskeletal surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY21010

A
Incision of jaw joint
10.90
NA
NA
6.29
6.69
1.11
09021015

A
Resection of facial tumor
5.59
NA
NA
4.31
4.66
0.70
09021025

A
Excision of bone, lower jaw
11.07
12.55
12.40
8.75
9.05
1.32
09021026

A
Excision of facial bone(s)
5.54
8.83
8.35
5.94
6.13
0.60
09021029

A
Contour of face bone lesion
8.26
9.56
9.47
6.52
6.77
0.94
09021030

A
Excise max/zygoma b9 tumor
4.80
7.19
6.76
4.69
4.86
0.54
09021031

A
Remove exostosis, mandible
3.26
5.92
5.54
3.47
3.55
0.48
09021032

A
Remove exostosis, maxilla
3.28
6.04
5.70
3.37
3.44
0.47
090( print page 2580)21034

A
Excise max/zygoma mlg tumor
17.17
13.94
14.94
10.12
11.40
1.72
09021040

A
Excise mandible lesion
4.80
7.20
6.80
4.64
4.68
0.54
09021044

A
Removal of jaw bone lesion
12.61
NA
NA
8.11
8.74
1.12
09021045

A
Extensive jaw surgery
18.13
NA
NA
10.79
11.58
1.52
09021046

A
Remove mandible cyst complex
13.97
NA
NA
11.50
11.70
1.86
09021047

A
Excise lwr jaw cyst w/repair
19.83
NA
NA
10.22
11.83
2.13
09021048

A
Remove maxilla cyst complex
14.47
NA
NA
11.39
11.77
1.77
09021049

A
Excis uppr jaw cyst w/repair
19.08
NA
NA
10.29
11.66
1.59
09021050

A
Removal of jaw joint
11.54
NA
NA
8.21
8.83
1.47
09021060

A
Remove jaw joint cartilage
10.91
NA
NA
7.20
7.90
1.38
09021070

A
Remove coronoid process
8.50
NA
NA
6.27
6.69
1.27
09021073

A
Mnpj of tmj w/anesth
3.33
5.50
5.50
2.31
2.31
0.43
09021076

A
Prepare face/oral prosthesis
13.40
8.02
10.19
4.69
7.35
2.00
01021077

A
Prepare face/oral prosthesis
33.70
18.44
24.89
11.83
18.93
4.56
09021079

A
Prepare face/oral prosthesis
22.31
13.97
17.74
8.10
12.63
3.16
09021080

A
Prepare face/oral prosthesis
25.06
16.16
20.33
9.02
14.20
3.75
09021081

A
Prepare face/oral prosthesis
22.85
15.02
18.67
8.41
12.95
3.21
09021082

A
Prepare face/oral prosthesis
20.84
14.91
17.13
8.27
12.01
3.12
09021083

A
Prepare face/oral prosthesis
19.27
14.91
16.86
7.78
11.11
2.89
09021084

A
Prepare face/oral prosthesis
22.48
16.85
19.65
8.95
13.33
2.19
09021085

A
Prepare face/oral prosthesis
8.99
6.93
7.61
3.52
5.15
1.27
01021086

A
Prepare face/oral prosthesis
24.88
12.91
18.34
8.45
13.95
3.72
09021087

A
Prepare face/oral prosthesis
24.88
13.05
18.17
8.55
13.88
3.45
09021088

C
Prepare face/oral prosthesis
0.00
0.00
0.00
0.00
0.00
0.00
09021089

C
Prepare face/oral prosthesis
0.00
0.00
0.00
0.00
0.00
0.00
09021100

A
Maxillofacial fixation
4.56
14.87
13.20
5.53
5.14
0.34
09021110

A
Interdental fixation
5.80
13.06
11.31
9.74
9.05
0.72
09021116

A
Injection, jaw joint x-ray
0.81
2.52
3.42
0.23
0.28
0.06
00021120

A
Reconstruction of chin
4.99
9.65
10.12
6.65
7.07
0.60
09021121

A
Reconstruction of chin
7.70
10.65
10.19
7.59
7.71
0.90
09021122

A
Reconstruction of chin
8.59
NA
NA
8.46
8.54
1.07
09021123

A
Reconstruction of chin
11.22
NA
NA
7.03
8.92
1.40
09021125

A
Augmentation, lower jaw bone
10.68
64.01
59.63
6.43
7.38
0.79
09021127

A
Augmentation, lower jaw bone
12.24
85.03
63.93
7.50
8.48
1.52
09021137

A
Reduction of forehead
10.12
NA
NA
7.44
7.59
1.32
09021138

A
Reduction of forehead
12.73
NA
NA
7.79
8.66
1.75
09021139

A
Reduction of forehead
14.90
NA
NA
6.99
9.03
1.18
09021141

A
Reconstruct midface, lefort
19.27
NA
NA
11.87
12.76
2.36
09021142

A
Reconstruct midface, lefort
19.98
NA
NA
10.08
11.46
2.39
09021143

A
Reconstruct midface, lefort
20.75
NA
NA
11.81
13.06
1.66
09021145

A
Reconstruct midface, lefort
23.64
NA
NA
12.98
13.44
2.85
09021146

A
Reconstruct midface, lefort
24.54
NA
NA
9.18
12.26
3.10
09021147

A
Reconstruct midface, lefort
26.14
NA
NA
14.31
14.68
1.85
09021150

A
Reconstruct midface, lefort
25.78
NA
NA
16.93
16.85
2.56
09021151

A
Reconstruct midface, lefort
28.84
NA
NA
11.61
17.29
2.31
09021154

A
Reconstruct midface, lefort
31.05
NA
NA
17.89
20.52
2.49
09021155

A
Reconstruct midface, lefort
34.98
NA
NA
18.17
21.04
6.66
09021159

A
Reconstruct midface, lefort
42.90
NA
NA
15.13
22.12
8.20
09021160

A
Reconstruct midface, lefort
46.95
NA
NA
23.24
25.37
4.14
09021172

A
Reconstruct orbit/forehead
28.07
NA
NA
13.75
13.75
3.56
09021175

A
Reconstruct orbit/forehead
33.43
NA
NA
13.53
15.67
4.84
09021179

A
Reconstruct entire forehead
22.53
NA
NA
11.22
12.68
2.81
09021180

A
Reconstruct entire forehead
25.46
NA
NA
13.00
14.19
3.49
09021181

A
Contour cranial bone lesion
10.18
NA
NA
6.83
7.15
1.32
09021182

A
Reconstruct cranial bone
32.45
NA
NA
15.27
17.20
2.81
09021183

A
Reconstruct cranial bone
35.57
NA
NA
19.23
20.03
4.48
09021184

A
Reconstruct cranial bone
38.49
NA
NA
15.63
18.79
5.72
09021188

A
Reconstruction of midface
22.97
NA
NA
15.65
17.27
1.70
09021193

A
Reconst lwr jaw w/o graft
18.65
NA
NA
9.82
11.24
2.24
09021194

A
Reconst lwr jaw w/graft
21.54
NA
NA
12.13
12.95
2.03
09021195

A
Reconst lwr jaw w/o fixation
18.88
NA
NA
13.08
13.95
1.64
09021196

A
Reconst lwr jaw w/fixation
20.55
NA
NA
13.95
14.83
2.08
09021198

A
Reconstr lwr jaw segment
15.48
NA
NA
11.89
12.30
1.44
09021199

A
Reconstr lwr jaw w/advance
16.62
NA
NA
7.57
8.35
1.39
09021206

A
Reconstruct upper jaw bone
15.36
NA
NA
10.89
11.77
1.33
09021208

A
Augmentation of facial bones
11.15
33.18
27.76
8.01
8.80
1.09
09021209

A
Reduction of facial bones
7.58
12.20
11.50
7.40
7.73
0.90
09021210

A
Face bone graft
11.40
43.50
34.19
7.64
8.50
1.30
09021215

A
Lower jaw bone graft
11.94
86.14
64.02
7.97
8.67
1.53
09021230

A
Rib cartilage graft
11.06
NA
NA
7.02
7.53
1.29
09021235

A
Ear cartilage graft
7.31
10.12
9.98
6.19
6.30
0.61
09021240

A
Reconstruction of jaw joint
15.77
NA
NA
9.44
10.75
2.25
090( print page 2581)21242

A
Reconstruction of jaw joint
14.32
NA
NA
9.02
10.27
1.79
09021243

A
Reconstruction of jaw joint
24.03
NA
NA
14.16
15.80
3.26
09021244

A
Reconstruction of lower jaw
13.35
NA
NA
11.53
11.81
1.25
09021245

A
Reconstruction of jaw
12.88
14.22
14.31
8.62
9.24
1.19
09021246

A
Reconstruction of jaw
12.78
NA
NA
7.43
8.24
1.35
09021247

A
Reconstruct lower jaw bone
24.05
NA
NA
12.70
15.03
2.84
09021248

A
Reconstruction of jaw
12.54
12.61
12.38
7.52
8.46
1.55
09021249

A
Reconstruction of jaw
18.57
15.74
16.24
9.62
11.16
2.49
09021255

A
Reconstruct lower jaw bone
18.14
NA
NA
14.05
15.10
2.39
09021256

A
Reconstruction of orbit
17.42
NA
NA
9.59
10.70
1.50
09021260

A
Revise eye sockets
17.74
NA
NA
12.96
12.87
0.97
09021261

A
Revise eye sockets
33.78
NA
NA
14.75
19.50
3.43
09021263

A
Revise eye sockets
30.72
NA
NA
14.05
16.57
2.63
09021267

A
Revise eye sockets
20.45
NA
NA
16.05
17.92
1.71
09021268

A
Revise eye sockets
26.78
NA
NA
13.14
16.68
3.66
09021270

A
Augmentation, cheek bone
10.52
11.16
11.41
5.90
6.58
0.72
09021275

A
Revision, orbitofacial bones
11.65
NA
NA
7.16
7.66
1.29
09021280

A
Revision of eyelid
6.92
NA
NA
5.66
5.79
0.42
09021282

A
Revision of eyelid
4.11
NA
NA
4.16
4.32
0.26
09021295

A
Revision of jaw muscle/bone
1.82
NA
NA
2.23
2.38
0.16
09021296

A
Revision of jaw muscle/bone
4.67
NA
NA
5.43
5.17
0.34
09021299

C
Cranio/maxillofacial surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY21310

A
Treatment of nose fracture
0.58
2.00
2.14
0.11
0.13
0.05
00021315

A
Treatment of nose fracture
1.78
4.72
4.48
1.78
1.83
0.14
01021320

A
Treatment of nose fracture
1.86
4.30
4.11
1.36
1.49
0.18
01021325

A
Treatment of nose fracture
4.07
NA
NA
6.98
7.80
0.31
09021330

A
Treatment of nose fracture
5.68
NA
NA
7.63
8.67
0.56
09021335

A
Treatment of nose fracture
8.91
NA
NA
8.48
9.05
0.74
09021336

A
Treat nasal septal fracture
6.56
NA
NA
8.67
9.14
0.55
09021337

A
Treat nasal septal fracture
3.26
6.15
6.14
3.56
3.57
0.28
09021338

A
Treat nasoethmoid fracture
6.76
NA
NA
9.93
11.98
0.82
09021339

A
Treat nasoethmoid fracture
8.39
NA
NA
9.84
11.87
0.96
09021340

A
Treatment of nose fracture
11.33
NA
NA
7.25
7.83
1.15
09021343

A
Treatment of sinus fracture
14.11
NA
NA
12.80
14.14
1.47
09021344

A
Treatment of sinus fracture
21.36
NA
NA
13.06
14.79
2.44
09021345

A
Treat nose/jaw fracture
8.87
10.50
10.17
6.56
6.87
0.92
09021346

A
Treat nose/jaw fracture
11.29
NA
NA
10.83
11.52
1.21
09021347

A
Treat nose/jaw fracture
13.37
NA
NA
11.74
13.97
1.47
09021348

A
Treat nose/jaw fracture
17.36
NA
NA
11.00
11.06
2.49
09021355

A
Treat cheek bone fracture
4.32
5.91
6.07
3.25
3.37
0.34
01021356

A
Treat cheek bone fracture
4.70
6.98
7.05
4.06
4.30
0.46
01021360

A
Treat cheek bone fracture
7.03
NA
NA
5.40
5.67
0.74
09021365

A
Treat cheek bone fracture
16.52
NA
NA
9.10
9.97
1.70
09021366

A
Treat cheek bone fracture
18.44
NA
NA
10.51
10.92
2.50
09021385

A
Treat eye socket fracture
9.46
NA
NA
7.14
7.71
0.97
09021386

A
Treat eye socket fracture
9.46
NA
NA
6.01
6.54
0.97
09021387

A
Treat eye socket fracture
10.00
NA
NA
7.45
8.21
1.08
09021390

A
Treat eye socket fracture
11.07
NA
NA
7.01
7.41
0.90
09021395

A
Treat eye socket fracture
14.62
NA
NA
8.34
8.69
1.44
09021400

A
Treat eye socket fracture
1.44
2.71
2.66
1.96
1.92
0.15
09021401

A
Treat eye socket fracture
3.57
7.04
7.52
3.05
3.27
0.38
09021406

A
Treat eye socket fracture
7.31
NA
NA
5.29
5.69
0.73
09021407

A
Treat eye socket fracture
8.91
NA
NA
5.92
6.39
0.94
09021408

A
Treat eye socket fracture
12.67
NA
NA
7.45
8.17
1.44
09021421

A
Treat mouth roof fracture
5.80
12.47
10.90
9.22
8.76
0.73
09021422

A
Treat mouth roof fracture
8.62
NA
NA
7.05
7.56
0.99
09021423

A
Treat mouth roof fracture
10.71
NA
NA
7.40
8.37
1.27
09021431

A
Treat craniofacial fracture
7.74
NA
NA
10.85
10.19
0.70
09021432

A
Treat craniofacial fracture
8.76
NA
NA
6.81
7.44
0.81
09021433

A
Treat craniofacial fracture
26.13
NA
NA
12.14
14.28
2.79
09021435

A
Treat craniofacial fracture
20.02
NA
NA
11.08
11.90
1.99
09021436

A
Treat craniofacial fracture
30.01
NA
NA
13.15
15.69
3.10
09021440

A
Treat dental ridge fracture
3.28
10.07
8.59
7.46
6.81
0.38
09021445

A
Treat dental ridge fracture
6.04
12.29
11.02
8.47
8.42
0.78
09021450

A
Treat lower jaw fracture
3.55
10.51
8.95
7.72
7.30
0.33
09021451

A
Treat lower jaw fracture
5.46
12.99
11.17
9.68
9.04
0.63
09021452

A
Treat lower jaw fracture
2.29
12.04
12.54
6.06
5.34
0.27
09021453

A
Treat lower jaw fracture
6.40
14.81
12.78
11.66
11.20
0.74
09021454

A
Treat lower jaw fracture
7.17
NA
NA
5.72
6.00
0.82
09021461

A
Treat lower jaw fracture
9.07
41.73
33.10
12.82
12.74
0.98
09021462

A
Treat lower jaw fracture
10.77
43.02
35.32
13.41
13.07
1.27
09021465

A
Treat lower jaw fracture
12.88
NA
NA
8.12
8.97
1.50
090( print page 2582)21470

A
Treat lower jaw fracture
17.24
NA
NA
10.18
11.10
1.97
09021480

A
Reset dislocated jaw
0.61
1.52
1.65
0.18
0.18
0.06
00021485

A
Reset dislocated jaw
4.58
12.10
10.16
9.11
8.39
0.51
09021490

A
Repair dislocated jaw
12.71
NA
NA
8.13
8.91
1.97
09021495

A
Treat hyoid bone fracture
6.55
NA
NA
10.48
9.45
0.46
09021497

A
Interdental wiring
4.45
12.23
10.34
9.35
8.50
0.50
09021499

C
Head surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY21501

A
Drain neck/chest lesion
3.87
6.56
6.49
3.52
3.67
0.43
09021502

A
Drain chest lesion
7.43
NA
NA
4.56
5.10
0.97
09021510

A
Drainage of bone lesion
6.06
NA
NA
4.81
5.24
0.80
09021550

A
Biopsy of neck/chest
2.08
4.36
3.97
1.79
1.75
0.16
01021555

A
Remove lesion, neck/chest
4.40
5.79
5.65
3.43
3.31
0.56
09021556

A
Remove lesion, neck/chest
5.63
NA
NA
4.14
4.12
0.65
09021557

A
Remove tumor, neck/chest
8.91
NA
NA
4.51
4.94
1.08
09021600

A
Partial removal of rib
7.14
NA
NA
5.97
5.85
0.99
09021610

A
Partial removal of rib
15.76
NA
NA
8.90
8.89
3.08
09021615

A
Removal of rib
10.31
NA
NA
5.17
5.93
1.45
09021616

A
Removal of rib and nerves
12.54
NA
NA
6.52
7.27
1.87
09021620

A
Partial removal of sternum
7.16
NA
NA
4.76
5.37
0.98
09021627

A
Sternal debridement
7.18
NA
NA
5.55
5.93
1.02
09021630

A
Extensive sternum surgery
19.01
NA
NA
10.36
11.10
2.59
09021632

A
Extensive sternum surgery
19.51
NA
NA
9.43
10.27
2.66
09021685

A
Hyoid myotomy & suspension
14.89
NA
NA
8.77
9.37
1.06
09021700

A
Revision of neck muscle
6.23
NA
NA
4.40
4.42
0.32
09021705

A
Revision of neck muscle/rib
9.83
NA
NA
4.36
4.97
1.43
09021720

A
Revision of neck muscle
5.72
NA
NA
4.11
3.29
0.91
09021725

A
Revision of neck muscle
7.10
NA
NA
5.15
5.30
1.21
09021740

A
Reconstruction of sternum
17.47
NA
NA
8.21
8.36
2.37
09021742

C
Repair stern/nuss w/o scope
0.00
0.00
0.00
0.00
0.00
0.00
09021743

C
Repair sternum/nuss w/scope
0.00
0.00
0.00
0.00
0.00
0.00
09021750

A
Repair of sternum separation
11.35
NA
NA
5.32
5.72
1.63
09021800

A
Treatment of rib fracture
0.98
1.36
1.35
1.43
1.38
0.09
09021805

A
Treatment of rib fracture
2.80
NA
NA
3.27
3.24
0.38
09021810

A
Treatment of rib fracture(s)
6.92
NA
NA
5.38
5.17
0.94
09021820

A
Treat sternum fracture
1.31
1.83
1.83
1.89
1.83
0.16
09021825

A
Treat sternum fracture
7.65
NA
NA
5.38
5.89
1.11
09021899

C
Neck/chest surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY21920

A
Biopsy soft tissue of back
2.08
4.44
3.86
1.88
1.68
0.14
01021925

A
Biopsy soft tissue of back
4.54
5.35
5.26
3.36
3.30
0.60
09021930

A
Remove lesion, back or flank
5.06
6.05
5.88
3.78
3.59
0.66
09021935

A
Remove tumor, back
18.38
NA
NA
8.45
9.04
2.48
09022010

A
I&d, p-spine, c/t/cerv-thor
12.57
NA
NA
8.36
8.62
1.74
09022015

A
I&d, p-spine, l/s/ls
12.46
NA
NA
8.34
8.59
1.72
09022100

A
Remove part of neck vertebra
10.80
NA
NA
8.20
7.87
2.14
09022101

A
Remove part, thorax vertebra
10.88
NA
NA
8.12
7.94
1.91
09022102

A
Remove part, lumbar vertebra
10.88
NA
NA
7.93
8.02
1.88
09022103

A
Remove extra spine segment
2.34
NA
NA
0.90
1.05
0.44
ZZZ22110

A
Remove part of neck vertebra
13.80
NA
NA
9.12
9.15
2.77
09022112

A
Remove part, thorax vertebra
13.87
NA
NA
9.03
9.16
2.53
09022114

A
Remove part, lumbar vertebra
13.87
NA
NA
9.01
9.14
2.64
09022116

A
Remove extra spine segment
2.32
NA
NA
0.89
1.03
0.50
ZZZ22206

A
Cut spine 3 col, thor
37.00
NA
NA
17.73
17.73
6.23
09022207

A
Cut spine 3 col, lumb
36.50
NA
NA
17.61
17.61
6.07
09022208

A
Cut spine 3 col, addl seg
9.66
3.73
3.73
3.73
3.73
2.07
ZZZ22210

A
Revision of neck spine
25.13
NA
NA
14.56
14.99
5.46
09022212

A
Revision of thorax spine
20.74
NA
NA
12.45
12.87
3.91
09022214

A
Revision of lumbar spine
20.77
NA
NA
12.54
13.18
3.92
09022216

A
Revise, extra spine segment
6.03
NA
NA
2.32
2.73
1.29
ZZZ22220

A
Revision of neck spine
22.69
NA
NA
13.36
13.50
5.08
09022222

A
Revision of thorax spine
22.84
NA
NA
10.47
10.80
4.13
09022224

A
Revision of lumbar spine
22.84
NA
NA
12.90
13.57
4.19
09022226

A
Revise, extra spine segment
6.03
NA
NA
2.28
2.69
1.29
ZZZ22305

A
Treat spine process fracture
2.08
2.15
2.23
1.80
1.86
0.39
09022310

A
Treat spine fracture
3.69
2.99
2.90
2.50
2.43
0.50
09022315

A
Treat spine fracture
9.91
9.89
9.79
7.44
7.39
1.86
09022318

A
Treat odontoid fx w/o graft
22.54
NA
NA
13.27
13.33
5.30
09022319

A
Treat odontoid fx w/graft
25.15
NA
NA
13.46
14.09
6.05
09022325

A
Treat spine fracture
19.62
NA
NA
12.15
12.12
3.88
09022326

A
Treat neck spine fracture
20.64
NA
NA
12.03
12.37
4.43
09022327

A
Treat thorax spine fracture
20.52
NA
NA
12.34
12.36
3.99
09022328

A
Treat each add spine fx
4.60
NA
NA
1.76
2.01
0.94
ZZZ22505

A
Manipulation of spine
1.87
NA
NA
1.10
1.02
0.36
010( print page 2583)22520

A
Percut vertebroplasty thor
9.17
43.83
52.77
4.58
4.84
1.72
01022521

A
Percut vertebroplasty lumb
8.60
45.01
50.51
4.36
4.65
1.60
01022522

A
Percut vertebroplasty addÆl
4.30
NA
NA
1.51
1.59
0.82
ZZZ22523

A
Percut kyphoplasty, thor
9.21
NA
NA
4.67
5.29
1.72
01022524

A
Percut kyphoplasty, lumbar
8.81
NA
NA
4.53
5.11
1.60
01022525

A
Percut kyphoplasty, add-on
4.47
NA
NA
1.69
1.98
0.82
ZZZ22526

A
Idet, single level
6.07
46.73
46.73
2.05
2.05
1.16
01022527

A
Idet, 1 or more levels
3.03
40.40
40.40
0.70
0.70
0.58
ZZZ22532

A
Lat thorax spine fusion
25.81
NA
NA
13.79
14.31
4.35
09022533

A
Lat lumbar spine fusion
24.61
NA
NA
13.58
13.59
3.16
09022534

A
Lat thor/lumb, addÆl seg
5.99
NA
NA
2.28
2.66
1.25
ZZZ22548

A
Neck spine fusion
26.86
NA
NA
14.94
15.38
5.61
09022554

A
Neck spine fusion
17.54
NA
NA
10.65
11.50
4.46
09022556

A
Thorax spine fusion
24.50
NA
NA
12.96
13.85
4.35
09022558

A
Lumbar spine fusion
23.33
NA
NA
11.44
12.37
3.16
09022585

A
Additional spinal fusion
5.52
NA
NA
2.06
2.43
1.25
ZZZ22590

A
Spine & skull spinal fusion
21.56
NA
NA
13.08
13.21
4.79
09022595

A
Neck spinal fusion
20.44
NA
NA
12.65
12.75
4.41
09022600

A
Neck spine fusion
17.20
NA
NA
11.20
11.20
3.73
09022610

A
Thorax spine fusion
17.08
NA
NA
10.82
11.12
3.53
09022612

A
Lumbar spine fusion
23.38
NA
NA
12.50
13.36
4.47
09022614

A
Spine fusion, extra segment
6.43
NA
NA
2.46
2.90
1.38
ZZZ22630

A
Lumbar spine fusion
21.89
NA
NA
12.54
13.08
4.73
09022632

A
Spine fusion, extra segment
5.22
NA
NA
1.99
2.33
1.16
ZZZ22800

A
Fusion of spine
19.30
NA
NA
11.16
11.97
3.76
09022802

A
Fusion of spine
31.91
NA
NA
16.00
17.80
6.17
09022804

A
Fusion of spine
37.30
NA
NA
18.13
20.42
7.00
09022808

A
Fusion of spine
27.31
NA
NA
14.06
15.19
4.93
09022810

A
Fusion of spine
31.30
NA
NA
14.92
16.64
5.15
09022812

A
Fusion of spine
34.00
NA
NA
17.39
18.73
5.30
09022818

A
Kyphectomy, 1-2 segments
34.18
NA
NA
16.63
17.75
6.47
09022819

A
Kyphectomy, 3 or more
39.18
NA
NA
18.88
19.47
7.67
09022830

A
Exploration of spinal fusion
11.13
NA
NA
7.06
7.51
2.30
09022840

A
Insert spine fixation device
12.52
NA
NA
4.78
5.64
2.79
ZZZ22841

B
Insert spine fixation device
0.00
0.00
0.00
0.00
0.00
0.00
XXX22842

A
Insert spine fixation device
12.56
NA
NA
4.80
5.65
2.75
ZZZ22843

A
Insert spine fixation device
13.44
NA
NA
5.16
5.88
2.86
ZZZ22844

A
Insert spine fixation device
16.42
NA
NA
6.41
7.58
3.19
ZZZ22845

A
Insert spine fixation device
11.94
NA
NA
4.49
5.28
2.86
ZZZ22846

A
Insert spine fixation device
12.40
NA
NA
4.66
5.50
2.96
ZZZ22847

A
Insert spine fixation device
13.78
NA
NA
5.20
6.11
3.00
ZZZ22848

A
Insert pelv fixation device
5.99
NA
NA
2.34
2.76
1.15
ZZZ22849

A
Reinsert spinal fixation
19.08
NA
NA
10.17
10.95
3.90
09022850

A
Remove spine fixation device
9.74
NA
NA
6.41
6.70
2.05
09022851

A
Apply spine prosth device
6.70
NA
NA
2.54
2.95
1.49
ZZZ22852

A
Remove spine fixation device
9.29
NA
NA
6.18
6.49
1.90
09022855

A
Remove spine fixation device
15.77
NA
NA
9.18
9.43
3.52
09022857

R
Lumbar artif diskectomy
26.93
NA
NA
14.82
14.82
3.56
09022862

R
Revise lumbar artif disc
32.43
NA
NA
16.09
16.09
5.36
09022865

R
Remove lumb artif disc
31.55
NA
NA
15.74
15.74
5.18
09022899

C
Spine surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY22900

A
Remove abdominal wall lesion
6.14
NA
NA
3.54
3.38
0.76
09022999

C
Abdomen surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY23000

A
Removal of calcium deposits
4.40
7.89
8.21
3.74
4.08
0.68
09023020

A
Release shoulder joint
9.24
NA
NA
6.49
7.02
1.54
09023030

A
Drain shoulder lesion
3.44
6.29
6.84
2.40
2.65
0.57
01023031

A
Drain shoulder bursa
2.76
6.52
7.19
2.22
2.47
0.46
01023035

A
Drain shoulder bone lesion
9.04
NA
NA
6.46
7.36
1.47
09023040

A
Exploratory shoulder surgery
9.63
NA
NA
6.75
7.31
1.60
09023044

A
Exploratory shoulder surgery
7.48
NA
NA
5.52
5.98
1.24
09023065

A
Biopsy shoulder tissues
2.28
2.96
2.72
1.74
1.68
0.20
01023066

A
Biopsy shoulder tissues
4.21
7.76
7.72
3.61
3.80
0.63
09023075

A
Removal of shoulder lesion
2.41
3.70
3.68
1.72
1.75
0.34
01023076

A
Removal of shoulder lesion
7.77
NA
NA
5.32
5.44
1.13
09023077

A
Remove tumor of shoulder
18.08
NA
NA
9.61
9.92
2.34
09023100

A
Biopsy of shoulder joint
6.09
NA
NA
5.00
5.33
1.04
09023101

A
Shoulder joint surgery
5.63
NA
NA
4.54
4.94
0.96
09023105

A
Remove shoulder joint lining
8.36
NA
NA
6.10
6.61
1.42
09023106

A
Incision of collarbone joint
6.02
NA
NA
4.79
5.25
0.99
09023107

A
Explore treat shoulder joint
8.75
NA
NA
6.26
6.83
1.49
09023120

A
Partial removal, collar bone
7.23
NA
NA
5.47
5.97
1.23
09023125

A
Removal of collar bone
9.52
NA
NA
6.39
6.98
1.62
090( print page 2584)23130

A
Remove shoulder bone, part
7.63
NA
NA
6.08
6.61
1.30
09023140

A
Removal of bone lesion
7.01
NA
NA
4.90
5.07
1.08
09023145

A
Removal of bone lesion
9.28
NA
NA
6.49
6.97
1.49
09023146

A
Removal of bone lesion
7.96
NA
NA
5.92
6.52
1.35
09023150

A
Removal of humerus lesion
8.79
NA
NA
6.26
6.59
1.32
09023155

A
Removal of humerus lesion
10.72
NA
NA
7.26
7.79
1.81
09023156

A
Removal of humerus lesion
8.99
NA
NA
6.29
6.84
1.50
09023170

A
Remove collar bone lesion
7.10
NA
NA
5.00
5.51
1.12
09023172

A
Remove shoulder blade lesion
7.20
NA
NA
5.52
5.90
1.01
09023174

A
Remove humerus lesion
9.90
NA
NA
7.18
7.77
1.65
09023180

A
Remove collar bone lesion
8.85
NA
NA
6.42
7.71
1.47
09023182

A
Remove shoulder blade lesion
8.47
NA
NA
6.43
7.49
1.37
09023184

A
Remove humerus lesion
9.76
NA
NA
6.93
8.12
1.63
09023190

A
Partial removal of scapula
7.36
NA
NA
5.31
5.74
1.17
09023195

A
Removal of head of humerus
10.24
NA
NA
6.92
7.33
1.71
09023200

A
Removal of collar bone
12.69
NA
NA
7.12
7.92
1.94
09023210

A
Removal of shoulder blade
13.16
NA
NA
7.81
8.41
2.03
09023220

A
Partial removal of humerus
15.36
NA
NA
9.15
9.99
2.49
09023221

A
Partial removal of humerus
18.41
NA
NA
10.62
11.17
3.06
09023222

A
Partial removal of humerus
25.44
NA
NA
13.35
14.57
3.95
09023330

A
Remove shoulder foreign body
1.87
3.36
3.52
1.51
1.70
0.24
01023331

A
Remove shoulder foreign body
7.51
NA
NA
5.84
6.32
1.27
09023332

A
Remove shoulder foreign body
12.23
NA
NA
7.97
8.65
2.03
09023350

A
Injection for shoulder x-ray
1.00
2.73
3.10
0.35
0.34
0.06
00023395

A
Muscle transfer,shoulder/arm
18.29
NA
NA
11.21
12.04
2.94
09023397

A
Muscle transfers
16.62
NA
NA
9.56
10.47
2.74
09023400

A
Fixation of shoulder blade
13.73
NA
NA
8.55
9.31
2.30
09023405

A
Incision of tendon & muscle
8.43
NA
NA
5.92
6.42
1.45
09023406

A
Incise tendon(s) & muscle(s)
10.90
NA
NA
6.91
7.63
1.88
09023410

A
Repair rotator cuff, acute
12.63
NA
NA
7.78
8.60
2.17
09023412

A
Repair rotator cuff, chronic
13.55
NA
NA
8.16
9.03
2.32
09023415

A
Release of shoulder ligament
10.09
NA
NA
6.59
7.29
1.74
09023420

A
Repair of shoulder
14.75
NA
NA
9.71
10.28
2.32
09023430

A
Repair biceps tendon
10.05
NA
NA
6.78
7.44
1.74
09023440

A
Remove/transplant tendon
10.53
NA
NA
6.78
7.52
1.83
09023450

A
Repair shoulder capsule
13.58
NA
NA
8.18
9.02
2.33
09023455

A
Repair shoulder capsule
14.55
NA
NA
8.56
9.50
2.50
09023460

A
Repair shoulder capsule
15.68
NA
NA
9.37
10.37
2.67
09023462

A
Repair shoulder capsule
15.60
NA
NA
9.09
9.92
2.60
09023465

A
Repair shoulder capsule
16.16
NA
NA
9.50
10.34
2.77
09023466

A
Repair shoulder capsule
15.55
NA
NA
10.00
10.69
2.47
09023470

A
Reconstruct shoulder joint
17.75
NA
NA
10.13
11.19
2.99
09023472

A
Reconstruct shoulder joint
22.47
NA
NA
12.15
13.28
3.67
09023480

A
Revision of collar bone
11.42
NA
NA
7.30
8.04
1.95
09023485

A
Revision of collar bone
13.79
NA
NA
8.21
9.05
2.34
09023490

A
Reinforce clavicle
12.04
NA
NA
6.75
7.73
1.47
09023491

A
Reinforce shoulder bones
14.40
NA
NA
8.72
9.72
2.47
09023500

A
Treat clavicle fracture
2.13
2.64
2.76
2.71
2.62
0.30
09023505

A
Treat clavicle fracture
3.74
4.01
4.21
3.62
3.73
0.61
09023515

A
Treat clavicle fracture
9.53
NA
NA
7.01
6.78
1.28
09023520

A
Treat clavicle dislocation
2.21
2.77
2.81
2.84
2.79
0.34
09023525

A
Treat clavicle dislocation
3.67
4.17
4.35
3.64
3.79
0.46
09023530

A
Treat clavicle dislocation
7.37
NA
NA
5.31
5.62
1.20
09023532

A
Treat clavicle dislocation
8.08
NA
NA
6.02
6.50
1.38
09023540

A
Treat clavicle dislocation
2.28
2.67
2.77
2.74
2.55
0.29
09023545

A
Treat clavicle dislocation
3.32
3.74
3.97
3.26
3.31
0.35
09023550

A
Treat clavicle dislocation
7.48
NA
NA
5.54
5.96
1.25
09023552

A
Treat clavicle dislocation
8.70
NA
NA
6.26
6.79
1.46
09023570

A
Treat shoulder blade fx
2.28
2.78
2.90
2.92
2.91
0.36
09023575

A
Treat shoulder blade fx
4.12
4.59
4.74
4.08
4.20
0.59
09023585

A
Treat scapula fracture
14.07
NA
NA
8.51
8.08
1.54
09023600

A
Treat humerus fracture
3.00
4.07
4.31
3.65
3.60
0.48
09023605

A
Treat humerus fracture
4.94
5.38
5.77
4.60
4.85
0.84
09023615

A
Treat humerus fracture
12.12
NA
NA
8.06
8.45
1.62
09023616

A
Treat humerus fracture
18.19
NA
NA
10.46
12.30
3.70
09023620

A
Treat humerus fracture
2.46
3.41
3.51
3.15
3.07
0.40
09023625

A
Treat humerus fracture
3.99
4.45
4.69
3.92
4.10
0.67
09023630

A
Treat humerus fracture
10.39
NA
NA
7.37
7.00
1.27
09023650

A
Treat shoulder dislocation
3.44
3.29
3.53
2.83
2.79
0.30
09023655

A
Treat shoulder dislocation
4.64
NA
NA
4.15
4.16
0.69
09023660

A
Treat shoulder dislocation
7.55
NA
NA
5.69
6.04
1.29
09023665

A
Treat dislocation/fracture
4.54
4.85
5.09
4.27
4.49
0.71
090( print page 2585)23670

A
Treat dislocation/fracture
12.12
NA
NA
7.93
7.38
1.36
09023675

A
Treat dislocation/fracture
6.13
6.13
6.48
5.13
5.49
1.01
09023680

A
Treat dislocation/fracture
12.99
NA
NA
8.24
8.17
1.76
09023700

A
Fixation of shoulder
2.54
NA
NA
1.90
2.04
0.44
01023800

A
Fusion of shoulder joint
14.59
NA
NA
8.87
9.64
2.36
09023802

A
Fusion of shoulder joint
18.17
NA
NA
11.22
10.70
2.71
09023900

A
Amputation of arm & girdle
20.57
NA
NA
10.43
11.07
3.19
09023920

A
Amputation at shoulder joint
16.03
NA
NA
9.22
9.58
2.47
09023921

A
Amputation follow-up surgery
5.61
NA
NA
4.85
4.97
0.78
09023929

C
Shoulder surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY23930

A
Drainage of arm lesion
2.96
4.98
5.65
1.98
2.15
0.43
01023931

A
Drainage of arm bursa
1.81
4.36
5.14
1.75
1.96
0.28
01023935

A
Drain arm/elbow bone lesion
6.27
NA
NA
5.10
5.51
1.05
09024000

A
Exploratory elbow surgery
5.99
NA
NA
4.75
5.08
0.97
09024006

A
Release elbow joint
9.62
NA
NA
6.60
7.18
1.50
09024065

A
Biopsy arm/elbow soft tissue
2.10
4.15
3.68
1.92
1.83
0.17
01024066

A
Biopsy arm/elbow soft tissue
5.26
8.27
8.61
3.92
4.03
0.80
09024075

A
Remove arm/elbow lesion
3.96
7.19
7.27
3.27
3.33
0.56
09024076

A
Remove arm/elbow lesion
6.36
NA
NA
4.59
4.72
0.95
09024077

A
Remove tumor of arm/elbow
11.95
NA
NA
6.86
7.30
1.73
09024100

A
Biopsy elbow joint lining
4.98
NA
NA
4.09
4.31
0.85
09024101

A
Explore/treat elbow joint
6.19
NA
NA
5.05
5.49
1.03
09024102

A
Remove elbow joint lining
8.15
NA
NA
5.81
6.34
1.33
09024105

A
Removal of elbow bursa
3.67
NA
NA
4.03
4.21
0.61
09024110

A
Remove humerus lesion
7.46
NA
NA
5.65
6.16
1.28
09024115

A
Remove/graft bone lesion
10.00
NA
NA
4.32
5.77
1.68
09024116

A
Remove/graft bone lesion
12.11
NA
NA
7.68
8.38
2.06
09024120

A
Remove elbow lesion
6.71
NA
NA
5.18
5.55
1.10
09024125

A
Remove/graft bone lesion
8.02
NA
NA
5.99
6.08
1.06
09024126

A
Remove/graft bone lesion
8.50
NA
NA
6.01
6.52
1.16
09024130

A
Removal of head of radius
6.31
NA
NA
5.13
5.58
1.04
09024134

A
Removal of arm bone lesion
10.10
NA
NA
6.91
7.88
1.64
09024136

A
Remove radius bone lesion
8.29
NA
NA
5.77
6.50
1.38
09024138

A
Remove elbow bone lesion
8.33
NA
NA
6.49
7.14
1.34
09024140

A
Partial removal of arm bone
9.43
NA
NA
6.58
7.84
1.51
09024145

A
Partial removal of radius
7.70
NA
NA
5.64
6.85
1.25
09024147

A
Partial removal of elbow
7.69
NA
NA
6.28
7.44
1.30
09024149

A
Radical resection of elbow
15.92
NA
NA
10.77
11.20
2.35
09024150

A
Extensive humerus surgery
13.70
NA
NA
8.50
9.25
2.33
09024151

A
Extensive humerus surgery
16.08
NA
NA
9.70
10.61
2.60
09024152

A
Extensive radius surgery
10.24
NA
NA
6.17
6.95
1.48
09024153

A
Extensive radius surgery
11.73
NA
NA
4.87
5.22
0.74
09024155

A
Removal of elbow joint
11.97
NA
NA
7.42
7.91
1.93
09024160

A
Remove elbow joint implant
7.89
NA
NA
5.83
6.36
1.30
09024164

A
Remove radius head implant
6.34
NA
NA
4.90
5.34
1.03
09024200

A
Removal of arm foreign body
1.78
2.74
3.08
1.36
1.49
0.20
01024201

A
Removal of arm foreign body
4.61
7.80
8.81
3.66
3.95
0.72
09024220

A
Injection for elbow x-ray
1.31
2.66
3.15
0.46
0.45
0.08
00024300

A
Manipulate elbow w/anesth
3.86
NA
NA
5.16
5.44
0.65
09024301

A
Muscle/tendon transfer
10.26
NA
NA
6.83
7.51
1.66
09024305

A
Arm tendon lengthening
7.51
NA
NA
5.66
6.19
1.15
09024310

A
Revision of arm tendon
6.03
NA
NA
4.73
5.16
0.96
09024320

A
Repair of arm tendon
10.74
NA
NA
7.03
7.28
1.74
09024330

A
Revision of arm muscles
9.67
NA
NA
6.64
7.26
1.60
09024331

A
Revision of arm muscles
10.83
NA
NA
6.95
7.82
1.78
09024332

A
Tenolysis, triceps
7.77
NA
NA
5.92
6.35
1.23
09024340

A
Repair of biceps tendon
7.96
NA
NA
5.96
6.47
1.36
09024341

A
Repair arm tendon/muscle
9.24
NA
NA
7.53
7.72
1.36
09024342

A
Repair of ruptured tendon
10.74
NA
NA
7.07
7.79
1.86
09024343

A
Repr elbow lat ligmnt w/tiss
8.99
NA
NA
6.99
7.57
1.43
09024344

A
Reconstruct elbow lat ligmnt
14.97
NA
NA
9.96
10.74
2.37
09024345

A
Repr elbw med ligmnt w/tissu
8.99
NA
NA
6.94
7.48
1.44
09024346

A
Reconstruct elbow med ligmnt
14.97
NA
NA
10.04
10.69
2.34
09024357

A
Repair elbow, perc
5.32
NA
NA
4.72
5.15
0.87
09024358

A
Repair elbow w/deb, open
6.54
NA
NA
5.28
5.73
1.07
09024359

A
Repair elbow deb/attch open
8.86
NA
NA
6.20
6.20
1.41
09024360

A
Reconstruct elbow joint
12.53
NA
NA
7.84
8.66
2.06
09024361

A
Reconstruct elbow joint
14.27
NA
NA
8.76
9.67
2.19
09024362

A
Reconstruct elbow joint
15.18
NA
NA
5.74
7.89
2.61
09024363

A
Replace elbow joint
22.47
NA
NA
12.18
12.95
3.02
09024365

A
Reconstruct head of radius
8.51
NA
NA
5.97
6.59
1.41
09024366

A
Reconstruct head of radius
9.25
NA
NA
6.31
6.93
1.52
090( print page 2586)24400

A
Revision of humerus
11.19
NA
NA
7.50
8.18
1.93
09024410

A
Revision of humerus
14.96
NA
NA
9.25
9.78
2.58
09024420

A
Revision of humerus
13.58
NA
NA
8.51
9.53
2.18
09024430

A
Repair of humerus
15.07
NA
NA
9.23
9.49
2.22
09024435

A
Repair humerus with graft
14.74
NA
NA
9.82
10.35
2.28
09024470

A
Revision of elbow joint
8.81
NA
NA
5.66
6.69
1.48
09024495

A
Decompression of forearm
8.30
NA
NA
6.41
7.58
1.18
09024498

A
Reinforce humerus
12.16
NA
NA
7.67
8.47
2.07
09024500

A
Treat humerus fracture
3.29
4.45
4.65
3.81
3.75
0.50
09024505

A
Treat humerus fracture
5.25
5.84
6.22
4.88
5.14
0.89
09024515

A
Treat humerus fracture
11.97
NA
NA
8.04
8.72
2.03
09024516

A
Treat humerus fracture
12.07
NA
NA
7.65
8.38
2.03
09024530

A
Treat humerus fracture
3.57
4.73
4.97
4.00
4.02
0.57
09024535

A
Treat humerus fracture
6.96
6.82
7.33
5.86
6.24
1.18
09024538

A
Treat humerus fracture
9.63
NA
NA
7.19
7.95
1.64
09024545

A
Treat humerus fracture
12.99
NA
NA
8.28
8.37
1.83
09024546

A
Treat humerus fracture
14.73
NA
NA
9.11
10.22
2.74
09024560

A
Treat humerus fracture
2.87
4.11
4.30
3.43
3.31
0.44
09024565

A
Treat humerus fracture
5.64
5.94
6.28
5.05
5.29
0.93
09024566

A
Treat humerus fracture
8.86
NA
NA
6.80
7.48
1.30
09024575

A
Treat humerus fracture
9.53
NA
NA
6.97
7.69
1.87
09024576

A
Treat humerus fracture
2.94
4.41
4.59
3.71
3.71
0.46
09024577

A
Treat humerus fracture
5.87
6.04
6.49
5.08
5.47
0.95
09024579

A
Treat humerus fracture
11.26
NA
NA
7.74
8.29
2.03
09024582

A
Treat humerus fracture
9.89
NA
NA
8.18
8.65
1.48
09024586

A
Treat elbow fracture
15.64
NA
NA
9.33
10.28
2.65
09024587

A
Treat elbow fracture
15.65
NA
NA
9.32
10.17
2.53
09024600

A
Treat elbow dislocation
4.28
3.86
4.36
3.28
3.39
0.50
09024605

A
Treat elbow dislocation
5.50
NA
NA
4.91
5.14
0.89
09024615

A
Treat elbow dislocation
9.72
NA
NA
6.56
7.19
1.60
09024620

A
Treat elbow fracture
7.07
NA
NA
5.49
5.87
1.07
09024635

A
Treat elbow fracture
8.64
NA
NA
6.55
10.31
2.29
09024640

A
Treat elbow dislocation
1.22
1.53
1.69
0.83
0.81
0.12
01024650

A
Treat radius fracture
2.22
3.43
3.60
2.99
2.87
0.35
09024655

A
Treat radius fracture
4.48
5.18
5.57
4.40
4.60
0.70
09024665

A
Treat radius fracture
8.22
NA
NA
6.51
7.01
1.41
09024666

A
Treat radius fracture
9.74
NA
NA
6.96
7.51
1.62
09024670

A
Treat ulnar fracture
2.60
3.73
3.92
3.15
3.11
0.41
09024675

A
Treat ulnar fracture
4.79
5.38
5.69
4.57
4.77
0.81
09024685

A
Treat ulnar fracture
8.21
NA
NA
6.52
7.02
1.52
09024800

A
Fusion of elbow joint
11.27
NA
NA
6.89
7.82
1.63
09024802

A
Fusion/graft of elbow joint
14.18
NA
NA
8.03
9.21
2.38
09024900

A
Amputation of upper arm
10.04
NA
NA
6.42
6.74
1.53
09024920

A
Amputation of upper arm
10.02
NA
NA
6.04
6.49
1.61
09024925

A
Amputation follow-up surgery
7.19
NA
NA
4.95
5.52
1.14
09024930

A
Amputation follow-up surgery
10.72
NA
NA
6.20
6.72
1.68
09024931

A
Amputate upper arm & implant
13.32
NA
NA
5.08
5.40
1.90
09024935

A
Revision of amputation
16.30
NA
NA
10.47
9.25
2.14
09024940

C
Revision of upper arm
0.00
0.00
0.00
0.00
0.00
0.00
09024999

C
Upper arm/elbow surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY25000

A
Incision of tendon sheath
3.44
NA
NA
3.98
5.43
0.55
09025001

A
Incise flexor carpi radialis
3.68
NA
NA
3.95
4.09
0.55
09025020

A
Decompress forearm 1 space
5.97
NA
NA
6.95
8.26
0.93
09025023

A
Decompress forearm 1 space
13.69
NA
NA
11.33
13.14
2.04
09025024

A
Decompress forearm 2 spaces
10.62
NA
NA
7.08
7.28
1.36
09025025

A
Decompress forearm 2 spaces
17.77
NA
NA
9.70
9.84
1.83
09025028

A
Drainage of forearm lesion
5.30
NA
NA
6.20
7.18
0.81
09025031

A
Drainage of forearm bursa
4.18
NA
NA
3.49
5.71
0.63
09025035

A
Treat forearm bone lesion
7.54
NA
NA
5.63
9.61
1.24
09025040

A
Explore/treat wrist joint
7.41
NA
NA
5.40
6.35
1.15
09025065

A
Biopsy forearm soft tissues
2.01
4.33
3.78
1.98
1.94
0.15
01025066

A
Biopsy forearm soft tissues
4.18
NA
NA
3.84
5.45
0.64
09025075

A
Removal forearm lesion subcu
3.78
NA
NA
3.31
4.60
0.55
09025076

A
Removal forearm lesion deep
4.97
NA
NA
4.11
6.83
0.74
09025077

A
Remove tumor, forearm/wrist
9.90
NA
NA
6.18
9.14
1.42
09025085

A
Incision of wrist capsule
5.55
NA
NA
4.62
5.87
0.85
09025100

A
Biopsy of wrist joint
3.94
NA
NA
3.77
4.53
0.59
09025101

A
Explore/treat wrist joint
4.74
NA
NA
4.35
5.12
0.75
09025105

A
Remove wrist joint lining
5.91
NA
NA
4.98
6.14
0.92
09025107

A
Remove wrist joint cartilage
7.50
NA
NA
6.24
7.29
0.99
09025109

A
Excise tendon forearm/wrist
6.81
NA
NA
5.24
5.24
0.96
09025110

A
Remove wrist tendon lesion
3.96
NA
NA
3.62
5.34
0.62
090( print page 2587)25111

A
Remove wrist tendon lesion
3.44
NA
NA
3.62
4.16
0.53
09025112

A
Reremove wrist tendon lesion
4.58
NA
NA
4.08
4.67
0.70
09025115

A
Remove wrist/forearm lesion
9.89
NA
NA
7.34
10.69
1.31
09025116

A
Remove wrist/forearm lesion
7.38
NA
NA
6.19
9.67
1.11
09025118

A
Excise wrist tendon sheath
4.42
NA
NA
4.15
4.95
0.68
09025119

A
Partial removal of ulna
6.10
NA
NA
5.07
6.33
0.96
09025120

A
Removal of forearm lesion
6.16
NA
NA
5.10
8.60
1.00
09025125

A
Remove/graft forearm lesion
7.55
NA
NA
5.68
9.27
1.06
09025126

A
Remove/graft forearm lesion
7.62
NA
NA
5.86
9.44
1.27
09025130

A
Removal of wrist lesion
5.32
NA
NA
4.73
5.58
0.80
09025135

A
Remove & graft wrist lesion
6.96
NA
NA
5.62
6.57
1.02
09025136

A
Remove & graft wrist lesion
6.03
NA
NA
5.10
5.85
1.03
09025145

A
Remove forearm bone lesion
6.43
NA
NA
5.21
8.64
1.01
09025150

A
Partial removal of ulna
7.27
NA
NA
5.53
6.87
1.14
09025151

A
Partial removal of radius
7.57
NA
NA
5.65
9.19
1.18
09025170

A
Extensive forearm surgery
11.34
NA
NA
7.37
11.26
1.78
09025210

A
Removal of wrist bone
6.01
NA
NA
5.05
5.92
0.88
09025215

A
Removal of wrist bones
8.02
NA
NA
6.03
7.40
1.19
09025230

A
Partial removal of radius
5.28
NA
NA
4.50
5.32
0.79
09025240

A
Partial removal of ulna
5.22
NA
NA
4.47
5.71
0.81
09025246

A
Injection for wrist x-ray
1.45
2.73
3.09
0.53
0.50
0.09
00025248

A
Remove forearm foreign body
5.20
NA
NA
4.05
6.29
0.72
09025250

A
Removal of wrist prosthesis
6.66
NA
NA
5.27
5.69
1.01
09025251

A
Removal of wrist prosthesis
9.70
NA
NA
6.75
7.33
1.26
09025259

A
Manipulate wrist w/anesthes
3.86
NA
NA
5.16
5.44
0.62
09025260

A
Repair forearm tendon/muscle
7.89
NA
NA
6.38
9.85
1.19
09025263

A
Repair forearm tendon/muscle
7.90
NA
NA
6.10
9.68
1.18
09025265

A
Repair forearm tendon/muscle
9.96
NA
NA
7.11
10.71
1.47
09025270

A
Repair forearm tendon/muscle
6.06
NA
NA
4.97
8.50
0.95
09025272

A
Repair forearm tendon/muscle
7.10
NA
NA
5.49
9.14
1.11
09025274

A
Repair forearm tendon/muscle
8.82
NA
NA
6.37
10.00
1.36
09025275

A
Repair forearm tendon sheath
8.82
NA
NA
6.48
7.03
1.31
09025280

A
Revise wrist/forearm tendon
7.28
NA
NA
5.56
9.10
1.08
09025290

A
Incise wrist/forearm tendon
5.34
NA
NA
4.50
9.75
0.82
09025295

A
Release wrist/forearm tendon
6.61
NA
NA
5.29
8.73
1.00
09025300

A
Fusion of tendons at wrist
8.88
NA
NA
6.66
7.56
1.26
09025301

A
Fusion of tendons at wrist
8.47
NA
NA
6.19
7.13
1.29
09025310

A
Transplant forearm tendon
8.26
NA
NA
5.94
9.49
1.21
09025312

A
Transplant forearm tendon
9.70
NA
NA
6.71
10.33
1.41
09025315

A
Revise palsy hand tendon(s)
10.56
NA
NA
7.11
10.76
1.58
09025316

A
Revise palsy hand tendon(s)
12.76
NA
NA
7.82
12.03
1.75
09025320

A
Repair/revise wrist joint
12.38
NA
NA
9.87
10.63
1.61
09025332

A
Revise wrist joint
11.60
NA
NA
7.61
8.40
1.84
09025335

A
Realignment of hand
13.25
NA
NA
8.31
9.95
1.93
09025337

A
Reconstruct ulna/radioulnar
11.44
NA
NA
8.63
9.86
1.61
09025350

A
Revision of radius
8.97
NA
NA
6.35
10.17
1.46
09025355

A
Revision of radius
10.41
NA
NA
6.75
10.68
1.74
09025360

A
Revision of ulna
8.62
NA
NA
6.24
10.06
1.41
09025365

A
Revise radius & ulna
12.77
NA
NA
8.18
11.92
2.16
09025370

A
Revise radius or ulna
13.93
NA
NA
9.01
12.55
2.29
09025375

A
Revise radius & ulna
13.41
NA
NA
8.37
12.40
2.27
09025390

A
Shorten radius or ulna
10.58
NA
NA
7.07
10.83
1.65
09025391

A
Lengthen radius or ulna
14.14
NA
NA
8.67
12.62
2.22
09025392

A
Shorten radius & ulna
14.44
NA
NA
8.91
12.44
2.11
09025393

A
Lengthen radius & ulna
16.42
NA
NA
9.57
13.58
2.77
09025394

A
Repair carpal bone, shorten
10.71
NA
NA
6.95
7.51
1.59
09025400

A
Repair radius or ulna
11.16
NA
NA
7.27
11.23
1.83
09025405

A
Repair/graft radius or ulna
14.87
NA
NA
8.93
13.11
2.33
09025415

A
Repair radius & ulna
13.66
NA
NA
8.80
12.66
2.18
09025420

A
Repair/graft radius & ulna
16.89
NA
NA
9.93
14.11
2.62
09025425

A
Repair/graft radius or ulna
13.58
NA
NA
8.49
14.94
2.09
09025426

A
Repair/graft radius & ulna
16.31
NA
NA
9.20
12.88
2.55
09025430

A
Vasc graft into carpal bone
9.57
NA
NA
7.04
7.19
1.27
09025431

A
Repair nonunion carpal bone
10.75
NA
NA
7.16
7.78
1.91
09025440

A
Repair/graft wrist bone
10.56
NA
NA
6.90
8.15
1.63
09025441

A
Reconstruct wrist joint
13.15
NA
NA
8.11
9.06
2.08
09025442

A
Reconstruct wrist joint
10.98
NA
NA
7.51
8.20
1.53
09025443

A
Reconstruct wrist joint
10.52
NA
NA
7.22
8.00
1.37
09025444

A
Reconstruct wrist joint
11.28
NA
NA
7.44
8.24
1.72
09025445

A
Reconstruct wrist joint
9.76
NA
NA
6.70
7.35
1.55
09025446

A
Wrist replacement
17.16
NA
NA
9.99
10.96
2.48
09025447

A
Repair wrist joint(s)
10.95
NA
NA
7.87
8.27
1.61
090( print page 2588)25449

A
Remove wrist joint implant
14.80
NA
NA
8.96
9.82
2.22
09025450

A
Revision of wrist joint
7.94
NA
NA
3.84
7.02
1.36
09025455

A
Revision of wrist joint
9.57
NA
NA
6.85
8.86
0.96
09025490

A
Reinforce radius
9.61
NA
NA
6.58
10.16
1.43
09025491

A
Reinforce ulna
10.03
NA
NA
6.79
10.63
1.60
09025492

A
Reinforce radius and ulna
12.52
NA
NA
8.34
11.82
2.15
09025500

A
Treat fracture of radius
2.51
3.31
3.44
2.86
2.79
0.35
09025505

A
Treat fracture of radius
5.30
5.83
6.19
4.98
5.20
0.90
09025515

A
Treat fracture of radius
8.64
NA
NA
6.47
6.97
1.59
09025520

A
Treat fracture of radius
6.35
5.70
6.28
5.14
5.60
1.08
09025525

A
Treat fracture of radius
10.37
NA
NA
7.42
8.71
2.13
09025526

A
Treat fracture of radius
12.96
NA
NA
8.69
11.10
2.20
09025530

A
Treat fracture of ulna
2.15
3.48
3.62
2.98
2.92
0.34
09025535

A
Treat fracture of ulna
5.22
5.57
5.79
4.84
5.07
0.89
09025545

A
Treat fracture of ulna
7.78
NA
NA
6.23
6.95
1.53
09025560

A
Treat fracture radius & ulna
2.50
3.37
3.53
2.85
2.73
0.35
09025565

A
Treat fracture radius & ulna
5.71
5.91
6.31
4.93
5.18
0.93
09025574

A
Treat fracture radius & ulna
8.64
NA
NA
6.55
6.88
1.21
09025575

A
Treat fracture radius/ulna
12.10
NA
NA
8.37
8.94
1.82
09025600

A
Treat fracture radius/ulna
2.69
3.68
3.89
3.17
3.07
0.42
09025605

A
Treat fracture radius/ulna
7.02
6.87
7.05
6.14
6.18
1.00
09025606

A
Treat fx distal radial
8.10
NA
NA
6.70
7.83
1.26
09025607

A
Treat fx rad extra-articul
9.35
NA
NA
7.20
7.20
1.36
09025608

A
Treat fx rad intra-articul
10.86
NA
NA
7.80
7.80
1.84
09025609

A
Treat fx radial 3+ frag
14.12
NA
NA
9.66
9.66
2.38
09025622

A
Treat wrist bone fracture
2.68
3.91
4.09
3.36
3.23
0.41
09025624

A
Treat wrist bone fracture
4.62
5.64
5.97
4.78
4.92
0.76
09025628

A
Treat wrist bone fracture
9.51
NA
NA
6.85
7.34
1.37
09025630

A
Treat wrist bone fracture
2.94
3.76
3.97
3.25
3.10
0.45
09025635

A
Treat wrist bone fracture
4.47
5.12
5.53
4.34
4.12
0.74
09025645

A
Treat wrist bone fracture
7.31
NA
NA
5.56
6.10
1.20
09025650

A
Treat wrist bone fracture
3.12
3.85
4.08
3.45
3.31
0.45
09025651

A
Pin ulnar styloid fracture
5.68
NA
NA
5.15
5.32
0.86
09025652

A
Treat fracture ulnar styloid
7.92
NA
NA
6.16
6.58
1.21
09025660

A
Treat wrist dislocation
4.84
NA
NA
4.33
4.52
0.58
09025670

A
Treat wrist dislocation
7.98
NA
NA
5.82
6.41
1.28
09025671

A
Pin radioulnar dislocation
6.32
NA
NA
5.54
5.85
1.00
09025675

A
Treat wrist dislocation
4.75
4.72
5.19
4.00
4.32
0.62
09025676

A
Treat wrist dislocation
8.17
NA
NA
6.14
6.72
1.34
09025680

A
Treat wrist fracture
6.08
NA
NA
4.39
4.56
0.78
09025685

A
Treat wrist fracture
9.97
NA
NA
6.63
7.21
1.60
09025690

A
Treat wrist dislocation
5.58
NA
NA
4.85
5.18
0.88
09025695

A
Treat wrist dislocation
8.40
NA
NA
6.01
6.55
1.32
09025800

A
Fusion of wrist joint
9.95
NA
NA
6.80
7.95
1.57
09025805

A
Fusion/graft of wrist joint
11.59
NA
NA
7.68
8.97
1.81
09025810

A
Fusion/graft of wrist joint
11.75
NA
NA
8.04
8.98
1.68
09025820

A
Fusion of hand bones
7.52
NA
NA
6.41
7.13
1.22
09025825

A
Fuse hand bones with graft
9.54
NA
NA
7.66
8.45
1.41
09025830

A
Fusion, radioulnar jnt/ulna
10.69
NA
NA
10.59
12.50
1.55
09025900

A
Amputation of forearm
9.46
NA
NA
6.74
9.66
1.30
09025905

A
Amputation of forearm
9.48
NA
NA
6.07
9.19
1.40
09025907

A
Amputation follow-up surgery
7.98
NA
NA
5.77
8.77
1.10
09025909

A
Amputation follow-up surgery
9.20
NA
NA
6.33
9.31
1.44
09025915

A
Amputation of forearm
17.38
NA
NA
5.98
12.43
2.94
09025920

A
Amputate hand at wrist
8.92
NA
NA
6.59
7.22
1.35
09025922

A
Amputate hand at wrist
7.54
NA
NA
6.28
6.67
1.12
09025924

A
Amputation follow-up surgery
8.70
NA
NA
6.13
7.11
1.32
09025927

A
Amputation of hand
8.98
NA
NA
8.66
10.17
1.27
09025929

A
Amputation follow-up surgery
7.71
NA
NA
5.67
5.77
1.14
09025931

A
Amputation follow-up surgery
7.93
NA
NA
8.33
9.90
1.15
09025999

C
Forearm or wrist surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY26010

A
Drainage of finger abscess
1.56
4.06
4.81
1.52
1.57
0.18
01026011

A
Drainage of finger abscess
2.21
6.25
7.54
1.96
2.14
0.33
01026020

A
Drain hand tendon sheath
4.97
NA
NA
4.74
5.05
0.73
09026025

A
Drainage of palm bursa
4.99
NA
NA
4.46
4.79
0.76
09026030

A
Drainage of palm bursa(s)
6.16
NA
NA
5.00
5.36
0.92
09026034

A
Treat hand bone lesion
6.49
NA
NA
5.58
5.97
1.01
09026035

A
Decompress fingers/hand
11.14
NA
NA
8.13
8.00
1.47
09026037

A
Decompress fingers/hand
7.48
NA
NA
5.50
5.91
1.13
09026040

A
Release palm contracture
3.38
NA
NA
3.60
3.83
0.53
09026045

A
Release palm contracture
5.62
NA
NA
4.89
5.27
0.93
09026055

A
Incise finger tendon sheath
3.00
9.05
11.70
3.83
3.88
0.43
090( print page 2589)26060

A
Incision of finger tendon
2.85
NA
NA
3.06
3.28
0.45
09026070

A
Explore/treat hand joint
3.73
NA
NA
3.06
3.21
0.48
09026075

A
Explore/treat finger joint
3.83
NA
NA
3.37
3.58
0.53
09026080

A
Explore/treat finger joint
4.36
NA
NA
4.32
4.59
0.66
09026100

A
Biopsy hand joint lining
3.71
NA
NA
3.67
3.90
0.54
09026105

A
Biopsy finger joint lining
3.75
NA
NA
3.68
3.96
0.59
09026110

A
Biopsy finger joint lining
3.57
NA
NA
3.61
3.83
0.53
09026115

A
Removal hand lesion subcut
3.92
9.84
11.47
4.23
4.50
0.59
09026116

A
Removal hand lesion, deep
5.61
NA
NA
5.31
5.66
0.84
09026117

A
Remove tumor, hand/finger
8.62
NA
NA
6.19
6.63
1.26
09026121

A
Release palm contracture
7.61
NA
NA
5.93
6.45
1.17
09026123

A
Release palm contracture
10.63
NA
NA
8.22
8.54
1.43
09026125

A
Release palm contracture
4.60
NA
NA
1.87
2.16
0.70
ZZZ26130

A
Remove wrist joint lining
5.48
NA
NA
4.89
5.12
0.94
09026135

A
Revise finger joint, each
7.02
NA
NA
5.47
5.97
1.07
09026140

A
Revise finger joint, each
6.23
NA
NA
5.17
5.61
0.92
09026145

A
Tendon excision, palm/finger
6.38
NA
NA
5.19
5.62
0.97
09026160

A
Remove tendon sheath lesion
3.46
9.04
10.71
3.94
4.03
0.49
09026170

A
Removal of palm tendon, each
4.82
NA
NA
4.37
4.66
0.69
09026180

A
Removal of finger tendon
5.24
NA
NA
4.71
5.06
0.78
09026185

A
Remove finger bone
6.32
NA
NA
5.73
5.89
0.81
09026200

A
Remove hand bone lesion
5.56
NA
NA
4.56
4.96
0.88
09026205

A
Remove/graft bone lesion
7.82
NA
NA
5.85
6.37
1.20
09026210

A
Removal of finger lesion
5.21
NA
NA
4.74
5.08
0.79
09026215

A
Remove/graft finger lesion
7.16
NA
NA
5.54
5.93
0.98
09026230

A
Partial removal of hand bone
6.38
NA
NA
4.95
5.43
1.01
09026235

A
Partial removal, finger bone
6.24
NA
NA
4.95
5.38
0.95
09026236

A
Partial removal, finger bone
5.37
NA
NA
4.58
4.95
0.81
09026250

A
Extensive hand surgery
7.61
NA
NA
5.72
6.08
1.07
09026255

A
Extensive hand surgery
12.80
NA
NA
8.29
8.83
1.69
09026260

A
Extensive finger surgery
7.09
NA
NA
5.47
5.83
1.01
09026261

A
Extensive finger surgery
9.28
NA
NA
6.73
6.45
1.14
09026262

A
Partial removal of finger
5.72
NA
NA
4.75
5.04
0.88
09026320

A
Removal of implant from hand
4.02
NA
NA
3.79
4.05
0.59
09026340

A
Manipulate finger w/anesth
2.62
NA
NA
4.61
4.74
0.39
09026350

A
Repair finger/hand tendon
6.07
NA
NA
9.54
12.08
0.93
09026352

A
Repair/graft hand tendon
7.75
NA
NA
10.07
12.72
1.13
09026356

A
Repair finger/hand tendon
10.22
NA
NA
13.72
16.05
1.21
09026357

A
Repair finger/hand tendon
8.65
NA
NA
10.36
13.00
1.33
09026358

A
Repair/graft hand tendon
9.22
NA
NA
10.96
13.81
1.38
09026370

A
Repair finger/hand tendon
7.17
NA
NA
9.51
12.31
1.12
09026372

A
Repair/graft hand tendon
8.89
NA
NA
10.54
13.54
1.40
09026373

A
Repair finger/hand tendon
8.29
NA
NA
10.17
13.11
1.23
09026390

A
Revise hand/finger tendon
9.31
NA
NA
9.21
11.25
1.40
09026392

A
Repair/graft hand tendon
10.38
NA
NA
11.17
13.95
1.57
09026410

A
Repair hand tendon
4.68
NA
NA
7.64
9.79
0.73
09026412

A
Repair/graft hand tendon
6.37
NA
NA
8.63
10.95
0.97
09026415

A
Excision, hand/finger tendon
8.40
NA
NA
7.47
9.63
0.98
09026416

A
Graft hand or finger tendon
9.44
NA
NA
9.05
11.83
0.79
09026418

A
Repair finger tendon
4.33
NA
NA
8.15
10.24
0.67
09026420

A
Repair/graft finger tendon
6.83
NA
NA
8.81
11.22
1.07
09026426

A
Repair finger/hand tendon
6.21
NA
NA
5.12
9.14
0.95
09026428

A
Repair/graft finger tendon
7.28
NA
NA
9.26
11.57
1.09
09026432

A
Repair finger tendon
4.07
NA
NA
6.79
8.53
0.64
09026433

A
Repair finger tendon
4.61
NA
NA
7.02
8.91
0.72
09026434

A
Repair/graft finger tendon
6.15
NA
NA
7.94
9.74
0.93
09026437

A
Realignment of tendons
5.88
NA
NA
7.82
9.69
0.89
09026440

A
Release palm/finger tendon
5.07
NA
NA
8.49
10.97
0.75
09026442

A
Release palm & finger tendon
9.50
NA
NA
11.83
13.89
1.20
09026445

A
Release hand/finger tendon
4.36
NA
NA
8.24
10.69
0.65
09026449

A
Release forearm/hand tendon
8.34
NA
NA
7.28
11.53
1.06
09026450

A
Incision of palm tendon
3.71
NA
NA
5.19
6.26
0.59
09026455

A
Incision of finger tendon
3.68
NA
NA
5.15
6.22
0.58
09026460

A
Incise hand/finger tendon
3.50
NA
NA
5.12
6.13
0.55
09026471

A
Fusion of finger tendons
5.79
NA
NA
7.80
9.52
0.88
09026474

A
Fusion of finger tendons
5.38
NA
NA
7.61
9.50
0.76
09026476

A
Tendon lengthening
5.24
NA
NA
7.36
9.15
0.79
09026477

A
Tendon shortening
5.21
NA
NA
7.58
9.32
0.81
09026478

A
Lengthening of hand tendon
5.86
NA
NA
7.79
9.81
0.90
09026479

A
Shortening of hand tendon
5.80
NA
NA
7.74
9.65
0.92
09026480

A
Transplant hand tendon
6.76
NA
NA
9.67
12.36
1.02
09026483

A
Transplant/graft hand tendon
8.36
NA
NA
10.23
12.87
1.26
090( print page 2590)26485

A
Transplant palm tendon
7.77
NA
NA
10.09
12.73
1.15
09026489

A
Transplant/graft palm tendon
9.74
NA
NA
10.83
11.45
1.26
09026490

A
Revise thumb tendon
8.48
NA
NA
8.88
10.86
1.21
09026492

A
Tendon transfer with graft
9.70
NA
NA
9.83
11.72
1.40
09026494

A
Hand tendon/muscle transfer
8.54
NA
NA
9.24
11.11
1.28
09026496

A
Revise thumb tendon
9.66
NA
NA
9.58
11.41
1.45
09026497

A
Finger tendon transfer
9.64
NA
NA
9.54
11.56
1.41
09026498

A
Finger tendon transfer
14.07
NA
NA
11.66
13.92
2.11
09026499

A
Revision of finger
9.05
NA
NA
8.86
10.95
1.35
09026500

A
Hand tendon reconstruction
6.02
NA
NA
7.75
9.60
0.90
09026502

A
Hand tendon reconstruction
7.20
NA
NA
8.33
10.18
1.13
09026508

A
Release thumb contracture
6.07
NA
NA
7.80
9.74
0.98
09026510

A
Thumb tendon transfer
5.49
NA
NA
7.64
9.49
0.79
09026516

A
Fusion of knuckle joint
7.21
NA
NA
8.31
10.28
1.10
09026517

A
Fusion of knuckle joints
8.96
NA
NA
9.00
11.26
1.41
09026518

A
Fusion of knuckle joints
9.15
NA
NA
8.97
11.18
1.35
09026520

A
Release knuckle contracture
5.36
NA
NA
8.87
11.39
0.80
09026525

A
Release finger contracture
5.39
NA
NA
8.89
11.44
0.81
09026530

A
Revise knuckle joint
6.76
NA
NA
5.41
5.78
1.04
09026531

A
Revise knuckle with implant
7.99
NA
NA
6.17
6.65
1.17
09026535

A
Revise finger joint
5.30
NA
NA
4.09
3.92
0.71
09026536

A
Revise/implant finger joint
6.44
NA
NA
9.25
9.45
0.96
09026540

A
Repair hand joint
6.49
NA
NA
8.06
9.97
0.99
09026541

A
Repair hand joint with graft
8.69
NA
NA
9.12
11.26
1.28
09026542

A
Repair hand joint with graft
6.84
NA
NA
8.20
10.12
1.02
09026545

A
Reconstruct finger joint
6.99
NA
NA
8.46
10.30
1.05
09026546

A
Repair nonunion hand
10.53
NA
NA
11.43
13.24
1.44
09026548

A
Reconstruct finger joint
8.10
NA
NA
8.81
10.83
1.20
09026550

A
Construct thumb replacement
21.54
NA
NA
14.55
16.07
2.46
09026551

A
Great toe-hand transfer
48.23
NA
NA
17.17
24.82
7.98
09026553

A
Single transfer, toe-hand
47.92
NA
NA
27.38
25.04
2.42
09026554

A
Double transfer, toe-hand
56.73
NA
NA
35.82
36.69
9.44
09026555

A
Positional change of finger
16.94
NA
NA
14.01
16.10
2.49
09026556

A
Toe joint transfer
49.43
NA
NA
18.05
25.70
2.58
09026560

A
Repair of web finger
5.43
NA
NA
6.65
8.23
0.85
09026561

A
Repair of web finger
10.98
NA
NA
9.51
10.93
1.45
09026562

A
Repair of web finger
16.40
NA
NA
8.77
12.96
2.24
09026565

A
Correct metacarpal flaw
6.80
NA
NA
8.16
10.08
1.00
09026567

A
Correct finger deformity
6.88
NA
NA
8.12
10.04
1.04
09026568

A
Lengthen metacarpal/finger
9.15
NA
NA
10.70
13.07
1.49
09026580

A
Repair hand deformity
19.50
NA
NA
9.74
11.70
2.29
09026587

A
Reconstruct extra finger
14.36
NA
NA
8.02
8.62
1.53
09026590

A
Repair finger deformity
18.51
NA
NA
12.43
13.19
2.78
09026591

A
Repair muscles of hand
3.30
NA
NA
6.22
7.92
0.48
09026593

A
Release muscles of hand
5.38
NA
NA
7.80
9.47
0.78
09026596

A
Excision constricting tissue
9.02
NA
NA
7.49
8.16
1.43
09026600

A
Treat metacarpal fracture
2.48
3.84
3.73
3.49
3.07
0.30
09026605

A
Treat metacarpal fracture
2.92
4.09
4.32
3.51
3.58
0.49
09026607

A
Treat metacarpal fracture
5.40
NA
NA
4.89
5.58
0.87
09026608

A
Treat metacarpal fracture
5.43
NA
NA
5.23
5.74
0.88
09026615

A
Treat metacarpal fracture
6.91
NA
NA
6.02
5.66
0.86
09026641

A
Treat thumb dislocation
4.01
4.04
4.30
3.40
3.47
0.39
09026645

A
Treat thumb fracture
4.47
4.61
4.89
3.92
4.06
0.67
09026650

A
Treat thumb fracture
5.19
NA
NA
4.89
5.79
0.94
09026665

A
Treat thumb fracture
7.78
NA
NA
6.32
6.47
0.90
09026670

A
Treat hand dislocation
3.74
3.62
3.94
3.03
2.99
0.39
09026675

A
Treat hand dislocation
4.71
5.26
5.37
4.52
4.49
0.77
09026676

A
Pin hand dislocation
5.60
NA
NA
5.57
6.13
0.91
09026685

A
Treat hand dislocation
6.91
NA
NA
5.97
6.06
1.09
09026686

A
Treat hand dislocation
8.06
NA
NA
6.08
6.49
1.24
09026700

A
Treat knuckle dislocation
3.74
3.30
3.53
2.93
2.90
0.35
09026705

A
Treat knuckle dislocation
4.26
4.75
5.04
4.04
4.17
0.66
09026706

A
Pin knuckle dislocation
5.19
NA
NA
4.70
4.90
0.81
09026715

A
Treat knuckle dislocation
6.87
NA
NA
6.00
5.76
0.91
09026720

A
Treat finger fracture, each
1.70
2.58
2.68
2.30
2.18
0.24
09026725

A
Treat finger fracture, each
3.39
4.09
4.43
3.41
3.46
0.53
09026727

A
Treat finger fracture, each
5.30
NA
NA
5.18
5.71
0.84
09026735

A
Treat finger fracture, each
7.26
NA
NA
6.13
5.84
0.95
09026740

A
Treat finger fracture, each
1.99
3.01
3.07
2.72
2.71
0.31
09026742

A
Treat finger fracture, each
3.90
4.27
4.63
3.57
3.72
0.58
09026746

A
Treat finger fracture, each
9.59
NA
NA
7.20
6.38
0.91
09026750

A
Treat finger fracture, each
1.74
2.25
2.37
2.26
2.14
0.22
090( print page 2591)26755

A
Treat finger fracture, each
3.15
3.75
4.08
2.94
2.97
0.42
09026756

A
Pin finger fracture, each
4.46
NA
NA
4.86
5.29
0.71
09026765

A
Treat finger fracture, each
5.70
NA
NA
5.47
4.93
0.66
09026770

A
Treat finger dislocation
3.07
2.92
3.18
2.55
2.48
0.27
09026775

A
Treat finger dislocation
3.78
4.62
4.91
3.88
3.85
0.54
09026776

A
Pin finger dislocation
4.87
NA
NA
4.99
5.50
0.77
09026785

A
Treat finger dislocation
6.44
NA
NA
5.78
5.15
0.68
09026820

A
Thumb fusion with graft
8.33
NA
NA
8.97
11.11
1.30
09026841

A
Fusion of thumb
7.21
NA
NA
8.77
11.00
1.18
09026842

A
Thumb fusion with graft
8.37
NA
NA
9.02
11.20
1.32
09026843

A
Fusion of hand joint
7.67
NA
NA
8.57
10.46
1.15
09026844

A
Fusion/graft of hand joint
8.86
NA
NA
9.16
11.27
1.33
09026850

A
Fusion of knuckle
7.03
NA
NA
8.27
10.24
1.06
09026852

A
Fusion of knuckle with graft
8.59
NA
NA
9.14
11.02
1.22
09026860

A
Fusion of finger joint
4.76
NA
NA
7.54
9.37
0.73
09026861

A
Fusion of finger jnt, add-on
1.74
NA
NA
0.70
0.82
0.27
ZZZ26862

A
Fusion/graft of finger joint
7.44
NA
NA
8.67
10.51
1.10
09026863

A
Fuse/graft added joint
3.89
NA
NA
1.58
1.85
0.56
ZZZ26910

A
Amputate metacarpal bone
7.67
NA
NA
8.28
9.75
1.16
09026951

A
Amputation of finger/thumb
5.85
NA
NA
8.40
9.28
0.71
09026952

A
Amputation of finger/thumb
6.37
NA
NA
7.91
9.79
0.95
09026989

C
Hand/finger surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY26990

A
Drainage of pelvis lesion
7.84
NA
NA
6.21
6.71
1.22
09026991

A
Drainage of pelvis bursa
6.97
8.62
9.89
4.88
5.16
1.11
09026992

A
Drainage of bone lesion
13.37
NA
NA
8.42
9.40
2.17
09027000

A
Incision of hip tendon
5.66
NA
NA
4.51
4.90
0.98
09027001

A
Incision of hip tendon
7.05
NA
NA
5.23
5.66
1.24
09027003

A
Incision of hip tendon
7.70
NA
NA
5.73
6.11
1.12
09027005

A
Incision of hip tendon
9.96
NA
NA
6.49
7.15
1.73
09027006

A
Incision of hip tendons
9.99
NA
NA
6.76
7.37
1.70
09027025

A
Incision of hip/thigh fascia
12.66
NA
NA
8.21
8.38
1.85
09027030

A
Drainage of hip joint
13.54
NA
NA
8.04
8.84
2.27
09027033

A
Exploration of hip joint
13.99
NA
NA
8.40
9.16
2.33
09027035

A
Denervation of hip joint
17.23
NA
NA
8.53
9.88
2.16
09027036

A
Excision of hip joint/muscle
14.18
NA
NA
8.92
9.47
2.27
09027040

A
Biopsy of soft tissues
2.89
5.19
5.22
1.87
1.94
0.27
01027041

A
Biopsy of soft tissues
10.07
NA
NA
5.74
6.19
1.35
09027047

A
Remove hip/pelvis lesion
7.51
7.03
7.07
4.50
4.63
1.03
09027048

A
Remove hip/pelvis lesion
6.44
NA
NA
4.61
4.70
0.92
09027049

A
Remove tumor, hip/pelvis
15.20
NA
NA
8.17
8.29
2.07
09027050

A
Biopsy of sacroiliac joint
4.65
NA
NA
3.01
3.72
0.60
09027052

A
Biopsy of hip joint
7.27
NA
NA
5.65
5.77
1.08
09027054

A
Removal of hip joint lining
9.09
NA
NA
6.49
6.92
1.47
09027060

A
Removal of ischial bursa
5.78
NA
NA
4.37
4.37
0.80
09027062

A
Remove femur lesion/bursa
5.66
NA
NA
4.60
4.90
0.93
09027065

A
Removal of hip bone lesion
6.44
NA
NA
4.99
5.22
1.01
09027066

A
Removal of hip bone lesion
11.06
NA
NA
7.44
7.94
1.80
09027067

A
Remove/graft hip bone lesion
14.57
NA
NA
8.85
9.76
1.85
09027070

A
Partial removal of hip bone
11.44
NA
NA
8.03
8.59
1.75
09027071

A
Partial removal of hip bone
12.25
NA
NA
8.48
9.31
1.93
09027075

A
Extensive hip surgery
36.77
NA
NA
16.15
17.68
5.66
09027076

A
Extensive hip surgery
24.25
NA
NA
12.83
13.68
3.71
09027077

A
Extensive hip surgery
42.54
NA
NA
19.95
21.31
6.14
09027078

A
Extensive hip surgery
14.54
NA
NA
8.82
9.38
2.23
09027079

A
Extensive hip surgery
14.91
NA
NA
8.01
8.78
1.95
09027080

A
Removal of tail bone
6.80
NA
NA
4.59
4.71
0.93
09027086

A
Remove hip foreign body
1.89
3.66
4.11
1.48
1.65
0.25
01027087

A
Remove hip foreign body
8.72
NA
NA
5.66
6.16
1.35
09027090

A
Removal of hip prosthesis
11.57
NA
NA
7.41
8.10
1.95
09027091

A
Removal of hip prosthesis
24.15
NA
NA
12.91
13.46
3.85
09027093

A
Injection for hip x-ray
1.30
3.15
3.81
0.47
0.48
0.13
00027095

A
Injection for hip x-ray
1.50
3.71
4.72
0.51
0.51
0.14
00027096

A
Inject sacroiliac joint
1.40
2.52
3.44
0.33
0.33
0.08
00027097

A
Revision of hip tendon
9.16
NA
NA
6.34
6.38
1.57
09027098

A
Transfer tendon to pelvis
9.20
NA
NA
4.91
5.97
0.95
09027100

A
Transfer of abdominal muscle
11.21
NA
NA
7.40
8.04
1.86
09027105

A
Transfer of spinal muscle
11.90
NA
NA
7.36
8.26
1.73
09027110

A
Transfer of iliopsoas muscle
13.63
NA
NA
8.28
8.70
2.19
09027111

A
Transfer of iliopsoas muscle
12.46
NA
NA
8.07
8.61
1.95
09027120

A
Reconstruction of hip socket
19.10
NA
NA
10.82
11.33
3.09
09027122

A
Reconstruction of hip socket
15.95
NA
NA
9.44
10.24
2.62
09027125

A
Partial hip replacement
16.46
NA
NA
9.60
10.11
2.55
090( print page 2592)27130

A
Total hip arthroplasty
21.61
NA
NA
11.77
12.54
3.51
09027132

A
Total hip arthroplasty
25.49
NA
NA
13.43
14.54
4.05
09027134

A
Revise hip joint replacement
30.13
NA
NA
14.69
16.25
4.95
09027137

A
Revise hip joint replacement
22.55
NA
NA
11.73
12.84
3.68
09027138

A
Revise hip joint replacement
23.55
NA
NA
12.12
13.26
3.85
09027140

A
Transplant femur ridge
12.66
NA
NA
7.88
8.65
2.12
09027146

A
Incision of hip bone
18.72
NA
NA
10.69
11.42
2.97
09027147

A
Revision of hip bone
21.87
NA
NA
12.02
12.64
3.58
09027151

A
Incision of hip bones
23.92
NA
NA
12.89
10.42
3.92
09027156

A
Revision of hip bones
26.03
NA
NA
13.72
14.90
4.22
09027158

A
Revision of pelvis
20.89
NA
NA
11.52
11.25
3.17
09027161

A
Incision of neck of femur
17.74
NA
NA
10.36
11.24
2.95
09027165

A
Incision/fixation of femur
20.06
NA
NA
11.58
12.25
3.11
09027170

A
Repair/graft femur head/neck
17.46
NA
NA
9.76
10.53
2.82
09027175

A
Treat slipped epiphysis
9.29
NA
NA
5.17
5.92
1.46
09027176

A
Treat slipped epiphysis
12.78
NA
NA
8.18
8.60
2.23
09027177

A
Treat slipped epiphysis
15.94
NA
NA
9.64
10.27
2.62
09027178

A
Treat slipped epiphysis
12.78
NA
NA
7.98
8.20
2.09
09027179

A
Revise head/neck of femur
13.83
NA
NA
8.57
9.29
2.26
09027181

A
Treat slipped epiphysis
15.98
NA
NA
9.74
9.98
1.57
09027185

A
Revision of femur epiphysis
9.67
NA
NA
6.65
7.08
2.40
09027187

A
Reinforce hip bones
14.09
NA
NA
8.69
9.51
2.38
09027193

A
Treat pelvic ring fracture
5.98
4.63
4.86
4.76
4.92
0.96
09027194

A
Treat pelvic ring fracture
10.08
NA
NA
6.61
7.13
1.65
09027200

A
Treat tail bone fracture
1.87
2.08
2.15
2.22
2.19
0.28
09027202

A
Treat tail bone fracture
7.25
NA
NA
4.91
10.89
1.06
09027215

A
Treat pelvic fracture(s)
10.45
NA
NA
6.55
6.82
1.98
09027216

A
Treat pelvic ring fracture
15.73
NA
NA
9.14
9.37
2.64
09027217

A
Treat pelvic ring fracture
14.65
NA
NA
8.63
9.39
2.42
09027218

A
Treat pelvic ring fracture
20.93
NA
NA
11.33
11.37
3.49
09027220

A
Treat hip socket fracture
6.72
5.25
5.49
5.15
5.39
1.07
09027222

A
Treat hip socket fracture
13.97
NA
NA
8.52
9.25
2.20
09027226

A
Treat hip wall fracture
15.45
NA
NA
8.93
8.37
2.49
09027227

A
Treat hip fracture(s)
25.21
NA
NA
13.38
14.39
4.06
09027228

A
Treat hip fracture(s)
29.13
NA
NA
14.85
16.24
4.67
09027230

A
Treat thigh fracture
5.69
4.93
5.23
4.87
4.98
0.95
09027232

A
Treat thigh fracture
11.66
NA
NA
6.10
6.64
1.86
09027235

A
Treat thigh fracture
12.88
NA
NA
7.98
8.72
2.12
09027236

A
Treat thigh fracture
17.43
NA
NA
10.14
10.60
2.72
09027238

A
Treat thigh fracture
5.64
NA
NA
4.65
4.90
0.89
09027240

A
Treat thigh fracture
13.66
NA
NA
8.21
8.84
2.17
09027244

A
Treat thigh fracture
17.08
NA
NA
9.62
10.46
2.78
09027245

A
Treat thigh fracture
21.09
NA
NA
11.34
12.55
3.53
09027246

A
Treat thigh fracture
4.75
3.91
4.18
3.95
4.18
0.81
09027248

A
Treat thigh fracture
10.64
NA
NA
6.38
7.30
1.82
09027250

A
Treat hip dislocation
7.21
NA
NA
4.30
4.46
0.62
09027252

A
Treat hip dislocation
10.92
NA
NA
6.49
6.96
1.66
09027253

A
Treat hip dislocation
13.46
NA
NA
8.17
8.98
2.25
09027254

A
Treat hip dislocation
18.80
NA
NA
10.54
11.28
3.18
09027256

A
Treat hip dislocation
4.25
2.52
3.02
1.41
1.75
0.46
01027257

A
Treat hip dislocation
5.35
NA
NA
2.54
2.68
0.69
01027258

A
Treat hip dislocation
16.04
NA
NA
9.48
10.18
2.65
09027259

A
Treat hip dislocation
23.03
NA
NA
12.78
13.45
3.75
09027265

A
Treat hip dislocation
5.12
NA
NA
3.95
4.37
0.63
09027266

A
Treat hip dislocation
7.67
NA
NA
5.51
5.93
1.29
09027267

A
Cltx thigh fx
5.38
NA
NA
4.40
4.40
0.89
09027268

A
Cltx thigh fx w/mnpj
7.00
NA
NA
5.02
5.02
1.16
09027269

A
Optx thigh fx
18.75
NA
NA
9.89
9.89
2.93
09027275

A
Manipulation of hip joint
2.29
NA
NA
1.85
1.98
0.39
01027280

A
Fusion of sacroiliac joint
14.49
NA
NA
8.88
9.58
2.54
09027282

A
Fusion of pubic bones
11.71
NA
NA
7.78
7.89
1.87
09027284

A
Fusion of hip joint
24.91
NA
NA
12.01
13.39
3.93
09027286

A
Fusion of hip joint
24.97
NA
NA
12.61
14.21
3.13
09027290

A
Amputation of leg at hip
24.38
NA
NA
12.11
13.09
3.44
09027295

A
Amputation of leg at hip
19.54
NA
NA
9.59
10.45
2.96
09027299

C
Pelvis/hip joint surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY27301

A
Drain thigh/knee lesion
6.67
8.20
9.14
4.65
4.89
1.04
09027303

A
Drainage of bone lesion
8.52
NA
NA
5.99
6.49
1.43
09027305

A
Incise thigh tendon & fascia
6.09
NA
NA
4.68
4.93
1.01
09027306

A
Incision of thigh tendon
4.66
NA
NA
4.08
4.40
0.85
09027307

A
Incision of thigh tendons
5.97
NA
NA
4.74
5.06
1.04
09027310

A
Exploration of knee joint
9.88
NA
NA
6.78
7.18
1.61
090( print page 2593)27323

A
Biopsy, thigh soft tissues
2.30
4.20
3.86
1.93
1.91
0.24
01027324

A
Biopsy, thigh soft tissues
4.95
NA
NA
3.82
4.00
0.75
09027325

A
Neurectomy, hamstring
7.09
NA
NA
4.99
4.97
1.09
09027326

A
Neurectomy, popliteal
6.36
NA
NA
5.12
5.18
1.06
09027327

A
Removal of thigh lesion
4.52
6.04
6.02
3.58
3.65
0.64
09027328

A
Removal of thigh lesion
5.62
NA
NA
4.07
4.22
0.84
09027329

A
Remove tumor, thigh/knee
15.68
NA
NA
8.47
8.75
2.15
09027330

A
Biopsy, knee joint lining
5.02
NA
NA
4.26
4.42
0.86
09027331

A
Explore/treat knee joint
5.93
NA
NA
4.80
5.16
1.02
09027332

A
Removal of knee cartilage
8.34
NA
NA
6.12
6.62
1.43
09027333

A
Removal of knee cartilage
7.43
NA
NA
5.69
6.18
1.26
09027334

A
Remove knee joint lining
9.07
NA
NA
6.43
6.92
1.51
09027335

A
Remove knee joint lining
10.43
NA
NA
7.02
7.62
1.75
09027340

A
Removal of kneecap bursa
4.23
NA
NA
4.04
4.30
0.72
09027345

A
Removal of knee cyst
5.98
NA
NA
4.89
5.26
1.00
09027347

A
Remove knee cyst
6.58
NA
NA
5.26
5.34
0.98
09027350

A
Removal of kneecap
8.54
NA
NA
6.25
6.75
1.41
09027355

A
Remove femur lesion
7.89
NA
NA
5.81
6.29
1.32
09027356

A
Remove femur lesion/graft
9.97
NA
NA
6.84
7.34
1.65
09027357

A
Remove femur lesion/graft
11.02
NA
NA
7.48
8.09
1.96
09027358

A
Remove femur lesion/fixation
4.73
NA
NA
1.81
2.17
0.82
ZZZ27360

A
Partial removal, leg bone(s)
11.34
NA
NA
8.05
8.81
1.84
09027365

A
Extensive leg surgery
17.93
NA
NA
10.42
11.05
2.80
09027370

A
Injection for knee x-ray
0.96
3.00
3.36
0.36
0.34
0.08
00027372

A
Removal of foreign body
5.12
8.31
9.18
4.04
4.36
0.84
09027380

A
Repair of kneecap tendon
7.34
NA
NA
6.06
6.67
1.24
09027381

A
Repair/graft kneecap tendon
10.64
NA
NA
7.56
8.33
1.80
09027385

A
Repair of thigh muscle
8.00
NA
NA
6.31
6.97
1.36
09027386

A
Repair/graft of thigh muscle
10.99
NA
NA
7.93
8.72
1.86
09027390

A
Incision of thigh tendon
5.44
NA
NA
4.47
4.79
0.92
09027391

A
Incision of thigh tendons
7.38
NA
NA
5.55
6.06
1.23
09027392

A
Incision of thigh tendons
9.51
NA
NA
6.67
7.13
1.57
09027393

A
Lengthening of thigh tendon
6.50
NA
NA
4.96
5.40
1.10
09027394

A
Lengthening of thigh tendons
8.68
NA
NA
6.15
6.69
1.47
09027395

A
Lengthening of thigh tendons
12.10
NA
NA
7.93
8.63
2.05
09027396

A
Transplant of thigh tendon
8.04
NA
NA
5.83
6.42
1.34
09027397

A
Transplants of thigh tendons
12.46
NA
NA
8.35
8.70
1.83
09027400

A
Revise thigh muscles/tendons
9.21
NA
NA
6.51
6.88
1.31
09027403

A
Repair of knee cartilage
8.51
NA
NA
6.03
6.61
1.44
09027405

A
Repair of knee ligament
8.96
NA
NA
6.39
6.94
1.51
09027407

A
Repair of knee ligament
10.71
NA
NA
6.83
7.58
1.79
09027409

A
Repair of knee ligaments
13.57
NA
NA
8.26
9.11
2.25
09027412

A
Autochondrocyte implant knee
24.53
NA
NA
13.66
14.23
4.36
09027415

A
Osteochondral knee allograft
19.79
NA
NA
11.79
12.17
4.36
09027416

A
Osteochondral knee autograft
14.00
NA
NA
8.39
8.39
2.32
09027418

A
Repair degenerated kneecap
11.46
NA
NA
7.57
8.24
1.89
09027420

A
Revision of unstable kneecap
10.14
NA
NA
6.91
7.51
1.72
09027422

A
Revision of unstable kneecap
10.09
NA
NA
6.88
7.50
1.71
09027424

A
Revision/removal of kneecap
10.12
NA
NA
6.90
7.50
1.71
09027425

A
Lat retinacular release open
5.28
NA
NA
4.70
5.12
0.90
09027427

A
Reconstruction, knee
9.67
NA
NA
6.70
7.25
1.63
09027428

A
Reconstruction, knee
15.33
NA
NA
10.05
10.65
2.43
09027429

A
Reconstruction, knee
17.24
NA
NA
11.26
11.84
2.71
09027430

A
Revision of thigh muscles
10.04
NA
NA
6.84
7.42
1.70
09027435

A
Incision of knee joint
10.68
NA
NA
7.59
8.04
1.70
09027437

A
Revise kneecap
8.82
NA
NA
6.19
6.72
1.49
09027438

A
Revise kneecap with implant
11.77
NA
NA
7.50
8.02
1.96
09027440

A
Revision of knee joint
10.97
NA
NA
7.00
6.50
1.82
09027441

A
Revision of knee joint
11.42
NA
NA
7.36
7.04
1.89
09027442

A
Revision of knee joint
12.25
NA
NA
7.64
8.28
2.10
09027443

A
Revision of knee joint
11.29
NA
NA
7.35
8.04
1.91
09027445

A
Revision of knee joint
18.52
NA
NA
10.42
11.39
3.09
09027446

A
Revision of knee joint
16.26
NA
NA
9.29
10.28
2.81
09027447

A
Total knee arthroplasty
23.04
NA
NA
12.58
13.59
3.80
09027448

A
Incision of thigh
11.48
NA
NA
7.32
7.96
1.95
09027450

A
Incision of thigh
14.47
NA
NA
8.84
9.71
2.43
09027454

A
Realignment of thigh bone
18.97
NA
NA
10.73
11.62
3.13
09027455

A
Realignment of knee
13.24
NA
NA
8.31
9.10
2.25
09027457

A
Realignment of knee
13.92
NA
NA
8.23
9.08
2.35
09027465

A
Shortening of thigh bone
18.44
NA
NA
10.29
10.26
2.48
09027466

A
Lengthening of thigh bone
17.13
NA
NA
10.06
10.95
2.78
09027468

A
Shorten/lengthen thighs
19.82
NA
NA
11.17
11.77
3.31
090( print page 2594)27470

A
Repair of thigh
16.97
NA
NA
10.16
10.98
2.80
09027472

A
Repair/graft of thigh
18.57
NA
NA
10.64
11.67
3.08
09027475

A
Surgery to stop leg growth
8.82
NA
NA
6.20
6.71
1.36
09027477

A
Surgery to stop leg growth
10.03
NA
NA
6.60
7.17
1.74
09027479

A
Surgery to stop leg growth
13.04
NA
NA
8.85
9.25
2.79
09027485

A
Surgery to stop leg growth
9.02
NA
NA
6.22
6.81
1.53
09027486

A
Revise/replace knee joint
20.92
NA
NA
11.63
12.57
3.37
09027487

A
Revise/replace knee joint
26.91
NA
NA
13.98
15.27
4.40
09027488

A
Removal of knee prosthesis
17.40
NA
NA
10.25
10.98
2.75
09027495

A
Reinforce thigh
16.40
NA
NA
9.60
10.51
2.72
09027496

A
Decompression of thigh/knee
6.66
NA
NA
4.98
5.29
0.99
09027497

A
Decompression of thigh/knee
7.70
NA
NA
4.99
5.21
1.15
09027498

A
Decompression of thigh/knee
8.54
NA
NA
5.19
5.57
1.24
09027499

A
Decompression of thigh/knee
9.31
NA
NA
5.98
6.40
1.47
09027500

A
Treatment of thigh fracture
6.21
5.36
5.75
4.58
4.79
1.02
09027501

A
Treatment of thigh fracture
6.34
5.01
5.40
4.92
5.15
1.03
09027502

A
Treatment of thigh fracture
11.24
NA
NA
6.86
7.49
1.79
09027503

A
Treatment of thigh fracture
11.13
NA
NA
7.22
7.75
1.85
09027506

A
Treatment of thigh fracture
19.42
NA
NA
11.37
12.08
3.04
09027507

A
Treatment of thigh fracture
14.39
NA
NA
8.13
8.99
2.43
09027508

A
Treatment of thigh fracture
6.08
5.69
6.08
5.05
5.27
0.97
09027509

A
Treatment of thigh fracture
8.02
NA
NA
6.54
7.25
1.34
09027510

A
Treatment of thigh fracture
9.68
NA
NA
6.27
6.80
1.53
09027511

A
Treatment of thigh fracture
14.97
NA
NA
8.11
9.66
2.38
09027513

A
Treatment of thigh fracture
19.11
NA
NA
9.75
11.82
3.13
09027514

A
Treatment of thigh fracture
14.46
NA
NA
7.89
10.62
3.01
09027516

A
Treat thigh fx growth plate
5.45
5.72
6.04
5.07
5.30
0.81
09027517

A
Treat thigh fx growth plate
8.98
NA
NA
6.42
6.94
1.22
09027519

A
Treat thigh fx growth plate
13.11
NA
NA
7.39
9.49
2.56
09027520

A
Treat kneecap fracture
2.93
4.10
4.32
3.53
3.48
0.47
09027524

A
Treat kneecap fracture
10.25
NA
NA
6.94
7.59
1.75
09027530

A
Treat knee fracture
3.97
4.82
5.07
4.26
4.34
0.65
09027532

A
Treat knee fracture
7.43
6.40
6.88
5.63
6.04
1.26
09027535

A
Treat knee fracture
13.27
NA
NA
7.45
8.78
2.01
09027536

A
Treat knee fracture
17.19
NA
NA
10.20
10.91
2.74
09027538

A
Treat knee fracture(s)
4.95
5.51
5.83
4.89
5.05
0.84
09027540

A
Treat knee fracture
11.16
NA
NA
7.39
8.45
2.28
09027550

A
Treat knee dislocation
5.84
5.21
5.62
4.51
4.72
0.76
09027552

A
Treat knee dislocation
8.04
NA
NA
6.09
6.52
1.36
09027556

A
Treat knee dislocation
12.86
NA
NA
7.26
9.46
2.51
09027557

A
Treat knee dislocation
15.76
NA
NA
8.45
10.79
2.98
09027558

A
Treat knee dislocation
18.25
NA
NA
9.29
11.17
3.09
09027560

A
Treat kneecap dislocation
3.88
4.25
4.54
3.72
3.45
0.40
09027562

A
Treat kneecap dislocation
5.86
NA
NA
4.61
4.69
0.94
09027566

A
Treat kneecap dislocation
12.59
NA
NA
7.89
8.61
2.13
09027570

A
Fixation of knee joint
1.76
NA
NA
1.62
1.70
0.30
01027580

A
Fusion of knee
20.90
NA
NA
12.19
13.50
3.38
09027590

A
Amputate leg at thigh
13.35
NA
NA
6.02
6.35
1.75
09027591

A
Amputate leg at thigh
13.82
NA
NA
7.35
8.00
2.03
09027592

A
Amputate leg at thigh
10.86
NA
NA
5.45
5.81
1.45
09027594

A
Amputation follow-up surgery
7.17
NA
NA
4.73
4.95
1.02
09027596

A
Amputation follow-up surgery
11.15
NA
NA
5.98
6.40
1.57
09027598

A
Amputate lower leg at knee
11.08
NA
NA
6.20
6.61
1.65
09027599

C
Leg surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY27600

A
Decompression of lower leg
5.94
NA
NA
3.80
4.16
0.86
09027601

A
Decompression of lower leg
5.94
NA
NA
4.18
4.51
0.80
09027602

A
Decompression of lower leg
7.71
NA
NA
4.29
4.71
1.10
09027603

A
Drain lower leg lesion
5.12
7.05
7.27
3.90
4.03
0.74
09027604

A
Drain lower leg bursa
4.51
6.49
6.29
3.43
3.69
0.69
09027605

A
Incision of achilles tendon
2.89
5.16
6.42
1.74
2.03
0.41
01027606

A
Incision of achilles tendon
4.15
NA
NA
2.63
2.99
0.69
01027607

A
Treat lower leg bone lesion
8.51
NA
NA
5.70
5.94
1.31
09027610

A
Explore/treat ankle joint
9.01
NA
NA
6.11
6.56
1.40
09027612

A
Exploration of ankle joint
8.01
NA
NA
5.18
5.64
1.13
09027613

A
Biopsy lower leg soft tissue
2.19
3.91
3.57
1.78
1.79
0.20
01027614

A
Biopsy lower leg soft tissue
5.71
7.76
7.45
3.94
4.19
0.78
09027615

A
Remove tumor, lower leg
12.93
NA
NA
7.28
8.34
1.84
09027618

A
Remove lower leg lesion
5.14
6.44
6.23
3.80
3.90
0.72
09027619

A
Remove lower leg lesion
8.47
10.00
9.76
5.28
5.62
1.25
09027620

A
Explore/treat ankle joint
6.04
NA
NA
4.57
5.02
0.97
09027625

A
Remove ankle joint lining
8.37
NA
NA
5.50
5.98
1.28
09027626

A
Remove ankle joint lining
8.98
NA
NA
5.78
6.35
1.48
090( print page 2595)27630

A
Removal of tendon lesion
4.85
7.99
7.77
3.81
4.09
0.74
09027635

A
Remove lower leg bone lesion
7.91
NA
NA
5.63
6.19
1.31
09027637

A
Remove/graft leg bone lesion
10.17
NA
NA
6.91
7.60
1.66
09027638

A
Remove/graft leg bone lesion
10.87
NA
NA
7.05
7.67
1.85
09027640

A
Partial removal of tibia
12.10
NA
NA
7.47
8.89
1.89
09027641

A
Partial removal of fibula
9.73
NA
NA
6.09
7.22
1.46
09027645

A
Extensive lower leg surgery
14.78
NA
NA
8.74
10.40
2.42
09027646

A
Extensive lower leg surgery
13.21
NA
NA
7.64
9.34
2.06
09027647

A
Extensive ankle/heel surgery
12.85
NA
NA
6.54
7.08
1.76
09027648

A
Injection for ankle x-ray
0.96
2.88
3.20
0.34
0.34
0.08
00027650

A
Repair achilles tendon
9.94
NA
NA
6.16
6.84
1.59
09027652

A
Repair/graft achilles tendon
10.64
NA
NA
6.44
7.24
1.72
09027654

A
Repair of achilles tendon
10.32
NA
NA
5.99
6.57
1.58
09027656

A
Repair leg fascia defect
4.62
7.96
8.25
3.58
3.68
0.69
09027658

A
Repair of leg tendon, each
5.03
NA
NA
3.89
4.22
0.79
09027659

A
Repair of leg tendon, each
6.99
NA
NA
4.68
5.16
1.09
09027664

A
Repair of leg tendon, each
4.64
NA
NA
3.88
4.22
0.76
09027665

A
Repair of leg tendon, each
5.46
NA
NA
4.33
4.65
0.89
09027675

A
Repair lower leg tendons
7.24
NA
NA
4.67
5.21
1.11
09027676

A
Repair lower leg tendons
8.61
NA
NA
5.73
6.24
1.37
09027680

A
Release of lower leg tendon
5.79
NA
NA
4.16
4.64
0.93
09027681

A
Release of lower leg tendons
6.94
NA
NA
5.09
5.51
1.15
09027685

A
Revision of lower leg tendon
6.57
8.78
8.04
4.57
5.02
0.97
09027686

A
Revise lower leg tendons
7.64
NA
NA
5.29
5.89
1.24
09027687

A
Revision of calf tendon
6.30
NA
NA
4.47
4.90
1.00
09027690

A
Revise lower leg tendon
8.96
NA
NA
5.37
5.86
1.33
09027691

A
Revise lower leg tendon
10.28
NA
NA
6.66
7.21
1.64
09027692

A
Revise additional leg tendon
1.87
NA
NA
0.71
0.82
0.32
ZZZ27695

A
Repair of ankle ligament
6.58
NA
NA
4.88
5.38
1.05
09027696

A
Repair of ankle ligaments
8.46
NA
NA
5.26
5.85
1.28
09027698

A
Repair of ankle ligament
9.49
NA
NA
5.87
6.41
1.47
09027700

A
Revision of ankle joint
9.54
NA
NA
5.21
5.45
1.30
09027702

A
Reconstruct ankle joint
14.28
NA
NA
8.65
9.56
2.38
09027703

A
Reconstruction, ankle joint
16.79
NA
NA
9.78
10.51
2.77
09027704

A
Removal of ankle implant
7.69
NA
NA
5.62
5.61
1.27
09027705

A
Incision of tibia
10.74
NA
NA
6.96
7.57
1.81
09027707

A
Incision of fibula
4.67
NA
NA
4.49
4.71
0.76
09027709

A
Incision of tibia & fibula
17.32
NA
NA
9.96
9.05
1.74
09027712

A
Realignment of lower leg
15.67
NA
NA
9.45
10.10
2.48
09027715

A
Revision of lower leg
15.36
NA
NA
9.04
9.91
2.50
09027720

A
Repair of tibia
12.22
NA
NA
7.93
8.67
2.05
09027722

A
Repair/graft of tibia
12.31
NA
NA
7.89
8.51
2.06
09027724

A
Repair/graft of tibia
19.18
NA
NA
10.29
11.33
3.17
09027725

A
Repair of lower leg
17.15
NA
NA
10.59
11.25
2.72
09027726

A
Repair fibula nonunion
14.20
NA
NA
7.68
7.68
1.43
09027727

A
Repair of lower leg
14.69
NA
NA
9.07
9.71
2.44
09027730

A
Repair of tibia epiphysis
7.59
NA
NA
5.31
5.87
1.73
09027732

A
Repair of fibula epiphysis
5.37
NA
NA
4.17
4.55
0.77
09027734

A
Repair lower leg epiphyses
8.72
NA
NA
6.17
6.23
1.35
09027740

A
Repair of leg epiphyses
9.49
NA
NA
6.61
7.30
1.62
09027742

A
Repair of leg epiphyses
10.49
NA
NA
4.60
5.08
1.80
09027745

A
Reinforce tibia
10.37
NA
NA
7.00
7.58
1.76
09027750

A
Treatment of tibia fracture
3.26
4.32
4.54
3.74
3.79
0.55
09027752

A
Treatment of tibia fracture
6.15
5.95
6.30
5.11
5.39
1.01
09027756

A
Treatment of tibia fracture
7.33
NA
NA
5.76
6.11
1.17
09027758

A
Treatment of tibia fracture
12.40
NA
NA
8.03
8.61
2.04
09027759

A
Treatment of tibia fracture
14.31
NA
NA
8.67
9.50
2.39
09027760

A
Cltx medial ankle fx
3.09
4.28
4.48
3.68
3.63
0.48
09027762

A
Cltx med ankle fx w/mnpj
5.33
5.48
5.91
4.65
4.97
0.85
09027766

A
Optx medial ankle fx
7.73
NA
NA
6.13
6.68
1.44
09027767

A
Cltx post ankle fx
2.50
3.62
3.62
3.65
3.65
0.30
09027768

A
Cltx post ankle fx w/mnpj
5.00
NA
NA
4.30
4.30
0.79
09027769

A
Optx post ankle fx
10.00
NA
NA
6.08
6.08
1.45
09027780

A
Treatment of fibula fracture
2.72
3.87
4.02
3.31
3.26
0.41
09027781

A
Treatment of fibula fracture
4.47
4.88
5.19
4.26
4.45
0.73
09027784

A
Treatment of fibula fracture
9.51
NA
NA
6.85
6.66
1.23
09027786

A
Treatment of ankle fracture
2.91
4.05
4.26
3.43
3.38
0.46
09027788

A
Treatment of ankle fracture
4.52
4.97
5.31
4.23
4.44
0.74
09027792

A
Treatment of ankle fracture
9.55
NA
NA
6.81
6.89
1.32
09027808

A
Treatment of ankle fracture
2.91
4.40
4.60
3.71
3.70
0.46
09027810

A
Treatment of ankle fracture
5.20
5.41
5.83
4.55
4.85
0.82
09027814

A
Treatment of ankle fracture
10.46
NA
NA
7.24
7.90
1.86
090( print page 2596)27816

A
Treatment of ankle fracture
2.96
3.99
4.19
3.33
3.37
0.43
09027818

A
Treatment of ankle fracture
5.57
5.41
5.89
4.44
4.81
0.82
09027822

A
Treatment of ankle fracture
11.03
NA
NA
8.21
9.43
1.92
09027823

A
Treatment of ankle fracture
12.98
NA
NA
8.94
10.21
2.26
09027824

A
Treat lower leg fracture
3.20
3.65
3.86
3.47
3.52
0.45
09027825

A
Treat lower leg fracture
6.60
5.78
6.19
4.76
5.07
1.02
09027826

A
Treat lower leg fracture
10.92
NA
NA
8.21
8.52
1.47
09027827

A
Treat lower leg fracture
14.56
NA
NA
10.19
11.48
2.44
09027828

A
Treat lower leg fracture
18.20
NA
NA
11.58
12.76
2.82
09027829

A
Treat lower leg joint
8.64
NA
NA
6.97
6.88
0.95
09027830

A
Treat lower leg dislocation
3.85
4.09
4.24
3.56
3.71
0.54
09027831

A
Treat lower leg dislocation
4.62
NA
NA
4.06
4.26
0.73
09027832

A
Treat lower leg dislocation
10.01
NA
NA
6.83
6.50
1.03
09027840

A
Treat ankle dislocation
4.65
NA
NA
3.65
3.71
0.46
09027842

A
Treat ankle dislocation
6.34
NA
NA
4.85
4.98
1.00
09027846

A
Treat ankle dislocation
10.16
NA
NA
6.77
7.35
1.71
09027848

A
Treat ankle dislocation
11.56
NA
NA
7.32
8.52
1.95
09027860

A
Fixation of ankle joint
2.36
NA
NA
1.69
1.84
0.39
01027870

A
Fusion of ankle joint, open
15.21
NA
NA
9.08
9.81
2.37
09027871

A
Fusion of tibiofibular joint
9.42
NA
NA
6.54
7.06
1.59
09027880

A
Amputation of lower leg
15.24
NA
NA
6.65
6.89
1.76
09027881

A
Amputation of lower leg
13.32
NA
NA
7.38
8.12
1.99
09027882

A
Amputation of lower leg
9.67
NA
NA
4.91
5.70
1.29
09027884

A
Amputation follow-up surgery
8.64
NA
NA
5.11
5.43
1.22
09027886

A
Amputation follow-up surgery
9.88
NA
NA
5.65
6.08
1.40
09027888

A
Amputation of foot at ankle
10.23
NA
NA
6.01
6.76
1.51
09027889

A
Amputation of foot at ankle
10.72
NA
NA
5.44
5.96
1.46
09027892

A
Decompression of leg
7.82
NA
NA
5.10
5.35
1.10
09027893

A
Decompression of leg
7.78
NA
NA
5.13
5.30
1.10
09027894

A
Decompression of leg
12.42
NA
NA
7.34
7.56
1.65
09027899

C
Leg/ankle surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY28001

A
Drainage of bursa of foot
2.75
4.00
3.49
1.61
1.78
0.33
01028002

A
Treatment of foot infection
5.78
6.68
5.83
3.57
3.67
0.61
01028003

A
Treatment of foot infection
8.95
7.78
7.01
4.56
4.89
1.12
09028005

A
Treat foot bone lesion
9.30
NA
NA
5.53
5.79
1.16
09028008

A
Incision of foot fascia
4.50
6.17
5.36
3.00
3.10
0.57
09028010

A
Incision of toe tendon
2.89
2.86
2.62
2.35
2.36
0.36
09028011

A
Incision of toe tendons
4.19
3.80
3.55
3.03
3.17
0.59
09028020

A
Exploration of foot joint
5.06
7.37
6.69
3.58
3.86
0.72
09028022

A
Exploration of foot joint
4.72
6.93
6.06
3.33
3.59
0.62
09028024

A
Exploration of toe joint
4.43
6.56
5.89
3.12
3.52
0.58
09028035

A
Decompression of tibia nerve
5.14
7.28
6.57
3.55
3.82
0.70
09028043

A
Excision of foot lesion
3.58
4.78
4.30
2.73
2.95
0.46
09028045

A
Excision of foot lesion
4.77
7.03
6.20
3.24
3.42
0.63
09028046

A
Resection of tumor, foot
10.55
10.37
9.57
5.76
6.12
1.36
09028050

A
Biopsy of foot joint lining
4.30
6.95
5.92
3.30
3.44
0.60
09028052

A
Biopsy of foot joint lining
3.98
6.30
5.61
2.87
3.15
0.53
09028054

A
Biopsy of toe joint lining
3.49
6.25
5.49
2.80
3.01
0.46
09028055

A
Neurectomy, foot
6.20
NA
NA
3.44
3.55
0.74
09028060

A
Partial removal, foot fascia
5.29
7.08
6.28
3.54
3.71
0.70
09028062

A
Removal of foot fascia
6.58
7.83
7.17
3.82
3.92
0.83
09028070

A
Removal of foot joint lining
5.15
7.37
6.29
3.54
3.68
0.73
09028072

A
Removal of foot joint lining
4.63
7.57
6.55
3.60
3.95
0.68
09028080

A
Removal of foot lesion
4.65
7.67
6.39
4.19
3.94
0.47
09028086

A
Excise foot tendon sheath
4.83
7.87
7.93
3.81
4.25
0.76
09028088

A
Excise foot tendon sheath
3.90
7.00
6.38
3.19
3.54
0.61
09028090

A
Removal of foot lesion
4.46
6.77
5.96
3.18
3.32
0.59
09028092

A
Removal of toe lesions
3.69
6.47
5.84
2.99
3.26
0.49
09028100

A
Removal of ankle/heel lesion
5.72
8.10
8.03
4.00
4.34
0.82
09028102

A
Remove/graft foot lesion
7.80
NA
NA
4.84
5.40
1.14
09028103

A
Remove/graft foot lesion
6.56
NA
NA
4.03
4.32
0.91
09028104

A
Removal of foot lesion
5.17
7.23
6.36
3.47
3.69
0.70
09028106

A
Remove/graft foot lesion
7.23
NA
NA
4.23
4.33
0.97
09028107

A
Remove/graft foot lesion
5.62
7.70
7.11
3.66
3.93
0.74
09028108

A
Removal of toe lesions
4.21
6.35
5.47
2.99
3.12
0.53
09028110

A
Part removal of metatarsal
4.13
6.93
6.07
3.06
3.14
0.54
09028111

A
Part removal of metatarsal
5.06
7.10
6.69
3.20
3.43
0.67
09028112

A
Part removal of metatarsal
4.54
7.19
6.50
3.24
3.41
0.61
09028113

A
Part removal of metatarsal
5.88
8.37
7.21
4.61
4.46
0.63
09028114

A
Removal of metatarsal heads
11.61
13.40
12.51
8.30
8.34
1.42
09028116

A
Revision of foot
8.94
9.45
8.12
5.34
5.26
1.03
09028118

A
Removal of heel bone
6.02
7.93
7.09
4.02
4.18
0.84
090( print page 2597)28119

A
Removal of heel spur
5.45
7.22
6.32
3.58
3.65
0.70
09028120

A
Part removal of ankle/heel
5.64
8.09
7.69
3.97
4.19
0.77
09028122

A
Partial removal of foot bone
7.56
8.47
7.65
4.78
5.02
0.98
09028124

A
Partial removal of toe
4.88
6.78
5.88
3.46
3.56
0.60
09028126

A
Partial removal of toe
3.56
5.96
5.09
2.66
2.83
0.45
09028130

A
Removal of ankle bone
9.30
NA
NA
6.16
6.44
1.26
09028140

A
Removal of metatarsal
7.03
7.82
7.52
4.12
4.44
0.92
09028150

A
Removal of toe
4.14
6.36
5.60
2.98
3.13
0.53
09028153

A
Partial removal of toe
3.71
6.21
5.26
2.89
2.79
0.47
09028160

A
Partial removal of toe
3.79
6.31
5.44
2.93
3.13
0.49
09028171

A
Extensive foot surgery
9.85
NA
NA
5.26
5.34
1.33
09028173

A
Extensive foot surgery
9.05
8.74
8.16
4.61
4.91
1.12
09028175

A
Extensive foot surgery
6.17
7.14
6.43
3.63
3.67
0.73
09028190

A
Removal of foot foreign body
1.98
4.01
3.70
1.34
1.41
0.22
01028192

A
Removal of foot foreign body
4.69
6.72
6.10
3.19
3.42
0.61
09028193

A
Removal of foot foreign body
5.79
7.34
6.47
3.63
3.78
0.73
09028200

A
Repair of foot tendon
4.65
6.88
5.99
3.23
3.39
0.61
09028202

A
Repair/graft of foot tendon
6.96
7.77
7.49
3.94
4.21
0.91
09028208

A
Repair of foot tendon
4.42
6.70
5.75
3.19
3.24
0.58
09028210

A
Repair/graft of foot tendon
6.41
7.63
6.92
3.93
3.98
0.81
09028220

A
Release of foot tendon
4.58
6.42
5.54
3.08
3.25
0.57
09028222

A
Release of foot tendons
5.67
6.93
6.09
3.35
3.73
0.69
09028225

A
Release of foot tendon
3.70
6.02
5.15
2.72
2.81
0.46
09028226

A
Release of foot tendons
4.58
6.89
5.84
3.25
3.50
0.58
09028230

A
Incision of foot tendon(s)
4.28
6.27
5.47
2.88
3.27
0.55
09028232

A
Incision of toe tendon
3.43
5.94
5.23
2.68
2.99
0.44
09028234

A
Incision of foot tendon
3.43
6.30
5.48
3.06
3.21
0.44
09028238

A
Revision of foot tendon
7.85
8.39
7.82
4.37
4.65
1.06
09028240

A
Release of big toe
4.40
6.36
5.49
2.95
3.22
0.58
09028250

A
Revision of foot fascia
5.97
7.56
6.59
3.82
3.98
0.82
09028260

A
Release of midfoot joint
8.08
8.45
7.39
4.61
4.80
1.14
09028261

A
Revision of foot tendon
12.91
10.68
9.64
6.33
6.82
1.57
09028262

A
Revision of foot and ankle
17.01
15.54
14.55
9.74
10.33
2.60
09028264

A
Release of midfoot joint
10.53
10.32
9.03
5.95
6.62
1.54
09028270

A
Release of foot contracture
4.82
6.92
5.90
3.44
3.59
0.62
09028272

A
Release of toe joint, each
3.84
5.84
5.01
2.65
2.75
0.46
09028280

A
Fusion of toes
5.24
7.29
6.77
3.54
4.01
0.73
09028285

A
Repair of hammertoe
4.65
6.71
5.79
3.35
3.39
0.59
09028286

A
Repair of hammertoe
4.61
6.53
5.66
3.06
3.16
0.57
09028288

A
Partial removal of foot bone
5.81
8.60
7.27
4.69
4.79
0.65
09028289

A
Repair hallux rigidus
8.11
9.43
8.71
5.34
5.55
1.02
09028290

A
Correction of bunion
5.72
8.19
7.22
3.96
4.34
0.82
09028292

A
Correction of bunion
8.72
10.35
8.91
6.16
5.85
0.91
09028293

A
Correction of bunion
11.10
14.48
12.61
6.92
6.51
1.13
09028294

A
Correction of bunion
8.63
9.46
8.45
4.77
4.74
1.09
09028296

A
Correction of bunion
9.31
9.58
8.87
4.79
5.10
1.19
09028297

A
Correction of bunion
9.31
10.47
9.71
5.33
5.80
1.32
09028298

A
Correction of bunion
8.01
9.30
8.26
4.59
4.79
1.05
09028299

A
Correction of bunion
11.39
10.55
9.66
5.73
5.90
1.37
09028300

A
Incision of heel bone
9.61
NA
NA
6.04
6.54
1.54
09028302

A
Incision of ankle bone
9.62
NA
NA
6.21
6.55
1.42
09028304

A
Incision of midfoot bones
9.29
9.56
8.75
5.08
5.41
1.27
09028305

A
Incise/graft midfoot bones
10.63
NA
NA
5.79
6.26
1.27
09028306

A
Incision of metatarsal
5.91
8.42
7.63
3.89
4.03
0.84
09028307

A
Incision of metatarsal
6.39
9.28
10.15
4.33
4.81
0.90
09028308

A
Incision of metatarsal
5.36
7.92
6.83
3.83
3.75
0.70
09028309

A
Incision of metatarsals
13.96
NA
NA
7.69
7.82
2.05
09028310

A
Revision of big toe
5.48
7.55
6.65
3.42
3.49
0.70
09028312

A
Revision of toe
4.60
7.38
6.41
3.23
3.43
0.63
09028313

A
Repair deformity of toe
5.06
7.27
6.28
3.61
4.22
0.73
09028315

A
Removal of sesamoid bone
4.91
6.68
5.79
3.22
3.28
0.63
09028320

A
Repair of foot bones
9.25
NA
NA
5.69
6.20
1.43
09028322

A
Repair of metatarsals
8.41
9.75
9.46
5.32
5.83
1.27
09028340

A
Resect enlarged toe tissue
7.04
8.10
7.27
4.08
4.16
0.84
09028341

A
Resect enlarged toe
8.60
8.60
7.77
4.42
4.62
1.01
09028344

A
Repair extra toe(s)
4.31
6.42
6.08
2.93
3.28
0.51
09028345

A
Repair webbed toe(s)
5.98
7.62
6.91
3.79
4.23
0.80
09028360

A
Reconstruct cleft foot
14.67
NA
NA
6.35
8.42
2.29
09028400

A
Treatment of heel fracture
2.22
3.37
3.50
2.92
2.99
0.35
09028405

A
Treatment of heel fracture
4.63
4.43
4.63
3.68
4.15
0.73
09028406

A
Treatment of heel fracture
6.44
NA
NA
5.56
6.18
1.11
09028415

A
Treat heel fracture
15.96
NA
NA
10.25
11.77
2.67
090( print page 2598)28420

A
Treat/graft heel fracture
17.29
NA
NA
10.28
11.60
2.81
09028430

A
Treatment of ankle fracture
2.14
3.12
3.26
2.57
2.57
0.31
09028435

A
Treatment of ankle fracture
3.45
3.99
3.93
3.26
3.50
0.55
09028436

A
Treatment of ankle fracture
4.78
NA
NA
4.75
5.33
0.81
09028445

A
Treat ankle fracture
15.53
NA
NA
9.49
10.26
2.59
09028446

A
Osteochondral talus autogrft
17.50
NA
NA
10.36
10.36
2.45
09028450

A
Treat midfoot fracture, each
1.95
2.92
3.02
2.42
2.45
0.28
09028455

A
Treat midfoot fracture, each
3.15
3.74
3.58
3.10
3.26
0.44
09028456

A
Treat midfoot fracture
2.75
NA
NA
3.73
3.94
0.44
09028465

A
Treat midfoot fracture, each
8.64
NA
NA
6.07
6.19
1.10
09028470

A
Treat metatarsal fracture
1.99
2.80
2.96
2.36
2.40
0.30
09028475

A
Treat metatarsal fracture
2.97
3.13
3.23
2.52
2.86
0.44
09028476

A
Treat metatarsal fracture
3.46
NA
NA
4.33
4.65
0.54
09028485

A
Treat metatarsal fracture
7.28
NA
NA
5.56
5.51
0.83
09028490

A
Treat big toe fracture
1.12
2.09
2.05
1.67
1.65
0.14
09028495

A
Treat big toe fracture
1.62
2.46
2.32
1.87
1.97
0.20
09028496

A
Treat big toe fracture
2.39
7.42
7.83
2.99
3.09
0.36
09028505

A
Treat big toe fracture
7.28
8.46
8.28
4.82
4.36
0.56
09028510

A
Treatment of toe fracture
1.12
1.69
1.61
1.61
1.57
0.14
09028515

A
Treatment of toe fracture
1.50
2.22
2.06
1.82
1.86
0.18
09028525

A
Treat toe fracture
5.46
8.12
7.82
4.32
3.88
0.49
09028530

A
Treat sesamoid bone fracture
1.08
1.62
1.53
1.34
1.39
0.14
09028531

A
Treat sesamoid bone fracture
2.51
6.55
6.91
2.43
2.25
0.34
09028540

A
Treat foot dislocation
2.10
2.75
2.58
2.31
2.36
0.26
09028545

A
Treat foot dislocation
2.51
3.43
2.89
2.81
2.58
0.37
09028546

A
Treat foot dislocation
3.28
8.06
7.49
3.64
4.01
0.52
09028555

A
Repair foot dislocation
9.49
10.81
10.36
6.29
5.99
1.04
09028570

A
Treat foot dislocation
1.70
2.49
2.46
1.91
2.12
0.23
09028575

A
Treat foot dislocation
3.38
4.42
4.07
3.72
3.72
0.56
09028576

A
Treat foot dislocation
4.48
NA
NA
4.06
4.12
0.69
09028585

A
Repair foot dislocation
10.92
11.57
9.45
6.97
6.41
1.25
09028600

A
Treat foot dislocation
1.94
3.03
2.92
2.37
2.53
0.27
09028605

A
Treat foot dislocation
2.78
3.89
3.51
3.27
3.20
0.40
09028606

A
Treat foot dislocation
4.97
NA
NA
4.12
4.40
0.82
09028615

A
Repair foot dislocation
10.46
NA
NA
8.14
8.09
1.30
09028630

A
Treat toe dislocation
1.72
1.85
1.71
0.91
0.95
0.20
01028635

A
Treat toe dislocation
1.93
2.27
2.15
1.33
1.43
0.26
01028636

A
Treat toe dislocation
2.77
4.39
4.13
2.05
2.34
0.43
01028645

A
Repair toe dislocation
7.28
8.34
6.65
4.62
3.95
0.57
09028660

A
Treat toe dislocation
1.25
1.30
1.28
0.78
0.79
0.13
01028665

A
Treat toe dislocation
1.94
1.82
1.63
1.33
1.38
0.26
01028666

A
Treat toe dislocation
2.66
NA
NA
1.83
2.21
0.43
01028675

A
Repair of toe dislocation
5.46
8.24
7.69
4.45
3.90
0.45
09028705

A
Fusion of foot bones
20.12
NA
NA
10.66
11.55
3.09
09028715

A
Fusion of foot bones
14.40
NA
NA
8.49
9.12
2.17
09028725

A
Fusion of foot bones
11.97
NA
NA
6.82
7.53
1.87
09028730

A
Fusion of foot bones
12.21
NA
NA
7.76
8.12
1.71
09028735

A
Fusion of foot bones
12.03
NA
NA
6.97
7.40
1.69
09028737

A
Revision of foot bones
10.83
NA
NA
6.07
6.44
1.47
09028740

A
Fusion of foot bones
9.09
10.87
10.87
5.99
6.23
1.22
09028750

A
Fusion of big toe joint
8.37
10.77
11.34
5.88
6.27
1.13
09028755

A
Fusion of big toe joint
4.79
7.26
6.68
3.35
3.55
0.65
09028760

A
Fusion of big toe joint
8.94
9.87
8.92
5.27
5.39
1.05
09028800

A
Amputation of midfoot
8.65
NA
NA
5.01
5.40
1.15
09028805

A
Amputation thru metatarsal
12.55
NA
NA
5.90
5.77
1.18
09028810

A
Amputation toe & metatarsal
6.52
NA
NA
4.06
4.27
0.86
09028820

A
Amputation of toe
4.89
7.65
7.60
3.55
3.67
0.61
09028825

A
Partial amputation of toe
3.71
7.13
7.06
3.13
3.30
0.50
09028890

A
High energy eswt, plantar f
3.36
4.57
5.14
2.20
2.14
0.41
09028899

C
Foot/toes surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY29000

A
Application of body cast
2.25
4.01
3.49
1.64
1.69
0.41
00029010

A
Application of body cast
2.06
4.38
3.83
1.62
1.70
0.45
00029015

A
Application of body cast
2.41
3.61
3.29
1.56
1.58
0.28
00029020

A
Application of body cast
2.11
3.81
3.50
1.41
1.41
0.28
00029025

A
Application of body cast
2.40
4.04
3.59
1.76
1.81
0.44
00029035

A
Application of body cast
1.77
3.70
3.66
1.48
1.53
0.28
00029040

A
Application of body cast
2.22
3.28
2.87
1.34
1.42
0.36
00029044

A
Application of body cast
2.12
3.58
3.77
1.47
1.69
0.35
00029046

A
Application of body cast
2.41
4.49
3.86
1.91
2.00
0.42
00029049

A
Application of figure eight
0.89
1.12
1.21
0.59
0.56
0.13
00029055

A
Application of shoulder cast
1.78
2.82
2.90
1.23
1.35
0.30
00029058

A
Application of shoulder cast
1.31
1.26
1.41
0.67
0.70
0.17
000( print page 2599)29065

A
Application of long arm cast
0.87
1.28
1.30
0.70
0.73
0.15
00029075

A
Application of forearm cast
0.77
1.24
1.25
0.66
0.67
0.13
00029085

A
Apply hand/wrist cast
0.87
1.26
1.27
0.68
0.66
0.14
00029086

A
Apply finger cast
0.62
1.08
1.02
0.55
0.52
0.07
00029105

A
Apply long arm splint
0.87
1.09
1.16
0.53
0.52
0.12
00029125

A
Apply forearm splint
0.59
0.97
0.99
0.42
0.41
0.07
00029126

A
Apply forearm splint
0.77
1.01
1.11
0.48
0.47
0.07
00029130

A
Application of finger splint
0.50
0.43
0.45
0.18
0.18
0.06
00029131

A
Application of finger splint
0.55
0.59
0.66
0.24
0.24
0.03
00029200

A
Strapping of chest
0.65
0.61
0.66
0.35
0.34
0.04
00029220

A
Strapping of low back
0.64
0.65
0.69
0.38
0.38
0.04
00029240

A
Strapping of shoulder
0.71
0.68
0.76
0.40
0.38
0.06
00029260

A
Strapping of elbow or wrist
0.55
0.67
0.71
0.37
0.35
0.05
00029280

A
Strapping of hand or finger
0.51
0.67
0.73
0.37
0.35
0.03
00029305

A
Application of hip cast
2.03
3.29
3.31
1.56
1.66
0.35
00029325

A
Application of hip casts
2.32
3.33
3.43
1.58
1.77
0.40
00029345

A
Application of long leg cast
1.40
1.66
1.72
0.94
1.00
0.24
00029355

A
Application of long leg cast
1.53
1.62
1.66
0.94
1.03
0.26
00029358

A
Apply long leg cast brace
1.43
2.01
2.04
0.91
1.00
0.25
00029365

A
Application of long leg cast
1.18
1.58
1.62
0.86
0.90
0.20
00029405

A
Apply short leg cast
0.86
1.20
1.21
0.65
0.68
0.14
00029425

A
Apply short leg cast
1.01
1.22
1.23
0.66
0.70
0.15
00029435

A
Apply short leg cast
1.18
1.53
1.54
0.81
0.87
0.20
00029440

A
Addition of walker to cast
0.57
0.64
0.67
0.26
0.26
0.08
00029445

A
Apply rigid leg cast
1.78
1.56
1.68
0.89
0.92
0.27
00029450

A
Application of leg cast
2.08
1.59
1.53
0.90
0.99
0.27
00029505

A
Application, long leg splint
0.69
1.07
1.13
0.45
0.45
0.08
00029515

A
Application lower leg splint
0.73
0.96
0.91
0.46
0.46
0.09
00029520

A
Strapping of hip
0.54
0.66
0.75
0.37
0.42
0.03
00029530

A
Strapping of knee
0.57
0.66
0.72
0.37
0.35
0.05
00029540

A
Strapping of ankle and/or ft
0.51
0.55
0.48
0.31
0.31
0.06
00029550

A
Strapping of toes
0.47
0.56
0.49
0.30
0.29
0.06
00029580

A
Application of paste boot
0.55
0.71
0.68
0.33
0.34
0.07
00029590

A
Application of foot splint
0.76
0.59
0.55
0.26
0.27
0.09
00029700

A
Removal/revision of cast
0.57
0.95
0.92
0.25
0.26
0.08
00029705

A
Removal/revision of cast
0.76
0.76
0.79
0.36
0.37
0.13
00029710

A
Removal/revision of cast
1.34
1.32
1.43
0.55
0.63
0.20
00029715

A
Removal/revision of cast
0.94
1.20
1.19
0.43
0.42
0.09
00029720

A
Repair of body cast
0.68
1.17
1.16
0.35
0.37
0.12
00029730

A
Windowing of cast
0.75
0.74
0.77
0.34
0.34
0.12
00029740

A
Wedging of cast
1.12
1.03
1.09
0.47
0.48
0.18
00029750

A
Wedging of clubfoot cast
1.26
1.07
1.06
0.52
0.55
0.21
00029799

C
Casting/strapping procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY29800

A
Jaw arthroscopy/surgery
6.73
NA
NA
4.63
5.80
0.99
09029804

A
Jaw arthroscopy/surgery
8.71
NA
NA
5.70
6.66
1.38
09029805

A
Shoulder arthroscopy, dx
5.94
NA
NA
4.71
5.19
1.02
09029806

A
Shoulder arthroscopy/surgery
14.95
NA
NA
9.36
10.26
2.50
09029807

A
Shoulder arthroscopy/surgery
14.48
NA
NA
9.20
10.10
2.42
09029819

A
Shoulder arthroscopy/surgery
7.68
NA
NA
5.63
6.21
1.32
09029820

A
Shoulder arthroscopy/surgery
7.12
NA
NA
5.18
5.70
1.22
09029821

A
Shoulder arthroscopy/surgery
7.78
NA
NA
5.66
6.23
1.33
09029822

A
Shoulder arthroscopy/surgery
7.49
NA
NA
5.58
6.14
1.28
09029823

A
Shoulder arthroscopy/surgery
8.24
NA
NA
6.05
6.64
1.41
09029824

A
Shoulder arthroscopy/surgery
8.82
NA
NA
6.54
7.03
1.42
09029825

A
Shoulder arthroscopy/surgery
7.68
NA
NA
5.64
6.20
1.32
09029826

A
Shoulder arthroscopy/surgery
9.05
NA
NA
6.18
6.86
1.55
09029827

A
Arthroscop rotator cuff repr
15.44
NA
NA
9.32
10.43
2.67
09029828

A
Arthroscopy biceps tenodesis
13.00
NA
NA
8.18
8.18
2.17
09029830

A
Elbow arthroscopy
5.80
NA
NA
4.49
4.92
0.99
09029834

A
Elbow arthroscopy/surgery
6.33
NA
NA
4.86
5.35
1.08
09029835

A
Elbow arthroscopy/surgery
6.53
NA
NA
4.97
5.43
1.13
09029836

A
Elbow arthroscopy/surgery
7.61
NA
NA
5.54
6.17
1.22
09029837

A
Elbow arthroscopy/surgery
6.92
NA
NA
5.07
5.60
1.19
09029838

A
Elbow arthroscopy/surgery
7.77
NA
NA
5.66
6.28
1.30
09029840

A
Wrist arthroscopy
5.59
NA
NA
4.63
4.98
0.84
09029843

A
Wrist arthroscopy/surgery
6.06
NA
NA
4.81
5.22
0.92
09029844

A
Wrist arthroscopy/surgery
6.42
NA
NA
4.88
5.35
1.04
09029845

A
Wrist arthroscopy/surgery
7.58
NA
NA
5.60
6.04
0.99
09029846

A
Wrist arthroscopy/surgery
6.80
NA
NA
5.11
5.59
1.07
09029847

A
Wrist arthroscopy/surgery
7.13
NA
NA
5.28
5.74
1.08
09029848

A
Wrist endoscopy/surgery
6.24
NA
NA
5.28
5.44
0.86
09029850

A
Knee arthroscopy/surgery
8.18
NA
NA
4.72
4.88
1.25
090( print page 2600)29851

A
Knee arthroscopy/surgery
13.08
NA
NA
8.22
9.01
2.35
09029855

A
Tibial arthroscopy/surgery
10.60
NA
NA
7.28
8.03
1.85
09029856

A
Tibial arthroscopy/surgery
14.12
NA
NA
8.70
9.69
2.40
09029860

A
Hip arthroscopy, dx
8.85
NA
NA
6.25
6.60
1.36
09029861

A
Hip arthroscopy/surgery
9.95
NA
NA
6.40
6.87
1.59
09029862

A
Hip arthroscopy/surgery
10.97
NA
NA
7.57
8.07
1.62
09029863

A
Hip arthroscopy/surgery
10.97
NA
NA
7.49
8.00
1.42
09029866

A
Autgrft implnt, knee w/scope
14.48
NA
NA
9.47
10.41
2.40
09029867

A
Allgrft implnt, knee w/scope
18.18
NA
NA
11.04
12.13
2.79
09029868

A
Meniscal trnspl, knee w/scpe
24.89
NA
NA
13.80
15.30
4.36
09029870

A
Knee arthroscopy, dx
5.11
NA
NA
4.18
4.53
0.85
09029871

A
Knee arthroscopy/drainage
6.60
NA
NA
5.06
5.47
1.14
09029873

A
Knee arthroscopy/surgery
6.09
NA
NA
5.60
6.09
1.04
09029874

A
Knee arthroscopy/surgery
7.10
NA
NA
5.09
5.58
1.11
09029875

A
Knee arthroscopy/surgery
6.36
NA
NA
4.89
5.37
1.09
09029876

A
Knee arthroscopy/surgery
8.72
NA
NA
6.19
6.61
1.37
09029877

A
Knee arthroscopy/surgery
8.15
NA
NA
5.98
6.36
1.28
09029879

A
Knee arthroscopy/surgery
8.84
NA
NA
6.23
6.68
1.39
09029880

A
Knee arthroscopy/surgery
9.30
NA
NA
6.43
6.90
1.47
09029881

A
Knee arthroscopy/surgery
8.56
NA
NA
6.14
6.55
1.34
09029882

A
Knee arthroscopy/surgery
9.45
NA
NA
6.46
6.85
1.50
09029883

A
Knee arthroscopy/surgery
11.61
NA
NA
7.59
8.33
1.93
09029884

A
Knee arthroscopy/surgery
8.13
NA
NA
5.96
6.33
1.27
09029885

A
Knee arthroscopy/surgery
10.03
NA
NA
7.03
7.50
1.58
09029886

A
Knee arthroscopy/surgery
8.34
NA
NA
6.04
6.45
1.30
09029887

A
Knee arthroscopy/surgery
9.98
NA
NA
6.97
7.45
1.57
09029888

A
Knee arthroscopy/surgery
14.14
NA
NA
8.27
9.24
2.42
09029889

A
Knee arthroscopy/surgery
17.15
NA
NA
10.62
11.53
2.79
09029891

A
Ankle arthroscopy/surgery
9.47
NA
NA
6.65
7.08
1.39
09029892

A
Ankle arthroscopy/surgery
10.07
NA
NA
6.39
7.07
1.41
09029893

A
Scope, plantar fasciotomy
6.08
8.84
7.56
4.67
4.33
0.63
09029894

A
Ankle arthroscopy/surgery
7.26
NA
NA
4.72
5.10
1.15
09029895

A
Ankle arthroscopy/surgery
7.04
NA
NA
4.52
5.00
1.11
09029897

A
Ankle arthroscopy/surgery
7.23
NA
NA
4.82
5.35
1.17
09029898

A
Ankle arthroscopy/surgery
8.38
NA
NA
5.24
5.72
1.28
09029899

A
Ankle arthroscopy/surgery
15.21
NA
NA
9.21
9.88
2.41
09029900

A
Mcp joint arthroscopy, dx
5.74
NA
NA
4.67
5.27
0.94
09029901

A
Mcp joint arthroscopy, surg
6.45
NA
NA
5.10
5.68
1.06
09029902

A
Mcp joint arthroscopy, surg
7.02
NA
NA
4.71
5.63
1.12
09029904

A
Subtalar arthro w/fb rmvl
8.50
NA
NA
5.89
5.89
1.25
09029905

A
Subtalar arthro w/exc
9.00
NA
NA
6.52
6.52
1.32
09029906

A
Subtalar arthro w/deb
9.47
NA
NA
6.88
6.88
1.39
09029907

A
Subtalar arthro w/fusion
12.00
NA
NA
7.87
7.87
1.90
09029999

C
Arthroscopy of joint
0.00
0.00
0.00
0.00
0.00
0.00
YYY30000

A
Drainage of nose lesion
1.45
4.02
4.04
1.34
1.37
0.12
01030020

A
Drainage of nose lesion
1.45
4.17
3.72
1.39
1.43
0.12
01030100

A
Intranasal biopsy
0.94
2.58
2.28
0.75
0.78
0.07
00030110

A
Removal of nose polyp(s)
1.65
3.90
3.57
1.45
1.51
0.14
01030115

A
Removal of nose polyp(s)
4.38
NA
NA
5.99
5.88
0.41
09030117

A
Removal of intranasal lesion
3.20
18.17
15.66
4.92
4.77
0.26
09030118

A
Removal of intranasal lesion
9.81
NA
NA
8.56
8.88
0.78
09030120

A
Revision of nose
5.31
7.08
6.79
5.09
5.55
0.52
09030124

A
Removal of nose lesion
3.14
NA
NA
3.68
3.65
0.25
09030125

A
Removal of nose lesion
7.21
NA
NA
7.41
7.87
0.63
09030130

A
Excise inferior turbinate
3.41
NA
NA
5.64
5.62
0.31
09030140

A
Resect inferior turbinate
3.48
NA
NA
7.11
6.65
0.35
09030150

A
Partial removal of nose
9.44
NA
NA
9.04
10.03
0.93
09030160

A
Removal of nose
9.88
NA
NA
8.88
9.55
0.88
09030200

A
Injection treatment of nose
0.78
2.02
1.82
0.67
0.71
0.06
00030210

A
Nasal sinus therapy
1.10
2.51
2.31
1.27
1.29
0.09
01030220

A
Insert nasal septal button
1.56
5.82
5.03
1.43
1.48
0.12
01030300

A
Remove nasal foreign body
1.06
4.30
4.46
1.87
1.89
0.08
01030310

A
Remove nasal foreign body
1.98
NA
NA
2.91
3.01
0.16
01030320

A
Remove nasal foreign body
4.56
NA
NA
6.36
6.70
0.39
09030400

R
Reconstruction of nose
10.58
NA
NA
13.92
14.71
1.04
09030410

R
Reconstruction of nose
13.72
NA
NA
15.34
16.86
1.42
09030420

R
Reconstruction of nose
16.62
NA
NA
15.84
16.88
1.46
09030430

R
Revision of nose
7.96
NA
NA
13.25
14.64
0.77
09030435

R
Revision of nose
12.45
NA
NA
15.43
17.40
1.22
09030450

R
Revision of nose
19.38
NA
NA
16.90
19.40
1.97
09030460

A
Revision of nose
10.24
NA
NA
7.49
8.72
1.03
09030462

A
Revision of nose
20.12
NA
NA
14.66
17.46
2.54
090( print page 2601)30465

A
Repair nasal stenosis
12.20
NA
NA
11.08
11.53
1.06
09030520

A
Repair of nasal septum
6.85
NA
NA
8.05
7.36
0.46
09030540

A
Repair nasal defect
7.81
NA
NA
8.55
8.92
0.67
09030545

A
Repair nasal defect
11.50
NA
NA
11.09
11.50
1.71
09030560

A
Release of nasal adhesions
1.28
5.28
5.03
2.03
2.08
0.10
01030580

A
Repair upper jaw fistula
6.76
8.14
7.96
4.69
5.24
0.89
09030600

A
Repair mouth/nose fistula
6.07
7.68
7.60
4.18
4.60
0.70
09030620

A
Intranasal reconstruction
6.04
NA
NA
8.67
8.76
0.57
09030630

A
Repair nasal septum defect
7.18
NA
NA
7.73
7.84
0.61
09030801

A
Ablate inf turbinate, superf
1.11
4.30
4.22
2.12
2.02
0.09
01030802

A
Cauterization, inner nose
2.05
4.98
4.79
2.51
2.44
0.16
01030901

A
Control of nosebleed
1.21
1.27
1.32
0.31
0.31
0.11
00030903

A
Control of nosebleed
1.54
3.28
3.00
0.43
0.46
0.13
00030905

A
Control of nosebleed
1.97
3.94
3.73
0.51
0.63
0.17
00030906

A
Repeat control of nosebleed
2.45
4.29
4.09
0.76
0.98
0.20
00030915

A
Ligation, nasal sinus artery
7.36
NA
NA
6.46
6.58
0.58
09030920

A
Ligation, upper jaw artery
11.03
NA
NA
8.97
8.97
0.80
09030930

A
Ther fx, nasal inf turbinate
1.28
NA
NA
1.64
1.63
0.12
01030999

C
Nasal surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY31000

A
Irrigation, maxillary sinus
1.17
3.22
3.03
1.34
1.37
0.09
01031002

A
Irrigation, sphenoid sinus
1.93
NA
NA
2.69
2.97
0.15
01031020

A
Exploration, maxillary sinus
2.99
8.61
8.57
5.55
5.37
0.29
09031030

A
Exploration, maxillary sinus
5.95
10.41
10.96
6.45
6.56
0.60
09031032

A
Explore sinus, remove polyps
6.61
NA
NA
7.00
7.12
0.59
09031040

A
Exploration behind upper jaw
9.66
NA
NA
7.38
8.60
0.87
09031050

A
Exploration, sphenoid sinus
5.31
NA
NA
6.51
6.43
0.49
09031051

A
Sphenoid sinus surgery
7.16
NA
NA
8.37
8.31
0.62
09031070

A
Exploration of frontal sinus
4.32
NA
NA
6.19
6.06
0.38
09031075

A
Exploration of frontal sinus
9.40
NA
NA
9.33
9.53
0.75
09031080

A
Removal of frontal sinus
12.54
NA
NA
10.63
12.08
1.23
09031081

A
Removal of frontal sinus
13.99
NA
NA
15.38
14.69
2.47
09031084

A
Removal of frontal sinus
14.75
NA
NA
12.88
13.20
1.19
09031085

A
Removal of frontal sinus
15.44
NA
NA
14.44
14.20
1.73
09031086

A
Removal of frontal sinus
14.16
NA
NA
12.79
13.04
1.07
09031087

A
Removal of frontal sinus
14.39
NA
NA
11.65
12.10
1.44
09031090

A
Exploration of sinuses
10.88
NA
NA
13.41
12.99
0.94
09031200

A
Removal of ethmoid sinus
5.03
NA
NA
7.44
8.33
0.29
09031201

A
Removal of ethmoid sinus
8.49
NA
NA
9.00
9.09
0.82
09031205

A
Removal of ethmoid sinus
10.47
NA
NA
9.52
10.70
0.67
09031225

A
Removal of upper jaw
26.44
NA
NA
17.90
17.87
1.59
09031230

A
Removal of upper jaw
30.56
NA
NA
19.50
19.44
1.78
09031231

A
Nasal endoscopy, dx
1.10
3.60
3.49
0.77
0.82
0.09
00031233

A
Nasal/sinus endoscopy, dx
2.18
4.27
4.28
1.12
1.30
0.20
00031235

A
Nasal/sinus endoscopy, dx
2.64
4.65
4.78
1.26
1.49
0.26
00031237

A
Nasal/sinus endoscopy, surg
2.98
4.90
5.05
1.39
1.64
0.28
00031238

A
Nasal/sinus endoscopy, surg
3.26
4.83
5.03
1.48
1.79
0.27
00031239

A
Nasal/sinus endoscopy, surg
9.23
NA
NA
6.43
7.21
0.62
01031240

A
Nasal/sinus endoscopy, surg
2.61
NA
NA
1.27
1.50
0.24
00031254

A
Revision of ethmoid sinus
4.64
NA
NA
1.94
2.39
0.45
00031255

A
Removal of ethmoid sinus
6.95
NA
NA
2.69
3.40
0.73
00031256

A
Exploration maxillary sinus
3.29
NA
NA
1.49
1.80
0.33
00031267

A
Endoscopy, maxillary sinus
5.45
NA
NA
2.20
2.75
0.55
00031276

A
Sinus endoscopy, surgical
8.84
NA
NA
3.31
4.21
0.92
00031287

A
Nasal/sinus endoscopy, surg
3.91
NA
NA
1.69
2.07
0.39
00031288

A
Nasal/sinus endoscopy, surg
4.57
NA
NA
1.91
2.36
0.46
00031290

A
Nasal/sinus endoscopy, surg
18.50
NA
NA
9.05
10.55
1.40
01031291

A
Nasal/sinus endoscopy, surg
19.45
NA
NA
9.54
11.01
1.69
01031292

A
Nasal/sinus endoscopy, surg
15.79
NA
NA
8.06
9.34
1.21
01031293

A
Nasal/sinus endoscopy, surg
17.36
NA
NA
8.69
10.04
1.28
01031294

A
Nasal/sinus endoscopy, surg
20.20
NA
NA
9.67
11.28
1.53
01031299

C
Sinus surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY31300

A
Removal of larynx lesion
15.71
NA
NA
14.59
14.79
1.17
09031320

A
Diagnostic incision, larynx
5.62
NA
NA
10.15
10.23
0.46
09031360

A
Removal of larynx
29.57
NA
NA
20.08
18.41
1.38
09031365

A
Removal of larynx
38.47
NA
NA
23.00
21.69
1.98
09031367

A
Partial removal of larynx
30.23
NA
NA
22.52
22.21
1.79
09031368

A
Partial removal of larynx
33.85
NA
NA
24.61
25.06
2.21
09031370

A
Partial removal of larynx
27.23
NA
NA
22.16
22.22
1.75
09031375

A
Partial removal of larynx
25.73
NA
NA
21.16
20.78
1.63
09031380

A
Partial removal of larynx
25.23
NA
NA
20.81
20.71
1.71
09031382

A
Partial removal of larynx
28.23
NA
NA
22.71
22.17
1.68
09031390

A
Removal of larynx & pharynx
42.17
NA
NA
25.99
25.19
2.24
090( print page 2602)31395

A
Reconstruct larynx & pharynx
43.46
NA
NA
28.53
28.42
2.49
09031400

A
Revision of larynx
11.48
NA
NA
12.50
13.14
0.83
09031420

A
Removal of epiglottis
11.32
NA
NA
8.59
9.07
0.83
09031500

A
Insert emergency airway
2.33
NA
NA
0.42
0.48
0.17
00031502

A
Change of windpipe airway
0.65
NA
NA
0.21
0.25
0.05
00031505

A
Diagnostic laryngoscopy
0.61
1.43
1.44
0.59
0.60
0.05
00031510

A
Laryngoscopy with biopsy
1.92
3.23
3.26
1.00
1.13
0.16
00031511

A
Remove foreign body, larynx
2.16
2.94
3.03
1.03
1.04
0.19
00031512

A
Removal of larynx lesion
2.07
2.97
3.09
1.06
1.21
0.18
00031513

A
Injection into vocal cord
2.10
NA
NA
1.09
1.27
0.17
00031515

A
Laryngoscopy for aspiration
1.80
3.20
3.37
0.88
0.97
0.14
00031520

A
Dx laryngoscopy, newborn
2.56
NA
NA
1.21
1.38
0.20
00031525

A
Dx laryngoscopy excl nb
2.63
3.45
3.55
1.23
1.44
0.21
00031526

A
Dx laryngoscopy w/oper scope
2.57
NA
NA
1.25
1.48
0.21
00031527

A
Laryngoscopy for treatment
3.27
NA
NA
1.40
1.64
0.26
00031528

A
Laryngoscopy and dilation
2.37
NA
NA
1.09
1.27
0.19
00031529

A
Laryngoscopy and dilation
2.68
NA
NA
1.25
1.48
0.22
00031530

A
Laryngoscopy w/fb removal
3.38
NA
NA
1.45
1.70
0.29
00031531

A
Laryngoscopy w/fb & op scope
3.58
NA
NA
1.59
1.93
0.29
00031535

A
Laryngoscopy w/biopsy
3.16
NA
NA
1.44
1.72
0.26
00031536

A
Laryngoscopy w/bx & op scope
3.55
NA
NA
1.57
1.91
0.29
00031540

A
Laryngoscopy w/exc of tumor
4.12
NA
NA
1.76
2.15
0.33
00031541

A
Larynscop w/tumr exc + scope
4.52
NA
NA
1.89
2.34
0.37
00031545

A
Remove vc lesion w/scope
6.30
NA
NA
2.52
2.99
0.37
00031546

A
Remove vc lesion scope/graft
9.73
NA
NA
3.43
4.20
0.78
00031560

A
Laryngoscop w/arytenoidectom
5.45
NA
NA
2.16
2.65
0.43
00031561

A
Larynscop, remve cart + scop
5.99
NA
NA
2.32
2.85
0.49
00031570

A
Laryngoscope w/vc inj
3.86
4.26
4.97
1.65
2.02
0.31
00031571

A
Laryngoscop w/vc inj + scope
4.26
NA
NA
1.81
2.21
0.35
00031575

A
Diagnostic laryngoscopy
1.10
1.70
1.80
0.76
0.83
0.09
00031576

A
Laryngoscopy with biopsy
1.97
3.52
3.59
1.04
1.17
0.14
00031577

A
Remove foreign body, larynx
2.47
3.38
3.57
1.17
1.35
0.21
00031578

A
Removal of larynx lesion
2.84
4.00
4.14
1.34
1.43
0.23
00031579

A
Diagnostic laryngoscopy
2.26
2.87
3.32
1.15
1.31
0.18
00031580

A
Revision of larynx
14.46
NA
NA
13.83
14.88
1.00
09031582

A
Revision of larynx
22.87
NA
NA
22.57
24.19
1.76
09031584

A
Treat larynx fracture
20.35
NA
NA
15.28
16.72
1.72
09031587

A
Revision of larynx
15.12
NA
NA
8.64
8.96
0.97
09031588

A
Revision of larynx
14.62
NA
NA
12.52
13.07
1.06
09031590

A
Reinnervate larynx
7.63
NA
NA
12.80
14.17
0.84
09031595

A
Larynx nerve surgery
8.75
NA
NA
9.65
10.10
0.68
09031599

C
Larynx surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY31600

A
Incision of windpipe
7.17
NA
NA
2.28
2.74
0.80
00031601

A
Incision of windpipe
4.44
NA
NA
1.74
2.07
0.40
00031603

A
Incision of windpipe
4.14
NA
NA
1.19
1.45
0.44
00031605

A
Incision of windpipe
3.57
NA
NA
0.82
1.00
0.40
00031610

A
Incision of windpipe
9.29
NA
NA
7.73
8.00
0.79
09031611

A
Surgery/speech prosthesis
5.92
NA
NA
7.08
7.07
0.46
09031612

A
Puncture/clear windpipe
0.91
1.09
1.09
0.26
0.30
0.08
00031613

A
Repair windpipe opening
4.63
NA
NA
6.14
6.07
0.42
09031614

A
Repair windpipe opening
8.47
NA
NA
9.59
9.15
0.58
09031615

A
Visualization of windpipe
2.09
2.38
2.49
1.05
1.12
0.16
00031620

A
Endobronchial us add-on
1.40
6.02
5.83
0.33
0.44
0.11
ZZZ31622

A
Dx bronchoscope/wash
2.78
5.24
5.45
0.90
0.98
0.18
00031623

A
Dx bronchoscope/brush
2.88
5.98
6.20
0.89
0.97
0.13
00031624

A
Dx bronchoscope/lavage
2.88
5.34
5.56
0.89
0.97
0.13
00031625

A
Bronchoscopy w/biopsy(s)
3.36
5.48
5.65
1.01
1.11
0.18
00031628

A
Bronchoscopy/lung bx, each
3.80
6.96
6.99
1.10
1.20
0.18
00031629

A
Bronchoscopy/needle bx, each
4.09
12.01
13.14
1.17
1.28
0.16
00031630

A
Bronchoscopy dilate/fx repr
3.81
NA
NA
1.27
1.49
0.32
00031631

A
Bronchoscopy, dilate w/stent
4.36
NA
NA
1.42
1.59
0.34
00031632

A
Bronchoscopy/lung bx, addÆl
1.03
0.86
0.83
0.24
0.27
0.18
ZZZ31633

A
Bronchoscopy/needle bx addÆl
1.32
0.99
0.95
0.31
0.35
0.16
ZZZ31635

A
Bronchoscopy w/fb removal
3.67
5.20
5.66
1.13
1.28
0.24
00031636

A
Bronchoscopy, bronch stents
4.30
NA
NA
1.34
1.55
0.31
00031637

A
Bronchoscopy, stent add-on
1.58
NA
NA
0.41
0.48
0.13
ZZZ31638

A
Bronchoscopy, revise stent
4.88
NA
NA
1.54
1.76
0.22
00031640

A
Bronchoscopy w/tumor excise
4.93
NA
NA
1.53
1.80
0.46
00031641

A
Bronchoscopy, treat blockage
5.02
NA
NA
1.49
1.69
0.35
00031643

A
Diag bronchoscope/catheter
3.49
NA
NA
1.04
1.13
0.20
00031645

A
Bronchoscopy, clear airways
3.16
4.72
4.93
0.96
1.04
0.16
00031646

A
Bronchoscopy, reclear airway
2.72
4.42
4.64
0.85
0.92
0.14
000( print page 2603)31656

A
Bronchoscopy, inj for x-ray
2.17
5.69
6.49
0.68
0.76
0.15
00031715

A
Injection for bronchus x-ray
1.11
NA
NA
0.25
0.30
0.07
00031717

A
Bronchial brush biopsy
2.12
5.84
7.05
0.72
0.75
0.14
00031720

A
Clearance of airways
1.06
NA
NA
0.27
0.30
0.07
00031725

A
Clearance of airways
1.96
NA
NA
0.41
0.49
0.14
00031730

A
Intro, windpipe wire/tube
2.85
25.74
13.97
0.74
0.87
0.21
00031750

A
Repair of windpipe
15.19
NA
NA
17.46
17.51
1.05
09031755

A
Repair of windpipe
17.19
NA
NA
24.00
24.27
1.29
09031760

A
Repair of windpipe
23.36
NA
NA
9.78
10.25
2.95
09031766

A
Reconstruction of windpipe
31.58
NA
NA
11.70
12.68
4.53
09031770

A
Repair/graft of bronchus
23.48
NA
NA
8.54
9.39
2.84
09031775

A
Reconstruct bronchus
24.51
NA
NA
9.52
10.66
3.02
09031780

A
Reconstruct windpipe
19.70
NA
NA
8.80
9.93
1.65
09031781

A
Reconstruct windpipe
24.77
NA
NA
9.67
10.90
2.25
09031785

A
Remove windpipe lesion
18.29
NA
NA
7.68
8.93
1.59
09031786

A
Remove windpipe lesion
25.34
NA
NA
9.62
11.36
3.30
09031800

A
Repair of windpipe injury
8.10
NA
NA
8.68
8.97
0.79
09031805

A
Repair of windpipe injury
13.34
NA
NA
6.22
6.72
1.83
09031820

A
Closure of windpipe lesion
4.58
5.86
5.76
3.26
3.46
0.38
09031825

A
Repair of windpipe defect
6.98
7.45
7.56
4.48
4.93
0.53
09031830

A
Revise windpipe scar
4.54
5.93
5.85
3.56
3.77
0.44
09031899

C
Airways surgical procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY32035

A
Exploration of chest
11.20
NA
NA
6.09
5.97
1.26
09032036

A
Exploration of chest
12.21
NA
NA
6.30
6.37
1.43
09032095

A
Biopsy through chest wall
10.06
NA
NA
5.10
5.24
1.22
09032100

A
Exploration/biopsy of chest
16.08
NA
NA
7.01
7.42
2.24
09032110

A
Explore/repair chest
25.15
NA
NA
9.88
10.31
3.22
09032120

A
Re-exploration of chest
14.27
NA
NA
6.78
6.93
1.63
09032124

A
Explore chest free adhesions
15.33
NA
NA
6.96
7.09
1.90
09032140

A
Removal of lung lesion(s)
16.54
NA
NA
7.40
7.54
1.97
09032141

A
Remove/treat lung lesions
27.10
NA
NA
10.19
8.87
2.01
09032150

A
Removal of lung lesion(s)
16.70
NA
NA
7.51
7.56
2.01
09032151

A
Remove lung foreign body
16.82
NA
NA
7.92
7.96
2.04
09032160

A
Open chest heart massage
13.02
NA
NA
5.84
5.56
1.31
09032200

A
Drain, open, lung lesion
18.48
NA
NA
8.77
8.69
2.14
09032201

A
Drain, percut, lung lesion
3.99
19.87
20.29
1.43
1.36
0.24
00032215

A
Treat chest lining
12.93
NA
NA
6.24
6.57
1.69
09032220

A
Release of lung
26.41
NA
NA
11.91
12.44
3.57
09032225

A
Partial release of lung
16.63
NA
NA
7.46
7.56
2.07
09032310

A
Removal of chest lining
15.16
NA
NA
6.93
7.16
2.00
09032320

A
Free/remove chest lining
27.04
NA
NA
11.46
11.81
3.52
09032400

A
Needle biopsy chest lining
1.76
2.15
2.14
0.57
0.56
0.10
00032402

A
Open biopsy chest lining
8.89
NA
NA
4.69
4.90
1.07
09032405

A
Biopsy, lung or mediastinum
1.93
0.69
0.68
0.69
0.66
0.11
00032420

A
Puncture/clear lung
2.18
NA
NA
0.71
0.70
0.12
00032421

A
Thoracentesis for aspiration
1.54
2.41
2.73
0.47
0.47
0.08
00032422

A
Thoracentesis w/tube insert
2.19
2.88
3.05
1.03
1.05
0.12
00032440

A
Removal of lung
27.17
NA
NA
10.92
11.91
3.69
09032442

A
Sleeve pneumonectomy
56.37
NA
NA
18.74
16.75
3.85
09032445

A
Removal of lung
63.60
NA
NA
22.80
18.43
3.72
09032480

A
Partial removal of lung
25.71
NA
NA
10.19
11.13
3.50
09032482

A
Bilobectomy
27.28
NA
NA
11.10
12.01
3.67
09032484

A
Segmentectomy
25.30
NA
NA
9.57
10.48
3.04
09032486

A
Sleeve lobectomy
42.80
NA
NA
14.62
13.94
3.52
09032488

A
Completion pneumonectomy
42.83
NA
NA
15.58
14.68
3.81
09032491

R
Lung volume reduction
25.09
NA
NA
10.43
11.53
2.99
09032500

A
Partial removal of lung
24.48
NA
NA
10.27
11.32
3.26
09032501

A
Repair bronchus add-on
4.68
NA
NA
1.34
1.44
0.65
ZZZ32503

A
Resect apical lung tumor
31.61
NA
NA
12.09
13.58
4.38
09032504

A
Resect apical lung tum/chest
36.41
NA
NA
13.48
15.08
5.09
09032540

A
Removal of lung lesion
30.22
NA
NA
11.49
10.56
2.08
09032550

A
Insert pleural cath
4.17
14.97
17.47
1.51
1.58
0.42
00032551

A
Insertion of chest tube
3.29
NA
NA
0.97
1.16
0.43
00032560

A
Treat lung lining chemically
2.19
5.06
5.76
0.58
0.64
0.23
00032601

A
Thoracoscopy, diagnostic
5.45
NA
NA
2.07
2.21
0.80
00032602

A
Thoracoscopy, diagnostic
5.95
NA
NA
2.22
2.37
0.87
00032603

A
Thoracoscopy, diagnostic
7.80
NA
NA
2.74
2.89
1.14
00032604

A
Thoracoscopy, diagnostic
8.77
NA
NA
3.05
3.25
1.25
00032605

A
Thoracoscopy, diagnostic
6.92
NA
NA
2.58
2.74
1.00
00032606

A
Thoracoscopy, diagnostic
8.39
NA
NA
2.97
3.15
1.22
00032650

A
Thoracoscopy, surgical
10.77
NA
NA
5.24
6.00
1.58
09032651

A
Thoracoscopy, surgical
18.70
NA
NA
7.70
7.47
1.87
090( print page 2604)32652

A
Thoracoscopy, surgical
29.00
NA
NA
11.14
10.64
2.73
09032653

A
Thoracoscopy, surgical
18.09
NA
NA
7.46
7.22
1.89
09032654

A
Thoracoscopy, surgical
20.44
NA
NA
7.96
7.75
1.63
09032655

A
Thoracoscopy, surgical
16.09
NA
NA
6.88
7.06
1.90
09032656

A
Thoracoscopy, surgical
13.18
NA
NA
5.96
6.95
1.90
09032657

A
Thoracoscopy, surgical
12.85
NA
NA
5.97
6.83
2.00
09032658

A
Thoracoscopy, surgical
11.65
NA
NA
5.50
6.43
1.70
09032659

A
Thoracoscopy, surgical
11.86
NA
NA
5.80
6.63
1.62
09032660

A
Thoracoscopy, surgical
17.69
NA
NA
7.59
8.54
2.09
09032661

A
Thoracoscopy, surgical
13.27
NA
NA
6.05
6.92
1.93
09032662

A
Thoracoscopy, surgical
14.91
NA
NA
6.64
7.74
2.18
09032663

A
Thoracoscopy, surgical
24.56
NA
NA
9.40
10.08
2.73
09032664

A
Thoracoscopy, surgical
14.22
NA
NA
5.62
6.62
2.33
09032665

A
Thoracoscopy, surgical
21.45
NA
NA
8.57
8.35
2.16
09032800

A
Repair lung hernia
15.59
NA
NA
6.93
7.17
1.99
09032810

A
Close chest after drainage
14.83
NA
NA
6.98
7.25
1.94
09032815

A
Close bronchial fistula
49.79
NA
NA
18.60
14.79
3.28
09032820

A
Reconstruct injured chest
22.33
NA
NA
10.57
11.37
2.53
09032850

X
Donor pneumonectomy
0.00
0.00
0.00
0.00
0.00
0.00
XXX32851

A
Lung transplant, single
40.94
NA
NA
20.19
23.94
5.58
09032852

A
Lung transplant with bypass
44.65
NA
NA
22.58
27.88
6.02
09032853

A
Lung transplant, double
50.11
NA
NA
22.80
27.29
7.07
09032854

A
Lung transplant with bypass
53.88
NA
NA
25.79
30.27
7.22
09032855

C
Prepare donor lung, single
0.00
0.00
0.00
0.00
0.00
0.00
XXX32856

C
Prepare donor lung, double
0.00
0.00
0.00
0.00
0.00
0.00
XXX32900

A
Removal of rib(s)
23.69
NA
NA
9.57
9.73
2.94
09032905

A
Revise & repair chest wall
23.17
NA
NA
9.53
9.84
3.16
09032906

A
Revise & repair chest wall
29.18
NA
NA
11.04
11.55
3.98
09032940

A
Revision of lung
21.22
NA
NA
8.49
8.99
2.89
09032960

A
Therapeutic pneumothorax
1.84
1.61
1.68
0.68
0.62
0.16
00032997

A
Total lung lavage
7.31
NA
NA
1.84
1.88
0.55
00032998

A
Perq rf ablate tx, pul tumor
5.68
70.26
70.26
1.99
1.99
0.36
00032999

C
Chest surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY33010

A
Drainage of heart sac
2.24
NA
NA
1.04
0.91
0.14
00033011

A
Repeat drainage of heart sac
2.24
NA
NA
1.13
0.97
0.15
00033015

A
Incision of heart sac
8.44
NA
NA
5.16
5.05
0.65
09033020

A
Incision of heart sac
14.87
NA
NA
6.37
6.58
1.80
09033025

A
Incision of heart sac
13.65
NA
NA
5.85
6.10
1.81
09033030

A
Partial removal of heart sac
22.27
NA
NA
9.12
9.33
2.84
09033031

A
Partial removal of heart sac
25.30
NA
NA
9.58
9.81
3.14
09033050

A
Removal of heart sac lesion
16.85
NA
NA
7.37
7.61
2.15
09033120

A
Removal of heart lesion
27.33
NA
NA
10.57
11.08
3.70
09033130

A
Removal of heart lesion
24.05
NA
NA
9.37
9.75
3.01
09033140

A
Heart revascularize (tmr)
28.26
NA
NA
10.31
10.60
2.86
09033141

A
Heart tmr w/other procedure
2.54
NA
NA
0.78
1.18
0.69
ZZZ33202

A
Insert epicard eltrd, open
13.15
NA
NA
6.08
6.08
1.71
09033203

A
Insert epicard eltrd, endo
13.92
NA
NA
6.13
6.13
1.39
09033206

A
Insertion of heart pacemaker
7.31
NA
NA
5.13
4.79
0.52
09033207

A
Insertion of heart pacemaker
8.00
NA
NA
5.23
4.94
0.59
09033208

A
Insertion of heart pacemaker
8.72
NA
NA
5.66
5.21
0.56
09033210

A
Insertion of heart electrode
3.30
NA
NA
1.66
1.46
0.18
00033211

A
Insertion of heart electrode
3.39
NA
NA
1.59
1.45
0.21
00033212

A
Insertion of pulse generator
5.51
NA
NA
3.71
3.53
0.43
09033213

A
Insertion of pulse generator
6.36
NA
NA
4.21
3.97
0.45
09033214

A
Upgrade of pacemaker system
7.78
NA
NA
5.36
5.13
0.58
09033215

A
Reposition pacing-defib lead
4.89
NA
NA
3.49
3.33
0.37
09033216

A
Insert lead pace-defib, one
5.81
NA
NA
4.54
4.37
0.36
09033217

A
Insert lead pace-defib, dual
5.78
NA
NA
4.43
4.33
0.39
09033218

A
Repair lead pace-defib, one
5.97
NA
NA
4.82
4.56
0.37
09033220

A
Repair lead pace-defib, dual
6.05
NA
NA
4.78
4.53
0.37
09033222

A
Revise pocket, pacemaker
5.01
NA
NA
4.30
4.30
0.42
09033223

A
Revise pocket, pacing-defib
6.49
NA
NA
4.88
4.74
0.45
09033224

A
Insert pacing lead & connect
9.04
NA
NA
4.91
4.45
0.54
00033225

A
L ventric pacing lead add-on
8.33
NA
NA
4.35
3.80
0.45
ZZZ33226

A
Reposition l ventric lead
8.68
NA
NA
4.74
4.28
0.59
00033233

A
Removal of pacemaker system
3.33
NA
NA
3.27
3.27
0.22
09033234

A
Removal of pacemaker system
7.85
NA
NA
5.49
5.20
0.56
09033235

A
Removal pacemaker electrode
9.93
NA
NA
7.24
7.03
0.73
09033236

A
Remove electrode/thoracotomy
12.64
NA
NA
6.38
6.91
1.69
09033237

A
Remove electrode/thoracotomy
13.75
NA
NA
8.02
7.90
1.59
09033238

A
Remove electrode/thoracotomy
15.28
NA
NA
8.05
8.13
2.03
09033240

A
Insert pulse generator
7.61
NA
NA
5.25
4.92
0.41
090( print page 2605)33241

A
Remove pulse generator
3.26
NA
NA
3.00
2.98
0.18
09033243

A
Remove eltrd/thoracotomy
23.42
NA
NA
10.94
11.20
2.10
09033244

A
Remove eltrd, transven
13.84
NA
NA
9.44
9.17
0.99
09033249

A
Eltrd/insert pace-defib
15.02
NA
NA
10.16
9.26
0.77
09033250

A
Ablate heart dysrhythm focus
25.78
NA
NA
10.89
10.96
3.19
09033251

A
Ablate heart dysrhythm focus
28.80
NA
NA
10.97
11.32
3.60
09033254

A
Ablate atria, lmtd
23.58
NA
NA
9.77
9.77
3.35
09033255

A
Ablate atria w/o bypass, ext
28.91
NA
NA
11.37
11.37
3.94
09033256

A
Ablate atria w/bypass, exten
34.77
NA
NA
13.12
13.12
4.95
09033257

A
Ablate atria, lmtd, add-on
9.63
NA
NA
5.47
5.47
0.89
ZZZ33258

A
Ablate atria, x10sv, add-on
11.00
NA
NA
5.99
5.99
1.09
ZZZ33259

A
Ablate atria w/bypass add-on
14.14
NA
NA
7.80
7.80
1.78
ZZZ33261

A
Ablate heart dysrhythm focus
28.80
NA
NA
11.69
11.73
3.46
09033265

A
Ablate atria,  lmtd,  endo
23.58
NA
NA
9.77
9.77
3.35
09033266

A
Ablate atria, x10sv, endo
32.91
NA
NA
12.57
12.57
4.80
09033282

A
Implant pat-active ht record
4.70
NA
NA
4.24
4.13
0.23
09033284

A
Remove pat-active ht record
3.04
NA
NA
3.38
3.45
0.14
09033300

A
Repair of heart wound
44.89
NA
NA
15.06
12.15
2.66
09033305

A
Repair of heart wound
76.85
NA
NA
25.14
17.88
3.13
09033310

A
Exploratory heart surgery
20.22
NA
NA
8.36
8.97
2.59
09033315

A
Exploratory heart surgery
26.05
NA
NA
10.36
10.62
3.28
09033320

A
Repair major blood vessel(s)
18.46
NA
NA
8.01
8.11
2.08
09033321

A
Repair major vessel
20.71
NA
NA
8.38
9.08
2.91
09033322

A
Repair major blood vessel(s)
24.30
NA
NA
9.55
9.96
2.86
09033330

A
Insert major vessel graft
25.17
NA
NA
9.50
9.89
2.82
09033332

A
Insert major vessel graft
24.46
NA
NA
9.46
9.99
3.03
09033335

A
Insert major vessel graft
33.79
NA
NA
12.49
12.92
4.28
09033400

A
Repair of aortic valve
41.37
NA
NA
14.58
15.13
4.11
09033401

A
Valvuloplasty, open
24.41
NA
NA
10.28
11.89
3.57
09033403

A
Valvuloplasty, w/cp bypass
25.39
NA
NA
12.53
13.42
3.55
09033404

A
Prepare heart-aorta conduit
31.25
NA
NA
12.02
13.28
4.33
09033405

A
Replacement of aortic valve
41.19
NA
NA
15.12
16.71
5.33
09033406

A
Replacement of aortic valve
52.55
NA
NA
18.39
18.76
5.45
09033410

A
Replacement of aortic valve
46.28
NA
NA
16.53
16.56
4.69
09033411

A
Replacement of aortic valve
61.94
NA
NA
21.11
19.93
5.48
09033412

A
Replacement of aortic valve
43.77
NA
NA
16.22
18.32
6.39
09033413

A
Replacement of aortic valve
59.74
NA
NA
23.55
22.19
6.53
09033414

A
Repair of aortic valve
39.29
NA
NA
14.29
14.21
4.57
09033415

A
Revision, subvalvular tissue
37.19
NA
NA
13.15
12.59
4.14
09033416

A
Revise ventricle muscle
36.43
NA
NA
13.24
13.38
4.57
09033417

A
Repair of aortic valve
29.17
NA
NA
11.71
12.66
4.10
09033420

A
Revision of mitral valve
25.67
NA
NA
9.50
9.53
1.82
09033422

A
Revision of mitral valve
29.61
NA
NA
11.36
12.51
3.94
09033425

A
Repair of mitral valve
49.83
NA
NA
17.61
15.34
4.07
09033426

A
Repair of mitral valve
43.15
NA
NA
15.76
16.45
5.03
09033427

A
Repair of mitral valve
44.70
NA
NA
15.70
17.54
6.09
09033430

A
Replacement of mitral valve
50.75
NA
NA
18.57
17.93
5.10
09033460

A
Revision of tricuspid valve
44.62
NA
NA
14.72
13.01
3.45
09033463

A
Valvuloplasty, tricuspid
56.95
NA
NA
19.73
16.33
3.87
09033464

A
Valvuloplasty, tricuspid
44.49
NA
NA
15.85
14.69
4.15
09033465

A
Replace tricuspid valve
50.59
NA
NA
17.65
15.31
4.39
09033468

A
Revision of tricuspid valve
32.82
NA
NA
15.25
14.45
4.07
09033470

A
Revision of pulmonary valve
21.32
NA
NA
7.93
9.31
1.03
09033471

A
Valvotomy, pulmonary valve
22.83
NA
NA
11.60
10.68
3.39
09033472

A
Revision of pulmonary valve
22.90
NA
NA
8.79
10.33
3.55
09033474

A
Revision of pulmonary valve
39.27
NA
NA
12.95
11.92
3.22
09033475

A
Replacement, pulmonary valve
42.27
NA
NA
15.07
15.22
4.93
09033476

A
Revision of heart chamber
26.41
NA
NA
10.37
11.17
2.42
09033478

A
Revision of heart chamber
27.38
NA
NA
11.02
12.04
3.89
09033496

A
Repair, prosth valve clot
29.71
NA
NA
11.10
11.93
4.13
09033500

A
Repair heart vessel fistula
27.82
NA
NA
11.04
11.25
3.87
09033501

A
Repair heart vessel fistula
19.43
NA
NA
8.00
8.14
1.91
09033502

A
Coronary artery correction
21.69
NA
NA
9.34
10.21
3.00
09033503

A
Coronary artery graft
22.29
NA
NA
12.33
11.03
1.78
09033504

A
Coronary artery graft
25.30
NA
NA
10.59
11.20
3.36
09033505

A
Repair artery w/tunnel
38.35
NA
NA
15.14
14.03
2.19
09033506

A
Repair artery, translocation
37.80
NA
NA
12.71
13.64
4.66
09033507

A
Repair art, intramural
31.35
NA
NA
11.10
12.37
4.06
09033508

A
Endoscopic vein harvest
0.31
NA
NA
0.09
0.10
0.04
ZZZ33510

A
CABG, vein, single
34.87
NA
NA
12.92
14.63
4.41
09033511

A
CABG, vein, two
38.34
NA
NA
14.16
15.62
4.56
09033512

A
CABG, vein, three
43.87
NA
NA
15.95
16.78
4.67
090( print page 2606)33513

A
CABG, vein, four
45.26
NA
NA
16.38
17.09
4.88
09033514

A
CABG, vein, five
47.97
NA
NA
17.36
17.71
4.77
09033516

A
Cabg, vein, six or more
49.65
NA
NA
17.97
18.39
5.13
09033517

A
CABG, artery-vein, single
3.61
NA
NA
1.08
0.96
0.39
ZZZ33518

A
CABG, artery-vein, two
7.93
NA
NA
2.37
1.97
0.73
ZZZ33519

A
CABG, artery-vein, three
10.49
NA
NA
3.14
2.73
1.04
ZZZ33521

A
CABG, artery-vein, four
12.59
NA
NA
3.78
3.42
1.37
ZZZ33522

A
CABG, artery-vein, five
14.14
NA
NA
4.24
4.02
1.78
ZZZ33523

A
Cabg, art-vein, six or more
16.08
NA
NA
4.78
4.66
2.13
ZZZ33530

A
Coronary artery, bypass/reop
10.13
NA
NA
2.95
2.43
0.88
ZZZ33533

A
CABG, arterial, single
33.64
NA
NA
12.57
14.52
4.56
09033534

A
CABG, arterial, two
39.77
NA
NA
14.75
16.24
4.70
09033535

A
CABG, arterial, three
44.64
NA
NA
16.31
17.22
5.03
09033536

A
Cabg, arterial, four or more
48.32
NA
NA
17.34
17.82
5.44
09033542

A
Removal of heart lesion
48.08
NA
NA
16.90
14.95
4.38
09033545

A
Repair of heart damage
56.93
NA
NA
20.16
17.90
5.21
09033548

A
Restore/remodel, ventricle
53.96
NA
NA
19.35
19.33
5.53
09033572

A
Open coronary endarterectomy
4.44
NA
NA
1.31
1.38
0.65
ZZZ33600

A
Closure of valve
30.15
NA
NA
12.15
12.34
4.42
09033602

A
Closure of valve
29.18
NA
NA
11.17
11.81
3.82
09033606

A
Anastomosis/artery-aorta
31.37
NA
NA
11.92
12.80
4.41
09033608

A
Repair anomaly w/conduit
31.72
NA
NA
12.86
13.49
4.74
09033610

A
Repair by enlargement
31.24
NA
NA
13.56
13.58
4.56
09033611

A
Repair double ventricle
35.49
NA
NA
12.37
13.26
4.37
09033612

A
Repair double ventricle
36.49
NA
NA
14.32
14.74
5.30
09033615

A
Repair, modified fontan
35.76
NA
NA
13.80
13.48
4.32
09033617

A
Repair single ventricle
38.96
NA
NA
13.96
14.98
5.66
09033619

A
Repair single ventricle
48.60
NA
NA
17.99
19.40
6.46
09033641

A
Repair heart septum defect
29.50
NA
NA
10.89
10.24
3.23
09033645

A
Revision of heart veins
27.98
NA
NA
10.68
11.23
3.79
09033647

A
Repair heart septum defects
29.37
NA
NA
12.72
13.25
3.32
09033660

A
Repair of heart defects
31.75
NA
NA
11.83
12.66
4.49
09033665

A
Repair of heart defects
34.77
NA
NA
12.17
13.01
4.00
09033670

A
Repair of heart chambers
36.58
NA
NA
15.64
14.41
4.65
09033675

A
Close mult vsd
35.87
NA
NA
15.76
15.76
4.95
09033676

A
Close mult vsd w/resection
36.87
NA
NA
16.06
16.06
5.44
09033677

A
Cl mult vsd w/rem pul band
38.37
NA
NA
16.63
16.63
5.68
09033681

A
Repair heart septum defect
32.16
NA
NA
12.89
13.79
4.45
09033684

A
Repair heart septum defect
34.29
NA
NA
13.29
13.46
3.39
09033688

A
Repair heart septum defect
34.67
NA
NA
11.63
11.05
4.73
09033690

A
Reinforce pulmonary artery
20.20
NA
NA
8.64
9.40
1.97
09033692

A
Repair of heart defects
31.38
NA
NA
19.59
16.76
4.58
09033694

A
Repair of heart defects
35.49
NA
NA
10.05
12.14
5.28
09033697

A
Repair of heart defects
37.49
NA
NA
16.95
15.91
4.09
09033702

A
Repair of heart defects
27.11
NA
NA
10.53
11.55
3.68
09033710

A
Repair of heart defects
30.28
NA
NA
11.26
12.62
4.43
09033720

A
Repair of heart defect
27.13
NA
NA
10.69
11.49
3.84
09033722

A
Repair of heart defect
29.05
NA
NA
10.61
12.24
1.30
09033724

A
Repair venous anomaly
27.55
NA
NA
10.38
10.38
4.00
09033726

A
Repair pul venous stenosis
37.04
NA
NA
13.23
13.23
5.03
09033730

A
Repair heart-vein defect(s)
36.01
NA
NA
12.87
13.50
5.03
09033732

A
Repair heart-vein defect
28.80
NA
NA
12.66
13.03
3.68
09033735

A
Revision of heart chamber
22.04
NA
NA
11.04
10.00
1.92
09033736

A
Revision of heart chamber
24.16
NA
NA
12.07
11.96
3.09
09033737

A
Revision of heart chamber
22.34
NA
NA
9.13
10.03
3.25
09033750

A
Major vessel shunt
22.06
NA
NA
9.43
9.82
1.16
09033755

A
Major vessel shunt
22.44
NA
NA
7.80
8.30
3.26
09033762

A
Major vessel shunt
22.44
NA
NA
8.69
9.43
3.14
09033764

A
Major vessel shunt & graft
22.44
NA
NA
8.95
9.59
3.01
09033766

A
Major vessel shunt
23.41
NA
NA
8.48
10.08
3.70
09033767

A
Major vessel shunt
25.14
NA
NA
8.51
10.12
3.82
09033768

A
Cavopulmonary shunting
8.00
NA
NA
1.84
2.25
1.19
ZZZ33770

A
Repair great vessels defect
39.02
NA
NA
11.92
13.30
5.74
09033771

A
Repair great vessels defect
40.58
NA
NA
13.09
12.74
5.68
09033774

A
Repair great vessels defect
31.54
NA
NA
12.21
13.44
4.81
09033775

A
Repair great vessels defect
32.83
NA
NA
10.11
12.55
4.99
09033776

A
Repair great vessels defect
34.53
NA
NA
10.25
13.03
5.09
09033777

A
Repair great vessels defect
33.95
NA
NA
9.93
12.78
5.49
09033778

A
Repair great vessels defect
42.62
NA
NA
14.93
15.92
6.20
09033779

A
Repair great vessels defect
43.15
NA
NA
12.46
13.92
2.92
09033780

A
Repair great vessels defect
43.85
NA
NA
13.15
16.12
3.68
09033781

A
Repair great vessels defect
43.16
NA
NA
11.13
12.23
5.97
090( print page 2607)33786

A
Repair arterial trunk
41.74
NA
NA
14.10
15.41
5.71
09033788

A
Revision of pulmonary artery
27.26
NA
NA
8.25
10.10
4.03
09033800

A
Aortic suspension
17.23
NA
NA
6.82
7.47
2.46
09033802

A
Repair vessel defect
18.24
NA
NA
7.95
8.59
2.27
09033803

A
Repair vessel defect
20.18
NA
NA
6.39
8.08
3.20
09033813

A
Repair septal defect
21.23
NA
NA
8.82
9.87
3.13
09033814

A
Repair septal defect
26.41
NA
NA
10.41
11.53
3.85
09033820

A
Revise major vessel
16.61
NA
NA
6.96
7.66
2.35
09033822

A
Revise major vessel
17.63
NA
NA
5.94
7.45
2.68
09033824

A
Revise major vessel
20.10
NA
NA
8.46
9.22
2.89
09033840

A
Remove aorta constriction
21.21
NA
NA
9.34
9.82
2.16
09033845

A
Remove aorta constriction
22.77
NA
NA
9.39
10.37
3.22
09033851

A
Remove aorta constriction
21.85
NA
NA
8.88
9.78
3.18
09033852

A
Repair septal defect
24.28
NA
NA
14.77
13.07
2.16
09033853

A
Repair septal defect
32.35
NA
NA
12.26
13.54
4.48
09033860

A
Ascending aortic graft
59.33
NA
NA
20.22
18.34
5.76
09033861

A
Ascending aortic graft
43.94
NA
NA
15.71
16.71
6.37
09033863

A
Ascending aortic graft
58.71
NA
NA
19.61
19.15
6.59
09033864

A
Ascending aortic graft
60.00
NA
NA
20.11
20.11
6.73
09033870

A
Transverse aortic arch graft
45.93
NA
NA
16.29
17.34
6.62
09033875

A
Thoracic aortic graft
35.68
NA
NA
12.92
13.51
4.89
09033877

A
Thoracoabdominal graft
68.85
NA
NA
21.03
18.68
5.94
09033880

A
Endovasc taa repr incl subcl
34.48
NA
NA
10.93
12.20
2.75
09033881

A
Endovasc taa repr w/o subcl
29.48
NA
NA
9.67
10.82
2.33
09033883

A
Insert endovasc prosth, taa
20.99
NA
NA
7.24
8.21
2.11
09033884

A
Endovasc prosth, taa, add-on
8.20
NA
NA
2.08
2.33
0.86
ZZZ33886

A
Endovasc prosth, delayed
17.99
NA
NA
6.34
7.29
1.80
09033889

A
Artery transpose/endovas taa
15.92
NA
NA
3.98
4.58
2.18
00033891

A
Car-car bp grft/endovas taa
20.00
NA
NA
5.82
6.39
2.73
00033910

A
Remove lung artery emboli
29.59
NA
NA
11.35
11.39
3.70
09033915

A
Remove lung artery emboli
24.83
NA
NA
9.12
9.38
1.44
09033916

A
Surgery of great vessel
28.30
NA
NA
10.83
11.09
3.67
09033917

A
Repair pulmonary artery
25.14
NA
NA
10.04
11.12
3.70
09033920

A
Repair pulmonary atresia
32.58
NA
NA
9.47
11.65
4.38
09033922

A
Transect pulmonary artery
24.09
NA
NA
10.25
10.58
3.10
09033924

A
Remove pulmonary shunt
5.49
NA
NA
1.59
1.72
0.82
ZZZ33925

A
Rpr pul art unifocal w/o cpb
31.25
NA
NA
16.44
15.56
4.61
09033926

A
Repr pul art, unifocal w/cpb
44.68
NA
NA
14.81
16.25
6.22
09033930

X
Removal of donor heart/lung
0.00
0.00
0.00
0.00
0.00
0.00
XXX33933

C
Prepare donor heart/lung
0.00
0.00
0.00
0.00
0.00
0.00
XXX33935

R
Transplantation, heart/lung
61.68
NA
NA
22.96
25.87
9.06
09033940

X
Removal of donor heart
0.00
0.00
0.00
0.00
0.00
0.00
XXX33944

C
Prepare donor heart
0.00
0.00
0.00
0.00
0.00
0.00
XXX33945

R
Transplantation of heart
89.08
NA
NA
30.40
25.90
6.26
09033960

A
External circulation assist
19.33
NA
NA
5.26
5.08
2.67
00033961

A
External circulation assist
10.91
NA
NA
2.99
3.30
0.88
ZZZ33967

A
Insert ia percut device
4.84
NA
NA
2.41
2.13
0.35
00033968

A
Remove aortic assist device
0.64
NA
NA
0.26
0.24
0.07
00033970

A
Aortic circulation assist
6.74
NA
NA
2.54
2.41
0.82
00033971

A
Aortic circulation assist
11.91
NA
NA
6.01
6.01
1.25
09033973

A
Insert balloon device
9.75
NA
NA
3.94
3.63
1.26
00033974

A
Remove intra-aortic balloon
14.93
NA
NA
7.74
7.81
1.74
09033975

A
Implant ventricular device
20.97
NA
NA
6.30
6.29
3.07
XXX33976

A
Implant ventricular device
22.97
NA
NA
7.67
7.61
3.26
XXX33977

A
Remove ventricular device
20.07
NA
NA
9.42
10.25
2.81
09033978

A
Remove ventricular device
22.51
NA
NA
10.43
11.09
3.31
09033979

A
Insert intracorporeal device
45.93
NA
NA
13.29
14.11
6.97
XXX33980

A
Remove intracorporeal device
64.86
NA
NA
23.09
24.17
8.59
09033999

C
Cardiac surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY34001

A
Removal of artery clot
17.78
NA
NA
6.37
6.54
1.85
09034051

A
Removal of artery clot
16.91
NA
NA
7.44
7.61
2.21
09034101

A
Removal of artery clot
10.85
NA
NA
4.30
4.83
1.41
09034111

A
Removal of arm artery clot
10.85
NA
NA
4.28
4.82
1.40
09034151

A
Removal of artery clot
26.41
NA
NA
8.66
9.53
3.56
09034201

A
Removal of artery clot
19.38
NA
NA
6.55
5.98
1.45
09034203

A
Removal of leg artery clot
17.73
NA
NA
6.38
7.22
2.36
09034401

A
Removal of vein clot
26.41
NA
NA
9.27
9.97
3.10
09034421

A
Removal of vein clot
13.29
NA
NA
5.20
5.75
1.55
09034451

A
Removal of vein clot
28.41
NA
NA
9.39
10.42
3.84
09034471

A
Removal of vein clot
21.00
NA
NA
7.87
6.59
1.18
09034490

A
Removal of vein clot
10.83
NA
NA
4.35
4.89
1.41
09034501

A
Repair valve, femoral vein
16.74
NA
NA
6.43
7.46
2.35
090( print page 2608)34502

A
Reconstruct vena cava
27.86
NA
NA
10.49
11.39
3.63
09034510

A
Transposition of vein valve
19.80
NA
NA
7.53
8.47
2.33
09034520

A
Cross-over vein graft
19.05
NA
NA
7.02
7.74
2.29
09034530

A
Leg vein fusion
17.77
NA
NA
6.77
7.69
1.74
09034800

A
Endovas aaa repr w/sm tube
21.46
NA
NA
7.25
8.21
2.46
09034802

A
Endovas aaa repr w/2-p part
23.71
NA
NA
8.18
8.99
2.33
09034803

A
Endovas aaa repr w/3-p part
24.74
NA
NA
8.02
9.12
2.01
09034804

A
Endovas aaa repr w/1-p part
23.71
NA
NA
8.07
8.94
2.30
09034805

A
Endovas aaa repr w/long tube
22.59
NA
NA
7.27
8.46
2.01
09034806

A
Aneurysm press sensor add-on
2.06
0.51
0.51
0.51
0.51
0.30
ZZZ34808

A
Endovas iliac a device addon
4.12
NA
NA
1.05
1.21
0.59
ZZZ34812

A
Xpose for endoprosth, femorl
6.74
NA
NA
1.67
1.95
1.18
00034813

A
Femoral endovas graft add-on
4.79
NA
NA
1.16
1.36
0.67
ZZZ34820

A
Xpose for endoprosth, iliac
9.74
NA
NA
2.45
2.84
1.50
00034825

A
Endovasc extend prosth, init
12.72
NA
NA
5.15
5.65
1.28
09034826

A
Endovasc exten prosth, addÆl
4.12
NA
NA
1.14
1.25
0.44
ZZZ34830

A
Open aortic tube prosth repr
35.10
NA
NA
10.34
12.02
4.55
09034831

A
Open aortoiliac prosth repr
37.85
NA
NA
11.28
11.51
4.89
09034832

A
Open aortofemor prosth repr
37.85
NA
NA
11.81
13.22
4.85
09034833

A
Xpose for endoprosth, iliac
11.98
NA
NA
3.29
3.86
1.70
00034834

A
Xpose, endoprosth, brachial
5.34
NA
NA
1.57
1.88
0.76
00034900

A
Endovasc iliac repr w/graft
16.77
NA
NA
6.06
6.82
2.00
09035001

A
Repair defect of artery
20.70
NA
NA
7.71
8.63
2.81
09035002

A
Repair artery rupture, neck
22.12
NA
NA
7.52
8.61
3.00
09035005

A
Repair defect of artery
19.18
NA
NA
8.53
8.69
1.77
09035011

A
Repair defect of artery
18.50
NA
NA
6.30
7.14
2.55
09035013

A
Repair artery rupture, arm
23.10
NA
NA
7.77
8.72
3.10
09035021

A
Repair defect of artery
22.09
NA
NA
8.47
8.94
2.87
09035022

A
Repair artery rupture, chest
25.62
NA
NA
10.59
10.22
3.17
09035045

A
Repair defect of arm artery
17.94
NA
NA
6.28
6.89
2.45
09035081

A
Repair defect of artery
33.37
NA
NA
10.71
11.09
4.01
09035082

A
Repair artery rupture, aorta
41.93
NA
NA
12.78
14.04
5.44
09035091

A
Repair defect of artery
35.35
NA
NA
10.00
11.79
5.14
09035092

A
Repair artery rupture, aorta
50.81
NA
NA
14.51
16.08
6.40
09035102

A
Repair defect of artery
36.37
NA
NA
11.30
11.83
4.48
09035103

A
Repair artery rupture, groin
43.49
NA
NA
12.64
14.25
5.76
09035111

A
Repair defect of artery
26.17
NA
NA
8.51
9.49
3.47
09035112

A
Repair artery rupture,spleen
32.44
NA
NA
10.08
11.02
4.08
09035121

A
Repair defect of artery
31.41
NA
NA
9.98
11.17
4.30
09035122

A
Repair artery rupture, belly
37.76
NA
NA
11.52
12.66
4.75
09035131

A
Repair defect of artery
26.29
NA
NA
8.64
9.69
3.80
09035132

A
Repair artery rupture, groin
32.44
NA
NA
10.29
11.34
4.30
09035141

A
Repair defect of artery
20.83
NA
NA
6.94
7.93
2.90
09035142

A
Repair artery rupture, thigh
25.03
NA
NA
8.25
9.31
3.36
09035151

A
Repair defect of artery
23.61
NA
NA
7.65
8.82
3.24
09035152

A
Repair artery rupture, knee
27.53
NA
NA
9.12
10.25
3.61
09035180

A
Repair blood vessel lesion
15.01
NA
NA
6.26
6.60
1.00
09035182

A
Repair blood vessel lesion
31.58
NA
NA
10.84
11.82
4.36
09035184

A
Repair blood vessel lesion
18.72
NA
NA
6.51
7.40
2.53
09035188

A
Repair blood vessel lesion
15.05
NA
NA
6.29
6.96
2.16
09035189

A
Repair blood vessel lesion
29.85
NA
NA
10.68
11.32
4.01
09035190

A
Repair blood vessel lesion
13.33
NA
NA
5.24
5.86
1.80
09035201

A
Repair blood vessel lesion
16.84
NA
NA
6.32
7.16
2.34
09035206

A
Repair blood vessel lesion
13.76
NA
NA
5.30
5.93
1.87
09035207

A
Repair blood vessel lesion
10.85
NA
NA
6.64
7.00
1.48
09035211

A
Repair blood vessel lesion
24.50
NA
NA
9.72
10.17
3.20
09035216

A
Repair blood vessel lesion
36.47
NA
NA
13.58
11.28
2.65
09035221

A
Repair blood vessel lesion
26.54
NA
NA
8.34
9.14
3.37
09035226

A
Repair blood vessel lesion
15.22
NA
NA
5.80
6.62
2.02
09035231

A
Repair blood vessel lesion
21.08
NA
NA
7.73
8.75
2.89
09035236

A
Repair blood vessel lesion
17.94
NA
NA
6.30
7.09
2.43
09035241

A
Repair blood vessel lesion
25.50
NA
NA
10.03
10.58
3.53
09035246

A
Repair blood vessel lesion
28.15
NA
NA
10.11
10.77
3.86
09035251

A
Repair blood vessel lesion
31.83
NA
NA
9.46
10.63
4.13
09035256

A
Repair blood vessel lesion
18.98
NA
NA
6.38
7.36
2.63
09035261

A
Repair blood vessel lesion
18.88
NA
NA
6.98
7.50
2.61
09035266

A
Repair blood vessel lesion
15.75
NA
NA
5.47
6.24
2.10
09035271

A
Repair blood vessel lesion
24.50
NA
NA
9.69
10.10
3.16
09035276

A
Repair blood vessel lesion
25.72
NA
NA
9.79
10.50
3.49
09035281

A
Repair blood vessel lesion
29.93
NA
NA
9.29
10.50
3.97
09035286

A
Repair blood vessel lesion
17.06
NA
NA
6.31
7.18
2.35
09035301

A
Rechanneling of artery
19.53
NA
NA
6.69
7.56
2.68
090( print page 2609)35302

A
Rechanneling of artery
21.27
NA
NA
6.91
6.91
2.98
09035303

A
Rechanneling of artery
23.52
NA
NA
7.46
7.46
3.26
09035304

A
Rechanneling of artery
24.52
NA
NA
7.71
7.71
3.41
09035305

A
Rechanneling of artery
23.52
NA
NA
7.46
7.46
3.26
09035306

A
Rechanneling of artery
9.25
NA
NA
2.28
2.28
1.34
ZZZ35311

A
Rechanneling of artery
28.52
NA
NA
9.64
10.69
3.42
09035321

A
Rechanneling of artery
16.51
NA
NA
5.78
6.58
2.25
09035331

A
Rechanneling of artery
27.61
NA
NA
8.82
10.03
3.83
09035341

A
Rechanneling of artery
26.10
NA
NA
8.25
9.56
3.78
09035351

A
Rechanneling of artery
24.53
NA
NA
7.65
8.62
3.35
09035355

A
Rechanneling of artery
19.78
NA
NA
6.36
7.22
2.67
09035361

A
Rechanneling of artery
30.11
NA
NA
9.60
10.65
4.15
09035363

A
Rechanneling of artery
32.22
NA
NA
10.44
11.52
4.33
09035371

A
Rechanneling of artery
15.23
NA
NA
5.33
6.14
2.14
09035372

A
Rechanneling of artery
18.50
NA
NA
6.13
7.09
2.63
09035390

A
Reoperation, carotid add-on
3.19
NA
NA
0.82
0.94
0.46
ZZZ35400

A
Angioscopy
3.00
NA
NA
0.72
0.91
0.43
ZZZ35450

A
Repair arterial blockage
10.05
NA
NA
2.97
3.27
1.25
00035452

A
Repair arterial blockage
6.90
NA
NA
2.06
2.33
0.94
00035454

A
Repair arterial blockage
6.03
NA
NA
1.76
2.04
0.87
00035456

A
Repair arterial blockage
7.34
NA
NA
2.12
2.44
1.04
00035458

A
Repair arterial blockage
9.48
NA
NA
2.80
3.14
1.26
00035459

A
Repair arterial blockage
8.62
NA
NA
2.65
2.91
1.21
00035460

A
Repair venous blockage
6.03
NA
NA
1.75
2.01
0.83
00035470

A
Repair arterial blockage
8.62
61.19
75.06
3.44
3.40
0.69
00035471

A
Repair arterial blockage
10.05
66.05
83.19
4.69
4.32
0.67
00035472

A
Repair arterial blockage
6.90
47.53
55.97
2.81
2.78
0.58
00035473

A
Repair arterial blockage
6.03
46.56
53.22
2.50
2.46
0.51
00035474

A
Repair arterial blockage
7.35
60.44
74.11
2.98
2.94
0.57
00035475

R
Repair arterial blockage
9.48
48.69
52.41
3.39
3.47
0.62
00035476

A
Repair venous blockage
6.03
37.15
40.96
2.23
2.29
0.34
00035480

A
Atherectomy, open
11.06
NA
NA
4.05
4.04
1.28
00035481

A
Atherectomy, open
7.60
NA
NA
2.57
2.72
1.13
00035482

A
Atherectomy, open
6.64
NA
NA
2.01
2.29
0.89
00035483

A
Atherectomy, open
8.09
NA
NA
2.57
2.79
1.15
00035484

A
Atherectomy, open
10.42
NA
NA
2.90
3.34
1.27
00035485

A
Atherectomy, open
9.48
NA
NA
2.87
3.20
1.35
00035490

A
Atherectomy, percutaneous
11.06
NA
NA
5.18
4.94
0.71
00035491

A
Atherectomy, percutaneous
7.60
NA
NA
3.86
3.57
0.74
00035492

A
Atherectomy, percutaneous
6.64
NA
NA
3.49
3.34
0.43
00035493

A
Atherectomy, percutaneous
8.09
NA
NA
3.97
3.88
0.56
00035494

A
Atherectomy, percutaneous
10.42
NA
NA
5.15
4.81
0.59
00035495

A
Atherectomy, percutaneous
9.48
NA
NA
4.45
4.42
0.69
00035500

A
Harvest vein for bypass
6.44
NA
NA
1.60
1.81
0.93
ZZZ35501

A
Artery bypass graft
28.99
NA
NA
11.07
9.77
4.10
09035506

A
Artery bypass graft
25.23
NA
NA
8.32
8.89
2.87
09035508

A
Artery bypass graft
25.99
NA
NA
8.77
9.11
2.78
09035509

A
Artery bypass graft
27.99
NA
NA
10.79
9.78
3.92
09035510

A
Artery bypass graft
24.29
NA
NA
7.70
8.94
2.12
09035511

A
Artery bypass graft
22.12
NA
NA
7.66
8.51
2.91
09035512

A
Artery bypass graft
23.79
NA
NA
7.48
8.74
2.12
09035515

A
Artery bypass graft
25.99
NA
NA
9.09
9.19
2.78
09035516

A
Artery bypass graft
24.11
NA
NA
7.46
7.13
2.34
09035518

A
Artery bypass graft
22.57
NA
NA
7.33
8.15
3.03
09035521

A
Artery bypass graft
24.00
NA
NA
7.95
8.89
3.13
09035522

A
Artery bypass graft
23.05
NA
NA
7.40
8.58
2.12
09035523

A
Artery bypass graft
24.00
NA
NA
9.22
9.22
2.14
09035525

A
Artery bypass graft
21.59
NA
NA
7.04
8.21
2.12
09035526

A
Artery bypass graft
31.47
NA
NA
14.04
13.28
3.63
09035531

A
Artery bypass graft
38.98
NA
NA
11.48
12.98
5.18
09035533

A
Artery bypass graft
29.79
NA
NA
9.50
10.61
3.85
09035536

A
Artery bypass graft
33.60
NA
NA
9.51
11.23
4.62
09035537

A
Artery bypass graft
41.75
NA
NA
13.10
13.10
5.72
09035538

A
Artery bypass graft
46.82
NA
NA
14.45
14.45
6.39
09035539

A
Artery bypass graft
43.98
NA
NA
13.47
13.47
6.02
09035540

A
Artery bypass graft
49.20
NA
NA
14.82
14.82
6.76
09035548

A
Artery bypass graft
22.57
NA
NA
7.74
8.58
2.98
09035549

A
Artery bypass graft
24.34
NA
NA
8.74
9.56
3.30
09035551

A
Artery bypass graft
27.72
NA
NA
9.38
10.44
3.75
09035556

A
Artery bypass graft
26.62
NA
NA
8.64
9.18
3.10
09035558

A
Artery bypass graft
23.00
NA
NA
7.87
8.71
3.00
09035560

A
Artery bypass graft
33.90
NA
NA
10.63
11.97
4.75
090( print page 2610)35563

A
Artery bypass graft
25.99
NA
NA
8.88
9.70
3.52
09035565

A
Artery bypass graft
25.00
NA
NA
8.17
9.15
3.30
09035566

A
Artery bypass graft
32.22
NA
NA
9.85
10.62
3.83
09035571

A
Artery bypass graft
25.39
NA
NA
8.09
9.47
3.43
09035572

A
Harvest femoropopliteal vein
6.81
NA
NA
1.92
2.08
0.99
ZZZ35583

A
Vein bypass graft
27.62
NA
NA
8.64
9.40
3.17
09035585

A
Vein bypass graft
32.22
NA
NA
10.11
11.17
4.02
09035587

A
Vein bypass graft
26.08
NA
NA
8.51
9.98
3.52
09035600

A
Harvest art for cabg add-on
4.94
NA
NA
1.52
1.57
0.73
ZZZ35601

A
Artery bypass graft
26.99
NA
NA
10.43
9.53
3.72
09035606

A
Artery bypass graft
22.36
NA
NA
7.30
8.16
2.70
09035612

A
Artery bypass graft
16.71
NA
NA
6.31
7.10
2.09
09035616

A
Artery bypass graft
21.74
NA
NA
7.13
7.62
2.20
09035621

A
Artery bypass graft
20.95
NA
NA
6.78
7.73
2.92
09035623

A
Bypass graft, not vein
25.79
NA
NA
8.44
9.47
3.46
09035626

A
Artery bypass graft
29.06
NA
NA
10.28
11.13
4.08
09035631

A
Artery bypass graft
35.90
NA
NA
10.56
12.20
4.96
09035636

A
Artery bypass graft
31.62
NA
NA
9.72
11.01
4.10
09035637

A
Artery bypass graft
32.92
NA
NA
10.65
10.65
4.44
09035638

A
Artery bypass graft
33.47
NA
NA
10.79
10.79
4.52
09035642

A
Artery bypass graft
18.85
NA
NA
6.22
7.45
2.28
09035645

A
Artery bypass graft
18.34
NA
NA
7.98
8.13
2.50
09035646

A
Artery bypass graft
32.84
NA
NA
10.45
11.78
4.44
09035647

A
Artery bypass graft
29.62
NA
NA
9.66
10.72
3.99
09035650

A
Artery bypass graft
20.08
NA
NA
6.93
7.65
2.72
09035651

A
Artery bypass graft
25.97
NA
NA
8.71
9.72
3.36
09035654

A
Artery bypass graft
26.17
NA
NA
8.36
9.51
3.53
09035656

A
Artery bypass graft
20.39
NA
NA
6.84
7.72
2.80
09035661

A
Artery bypass graft
20.22
NA
NA
7.04
7.99
2.72
09035663

A
Artery bypass graft
23.80
NA
NA
7.90
8.94
3.11
09035665

A
Artery bypass graft
22.22
NA
NA
7.36
8.41
3.01
09035666

A
Artery bypass graft
23.53
NA
NA
8.51
9.58
3.16
09035671

A
Artery bypass graft
20.64
NA
NA
7.63
8.50
2.78
09035681

A
Composite bypass graft
1.60
NA
NA
0.40
0.47
0.23
ZZZ35682

A
Composite bypass graft
7.19
NA
NA
1.70
2.04
1.03
ZZZ35683

A
Composite bypass graft
8.49
NA
NA
1.96
2.39
1.20
ZZZ35685

A
Bypass graft patency/patch
4.04
NA
NA
0.96
1.15
0.58
ZZZ35686

A
Bypass graft/av fist patency
3.34
NA
NA
0.85
0.99
0.47
ZZZ35691

A
Arterial transposition
18.32
NA
NA
5.95
7.18
2.59
09035693

A
Arterial transposition
15.64
NA
NA
6.12
6.92
2.22
09035694

A
Arterial transposition
19.19
NA
NA
6.32
7.46
2.70
09035695

A
Arterial transposition
19.97
NA
NA
6.71
7.63
2.74
09035697

A
Reimplant artery each
3.00
NA
NA
0.74
0.88
0.41
ZZZ35700

A
Reoperation, bypass graft
3.08
NA
NA
0.77
0.89
0.44
ZZZ35701

A
Exploration, carotid artery
9.11
NA
NA
4.32
4.73
1.12
09035721

A
Exploration, femoral artery
7.66
NA
NA
3.83
4.13
1.03
09035741

A
Exploration popliteal artery
8.61
NA
NA
3.87
4.26
1.12
09035761

A
Exploration of artery/vein
5.84
NA
NA
3.44
3.72
0.75
09035800

A
Explore neck vessels
7.99
NA
NA
3.95
4.30
0.95
09035820

A
Explore chest vessels
36.81
NA
NA
12.91
10.06
1.95
09035840

A
Explore abdominal vessels
10.87
NA
NA
4.81
5.05
1.34
09035860

A
Explore limb vessels
6.72
NA
NA
3.38
3.71
0.78
09035870

A
Repair vessel graft defect
24.39
NA
NA
7.92
8.85
3.01
09035875

A
Removal of clot in graft
10.64
NA
NA
4.29
4.74
1.41
09035876

A
Removal of clot in graft
17.74
NA
NA
5.95
6.73
2.40
09035879

A
Revise graft w/vein
17.28
NA
NA
5.98
6.83
2.28
09035881

A
Revise graft w/vein
19.22
NA
NA
6.46
7.57
2.56
09035883

A
Revise graft w/nonauto graft
23.07
NA
NA
8.50
8.50
3.19
09035884

A
Revise graft w/vein
24.57
NA
NA
8.94
8.94
3.41
09035901

A
Excision, graft, neck
8.26
NA
NA
4.24
4.77
1.15
09035903

A
Excision, graft, extremity
9.44
NA
NA
4.60
5.38
1.30
09035905

A
Excision, graft, thorax
33.39
NA
NA
10.66
11.92
4.44
09035907

A
Excision, graft, abdomen
37.14
NA
NA
10.89
12.53
4.92
09036000

A
Place needle in vein
0.18
0.46
0.51
0.06
0.06
0.01
XXX36002

A
Pseudoaneurysm injection trt
1.96
2.24
2.55
0.86
0.91
0.17
00036005

A
Injection ext venography
0.95
8.47
8.06
0.39
0.35
0.05
00036010

A
Place catheter in vein
2.43
11.10
15.21
0.78
0.79
0.20
XXX36011

A
Place catheter in vein
3.14
19.63
23.73
1.01
1.03
0.27
XXX36012

A
Place catheter in vein
3.51
20.26
19.61
1.28
1.23
0.23
XXX36013

A
Place catheter in artery
2.52
18.79
20.08
0.93
0.81
0.25
XXX36014

A
Place catheter in artery
3.02
18.96
19.55
1.11
1.07
0.19
XXX36015

A
Place catheter in artery
3.51
18.56
21.12
1.05
1.12
0.21
XXX( print page 2611)36100

A
Establish access to artery
3.02
11.25
11.66
1.21
1.16
0.26
XXX36120

A
Establish access to artery
2.01
9.21
9.96
0.59
0.62
0.14
XXX36140

A
Establish access to artery
2.01
10.49
11.63
0.71
0.67
0.16
XXX36145

A
Artery to vein shunt
2.01
10.29
11.43
0.66
0.66
0.11
XXX36160

A
Establish access to aorta
2.52
11.55
12.52
1.05
0.95
0.26
XXX36200

A
Place catheter in aorta
3.02
13.67
15.10
1.02
1.01
0.24
XXX36215

A
Place catheter in artery
4.67
25.97
26.51
1.89
1.75
0.27
XXX36216

A
Place catheter in artery
5.27
28.06
28.58
2.09
1.94
0.31
XXX36217

A
Place catheter in artery
6.29
45.91
50.69
2.43
2.30
0.44
XXX36218

A
Place catheter in artery
1.01
3.77
4.43
0.39
0.36
0.07
ZZZ36245

A
Place catheter in artery
4.67
28.80
30.46
2.12
1.90
0.31
XXX36246

A
Place catheter in artery
5.27
27.45
28.72
1.99
1.91
0.38
XXX36247

A
Place catheter in artery
6.29
45.20
47.37
2.36
2.25
0.47
XXX36248

A
Place catheter in artery
1.01
3.18
3.61
0.38
0.36
0.07
ZZZ36260

A
Insertion of infusion pump
9.82
NA
NA
4.65
4.76
1.29
09036261

A
Revision of infusion pump
5.55
NA
NA
3.06
3.36
0.70
09036262

A
Removal of infusion pump
4.05
NA
NA
2.71
2.73
0.54
09036299

C
Vessel injection procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY36400

A
Bl draw < 3 yrs fem/jugular
0.38
0.28
0.28
0.09
0.09
0.03
XXX36405

A
Bl draw < 3 yrs scalp vein
0.31
0.27
0.27
0.08
0.08
0.03
XXX36406

A
Bl draw < 3 yrs other vein
0.18
0.25
0.26
0.04
0.05
0.01
XXX36410

A
Non-routine bl draw > 3 yrs
0.18
0.32
0.30
0.05
0.05
0.01
XXX36415

X
Routine venipuncture
0.00
0.00
0.00
0.00
0.00
0.00
XXX36416

B
Capillary blood draw
0.00
0.00
0.00
0.00
0.00
0.00
XXX36420

A
Vein access cutdown < 1 yr
1.01
NA
NA
0.21
0.24
0.07
XXX36425

A
Vein access cutdown > 1 yr
0.76
NA
NA
0.21
0.21
0.06
XXX36430

A
Blood transfusion service
0.00
0.94
0.97
NA
NA
0.06
XXX36440

A
Bl push transfuse, 2 yr or <
1.03
NA
NA
0.25
0.27
0.10
XXX36450

A
Bl exchange/transfuse, nb
2.23
NA
NA
0.77
0.74
0.21
XXX36455

A
Bl exchange/transfuse non-nb
2.43
NA
NA
0.67
0.84
0.15
XXX36460

A
Transfusion service, fetal
6.58
NA
NA
1.81
2.03
0.79
XXX36468

R
Injection(s), spider veins
0.00
0.00
0.00
0.00
0.00
0.00
00036469

R
Injection(s), spider veins
0.00
0.00
0.00
0.00
0.00
0.00
00036470

A
Injection therapy of vein
1.09
2.41
2.55
0.64
0.69
0.12
01036471

A
Injection therapy of veins
1.60
2.56
2.82
0.79
0.88
0.19
01036475

A
Endovenous rf, 1st vein
6.72
35.78
43.60
1.88
2.21
0.37
00036476

A
Endovenous rf, vein add-on
3.38
6.14
7.01
0.83
0.98
0.18
ZZZ36478

A
Endovenous laser, 1st vein
6.72
26.98
36.90
2.04
2.29
0.37
00036479

A
Endovenous laser vein addon
3.38
6.36
7.18
0.95
1.04
0.18
ZZZ36481

A
Insertion of catheter, vein
6.98
NA
NA
2.36
2.48
0.55
00036500

A
Insertion of catheter, vein
3.51
NA
NA
1.25
1.31
0.20
00036510

A
Insertion of catheter, vein
1.09
1.08
2.48
0.30
0.45
0.10
00036511

A
Apheresis wbc
1.74
NA
NA
0.58
0.65
0.08
00036512

A
Apheresis rbc
1.74
NA
NA
0.60
0.67
0.08
00036513

A
Apheresis platelets
1.74
NA
NA
0.55
0.64
0.17
00036514

A
Apheresis plasma
1.74
10.51
13.74
0.53
0.62
0.08
00036515

A
Apheresis, adsorp/reinfuse
1.74
45.51
55.93
0.48
0.57
0.08
00036516

A
Apheresis, selective
1.22
49.59
66.85
0.39
0.43
0.08
00036522

A
Photopheresis
1.67
37.44
34.92
0.94
0.95
0.13
00036555

A
Insert non-tunnel cv cath
2.68
3.81
4.78
0.59
0.69
0.11
00036556

A
Insert non-tunnel cv cath
2.50
2.86
4.24
0.55
0.65
0.19
00036557

A
Insert tunneled cv cath
5.11
15.11
18.13
2.29
2.47
0.57
01036558

A
Insert tunneled cv cath
4.81
14.85
17.95
2.36
2.46
0.57
01036560

A
Insert tunneled cv cath
6.26
21.33
25.51
2.72
2.88
0.57
01036561

A
Insert tunneled cv cath
6.01
22.27
25.94
2.64
2.80
0.57
01036563

A
Insert tunneled cv cath
6.21
23.11
24.94
2.60
2.79
0.84
01036565

A
Insert tunneled cv cath
6.01
17.53
21.12
2.47
2.71
0.57
01036566

A
Insert tunneled cv cath
6.51
111.95
68.73
2.60
2.86
0.57
01036568

A
Insert picc cath
1.92
5.88
6.70
0.59
0.59
0.11
00036569

A
Insert picc cath
1.82
4.47
5.91
0.67
0.62
0.19
00036570

A
Insert picvad cath
5.33
21.25
27.22
2.10
2.41
0.57
01036571

A
Insert picvad cath
5.31
24.53
28.90
2.45
2.58
0.57
01036575

A
Repair tunneled cv cath
0.67
3.31
3.68
0.23
0.25
0.20
00036576

A
Repair tunneled cv cath
3.21
5.91
6.43
1.57
1.71
0.19
01036578

A
Replace tunneled cv cath
3.51
9.18
10.16
2.00
2.15
0.19
01036580

A
Replace cvad cath
1.31
3.96
5.45
0.43
0.42
0.19
00036581

A
Replace tunneled cv cath
3.45
15.51
17.51
1.74
1.83
0.19
01036582

A
Replace tunneled cv cath
5.21
21.55
23.79
2.46
2.66
0.19
01036583

A
Replace tunneled cv cath
5.26
21.60
23.82
2.49
2.68
0.19
01036584

A
Replace picc cath
1.20
3.97
5.47
0.61
0.58
0.19
00036585

A
Replace picvad cath
4.81
22.57
25.20
2.43
2.58
0.19
01036589

A
Removal tunneled cv cath
2.27
1.86
2.05
1.23
1.31
0.24
010( print page 2612)36590

A
Removal tunneled cv cath
3.32
3.62
3.50
1.60
1.66
0.44
01036591

T
Draw blood off venous device
0.00
0.54
0.54
NA
NA
0.01
XXX36592

T
Collect blood from picc
0.00
0.67
0.67
NA
NA
0.01
XXX36593

A
Declot vascular device
0.00
0.82
0.60
NA
NA
0.37
XXX36595

A
Mech remov tunneled cv cath
3.59
10.84
14.05
1.38
1.41
0.21
00036596

A
Mech remov tunneled cv cath
0.75
2.58
3.13
0.43
0.47
0.05
00036597

A
Reposition venous catheter
1.21
2.04
2.22
0.46
0.45
0.07
00036598

T
Inj w/fluor, eval cv device
0.74
2.22
2.43
0.27
1.46
0.05
00036600

A
Withdrawal of arterial blood
0.32
0.50
0.49
0.07
0.08
0.02
XXX36620

A
Insertion catheter, artery
1.15
NA
NA
0.15
0.19
0.07
00036625

A
Insertion catheter, artery
2.11
NA
NA
0.50
0.52
0.26
00036640

A
Insertion catheter, artery
2.10
NA
NA
0.91
0.97
0.21
00036660

A
Insertion catheter, artery
1.40
NA
NA
0.41
0.42
0.14
00036680

A
Insert needle, bone cavity
1.20
NA
NA
0.28
0.39
0.11
00036800

A
Insertion of cannula
2.43
NA
NA
1.53
1.67
0.25
00036810

A
Insertion of cannula
3.96
NA
NA
1.32
1.50
0.45
00036815

A
Insertion of cannula
2.62
NA
NA
1.04
1.10
0.35
00036818

A
Av fuse, uppr arm, cephalic
11.81
NA
NA
4.49
5.26
1.90
09036819

A
Av fuse, uppr arm, basilic
14.39
NA
NA
5.12
5.75
1.96
09036820

A
Av fusion/forearm vein
14.39
NA
NA
5.24
5.82
1.95
09036821

A
Av fusion direct any site
9.15
NA
NA
3.94
4.30
1.23
09036822

A
Insertion of cannula(s)
5.51
NA
NA
3.75
4.06
0.79
09036823

A
Insertion of cannula(s)
22.82
NA
NA
8.64
9.01
2.89
09036825

A
Artery-vein autograft
10.00
NA
NA
4.23
4.64
1.35
09036830

A
Artery-vein nonautograft
12.00
NA
NA
4.13
4.68
1.66
09036831

A
Open thrombect av fistula
8.01
NA
NA
3.19
3.57
1.09
09036832

A
Av fistula revision, open
10.50
NA
NA
3.75
4.23
1.44
09036833

A
Av fistula revision
11.95
NA
NA
4.12
4.66
1.65
09036834

A
Repair A-V aneurysm
11.11
NA
NA
4.22
4.50
1.37
09036835

A
Artery to vein shunt
7.43
NA
NA
3.74
4.03
0.98
09036838

A
Dist revas ligation, hemo
21.59
NA
NA
7.05
8.22
3.02
09036860

A
External cannula declotting
2.01
3.36
2.57
0.63
0.65
0.11
00036861

A
Cannula declotting
2.52
NA
NA
1.22
1.35
0.27
00036870

A
Percut thrombect av fistula
5.17
40.83
46.94
2.76
2.96
0.29
09037140

A
Revision of circulation
25.12
NA
NA
8.93
9.71
2.02
09037145

A
Revision of circulation
26.13
NA
NA
10.46
10.66
3.26
09037160

A
Revision of circulation
23.13
NA
NA
7.93
8.60
2.82
09037180

A
Revision of circulation
26.13
NA
NA
9.28
9.79
3.35
09037181

A
Splice spleen/kidney veins
28.26
NA
NA
8.84
9.92
3.41
09037182

A
Insert hepatic shunt (tips)
16.97
NA
NA
6.33
6.20
1.00
00037183

A
Remove hepatic shunt (tips)
7.99
NA
NA
3.09
3.05
0.47
00037184

A
Prim art mech thrombectomy
8.66
49.97
60.86
3.24
3.29
0.55
00037185

A
Prim art m-thrombect add-on
3.28
16.39
19.65
1.12
1.12
0.21
ZZZ37186

A
Sec art m-thrombect add-on
4.92
34.94
42.18
1.79
1.72
0.32
ZZZ37187

A
Venous mech thrombectomy
8.03
48.27
59.25
2.99
3.07
0.51
00037188

A
Venous m-thrombectomy add-on
5.71
42.27
52.14
2.18
2.27
0.37
00037195

C
Thrombolytic therapy, stroke
0.00
0.00
0.00
0.00
0.00
0.00
XXX37200

A
Transcatheter biopsy
4.55
NA
NA
1.65
1.58
0.27
00037201

A
Transcatheter therapy infuse
4.99
NA
NA
2.33
2.44
0.33
00037202

A
Transcatheter therapy infuse
5.67
NA
NA
3.34
3.19
0.43
00037203

A
Transcatheter retrieval
5.02
30.14
31.52
2.07
2.06
0.29
00037204

A
Transcatheter occlusion
18.11
NA
NA
6.24
6.07
1.48
00037205

A
Transcath iv stent, percut
8.27
108.78
56.26
3.25
3.50
0.60
00037206

A
Transcath iv stent/perc addl
4.12
66.53
33.98
1.58
1.50
0.31
ZZZ37207

A
Transcath iv stent, open
8.27
NA
NA
2.38
2.77
1.17
00037208

A
Transcath iv stent/open addl
4.12
NA
NA
1.01
1.19
0.59
ZZZ37209

A
Change iv cath at thromb tx
2.27
NA
NA
0.77
0.75
0.15
00037210

A
Embolization uterine fibroid
10.60
83.31
83.31
3.68
3.68
0.60
00037215

R
Transcath stent, cca w/eps
19.58
NA
NA
9.94
9.52
1.09
09037216

N
Transcath stent, cca w/o eps
18.85
NA
NA
5.76
7.29
1.04
09037250

A
Iv us first vessel add-on
2.10
NA
NA
0.77
0.76
0.21
ZZZ37251

A
Iv us each add vessel add-on
1.60
NA
NA
0.50
0.52
0.19
ZZZ37500

A
Endoscopy ligate perf veins
11.54
NA
NA
5.35
6.10
1.54
09037501

C
Vascular endoscopy procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY37565

A
Ligation of neck vein
11.97
NA
NA
5.14
5.38
1.33
09037600

A
Ligation of neck artery
12.34
NA
NA
4.92
5.78
1.41
09037605

A
Ligation of neck artery
14.20
NA
NA
5.45
6.18
1.99
09037606

A
Ligation of neck artery
8.72
NA
NA
4.86
4.71
1.23
09037607

A
Ligation of a-v fistula
6.19
NA
NA
3.03
3.29
0.85
09037609

A
Temporal artery procedure
3.02
4.20
4.35
1.82
1.89
0.36
01037615

A
Ligation of neck artery
7.72
NA
NA
4.09
4.10
0.68
09037616

A
Ligation of chest artery
18.89
NA
NA
7.93
8.01
2.33
090( print page 2613)37617

A
Ligation of abdomen artery
23.71
NA
NA
7.89
8.53
2.98
09037618

A
Ligation of extremity artery
5.95
NA
NA
3.37
3.49
0.67
09037620

A
Revision of major vein
11.49
NA
NA
5.45
5.58
0.91
09037650

A
Revision of major vein
8.41
NA
NA
4.23
4.46
1.01
09037660

A
Revision of major vein
22.20
NA
NA
7.59
8.33
2.49
09037700

A
Revise leg vein
3.76
NA
NA
2.39
2.59
0.53
09037718

A
Ligate/strip short leg vein
7.05
NA
NA
3.48
3.77
0.14
09037722

A
Ligate/strip long leg vein
8.08
NA
NA
3.69
4.05
0.86
09037735

A
Removal of leg veins/lesion
10.81
NA
NA
4.69
5.10
1.48
09037760

A
Ligation, leg veins, open
10.69
NA
NA
4.48
4.91
1.44
09037765

A
Phleb veins extrem 10-20
7.63
NA
NA
3.57
4.09
0.48
09037766

A
Phleb veins extrem 20+
9.58
NA
NA
4.13
4.73
0.48
09037780

A
Revision of leg vein
3.87
NA
NA
2.39
2.62
0.53
09037785

A
Ligate/divide/excise vein
3.87
4.92
5.06
2.58
2.65
0.54
09037788

A
Revascularization, penis
23.21
NA
NA
12.05
10.57
2.26
09037790

A
Penile venous occlusion
8.37
NA
NA
5.15
4.76
0.59
09037799

C
Vascular surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY38100

A
Removal of spleen, total
19.47
NA
NA
6.85
6.51
1.92
09038101

A
Removal of spleen, partial
19.47
NA
NA
6.92
6.72
2.05
09038102

A
Removal of spleen, total
4.79
NA
NA
1.23
1.43
0.63
ZZZ38115

A
Repair of ruptured spleen
21.80
NA
NA
7.44
7.04
2.09
09038120

A
Laparoscopy, splenectomy
16.97
NA
NA
6.93
7.16
2.25
09038129

C
Laparoscope proc, spleen
0.00
0.00
0.00
0.00
0.00
0.00
YYY38200

A
Injection for spleen x-ray
2.64
NA
NA
1.09
0.99
0.14
00038204

B
Bl donor search management
2.00
0.46
0.46
0.46
0.46
0.06
XXX38205

R
Harvest allogenic stem cells
1.50
NA
NA
0.53
0.60
0.07
00038206

R
Harvest auto stem cells
1.50
NA
NA
0.55
0.61
0.07
00038207

I
Cryopreserve stem cells
0.89
0.40
0.40
0.40
0.40
0.01
XXX38208

I
Thaw preserved stem cells
0.56
0.25
0.25
0.25
0.25
0.02
XXX38209

I
Wash harvest stem cells
0.24
0.11
0.11
0.11
0.11
0.01
XXX38210

I
T-cell depletion of harvest
1.57
0.71
0.71
0.71
0.71
0.03
XXX38211

I
Tumor cell deplete of harvst
1.42
0.64
0.64
0.64
0.64
0.02
XXX38212

I
Rbc depletion of harvest
0.94
0.42
0.42
0.42
0.42
0.02
XXX38213

I
Platelet deplete of harvest
0.24
0.11
0.11
0.11
0.11
0.01
XXX38214

I
Volume deplete of harvest
0.81
0.36
0.36
0.36
0.36
0.01
XXX38215

I
Harvest stem cell concentrte
0.94
0.42
0.42
0.42
0.42
0.02
XXX38220

A
Bone marrow aspiration
1.08
2.68
3.20
0.45
0.48
0.05
XXX38221

A
Bone marrow biopsy
1.37
2.79
3.36
0.57
0.61
0.07
XXX38230

R
Bone marrow collection
4.80
NA
NA
3.13
3.18
0.48
01038240

R
Bone marrow/stem transplant
2.24
NA
NA
0.94
0.98
0.11
XXX38241

R
Bone marrow/stem transplant
2.24
NA
NA
0.94
0.99
0.11
XXX38242

A
Lymphocyte infuse transplant
1.71
NA
NA
0.67
0.73
0.08
00038300

A
Drainage, lymph node lesion
2.28
4.22
4.26
2.04
2.05
0.25
01038305

A
Drainage, lymph node lesion
6.55
NA
NA
4.20
4.32
0.88
09038308

A
Incision of lymph channels
6.73
NA
NA
3.54
3.64
0.85
09038380

A
Thoracic duct procedure
8.34
NA
NA
5.06
5.37
0.74
09038381

A
Thoracic duct procedure
13.32
NA
NA
6.08
6.48
1.85
09038382

A
Thoracic duct procedure
10.51
NA
NA
5.43
5.60
1.37
09038500

A
Biopsy/removal, lymph nodes
3.76
3.75
3.72
2.03
2.06
0.49
01038505

A
Needle biopsy, lymph nodes
1.14
2.11
2.08
0.74
0.76
0.09
00038510

A
Biopsy/removal, lymph nodes
6.69
5.38
5.47
3.09
3.29
0.72
01038520

A
Biopsy/removal, lymph nodes
6.95
NA
NA
3.75
3.90
0.84
09038525

A
Biopsy/removal, lymph nodes
6.35
NA
NA
3.47
3.38
0.80
09038530

A
Biopsy/removal, lymph nodes
8.26
NA
NA
4.12
4.26
1.12
09038542

A
Explore deep node(s), neck
6.08
NA
NA
3.97
4.22
0.60
09038550

A
Removal, neck/armpit lesion
6.99
NA
NA
4.28
4.10
0.88
09038555

A
Removal, neck/armpit lesion
15.42
NA
NA
7.45
7.99
1.76
09038562

A
Removal, pelvic lymph nodes
10.92
NA
NA
5.77
5.77
1.20
09038564

A
Removal, abdomen lymph nodes
11.29
NA
NA
5.21
5.23
1.32
09038570

A
Laparoscopy, lymph node biop
9.28
NA
NA
4.04
4.00
1.13
01038571

A
Laparoscopy, lymphadenectomy
14.70
NA
NA
6.80
6.22
1.15
01038572

A
Laparoscopy, lymphadenectomy
16.86
NA
NA
5.94
6.51
1.91
01038589

C
Laparoscope proc, lymphatic
0.00
0.00
0.00
0.00
0.00
0.00
YYY38700

A
Removal of lymph nodes, neck
12.68
NA
NA
6.51
6.38
0.72
09038720

A
Removal of lymph nodes, neck
21.72
NA
NA
10.18
9.77
1.20
09038724

A
Removal of lymph nodes, neck
23.72
NA
NA
10.93
10.38
1.28
09038740

A
Remove armpit lymph nodes
10.57
NA
NA
5.00
4.97
1.32
09038745

A
Remove armpit lymph nodes
13.71
NA
NA
6.05
6.06
1.74
09038746

A
Remove thoracic lymph nodes
4.88
NA
NA
1.42
1.51
0.72
ZZZ38747

A
Remove abdominal lymph nodes
4.88
NA
NA
1.27
1.47
0.64
ZZZ38760

A
Remove groin lymph nodes
13.49
NA
NA
5.92
6.02
1.72
09038765

A
Remove groin lymph nodes
21.78
NA
NA
8.35
8.58
2.48
090( print page 2614)38770

A
Remove pelvis lymph nodes
13.98
NA
NA
6.72
6.23
1.40
09038780

A
Remove abdomen lymph nodes
17.56
NA
NA
7.99
8.09
1.89
09038790

A
Inject for lymphatic x-ray
1.29
NA
NA
0.75
0.75
0.13
00038792

A
Identify sentinel node
0.52
NA
NA
0.49
0.46
0.06
00038794

A
Access thoracic lymph duct
4.51
NA
NA
3.18
3.31
0.32
09038999

C
Blood/lymph system procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY39000

A
Exploration of chest
7.49
NA
NA
4.27
4.46
0.89
09039010

A
Exploration of chest
13.11
NA
NA
6.34
6.94
1.76
09039200

A
Removal chest lesion
15.04
NA
NA
6.20
6.87
2.03
09039220

A
Removal chest lesion
19.47
NA
NA
8.00
8.68
2.46
09039400

A
Visualization of chest
8.00
NA
NA
4.15
4.50
0.82
01039499

C
Chest procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY39501

A
Repair diaphragm laceration
13.89
NA
NA
5.82
6.14
1.78
09039502

A
Repair paraesophageal hernia
17.09
NA
NA
6.59
6.87
2.17
09039503

A
Repair of diaphragm hernia
108.67
NA
NA
27.41
30.40
10.98
09039520

A
Repair of diaphragm hernia
16.63
NA
NA
6.80
7.42
2.24
09039530

A
Repair of diaphragm hernia
16.22
NA
NA
6.23
6.68
2.11
09039531

A
Repair of diaphragm hernia
17.23
NA
NA
6.58
6.98
2.22
09039540

A
Repair of diaphragm hernia
14.51
NA
NA
5.70
5.96
1.80
09039541

A
Repair of diaphragm hernia
15.67
NA
NA
6.07
6.33
1.93
09039545

A
Revision of diaphragm
14.58
NA
NA
6.93
7.24
1.84
09039560

A
Resect diaphragm, simple
12.97
NA
NA
5.52
5.90
1.59
09039561

A
Resect diaphragm, complex
19.75
NA
NA
9.32
9.33
2.45
09039599

C
Diaphragm surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY40490

A
Biopsy of lip
1.22
2.08
1.85
0.58
0.59
0.05
00040500

A
Partial excision of lip
4.35
7.91
7.40
4.36
4.35
0.38
09040510

A
Partial excision of lip
4.74
6.74
6.68
3.62
3.82
0.49
09040520

A
Partial excision of lip
4.71
7.00
7.27
3.82
3.97
0.52
09040525

A
Reconstruct lip with flap
7.61
NA
NA
5.33
5.82
0.85
09040527

A
Reconstruct lip with flap
9.20
NA
NA
6.14
6.75
0.97
09040530

A
Partial removal of lip
5.45
7.59
7.70
4.27
4.42
0.55
09040650

A
Repair lip
3.69
5.99
6.39
3.17
3.23
0.38
09040652

A
Repair lip
4.32
7.26
7.50
4.12
4.19
0.52
09040654

A
Repair lip
5.37
8.09
8.35
4.68
4.81
0.60
09040700

A
Repair cleft lip/nasal
13.97
NA
NA
8.66
8.87
0.95
09040701

A
Repair cleft lip/nasal
17.03
NA
NA
7.82
9.58
1.65
09040702

A
Repair cleft lip/nasal
14.09
NA
NA
5.82
7.03
1.23
09040720

A
Repair cleft lip/nasal
14.54
NA
NA
9.53
9.71
1.80
09040761

A
Repair cleft lip/nasal
15.69
NA
NA
9.29
9.79
1.94
09040799

C
Lip surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY40800

A
Drainage of mouth lesion
1.19
3.84
3.40
1.88
1.83
0.13
01040801

A
Drainage of mouth lesion
2.57
4.88
4.45
2.58
2.66
0.31
01040804

A
Removal, foreign body, mouth
1.26
3.79
3.59
1.83
1.85
0.11
01040805

A
Removal, foreign body, mouth
2.73
5.14
4.81
2.66
2.74
0.32
01040806

A
Incision of lip fold
0.31
2.43
2.13
0.51
0.50
0.04
00040808

A
Biopsy of mouth lesion
0.98
3.61
3.13
1.62
1.55
0.10
01040810

A
Excision of mouth lesion
1.33
3.69
3.29
1.72
1.69
0.13
01040812

A
Excise/repair mouth lesion
2.33
4.54
4.13
2.28
2.34
0.28
01040814

A
Excise/repair mouth lesion
3.45
5.69
5.32
3.70
3.79
0.41
09040816

A
Excision of mouth lesion
3.70
5.91
5.54
3.77
3.89
0.40
09040818

A
Excise oral mucosa for graft
2.72
5.83
5.50
3.75
3.86
0.21
09040819

A
Excise lip or cheek fold
2.45
4.93
4.51
3.11
3.10
0.29
09040820

A
Treatment of mouth lesion
1.30
5.30
4.62
2.94
2.69
0.11
01040830

A
Repair mouth laceration
1.78
4.04
3.88
2.00
2.05
0.19
01040831

A
Repair mouth laceration
2.50
5.24
4.95
2.70
2.88
0.30
01040840

R
Reconstruction of mouth
9.03
10.03
9.91
5.59
6.28
1.08
09040842

R
Reconstruction of mouth
9.03
10.22
10.14
5.72
6.25
1.08
09040843

R
Reconstruction of mouth
12.62
11.34
11.65
5.75
6.78
1.39
09040844

R
Reconstruction of mouth
16.57
15.23
15.50
9.12
10.34
2.00
09040845

R
Reconstruction of mouth
19.13
16.04
16.55
10.22
11.72
2.01
09040899

C
Mouth surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY41000

A
Drainage of mouth lesion
1.32
2.56
2.44
1.33
1.37
0.12
01041005

A
Drainage of mouth lesion
1.28
4.33
3.83
1.77
1.75
0.12
01041006

A
Drainage of mouth lesion
3.28
5.44
5.11
2.82
3.00
0.35
09041007

A
Drainage of mouth lesion
3.14
5.35
5.24
2.72
2.87
0.31
09041008

A
Drainage of mouth lesion
3.40
5.52
5.10
2.85
3.02
0.42
09041009

A
Drainage of mouth lesion
3.63
5.83
5.40
3.15
3.36
0.47
09041010

A
Incision of tongue fold
1.08
3.90
3.66
1.56
1.58
0.07
01041015

A
Drainage of mouth lesion
4.00
6.29
5.85
3.98
4.06
0.46
09041016

A
Drainage of mouth lesion
4.11
6.23
5.92
4.07
4.15
0.53
09041017

A
Drainage of mouth lesion
4.11
6.37
6.01
4.12
4.21
0.53
09041018

A
Drainage of mouth lesion
5.14
6.76
6.45
4.48
4.53
0.68
090( print page 2615)41019

A
Place needles h&n for rt
8.84
NA
NA
3.28
3.28
0.59
00041100

A
Biopsy of tongue
1.39
2.68
2.55
1.17
1.29
0.15
01041105

A
Biopsy of tongue
1.44
2.68
2.49
1.20
1.26
0.13
01041108

A
Biopsy of floor of mouth
1.07
2.52
2.30
1.08
1.11
0.10
01041110

A
Excision of tongue lesion
1.53
3.66
3.32
1.65
1.64
0.13
01041112

A
Excision of tongue lesion
2.77
5.26
4.87
3.24
3.23
0.28
09041113

A
Excision of tongue lesion
3.23
5.52
5.13
3.39
3.43
0.34
09041114

A
Excision of tongue lesion
8.71
NA
NA
6.30
6.75
0.83
09041115

A
Excision of tongue fold
1.76
4.19
3.74
1.72
1.79
0.18
01041116

A
Excision of mouth lesion
2.47
5.56
4.96
2.80
2.80
0.23
09041120

A
Partial removal of tongue
10.91
NA
NA
14.34
14.83
0.79
09041130

A
Partial removal of tongue
15.51
NA
NA
15.89
16.05
0.93
09041135

A
Tongue and neck surgery
29.83
NA
NA
21.87
22.55
1.89
09041140

A
Removal of tongue
28.81
NA
NA
23.59
25.14
2.27
09041145

A
Tongue removal, neck surgery
37.59
NA
NA
28.83
29.70
2.55
09041150

A
Tongue, mouth, jaw surgery
29.52
NA
NA
23.05
23.89
1.95
09041153

A
Tongue, mouth, neck surgery
33.28
NA
NA
23.95
24.49
2.01
09041155

A
Tongue, jaw, & neck surgery
43.96
NA
NA
27.62
27.22
2.34
09041250

A
Repair tongue laceration
1.93
3.86
3.30
1.61
1.39
0.18
01041251

A
Repair tongue laceration
2.29
3.49
3.38
1.78
1.66
0.22
01041252

A
Repair tongue laceration
2.99
4.60
4.24
2.12
2.19
0.29
01041500

A
Fixation of tongue
3.74
NA
NA
7.53
7.49
0.30
09041510

A
Tongue to lip surgery
3.45
NA
NA
6.48
7.21
0.20
09041520

A
Reconstruction, tongue fold
2.77
5.81
5.22
3.26
3.44
0.27
09041599

C
Tongue and mouth surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY41800

A
Drainage of gum lesion
1.21
4.80
3.70
2.12
1.70
0.12
01041805

A
Removal foreign body, gum
1.28
4.64
3.66
2.70
2.46
0.13
01041806

A
Removal foreign body,jawbone
2.73
5.83
4.71
3.34
3.19
0.37
01041820

R
Excision, gum, each quadrant
0.00
0.00
0.00
0.00
0.00
0.00
00041821

R
Excision of gum flap
0.00
0.00
0.00
0.00
0.00
0.00
00041822

R
Excision of gum lesion
2.35
4.80
4.35
1.85
1.86
0.31
01041823

R
Excision of gum lesion
3.63
6.46
6.01
3.73
3.87
0.47
09041825

A
Excision of gum lesion
1.35
3.69
3.38
1.47
1.86
0.15
01041826

A
Excision of gum lesion
2.35
5.09
3.76
2.58
2.34
0.30
01041827

A
Excision of gum lesion
3.72
6.65
6.08
3.38
3.52
0.35
09041828

R
Excision of gum lesion
3.11
4.09
3.95
1.64
2.30
0.44
01041830

R
Removal of gum tissue
3.38
5.99
5.47
3.12
3.37
0.44
01041850

R
Treatment of gum lesion
0.00
0.00
0.00
0.00
0.00
0.00
00041870

R
Gum graft
0.00
0.00
0.00
0.00
0.00
0.00
00041872

R
Repair gum
2.90
6.05
5.53
3.31
3.38
0.30
09041874

R
Repair tooth socket
3.13
5.67
5.25
2.72
2.95
0.45
09041899

C
Dental surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY42000

A
Drainage mouth roof lesion
1.25
2.48
2.52
1.21
1.23
0.12
01042100

A
Biopsy roof of mouth
1.33
2.27
2.18
1.26
1.31
0.13
01042104

A
Excision lesion, mouth roof
1.66
3.58
3.06
1.67
1.61
0.16
01042106

A
Excision lesion, mouth roof
2.12
4.45
3.84
2.07
2.26
0.25
01042107

A
Excision lesion, mouth roof
4.48
6.54
6.13
3.69
3.82
0.44
09042120

A
Remove palate/lesion
11.70
NA
NA
12.29
12.03
0.52
09042140

A
Excision of uvula
1.65
4.58
4.15
2.12
2.11
0.13
09042145

A
Repair palate, pharynx/uvula
9.63
NA
NA
7.49
7.49
0.65
09042160

A
Treatment mouth roof lesion
1.82
3.78
4.01
1.69
1.99
0.17
01042180

A
Repair palate
2.52
3.38
3.22
1.86
1.98
0.21
01042182

A
Repair palate
3.84
3.99
3.93
2.40
2.71
0.40
01042200

A
Reconstruct cleft palate
12.41
NA
NA
8.63
9.42
1.27
09042205

A
Reconstruct cleft palate
13.57
NA
NA
7.37
8.72
1.58
09042210

A
Reconstruct cleft palate
14.91
NA
NA
10.25
10.86
2.17
09042215

A
Reconstruct cleft palate
8.88
NA
NA
7.42
8.25
1.31
09042220

A
Reconstruct cleft palate
7.07
NA
NA
7.22
7.00
0.73
09042225

A
Reconstruct cleft palate
9.66
NA
NA
12.25
14.66
0.86
09042226

A
Lengthening of palate
10.24
NA
NA
11.91
13.31
1.01
09042227

A
Lengthening of palate
9.81
NA
NA
11.22
13.39
0.98
09042235

A
Repair palate
7.92
NA
NA
10.35
11.11
0.72
09042260

A
Repair nose to lip fistula
10.10
9.74
9.97
6.03
6.55
1.26
09042280

A
Preparation, palate mold
1.56
2.23
2.10
0.83
0.99
0.19
01042281

A
Insertion, palate prosthesis
1.95
3.03
2.83
1.69
1.78
0.17
01042299

C
Palate/uvula surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY42300

A
Drainage of salivary gland
1.95
3.14
2.98
1.74
1.78
0.16
01042305

A
Drainage of salivary gland
6.23
NA
NA
3.99
4.36
0.51
09042310

A
Drainage of salivary gland
1.58
2.29
2.28
1.39
1.46
0.13
01042320

A
Drainage of salivary gland
2.37
3.74
3.51
1.88
1.99
0.21
01042330

A
Removal of salivary stone
2.23
3.41
3.28
1.73
1.79
0.19
01042335

A
Removal of salivary stone
3.35
5.77
5.34
2.85
3.00
0.29
090( print page 2616)42340

A
Removal of salivary stone
4.64
6.71
6.38
3.48
3.71
0.42
09042400

A
Biopsy of salivary gland
0.78
2.00
1.82
0.65
0.68
0.06
00042405

A
Biopsy of salivary gland
3.31
3.97
3.98
2.15
2.30
0.28
01042408

A
Excision of salivary cyst
4.58
6.42
6.17
3.27
3.44
0.45
09042409

A
Drainage of salivary cyst
2.85
5.32
4.92
2.53
2.65
0.27
09042410

A
Excise parotid gland/lesion
9.46
NA
NA
5.37
5.80
0.91
09042415

A
Excise parotid gland/lesion
17.99
NA
NA
8.63
9.75
1.43
09042420

A
Excise parotid gland/lesion
20.87
NA
NA
9.58
10.98
1.65
09042425

A
Excise parotid gland/lesion
13.31
NA
NA
6.84
7.72
1.05
09042426

A
Excise parotid gland/lesion
22.54
NA
NA
10.01
11.52
1.81
09042440

A
Excise submaxillary gland
7.05
NA
NA
3.86
4.33
0.59
09042450

A
Excise sublingual gland
4.66
6.38
6.14
4.03
4.14
0.42
09042500

A
Repair salivary duct
4.34
6.12
5.90
3.86
4.02
0.41
09042505

A
Repair salivary duct
6.23
7.28
7.20
4.71
5.04
0.55
09042507

A
Parotid duct diversion
6.16
NA
NA
6.34
6.44
0.49
09042508

A
Parotid duct diversion
9.22
NA
NA
8.08
8.21
1.04
09042509

A
Parotid duct diversion
11.65
NA
NA
8.92
9.56
0.93
09042510

A
Parotid duct diversion
8.26
NA
NA
6.90
7.35
0.66
09042550

A
Injection for salivary x-ray
1.25
2.28
2.75
0.44
0.43
0.07
00042600

A
Closure of salivary fistula
4.86
6.57
6.58
3.43
3.77
0.43
09042650

A
Dilation of salivary duct
0.77
1.29
1.19
0.66
0.68
0.07
00042660

A
Dilation of salivary duct
1.13
1.46
1.40
0.75
0.80
0.09
00042665

A
Ligation of salivary duct
2.57
5.00
4.59
2.40
2.50
0.23
09042699

C
Salivary surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY42700

A
Drainage of tonsil abscess
1.64
2.97
2.81
1.65
1.67
0.13
01042720

A
Drainage of throat abscess
6.31
4.70
4.76
3.17
3.48
0.44
01042725

A
Drainage of throat abscess
12.28
NA
NA
7.09
7.65
0.91
09042800

A
Biopsy of throat
1.41
2.47
2.33
1.30
1.35
0.11
01042802

A
Biopsy of throat
1.56
4.14
4.45
1.67
1.87
0.12
01042804

A
Biopsy of upper nose/throat
1.26
3.59
3.66
1.50
1.62
0.10
01042806

A
Biopsy of upper nose/throat
1.60
3.83
3.95
1.61
1.77
0.13
01042808

A
Excise pharynx lesion
2.32
3.22
3.16
1.60
1.77
0.19
01042809

A
Remove pharynx foreign body
1.83
2.23
2.28
1.32
1.32
0.16
01042810

A
Excision of neck cyst
3.30
6.23
5.97
3.73
3.64
0.29
09042815

A
Excision of neck cyst
7.23
NA
NA
6.26
6.34
0.61
09042820

A
Remove tonsils and adenoids
4.17
NA
NA
2.85
3.07
0.31
09042821

A
Remove tonsils and adenoids
4.31
NA
NA
2.99
3.25
0.35
09042825

A
Removal of tonsils
3.45
NA
NA
2.90
3.04
0.25
09042826

A
Removal of tonsils
3.40
NA
NA
2.69
2.86
0.27
09042830

A
Removal of adenoids
2.60
NA
NA
2.43
2.50
0.20
09042831

A
Removal of adenoids
2.75
NA
NA
2.66
2.75
0.22
09042835

A
Removal of adenoids
2.33
NA
NA
1.78
2.12
0.21
09042836

A
Removal of adenoids
3.21
NA
NA
2.65
2.81
0.26
09042842

A
Extensive surgery of throat
12.02
NA
NA
12.05
11.52
0.71
09042844

A
Extensive surgery of throat
17.57
NA
NA
15.48
15.86
1.16
09042845

A
Extensive surgery of throat
32.35
NA
NA
21.17
22.18
1.99
09042860

A
Excision of tonsil tags
2.25
NA
NA
2.30
2.35
0.18
09042870

A
Excision of lingual tonsil
5.44
NA
NA
8.71
8.64
0.44
09042890

A
Partial removal of pharynx
18.92
NA
NA
15.26
14.71
1.05
09042892

A
Revision of pharyngeal walls
25.77
NA
NA
19.22
18.20
1.28
09042894

A
Revision of pharyngeal walls
33.61
NA
NA
23.55
22.79
1.87
09042900

A
Repair throat wound
5.26
NA
NA
2.96
3.31
0.50
01042950

A
Reconstruction of throat
8.16
NA
NA
11.08
11.47
0.72
09042953

A
Repair throat, esophagus
9.33
NA
NA
13.79
15.56
0.88
09042955

A
Surgical opening of throat
7.92
NA
NA
10.11
10.39
0.80
09042960

A
Control throat bleeding
2.35
NA
NA
1.72
1.84
0.19
01042961

A
Control throat bleeding
5.69
NA
NA
4.49
4.72
0.45
09042962

A
Control throat bleeding
7.31
NA
NA
5.19
5.55
0.58
09042970

A
Control nose/throat bleeding
5.76
NA
NA
3.59
3.88
0.39
09042971

A
Control nose/throat bleeding
6.54
NA
NA
4.51
4.81
0.51
09042972

A
Control nose/throat bleeding
7.53
NA
NA
4.99
5.35
0.62
09042999

C
Throat surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY43020

A
Incision of esophagus
8.14
NA
NA
4.58
5.00
0.87
09043030

A
Throat muscle surgery
7.91
NA
NA
4.52
5.01
0.70
09043045

A
Incision of esophagus
21.70
NA
NA
9.31
10.01
2.59
09043100

A
Excision of esophagus lesion
9.55
NA
NA
5.21
5.72
0.93
09043101

A
Excision of esophagus lesion
16.99
NA
NA
7.17
7.53
2.32
09043107

A
Removal of esophagus
43.97
NA
NA
16.27
17.27
5.24
09043108

A
Removal of esophagus
82.66
NA
NA
24.49
19.35
4.08
09043112

A
Removal of esophagus
47.27
NA
NA
17.02
18.20
5.81
09043113

A
Removal of esophagus
79.85
NA
NA
25.37
20.24
4.43
09043116

A
Partial removal of esophagus
92.78
NA
NA
30.34
23.52
3.06
090( print page 2617)43117

A
Partial removal of esophagus
43.52
NA
NA
15.16
16.22
5.19
09043118

A
Partial removal of esophagus
66.86
NA
NA
21.53
17.66
4.11
09043121

A
Partial removal of esophagus
51.22
NA
NA
18.29
15.98
3.91
09043122

A
Partial removal of esophagus
43.97
NA
NA
15.62
16.51
5.42
09043123

A
Partial removal of esophagus
82.91
NA
NA
25.78
19.95
4.16
09043124

A
Removal of esophagus
68.83
NA
NA
24.37
18.73
3.74
09043130

A
Removal of esophagus pouch
12.41
NA
NA
6.38
6.97
1.16
09043135

A
Removal of esophagus pouch
26.09
NA
NA
9.93
9.01
2.34
09043200

A
Esophagus endoscopy
1.59
3.73
3.93
0.98
1.02
0.13
00043201

A
Esoph scope w/submucous inj
2.09
5.63
5.13
1.19
1.15
0.15
00043202

A
Esophagus endoscopy, biopsy
1.89
5.17
5.36
0.98
0.96
0.15
00043204

A
Esoph scope w/sclerosis inj
3.76
NA
NA
2.01
1.76
0.30
00043205

A
Esophagus endoscopy/ligation
3.78
NA
NA
2.06
1.79
0.28
00043215

A
Esophagus endoscopy
2.60
NA
NA
1.29
1.24
0.22
00043216

A
Esophagus endoscopy/lesion
2.40
3.08
2.07
1.26
1.16
0.20
00043217

A
Esophagus endoscopy
2.90
6.58
6.77
1.38
1.28
0.26
00043219

A
Esophagus endoscopy
2.80
NA
NA
1.55
1.45
0.24
00043220

A
Esoph endoscopy, dilation
2.10
NA
NA
1.13
1.05
0.17
00043226

A
Esoph endoscopy, dilation
2.34
NA
NA
1.29
1.16
0.19
00043227

A
Esoph endoscopy, repair
3.59
NA
NA
1.77
1.61
0.28
00043228

A
Esoph endoscopy, ablation
3.76
NA
NA
1.89
1.72
0.34
00043231

A
Esoph endoscopy w/us exam
3.19
NA
NA
1.76
1.53
0.23
00043232

A
Esoph endoscopy w/us fn bx
4.47
NA
NA
2.39
2.10
0.34
00043234

A
Upper GI endoscopy, exam
2.01
4.98
5.16
1.02
0.94
0.17
00043235

A
Uppr gi endoscopy, diagnosis
2.39
5.29
5.23
1.35
1.18
0.19
00043236

A
Uppr gi scope w/submuc inj
2.92
6.72
6.56
1.65
1.43
0.21
00043237

A
Endoscopic us exam, esoph
3.98
NA
NA
2.16
1.88
0.43
00043238

A
Uppr gi endoscopy w/us fn bx
5.02
NA
NA
2.57
2.27
0.43
00043239

A
Upper GI endoscopy, biopsy
2.87
6.06
5.89
1.56
1.37
0.22
00043240

A
Esoph endoscope w/drain cyst
6.85
NA
NA
3.29
2.95
0.56
00043241

A
Upper GI endoscopy with tube
2.59
NA
NA
1.40
1.25
0.21
00043242

A
Uppr gi endoscopy w/us fn bx
7.30
NA
NA
3.68
3.21
0.53
00043243

A
Upper gi endoscopy & inject
4.56
NA
NA
2.36
2.08
0.33
00043244

A
Upper GI endoscopy/ligation
5.04
NA
NA
2.65
2.31
0.37
00043245

A
Uppr gi scope dilate strictr
3.18
NA
NA
1.63
1.46
0.26
00043246

A
Place gastrostomy tube
4.32
NA
NA
2.11
1.90
0.34
00043247

A
Operative upper GI endoscopy
3.38
NA
NA
1.79
1.58
0.27
00043248

A
Uppr gi endoscopy/guide wire
3.15
NA
NA
1.77
1.54
0.23
00043249

A
Esoph endoscopy, dilation
2.90
NA
NA
1.62
1.41
0.22
00043250

A
Upper GI endoscopy/tumor
3.20
NA
NA
1.61
1.46
0.26
00043251

A
Operative upper GI endoscopy
3.69
NA
NA
1.92
1.70
0.29
00043255

A
Operative upper GI endoscopy
4.81
NA
NA
2.53
2.21
0.35
00043256

A
Uppr gi endoscopy w/stent
4.34
NA
NA
2.25
1.98
0.32
00043257

A
Uppr gi scope w/thrml txmnt
5.50
NA
NA
2.14
2.17
0.36
00043258

A
Operative upper GI endoscopy
4.54
NA
NA
2.37
2.08
0.33
00043259

A
Endoscopic ultrasound exam
5.19
NA
NA
2.69
2.34
0.35
00043260

A
Endo cholangiopancreatograph
5.95
NA
NA
3.06
2.67
0.43
00043261

A
Endo cholangiopancreatograph
6.26
NA
NA
3.20
2.80
0.46
00043262

A
Endo cholangiopancreatograph
7.38
NA
NA
3.73
3.26
0.54
00043263

A
Endo cholangiopancreatograph
7.28
NA
NA
3.64
3.20
0.54
00043264

A
Endo cholangiopancreatograph
8.89
NA
NA
4.44
3.88
0.65
00043265

A
Endo cholangiopancreatograph
10.00
NA
NA
4.99
4.34
0.73
00043267

A
Endo cholangiopancreatograph
7.38
NA
NA
3.39
3.09
0.54
00043268

A
Endo cholangiopancreatograph
7.38
NA
NA
3.89
3.39
0.54
00043269

A
Endo cholangiopancreatograph
8.20
NA
NA
4.10
3.59
0.60
00043271

A
Endo cholangiopancreatograph
7.38
NA
NA
3.71
3.25
0.54
00043272

A
Endo cholangiopancreatograph
7.38
NA
NA
3.78
3.28
0.54
00043280

A
Laparoscopy, fundoplasty
18.00
NA
NA
6.66
6.96
2.28
09043289

C
Laparoscope proc, esoph
0.00
0.00
0.00
0.00
0.00
0.00
YYY43300

A
Repair of esophagus
9.21
NA
NA
5.41
5.90
1.12
09043305

A
Repair esophagus and fistula
17.98
NA
NA
8.34
9.52
1.54
09043310

A
Repair of esophagus
26.18
NA
NA
9.82
10.44
3.61
09043312

A
Repair esophagus and fistula
29.23
NA
NA
10.28
11.09
4.01
09043313

A
Esophagoplasty congenital
48.17
NA
NA
17.48
18.15
5.47
09043314

A
Tracheo-esophagoplasty cong
53.15
NA
NA
15.11
17.15
6.65
09043320

A
Fuse esophagus & stomach
23.18
NA
NA
8.61
8.91
2.74
09043324

A
Revise esophagus & stomach
22.86
NA
NA
8.35
8.56
2.76
09043325

A
Revise esophagus & stomach
22.47
NA
NA
8.39
8.59
2.60
09043326

A
Revise esophagus & stomach
22.15
NA
NA
9.21
9.25
2.85
09043330

A
Repair of esophagus
22.06
NA
NA
8.10
8.32
2.63
09043331

A
Repair of esophagus
22.93
NA
NA
9.83
9.81
2.94
09043340

A
Fuse esophagus & intestine
22.86
NA
NA
9.28
9.13
2.46
090( print page 2618)43341

A
Fuse esophagus & intestine
24.10
NA
NA
9.66
9.84
2.92
09043350

A
Surgical opening, esophagus
19.31
NA
NA
8.76
8.60
1.42
09043351

A
Surgical opening, esophagus
21.87
NA
NA
10.87
10.33
2.47
09043352

A
Surgical opening, esophagus
17.68
NA
NA
7.95
8.17
2.06
09043360

A
Gastrointestinal repair
39.90
NA
NA
14.90
14.99
4.97
09043361

A
Gastrointestinal repair
45.50
NA
NA
18.15
17.52
4.50
09043400

A
Ligate esophagus veins
25.47
NA
NA
13.60
11.52
1.96
09043401

A
Esophagus surgery for veins
26.36
NA
NA
9.55
9.52
3.05
09043405

A
Ligate/staple esophagus
24.55
NA
NA
10.68
10.13
2.84
09043410

A
Repair esophagus wound
16.28
NA
NA
7.67
7.65
1.72
09043415

A
Repair esophagus wound
28.70
NA
NA
11.84
11.79
3.53
09043420

A
Repair esophagus opening
16.65
NA
NA
7.48
7.44
1.43
09043425

A
Repair esophagus opening
24.91
NA
NA
10.46
10.22
3.03
09043450

A
Dilate esophagus
1.38
2.68
2.66
0.93
0.81
0.11
00043453

A
Dilate esophagus
1.51
6.31
6.19
1.01
0.87
0.11
00043456

A
Dilate esophagus
2.57
13.02
13.39
1.45
1.27
0.20
00043458

A
Dilate esophagus
3.06
6.93
6.79
1.59
1.44
0.24
00043460

A
Pressure treatment esophagus
3.79
NA
NA
1.76
1.62
0.31
00043496

C
Free jejunum flap, microvasc
0.00
0.00
0.00
0.00
0.00
0.00
09043499

C
Esophagus surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY43500

A
Surgical opening of stomach
12.71
NA
NA
5.29
5.13
1.45
09043501

A
Surgical repair of stomach
22.47
NA
NA
8.10
8.20
2.65
09043502

A
Surgical repair of stomach
25.56
NA
NA
8.97
9.22
3.10
09043510

A
Surgical opening of stomach
15.01
NA
NA
9.14
7.86
1.48
09043520

A
Incision of pyloric muscle
11.21
NA
NA
4.82
5.04
1.36
09043600

A
Biopsy of stomach
1.91
NA
NA
0.77
0.71
0.14
00043605

A
Biopsy of stomach
13.64
NA
NA
5.36
5.32
1.58
09043610

A
Excision of stomach lesion
16.26
NA
NA
6.03
6.09
1.94
09043611

A
Excision of stomach lesion
20.25
NA
NA
7.49
7.53
2.36
09043620

A
Removal of stomach
33.91
NA
NA
11.10
11.45
3.96
09043621

A
Removal of stomach
39.40
NA
NA
12.41
12.19
4.04
09043622

A
Removal of stomach
39.90
NA
NA
12.51
12.55
4.30
09043631

A
Removal of stomach, partial
24.38
NA
NA
8.59
8.88
2.99
09043632

A
Removal of stomach, partial
35.01
NA
NA
11.28
10.22
2.99
09043633

A
Removal of stomach, partial
33.01
NA
NA
10.76
10.04
3.06
09043634

A
Removal of stomach, partial
36.51
NA
NA
11.79
10.94
3.33
09043635

A
Removal of stomach, partial
2.06
NA
NA
0.52
0.61
0.27
ZZZ43640

A
Vagotomy & pylorus repair
19.43
NA
NA
7.34
7.30
2.26
09043641

A
Vagotomy & pylorus repair
19.68
NA
NA
7.63
7.50
2.25
09043644

A
Lap gastric bypass/roux-en-y
29.24
NA
NA
10.11
10.66
3.16
09043645

A
Lap gastr bypass incl smll i
31.37
NA
NA
10.49
11.25
3.54
09043647

C
Lap impl electrode, antrum
0.00
0.00
0.00
0.00
0.00
0.00
YYY43648

C
Lap revise/remv eltrd antrum
0.00
0.00
0.00
0.00
0.00
0.00
YYY43651

A
Laparoscopy, vagus nerve
10.13
NA
NA
4.62
4.69
1.33
09043652

A
Laparoscopy, vagus nerve
12.13
NA
NA
5.23
5.49
1.55
09043653

A
Laparoscopy, gastrostomy
8.38
NA
NA
4.47
4.32
1.01
09043659

C
Laparoscope proc, stom
0.00
0.00
0.00
0.00
0.00
0.00
YYY43752

A
Nasal/orogastric w/stent
0.81
NA
NA
0.27
0.26
0.02
00043760

A
Change gastrostomy tube
0.90
5.99
4.04
0.33
0.39
0.09
00043761

A
Reposition gastrostomy tube
2.01
1.04
1.10
0.70
0.68
0.13
00043770

A
Lap place gastr adj device
17.85
NA
NA
7.40
7.56
2.19
09043771

A
Lap revise gastr adj device
20.64
NA
NA
8.13
8.36
2.55
09043772

A
Lap rmvl gastr adj device
15.62
NA
NA
6.00
6.21
1.93
09043773

A
Lap replace gastr adj device
20.64
NA
NA
8.11
8.35
2.56
09043774

A
Lap rmvl gastr adj all parts
15.66
NA
NA
6.18
6.37
1.85
09043800

A
Reconstruction of pylorus
15.35
NA
NA
5.82
5.86
1.82
09043810

A
Fusion of stomach and bowel
16.80
NA
NA
6.14
6.16
1.94
09043820

A
Fusion of stomach and bowel
22.40
NA
NA
8.08
7.24
2.04
09043825

A
Fusion of stomach and bowel
21.63
NA
NA
7.90
7.96
2.54
09043830

A
Place gastrostomy tube
10.75
NA
NA
5.17
5.01
1.25
09043831

A
Place gastrostomy tube
8.38
NA
NA
4.93
4.72
1.03
09043832

A
Place gastrostomy tube
17.26
NA
NA
7.07
6.96
1.98
09043840

A
Repair of stomach lesion
22.70
NA
NA
8.15
7.46
2.06
09043842

N
V-band gastroplasty
20.90
NA
NA
6.75
7.27
2.45
09043843

A
Gastroplasty w/o v-band
21.08
NA
NA
7.85
7.80
2.46
09043845

A
Gastroplasty duodenal switch
33.12
NA
NA
12.89
11.83
4.06
09043846

A
Gastric bypass for obesity
27.23
NA
NA
9.98
10.01
3.19
09043847

A
Gastric bypass incl small i
30.10
NA
NA
10.52
10.71
3.56
09043848

A
Revision gastroplasty
32.57
NA
NA
11.31
11.56
3.88
09043850

A
Revise stomach-bowel fusion
27.45
NA
NA
9.50
9.66
3.28
09043855

A
Revise stomach-bowel fusion
28.56
NA
NA
9.71
10.02
3.47
09043860

A
Revise stomach-bowel fusion
27.76
NA
NA
9.48
9.73
3.31
090( print page 2619)43865

A
Revise stomach-bowel fusion
28.92
NA
NA
9.74
10.12
3.51
09043870

A
Repair stomach opening
11.36
NA
NA
4.95
4.73
1.27
09043880

A
Repair stomach-bowel fistula
27.05
NA
NA
9.28
9.59
3.27
09043881

C
Impl/redo electrd, antrum
0.00
0.00
0.00
0.00
0.00
0.00
YYY43882

C
Revise/remove electrd antrum
0.00
0.00
0.00
0.00
0.00
0.00
YYY43886

A
Revise gastric port, open
4.54
NA
NA
3.45
3.29
0.25
09043887

A
Remove gastric port, open
4.24
NA
NA
3.06
2.91
0.51
09043888

A
Change gastric port, open
6.34
NA
NA
4.01
3.89
0.70
09043999

C
Stomach surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY44005

A
Freeing of bowel adhesion
18.38
NA
NA
6.59
6.65
2.15
09044010

A
Incision of small bowel
14.18
NA
NA
5.53
5.49
1.64
09044015

A
Insert needle cath bowel
2.62
NA
NA
0.68
0.78
0.35
ZZZ44020

A
Explore small intestine
16.14
NA
NA
6.01
5.97
1.86
09044021

A
Decompress small bowel
16.23
NA
NA
6.15
6.06
1.87
09044025

A
Incision of large bowel
16.43
NA
NA
6.06
6.04
1.90
09044050

A
Reduce bowel obstruction
15.44
NA
NA
5.83
5.89
1.86
09044055

A
Correct malrotation of bowel
25.53
NA
NA
8.49
8.61
2.91
09044100

A
Biopsy of bowel
2.01
NA
NA
0.91
0.81
0.17
00044110

A
Excise intestine lesion(s)
13.96
NA
NA
5.51
5.37
1.55
09044111

A
Excision of bowel lesion(s)
16.44
NA
NA
6.10
6.10
1.87
09044120

A
Removal of small intestine
20.74
NA
NA
7.15
7.11
2.25
09044121

A
Removal of small intestine
4.44
NA
NA
1.12
1.32
0.58
ZZZ44125

A
Removal of small intestine
19.93
NA
NA
7.03
7.14
2.27
09044126

A
Enterectomy w/o taper, cong
42.02
NA
NA
13.61
13.86
4.69
09044127

A
Enterectomy w/taper, cong
49.09
NA
NA
15.65
15.69
5.77
09044128

A
Enterectomy cong, add-on
4.44
NA
NA
1.22
1.37
0.61
ZZZ44130

A
Bowel to bowel fusion
21.98
NA
NA
7.98
7.10
1.88
09044132

R
Enterectomy, cadaver donor
0.00
0.00
0.00
0.00
0.00
0.00
XXX44133

R
Enterectomy, live donor
0.00
0.00
0.00
0.00
0.00
0.00
XXX44135

R
Intestine transplnt, cadaver
0.00
0.00
0.00
0.00
0.00
0.00
XXX44136

R
Intestine transplant, live
0.00
0.00
0.00
0.00
0.00
0.00
XXX44137

C
Remove intestinal allograft
0.00
0.00
0.00
0.00
0.00
0.00
XXX44139

A
Mobilization of colon
2.23
NA
NA
0.56
0.66
0.28
ZZZ44140

A
Partial removal of colon
22.46
NA
NA
8.07
8.36
2.71
09044141

A
Partial removal of colon
29.75
NA
NA
11.85
10.95
2.53
09044143

A
Partial removal of colon
27.63
NA
NA
10.29
10.49
3.05
09044144

A
Partial removal of colon
29.75
NA
NA
10.63
10.12
2.86
09044145

A
Partial removal of colon
28.45
NA
NA
9.49
10.15
3.29
09044146

A
Partial removal of colon
35.14
NA
NA
13.37
13.12
3.41
09044147

A
Partial removal of colon
33.56
NA
NA
10.79
9.74
2.56
09044150

A
Removal of colon
29.99
NA
NA
12.62
12.32
3.04
09044151

A
Removal of colon/ileostomy
34.73
NA
NA
13.93
13.67
3.49
09044155

A
Removal of colon/ileostomy
34.23
NA
NA
13.46
13.38
3.28
09044156

A
Removal of colon/ileostomy
37.23
NA
NA
14.49
14.76
3.95
09044157

A
Colectomy w/ileoanal anast
35.49
NA
NA
17.10
17.10
3.93
09044158

A
Colectomy w/neo-rectum pouch
36.49
NA
NA
17.44
17.44
4.06
09044160

A
Removal of colon
20.78
NA
NA
7.52
7.63
2.37
09044180

A
Lap, enterolysis
15.19
NA
NA
5.81
6.02
1.86
09044186

A
Lap, jejunostomy
10.30
NA
NA
4.59
4.69
1.27
09044187

A
Lap, ileo/jejuno-stomy
17.27
NA
NA
8.13
8.20
1.96
09044188

A
Lap, colostomy
19.20
NA
NA
8.68
8.76
2.24
09044202

A
Lap, enterectomy
23.26
NA
NA
8.32
8.62
2.85
09044203

A
Lap resect s/intestine, addl
4.44
NA
NA
1.12
1.31
0.57
ZZZ44204

A
Laparo partial colectomy
26.29
NA
NA
8.89
9.42
3.11
09044205

A
Lap colectomy part w/ileum
22.86
NA
NA
7.81
8.33
2.75
09044206

A
Lap part colectomy w/stoma
29.63
NA
NA
10.48
10.87
3.46
09044207

A
L colectomy/coloproctostomy
31.79
NA
NA
10.11
10.80
3.67
09044208

A
L colectomy/coloproctostomy
33.86
NA
NA
12.02
12.58
3.88
09044210

A
Laparo total proctocolectomy
29.88
NA
NA
11.19
11.53
3.42
09044211

A
Lap colectomy w/proctectomy
36.87
NA
NA
13.60
14.14
4.17
09044212

A
Laparo total proctocolectomy
34.37
NA
NA
13.05
13.37
3.78
09044213

A
Lap, mobil splenic fl add-on
3.50
NA
NA
0.86
1.04
0.44
ZZZ44227

A
Lap, close enterostomy
28.49
NA
NA
9.49
10.06
3.38
09044238

C
Laparoscope proc, intestine
0.00
0.00
0.00
0.00
0.00
0.00
YYY44300

A
Open bowel to skin
13.65
NA
NA
5.56
5.52
1.60
09044310

A
Ileostomy/jejunostomy
17.49
NA
NA
6.40
6.55
1.99
09044312

A
Revision of ileostomy
9.33
NA
NA
4.66
4.32
0.92
09044314

A
Revision of ileostomy
16.61
NA
NA
6.78
6.67
1.75
09044316

A
Devise bowel pouch
23.46
NA
NA
8.88
8.71
2.38
09044320

A
Colostomy
19.75
NA
NA
7.60
7.63
2.26
09044322

A
Colostomy with biopsies
13.15
NA
NA
9.11
8.84
1.54
09044340

A
Revision of colostomy
9.12
NA
NA
4.94
4.60
0.99
090( print page 2620)44345

A
Revision of colostomy
17.06
NA
NA
6.92
6.90
1.97
09044346

A
Revision of colostomy
19.47
NA
NA
7.53
7.46
2.13
09044360

A
Small bowel endoscopy
2.59
NA
NA
1.50
1.30
0.19
00044361

A
Small bowel endoscopy/biopsy
2.87
NA
NA
1.63
1.41
0.21
00044363

A
Small bowel endoscopy
3.49
NA
NA
1.85
1.61
0.27
00044364

A
Small bowel endoscopy
3.73
NA
NA
1.98
1.73
0.27
00044365

A
Small bowel endoscopy
3.31
NA
NA
1.74
1.55
0.24
00044366

A
Small bowel endoscopy
4.40
NA
NA
2.37
2.05
0.32
00044369

A
Small bowel endoscopy
4.51
NA
NA
2.36
2.05
0.33
00044370

A
Small bowel endoscopy/stent
4.79
NA
NA
2.56
2.27
0.37
00044372

A
Small bowel endoscopy
4.40
NA
NA
2.12
1.93
0.35
00044373

A
Small bowel endoscopy
3.49
NA
NA
1.77
1.59
0.27
00044376

A
Small bowel endoscopy
5.25
NA
NA
2.47
2.25
0.42
00044377

A
Small bowel endoscopy/biopsy
5.52
NA
NA
2.76
2.45
0.40
00044378

A
Small bowel endoscopy
7.12
NA
NA
3.58
3.14
0.52
00044379

A
S bowel endoscope w/stent
7.46
NA
NA
3.93
3.42
0.62
00044380

A
Small bowel endoscopy
1.05
NA
NA
0.74
0.65
0.08
00044382

A
Small bowel endoscopy
1.27
NA
NA
0.84
0.73
0.12
00044383

A
Ileoscopy w/stent
2.94
NA
NA
1.61
1.44
0.21
00044385

A
Endoscopy of bowel pouch
1.82
4.90
4.13
0.89
0.82
0.15
00044386

A
Endoscopy, bowel pouch/biop
2.12
6.65
6.65
1.02
0.95
0.20
00044388

A
Colonoscopy
2.82
6.12
5.60
1.35
1.25
0.26
00044389

A
Colonoscopy with biopsy
3.13
7.11
6.87
1.58
1.42
0.27
00044390

A
Colonoscopy for foreign body
3.82
8.34
7.73
1.92
1.70
0.32
00044391

A
Colonoscopy for bleeding
4.31
8.94
8.84
2.22
1.95
0.34
00044392

A
Colonoscopy & polypectomy
3.81
7.37
6.98
1.72
1.60
0.34
00044393

A
Colonoscopy, lesion removal
4.83
8.04
7.47
2.13
2.00
0.42
00044394

A
Colonoscopy w/snare
4.42
8.51
8.16
2.07
1.89
0.38
00044397

A
Colonoscopy w/stent
4.70
NA
NA
2.16
1.98
0.39
00044500

A
Intro, gastrointestinal tube
0.49
NA
NA
0.17
0.17
0.03
00044602

A
Suture, small intestine
24.64
NA
NA
7.62
7.01
2.12
09044603

A
Suture, small intestine
28.03
NA
NA
8.97
8.12
2.42
09044604

A
Suture, large intestine
18.06
NA
NA
6.07
6.26
2.12
09044605

A
Repair of bowel lesion
22.00
NA
NA
7.83
8.11
2.52
09044615

A
Intestinal stricturoplasty
18.08
NA
NA
6.54
6.61
2.07
09044620

A
Repair bowel opening
14.35
NA
NA
5.51
5.42
1.51
09044625

A
Repair bowel opening
17.20
NA
NA
6.15
6.23
1.86
09044626

A
Repair bowel opening
27.82
NA
NA
8.89
9.35
3.27
09044640

A
Repair bowel-skin fistula
24.12
NA
NA
8.02
8.30
2.78
09044650

A
Repair bowel fistula
25.04
NA
NA
8.31
8.60
2.93
09044660

A
Repair bowel-bladder fistula
23.83
NA
NA
9.76
9.05
2.14
09044661

A
Repair bowel-bladder fistula
27.27
NA
NA
9.40
9.48
2.81
09044680

A
Surgical revision, intestine
17.88
NA
NA
6.69
6.57
2.00
09044700

A
Suspend bowel w/prosthesis
17.40
NA
NA
6.16
6.41
1.84
09044701

A
Intraop colon lavage add-on
3.10
NA
NA
0.76
0.91
0.37
ZZZ44715

C
Prepare donor intestine
0.00
0.00
0.00
0.00
0.00
0.00
XXX44720

A
Prep donor intestine/venous
5.00
NA
NA
1.27
1.49
0.37
XXX44721

A
Prep donor intestine/artery
7.00
NA
NA
1.78
2.09
0.97
XXX44799

C
Unlisted procedure intestine
0.00
0.00
0.00
0.00
0.00
0.00
YYY44800

A
Excision of bowel pouch
11.94
NA
NA
5.49
5.44
1.47
09044820

A
Excision of mesentery lesion
13.63
NA
NA
5.56
5.53
1.59
09044850

A
Repair of mesentery
12.03
NA
NA
5.01
5.01
1.39
09044899

C
Bowel surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY44900

A
Drain app abscess, open
12.44
NA
NA
5.03
4.86
1.33
09044901

A
Drain app abscess, percut
3.37
19.81
23.86
1.20
1.15
0.22
00044950

A
Appendectomy
10.52
NA
NA
4.05
4.18
1.31
09044955

A
Appendectomy add-on
1.53
NA
NA
0.40
0.47
0.20
ZZZ44960

A
Appendectomy
14.39
NA
NA
5.40
5.37
1.63
09044970

A
Laparoscopy, appendectomy
9.35
NA
NA
4.19
4.14
1.14
09044979

C
Laparoscope proc, app
0.00
0.00
0.00
0.00
0.00
0.00
YYY45000

A
Drainage of pelvic abscess
6.20
NA
NA
3.57
3.27
0.52
09045005

A
Drainage of rectal abscess
2.00
3.99
4.02
1.59
1.58
0.25
01045020

A
Drainage of rectal abscess
8.43
NA
NA
4.55
3.91
0.55
09045100

A
Biopsy of rectum
3.96
NA
NA
2.81
2.59
0.44
09045108

A
Removal of anorectal lesion
5.04
NA
NA
3.10
2.94
0.59
09045110

A
Removal of rectum
30.57
NA
NA
11.86
12.13
3.36
09045111

A
Partial removal of rectum
17.89
NA
NA
7.00
7.08
2.07
09045112

A
Removal of rectum
33.05
NA
NA
10.31
11.04
3.43
09045113

A
Partial proctectomy
33.09
NA
NA
11.59
12.09
3.49
09045114

A
Partial removal of rectum
30.63
NA
NA
10.30
10.59
3.36
09045116

A
Partial removal of rectum
27.56
NA
NA
9.65
9.84
2.88
09045119

A
Remove rectum w/reservoir
33.35
NA
NA
11.54
12.00
3.36
090( print page 2621)45120

A
Removal of rectum
26.25
NA
NA
9.27
9.70
2.90
09045121

A
Removal of rectum and colon
28.93
NA
NA
10.04
10.57
3.25
09045123

A
Partial proctectomy
18.70
NA
NA
6.94
6.90
1.86
09045126

A
Pelvic exenteration
48.89
NA
NA
17.89
18.55
4.33
09045130

A
Excision of rectal prolapse
18.37
NA
NA
6.67
6.72
1.80
09045135

A
Excision of rectal prolapse
22.15
NA
NA
8.61
8.51
2.36
09045136

A
Excise ileoanal reservior
30.63
NA
NA
11.96
12.24
2.82
09045150

A
Excision of rectal stricture
5.77
NA
NA
3.34
3.15
0.61
09045160

A
Excision of rectal lesion
16.17
NA
NA
6.44
6.54
1.68
09045170

A
Excision of rectal lesion
12.48
NA
NA
5.36
5.30
1.35
09045190

A
Destruction, rectal tumor
10.29
NA
NA
5.52
5.07
1.13
09045300

A
Proctosigmoidoscopy dx
0.80
1.96
1.74
0.45
0.37
0.04
00045303

A
Proctosigmoidoscopy dilate
1.50
19.93
19.31
0.66
0.49
0.05
00045305

A
Proctosigmoidoscopy w/bx
1.25
3.19
2.91
0.59
0.55
0.11
00045307

A
Proctosigmoidoscopy fb
1.70
3.25
3.14
0.70
0.59
0.11
00045308

A
Proctosigmoidoscopy removal
1.40
3.41
2.70
0.63
0.53
0.09
00045309

A
Proctosigmoidoscopy removal
1.50
3.53
3.17
0.67
0.75
0.22
00045315

A
Proctosigmoidoscopy removal
1.80
3.82
3.34
0.88
0.75
0.15
00045317

A
Proctosigmoidoscopy bleed
2.00
3.37
2.90
0.77
0.71
0.15
00045320

A
Proctosigmoidoscopy ablate
1.78
3.40
3.16
0.80
0.75
0.16
00045321

A
Proctosigmoidoscopy volvul
1.75
NA
NA
0.86
0.71
0.13
00045327

A
Proctosigmoidoscopy w/stent
2.00
NA
NA
0.91
0.80
0.16
00045330

A
Diagnostic sigmoidoscopy
0.96
2.52
2.40
0.62
0.56
0.08
00045331

A
Sigmoidoscopy and biopsy
1.15
3.28
3.18
0.79
0.69
0.09
00045332

A
Sigmoidoscopy w/fb removal
1.79
5.54
5.27
0.99
0.90
0.16
00045333

A
Sigmoidoscopy & polypectomy
1.79
5.67
5.27
0.99
0.89
0.15
00045334

A
Sigmoidoscopy for bleeding
2.73
NA
NA
1.54
1.34
0.20
00045335

A
Sigmoidoscopy w/submuc inj
1.46
5.34
4.28
0.90
0.79
0.11
00045337

A
Sigmoidoscopy & decompress
2.36
NA
NA
1.25
1.12
0.21
00045338

A
Sigmoidoscopy w/tumr remove
2.34
5.91
5.57
1.28
1.14
0.19
00045339

A
Sigmoidoscopy w/ablate tumr
3.14
5.73
4.60
1.66
1.47
0.26
00045340

A
Sig w/balloon dilation
1.89
10.27
8.22
1.03
0.93
0.15
00045341

A
Sigmoidoscopy w/ultrasound
2.60
NA
NA
1.47
1.27
0.19
00045342

A
Sigmoidoscopy w/us guide bx
4.05
NA
NA
2.17
1.85
0.30
00045345

A
Sigmoidoscopy w/stent
2.92
NA
NA
1.50
1.33
0.23
00045355

A
Surgical colonoscopy
3.51
NA
NA
1.58
1.48
0.36
00045378

A
Diagnostic colonoscopy
3.69
6.39
6.27
1.82
1.65
0.30
00045378
53
A
Diagnostic colonoscopy
0.96
2.52
2.40
0.62
0.56
0.08
00045379

A
Colonoscopy w/fb removal
4.68
8.08
7.87
2.17
1.99
0.39
00045380

A
Colonoscopy and biopsy
4.43
7.76
7.48
2.24
1.99
0.35
00045381

A
Colonoscopy, submucous inj
4.19
7.73
7.42
2.16
1.90
0.30
00045382

A
Colonoscopy/control bleeding
5.68
10.36
10.15
2.89
2.54
0.41
00045383

A
Lesion removal colonoscopy
5.86
8.56
8.24
2.63
2.43
0.48
00045384

A
Lesion remove colonoscopy
4.69
7.20
7.00
2.18
2.01
0.38
00045385

A
Lesion removal colonoscopy
5.30
8.38
8.09
2.59
2.31
0.42
00045386

A
Colonoscopy dilate stricture
4.57
12.37
12.39
2.18
1.98
0.39
00045387

A
Colonoscopy w/stent
5.90
NA
NA
2.80
2.57
0.48
00045391

A
Colonoscopy w/endoscope us
5.09
NA
NA
2.60
2.29
0.42
00045392

A
Colonoscopy w/endoscopic fnb
6.54
NA
NA
3.21
2.85
0.42
00045395

A
Lap, removal of rectum
32.79
NA
NA
12.96
13.32
3.63
09045397

A
Lap, remove rectum w/pouch
36.29
NA
NA
13.40
13.83
3.67
09045400

A
Laparoscopic proc
19.31
NA
NA
7.08
7.46
2.03
09045402

A
Lap proctopexy w/sig resect
26.38
NA
NA
8.74
9.37
2.82
09045499

C
Laparoscope proc, rectum
0.00
0.00
0.00
0.00
0.00
0.00
YYY45500

A
Repair of rectum
7.64
NA
NA
4.46
4.00
0.75
09045505

A
Repair of rectum
8.20
NA
NA
5.04
4.45
0.86
09045520

A
Treatment of rectal prolapse
0.55
2.86
2.25
0.38
0.38
0.05
00045540

A
Correct rectal prolapse
18.02
NA
NA
5.84
6.32
1.85
09045541

A
Correct rectal prolapse
14.72
NA
NA
6.59
6.27
1.55
09045550

A
Repair rectum/remove sigmoid
24.67
NA
NA
8.96
9.09
2.62
09045560

A
Repair of rectocele
11.42
NA
NA
5.52
5.29
1.13
09045562

A
Exploration/repair of rectum
17.82
NA
NA
8.11
7.55
1.84
09045563

A
Exploration/repair of rectum
26.22
NA
NA
10.76
10.64
3.11
09045800

A
Repair rect/bladder fistula
20.18
NA
NA
9.15
8.29
1.86
09045805

A
Repair fistula w/colostomy
23.19
NA
NA
9.93
9.72
2.03
09045820

A
Repair rectourethral fistula
20.24
NA
NA
9.10
8.36
1.58
09045825

A
Repair fistula w/colostomy
24.01
NA
NA
9.47
9.64
2.32
09045900

A
Reduction of rectal prolapse
2.96
NA
NA
1.66
1.58
0.30
01045905

A
Dilation of anal sphincter
2.32
NA
NA
1.60
1.51
0.27
01045910

A
Dilation of rectal narrowing
2.82
NA
NA
1.85
1.75
0.30
01045915

A
Remove rectal obstruction
3.16
4.21
4.26
2.02
2.06
0.30
01045990

A
Surg dx exam, anorectal
1.80
NA
NA
0.72
0.76
0.17
000( print page 2622)45999

C
Rectum surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY46020

A
Placement of seton
2.94
3.26
2.80
2.35
2.10
0.31
01046030

A
Removal of rectal marker
1.24
1.89
1.62
0.81
0.76
0.14
01046040

A
Incision of rectal abscess
5.26
6.54
6.02
3.99
3.78
0.62
09046045

A
Incision of rectal abscess
5.79
NA
NA
3.94
3.42
0.54
09046050

A
Incision of anal abscess
1.21
3.20
2.87
0.98
0.91
0.14
01046060

A
Incision of rectal abscess
6.24
NA
NA
4.42
3.83
0.67
09046070

A
Incision of anal septum
2.74
NA
NA
2.35
2.09
0.36
09046080

A
Incision of anal sphincter
2.50
3.07
2.72
1.12
1.13
0.30
01046083

A
Incise external hemorrhoid
1.42
2.37
2.44
0.96
0.94
0.15
01046200

A
Removal of anal fissure
3.48
6.29
5.07
3.73
3.30
0.39
09046210

A
Removal of anal crypt
2.73
5.83
5.47
3.30
2.96
0.31
09046211

A
Removal of anal crypts
4.31
7.85
6.63
4.67
4.09
0.48
09046220

A
Removal of anal tag
1.58
3.02
2.66
1.10
1.02
0.17
01046221

A
Ligation of hemorrhoid(s)
2.31
3.73
3.19
2.00
1.87
0.23
01046230

A
Removal of anal tags
2.59
3.51
3.29
1.33
1.31
0.30
01046250

A
Hemorrhoidectomy
4.17
5.96
5.63
2.83
2.72
0.48
09046255

A
Hemorrhoidectomy
4.88
6.34
6.09
3.07
2.95
0.58
09046257

A
Remove hemorrhoids & fissure
5.68
NA
NA
3.85
3.36
0.64
09046258

A
Remove hemorrhoids & fistula
6.28
NA
NA
3.96
3.61
0.68
09046260

A
Hemorrhoidectomy
6.65
NA
NA
4.07
3.63
0.76
09046261

A
Remove hemorrhoids & fissure
7.63
NA
NA
4.30
3.95
0.79
09046262

A
Remove hemorrhoids & fistula
7.80
NA
NA
4.66
4.20
0.83
09046270

A
Removal of anal fistula
4.81
6.39
5.69
3.92
3.37
0.46
09046275

A
Removal of anal fistula
5.31
6.63
5.63
3.97
3.47
0.52
09046280

A
Removal of anal fistula
6.28
NA
NA
4.27
3.76
0.66
09046285

A
Removal of anal fistula
5.31
6.53
5.15
3.96
3.35
0.44
09046288

A
Repair anal fistula
7.68
NA
NA
4.68
4.17
0.79
09046320

A
Removal of hemorrhoid clot
1.62
2.41
2.27
0.88
0.86
0.18
01046500

A
Injection into hemorrhoid(s)
1.64
3.61
2.86
1.25
1.20
0.16
01046505

A
Chemodenervation anal musc
3.13
3.28
3.16
2.28
2.12
0.14
01046600

A
Diagnostic anoscopy
0.55
1.37
1.47
0.38
0.36
0.05
00046604

A
Anoscopy and dilation
1.03
12.52
10.83
0.51
0.56
0.12
00046606

A
Anoscopy and biopsy
1.20
3.88
3.83
0.58
0.50
0.09
00046608

A
Anoscopy, remove for body
1.30
3.76
4.08
0.58
0.61
0.16
00046610

A
Anoscopy, remove lesion
1.28
3.80
3.91
0.59
0.60
0.15
00046611

A
Anoscopy
1.30
2.53
2.93
0.57
0.67
0.19
00046612

A
Anoscopy, remove lesions
1.50
4.70
4.94
0.72
0.85
0.28
00046614

A
Anoscopy, control bleeding
1.00
1.93
2.13
0.52
0.68
0.20
00046615

A
Anoscopy
1.50
1.74
2.11
0.64
0.85
0.33
00046700

A
Repair of anal stricture
9.68
NA
NA
5.16
4.68
0.94
09046705

A
Repair of anal stricture
7.32
NA
NA
4.07
3.87
0.91
09046706

A
Repr of anal fistula w/glue
2.41
NA
NA
1.49
1.37
0.28
01046710

A
Repr per/vag pouch sngl proc
17.01
NA
NA
7.55
7.65
1.38
09046712

A
Repr per/vag pouch dbl proc
36.32
NA
NA
14.02
14.53
3.67
09046715

A
Rep perf anoper fistu
7.54
NA
NA
3.76
3.66
0.92
09046716

A
Rep perf anoper/vestib fistu
17.14
NA
NA
9.60
8.79
1.58
09046730

A
Construction of absent anus
30.17
NA
NA
12.50
12.26
2.47
09046735

A
Construction of absent anus
35.66
NA
NA
15.02
14.28
3.21
09046740

A
Construction of absent anus
33.42
NA
NA
15.30
14.26
2.42
09046742

A
Repair of imperforated anus
39.66
NA
NA
13.76
15.58
3.20
09046744

A
Repair of cloacal anomaly
58.46
NA
NA
18.15
19.64
6.40
09046746

A
Repair of cloacal anomaly
64.93
NA
NA
19.69
22.42
7.70
09046748

A
Repair of cloacal anomaly
70.91
NA
NA
21.06
22.35
3.37
09046750

A
Repair of anal sphincter
12.02
NA
NA
5.77
5.41
1.10
09046751

A
Repair of anal sphincter
9.19
NA
NA
5.02
5.22
0.94
09046753

A
Reconstruction of anus
8.81
NA
NA
4.59
4.22
0.94
09046754

A
Removal of suture from anus
2.88
3.64
3.61
2.21
1.94
0.19
01046760

A
Repair of anal sphincter
17.21
NA
NA
8.06
7.57
1.59
09046761

A
Repair of anal sphincter
15.16
NA
NA
6.47
6.24
1.43
09046762

A
Implant artificial sphincter
14.66
NA
NA
7.08
6.30
1.24
09046900

A
Destruction, anal lesion(s)
1.91
3.66
3.12
1.31
1.29
0.17
01046910

A
Destruction, anal lesion(s)
1.88
3.88
3.39
1.20
1.13
0.19
01046916

A
Cryosurgery, anal lesion(s)
1.88
3.77
3.46
1.58
1.48
0.11
01046917

A
Laser surgery, anal lesions
1.88
8.79
8.96
1.22
1.17
0.21
01046922

A
Excision of anal lesion(s)
1.88
4.14
3.71
1.20
1.13
0.22
01046924

A
Destruction, anal lesion(s)
2.78
9.58
9.14
1.52
1.43
0.26
01046934

A
Destruction of hemorrhoids
3.79
5.57
5.32
2.88
2.91
0.32
09046935

A
Destruction of hemorrhoids
2.44
3.86
3.66
1.11
1.16
0.23
01046936

A
Destruction of hemorrhoids
3.70
6.24
5.56
2.66
2.57
0.34
09046937

A
Cryotherapy of rectal lesion
2.70
3.41
3.09
1.43
1.32
0.14
01046938

A
Cryotherapy of rectal lesion
4.70
5.63
4.81
3.55
3.30
0.58
090( print page 2623)46940

A
Treatment of anal fissure
2.33
2.85
2.42
1.04
1.07
0.23
01046942

A
Treatment of anal fissure
2.05
2.80
2.32
0.96
0.99
0.19
01046945

A
Ligation of hemorrhoids
2.13
4.80
4.03
2.98
2.73
0.19
09046946

A
Ligation of hemorrhoids
2.60
4.64
4.18
2.65
2.52
0.27
09046947

A
Hemorrhoidopexy by stapling
5.49
NA
NA
3.11
2.91
0.75
09046999

C
Anus surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY47000

A
Needle biopsy of liver
1.90
7.67
5.37
0.70
0.66
0.12
00047001

A
Needle biopsy, liver add-on
1.90
NA
NA
0.48
0.57
0.25
ZZZ47010

A
Open drainage, liver lesion
19.27
NA
NA
8.32
8.36
1.81
09047011

A
Percut drain, liver lesion
3.69
NA
NA
1.32
1.26
0.22
00047015

A
Inject/aspirate liver cyst
18.37
NA
NA
8.17
7.83
1.84
09047100

A
Wedge biopsy of liver
12.78
NA
NA
6.32
6.18
1.53
09047120

A
Partial removal of liver
38.82
NA
NA
14.08
14.61
4.66
09047122

A
Extensive removal of liver
59.35
NA
NA
18.76
20.11
7.21
09047125

A
Partial removal of liver
52.91
NA
NA
17.18
18.35
6.47
09047130

A
Partial removal of liver
57.06
NA
NA
18.12
19.55
6.96
09047133

X
Removal of donor liver
0.00
0.00
0.00
0.00
0.00
0.00
XXX47135

R
Transplantation of liver
83.29
NA
NA
27.76
29.64
9.96
09047136

R
Transplantation of liver
70.39
NA
NA
24.56
25.80
8.44
09047140

A
Partial removal, donor liver
59.22
NA
NA
21.63
21.95
5.19
09047141

A
Partial removal, donor liver
71.27
NA
NA
25.36
26.14
5.19
09047142

A
Partial removal, donor liver
79.21
NA
NA
27.37
28.43
5.19
09047143

C
Prep donor liver, whole
0.00
0.00
0.00
0.00
0.00
0.00
XXX47144

C
Prep donor liver, 3-segment
0.00
0.00
0.00
0.00
0.00
0.00
09047145

C
Prep donor liver, lobe split
0.00
0.00
0.00
0.00
0.00
0.00
XXX47146

A
Prep donor liver/venous
6.00
NA
NA
1.52
1.79
0.83
XXX47147

A
Prep donor liver/arterial
7.00
NA
NA
1.77
2.08
0.97
XXX47300

A
Surgery for liver lesion
18.01
NA
NA
7.75
7.49
1.99
09047350

A
Repair liver wound
22.36
NA
NA
8.78
8.82
2.59
09047360

A
Repair liver wound
31.18
NA
NA
11.25
11.41
3.38
09047361

A
Repair liver wound
52.47
NA
NA
17.40
17.96
5.87
09047362

A
Repair liver wound
23.41
NA
NA
9.31
9.01
2.51
09047370

A
Laparo ablate liver tumor rf
20.67
NA
NA
7.70
7.91
2.56
09047371

A
Laparo ablate liver cryosurg
20.67
NA
NA
7.90
8.02
2.61
09047379

C
Laparoscope procedure, liver
0.00
0.00
0.00
0.00
0.00
0.00
YYY47380

A
Open ablate liver tumor rf
24.43
NA
NA
8.61
8.98
2.87
09047381

A
Open ablate liver tumor cryo
24.72
NA
NA
9.32
9.46
2.85
09047382

A
Percut ablate liver rf
15.19
NA
NA
6.21
6.14
0.96
01047399

C
Liver surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY47400

A
Incision of liver duct
36.23
NA
NA
13.02
13.23
3.08
09047420

A
Incision of bile duct
21.92
NA
NA
8.55
8.66
2.63
09047425

A
Incision of bile duct
22.20
NA
NA
8.65
8.73
2.62
09047460

A
Incise bile duct sphincter
20.41
NA
NA
9.14
8.75
2.21
09047480

A
Incision of gallbladder
13.12
NA
NA
6.64
6.28
1.42
09047490

A
Incision of gallbladder
8.05
NA
NA
5.30
5.43
0.43
09047500

A
Injection for liver x-rays
1.96
NA
NA
0.71
0.67
0.12
00047505

A
Injection for liver x-rays
0.76
NA
NA
0.27
0.26
0.04
00047510

A
Insert catheter, bile duct
7.94
NA
NA
4.63
4.82
0.46
09047511

A
Insert bile duct drain
10.74
NA
NA
5.05
5.06
0.62
09047525

A
Change bile duct catheter
5.55
14.87
14.98
2.69
2.75
0.33
01047530

A
Revise/reinsert bile tube
5.96
30.60
32.20
3.45
3.58
0.37
09047550

A
Bile duct endoscopy add-on
3.02
NA
NA
0.78
0.90
0.40
ZZZ47552

A
Biliary endoscopy thru skin
6.03
NA
NA
2.48
2.43
0.42
00047553

A
Biliary endoscopy thru skin
6.34
NA
NA
2.25
2.16
0.37
00047554

A
Biliary endoscopy thru skin
9.05
NA
NA
3.30
3.32
0.96
00047555

A
Biliary endoscopy thru skin
7.55
NA
NA
2.75
2.61
0.45
00047556

A
Biliary endoscopy thru skin
8.55
NA
NA
3.09
2.94
0.50
00047560

A
Laparoscopy w/cholangio
4.88
NA
NA
1.24
1.45
0.65
00047561

A
Laparo w/cholangio/biopsy
5.17
NA
NA
1.58
1.75
0.66
00047562

A
Laparoscopic cholecystectomy
11.63
NA
NA
5.27
5.13
1.46
09047563

A
Laparo cholecystectomy/graph
12.03
NA
NA
5.07
5.18
1.58
09047564

A
Laparo cholecystectomy/explr
14.21
NA
NA
5.42
5.68
1.89
09047570

A
Laparo cholecystoenterostomy
12.56
NA
NA
4.97
5.17
1.65
09047579

C
Laparoscope proc, biliary
0.00
0.00
0.00
0.00
0.00
0.00
YYY47600

A
Removal of gallbladder
17.35
NA
NA
7.22
6.68
1.80
09047605

A
Removal of gallbladder
15.90
NA
NA
6.39
6.44
1.95
09047610

A
Removal of gallbladder
20.84
NA
NA
7.66
7.79
2.49
09047612

A
Removal of gallbladder
21.13
NA
NA
7.68
7.78
2.48
09047620

A
Removal of gallbladder
22.99
NA
NA
8.16
8.34
2.74
09047630

A
Remove bile duct stone
9.57
NA
NA
4.73
4.81
0.65
09047700

A
Exploration of bile ducts
16.39
NA
NA
7.31
7.36
2.07
09047701

A
Bile duct revision
28.62
NA
NA
10.65
11.06
3.68
090( print page 2624)47711

A
Excision of bile duct tumor
25.77
NA
NA
9.65
9.78
3.05
09047712

A
Excision of bile duct tumor
33.59
NA
NA
11.66
12.04
3.93
09047715

A
Excision of bile duct cyst
21.42
NA
NA
8.61
8.52
2.49
09047720

A
Fuse gallbladder & bowel
18.21
NA
NA
7.71
7.59
2.11
09047721

A
Fuse upper gi structures
21.86
NA
NA
8.55
8.55
2.53
09047740

A
Fuse gallbladder & bowel
21.10
NA
NA
8.34
8.35
2.42
09047741

A
Fuse gallbladder & bowel
24.08
NA
NA
9.26
9.27
2.83
09047760

A
Fuse bile ducts and bowel
38.14
NA
NA
13.05
11.94
3.42
09047765

A
Fuse liver ducts & bowel
52.01
NA
NA
16.96
13.87
3.30
09047780

A
Fuse bile ducts and bowel
42.14
NA
NA
14.13
12.66
3.50
09047785

A
Fuse bile ducts and bowel
56.01
NA
NA
17.86
15.38
4.10
09047800

A
Reconstruction of bile ducts
26.04
NA
NA
9.78
9.91
3.08
09047801

A
Placement, bile duct support
17.47
NA
NA
8.44
8.29
1.16
09047802

A
Fuse liver duct & intestine
24.80
NA
NA
9.69
9.68
2.86
09047900

A
Suture bile duct injury
22.31
NA
NA
8.86
8.86
2.65
09047999

C
Bile tract surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY48000

A
Drainage of abdomen
31.82
NA
NA
10.87
11.18
3.48
09048001

A
Placement of drain, pancreas
39.56
NA
NA
12.77
13.32
4.69
09048020

A
Removal of pancreatic stone
18.96
NA
NA
7.60
7.45
2.13
09048100

A
Biopsy of pancreas, open
14.38
NA
NA
5.96
5.77
1.62
09048102

A
Needle biopsy, pancreas
4.68
9.62
8.78
1.91
1.93
0.28
01048105

A
Resect/debride pancreas
49.05
NA
NA
15.78
16.17
5.56
09048120

A
Removal of pancreas lesion
18.33
NA
NA
6.86
6.85
2.10
09048140

A
Partial removal of pancreas
26.19
NA
NA
9.38
9.46
3.03
09048145

A
Partial removal of pancreas
27.26
NA
NA
9.56
9.69
3.18
09048146

A
Pancreatectomy
30.42
NA
NA
11.94
11.96
3.50
09048148

A
Removal of pancreatic duct
20.26
NA
NA
8.21
7.90
2.30
09048150

A
Partial removal of pancreas
52.63
NA
NA
18.03
18.77
6.32
09048152

A
Pancreatectomy
48.47
NA
NA
16.84
17.52
5.80
09048153

A
Pancreatectomy
52.61
NA
NA
17.92
18.73
6.31
09048154

A
Pancreatectomy
48.70
NA
NA
17.07
17.64
5.84
09048155

A
Removal of pancreas
29.27
NA
NA
11.97
11.81
3.27
09048160

N
Pancreas removal/transplant
0.00
0.00
0.00
0.00
0.00
0.00
XXX48400

A
Injection, intraop add-on
1.95
NA
NA
0.66
0.65
0.15
ZZZ48500

A
Surgery of pancreatic cyst
18.03
NA
NA
7.67
7.50
2.03
09048510

A
Drain pancreatic pseudocyst
17.06
NA
NA
7.61
7.52
1.83
09048511

A
Drain pancreatic pseudocyst
3.99
20.20
20.55
1.43
1.37
0.24
00048520

A
Fuse pancreas cyst and bowel
18.07
NA
NA
6.83
6.76
2.06
09048540

A
Fuse pancreas cyst and bowel
21.86
NA
NA
7.80
7.95
2.61
09048545

A
Pancreatorrhaphy
22.10
NA
NA
8.42
8.20
2.38
09048547

A
Duodenal exclusion
30.25
NA
NA
10.29
10.38
3.42
09048548

A
Fuse pancreas and bowel
27.96
NA
NA
9.89
10.02
3.28
09048550

X
Donor pancreatectomy
0.00
0.00
0.00
0.00
0.00
0.00
XXX48551

C
Prep donor pancreas
0.00
0.00
0.00
0.00
0.00
0.00
XXX48552

A
Prep donor pancreas/venous
4.30
NA
NA
1.14
1.30
0.31
XXX48554

R
Transpl allograft pancreas
37.03
NA
NA
20.53
19.40
4.19
09048556

A
Removal, allograft pancreas
19.24
NA
NA
9.23
8.65
2.08
09048999

C
Pancreas surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY49000

A
Exploration of abdomen
12.44
NA
NA
5.21
5.29
1.52
09049002

A
Reopening of abdomen
17.55
NA
NA
6.39
5.70
1.37
09049010

A
Exploration behind abdomen
15.98
NA
NA
6.20
6.05
1.51
09049020

A
Drain abdominal abscess
26.46
NA
NA
9.89
10.04
2.85
09049021

A
Drain abdominal abscess
3.37
19.65
20.36
1.21
1.16
0.20
00049040

A
Drain, open, abdom abscess
16.41
NA
NA
6.52
6.47
1.70
09049041

A
Drain, percut, abdom abscess
3.99
19.93
19.73
1.43
1.37
0.24
00049060

A
Drain, open, retrop abscess
18.42
NA
NA
7.25
7.34
1.75
09049061

A
Drain, percut, retroper absc
3.69
19.76
19.70
1.33
1.27
0.22
00049062

A
Drain to peritoneal cavity
12.12
NA
NA
5.12
5.27
1.39
09049080

A
Puncture, peritoneal cavity
1.35
2.73
3.36
0.48
0.47
0.08
00049081

A
Removal of abdominal fluid
1.26
2.94
2.76
0.47
0.45
0.09
00049180

A
Biopsy, abdominal mass
1.73
2.48
2.79
0.62
0.59
0.10
00049203

A
Exc abd tum 5 cm or less
20.00
NA
NA
7.66
7.66
2.27
09049204

A
Exc abd tum over 5 cm
26.00
NA
NA
9.27
9.27
2.94
09049205

A
Exc abd tum over 10 cm
30.00
NA
NA
10.35
10.35
3.40
09049215

A
Excise sacral spine tumor
37.66
NA
NA
12.69
13.37
4.38
09049220

A
Multiple surgery, abdomen
15.70
NA
NA
6.46
6.54
1.89
09049250

A
Excision of umbilicus
8.93
NA
NA
4.34
4.30
1.08
09049255

A
Removal of omentum
12.41
NA
NA
5.63
5.62
1.43
09049320

A
Diag laparo separate proc
5.09
NA
NA
2.44
2.54
0.65
01049321

A
Laparoscopy, biopsy
5.39
NA
NA
2.56
2.60
0.70
01049322

A
Laparoscopy, aspiration
5.96
NA
NA
2.63
2.81
0.71
01049323

A
Laparo drain lymphocele
10.13
NA
NA
4.69
4.59
1.20
090( print page 2625)49324

A
Lap insertion perm ip cath
6.27
NA
NA
2.79
2.79
0.73
01049325

A
Lap revision perm ip cath
6.77
NA
NA
2.91
2.91
0.86
01049326

A
Lap w/omentopexy add-on
3.50
NA
NA
0.92
0.92
0.44
ZZZ49329

C
Laparo proc, abdm/per/oment
0.00
0.00
0.00
0.00
0.00
0.00
YYY49400

A
Air injection into abdomen
1.88
2.47
2.77
0.62
0.62
0.15
00049402

A
Remove foreign body, adbomen
14.01
NA
NA
5.52
5.51
1.62
09049419

A
Insrt abdom cath for chemotx
7.03
NA
NA
3.43
3.50
0.81
09049420

A
Insert abdom drain, temp
2.22
NA
NA
1.18
1.13
0.21
00049421

A
Insert abdom drain, perm
5.87
NA
NA
3.12
3.14
0.74
09049422

A
Remove perm cannula/catheter
6.26
NA
NA
2.61
2.75
0.83
01049423

A
Exchange drainage catheter
1.46
13.10
13.59
0.56
0.54
0.09
00049424

A
Assess cyst, contrast inject
0.76
3.08
3.40
0.30
0.30
0.04
00049425

A
Insert abdomen-venous drain
12.13
NA
NA
5.29
5.44
1.54
09049426

A
Revise abdomen-venous shunt
10.33
NA
NA
4.56
4.66
1.28
09049427

A
Injection, abdominal shunt
0.89
NA
NA
0.32
0.31
0.07
00049428

A
Ligation of shunt
6.79
NA
NA
3.00
3.46
0.80
01049429

A
Removal of shunt
7.41
NA
NA
2.99
3.21
1.02
01049435

A
Insert subq exten to ip cath
2.25
NA
NA
0.62
0.62
0.28
ZZZ49436

A
Embedded ip cath exit-site
2.69
NA
NA
1.66
1.66
0.28
01049440

A
Place gastrostomy tube perc
4.18
25.06
25.06
1.81
1.81
0.49
01049441

A
Place duod/jej tube perc
4.77
30.13
30.13
2.01
2.01
0.29
01049442

A
Place cecostomy tube perc
4.00
24.46
24.46
1.63
1.63
0.24
01049446

A
Change g-tube to g-j perc
3.31
25.78
25.78
1.15
1.15
0.18
00049450

A
Replace g/c tube perc
1.36
18.97
18.97
0.44
0.44
0.08
00049451

A
Replace duod/jej tube perc
1.84
19.71
19.71
0.64
0.64
0.11
00049452

A
Replace g-j tube perc
2.86
23.51
23.51
1.00
1.00
0.18
00049460

A
Fix g/colon tube w/device
0.96
20.59
20.59
0.31
0.31
0.05
00049465

A
Fluoro exam of g/colon tube
0.62
3.89
3.89
0.22
0.22
0.03
00049491

A
Rpr hern preemie reduc
12.42
NA
NA
4.62
4.83
1.40
09049492

A
Rpr ing hern premie, blocked
15.32
NA
NA
6.23
6.17
1.81
09049495

A
Rpr ing hernia baby, reduc
6.15
NA
NA
3.06
3.01
0.74
09049496

A
Rpr ing hernia baby, blocked
9.32
NA
NA
4.45
4.36
1.07
09049500

A
Rpr ing hernia, init, reduce
5.76
NA
NA
3.65
3.38
0.71
09049501

A
Rpr ing hernia, init blocked
9.28
NA
NA
4.27
4.23
1.12
09049505

A
Prp i/hern init reduc >5 yr
7.88
NA
NA
3.88
3.81
1.03
09049507

A
Prp i/hern init block >5 yr
9.97
NA
NA
4.45
4.45
1.27
09049520

A
Rerepair ing hernia, reduce
9.91
NA
NA
4.38
4.40
1.28
09049521

A
Rerepair ing hernia, blocked
12.36
NA
NA
4.98
5.11
1.59
09049525

A
Repair ing hernia, sliding
8.85
NA
NA
4.12
4.10
1.13
09049540

A
Repair lumbar hernia
10.66
NA
NA
4.58
4.66
1.37
09049550

A
Rpr rem hernia, init, reduce
8.91
NA
NA
4.11
4.12
1.14
09049553

A
Rpr fem hernia, init blocked
9.84
NA
NA
4.42
4.41
1.24
09049555

A
Rerepair fem hernia, reduce
9.31
NA
NA
4.20
4.23
1.20
09049557

A
Rerepair fem hernia, blocked
11.54
NA
NA
4.83
4.91
1.47
09049560

A
Rpr ventral hern init, reduc
11.84
NA
NA
4.88
5.01
1.52
09049561

A
Rpr ventral hern init, block
15.30
NA
NA
5.80
5.93
1.89
09049565

A
Rerepair ventrl hern, reduce
12.29
NA
NA
5.08
5.15
1.52
09049566

A
Rerepair ventrl hern, block
15.45
NA
NA
5.85
5.99
1.91
09049568

A
Hernia repair w/mesh
4.88
NA
NA
1.24
1.45
0.64
ZZZ49570

A
Rpr epigastric hern, reduce
5.97
NA
NA
3.38
3.27
0.75
09049572

A
Rpr epigastric hern, blocked
7.79
NA
NA
3.83
3.64
0.88
09049580

A
Rpr umbil hern, reduc < 5 yr
4.39
NA
NA
2.95
2.77
0.54
09049582

A
Rpr umbil hern, block < 5 yr
7.05
NA
NA
3.69
3.58
0.88
09049585

A
Rpr umbil hern, reduc > 5 yr
6.51
NA
NA
3.51
3.40
0.82
09049587

A
Rpr umbil hern, block > 5 yr
7.96
NA
NA
3.86
3.80
0.99
09049590

A
Repair spigelian hernia
8.82
NA
NA
4.09
4.08
1.13
09049600

A
Repair umbilical lesion
11.47
NA
NA
5.38
5.35
1.32
09049605

A
Repair umbilical lesion
86.85
NA
NA
27.59
28.05
9.39
09049606

A
Repair umbilical lesion
18.92
NA
NA
6.78
7.23
2.46
09049610

A
Repair umbilical lesion
10.83
NA
NA
5.29
5.24
1.07
09049611

A
Repair umbilical lesion
9.26
NA
NA
4.21
5.59
0.78
09049650

A
Laparo hernia repair initial
6.30
NA
NA
3.35
3.27
0.93
09049651

A
Laparo hernia repair recur
8.29
NA
NA
4.23
4.13
1.14
09049659

C
Laparo proc, hernia repair
0.00
0.00
0.00
0.00
0.00
0.00
YYY49900

A
Repair of abdominal wall
12.26
NA
NA
6.29
6.26
1.62
09049904

A
Omental flap, extra-abdom
22.16
NA
NA
11.89
13.55
2.70
09049905

A
Omental flap, intra-abdom
6.54
NA
NA
1.69
1.99
0.75
ZZZ49906

C
Free omental flap, microvasc
0.00
0.00
0.00
0.00
0.00
0.00
09049999

C
Abdomen surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY50010

A
Exploration of kidney
12.13
NA
NA
6.73
5.98
0.93
09050020

A
Renal abscess, open drain
17.88
NA
NA
8.49
8.12
1.34
09050021

A
Renal abscess, percut drain
3.37
21.11
21.39
1.22
1.16
0.20
000( print page 2626)50040

A
Drainage of kidney
16.48
NA
NA
8.83
7.82
1.03
09050045

A
Exploration of kidney
16.67
NA
NA
8.15
7.37
1.24
09050060

A
Removal of kidney stone
20.80
NA
NA
10.83
9.33
1.36
09050065

A
Incision of kidney
22.17
NA
NA
11.53
8.80
1.59
09050070

A
Incision of kidney
21.70
NA
NA
11.34
9.77
1.44
09050075

A
Removal of kidney stone
26.91
NA
NA
13.51
11.70
1.81
09050080

A
Removal of kidney stone
15.61
NA
NA
8.56
7.42
1.04
09050081

A
Removal of kidney stone
23.32
NA
NA
12.18
10.47
1.54
09050100

A
Revise kidney blood vessels
17.30
NA
NA
6.52
7.15
2.07
09050120

A
Exploration of kidney
17.06
NA
NA
9.12
7.94
1.21
09050125

A
Explore and drain kidney
17.67
NA
NA
9.72
8.34
1.43
09050130

A
Removal of kidney stone
18.67
NA
NA
10.06
8.61
1.22
09050135

A
Exploration of kidney
20.44
NA
NA
10.70
9.24
1.33
09050200

A
Biopsy of kidney
2.63
NA
NA
1.19
1.24
0.16
00050205

A
Biopsy of kidney
12.19
NA
NA
5.51
5.26
1.30
09050220

A
Remove kidney, open
18.53
NA
NA
9.52
8.38
1.35
09050225

A
Removal kidney open, complex
21.73
NA
NA
11.02
9.58
1.50
09050230

A
Removal kidney open, radical
23.68
NA
NA
11.65
10.11
1.55
09050234

A
Removal of kidney & ureter
23.90
NA
NA
12.04
10.44
1.59
09050236

A
Removal of kidney & ureter
26.74
NA
NA
13.92
12.08
1.77
09050240

A
Partial removal of kidney
24.01
NA
NA
12.61
10.81
1.55
09050250

A
Cryoablate renal mass open
22.06
NA
NA
11.49
10.33
1.39
09050280

A
Removal of kidney lesion
16.94
NA
NA
9.07
7.88
1.19
09050290

A
Removal of kidney lesion
16.00
NA
NA
7.74
7.10
1.41
09050300

X
Remove cadaver donor kidney
0.00
0.00
0.00
0.00
0.00
0.00
XXX50320

A
Remove kidney, living donor
22.28
NA
NA
12.31
11.48
2.36
09050323

C
Prep cadaver renal allograft
0.00
0.00
0.00
0.00
0.00
0.00
XXX50325

C
Prep donor renal graft
0.00
0.00
0.00
0.00
0.00
0.00
XXX50327

A
Prep renal graft/venous
4.00
NA
NA
1.10
1.22
0.29
XXX50328

A
Prep renal graft/arterial
3.50
NA
NA
0.98
1.08
0.26
XXX50329

A
Prep renal graft/ureteral
3.34
NA
NA
1.05
1.09
0.25
XXX50340

A
Removal of kidney
13.86
NA
NA
7.81
7.15
1.65
09050360

A
Transplantation of kidney
40.45
NA
NA
18.68
17.08
3.82
09050365

A
Transplantation of kidney
45.68
NA
NA
19.42
18.81
4.43
09050370

A
Remove transplanted kidney
18.68
NA
NA
9.19
8.17
1.68
09050380

A
Reimplantation of kidney
29.66
NA
NA
16.21
14.12
2.51
09050382

A
Change ureter stent, percut
5.50
26.38
31.26
2.05
1.96
0.34
00050384

A
Remove ureter stent, percut
5.00
20.68
27.96
1.86
1.78
0.31
00050385

A
Change stent via transureth
4.44
30.64
30.64
2.05
2.05
0.27
00050386

A
Remove stent via transureth
3.30
19.38
19.38
1.61
1.61
0.20
00050387

A
Change ext/int ureter stent
2.00
12.61
15.42
0.73
0.70
0.12
00050389

A
Remove renal tube w/fluoro
1.10
6.68
9.72
0.40
0.39
0.07
00050390

A
Drainage of kidney lesion
1.96
NA
NA
0.71
0.67
0.12
00050391

A
Instll rx agnt into rnal tub
1.96
1.38
1.48
0.72
0.67
0.14
00050392

A
Insert kidney drain
3.37
NA
NA
1.52
1.52
0.20
00050393

A
Insert ureteral tube
4.15
NA
NA
1.80
1.80
0.25
00050394

A
Injection for kidney x-ray
0.76
1.87
2.28
0.58
0.62
0.05
00050395

A
Create passage to kidney
3.37
NA
NA
1.57
1.53
0.21
00050396

A
Measure kidney pressure
2.09
NA
NA
1.08
1.08
0.13
00050398

A
Change kidney tube
1.46
11.85
14.08
0.57
0.54
0.09
00050400

A
Revision of kidney/ureter
21.12
NA
NA
10.95
9.41
1.38
09050405

A
Revision of kidney/ureter
25.68
NA
NA
12.91
10.97
1.79
09050500

A
Repair of kidney wound
21.07
NA
NA
8.70
8.54
2.02
09050520

A
Close kidney-skin fistula
18.73
NA
NA
9.25
8.34
1.49
09050525

A
Repair renal-abdomen fistula
24.21
NA
NA
11.80
10.40
1.84
09050526

A
Repair renal-abdomen fistula
26.13
NA
NA
8.16
9.01
1.97
09050540

A
Revision of horseshoe kidney
20.95
NA
NA
10.62
9.47
1.36
09050541

A
Laparo ablate renal cyst
16.76
NA
NA
8.70
7.59
1.13
09050542

A
Laparo ablate renal mass
21.18
NA
NA
11.18
9.66
1.39
09050543

A
Laparo partial nephrectomy
27.18
NA
NA
14.10
12.15
1.81
09050544

A
Laparoscopy, pyeloplasty
23.27
NA
NA
11.44
9.98
1.58
09050545

A
Laparo radical nephrectomy
24.93
NA
NA
12.15
10.67
1.71
09050546

A
Laparoscopic nephrectomy
21.69
NA
NA
11.29
9.83
1.57
09050547

A
Laparo removal donor kidney
26.24
NA
NA
12.48
11.79
2.77
09050548

A
Laparo remove w/ureter
25.26
NA
NA
12.12
10.65
1.73
09050549

C
Laparoscope proc, renal
0.00
0.00
0.00
0.00
0.00
0.00
YYY50551

A
Kidney endoscopy
5.59
4.60
4.37
2.65
2.31
0.40
00050553

A
Kidney endoscopy
5.98
4.50
4.43
2.63
2.40
0.39
00050555

A
Kidney endoscopy & biopsy
6.52
5.10
4.95
3.02
2.68
0.45
00050557

A
Kidney endoscopy & treatment
6.61
5.27
4.92
3.07
2.68
0.47
00050561

A
Kidney endoscopy & treatment
7.58
5.81
5.45
3.41
3.03
0.54
00050562

A
Renal scope w/tumor resect
10.90
NA
NA
5.36
4.84
0.73
090( print page 2627)50570

A
Kidney endoscopy
9.53
NA
NA
4.15
3.68
0.68
00050572

A
Kidney endoscopy
10.33
NA
NA
4.32
3.91
0.85
00050574

A
Kidney endoscopy & biopsy
11.00
NA
NA
4.79
4.27
0.77
00050575

A
Kidney endoscopy
13.96
NA
NA
5.96
5.29
0.99
00050576

A
Kidney endoscopy & treatment
10.97
NA
NA
4.78
4.22
0.78
00050580

A
Kidney endoscopy & treatment
11.84
NA
NA
5.10
4.53
0.83
00050590

A
Fragmenting of kidney stone
9.64
17.10
14.75
6.13
5.12
0.65
09050592

A
Perc rf ablate renal tumor
6.77
75.49
112.31
3.00
2.99
0.43
01050593

A
Perc cryo ablate renal tum
9.08
114.62
114.62
3.45
3.45
0.58
01050600

A
Exploration of ureter
17.04
NA
NA
8.51
7.59
1.13
09050605

A
Insert ureteral support
16.66
NA
NA
7.89
7.31
1.45
09050610

A
Removal of ureter stone
17.12
NA
NA
8.98
7.97
1.43
09050620

A
Removal of ureter stone
16.30
NA
NA
8.88
7.61
1.07
09050630

A
Removal of ureter stone
16.08
NA
NA
8.20
7.24
1.09
09050650

A
Removal of ureter
18.67
NA
NA
9.96
8.59
1.23
09050660

A
Removal of ureter
20.87
NA
NA
10.73
9.34
1.38
09050684

A
Injection for ureter x-ray
0.76
3.97
4.47
0.63
0.55
0.05
00050686

A
Measure ureter pressure
1.51
2.30
2.87
0.81
0.82
0.11
00050688

A
Change of ureter tube/stent
1.18
NA
NA
0.95
1.01
0.07
01050690

A
Injection for ureter x-ray
1.16
1.45
1.64
0.75
0.73
0.07
00050700

A
Revision of ureter
16.54
NA
NA
8.76
7.94
1.27
09050715

A
Release of ureter
20.49
NA
NA
8.54
8.64
2.14
09050722

A
Release of ureter
17.80
NA
NA
7.27
7.54
1.91
09050725

A
Release/revise ureter
20.05
NA
NA
8.82
8.43
1.52
09050727

A
Revise ureter
8.17
NA
NA
5.73
5.00
0.61
09050728

A
Revise ureter
12.00
NA
NA
6.75
6.15
1.00
09050740

A
Fusion of ureter & kidney
19.92
NA
NA
8.98
8.35
1.97
09050750

A
Fusion of ureter & kidney
21.07
NA
NA
11.08
9.53
1.38
09050760

A
Fusion of ureters
19.92
NA
NA
9.90
8.78
1.55
09050770

A
Splicing of ureters
21.07
NA
NA
10.88
9.43
1.45
09050780

A
Reimplant ureter in bladder
19.80
NA
NA
10.11
8.85
1.51
09050782

A
Reimplant ureter in bladder
19.51
NA
NA
9.89
9.33
1.61
09050783

A
Reimplant ureter in bladder
20.52
NA
NA
10.12
9.17
1.99
09050785

A
Reimplant ureter in bladder
22.08
NA
NA
11.20
9.74
1.45
09050800

A
Implant ureter in bowel
16.23
NA
NA
9.17
7.82
1.19
09050810

A
Fusion of ureter & bowel
22.38
NA
NA
10.58
9.83
2.32
09050815

A
Urine shunt to intestine
22.06
NA
NA
11.47
9.95
1.54
09050820

A
Construct bowel bladder
23.89
NA
NA
11.86
10.25
1.90
09050825

A
Construct bowel bladder
30.48
NA
NA
14.91
13.02
2.08
09050830

A
Revise urine flow
33.57
NA
NA
15.62
13.90
2.38
09050840

A
Replace ureter by bowel
22.19
NA
NA
11.93
10.18
1.47
09050845

A
Appendico-vesicostomy
22.21
NA
NA
12.07
10.48
1.57
09050860

A
Transplant ureter to skin
16.93
NA
NA
9.22
7.92
1.29
09050900

A
Repair of ureter
14.89
NA
NA
7.99
7.06
1.14
09050920

A
Closure ureter/skin fistula
15.66
NA
NA
8.52
7.54
1.01
09050930

A
Closure ureter/bowel fistula
20.04
NA
NA
9.49
8.73
1.28
09050940

A
Release of ureter
15.78
NA
NA
7.79
7.09
1.26
09050945

A
Laparoscopy ureterolithotomy
17.87
NA
NA
9.29
8.16
1.36
09050947

A
Laparo new ureter/bladder
25.63
NA
NA
12.29
10.99
2.17
09050948

A
Laparo new ureter/bladder
23.69
NA
NA
11.19
9.94
1.71
09050949

C
Laparoscope proc, ureter
0.00
0.00
0.00
0.00
0.00
0.00
YYY50951

A
Endoscopy of ureter
5.83
4.82
4.56
2.76
2.41
0.41
00050953

A
Endoscopy of ureter
6.23
4.93
4.67
3.22
2.79
0.43
00050955

A
Ureter endoscopy & biopsy
6.74
5.15
5.78
3.45
3.07
0.48
00050957

A
Ureter endoscopy & treatment
6.78
5.38
4.97
3.14
2.76
0.48
00050961

A
Ureter endoscopy & treatment
6.04
4.75
4.55
2.79
2.49
0.41
00050970

A
Ureter endoscopy
7.13
NA
NA
3.24
2.85
0.52
00050972

A
Ureter endoscopy & catheter
6.88
NA
NA
3.05
2.76
0.49
00050974

A
Ureter endoscopy & biopsy
9.16
NA
NA
3.77
3.44
0.64
00050976

A
Ureter endoscopy & treatment
9.03
NA
NA
3.85
3.46
0.66
00050980

A
Ureter endoscopy & treatment
6.84
NA
NA
3.12
2.75
0.48
00051020

A
Incise & treat bladder
7.56
NA
NA
5.39
4.62
0.47
09051030

A
Incise & treat bladder
7.68
NA
NA
4.90
4.43
0.58
09051040

A
Incise & drain bladder
4.43
NA
NA
3.69
3.23
0.31
09051045

A
Incise bladder/drain ureter
7.68
NA
NA
5.15
4.54
0.52
09051050

A
Removal of bladder stone
7.87
NA
NA
5.33
4.48
0.49
09051060

A
Removal of ureter stone
9.82
NA
NA
6.42
5.46
0.62
09051065

A
Remove ureter calculus
9.82
NA
NA
6.25
5.30
0.63
09051080

A
Drainage of bladder abscess
6.61
NA
NA
4.61
4.07
0.43
09051100

A
Drain bladder by needle
0.78
0.92
0.92
0.27
0.27
0.05
00051101

A
Drain bladder by trocar/cath
1.02
2.41
2.41
0.34
0.34
0.10
00051102

A
Drain bl w/cath insertion
4.27
4.75
4.75
2.37
2.37
0.28
010( print page 2628)51500

A
Removal of bladder cyst
10.92
NA
NA
5.76
5.38
1.03
09051520

A
Removal of bladder lesion
10.08
NA
NA
6.31
5.49
0.69
09051525

A
Removal of bladder lesion
15.29
NA
NA
8.47
7.30
0.99
09051530

A
Removal of bladder lesion
13.58
NA
NA
7.38
6.57
1.05
09051535

A
Repair of ureter lesion
13.77
NA
NA
7.38
6.74
1.23
09051550

A
Partial removal of bladder
17.10
NA
NA
8.71
7.72
1.31
09051555

A
Partial removal of bladder
23.03
NA
NA
11.36
10.01
1.70
09051565

A
Revise bladder & ureter(s)
23.50
NA
NA
12.12
10.54
1.63
09051570

A
Removal of bladder
27.31
NA
NA
13.49
11.62
1.72
09051575

A
Removal of bladder & nodes
34.00
NA
NA
16.45
14.24
2.17
09051580

A
Remove bladder/revise tract
35.14
NA
NA
17.59
15.04
2.25
09051585

A
Removal of bladder & nodes
39.41
NA
NA
19.26
16.48
2.49
09051590

A
Remove bladder/revise tract
36.15
NA
NA
17.25
14.93
2.28
09051595

A
Remove bladder/revise tract
41.12
NA
NA
19.58
16.85
2.60
09051596

A
Remove bladder/create pouch
44.01
NA
NA
21.20
18.21
2.78
09051597

A
Removal of pelvic structures
42.61
NA
NA
20.19
17.51
2.82
09051600

A
Injection for bladder x-ray
0.88
4.23
4.64
0.33
0.31
0.06
00051605

A
Preparation for bladder xray
0.64
NA
NA
0.43
0.39
0.04
00051610

A
Injection for bladder x-ray
1.05
1.91
2.10
0.71
0.65
0.07
00051700

A
Irrigation of bladder
0.88
1.50
1.55
0.34
0.31
0.06
00051701

A
Insert bladder catheter
0.50
1.04
1.31
0.24
0.22
0.04
00051702

A
Insert temp bladder cath
0.50
1.53
1.81
0.33
0.29
0.04
00051703

A
Insert bladder cath, complex
1.47
2.26
2.50
0.80
0.68
0.10
00051705

A
Change of bladder tube
1.03
2.02
2.15
0.85
0.73
0.07
01051710

A
Change of bladder tube
1.50
2.73
3.03
1.18
0.97
0.11
01051715

A
Endoscopic injection/implant
3.73
4.41
4.16
1.73
1.54
0.29
00051720

A
Treatment of bladder lesion
1.50
1.62
1.68
0.74
0.71
0.14
00051725

A
Simple cystometrogram
1.51
4.23
4.91
NA
NA
0.16
00051725
TC
A
Simple cystometrogram
0.00
3.68
4.39
NA
NA
0.04
00051725
26
A
Simple cystometrogram
1.51
0.55
0.52
0.55
0.52
0.12
00051726

A
Complex cystometrogram
1.71
7.11
7.31
NA
NA
0.18
00051726
TC
A
Complex cystometrogram
0.00
6.47
6.71
NA
NA
0.05
00051726
26
A
Complex cystometrogram
1.71
0.64
0.60
0.64
0.60
0.13
00051736

A
Urine flow measurement
0.61
0.94
0.76
NA
NA
0.06
00051736
TC
A
Urine flow measurement
0.00
0.70
0.54
NA
NA
0.01
00051736
26
A
Urine flow measurement
0.61
0.24
0.22
0.24
0.22
0.05
00051741

A
Electro-uroflowmetry, first
1.14
1.27
1.03
NA
NA
0.11
00051741
TC
A
Electro-uroflowmetry, first
0.00
0.83
0.62
NA
NA
0.02
00051741
26
A
Electro-uroflowmetry, first
1.14
0.44
0.41
0.44
0.41
0.09
00051772

A
Urethra pressure profile
1.61
5.06
5.32
NA
NA
0.20
00051772
TC
A
Urethra pressure profile
0.00
4.51
4.77
NA
NA
0.05
00051772
26
A
Urethra pressure profile
1.61
0.55
0.55
0.55
0.55
0.15
00051784

A
Anal/urinary muscle study
1.53
4.12
4.05
NA
NA
0.16
00051784
TC
A
Anal/urinary muscle study
0.00
3.56
3.52
NA
NA
0.04
00051784
26
A
Anal/urinary muscle study
1.53
0.56
0.53
0.56
0.53
0.12
00051785

A
Anal/urinary muscle study
1.53
4.55
4.50
NA
NA
0.15
00051785
TC
A
Anal/urinary muscle study
0.00
3.99
3.97
NA
NA
0.04
00051785
26
A
Anal/urinary muscle study
1.53
0.56
0.53
0.56
0.53
0.11
00051792

A
Urinary reflex study
1.10
5.05
5.52
NA
NA
0.20
00051792
TC
A
Urinary reflex study
0.00
4.66
5.12
NA
NA
0.13
00051792
26
A
Urinary reflex study
1.10
0.39
0.40
0.39
0.40
0.07
00051795

A
Urine voiding pressure study
1.53
6.72
7.00
NA
NA
0.22
00051795
TC
A
Urine voiding pressure study
0.00
6.15
6.47
NA
NA
0.10
00051795
26
A
Urine voiding pressure study
1.53
0.57
0.53
0.57
0.53
0.12
00051797

A
Intraabdominal pressure test
0.80
2.44
4.11
NA
NA
0.17
ZZZ51797
TC
A
Intraabdominal pressure test
0.00
2.14
3.70
NA
NA
0.05
ZZZ51797
26
A
Intraabdominal pressure test
0.80
0.30
0.41
0.30
0.41
0.12
ZZZ51798

A
Us urine capacity measure
0.00
0.59
0.47
NA
NA
0.08
XXX51800

A
Revision of bladder/urethra
18.74
NA
NA
9.72
8.64
1.32
09051820

A
Revision of urinary tract
19.41
NA
NA
9.75
9.02
1.75
09051840

A
Attach bladder/urethra
11.28
NA
NA
5.76
5.66
1.06
09051841

A
Attach bladder/urethra
13.60
NA
NA
6.86
6.62
1.24
09051845

A
Repair bladder neck
10.07
NA
NA
5.89
5.31
0.79
09051860

A
Repair of bladder wound
12.49
NA
NA
6.73
6.25
1.16
09051865

A
Repair of bladder wound
15.69
NA
NA
8.33
7.50
1.23
09051880

A
Repair of bladder opening
7.81
NA
NA
4.73
4.34
0.72
09051900

A
Repair bladder/vagina lesion
14.48
NA
NA
7.98
7.02
1.21
09051920

A
Close bladder-uterus fistula
13.26
NA
NA
8.04
6.84
1.18
09051925

A
Hysterectomy/bladder repair
17.35
NA
NA
12.42
10.51
2.04
09051940

A
Correction of bladder defect
30.48
NA
NA
11.73
11.91
2.15
09051960

A
Revision of bladder & bowel
25.20
NA
NA
12.89
11.27
1.63
09051980

A
Construct bladder opening
12.44
NA
NA
7.07
6.22
0.86
090( print page 2629)51990

A
Laparo urethral suspension
13.26
NA
NA
5.93
6.04
1.39
09051992

A
Laparo sling operation
14.77
NA
NA
6.51
6.36
1.41
09051999

C
Laparoscope proc, bla
0.00
0.00
0.00
0.00
0.00
0.00
YYY52000

A
Cystoscopy
2.23
3.66
3.48
1.31
1.03
0.14
00052001

A
Cystoscopy, removal of clots
5.44
5.05
5.06
2.57
2.22
0.39
00052005

A
Cystoscopy & ureter catheter
2.37
5.73
5.65
1.37
1.13
0.17
00052007

A
Cystoscopy and biopsy
3.02
10.71
13.58
1.62
1.38
0.22
00052010

A
Cystoscopy & duct catheter
3.02
8.08
9.42
1.62
1.38
0.21
00052204

A
Cystoscopy w/biopsy(s)
2.59
8.31
11.41
1.38
1.14
0.17
00052214

A
Cystoscopy and treatment
3.70
19.89
29.01
1.83
1.58
0.26
00052224

A
Cystoscopy and treatment
3.14
19.07
27.77
1.60
1.38
0.22
00052234

A
Cystoscopy and treatment
4.62
NA
NA
2.27
1.96
0.33
00052235

A
Cystoscopy and treatment
5.44
NA
NA
2.64
2.29
0.39
00052240

A
Cystoscopy and treatment
9.71
NA
NA
4.34
3.82
0.69
00052250

A
Cystoscopy and radiotracer
4.49
NA
NA
2.30
1.97
0.32
00052260

A
Cystoscopy and treatment
3.91
NA
NA
1.93
1.67
0.28
00052265

A
Cystoscopy and treatment
2.94
7.49
10.42
1.47
1.29
0.22
00052270

A
Cystoscopy & revise urethra
3.36
7.02
9.03
1.74
1.49
0.24
00052275

A
Cystoscopy & revise urethra
4.69
9.30
12.43
2.27
1.96
0.33
00052276

A
Cystoscopy and treatment
4.99
NA
NA
2.44
2.11
0.35
00052277

A
Cystoscopy and treatment
6.16
NA
NA
2.90
2.56
0.44
00052281

A
Cystoscopy and treatment
2.80
5.29
6.19
1.54
1.31
0.20
00052282

A
Cystoscopy, implant stent
6.39
NA
NA
2.96
2.60
0.45
00052283

A
Cystoscopy and treatment
3.73
4.06
4.00
1.86
1.62
0.26
00052285

A
Cystoscopy and treatment
3.60
4.33
4.17
1.83
1.58
0.26
00052290

A
Cystoscopy and treatment
4.58
NA
NA
2.26
1.95
0.32
00052300

A
Cystoscopy and treatment
5.30
NA
NA
2.56
2.23
0.38
00052301

A
Cystoscopy and treatment
5.50
NA
NA
2.68
2.33
0.46
00052305

A
Cystoscopy and treatment
5.30
NA
NA
2.49
2.17
0.38
00052310

A
Cystoscopy and treatment
2.81
4.00
4.35
1.43
1.23
0.20
00052315

A
Cystoscopy and treatment
5.20
6.63
7.65
2.47
2.15
0.37
00052317

A
Remove bladder stone
6.71
17.07
23.01
2.99
2.64
0.48
00052318

A
Remove bladder stone
9.18
NA
NA
4.04
3.57
0.65
00052320

A
Cystoscopy and treatment
4.69
NA
NA
2.21
1.92
0.33
00052325

A
Cystoscopy, stone removal
6.15
NA
NA
2.78
2.45
0.44
00052327

A
Cystoscopy, inject material
5.18
2.04
16.94
2.04
1.93
0.37
00052330

A
Cystoscopy and treatment
5.03
20.41
29.63
2.35
2.05
0.36
00052332

A
Cystoscopy and treatment
2.83
12.42
9.08
1.55
1.30
0.21
00052334

A
Create passage to kidney
4.82
NA
NA
2.33
2.03
0.35
00052341

A
Cysto w/ureter stricture tx
6.11
NA
NA
3.04
2.63
0.43
00052342

A
Cysto w/up stricture tx
6.61
NA
NA
3.25
2.80
0.46
00052343

A
Cysto w/renal stricture tx
7.31
NA
NA
3.49
3.04
0.51
00052344

A
Cysto/uretero, stricture tx
7.81
NA
NA
3.90
3.35
0.55
00052345

A
Cysto/uretero w/up stricture
8.31
NA
NA
4.11
3.53
0.58
00052346

A
Cystouretero w/renal strict
9.34
NA
NA
4.51
3.90
0.65
00052351

A
Cystouretero & or pyeloscope
5.85
NA
NA
2.95
2.55
0.41
00052352

A
Cystouretero w/stone remove
6.87
NA
NA
3.46
2.98
0.49
00052353

A
Cystouretero w/lithotripsy
7.96
NA
NA
3.90
3.38
0.57
00052354

A
Cystouretero w/biopsy
7.33
NA
NA
3.64
3.16
0.52
00052355

A
Cystouretero w/excise tumor
8.81
NA
NA
4.24
3.69
0.63
00052400

A
Cystouretero w/congen repr
10.06
NA
NA
5.39
4.56
0.68
09052402

A
Cystourethro cut ejacul duct
5.27
NA
NA
2.15
1.92
0.40
00052450

A
Incision of prostate
7.63
NA
NA
5.48
4.58
0.54
09052500

A
Revision of bladder neck
9.39
NA
NA
6.18
5.05
0.60
09052601

A
Prostatectomy (TURP)
15.13
NA
NA
8.43
6.76
0.87
09052606

A
Control postop bleeding
8.84
NA
NA
5.48
4.52
0.57
09052612

A
Prostatectomy, first stage
9.07
NA
NA
5.88
4.81
0.56
09052614

A
Prostatectomy, second stage
7.81
NA
NA
5.37
4.36
0.48
09052620

A
Remove residual prostate
7.19
NA
NA
4.61
3.80
0.47
09052630

A
Remove prostate regrowth
7.65
NA
NA
4.80
3.99
0.51
09052640

A
Relieve bladder contracture
6.89
NA
NA
4.41
3.69
0.47
09052647

A
Laser surgery of prostate
11.15
41.95
57.97
6.89
5.71
0.73
09052648

A
Laser surgery of prostate
12.00
42.49
58.24
7.22
6.00
0.79
09052649

A
2Prostate laser enucleation
17.16
NA
NA
9.32
9.32
1.11
09052700

A
Drainage of prostate abscess
7.39
NA
NA
4.90
4.04
0.48
09053000

A
Incision of urethra
2.30
NA
NA
1.78
1.66
0.16
01053010

A
Incision of urethra
4.35
NA
NA
3.83
3.37
0.24
09053020

A
Incision of urethra
1.77
NA
NA
0.95
0.81
0.13
00053025

A
Incision of urethra
1.13
NA
NA
0.82
0.66
0.08
00053040

A
Drainage of urethra abscess
6.49
NA
NA
4.40
3.92
0.45
09053060

A
Drainage of urethra abscess
2.65
2.09
2.09
1.54
1.45
0.28
01053080

A
Drainage of urinary leakage
6.82
NA
NA
4.97
5.46
0.52
090( print page 2630)53085

A
Drainage of urinary leakage
11.05
NA
NA
4.41
5.91
0.92
09053200

A
Biopsy of urethra
2.59
1.70
1.51
1.29
1.14
0.20
00053210

A
Removal of urethra
13.59
NA
NA
7.76
6.80
0.89
09053215

A
Removal of urethra
16.72
NA
NA
9.12
7.88
1.10
09053220

A
Treatment of urethra lesion
7.53
NA
NA
4.98
4.35
0.49
09053230

A
Removal of urethra lesion
10.31
NA
NA
6.37
5.54
0.73
09053235

A
Removal of urethra lesion
10.86
NA
NA
6.92
5.91
0.72
09053240

A
Surgery for urethra pouch
6.98
NA
NA
4.87
4.20
0.52
09053250

A
Removal of urethra gland
6.42
NA
NA
4.38
3.84
0.49
09053260

A
Treatment of urethra lesion
3.00
2.45
2.35
1.84
1.63
0.25
01053265

A
Treatment of urethra lesion
3.14
2.94
2.82
1.98
1.70
0.24
01053270

A
Removal of urethra gland
3.11
2.46
2.33
1.84
1.69
0.30
01053275

A
Repair of urethra defect
4.54
NA
NA
2.77
2.51
0.32
01053400

A
Revise urethra, stage 1
13.98
NA
NA
8.17
7.10
0.98
09053405

A
Revise urethra, stage 2
15.51
NA
NA
8.69
7.50
1.10
09053410

A
Reconstruction of urethra
17.53
NA
NA
9.68
8.36
1.16
09053415

A
Reconstruction of urethra
20.55
NA
NA
10.70
9.01
1.37
09053420

A
Reconstruct urethra, stage 1
15.04
NA
NA
7.12
6.70
0.96
09053425

A
Reconstruct urethra, stage 2
16.94
NA
NA
9.00
7.94
1.13
09053430

A
Reconstruction of urethra
17.30
NA
NA
8.81
7.90
1.15
09053431

A
Reconstruct urethra/bladder
21.03
NA
NA
10.98
9.52
1.41
09053440

A
Male sling procedure
15.34
NA
NA
9.19
7.58
0.96
09053442

A
Remove/revise male sling
13.29
NA
NA
8.36
6.90
0.82
09053444

A
Insert tandem cuff
14.06
NA
NA
8.02
6.95
0.94
09053445

A
Insert uro/ves nck sphincter
15.21
NA
NA
8.75
7.92
0.99
09053446

A
Remove uro sphincter
10.89
NA
NA
7.00
6.11
0.72
09053447

A
Remove/replace ur sphincter
14.15
NA
NA
8.38
7.40
0.95
09053448

A
Remov/replc ur sphinctr comp
23.26
NA
NA
12.33
10.69
1.50
09053449

A
Repair uro sphincter
10.43
NA
NA
6.61
5.66
0.68
09053450

A
Revision of urethra
6.67
NA
NA
4.75
4.02
0.43
09053460

A
Revision of urethra
7.65
NA
NA
5.05
4.37
0.50
09053500

A
Urethrlys, transvag w/ scope
12.87
NA
NA
7.41
6.81
0.90
09053502

A
Repair of urethra injury
8.16
NA
NA
5.10
4.54
0.62
09053505

A
Repair of urethra injury
8.16
NA
NA
5.38
4.62
0.54
09053510

A
Repair of urethra injury
10.83
NA
NA
6.83
6.00
0.74
09053515

A
Repair of urethra injury
14.09
NA
NA
7.96
6.95
1.05
09053520

A
Repair of urethra defect
9.35
NA
NA
6.20
5.34
0.61
09053600

A
Dilate urethra stricture
1.21
1.15
1.14
0.57
0.50
0.09
00053601

A
Dilate urethra stricture
0.98
1.36
1.32
0.52
0.44
0.07
00053605

A
Dilate urethra stricture
1.28
NA
NA
0.51
0.46
0.09
00053620

A
Dilate urethra stricture
1.62
1.70
1.85
0.83
0.71
0.11
00053621

A
Dilate urethra stricture
1.35
1.81
1.94
0.67
0.58
0.10
00053660

A
Dilation of urethra
0.71
1.32
1.31
0.45
0.38
0.05
00053661

A
Dilation of urethra
0.72
1.29
1.30
0.41
0.35
0.05
00053665

A
Dilation of urethra
0.76
NA
NA
0.27
0.26
0.06
00053850

A
Prostatic microwave thermotx
9.98
49.25
71.68
5.86
4.90
0.67
09053852

A
Prostatic rf thermotx
10.68
46.37
67.60
6.66
5.51
0.70
09053853

A
Prostatic water thermother
5.54
29.10
42.24
4.35
3.60
0.37
09053899

C
Urology surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY54000

A
Slitting of prepuce
1.56
2.70
2.80
1.48
1.20
0.11
01054001

A
Slitting of prepuce
2.21
3.06
3.12
1.67
1.39
0.15
01054015

A
Drain penis lesion
5.33
NA
NA
3.21
2.88
0.38
01054050

A
Destruction, penis lesion(s)
1.26
2.10
1.88
1.39
1.21
0.08
01054055

A
Destruction, penis lesion(s)
1.23
1.97
1.77
1.23
1.02
0.08
01054056

A
Cryosurgery, penis lesion(s)
1.26
2.37
2.03
1.53
1.33
0.06
01054057

A
Laser surg, penis lesion(s)
1.26
2.63
2.42
1.37
1.10
0.09
01054060

A
Excision of penis lesion(s)
1.95
3.09
3.10
1.64
1.35
0.13
01054065

A
Destruction, penis lesion(s)
2.44
3.30
2.97
2.00
1.61
0.13
01054100

A
Biopsy of penis
1.90
3.35
3.08
1.36
1.09
0.10
00054105

A
Biopsy of penis
3.51
3.98
4.13
2.43
2.18
0.25
01054110

A
Treatment of penis lesion
10.79
NA
NA
6.72
5.74
0.72
09054111

A
Treat penis lesion, graft
14.29
NA
NA
8.03
6.90
0.96
09054112

A
Treat penis lesion, graft
16.83
NA
NA
9.31
8.05
1.11
09054115

A
Treatment of penis lesion
6.82
5.76
5.07
4.94
4.20
0.43
09054120

A
Partial removal of penis
10.88
NA
NA
6.72
5.70
0.68
09054125

A
Removal of penis
14.43
NA
NA
8.07
6.95
0.95
09054130

A
Remove penis & nodes
21.66
NA
NA
11.58
9.87
1.52
09054135

A
Remove penis & nodes
27.99
NA
NA
14.11
12.14
1.88
09054150

A
Circumcision w/regionl block
1.90
2.40
3.13
0.73
0.73
0.16
00054160

A
Circumcision, neonate
2.50
3.80
3.97
1.48
1.28
0.19
01054161

A
Circum 28 days or older
3.29
NA
NA
2.20
1.88
0.23
01054162

A
Lysis penil circumic lesion
3.27
4.01
4.33
2.26
1.85
0.21
010( print page 2631)54163

A
Repair of circumcision
3.27
NA
NA
2.85
2.43
0.21
01054164

A
Frenulotomy of penis
2.77
NA
NA
2.66
2.25
0.18
01054200

A
Treatment of penis lesion
1.08
2.02
1.91
1.30
1.14
0.08
01054205

A
Treatment of penis lesion
8.84
NA
NA
6.06
5.37
0.56
09054220

A
Treatment of penis lesion
2.42
3.32
3.58
1.35
1.15
0.17
00054230

A
Prepare penis study
1.34
1.40
1.24
0.91
0.77
0.09
00054231

A
Dynamic cavernosometry
2.04
1.97
1.67
1.24
1.06
0.16
00054235

A
Penile injection
1.19
1.39
1.17
0.89
0.73
0.08
00054240

A
Penis study
1.31
1.51
1.26
NA
NA
0.17
00054240
TC
A
Penis study
0.00
1.03
0.81
NA
NA
0.06
00054240
26
A
Penis study
1.31
0.48
0.45
0.48
0.45
0.11
00054250

A
Penis study
2.22
1.22
1.06
NA
NA
0.18
00054250
TC
A
Penis study
0.00
0.37
0.28
NA
NA
0.02
00054250
26
A
Penis study
2.22
0.85
0.78
0.85
0.78
0.16
00054300

A
Revision of penis
11.07
NA
NA
6.70
6.14
0.76
09054304

A
Revision of penis
13.15
NA
NA
7.80
7.06
0.88
09054308

A
Reconstruction of urethra
12.49
NA
NA
4.76
5.36
0.84
09054312

A
Reconstruction of urethra
14.36
NA
NA
8.87
7.93
1.24
09054316

A
Reconstruction of urethra
17.90
NA
NA
9.94
8.94
1.21
09054318

A
Reconstruction of urethra
12.28
NA
NA
4.83
5.31
1.39
09054322

A
Reconstruction of urethra
13.85
NA
NA
7.94
7.20
0.92
09054324

A
Reconstruction of urethra
17.40
NA
NA
9.75
8.85
1.14
09054326

A
Reconstruction of urethra
16.87
NA
NA
9.16
8.47
1.11
09054328

A
Revise penis/urethra
16.74
NA
NA
9.48
8.36
0.98
09054332

A
Revise penis/urethra
18.22
NA
NA
10.07
8.90
1.21
09054336

A
Revise penis/urethra
21.44
NA
NA
7.31
8.80
2.21
09054340

A
Secondary urethral surgery
9.58
NA
NA
6.36
5.70
0.63
09054344

A
Secondary urethral surgery
16.91
NA
NA
9.54
8.64
1.54
09054348

A
Secondary urethral surgery
18.17
NA
NA
10.13
9.23
1.23
09054352

A
Reconstruct urethra/penis
25.95
NA
NA
14.00
12.59
2.25
09054360

A
Penis plastic surgery
12.65
NA
NA
7.45
6.74
0.84
09054380

A
Repair penis
14.03
NA
NA
8.04
7.32
0.93
09054385

A
Repair penis
16.38
NA
NA
11.31
9.78
0.86
09054390

A
Repair penis and bladder
22.59
NA
NA
7.42
8.42
1.54
09054400

A
Insert semi-rigid prosthesis
9.09
NA
NA
5.75
5.05
0.64
09054401

A
Insert self-contd prosthesis
10.26
NA
NA
8.15
6.94
0.73
09054405

A
Insert multi-comp penis pros
14.39
NA
NA
8.12
7.02
0.95
09054406

A
Remove muti-comp penis pros
12.76
NA
NA
7.60
6.51
0.86
09054408

A
Repair multi-comp penis pros
13.73
NA
NA
8.25
6.99
0.90
09054410

A
Remove/replace penis prosth
16.48
NA
NA
9.35
7.98
1.10
09054411

A
Remov/replc penis pros, comp
18.14
NA
NA
10.41
8.72
1.13
09054415

A
Remove self-contd penis pros
8.75
NA
NA
6.00
5.10
0.58
09054416

A
Remv/repl penis contain pros
11.87
NA
NA
7.90
6.64
0.77
09054417

A
Remv/replc penis pros, compl
15.94
NA
NA
9.10
7.63
1.00
09054420

A
Revision of penis
12.26
NA
NA
7.39
6.48
0.81
09054430

A
Revision of penis
10.93
NA
NA
6.97
6.03
0.72
09054435

A
Revision of penis
6.71
NA
NA
4.99
4.30
0.43
09054440

C
Repair of penis
0.00
0.00
0.00
0.00
0.00
0.00
09054450

A
Preputial stretching
1.12
0.85
0.90
0.48
0.46
0.08
00054500

A
Biopsy of testis
1.31
NA
NA
0.76
0.66
0.10
00054505

A
Biopsy of testis
3.47
NA
NA
2.44
2.18
0.27
01054512

A
Excise lesion testis
9.23
NA
NA
5.67
4.90
0.67
09054520

A
Removal of testis
5.25
NA
NA
3.72
3.25
0.50
09054522

A
Orchiectomy, partial
10.15
NA
NA
5.59
5.22
0.89
09054530

A
Removal of testis
9.31
NA
NA
6.06
5.15
0.66
09054535

A
Extensive testis surgery
13.06
NA
NA
6.91
6.22
0.95
09054550

A
Exploration for testis
8.31
NA
NA
5.21
4.51
0.59
09054560

A
Exploration for testis
11.97
NA
NA
6.87
6.01
0.90
09054600

A
Reduce testis torsion
7.54
NA
NA
5.11
4.33
0.51
09054620

A
Suspension of testis
5.16
NA
NA
3.22
2.83
0.37
01054640

A
Suspension of testis
7.57
NA
NA
5.35
4.54
0.62
09054650

A
Orchiopexy (Fowler-Stephens)
12.24
NA
NA
5.66
5.53
1.16
09054660

A
Revision of testis
5.64
NA
NA
4.35
3.67
0.44
09054670

A
Repair testis injury
6.57
NA
NA
4.79
4.16
0.47
09054680

A
Relocation of testis(es)
13.91
NA
NA
7.70
6.92
1.16
09054690

A
Laparoscopy, orchiectomy
11.60
NA
NA
5.59
5.26
1.02
09054692

A
Laparoscopy, orchiopexy
13.64
NA
NA
7.56
6.49
1.30
09054699

C
Laparoscope proc, testis
0.00
0.00
0.00
0.00
0.00
0.00
YYY54700

A
Drainage of scrotum
3.44
NA
NA
2.37
2.16
0.28
01054800

A
Biopsy of epididymis
2.33
NA
NA
1.22
1.06
0.23
00054830

A
Remove epididymis lesion
5.91
NA
NA
4.43
3.72
0.41
09054840

A
Remove epididymis lesion
5.22
NA
NA
3.80
3.29
0.37
090( print page 2632)54860

A
Removal of epididymis
6.85
NA
NA
4.87
4.09
0.45
09054861

A
Removal of epididymis
9.57
NA
NA
6.25
5.28
0.63
09054865

A
Explore epididymis
5.67
NA
NA
4.26
3.60
0.40
09054900

A
Fusion of spermatic ducts
14.05
NA
NA
5.24
5.52
0.93
09054901

A
Fusion of spermatic ducts
18.92
NA
NA
10.51
9.01
1.83
09055000

A
Drainage of hydrocele
1.43
1.85
1.96
0.91
0.78
0.11
00055040

A
Removal of hydrocele
5.39
NA
NA
3.96
3.42
0.43
09055041

A
Removal of hydroceles
8.41
NA
NA
5.68
4.82
0.60
09055060

A
Repair of hydrocele
6.05
NA
NA
4.45
3.76
0.46
09055100

A
Drainage of scrotum abscess
2.40
3.49
3.58
2.11
1.83
0.17
01055110

A
Explore scrotum
6.23
NA
NA
4.48
3.80
0.43
09055120

A
Removal of scrotum lesion
5.62
NA
NA
4.21
3.58
0.39
09055150

A
Removal of scrotum
8.01
NA
NA
5.45
4.64
0.56
09055175

A
Revision of scrotum
5.77
NA
NA
4.34
3.67
0.37
09055180

A
Revision of scrotum
11.63
NA
NA
7.27
6.32
0.90
09055200

A
Incision of sperm duct
4.50
8.01
10.17
3.30
2.84
0.33
09055250

A
Removal of sperm duct(s)
3.32
7.83
9.65
3.06
2.64
0.25
09055300

A
Prepare, sperm duct x-ray
3.50
NA
NA
1.75
1.53
0.25
00055400

A
Repair of sperm duct
8.53
NA
NA
5.41
4.73
0.64
09055450

A
Ligation of sperm duct
4.38
5.46
6.23
2.57
2.22
0.29
01055500

A
Removal of hydrocele
6.12
NA
NA
4.20
3.64
0.55
09055520

A
Removal of sperm cord lesion
6.56
NA
NA
3.82
3.53
0.75
09055530

A
Revise spermatic cord veins
5.69
NA
NA
4.09
3.55
0.45
09055535

A
Revise spermatic cord veins
7.09
NA
NA
4.83
4.11
0.47
09055540

A
Revise hernia & sperm veins
8.20
NA
NA
4.25
4.02
0.94
09055550

A
Laparo ligate spermatic vein
7.10
NA
NA
4.55
3.92
0.57
09055559

C
Laparo proc, spermatic cord
0.00
0.00
0.00
0.00
0.00
0.00
YYY55600

A
Incise sperm duct pouch
6.91
NA
NA
4.90
4.11
0.62
09055605

A
Incise sperm duct pouch
8.63
NA
NA
4.63
4.45
0.64
09055650

A
Remove sperm duct pouch
12.52
NA
NA
7.40
6.33
0.92
09055680

A
Remove sperm pouch lesion
5.59
NA
NA
3.93
3.45
0.47
09055700

A
Biopsy of prostate
2.58
3.71
3.95
1.32
0.98
0.11
00055705

A
Biopsy of prostate
4.58
NA
NA
2.85
2.57
0.32
01055720

A
Drainage of prostate abscess
7.67
NA
NA
4.89
4.35
0.95
09055725

A
Drainage of prostate abscess
9.90
NA
NA
6.28
5.38
0.70
09055801

A
Removal of prostate
19.62
NA
NA
10.34
8.97
1.34
09055810

A
Extensive prostate surgery
24.14
NA
NA
12.34
10.64
1.60
09055812

A
Extensive prostate surgery
29.69
NA
NA
14.21
12.59
2.05
09055815

A
Extensive prostate surgery
32.75
NA
NA
16.20
14.03
2.17
09055821

A
Removal of prostate
15.63
NA
NA
8.67
7.43
1.01
09055831

A
Removal of prostate
17.06
NA
NA
9.24
7.94
1.10
09055840

A
Extensive prostate surgery
24.45
NA
NA
12.69
10.98
1.61
09055842

A
Extensive prostate surgery
26.31
NA
NA
13.48
11.65
1.73
09055845

A
Extensive prostate surgery
30.52
NA
NA
14.86
12.89
2.03
09055860

A
Surgical exposure, prostate
15.71
NA
NA
8.54
7.47
1.02
09055862

A
Extensive prostate surgery
19.89
NA
NA
10.70
9.27
1.49
09055865

A
Extensive prostate surgery
24.39
NA
NA
12.41
10.83
1.63
09055866

A
Laparo radical prostatectomy
32.25
NA
NA
15.96
13.83
2.17
09055870

A
Electroejaculation
2.58
2.49
2.01
1.45
1.27
0.16
00055873

A
Cryoablate prostate
20.25
NA
NA
11.29
10.11
1.38
09055875

A
Transperi needle place, pros
13.31
NA
NA
7.84
6.84
0.89
09055876

A
Place rt device/marker, pros
1.73
2.07
2.07
1.05
1.05
0.28
00055899

C
Genital surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY55920

A
Place needles pelvic for rt
8.31
NA
NA
3.14
3.14
0.58
00055970

N
Sex transformation, M to F
0.00
0.00
0.00
0.00
0.00
0.00
XXX55980

N
Sex transformation, F to M
0.00
0.00
0.00
0.00
0.00
0.00
XXX56405

A
I & D of vulva/perineum
1.46
1.18
1.25
1.16
1.15
0.17
01056420

A
Drainage of gland abscess
1.41
1.52
1.90
0.78
0.91
0.16
01056440

A
Surgery for vulva lesion
2.86
NA
NA
1.56
1.63
0.34
01056441

A
Lysis of labial lesion(s)
1.99
1.71
1.76
1.56
1.48
0.20
01056442

A
Hymenotomy
0.68
NA
NA
0.52
0.51
0.08
00056501

A
Destroy, vulva lesions, sim
1.55
1.63
1.71
1.21
1.23
0.18
01056515

A
Destroy vulva lesion/s compl
3.03
2.40
2.47
1.74
1.78
0.33
01056605

A
Biopsy of vulva/perineum
1.10
0.93
1.00
0.34
0.40
0.13
00056606

A
Biopsy of vulva/perineum
0.55
0.36
0.43
0.15
0.19
0.07
ZZZ56620

A
Partial removal of vulva
8.44
NA
NA
4.40
4.59
0.90
09056625

A
Complete removal of vulva
9.55
NA
NA
4.81
5.06
1.02
09056630

A
Extensive vulva surgery
14.67
NA
NA
6.28
6.56
1.49
09056631

A
Extensive vulva surgery
18.81
NA
NA
7.79
8.30
1.96
09056632

A
Extensive vulva surgery
21.61
NA
NA
9.30
9.41
2.39
09056633

A
Extensive vulva surgery
19.47
NA
NA
7.80
8.20
1.98
09056634

A
Extensive vulva surgery
20.48
NA
NA
8.19
8.81
2.17
090( print page 2633)56637

A
Extensive vulva surgery
24.57
NA
NA
9.31
10.19
2.61
09056640

A
Extensive vulva surgery
24.65
NA
NA
8.84
9.73
2.89
09056700

A
Partial removal of hymen
2.79
NA
NA
1.77
1.80
0.30
01056740

A
Remove vagina gland lesion
4.83
NA
NA
2.33
2.45
0.56
01056800

A
Repair of vagina
3.90
NA
NA
1.96
2.08
0.44
01056805

A
Repair clitoris
19.75
NA
NA
7.69
8.55
2.15
09056810

A
Repair of perineum
4.26
NA
NA
2.04
2.17
0.49
01056820

A
Exam of vulva w/scope
1.50
1.19
1.25
0.53
0.59
0.18
00056821

A
Exam/biopsy of vulva w/scope
2.05
1.53
1.65
0.68
0.80
0.25
00057000

A
Exploration of vagina
2.99
NA
NA
1.75
1.73
0.31
01057010

A
Drainage of pelvic abscess
6.74
NA
NA
3.80
3.80
0.71
09057020

A
Drainage of pelvic fluid
1.50
0.77
0.86
0.45
0.52
0.18
00057022

A
I & d vaginal hematoma, pp
2.70
NA
NA
1.43
1.46
0.26
01057023

A
I & d vag hematoma, non-ob
5.13
NA
NA
2.37
2.47
0.58
01057061

A
Destroy vag lesions, simple
1.27
1.52
1.59
1.12
1.12
0.15
01057065

A
Destroy vag lesions, complex
2.63
2.03
2.16
1.49
1.58
0.31
01057100

A
Biopsy of vagina
1.20
0.95
1.02
0.37
0.42
0.14
00057105

A
Biopsy of vagina
1.71
1.59
1.69
1.33
1.37
0.20
01057106

A
Remove vagina wall, partial
7.35
NA
NA
4.27
4.23
0.73
09057107

A
Remove vagina tissue, part
24.43
NA
NA
9.06
9.76
2.72
09057109

A
Vaginectomy partial w/nodes
28.25
NA
NA
10.26
10.75
3.22
09057110

A
Remove vagina wall, complete
15.38
NA
NA
6.19
6.73
1.74
09057111

A
Remove vagina tissue, compl
28.25
NA
NA
10.43
11.53
3.18
09057112

A
Vaginectomy w/nodes, compl
30.37
NA
NA
10.62
11.36
3.08
09057120

A
Closure of vagina
8.18
NA
NA
4.20
4.40
0.89
09057130

A
Remove vagina lesion
2.44
1.96
2.06
1.47
1.50
0.29
01057135

A
Remove vagina lesion
2.68
2.03
2.15
1.53
1.59
0.31
01057150

A
Treat vagina infection
0.55
0.58
0.84
0.15
0.18
0.07
00057155

A
Insert uteri tandems/ovoids
6.79
NA
NA
3.49
4.03
0.43
09057160

A
Insert pessary/other device
0.89
1.04
1.03
0.25
0.30
0.10
00057170

A
Fitting of diaphragm/cap
0.91
0.57
1.02
0.25
0.29
0.11
00057180

A
Treat vaginal bleeding
1.60
1.86
2.01
0.93
1.09
0.19
01057200

A
Repair of vagina
4.34
NA
NA
2.99
2.94
0.46
09057210

A
Repair vagina/perineum
5.63
NA
NA
3.27
3.35
0.62
09057220

A
Revision of urethra
4.77
NA
NA
3.01
3.06
0.51
09057230

A
Repair of urethral lesion
6.22
NA
NA
3.64
3.52
0.54
09057240

A
Repair bladder & vagina
11.42
NA
NA
5.49
4.65
0.62
09057250

A
Repair rectum & vagina
11.42
NA
NA
5.04
4.31
0.65
09057260

A
Repair of vagina
14.36
NA
NA
5.86
5.34
0.97
09057265

A
Extensive repair of vagina
15.86
NA
NA
6.33
6.18
1.32
09057267

A
Insert mesh/pelvic flr addon
4.88
NA
NA
1.50
1.74
0.64
ZZZ57268

A
Repair of bowel bulge
7.47
NA
NA
4.34
4.26
0.79
09057270

A
Repair of bowel pouch
13.57
NA
NA
5.84
6.04
1.42
09057280

A
Suspension of vagina
16.62
NA
NA
6.97
7.17
1.68
09057282

A
Colpopexy, extraperitoneal
7.84
NA
NA
4.50
4.50
1.02
09057283

A
Colpopexy, intraperitoneal
11.58
NA
NA
5.12
5.52
1.02
09057284

A
Repair paravag defect, open
14.25
NA
NA
5.99
6.57
1.41
09057285

A
Repair paravag defect, vag
11.52
NA
NA
5.16
5.16
0.63
09057287

A
Revise/remove sling repair
11.49
NA
NA
6.35
5.92
0.90
09057288

A
Repair bladder defect
14.01
NA
NA
7.02
6.46
1.12
09057289

A
Repair bladder & vagina
12.69
NA
NA
6.71
6.37
1.21
09057291

A
Construction of vagina
8.54
NA
NA
4.90
4.91
0.93
09057292

A
Construct vagina with graft
13.91
NA
NA
5.91
6.42
1.58
09057295

A
Revise vag graft via vagina
7.74
NA
NA
4.09
4.26
0.91
09057296

A
Revise vag graft, open abd
16.46
NA
NA
6.67
6.67
1.68
09057300

A
Repair rectum-vagina fistula
8.58
NA
NA
4.44
4.36
0.87
09057305

A
Repair rectum-vagina fistula
15.24
NA
NA
6.20
6.23
1.73
09057307

A
Fistula repair & colostomy
17.02
NA
NA
6.91
6.95
2.02
09057308

A
Fistula repair, transperine
10.48
NA
NA
4.96
5.03
1.14
09057310

A
Repair urethrovaginal lesion
7.55
NA
NA
5.02
4.43
0.54
09057311

A
Repair urethrovaginal lesion
8.81
NA
NA
5.51
4.81
0.65
09057320

A
Repair bladder-vagina lesion
8.78
NA
NA
5.28
4.82
0.69
09057330

A
Repair bladder-vagina lesion
13.11
NA
NA
7.20
6.46
1.06
09057335

A
Repair vagina
19.87
NA
NA
7.83
8.43
1.92
09057400

A
Dilation of vagina
2.27
NA
NA
1.00
1.05
0.26
00057410

A
Pelvic examination
1.75
NA
NA
0.91
0.90
0.18
00057415

A
Remove vaginal foreign body
2.44
NA
NA
1.49
1.46
0.24
01057420

A
Exam of vagina w/scope
1.60
1.23
1.29
0.56
0.61
0.19
00057421

A
Exam/biopsy of vag w/scope
2.20
1.59
1.72
0.72
0.84
0.27
00057423

A
Repair paravag defect, lap
16.00
NA
NA
6.52
6.52
1.65
09057425

A
Laparoscopy, surg, colpopexy
16.93
NA
NA
6.91
6.77
1.76
09057452

A
Exam of cervix w/scope
1.50
1.18
1.23
0.74
0.75
0.18
000( print page 2634)57454

A
Bx/curett of cervix w/scope
2.33
1.39
1.52
0.95
1.05
0.28
00057455

A
Biopsy of cervix w/scope
1.99
1.50
1.61
0.66
0.76
0.24
00057456

A
Endocerv curettage w/scope
1.85
1.46
1.55
0.62
0.72
0.22
00057460

A
Bx of cervix w/scope, leep
2.83
4.28
5.06
1.09
1.23
0.34
00057461

A
Conz of cervix w/scope, leep
3.43
4.57
5.34
1.05
1.26
0.41
00057500

A
Biopsy of cervix
1.20
2.02
2.28
0.64
0.64
0.12
00057505

A
Endocervical curettage
1.16
1.33
1.39
1.07
1.08
0.14
01057510

A
Cauterization of cervix
1.90
1.30
1.43
0.90
0.97
0.23
01057511

A
Cryocautery of cervix
1.92
1.60
1.71
1.27
1.32
0.23
01057513

A
Laser surgery of cervix
1.92
1.57
1.64
1.28
1.34
0.23
01057520

A
Conization of cervix
4.06
3.38
3.66
2.51
2.69
0.49
09057522

A
Conization of cervix
3.62
2.77
2.96
2.25
2.35
0.41
09057530

A
Removal of cervix
5.19
NA
NA
3.10
3.24
0.58
09057531

A
Removal of cervix, radical
29.77
NA
NA
10.86
12.02
3.35
09057540

A
Removal of residual cervix
13.19
NA
NA
5.44
5.84
1.49
09057545

A
Remove cervix/repair pelvis
14.00
NA
NA
5.72
6.20
1.52
09057550

A
Removal of residual cervix
6.24
NA
NA
3.61
3.72
0.67
09057555

A
Remove cervix/repair vagina
9.84
NA
NA
4.75
4.92
1.09
09057556

A
Remove cervix, repair bowel
9.26
NA
NA
4.61
4.73
0.92
09057558

A
D&c of cervical stump
1.69
1.35
1.41
1.05
1.09
0.20
01057700

A
Revision of cervix
4.22
NA
NA
3.28
3.19
0.41
09057720

A
Revision of cervix
4.53
NA
NA
2.94
3.02
0.49
09057800

A
Dilation of cervical canal
0.77
0.72
0.74
0.41
0.44
0.09
00058100

A
Biopsy of uterus lining
1.53
1.14
1.23
0.58
0.65
0.18
00058110

A
Bx done w/colposcopy add-on
0.77
0.40
0.47
0.21
0.26
0.09
ZZZ58120

A
Dilation and curettage
3.54
2.70
2.50
1.66
1.77
0.39
01058140

A
Myomectomy abdom method
15.69
NA
NA
6.18
6.64
1.82
09058145

A
Myomectomy vag method
8.81
NA
NA
4.23
4.51
0.97
09058146

A
Myomectomy abdom complex
20.24
NA
NA
7.34
8.18
2.33
09058150

A
Total hysterectomy
17.21
NA
NA
6.56
7.02
1.85
09058152

A
Total hysterectomy
21.73
NA
NA
8.03
8.95
2.48
09058180

A
Partial hysterectomy
16.50
NA
NA
6.33
6.89
1.64
09058200

A
Extensive hysterectomy
23.00
NA
NA
8.15
9.07
2.55
09058210

A
Extensive hysterectomy
30.76
NA
NA
10.72
11.96
3.38
09058240

A
Removal of pelvis contents
49.02
NA
NA
17.64
17.63
4.23
09058260

A
Vaginal hysterectomy
14.02
NA
NA
5.79
6.24
1.57
09058262

A
Vag hyst including t/o
15.81
NA
NA
6.23
6.81
1.80
09058263

A
Vag hyst w/t/o & vag repair
17.10
NA
NA
6.64
7.26
1.95
09058267

A
Vag hyst w/urinary repair
18.23
NA
NA
6.97
7.67
2.07
09058270

A
Vag hyst w/enterocele repair
15.20
NA
NA
5.93
6.50
1.74
09058275

A
Hysterectomy/revise vagina
16.90
NA
NA
6.61
7.19
1.92
09058280

A
Hysterectomy/revise vagina
18.20
NA
NA
6.96
7.60
2.07
09058285

A
Extensive hysterectomy
23.30
NA
NA
7.94
8.94
2.71
09058290

A
Vag hyst complex
20.17
NA
NA
7.35
8.24
2.30
09058291

A
Vag hyst incl t/o, complex
21.96
NA
NA
7.82
8.85
2.53
09058292

A
Vag hyst t/o & repair, compl
23.25
NA
NA
8.21
9.29
2.68
09058293

A
Vag hyst w/uro repair, compl
24.23
NA
NA
8.52
9.59
2.79
09058294

A
Vag hyst w/enterocele, compl
21.45
NA
NA
7.51
8.53
2.40
09058300

N
Insert intrauterine device
1.01
0.63
1.03
0.23
0.31
0.12
XXX58301

A
Remove intrauterine device
1.27
1.05
1.18
0.34
0.41
0.15
00058321

A
Artificial insemination
0.92
0.94
1.04
0.23
0.30
0.10
00058322

A
Artificial insemination
1.10
1.03
1.12
0.31
0.36
0.13
00058323

A
Sperm washing
0.23
0.16
0.34
0.07
0.08
0.03
00058340

A
Catheter for hysterography
0.88
2.15
2.66
0.56
0.61
0.09
00058345

A
Reopen fallopian tube
4.67
NA
NA
2.11
2.27
0.41
01058346

A
Insert heyman uteri capsule
7.48
NA
NA
3.74
3.83
0.56
09058350

A
Reopen fallopian tube
1.03
1.35
1.42
0.88
0.90
0.12
01058353

A
Endometr ablate, thermal
3.57
22.84
29.26
1.71
1.88
0.43
01058356

A
Endometrial cryoablation
6.36
43.38
52.43
1.85
2.27
0.82
01058400

A
Suspension of uterus
7.06
NA
NA
3.86
3.90
0.75
09058410

A
Suspension of uterus
13.70
NA
NA
5.55
5.99
1.45
09058520

A
Repair of ruptured uterus
13.38
NA
NA
5.49
5.76
1.47
09058540

A
Revision of uterus
15.61
NA
NA
6.15
6.55
1.79
09058541

A
Lsh, uterus 250 g or less
14.57
NA
NA
6.13
6.13
1.68
09058542

A
Lsh w/t/o ut 250 g or less
16.43
NA
NA
6.64
6.64
1.69
09058543

A
Lsh uterus above 250 g
16.74
NA
NA
6.71
6.71
1.73
09058544

A
Lsh w/t/o uterus above 250 g
18.24
NA
NA
7.11
7.11
1.89
09058545

A
Laparoscopic myomectomy
15.45
NA
NA
5.87
6.52
1.78
09058546

A
Laparo-myomectomy, complex
19.84
NA
NA
7.05
7.99
2.31
09058548

A
Lap radical hyst
31.45
NA
NA
12.47
12.47
3.52
09058550

A
Laparo-asst vag hysterectomy
14.97
NA
NA
6.13
6.71
1.73
09058552

A
Laparo-vag hyst incl t/o
16.78
NA
NA
6.56
7.29
1.73
090( print page 2635)58553

A
Laparo-vag hyst, complex
19.96
NA
NA
7.09
8.00
2.31
09058554

A
Laparo-vag hyst w/t/o, compl
22.98
NA
NA
8.24
9.32
2.28
09058555

A
Hysteroscopy, dx, sep proc
3.33
2.76
2.48
1.23
1.39
0.40
00058558

A
Hysteroscopy, biopsy
4.74
3.62
2.90
1.65
1.91
0.57
00058559

A
Hysteroscopy, lysis
6.16
NA
NA
2.04
2.39
0.74
00058560

A
Hysteroscopy, resect septum
6.99
NA
NA
2.32
2.70
0.84
00058561

A
Hysteroscopy, remove myoma
9.99
NA
NA
3.11
3.70
1.21
00058562

A
Hysteroscopy, remove fb
5.20
3.53
2.94
1.75
2.05
0.63
00058563

A
Hysteroscopy, ablation
6.16
37.26
46.74
2.04
2.40
0.74
00058565

A
Hysteroscopy, sterilization
7.06
41.99
45.79
3.37
3.64
1.19
09058570

A
Tlh, uterus 250 g or less
15.75
NA
NA
6.46
6.46
1.82
09058571

A
Tlh w/t/o 250 g or less
17.56
NA
NA
6.95
6.95
1.81
09058572

A
Tlh, uterus over 250 g
19.96
NA
NA
7.60
7.60
2.31
09058573

A
Tlh w/t/o uterus over 250 g
22.98
NA
NA
8.42
8.42
2.28
09058578

C
Laparo proc, uterus
0.00
0.00
0.00
0.00
0.00
0.00
YYY58579

C
Hysteroscope procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY58600

A
Division of fallopian tube
5.86
NA
NA
2.92
3.13
0.66
09058605

A
Division of fallopian tube
5.25
NA
NA
2.71
2.91
0.59
09058611

A
Ligate oviduct(s) add-on
1.45
NA
NA
0.40
0.48
0.18
ZZZ58615

A
Occlude fallopian tube(s)
3.91
NA
NA
2.04
2.37
0.47
01058660

A
Laparoscopy, lysis
11.54
NA
NA
4.49
4.88
1.40
09058661

A
Laparoscopy, remove adnexa
11.30
NA
NA
3.99
4.55
1.34
01058662

A
Laparoscopy, excise lesions
12.08
NA
NA
4.76
5.27
1.43
09058670

A
Laparoscopy, tubal cautery
5.86
NA
NA
2.95
3.11
0.67
09058671

A
Laparoscopy, tubal block
5.86
NA
NA
2.94
3.11
0.68
09058672

A
Laparoscopy, fimbrioplasty
12.88
NA
NA
4.78
5.48
1.60
09058673

A
Laparoscopy, salpingostomy
13.99
NA
NA
5.13
5.85
1.70
09058679

C
Laparo proc, oviduct-ovary
0.00
0.00
0.00
0.00
0.00
0.00
YYY58700

A
Removal of fallopian tube
12.84
NA
NA
5.49
5.74
1.51
09058720

A
Removal of ovary/tube(s)
12.08
NA
NA
5.09
5.43
1.39
09058740

A
Revise fallopian tube(s)
14.79
NA
NA
6.05
6.59
1.72
09058750

A
Repair oviduct
15.56
NA
NA
6.05
6.71
1.85
09058752

A
Revise ovarian tube(s)
15.56
NA
NA
5.99
6.47
1.81
09058760

A
Remove tubal obstruction
13.85
NA
NA
5.59
6.15
1.80
09058770

A
Create new tubal opening
14.69
NA
NA
5.75
6.33
1.74
09058800

A
Drainage of ovarian cyst(s)
4.54
3.21
3.43
2.69
2.80
0.43
09058805

A
Drainage of ovarian cyst(s)
6.34
NA
NA
3.51
3.50
0.69
09058820

A
Drain ovary abscess, open
4.62
NA
NA
2.90
3.10
0.52
09058822

A
Drain ovary abscess, percut
11.71
NA
NA
5.16
5.19
1.16
09058823

A
Drain pelvic abscess, percut
3.37
20.00
20.67
1.16
1.14
0.24
00058825

A
Transposition, ovary(s)
11.70
NA
NA
4.84
5.32
1.32
09058900

A
Biopsy of ovary(s)
6.51
NA
NA
3.55
3.56
0.69
09058920

A
Partial removal of ovary(s)
11.87
NA
NA
5.05
5.31
1.43
09058925

A
Removal of ovarian cyst(s)
12.33
NA
NA
5.25
5.47
1.41
09058940

A
Removal of ovary(s)
8.12
NA
NA
4.04
4.07
0.91
09058943

A
Removal of ovary(s)
19.42
NA
NA
7.18
7.91
2.23
09058950

A
Resect ovarian malignancy
18.24
NA
NA
7.25
7.82
2.05
09058951

A
Resect ovarian malignancy
24.15
NA
NA
8.60
9.52
2.64
09058952

A
Resect ovarian malignancy
27.15
NA
NA
9.82
10.79
3.03
09058953

A
Tah, rad dissect for debulk
33.97
NA
NA
11.63
13.09
3.84
09058954

A
Tah rad debulk/lymph remove
36.97
NA
NA
12.52
14.12
4.18
09058956

A
Bso, omentectomy w/tah
22.65
NA
NA
8.59
9.45
4.01
09058957

A
Resect recurrent gyn mal
26.06
NA
NA
9.57
9.57
2.95
09058958

A
Resect recur gyn mal w/lym
29.06
NA
NA
10.36
10.36
3.29
09058960

A
Exploration of abdomen
15.68
NA
NA
6.25
6.80
1.80
09058970

A
Retrieval of oocyte
3.52
1.85
2.08
1.28
1.38
0.43
00058974

C
Transfer of embryo
0.00
0.00
0.00
0.00
0.00
0.00
00058976

A
Transfer of embryo
3.82
1.94
2.31
1.20
1.51
0.47
00058999

C
Genital surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY59000

A
Amniocentesis, diagnostic
1.30
1.75
1.91
0.55
0.61
0.31
00059001

A
Amniocentesis, therapeutic
3.00
NA
NA
1.07
1.24
0.71
00059012

A
Fetal cord puncture,prenatal
3.44
NA
NA
1.13
1.34
0.82
00059015

A
Chorion biopsy
2.20
1.42
1.48
0.79
0.92
0.52
00059020

A
Fetal contract stress test
0.66
1.07
0.92
NA
NA
0.26
00059020
TC
A
Fetal contract stress test
0.00
0.89
0.70
NA
NA
0.10
00059020
26
A
Fetal contract stress test
0.66
0.18
0.22
0.18
0.22
0.16
00059025

A
Fetal non-stress test
0.53
0.63
0.54
NA
NA
0.15
00059025
TC
A
Fetal non-stress test
0.00
0.48
0.36
NA
NA
0.02
00059025
26
A
Fetal non-stress test
0.53
0.15
0.18
0.15
0.18
0.13
00059030

A
Fetal scalp blood sample
1.99
NA
NA
0.46
0.61
0.47
00059050

A
Fetal monitor w/report
0.89
NA
NA
0.27
0.31
0.21
XXX59051

A
Fetal monitor/interpret only
0.74
NA
NA
0.20
0.25
0.17
XXX( print page 2636)59070

A
Transabdom amnioinfus w/us
5.24
4.39
4.77
1.77
2.04
0.28
00059072

A
Umbilical cord occlud w/us
8.99
NA
NA
2.39
2.76
0.16
00059074

A
Fetal fluid drainage w/us
5.24
3.61
4.09
1.53
1.92
0.28
00059076

A
Fetal shunt placement, w/us
8.99
NA
NA
2.39
2.76
0.16
00059100

A
Remove uterus lesion
13.26
NA
NA
5.55
6.00
2.95
09059120

A
Treat ectopic pregnancy
12.56
NA
NA
5.40
5.82
2.73
09059121

A
Treat ectopic pregnancy
12.64
NA
NA
5.35
5.84
2.79
09059130

A
Treat ectopic pregnancy
14.98
NA
NA
6.74
5.76
3.39
09059135

A
Treat ectopic pregnancy
14.82
NA
NA
5.09
6.16
3.31
09059136

A
Treat ectopic pregnancy
14.15
NA
NA
4.93
5.77
3.14
09059140

A
Treat ectopic pregnancy
5.86
NA
NA
3.30
2.76
1.29
09059150

A
Treat ectopic pregnancy
12.19
NA
NA
5.23
5.61
2.79
09059151

A
Treat ectopic pregnancy
12.01
NA
NA
4.87
5.46
2.74
09059160

A
D & c after delivery
2.73
1.99
2.64
1.17
1.65
0.64
01059200

A
Insert cervical dilator
0.79
0.94
1.06
0.22
0.26
0.19
00059300

A
Episiotomy or vaginal repair
2.41
2.19
2.18
1.00
0.98
0.57
00059320

A
Revision of cervix
2.48
NA
NA
1.00
1.12
0.59
00059325

A
Revision of cervix
4.06
NA
NA
1.44
1.67
0.88
00059350

A
Repair of uterus
4.94
NA
NA
1.21
1.54
1.17
00059400

A
Obstetrical care
26.80
NA
NA
14.09
14.71
5.50
MMM59409

A
Obstetrical care
13.48
NA
NA
3.70
4.51
3.22
MMM59410

A
Obstetrical care
15.29
NA
NA
4.92
5.61
3.52
MMM59412

A
Antepartum manipulation
1.71
NA
NA
0.64
0.72
0.40
MMM59414

A
Deliver placenta
1.61
NA
NA
0.44
0.54
0.38
MMM59425

A
Antepartum care only
6.22
4.24
4.22
1.68
1.77
1.14
MMM59426

A
Antepartum care only
11.04
7.79
7.67
2.99
3.11
1.98
MMM59430

A
Care after delivery
2.13
1.08
1.15
0.71
0.82
0.50
MMM59510

A
Cesarean delivery
30.34
NA
NA
15.98
16.63
6.25
MMM59514

A
Cesarean delivery only
15.95
NA
NA
4.43
5.32
3.80
MMM59515

A
Cesarean delivery
18.26
NA
NA
6.13
6.98
4.13
MMM59525

A
Remove uterus after cesarean
8.53
NA
NA
2.25
2.78
1.95
ZZZ59610

A
Vbac delivery
28.21
NA
NA
14.94
15.41
5.87
MMM59612

A
Vbac delivery only
15.04
NA
NA
4.19
5.13
3.59
MMM59614

A
Vbac care after delivery
16.59
NA
NA
5.11
6.02
3.89
MMM59618

A
Attempted vbac delivery
31.78
NA
NA
16.37
17.30
6.61
MMM59620

A
Attempted vbac delivery only
17.50
NA
NA
4.66
5.71
4.17
MMM59622

A
Attempted vbac after care
19.70
NA
NA
6.71
7.67
4.50
MMM59812

A
Treatment of miscarriage
4.39
3.10
2.82
2.36
2.45
0.95
09059820

A
Care of miscarriage
4.68
4.07
4.25
3.46
3.51
0.95
09059821

A
Treatment of miscarriage
4.97
3.91
4.09
3.24
3.32
1.06
09059830

A
Treat uterus infection
6.51
NA
NA
3.44
3.71
1.44
09059840

R
Abortion
3.01
2.00
2.06
1.77
1.95
0.71
01059841

R
Abortion
5.57
3.12
3.30
2.55
2.76
1.24
01059850

R
Abortion
5.90
NA
NA
2.46
2.86
1.28
09059851

R
Abortion
5.92
NA
NA
3.29
3.51
1.28
09059852

R
Abortion
8.23
NA
NA
3.82
4.43
1.81
09059855

R
Abortion
6.38
NA
NA
3.08
3.31
1.45
09059856

R
Abortion
7.74
NA
NA
3.32
3.69
1.79
09059857

R
Abortion
9.30
NA
NA
3.64
4.18
2.02
09059866

R
Abortion (mpr)
3.99
NA
NA
1.36
1.63
0.87
00059870

A
Evacuate mole of uterus
6.40
NA
NA
4.38
4.43
1.42
09059871

A
Remove cerclage suture
2.13
NA
NA
0.91
1.02
0.50
00059897

C
Fetal invas px w/us
0.00
0.00
0.00
0.00
0.00
0.00
YYY59898

C
Laparo proc, ob care/deliver
0.00
0.00
0.00
0.00
0.00
0.00
YYY59899

C
Maternity care procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY60000

A
Drain thyroid/tongue cyst
1.78
2.09
2.01
1.70
1.70
0.15
01060100

A
Biopsy of thyroid
1.56
1.32
1.36
0.52
0.52
0.10
00060200

A
Remove thyroid lesion
9.91
NA
NA
5.50
5.74
1.01
09060210

A
Partial thyroid excision
11.15
NA
NA
5.23
5.43
1.23
09060212

A
Partial thyroid excision
16.32
NA
NA
6.95
7.31
1.95
09060220

A
Partial removal of thyroid
12.29
NA
NA
5.67
5.91
1.32
09060225

A
Partial removal of thyroid
14.67
NA
NA
6.92
7.16
1.64
09060240

A
Removal of thyroid
16.18
NA
NA
6.40
6.99
1.86
09060252

A
Removal of thyroid
21.88
NA
NA
8.83
9.46
2.30
09060254

A
Extensive thyroid surgery
28.29
NA
NA
11.22
12.69
2.61
09060260

A
Repeat thyroid surgery
18.18
NA
NA
7.41
8.03
1.94
09060270

A
Removal of thyroid
23.07
NA
NA
9.33
9.89
2.33
09060271

A
Removal of thyroid
17.54
NA
NA
7.15
7.87
1.75
09060280

A
Remove thyroid duct lesion
6.05
NA
NA
4.48
4.57
0.54
09060281

A
Remove thyroid duct lesion
8.71
NA
NA
5.32
5.58
0.73
09060300

A
Aspir/inj thyroid cyst
0.97
1.94
1.67
0.30
0.32
0.07
00060500

A
Explore parathyroid glands
16.69
NA
NA
6.86
7.13
2.01
090( print page 2637)60502

A
Re-explore parathyroids
21.01
NA
NA
8.61
8.99
2.54
09060505

A
Explore parathyroid glands
22.91
NA
NA
9.39
10.16
2.65
09060512

A
Autotransplant parathyroid
4.44
NA
NA
1.21
1.41
0.53
ZZZ60520

A
Removal of thymus gland
17.07
NA
NA
7.01
7.65
2.20
09060521

A
Removal of thymus gland
19.11
NA
NA
8.13
8.84
2.82
09060522

A
Removal of thymus gland
23.37
NA
NA
9.61
10.44
3.27
09060540

A
Explore adrenal gland
17.91
NA
NA
8.25
7.92
1.75
09060545

A
Explore adrenal gland
20.82
NA
NA
8.95
8.74
2.08
09060600

A
Remove carotid body lesion
24.99
NA
NA
8.83
9.90
2.20
09060605

A
Remove carotid body lesion
31.86
NA
NA
12.14
12.20
2.50
09060650

A
Laparoscopy adrenalectomy
20.63
NA
NA
8.09
8.04
2.29
09060659

C
Laparo proc, endocrine
0.00
0.00
0.00
0.00
0.00
0.00
YYY60699

C
Endocrine surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY61000

A
Remove cranial cavity fluid
1.58
NA
NA
1.24
1.09
0.13
00061001

A
Remove cranial cavity fluid
1.49
NA
NA
1.08
1.07
0.16
00061020

A
Remove brain cavity fluid
1.51
NA
NA
1.63
1.48
0.34
00061026

A
Injection into brain canal
1.69
NA
NA
1.30
1.34
0.33
00061050

A
Remove brain canal fluid
1.51
NA
NA
1.15
1.21
0.11
00061055

A
Injection into brain canal
2.10
NA
NA
1.33
1.37
0.17
00061070

A
Brain canal shunt procedure
0.89
NA
NA
1.16
1.08
0.17
00061105

A
Twist drill hole
5.40
NA
NA
4.91
4.42
1.32
09061107

A
Drill skull for implantation
4.99
NA
NA
1.83
2.18
1.29
00061108

A
Drill skull for drainage
11.51
NA
NA
8.35
7.75
2.64
09061120

A
Burr hole for puncture
9.52
NA
NA
6.78
6.39
2.10
09061140

A
Pierce skull for biopsy
17.10
NA
NA
10.42
10.15
4.12
09061150

A
Pierce skull for drainage
18.80
NA
NA
10.68
10.53
4.32
09061151

A
Pierce skull for drainage
13.41
NA
NA
8.44
8.13
3.01
09061154

A
Pierce skull & remove clot
16.92
NA
NA
10.83
10.16
4.21
09061156

A
Pierce skull for drainage
17.37
NA
NA
9.72
9.78
4.23
09061210

A
Pierce skull, implant device
5.83
NA
NA
2.15
2.53
1.50
00061215

A
Insert brain-fluid device
5.77
NA
NA
5.45
4.72
1.26
09061250

A
Pierce skull & explore
11.41
NA
NA
7.38
7.12
2.77
09061253

A
Pierce skull & explore
13.41
NA
NA
7.49
7.61
2.62
09061304

A
Open skull for exploration
23.31
NA
NA
12.54
12.69
5.63
09061305

A
Open skull for exploration
28.51
NA
NA
14.97
15.14
6.09
09061312

A
Open skull for drainage
30.07
NA
NA
15.24
15.14
6.36
09061313

A
Open skull for drainage
27.94
NA
NA
15.37
15.09
6.45
09061314

A
Open skull for drainage
25.77
NA
NA
14.15
13.60
6.28
09061315

A
Open skull for drainage
29.52
NA
NA
15.51
15.77
7.16
09061316

A
Implt cran bone flap to abdo
1.39
NA
NA
0.51
0.56
0.35
ZZZ61320

A
Open skull for drainage
27.32
NA
NA
14.25
14.50
6.62
09061321

A
Open skull for drainage
30.40
NA
NA
16.07
16.10
7.14
09061322

A
Decompressive craniotomy
34.08
NA
NA
17.48
16.58
7.63
09061323

A
Decompressive lobectomy
34.93
NA
NA
17.31
16.70
8.03
09061330

A
Decompress eye socket
25.17
NA
NA
11.53
12.63
2.32
09061332

A
Explore/biopsy eye socket
28.50
NA
NA
12.96
14.28
4.83
09061333

A
Explore orbit/remove lesion
29.17
NA
NA
12.88
14.24
3.92
09061334

A
Explore orbit/remove object
19.50
NA
NA
9.02
9.83
1.75
09061340

A
Subtemporal decompression
20.01
NA
NA
11.68
11.40
4.84
09061343

A
Incise skull (press relief)
31.73
NA
NA
15.94
16.37
7.64
09061345

A
Relieve cranial pressure
29.10
NA
NA
14.86
15.13
7.04
09061440

A
Incise skull for surgery
28.53
NA
NA
15.23
14.72
6.90
09061450

A
Incise skull for surgery
27.59
NA
NA
14.06
14.18
5.79
09061458

A
Incise skull for brain wound
28.71
NA
NA
14.89
15.20
7.03
09061460

A
Incise skull for surgery
30.11
NA
NA
14.58
15.50
6.04
09061470

A
Incise skull for surgery
27.52
NA
NA
14.06
13.96
5.90
09061480

A
Incise skull for surgery
27.95
NA
NA
8.14
11.71
6.73
09061490

A
Incise skull for surgery
27.12
NA
NA
14.23
14.28
6.92
09061500

A
Removal of skull lesion
19.05
NA
NA
10.69
10.75
4.11
09061501

A
Remove infected skull bone
16.22
NA
NA
9.45
9.33
3.22
09061510

A
Removal of brain lesion
30.63
NA
NA
16.95
16.83
7.35
09061512

A
Remove brain lining lesion
36.99
NA
NA
18.47
19.08
9.08
09061514

A
Removal of brain abscess
27.10
NA
NA
14.42
14.43
6.54
09061516

A
Removal of brain lesion
26.45
NA
NA
14.06
14.16
6.35
09061517

A
Implt brain chemotx add-on
1.38
NA
NA
0.51
0.58
0.35
ZZZ61518

A
Removal of brain lesion
39.69
NA
NA
20.31
20.71
9.65
09061519

A
Remove brain lining lesion
43.28
NA
NA
20.65
21.66
10.63
09061520

A
Removal of brain lesion
56.89
NA
NA
25.96
28.15
11.21
09061521

A
Removal of brain lesion
46.84
NA
NA
22.16
23.19
11.39
09061522

A
Removal of brain abscess
31.41
NA
NA
15.77
16.10
7.62
09061524

A
Removal of brain lesion
29.76
NA
NA
15.70
15.69
7.16
09061526

A
Removal of brain lesion
53.90
NA
NA
22.53
26.02
7.07
090( print page 2638)61530

A
Removal of brain lesion
45.43
NA
NA
19.49
22.28
6.15
09061531

A
Implant brain electrodes
16.28
NA
NA
10.46
9.80
3.79
09061533

A
Implant brain electrodes
21.36
NA
NA
11.79
11.66
5.12
09061534

A
Removal of brain lesion
22.88
NA
NA
13.13
12.61
5.44
09061535

A
Remove brain electrodes
13.05
NA
NA
8.84
8.13
3.02
09061536

A
Removal of brain lesion
37.59
NA
NA
18.53
19.17
9.21
09061537

A
Removal of brain tissue
36.35
NA
NA
17.04
15.89
6.94
09061538

A
Removal of brain tissue
39.35
NA
NA
18.37
16.84
6.94
09061539

A
Removal of brain tissue
34.15
NA
NA
16.83
17.30
8.32
09061540

A
Removal of brain tissue
31.30
NA
NA
16.30
16.78
8.32
09061541

A
Incision of brain tissue
30.81
NA
NA
16.09
16.15
6.60
09061542

A
Removal of brain tissue
33.03
NA
NA
16.78
17.31
8.03
09061543

A
Removal of brain tissue
31.18
NA
NA
13.86
15.13
7.56
09061544

A
Remove & treat brain lesion
27.26
NA
NA
14.28
14.06
5.97
09061545

A
Excision of brain tumor
46.23
NA
NA
22.83
23.53
10.63
09061546

A
Removal of pituitary gland
33.31
NA
NA
16.74
17.12
7.67
09061548

A
Removal of pituitary gland
23.27
NA
NA
11.62
12.20
3.43
09061550

A
Release of skull seams
15.44
NA
NA
5.65
6.29
0.98
09061552

A
Release of skull seams
20.27
NA
NA
12.15
10.64
1.06
09061556

A
Incise skull/sutures
24.00
NA
NA
13.29
12.33
4.65
09061557

A
Incise skull/sutures
23.16
NA
NA
13.64
13.63
5.80
09061558

A
Excision of skull/sutures
26.35
NA
NA
14.70
14.45
1.36
09061559

A
Excision of skull/sutures
33.82
NA
NA
18.38
18.85
8.51
09061563

A
Excision of skull tumor
28.35
NA
NA
13.09
14.17
5.17
09061564

A
Excision of skull tumor
34.59
NA
NA
17.91
18.10
8.78
09061566

A
Removal of brain tissue
32.32
NA
NA
16.65
17.21
6.94
09061567

A
Incision of brain tissue
36.84
NA
NA
19.07
19.88
6.54
09061570

A
Remove foreign body, brain
26.38
NA
NA
14.02
13.97
5.88
09061571

A
Incise skull for brain wound
28.29
NA
NA
14.64
14.89
6.79
09061575

A
Skull base/brainstem surgery
36.43
NA
NA
16.10
17.87
5.34
09061576

A
Skull base/brainstem surgery
55.11
NA
NA
28.09
31.42
5.58
09061580

A
Craniofacial approach, skull
34.34
NA
NA
22.85
24.22
3.37
09061581

A
Craniofacial approach, skull
38.88
NA
NA
27.83
25.65
3.92
09061582

A
Craniofacial approach, skull
34.93
NA
NA
30.48
28.90
7.21
09061583

A
Craniofacial approach, skull
38.41
NA
NA
25.90
25.51
9.21
09061584

A
Orbitocranial approach/skull
37.61
NA
NA
26.04
25.29
8.18
09061585

A
Orbitocranial approach/skull
42.46
NA
NA
25.13
25.82
7.03
09061586

A
Resect nasopharynx, skull
27.28
NA
NA
22.64
22.62
4.37
09061590

A
Infratemporal approach/skull
46.87
NA
NA
24.81
26.73
5.31
09061591

A
Infratemporal approach/skull
46.87
NA
NA
24.60
27.07
5.66
09061592

A
Orbitocranial approach/skull
42.98
NA
NA
26.80
26.66
10.07
09061595

A
Transtemporal approach/skull
33.57
NA
NA
21.14
21.75
3.98
09061596

A
Transcochlear approach/skull
39.31
NA
NA
20.95
22.70
3.40
09061597

A
Transcondylar approach/skull
40.73
NA
NA
23.27
23.14
8.84
09061598

A
Transpetrosal approach/skull
36.41
NA
NA
22.16
22.70
5.70
09061600

A
Resect/excise cranial lesion
29.84
NA
NA
19.76
19.77
3.79
09061601

A
Resect/excise cranial lesion
31.04
NA
NA
22.38
21.44
6.63
09061605

A
Resect/excise cranial lesion
32.40
NA
NA
19.47
20.72
2.86
09061606

A
Resect/excise cranial lesion
41.94
NA
NA
23.77
24.47
8.97
09061607

A
Resect/excise cranial lesion
40.82
NA
NA
21.00
22.40
6.90
09061608

A
Resect/excise cranial lesion
45.45
NA
NA
26.32
26.46
10.75
09061609

A
Transect artery, sinus
9.88
NA
NA
3.25
4.05
2.56
ZZZ61610

A
Transect artery, sinus
29.63
NA
NA
11.06
12.11
7.68
ZZZ61611

A
Transect artery, sinus
7.41
NA
NA
1.71
2.76
1.89
ZZZ61612

A
Transect artery, sinus
27.84
NA
NA
6.41
9.86
4.31
ZZZ61613

A
Remove aneurysm, sinus
44.94
NA
NA
27.35
26.82
8.45
09061615

A
Resect/excise lesion, skull
35.63
NA
NA
21.30
22.02
4.73
09061616

A
Resect/excise lesion, skull
46.60
NA
NA
27.24
27.96
8.26
09061618

A
Repair dura
18.58
NA
NA
10.44
10.44
3.72
09061619

A
Repair dura
22.01
NA
NA
11.67
11.96
3.95
09061623

A
Endovasc tempory vessel occl
9.95
NA
NA
3.72
3.90
1.05
00061624

A
Transcath occlusion, cns
20.12
NA
NA
7.29
7.09
1.96
00061626

A
Transcath occlusion, non-cns
16.60
NA
NA
5.97
5.75
1.24
00061630

N
Intracranial angioplasty
22.07
NA
NA
6.44
9.47
2.02
09061635

N
Intracran angioplsty w/stent
24.28
NA
NA
6.95
10.25
2.21
09061640

N
Dilate ic vasospasm, init
12.32
NA
NA
2.83
2.83
0.71
00061641

N
Dilate ic vasospasm add-on
4.33
NA
NA
1.00
1.00
0.25
ZZZ61642

N
Dilate ic vasospasm add-on
8.66
NA
NA
1.99
1.99
0.50
ZZZ61680

A
Intracranial vessel surgery
32.40
NA
NA
16.75
17.09
7.95
09061682

A
Intracranial vessel surgery
63.31
NA
NA
27.54
29.89
15.90
09061684

A
Intracranial vessel surgery
41.49
NA
NA
20.38
21.19
10.31
09061686

A
Intracranial vessel surgery
67.32
NA
NA
30.47
32.61
16.71
090( print page 2639)61690

A
Intracranial vessel surgery
31.18
NA
NA
16.52
16.63
6.94
09061692

A
Intracranial vessel surgery
54.43
NA
NA
24.35
25.92
13.43
09061697

A
Brain aneurysm repr, complx
63.22
NA
NA
28.64
28.33
12.85
09061698

A
Brain aneurysm repr, complx
69.45
NA
NA
30.59
28.65
12.54
09061700

A
Brain aneurysm repr, simple
50.44
NA
NA
24.03
25.92
13.02
09061702

A
Inner skull vessel surgery
59.86
NA
NA
27.50
26.78
10.79
09061703

A
Clamp neck artery
18.70
NA
NA
10.06
10.27
4.06
09061705

A
Revise circulation to head
37.97
NA
NA
18.32
18.79
8.87
09061708

A
Revise circulation to head
37.07
NA
NA
14.87
15.02
2.51
09061710

A
Revise circulation to head
31.19
NA
NA
13.79
13.72
4.52
09061711

A
Fusion of skull arteries
38.10
NA
NA
18.61
19.21
9.42
09061720

A
Incise skull/brain surgery
17.52
NA
NA
7.89
8.93
2.79
09061735

A
Incise skull/brain surgery
22.22
NA
NA
9.17
10.67
2.73
09061750

A
Incise skull/brain biopsy
19.73
NA
NA
10.95
10.79
4.72
09061751

A
Brain biopsy w/ct/mr guide
18.64
NA
NA
11.37
11.10
4.56
09061760

A
Implant brain electrodes
22.24
NA
NA
12.06
10.39
5.42
09061770

A
Incise skull for treatment
23.09
NA
NA
9.89
11.08
3.55
09061790

A
Treat trigeminal nerve
11.50
NA
NA
7.70
6.81
2.82
09061791

A
Treat trigeminal tract
15.31
NA
NA
8.21
8.57
3.40
09061793

A
Focus radiation beam
17.75
NA
NA
9.55
9.84
4.46
09061795

A
Brain surgery using computer
4.03
NA
NA
1.43
1.73
0.79
ZZZ61850

A
Implant neuroelectrodes
13.26
NA
NA
7.89
7.78
3.22
09061860

A
Implant neuroelectrodes
22.16
NA
NA
11.60
11.83
4.95
09061863

A
Implant neuroelectrode
20.56
NA
NA
12.42
12.10
5.43
09061864

A
Implant neuroelectrde, addl
4.49
NA
NA
1.68
1.98
5.43
ZZZ61867

A
Implant neuroelectrode
32.88
NA
NA
16.37
17.20
5.43
09061868

A
Implant neuroelectrde, addÆl
7.91
NA
NA
2.94
3.48
5.43
ZZZ61870

A
Implant neuroelectrodes
16.24
NA
NA
9.69
9.70
3.87
09061875

A
Implant neuroelectrodes
16.36
NA
NA
5.33
6.95
2.95
09061880

A
Revise/remove neuroelectrode
6.87
NA
NA
5.18
4.87
1.66
09061885

A
Insrt/redo neurostim 1 array
7.37
NA
NA
7.06
6.19
1.59
09061886

A
Implant neurostim arrays
9.73
NA
NA
8.52
7.44
1.97
09061888

A
Revise/remove neuroreceiver
5.20
NA
NA
3.47
3.57
1.33
01062000

A
Treat skull fracture
13.83
NA
NA
7.61
6.57
1.06
09062005

A
Treat skull fracture
17.53
NA
NA
9.59
9.20
3.87
09062010

A
Treatment of head injury
21.30
NA
NA
11.81
11.76
5.14
09062100

A
Repair brain fluid leakage
23.40
NA
NA
12.09
12.44
4.84
09062115

A
Reduction of skull defect
22.71
NA
NA
13.89
12.77
5.51
09062116

A
Reduction of skull defect
24.90
NA
NA
13.35
13.36
6.11
09062117

A
Reduction of skull defect
28.26
NA
NA
12.74
14.06
4.53
09062120

A
Repair skull cavity lesion
24.39
NA
NA
17.33
17.91
3.00
09062121

A
Incise skull repair
22.93
NA
NA
14.24
14.85
4.17
09062140

A
Repair of skull defect
14.45
NA
NA
8.64
8.48
3.47
09062141

A
Repair of skull defect
15.97
NA
NA
9.34
9.19
3.76
09062142

A
Remove skull plate/flap
11.73
NA
NA
7.79
7.39
2.73
09062143

A
Replace skull plate/flap
14.05
NA
NA
8.73
8.39
3.37
09062145

A
Repair of skull & brain
19.99
NA
NA
10.26
10.58
4.50
09062146

A
Repair of skull with graft
17.18
NA
NA
9.52
9.58
3.62
09062147

A
Repair of skull with graft
20.57
NA
NA
11.00
11.15
4.32
09062148

A
Retr bone flap to fix skull
2.00
NA
NA
0.74
0.80
0.48
ZZZ62160

A
Neuroendoscopy add-on
3.00
NA
NA
1.11
1.32
0.77
ZZZ62161

A
Dissect brain w/scope
21.10
NA
NA
12.15
12.13
5.19
09062162

A
Remove colloid cyst w/scope
26.67
NA
NA
14.65
14.75
5.91
09062163

A
Neuroendoscopy w/fb removal
16.40
NA
NA
9.25
9.59
4.01
09062164

A
Remove brain tumor w/scope
29.27
NA
NA
15.93
15.44
5.38
09062165

A
Remove pituit tumor w/scope
23.10
NA
NA
11.78
12.58
3.01
09062180

A
Establish brain cavity shunt
22.45
NA
NA
12.37
12.33
4.98
09062190

A
Establish brain cavity shunt
12.07
NA
NA
7.37
7.23
2.80
09062192

A
Establish brain cavity shunt
13.25
NA
NA
8.02
7.82
3.02
09062194

A
Replace/irrigate catheter
5.68
NA
NA
3.14
2.79
0.92
01062200

A
Establish brain cavity shunt
19.19
NA
NA
10.70
10.77
4.65
09062201

A
Brain cavity shunt w/scope
15.89
NA
NA
10.35
9.90
3.68
09062220

A
Establish brain cavity shunt
14.00
NA
NA
8.62
8.30
3.35
09062223

A
Establish brain cavity shunt
13.90
NA
NA
9.36
8.80
3.14
09062225

A
Replace/irrigate catheter
6.11
NA
NA
5.48
4.79
1.39
09062230

A
Replace/revise brain shunt
11.35
NA
NA
7.21
6.85
2.71
09062252

A
Csf shunt reprogram
0.74
1.77
1.62
NA
NA
0.21
XXX62252
TC
A
Csf shunt reprogram
0.00
1.50
1.30
NA
NA
0.02
XXX62252
26
A
Csf shunt reprogram
0.74
0.27
0.32
0.27
0.32
0.19
XXX62256

A
Remove brain cavity shunt
7.30
NA
NA
5.90
5.30
1.72
09062258

A
Replace brain cavity shunt
15.54
NA
NA
9.30
9.01
3.74
09062263

A
Epidural lysis mult sessions
6.41
9.46
11.08
2.98
3.09
0.41
010( print page 2640)62264

A
Epidural lysis on single day
4.42
5.63
6.68
1.24
1.33
0.27
01062268

A
Drain spinal cord cyst
4.73
6.70
9.12
1.81
1.98
0.43
00062269

A
Needle biopsy, spinal cord
5.01
6.25
10.47
1.48
1.73
0.37
00062270

A
Spinal fluid tap, diagnostic
1.37
2.40
2.69
0.58
0.57
0.08
00062272

A
Drain cerebro spinal fluid
1.35
3.13
3.37
0.62
0.66
0.18
00062273

A
Inject epidural patch
2.15
1.67
2.19
0.57
0.64
0.13
00062280

A
Treat spinal cord lesion
2.63
4.63
5.78
1.15
1.08
0.30
01062281

A
Treat spinal cord lesion
2.66
4.08
4.87
1.03
0.96
0.19
01062282

A
Treat spinal canal lesion
2.33
4.08
6.22
1.11
1.02
0.17
01062284

A
Injection for myelogram
1.54
3.79
4.38
0.71
0.70
0.13
00062287

A
Percutaneous diskectomy
8.88
NA
NA
4.30
4.93
0.58
09062290

A
Inject for spine disk x-ray
3.00
4.50
5.82
1.15
1.26
0.23
00062291

A
Inject for spine disk x-ray
2.91
4.24
5.09
1.08
1.15
0.26
00062292

A
Injection into disk lesion
9.14
NA
NA
2.87
3.67
0.82
09062294

A
Injection into spinal artery
12.77
NA
NA
6.49
6.04
1.24
09062310

A
Inject spine c/t
1.91
3.00
3.90
0.56
0.60
0.12
00062311

A
Inject spine l/s (cd)
1.54
2.66
3.79
0.52
0.56
0.09
00062318

A
Inject spine w/cath, c/t
2.04
3.09
4.41
0.43
0.54
0.12
00062319

A
Inject spine w/cath l/s (cd)
1.87
2.80
3.89
0.44
0.52
0.11
00062350

A
Implant spinal canal cath
8.04
NA
NA
3.99
3.96
1.02
09062351

A
Implant spinal canal cath
11.54
NA
NA
7.65
7.39
2.25
09062355

A
Remove spinal canal catheter
6.60
NA
NA
3.52
3.34
0.71
09062360

A
Insert spine infusion device
3.68
NA
NA
3.17
2.93
0.34
09062361

A
Implant spine infusion pump
6.59
NA
NA
4.07
3.99
0.80
09062362

A
Implant spine infusion pump
8.58
NA
NA
4.65
4.51
1.18
09062365

A
Remove spine infusion device
6.57
NA
NA
3.71
3.65
0.86
09062367

A
Analyze spine infusion pump
0.48
0.42
0.52
0.11
0.11
0.03
XXX62368

A
Analyze spine infusion pump
0.75
0.58
0.63
0.17
0.17
0.06
XXX63001

A
Removal of spinal lamina
17.51
NA
NA
9.77
9.64
3.77
09063003

A
Removal of spinal lamina
17.64
NA
NA
9.73
9.80
3.73
09063005

A
Removal of spinal lamina
16.28
NA
NA
9.74
9.86
3.35
09063011

A
Removal of spinal lamina
15.78
NA
NA
9.01
8.64
3.38
09063012

A
Removal of spinal lamina
16.72
NA
NA
9.76
9.95
3.49
09063015

A
Removal of spinal lamina
20.70
NA
NA
11.85
11.86
4.76
09063016

A
Removal of spinal lamina
21.90
NA
NA
11.65
11.72
4.59
09063017

A
Removal of spinal lamina
17.18
NA
NA
10.35
10.37
3.64
09063020

A
Neck spine disk surgery
16.05
NA
NA
9.88
9.78
3.72
09063030

A
Low back disk surgery
13.03
NA
NA
8.60
8.51
3.01
09063035

A
Spinal disk surgery add-on
3.15
NA
NA
1.19
1.39
0.79
ZZZ63040

A
Laminotomy, single cervical
20.18
NA
NA
11.03
11.27
4.68
09063042

A
Laminotomy, single lumbar
18.61
NA
NA
10.59
10.97
4.26
09063043

C
Laminotomy, addÆl cervical
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ63044

C
Laminotomy, addÆl lumbar
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ63045

A
Removal of spinal lamina
17.82
NA
NA
10.34
10.35
3.99
09063046

A
Removal of spinal lamina
17.12
NA
NA
9.79
9.99
3.56
09063047

A
Removal of spinal lamina
15.22
NA
NA
9.34
9.62
3.24
09063048

A
Remove spinal lamina add-on
3.47
NA
NA
1.32
1.49
0.72
ZZZ63050

A
Cervical laminoplasty
21.88
NA
NA
11.82
11.83
4.67
09063051

A
C-laminoplasty w/graft/plate
25.38
NA
NA
13.08
13.28
4.67
09063055

A
Decompress spinal cord
23.42
NA
NA
12.45
12.80
5.29
09063056

A
Decompress spinal cord
21.73
NA
NA
11.38
11.98
4.76
09063057

A
Decompress spine cord add-on
5.25
NA
NA
1.98
2.31
1.22
ZZZ63064

A
Decompress spinal cord
26.09
NA
NA
13.22
13.82
5.71
09063066

A
Decompress spine cord add-on
3.26
NA
NA
1.21
1.43
0.69
ZZZ63075

A
Neck spine disk surgery
19.47
NA
NA
11.01
11.55
4.63
09063076

A
Neck spine disk surgery
4.04
NA
NA
1.52
1.79
0.96
ZZZ63077

A
Spine disk surgery, thorax
22.75
NA
NA
11.08
11.94
3.99
09063078

A
Spine disk surgery, thorax
3.28
NA
NA
1.21
1.43
0.66
ZZZ63081

A
Removal of vertebral body
25.97
NA
NA
13.49
13.91
5.56
09063082

A
Remove vertebral body add-on
4.36
NA
NA
1.64
1.94
1.02
ZZZ63085

A
Removal of vertebral body
29.34
NA
NA
13.54
14.51
4.49
09063086

A
Remove vertebral body add-on
3.19
NA
NA
1.17
1.38
0.59
ZZZ63087

A
Removal of vertebral body
37.38
NA
NA
16.65
18.06
6.22
09063088

A
Remove vertebral body add-on
4.32
NA
NA
1.59
1.88
0.82
ZZZ63090

A
Removal of vertebral body
30.78
NA
NA
14.39
15.22
4.22
09063091

A
Remove vertebral body add-on
3.03
NA
NA
1.14
1.30
0.48
ZZZ63101

A
Removal of vertebral body
33.92
NA
NA
17.04
18.16
5.71
09063102

A
Removal of vertebral body
33.92
NA
NA
16.83
18.06
5.71
09063103

A
Remove vertebral body add-on
4.82
NA
NA
1.74
2.12
0.69
ZZZ63170

A
Incise spinal cord tract(s)
22.08
NA
NA
10.44
11.15
4.87
09063172

A
Drainage of spinal cyst
19.66
NA
NA
11.07
10.86
4.49
09063173

A
Drainage of spinal cyst
24.18
NA
NA
13.57
13.19
5.70
090( print page 2641)63180

A
Revise spinal cord ligaments
20.40
NA
NA
10.95
10.97
3.96
09063182

A
Revise spinal cord ligaments
22.69
NA
NA
7.18
9.07
5.32
09063185

A
Incise spinal column/nerves
16.36
NA
NA
9.80
8.95
2.80
09063190

A
Incise spinal column/nerves
18.76
NA
NA
9.60
9.87
3.25
09063191

A
Incise spinal column/nerves
18.79
NA
NA
4.10
7.29
6.36
09063194

A
Incise spinal column & cord
21.97
NA
NA
11.20
11.46
3.27
09063195

A
Incise spinal column & cord
21.54
NA
NA
12.10
11.57
4.88
09063196

A
Incise spinal column & cord
25.14
NA
NA
13.79
13.59
5.78
09063197

A
Incise spinal column & cord
23.95
NA
NA
7.47
9.84
5.38
09063198

A
Incise spinal column & cord
29.75
NA
NA
8.93
8.68
6.45
09063199

A
Incise spinal column & cord
31.32
NA
NA
9.29
12.16
1.40
09063200

A
Release of spinal cord
21.31
NA
NA
12.10
11.70
4.97
09063250

A
Revise spinal cord vessels
43.73
NA
NA
20.91
20.42
9.04
09063251

A
Revise spinal cord vessels
44.49
NA
NA
21.53
22.07
10.44
09063252

A
Revise spinal cord vessels
44.48
NA
NA
20.87
21.56
10.67
09063265

A
Excise intraspinal lesion
23.69
NA
NA
12.99
12.88
5.45
09063266

A
Excise intraspinal lesion
24.55
NA
NA
13.18
13.18
5.56
09063267

A
Excise intraspinal lesion
19.32
NA
NA
11.13
11.10
4.38
09063268

A
Excise intraspinal lesion
19.89
NA
NA
11.25
10.81
3.70
09063270

A
Excise intraspinal lesion
29.67
NA
NA
15.36
15.41
6.84
09063271

A
Excise intraspinal lesion
29.79
NA
NA
15.32
15.45
6.92
09063272

A
Excise intraspinal lesion
27.37
NA
NA
14.29
14.49
6.20
09063273

A
Excise intraspinal lesion
26.34
NA
NA
14.08
14.21
5.76
09063275

A
Biopsy/excise spinal tumor
25.73
NA
NA
13.74
13.76
5.82
09063276

A
Biopsy/excise spinal tumor
25.56
NA
NA
13.52
13.60
5.85
09063277

A
Biopsy/excise spinal tumor
22.26
NA
NA
12.13
12.32
5.03
09063278

A
Biopsy/excise spinal tumor
21.99
NA
NA
11.92
12.16
4.56
09063280

A
Biopsy/excise spinal tumor
30.14
NA
NA
15.88
16.10
7.29
09063281

A
Biopsy/excise spinal tumor
29.84
NA
NA
15.87
16.02
7.19
09063282

A
Biopsy/excise spinal tumor
28.00
NA
NA
15.01
15.17
6.78
09063283

A
Biopsy/excise spinal tumor
26.61
NA
NA
14.68
14.67
6.28
09063285

A
Biopsy/excise spinal tumor
37.90
NA
NA
18.10
19.02
9.21
09063286

A
Biopsy/excise spinal tumor
37.47
NA
NA
18.71
19.31
9.24
09063287

A
Biopsy/excise spinal tumor
39.93
NA
NA
19.62
20.02
9.42
09063290

A
Biopsy/excise spinal tumor
40.67
NA
NA
19.29
19.94
9.05
09063295

A
Repair of laminectomy defect
5.25
NA
NA
1.95
2.05
1.03
ZZZ63300

A
Removal of vertebral body
26.67
NA
NA
13.80
14.05
5.99
09063301

A
Removal of vertebral body
31.42
NA
NA
14.21
14.88
5.41
09063302

A
Removal of vertebral body
31.00
NA
NA
13.78
14.82
5.55
09063303

A
Removal of vertebral body
33.42
NA
NA
15.00
15.96
4.69
09063304

A
Removal of vertebral body
33.70
NA
NA
17.58
17.43
6.43
09063305

A
Removal of vertebral body
36.09
NA
NA
16.99
17.52
5.73
09063306

A
Removal of vertebral body
35.40
NA
NA
16.65
17.22
8.35
09063307

A
Removal of vertebral body
34.81
NA
NA
14.83
15.82
4.47
09063308

A
Remove vertebral body add-on
5.24
NA
NA
1.95
2.28
1.29
ZZZ63600

A
Remove spinal cord lesion
15.02
NA
NA
4.03
4.72
1.52
09063610

A
Stimulation of spinal cord
8.72
13.95
36.83
1.49
1.87
0.86
00063615

A
Remove lesion of spinal cord
17.22
NA
NA
8.53
8.90
2.85
09063650

A
Implant neuroelectrodes
7.57
NA
NA
2.92
3.05
0.53
09063655

A
Implant neuroelectrodes
11.43
NA
NA
7.63
7.26
2.44
09063660

A
Revise/remove neuroelectrode
6.87
NA
NA
3.42
3.52
0.78
09063685

A
Insrt/redo spine n generator
7.87
NA
NA
3.65
3.90
1.05
09063688

A
Revise/remove neuroreceiver
6.10
NA
NA
3.53
3.54
0.89
09063700

A
Repair of spinal herniation
17.32
NA
NA
9.95
10.13
3.53
09063702

A
Repair of spinal herniation
19.26
NA
NA
9.98
10.51
4.13
09063704

A
Repair of spinal herniation
22.23
NA
NA
11.66
12.29
4.58
09063706

A
Repair of spinal herniation
25.15
NA
NA
14.30
13.94
6.25
09063707

A
Repair spinal fluid leakage
12.52
NA
NA
7.83
7.77
2.52
09063709

A
Repair spinal fluid leakage
15.52
NA
NA
8.97
9.19
3.10
09063710

A
Graft repair of spine defect
15.27
NA
NA
9.19
9.12
3.41
09063740

A
Install spinal shunt
12.50
NA
NA
8.28
7.81
2.94
09063741

A
Install spinal shunt
9.02
NA
NA
4.93
4.84
1.66
09063744

A
Revision of spinal shunt
8.86
NA
NA
5.76
5.51
1.90
09063746

A
Removal of spinal shunt
7.25
NA
NA
5.69
4.73
1.53
09064400

A
N block inj, trigeminal
1.11
1.42
1.66
0.45
0.44
0.07
00064402

A
N block inj, facial
1.25
1.41
1.51
0.50
0.55
0.09
00064405

A
N block inj, occipital
1.32
1.16
1.31
0.49
0.48
0.08
00064408

A
N block inj, vagus
1.41
1.45
1.51
0.71
0.78
0.10
00064410

A
N block inj, phrenic
1.43
1.92
2.21
0.56
0.51
0.09
00064412

A
N block inj, spinal accessor
1.18
2.13
2.39
0.59
0.51
0.08
00064413

A
N block inj, cervical plexus
1.40
1.31
1.58
0.48
0.49
0.08
00064415

A
N block inj, brachial plexus
1.48
1.41
2.11
0.30
0.38
0.09
000( print page 2642)64416

A
N block cont infuse, b plex
3.85
NA
NA
0.46
0.63
0.31
01064417

A
N block inj, axillary
1.44
1.43
2.23
0.32
0.40
0.11
00064418

A
N block inj, suprascapular
1.32
1.89
2.26
0.52
0.48
0.07
00064420

A
N block inj, intercost, sng
1.18
2.40
3.14
0.45
0.43
0.08
00064421

A
N block inj, intercost, mlt
1.68
3.55
4.82
0.53
0.52
0.11
00064425

A
N block inj, ilio-ing/hypogi
1.75
1.29
1.47
0.53
0.53
0.13
00064430

A
N block inj, pudendal
1.46
2.39
2.45
0.77
0.66
0.10
00064435

A
N block inj, paracervical
1.45
2.00
2.26
0.56
0.62
0.16
00064445

A
N block inj, sciatic, sng
1.48
1.63
2.15
0.50
0.50
0.10
00064446

A
N blk inj, sciatic, cont inf
3.61
NA
NA
0.48
0.74
0.20
01064447

A
N block inj fem, single
1.50
NA
NA
0.17
0.30
0.09
00064448

A
N block inj fem, cont inf
3.36
NA
NA
0.39
0.60
0.18
01064449

A
N block inj, lumbar plexus
3.24
NA
NA
0.42
0.69
0.15
01064450

A
N block, other peripheral
1.27
1.28
1.26
0.49
0.48
0.13
00064470

A
Inj paravertebral c/t
1.85
3.83
5.53
0.70
0.70
0.11
00064472

A
Inj paravertebral c/t add-on
1.29
1.22
1.78
0.33
0.33
0.08
ZZZ64475

A
Inj paravertebral l/s
1.41
3.64
5.26
0.58
0.60
0.10
00064476

A
Inj paravertebral l/s add-on
0.98
1.10
1.61
0.22
0.23
0.07
ZZZ64479

A
Inj foramen epidural c/t
2.20
3.75
5.62
0.81
0.85
0.12
00064480

A
Inj foramen epidural add-on
1.54
1.55
2.20
0.39
0.43
0.10
ZZZ64483

A
Inj foramen epidural l/s
1.90
3.82
5.86
0.75
0.79
0.11
00064484

A
Inj foramen epidural add-on
1.33
1.63
2.45
0.32
0.35
0.08
ZZZ64505

A
N block, spenopalatine gangl
1.36
1.13
1.18
0.74
0.70
0.10
00064508

A
N block, carotid sinus s/p
1.12
2.04
2.68
0.56
0.65
0.07
00064510

A
N block, stellate ganglion
1.22
1.90
2.68
0.43
0.47
0.07
00064517

A
N block inj, hypogas plxs
2.20
1.72
2.22
0.68
0.78
0.11
00064520

A
N block, lumbar/thoracic
1.35
2.57
3.86
0.51
0.53
0.08
00064530

A
N block inj, celiac pelus
1.58
2.79
3.62
0.65
0.65
0.10
00064550

A
Apply neurostimulator
0.18
0.20
0.24
0.05
0.05
0.01
00064553

A
Implant neuroelectrodes
2.33
2.65
2.74
1.45
1.65
0.18
01064555

A
Implant neuroelectrodes
2.29
2.78
2.94
1.49
1.34
0.19
01064560

A
Implant neuroelectrodes
2.38
2.41
2.52
1.26
1.27
0.22
01064561

A
Implant neuroelectrodes
7.07
19.61
24.84
3.76
3.27
0.51
01064565

A
Implant neuroelectrodes
1.78
2.47
2.88
1.29
1.28
0.13
01064573

A
Implant neuroelectrodes
8.15
NA
NA
5.16
5.21
1.60
09064575

A
Implant neuroelectrodes
4.37
NA
NA
2.06
2.37
0.61
09064577

A
Implant neuroelectrodes
4.64
NA
NA
4.79
4.03
1.04
09064580

A
Implant neuroelectrodes
4.14
NA
NA
2.71
3.13
0.36
09064581

A
Implant neuroelectrodes
14.15
NA
NA
6.60
5.99
1.05
09064585

A
Revise/remove neuroelectrode
2.08
5.92
8.60
2.29
2.21
0.20
01064590

A
Insrt/redo pn/gastr stimul
2.42
6.41
6.77
2.46
2.37
0.19
01064595

A
Revise/rmv pn/gastr stimul
1.75
6.45
8.42
2.18
2.05
0.19
01064600

A
Injection treatment of nerve
3.46
5.43
7.39
1.63
1.64
0.34
01064605

A
Injection treatment of nerve
5.62
7.22
8.39
2.27
2.23
0.79
01064610

A
Injection treatment of nerve
7.17
9.18
9.02
3.43
3.57
1.58
01064612

A
Destroy nerve, face muscle
1.98
1.58
2.03
1.34
1.33
0.11
01064613

A
Destroy nerve, neck muscle
1.98
1.37
2.15
1.14
1.18
0.11
01064614

A
Destroy nerve, extrem musc
2.20
1.62
2.42
1.31
1.31
0.10
01064620

A
Injection treatment of nerve
2.86
3.30
4.18
1.11
1.22
0.20
01064622

A
Destr paravertebrl nerve l/s
3.02
4.06
5.91
1.26
1.31
0.18
01064623

A
Destr paravertebral n add-on
0.99
1.68
2.32
0.22
0.22
0.06
ZZZ64626

A
Destr paravertebrl nerve c/t
3.82
4.74
6.26
1.87
1.92
0.20
01064627

A
Destr paravertebral n add-on
1.16
2.37
3.45
0.25
0.26
0.07
ZZZ64630

A
Injection treatment of nerve
3.02
2.76
2.75
1.84
1.62
0.22
01064640

A
Injection treatment of nerve
2.78
2.42
3.30
1.42
1.63
0.29
01064650

A
Chemodenerv eccrine glands
0.70
0.72
0.79
0.16
0.23
0.06
00064653

A
Chemodenerv eccrine glands
0.88
0.75
0.83
0.19
0.29
0.08
00064680

A
Injection treatment of nerve
2.64
4.25
5.48
1.20
1.31
0.18
01064681

A
Injection treatment of nerve
3.78
4.82
7.06
1.27
1.67
0.28
01064702

A
Revise finger/toe nerve
6.10
NA
NA
5.19
4.53
0.61
09064704

A
Revise hand/foot nerve
4.61
NA
NA
3.28
3.30
0.61
09064708

A
Revise arm/leg nerve
6.22
NA
NA
4.20
4.53
0.96
09064712

A
Revision of sciatic nerve
7.98
NA
NA
4.38
4.67
0.95
09064713

A
Revision of arm nerve(s)
11.29
NA
NA
6.05
5.96
1.83
09064714

A
Revise low back nerve(s)
10.44
NA
NA
4.37
4.29
1.19
09064716

A
Revision of cranial nerve
6.86
NA
NA
5.46
5.72
0.63
09064718

A
Revise ulnar nerve at elbow
7.06
NA
NA
6.20
6.10
1.05
09064719

A
Revise ulnar nerve at wrist
4.89
NA
NA
4.14
4.33
0.77
09064721

A
Carpal tunnel surgery
4.84
4.71
5.04
4.65
5.01
0.73
09064722

A
Relieve pressure on nerve(s)
4.74
NA
NA
3.00
3.02
0.48
09064726

A
Release foot/toe nerve
4.21
NA
NA
2.80
2.80
0.54
09064727

A
Internal nerve revision
3.10
NA
NA
1.19
1.34
0.48
ZZZ( print page 2643)64732

A
Incision of brow nerve
4.81
NA
NA
3.66
3.58
0.98
09064734

A
Incision of cheek nerve
5.45
NA
NA
4.44
4.24
0.89
09064736

A
Incision of chin nerve
5.13
NA
NA
3.72
3.87
0.52
09064738

A
Incision of jaw nerve
6.26
NA
NA
4.65
4.63
1.08
09064740

A
Incision of tongue nerve
6.12
NA
NA
4.98
5.05
0.69
09064742

A
Incision of facial nerve
6.75
NA
NA
4.28
4.49
0.73
09064744

A
Incise nerve, back of head
5.64
NA
NA
4.04
3.91
1.16
09064746

A
Incise diaphragm nerve
6.46
NA
NA
3.86
4.18
0.82
09064752

A
Incision of vagus nerve
7.59
NA
NA
3.79
4.04
0.93
09064755

A
Incision of stomach nerves
14.97
NA
NA
5.50
5.57
1.84
09064760

A
Incision of vagus nerve
7.49
NA
NA
3.78
3.62
0.81
09064761

A
Incision of pelvis nerve
6.94
NA
NA
4.33
3.92
0.53
09064763

A
Incise hip/thigh nerve
7.46
NA
NA
3.91
4.55
0.94
09064766

A
Incise hip/thigh nerve
9.34
NA
NA
4.74
4.99
1.06
09064771

A
Sever cranial nerve
8.02
NA
NA
5.64
5.60
1.23
09064772

A
Incision of spinal nerve
7.74
NA
NA
5.12
5.02
1.40
09064774

A
Remove skin nerve lesion
5.70
NA
NA
4.03
3.93
0.74
09064776

A
Remove digit nerve lesion
5.52
NA
NA
3.73
3.70
0.76
09064778

A
Digit nerve surgery add-on
3.11
NA
NA
1.21
1.35
0.46
ZZZ64782

A
Remove limb nerve lesion
6.76
NA
NA
4.22
4.00
0.86
09064783

A
Limb nerve surgery add-on
3.71
NA
NA
1.37
1.60
0.51
ZZZ64784

A
Remove nerve lesion
10.49
NA
NA
6.41
6.50
1.38
09064786

A
Remove sciatic nerve lesion
16.12
NA
NA
8.44
9.14
2.61
09064787

A
Implant nerve end
4.29
NA
NA
1.64
1.88
0.58
ZZZ64788

A
Remove skin nerve lesion
5.14
NA
NA
4.06
3.76
0.73
09064790

A
Removal of nerve lesion
11.97
NA
NA
6.98
7.09
2.11
09064792

A
Removal of nerve lesion
15.71
NA
NA
8.30
8.57
2.49
09064795

A
Biopsy of nerve
3.01
NA
NA
1.43
1.49
0.52
00064802

A
Remove sympathetic nerves
10.24
NA
NA
3.51
4.32
1.29
09064804

A
Remove sympathetic nerves
15.78
NA
NA
5.97
6.57
2.15
09064809

A
Remove sympathetic nerves
14.61
NA
NA
7.04
6.40
1.50
09064818

A
Remove sympathetic nerves
11.24
NA
NA
4.32
4.80
1.33
09064820

A
Remove sympathetic nerves
10.64
NA
NA
6.94
7.03
1.49
09064821

A
Remove sympathetic nerves
9.19
NA
NA
6.54
6.94
1.24
09064822

A
Remove sympathetic nerves
9.19
NA
NA
6.43
6.83
1.30
09064823

A
Remove sympathetic nerves
10.80
NA
NA
6.47
7.30
1.57
09064831

A
Repair of digit nerve
10.23
NA
NA
6.62
6.85
1.41
09064832

A
Repair nerve add-on
5.65
NA
NA
2.32
2.62
0.85
ZZZ64834

A
Repair of hand or foot nerve
10.71
NA
NA
6.45
6.77
1.54
09064835

A
Repair of hand or foot nerve
11.60
NA
NA
6.91
7.30
1.74
09064836

A
Repair of hand or foot nerve
11.60
NA
NA
7.07
7.37
1.68
09064837

A
Repair nerve add-on
6.25
NA
NA
2.57
2.90
0.97
ZZZ64840

A
Repair of leg nerve
13.87
NA
NA
7.52
7.89
1.37
09064856

A
Repair/transpose nerve
14.94
NA
NA
8.48
8.84
2.13
09064857

A
Repair arm/leg nerve
15.69
NA
NA
8.76
9.20
2.22
09064858

A
Repair sciatic nerve
17.69
NA
NA
9.57
10.17
3.34
09064859

A
Nerve surgery
4.25
NA
NA
1.75
1.97
0.67
ZZZ64861

A
Repair of arm nerves
20.74
NA
NA
10.01
10.89
4.09
09064862

A
Repair of low back nerves
20.94
NA
NA
10.14
11.03
4.32
09064864

A
Repair of facial nerve
13.31
NA
NA
7.47
8.12
1.26
09064865

A
Repair of facial nerve
15.96
NA
NA
11.53
12.53
1.50
09064866

A
Fusion of facial/other nerve
16.70
NA
NA
11.11
12.14
2.05
09064868

A
Fusion of facial/other nerve
14.80
NA
NA
9.79
10.61
1.43
09064870

A
Fusion of facial/other nerve
16.95
NA
NA
8.06
8.40
1.30
09064872

A
Subsequent repair of nerve
1.99
NA
NA
0.78
0.93
0.29
ZZZ64874

A
Repair & revise nerve add-on
2.98
NA
NA
1.26
1.39
0.42
ZZZ64876

A
Repair nerve/shorten bone
3.37
NA
NA
1.43
1.59
0.47
ZZZ64885

A
Nerve graft, head or neck
17.50
NA
NA
8.95
10.28
1.63
09064886

A
Nerve graft, head or neck
20.72
NA
NA
10.38
11.96
2.09
09064890

A
Nerve graft, hand or foot
16.11
NA
NA
8.98
9.49
2.30
09064891

A
Nerve graft, hand or foot
17.22
NA
NA
9.67
8.62
1.63
09064892

A
Nerve graft, arm or leg
15.61
NA
NA
9.13
9.00
2.48
09064893

A
Nerve graft, arm or leg
16.74
NA
NA
9.63
9.75
2.62
09064895

A
Nerve graft, hand or foot
20.26
NA
NA
11.04
10.35
2.58
09064896

A
Nerve graft, hand or foot
21.81
NA
NA
11.67
11.33
3.17
09064897

A
Nerve graft, arm or leg
19.25
NA
NA
10.50
10.60
2.55
09064898

A
Nerve graft, arm or leg
20.82
NA
NA
11.46
11.63
2.78
09064901

A
Nerve graft add-on
10.20
NA
NA
3.63
4.45
1.37
ZZZ64902

A
Nerve graft add-on
11.81
NA
NA
4.66
5.31
1.55
ZZZ64905

A
Nerve pedicle transfer
14.98
NA
NA
7.00
7.75
2.01
09064907

A
Nerve pedicle transfer
19.90
NA
NA
6.35
9.44
3.17
09064910

A
Nerve repair w/allograft
11.21
NA
NA
4.66
4.66
1.74
090( print page 2644)64911

A
Neurorraphy w/vein autograft
14.21
NA
NA
5.32
5.32
1.91
09064999

C
Nervous system surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY65091

A
Revise eye
7.13
NA
NA
6.73
7.54
0.32
09065093

A
Revise eye with implant
6.93
NA
NA
6.79
7.76
0.34
09065101

A
Removal of eye
8.10
NA
NA
7.96
8.75
0.35
09065103

A
Remove eye/insert implant
8.64
NA
NA
8.12
8.93
0.37
09065105

A
Remove eye/attach implant
9.70
NA
NA
8.77
9.62
0.42
09065110

A
Removal of eye
15.42
NA
NA
11.42
12.55
0.81
09065112

A
Remove eye/revise socket
18.18
NA
NA
13.30
14.72
1.30
09065114

A
Remove eye/revise socket
19.32
NA
NA
13.57
14.96
1.02
09065125

A
Revise ocular implant
3.18
6.71
7.76
3.17
3.38
0.19
09065130

A
Insert ocular implant
8.22
NA
NA
7.68
8.42
0.35
09065135

A
Insert ocular implant
8.40
NA
NA
7.74
8.53
0.36
09065140

A
Attach ocular implant
9.23
NA
NA
8.38
9.13
0.40
09065150

A
Revise ocular implant
6.32
NA
NA
6.29
7.13
0.31
09065155

A
Reinsert ocular implant
9.87
NA
NA
8.77
9.63
0.50
09065175

A
Removal of ocular implant
7.22
NA
NA
7.04
7.76
0.31
09065205

A
Remove foreign body from eye
0.71
0.57
0.60
0.32
0.30
0.03
00065210

A
Remove foreign body from eye
0.84
0.71
0.76
0.39
0.38
0.04
00065220

A
Remove foreign body from eye
0.71
0.59
0.62
0.28
0.28
0.05
00065222

A
Remove foreign body from eye
0.93
0.78
0.83
0.41
0.40
0.04
00065235

A
Remove foreign body from eye
8.78
NA
NA
6.78
6.76
0.37
09065260

A
Remove foreign body from eye
12.29
NA
NA
8.74
9.20
0.57
09065265

A
Remove foreign body from eye
14.06
NA
NA
9.59
10.11
0.62
09065270

A
Repair of eye wound
1.92
3.82
4.52
1.20
1.29
0.09
01065272

A
Repair of eye wound
4.49
6.30
7.00
3.15
3.22
0.19
09065273

A
Repair of eye wound
5.03
NA
NA
3.36
3.47
0.22
09065275

A
Repair of eye wound
6.14
6.30
6.31
3.90
3.92
0.26
09065280

A
Repair of eye wound
8.87
NA
NA
5.83
6.03
0.38
09065285

A
Repair of eye wound
14.43
NA
NA
8.39
8.80
0.64
09065286

A
Repair of eye wound
6.45
8.70
9.92
4.38
4.50
0.27
09065290

A
Repair of eye socket wound
6.35
NA
NA
4.43
4.59
0.31
09065400

A
Removal of eye lesion
7.27
7.44
7.88
5.84
5.98
0.30
09065410

A
Biopsy of cornea
1.47
1.66
1.89
0.86
0.91
0.07
00065420

A
Removal of eye lesion
4.24
6.85
7.86
3.96
4.20
0.21
09065426

A
Removal of eye lesion
5.93
8.09
9.13
4.50
4.71
0.25
09065430

A
Corneal smear
1.47
1.09
1.19
0.86
0.92
0.07
00065435

A
Curette/treat cornea
0.92
0.86
0.93
0.64
0.68
0.04
00065436

A
Curette/treat cornea
4.72
3.76
3.92
3.43
3.55
0.21
09065450

A
Treatment of corneal lesion
3.35
3.67
3.87
3.60
3.77
0.16
09065600

A
Revision of cornea
4.07
4.43
4.72
3.38
3.37
0.17
09065710

A
Corneal transplant
14.09
NA
NA
10.14
10.67
0.61
09065730

A
Corneal transplant
15.99
NA
NA
10.96
11.49
0.70
09065750

A
Corneal transplant
16.60
NA
NA
10.61
11.29
0.74
09065755

A
Corneal transplant
16.49
NA
NA
10.58
11.24
0.73
09065760

N
Revision of cornea
0.00
0.00
0.00
0.00
0.00
0.00
XXX65765

N
Revision of cornea
0.00
0.00
0.00
0.00
0.00
0.00
XXX65767

N
Corneal tissue transplant
0.00
0.00
0.00
0.00
0.00
0.00
XXX65770

A
Revise cornea with implant
19.41
NA
NA
11.65
12.43
0.87
09065771

N
Radial keratotomy
0.00
0.00
0.00
0.00
0.00
0.00
XXX65772

A
Correction of astigmatism
4.96
4.84
5.19
3.91
4.02
0.21
09065775

A
Correction of astigmatism
6.73
NA
NA
5.30
5.63
0.28
09065780

A
Ocular reconst, transplant
10.43
NA
NA
8.93
9.61
0.44
09065781

A
Ocular reconst, transplant
17.84
NA
NA
11.57
12.63
0.44
09065782

A
Ocular reconst, transplant
15.16
NA
NA
10.19
11.09
0.44
09065800

A
Drainage of eye
1.91
1.39
1.60
1.02
1.10
0.09
00065805

A
Drainage of eye
1.91
1.70
1.94
1.02
1.11
0.09
00065810

A
Drainage of eye
5.67
NA
NA
4.66
4.68
0.24
09065815

A
Drainage of eye
5.85
7.91
8.96
4.57
4.69
0.25
09065820

A
Relieve inner eye pressure
8.72
NA
NA
7.50
8.28
0.40
09065850

A
Incision of eye
11.24
NA
NA
7.32
7.88
0.52
09065855

A
Laser surgery of eye
3.90
3.49
3.90
2.62
2.86
0.19
01065860

A
Incise inner eye adhesions
3.56
3.26
3.65
2.07
2.29
0.18
09065865

A
Incise inner eye adhesions
5.66
NA
NA
4.69
5.16
0.28
09065870

A
Incise inner eye adhesions
7.21
NA
NA
5.70
6.06
0.31
09065875

A
Incise inner eye adhesions
7.61
NA
NA
6.13
6.46
0.32
09065880

A
Incise inner eye adhesions
8.16
NA
NA
6.30
6.67
0.35
09065900

A
Remove eye lesion
12.26
NA
NA
8.89
9.58
0.54
09065920

A
Remove implant of eye
9.74
NA
NA
7.46
7.82
0.41
09065930

A
Remove blood clot from eye
8.24
NA
NA
5.77
6.30
0.37
09066020

A
Injection treatment of eye
1.61
2.42
2.77
1.27
1.36
0.08
01066030

A
Injection treatment of eye
1.27
2.29
2.63
1.15
1.21
0.06
010( print page 2645)66130

A
Remove eye lesion
7.74
7.51
8.57
4.86
5.24
0.38
09066150

A
Glaucoma surgery
10.18
NA
NA
8.81
9.11
0.46
09066155

A
Glaucoma surgery
10.17
NA
NA
8.81
9.08
0.41
09066160

A
Glaucoma surgery
12.04
NA
NA
9.47
9.83
0.50
09066165

A
Glaucoma surgery
9.89
NA
NA
8.77
9.01
0.40
09066170

A
Glaucoma surgery
14.57
NA
NA
11.54
11.89
0.60
09066172

A
Incision of eye
18.26
NA
NA
14.63
14.92
0.74
09066180

A
Implant eye shunt
16.02
NA
NA
9.69
10.23
0.71
09066185

A
Revise eye shunt
9.35
NA
NA
7.04
7.21
0.40
09066220

A
Repair eye lesion
8.98
NA
NA
7.17
7.13
0.40
09066225

A
Repair/graft eye lesion
12.38
NA
NA
8.11
8.43
0.55
09066250

A
Follow-up surgery of eye
6.92
9.24
10.47
5.25
5.37
0.30
09066500

A
Incision of iris
3.75
NA
NA
3.95
4.29
0.18
09066505

A
Incision of iris
4.13
NA
NA
4.30
4.65
0.20
09066600

A
Remove iris and lesion
9.89
NA
NA
8.25
8.24
0.43
09066605

A
Removal of iris
13.99
NA
NA
9.45
9.74
0.77
09066625

A
Removal of iris
5.19
NA
NA
4.21
4.47
0.26
09066630

A
Removal of iris
7.10
NA
NA
5.34
5.53
0.31
09066635

A
Removal of iris
7.19
NA
NA
5.37
5.56
0.31
09066680

A
Repair iris & ciliary body
6.24
NA
NA
5.06
5.17
0.27
09066682

A
Repair iris & ciliary body
7.15
NA
NA
6.71
6.66
0.31
09066700

A
Destruction, ciliary body
5.06
4.78
5.01
3.59
3.76
0.24
09066710

A
Ciliary transsleral therapy
5.06
4.60
4.88
3.60
3.72
0.23
09066711

A
Ciliary endoscopic ablation
7.70
NA
NA
6.29
6.38
0.30
09066720

A
Destruction, ciliary body
4.86
5.37
5.58
4.32
4.52
0.26
09066740

A
Destruction, ciliary body
5.06
4.53
4.81
3.60
3.79
0.23
09066761

A
Revision of iris
4.87
5.02
5.31
4.19
4.25
0.20
09066762

A
Revision of iris
5.25
5.10
5.38
4.06
4.18
0.23
09066770

A
Removal of inner eye lesion
5.98
5.53
5.81
4.59
4.69
0.26
09066820

A
Incision, secondary cataract
3.93
NA
NA
4.62
5.22
0.19
09066821

A
After cataract laser surgery
3.32
3.82
3.96
3.42
3.52
0.11
09066825

A
Reposition intraocular lens
8.82
NA
NA
7.77
8.42
0.40
09066830

A
Removal of lens lesion
9.27
NA
NA
6.37
6.66
0.36
09066840

A
Removal of lens material
8.98
NA
NA
6.29
6.58
0.39
09066850

A
Removal of lens material
10.32
NA
NA
7.06
7.35
0.45
09066852

A
Removal of lens material
11.18
NA
NA
7.38
7.74
0.49
09066920

A
Extraction of lens
9.93
NA
NA
6.64
6.97
0.44
09066930

A
Extraction of lens
11.38
NA
NA
7.45
7.80
0.49
09066940

A
Extraction of lens
10.14
NA
NA
7.00
7.30
0.43
09066982

A
Cataract surgery, complex
14.83
NA
NA
8.95
9.41
0.63
09066983

A
Cataract surg w/iol, 1 stage
10.20
NA
NA
6.51
6.31
0.14
09066984

A
Cataract surg w/iol, 1 stage
10.36
NA
NA
6.44
6.93
0.39
09066985

A
Insert lens prosthesis
9.73
NA
NA
7.12
7.29
0.36
09066986

A
Exchange lens prosthesis
12.26
NA
NA
8.05
8.62
0.60
09066990

A
Ophthalmic endoscope add-on
1.51
NA
NA
0.54
0.61
0.07
ZZZ66999

C
Eye surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY67005

A
Partial removal of eye fluid
5.77
NA
NA
4.57
4.72
0.28
09067010

A
Partial removal of eye fluid
6.94
NA
NA
4.99
5.21
0.34
09067015

A
Release of eye fluid
7.00
NA
NA
5.70
6.08
0.34
09067025

A
Replace eye fluid
7.91
7.86
8.54
5.91
6.07
0.34
09067027

A
Implant eye drug system
11.43
NA
NA
7.37
7.68
0.54
09067028

A
Injection eye drug
2.52
2.15
2.43
1.24
1.35
0.12
00067030

A
Incise inner eye strands
5.91
NA
NA
5.60
5.73
0.24
09067031

A
Laser surgery, eye strands
4.34
4.09
4.35
3.43
3.53
0.18
09067036

A
Removal of inner eye fluid
13.09
NA
NA
8.06
8.59
0.58
09067039

A
Laser treatment of retina
16.39
NA
NA
10.69
11.44
0.71
09067040

A
Laser treatment of retina
19.23
NA
NA
12.00
12.84
0.85
09067041

A
Vit for macular pucker
19.00
NA
NA
10.37
10.37
0.86
09067042

A
Vit for macular hole
22.13
NA
NA
11.49
11.49
1.00
09067043

A
Vit for membrane dissect
22.94
NA
NA
12.35
12.35
1.04
09067101

A
Repair detached retina
8.60
8.49
8.81
6.17
6.35
0.37
09067105

A
Repair detached retina
8.35
7.41
7.75
5.78
5.97
0.37
09067107

A
Repair detached retina
16.35
NA
NA
10.35
10.83
0.73
09067108

A
Repair detached retina
22.49
NA
NA
12.93
13.68
1.02
09067110

A
Repair detached retina
10.02
8.92
9.58
6.96
7.18
0.44
09067112

A
Rerepair detached retina
18.45
NA
NA
10.86
11.33
0.83
09067113

A
Repair retinal detach, cplx
25.00
NA
NA
13.75
13.75
1.13
09067115

A
Release encircling material
5.93
NA
NA
4.92
5.00
0.25
09067120

A
Remove eye implant material
6.92
7.35
7.97
5.28
5.41
0.29
09067121

A
Remove eye implant material
12.00
NA
NA
7.95
8.24
0.53
09067141

A
Treatment of retina
6.00
5.41
5.63
4.65
4.76
0.26
09067145

A
Treatment of retina
6.17
5.34
5.53
4.71
4.82
0.27
090( print page 2646)67208

A
Treatment of retinal lesion
7.50
5.64
5.89
5.20
5.36
0.33
09067210

A
Treatment of retinal lesion
9.35
5.91
6.24
5.44
5.66
0.44
09067218

A
Treatment of retinal lesion
20.22
NA
NA
10.61
11.39
0.92
09067220

A
Treatment of choroid lesion
14.19
9.22
9.82
8.16
8.59
0.65
09067221

R
Ocular photodynamic ther
3.45
2.92
3.62
1.38
1.59
0.20
00067225

A
Eye photodynamic ther add-on
0.47
0.22
0.24
0.17
0.19
0.02
ZZZ67227

A
Treatment of retinal lesion
7.38
6.00
6.29
5.16
5.34
0.33
09067228

A
Treatment of retinal lesion
13.67
13.60
12.54
10.19
9.37
0.63
09067229

A
Tr retinal les preterm inf
16.00
NA
NA
9.52
9.52
0.71
09067250

A
Reinforce eye wall
9.46
NA
NA
7.66
8.42
0.47
09067255

A
Reinforce/graft eye wall
9.97
NA
NA
8.43
9.16
0.44
09067299

C
Eye surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY67311

A
Revise eye muscle
7.59
NA
NA
5.50
5.76
0.37
09067312

A
Revise two eye muscles
9.48
NA
NA
6.19
6.47
0.43
09067314

A
Revise eye muscle
8.59
NA
NA
6.15
6.35
0.39
09067316

A
Revise two eye muscles
10.73
NA
NA
6.92
7.21
0.49
09067318

A
Revise eye muscle(s)
8.92
NA
NA
6.51
6.72
0.41
09067320

A
Revise eye muscle(s) add-on
5.40
NA
NA
1.92
1.94
0.22
ZZZ67331

A
Eye surgery follow-up add-on
5.13
NA
NA
1.81
1.82
0.21
ZZZ67332

A
Rerevise eye muscles add-on
5.56
NA
NA
1.97
2.00
0.23
ZZZ67334

A
Revise eye muscle w/suture
5.05
NA
NA
1.80
1.80
0.20
ZZZ67335

A
Eye suture during surgery
2.49
NA
NA
0.88
1.00
0.13
ZZZ67340

A
Revise eye muscle add-on
6.00
NA
NA
2.14
2.17
0.25
ZZZ67343

A
Release eye tissue
8.29
NA
NA
6.06
6.29
0.37
09067345

A
Destroy nerve of eye muscle
2.98
2.17
2.38
1.69
1.85
0.17
01067346

A
Biopsy, eye muscle
2.87
NA
NA
1.62
1.75
0.15
00067399

C
Eye muscle surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY67400

A
Explore/biopsy eye socket
10.97
NA
NA
9.42
10.34
0.56
09067405

A
Explore/drain eye socket
9.00
NA
NA
8.34
9.06
0.44
09067412

A
Explore/treat eye socket
10.17
NA
NA
8.53
9.73
0.48
09067413

A
Explore/treat eye socket
10.09
NA
NA
8.70
9.74
0.50
09067414

A
Explr/decompress eye socket
17.78
NA
NA
11.64
11.84
0.65
09067415

A
Aspiration, orbital contents
1.76
NA
NA
0.62
0.69
0.09
00067420

A
Explore/treat eye socket
21.62
NA
NA
14.24
15.82
1.15
09067430

A
Explore/treat eye socket
14.99
NA
NA
11.87
13.38
0.86
09067440

A
Explore/drain eye socket
14.56
NA
NA
11.88
13.07
0.70
09067445

A
Explr/decompress eye socket
18.96
NA
NA
12.14
13.03
0.90
09067450

A
Explore/biopsy eye socket
15.11
NA
NA
12.30
13.50
0.68
09067500

A
Inject/treat eye socket
1.44
0.57
0.62
0.44
0.37
0.05
00067505

A
Inject/treat eye socket
1.27
0.65
0.67
0.50
0.41
0.05
00067515

A
Inject/treat eye socket
1.40
0.77
0.68
0.61
0.50
0.03
00067550

A
Insert eye socket implant
11.52
NA
NA
9.83
10.57
0.72
09067560

A
Revise eye socket implant
11.93
NA
NA
9.78
10.58
0.60
09067570

A
Decompress optic nerve
14.21
NA
NA
11.01
12.30
0.68
09067599

C
Orbit surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY67700

A
Drainage of eyelid abscess
1.37
4.31
5.17
1.17
1.22
0.07
01067710

A
Incision of eyelid
1.04
3.70
4.54
1.08
1.14
0.05
01067715

A
Incision of eyelid fold
1.24
3.83
4.61
1.15
1.22
0.06
01067800

A
Remove eyelid lesion
1.39
1.39
1.50
0.90
0.97
0.07
01067801

A
Remove eyelid lesions
1.89
1.67
1.82
1.08
1.17
0.09
01067805

A
Remove eyelid lesions
2.24
2.18
2.35
1.41
1.53
0.11
01067808

A
Remove eyelid lesion(s)
4.47
NA
NA
3.61
3.69
0.19
09067810

A
Biopsy of eyelid
1.48
3.94
3.64
0.68
0.68
0.06
00067820

A
Revise eyelashes
0.71
0.43
0.52
0.50
0.53
0.04
00067825

A
Revise eyelashes
1.40
1.40
1.57
1.26
1.33
0.07
01067830

A
Revise eyelashes
1.72
3.99
4.76
1.32
1.41
0.08
01067835

A
Revise eyelashes
5.61
NA
NA
4.12
4.37
0.28
09067840

A
Remove eyelid lesion
2.06
3.90
4.69
1.45
1.55
0.10
01067850

A
Treat eyelid lesion
1.71
3.29
3.33
1.45
1.46
0.07
01067875

A
Closure of eyelid by suture
1.35
2.38
2.84
0.83
0.89
0.07
00067880

A
Revision of eyelid
4.47
5.44
6.03
3.57
3.69
0.19
09067882

A
Revision of eyelid
5.87
6.36
6.99
4.46
4.63
0.25
09067900

A
Repair brow defect
6.69
7.37
8.22
4.61
4.93
0.38
09067901

A
Repair eyelid defect
7.47
8.99
7.20
5.29
5.35
0.54
09067902

A
Repair eyelid defect
9.68
NA
NA
6.34
5.90
0.60
09067903

A
Repair eyelid defect
6.42
6.63
8.10
4.34
4.93
0.47
09067904

A
Repair eyelid defect
7.83
8.17
8.90
5.37
5.30
0.41
09067906

A
Repair eyelid defect
6.84
NA
NA
4.47
4.75
0.46
09067908

A
Repair eyelid defect
5.19
5.55
6.09
4.12
4.74
0.28
09067909

A
Revise eyelid defect
5.46
6.18
7.11
4.17
4.56
0.31
09067911

A
Revise eyelid defect
7.38
NA
NA
5.05
4.91
0.31
09067912

A
Correction eyelid w/implant
6.23
13.14
16.04
4.74
5.14
0.28
090( print page 2647)67914

A
Repair eyelid defect
3.70
4.75
5.55
2.68
2.86
0.19
09067915

A
Repair eyelid defect
3.21
4.32
5.15
2.43
2.62
0.16
09067916

A
Repair eyelid defect
5.37
6.37
7.21
4.15
4.45
0.28
09067917

A
Repair eyelid defect
6.08
6.72
7.59
4.41
4.74
0.36
09067921

A
Repair eyelid defect
3.42
4.62
5.41
2.56
2.73
0.17
09067922

A
Repair eyelid defect
3.09
4.16
5.04
2.33
2.54
0.15
09067923

A
Repair eyelid defect
5.94
6.44
7.28
4.33
4.65
0.30
09067924

A
Repair eyelid defect
5.84
6.91
7.92
4.06
4.37
0.30
09067930

A
Repair eyelid wound
3.62
4.37
5.04
1.78
1.98
0.19
01067935

A
Repair eyelid wound
6.27
6.76
7.64
3.58
4.00
0.39
09067938

A
Remove eyelid foreign body
1.35
3.83
4.61
1.22
1.24
0.06
01067950

A
Revision of eyelid
5.88
6.66
7.65
4.37
4.80
0.36
09067961

A
Revision of eyelid
5.75
6.81
7.75
4.30
4.67
0.33
09067966

A
Revision of eyelid
8.83
8.05
8.59
5.74
5.66
0.37
09067971

A
Reconstruction of eyelid
9.87
NA
NA
6.18
6.73
0.53
09067973

A
Reconstruction of eyelid
12.96
NA
NA
7.71
8.52
0.75
09067974

A
Reconstruction of eyelid
12.93
NA
NA
7.69
8.46
0.75
09067975

A
Reconstruction of eyelid
9.21
NA
NA
5.94
6.45
0.50
09067999

C
Revision of eyelid
0.00
0.00
0.00
0.00
0.00
0.00
YYY68020

A
Incise/drain eyelid lining
1.39
1.24
1.32
1.05
1.13
0.06
01068040

A
Treatment of eyelid lesions
0.85
0.60
0.66
0.35
0.39
0.04
00068100

A
Biopsy of eyelid lining
1.35
2.36
2.81
0.86
0.90
0.07
00068110

A
Remove eyelid lining lesion
1.79
3.07
3.59
1.48
1.56
0.09
01068115

A
Remove eyelid lining lesion
2.38
4.33
5.15
1.69
1.80
0.12
01068130

A
Remove eyelid lining lesion
4.99
6.64
7.68
4.02
4.31
0.24
09068135

A
Remove eyelid lining lesion
1.86
1.58
1.70
1.47
1.56
0.09
01068200

A
Treat eyelid by injection
0.49
0.45
0.49
0.29
0.31
0.02
00068320

A
Revise/graft eyelid lining
6.44
9.16
10.22
5.31
5.42
0.27
09068325

A
Revise/graft eyelid lining
8.43
NA
NA
6.10
6.32
0.44
09068326

A
Revise/graft eyelid lining
8.22
NA
NA
5.92
6.17
0.35
09068328

A
Revise/graft eyelid lining
9.25
NA
NA
6.38
6.84
0.54
09068330

A
Revise eyelid lining
5.63
7.41
8.42
4.44
4.58
0.24
09068335

A
Revise/graft eyelid lining
8.26
NA
NA
5.92
6.15
0.36
09068340

A
Separate eyelid adhesions
4.84
6.87
7.88
3.87
3.98
0.21
09068360

A
Revise eyelid lining
5.04
6.43
7.24
3.96
4.07
0.22
09068362

A
Revise eyelid lining
8.41
NA
NA
5.97
6.19
0.36
09068371

A
Harvest eye tissue, alograft
4.97
NA
NA
4.06
4.39
0.44
01068399

C
Eyelid lining surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY68400

A
Incise/drain tear gland
1.71
4.42
5.16
1.21
1.52
0.08
01068420

A
Incise/drain tear sac
2.32
4.59
5.39
1.42
1.76
0.11
01068440

A
Incise tear duct opening
0.96
1.25
1.67
1.19
1.23
0.05
01068500

A
Removal of tear gland
12.49
NA
NA
9.53
9.63
0.55
09068505

A
Partial removal, tear gland
12.41
NA
NA
8.91
9.79
0.55
09068510

A
Biopsy of tear gland
4.60
5.21
6.27
2.02
2.06
0.23
00068520

A
Removal of tear sac
8.58
NA
NA
6.49
6.96
0.37
09068525

A
Biopsy of tear sac
4.42
NA
NA
1.57
1.80
0.22
00068530

A
Clearance of tear duct
3.67
5.60
6.89
2.07
2.36
0.18
01068540

A
Remove tear gland lesion
11.93
NA
NA
8.49
8.94
0.52
09068550

A
Remove tear gland lesion
14.86
NA
NA
9.68
10.52
0.80
09068700

A
Repair tear ducts
7.67
NA
NA
5.56
5.77
0.32
09068705

A
Revise tear duct opening
2.08
3.03
3.60
1.58
1.69
0.10
01068720

A
Create tear sac drain
9.78
NA
NA
6.88
7.37
0.44
09068745

A
Create tear duct drain
9.70
NA
NA
6.98
7.42
0.52
09068750

A
Create tear duct drain
9.87
NA
NA
7.43
7.85
0.43
09068760

A
Close tear duct opening
1.75
2.59
3.06
1.45
1.54
0.09
01068761

A
Close tear duct opening
1.38
1.83
2.05
1.25
1.28
0.06
01068770

A
Close tear system fistula
8.09
NA
NA
5.75
4.47
0.35
09068801

A
Dilate tear duct opening
0.96
1.77
1.86
1.41
1.45
0.05
01068810

A
Probe nasolacrimal duct
2.63
3.39
3.53
2.68
2.68
0.10
01068811

A
Probe nasolacrimal duct
2.39
NA
NA
2.12
2.27
0.13
01068815

A
Probe nasolacrimal duct
3.24
6.42
7.33
2.43
2.62
0.17
01068816

A
Probe nl duct w/balloon
3.00
12.75
12.75
2.51
2.51
0.16
01068840

A
Explore/irrigate tear ducts
1.27
1.51
1.55
1.28
1.20
0.06
01068850

A
Injection for tear sac x-ray
0.80
0.72
0.80
0.60
0.64
0.04
00068899

C
Tear duct system surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY69000

A
Drain external ear lesion
1.47
2.89
2.88
1.34
1.35
0.12
01069005

A
Drain external ear lesion
2.13
2.99
2.96
1.61
1.73
0.17
01069020

A
Drain outer ear canal lesion
1.50
4.09
4.04
1.90
1.98
0.12
01069090

N
Pierce earlobes
0.00
0.00
0.00
0.00
0.00
0.00
XXX69100

A
Biopsy of external ear
0.81
1.85
1.78
0.39
0.39
0.03
00069105

A
Biopsy of external ear canal
0.85
2.64
2.49
0.71
0.74
0.07
00069110

A
Remove external ear, partial
3.47
7.84
7.29
4.45
4.46
0.30
090( print page 2648)69120

A
Removal of external ear
4.08
NA
NA
5.36
5.77
0.38
09069140

A
Remove ear canal lesion(s)
8.03
NA
NA
13.23
13.26
0.65
09069145

A
Remove ear canal lesion(s)
2.65
7.03
6.41
3.37
3.34
0.21
09069150

A
Extensive ear canal surgery
13.49
NA
NA
11.46
12.44
1.22
09069155

A
Extensive ear/neck surgery
23.06
NA
NA
17.00
18.28
1.93
09069200

A
Clear outer ear canal
0.77
2.15
2.27
0.61
0.58
0.06
00069205

A
Clear outer ear canal
1.20
NA
NA
1.24
1.30
0.10
01069210

A
Remove impacted ear wax
0.61
0.58
0.60
0.17
0.20
0.05
00069220

A
Clean out mastoid cavity
0.83
2.56
2.46
0.68
0.70
0.07
00069222

A
Clean out mastoid cavity
1.42
3.97
3.91
1.90
1.98
0.12
01069300

R
Revise external ear
6.69
10.72
7.47
5.19
4.70
0.72
YYY69310

A
Rebuild outer ear canal
10.85
NA
NA
15.50
15.90
0.85
09069320

A
Rebuild outer ear canal
17.03
NA
NA
20.07
20.96
1.37
09069399

C
Outer ear surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY69400

A
Inflate middle ear canal
0.83
2.82
2.49
0.68
0.67
0.07
00069401

A
Inflate middle ear canal
0.63
1.53
1.38
0.59
0.62
0.05
00069405

A
Catheterize middle ear canal
2.65
3.66
3.58
1.96
2.14
0.21
01069420

A
Incision of eardrum
1.35
3.32
3.24
1.56
1.57
0.11
01069421

A
Incision of eardrum
1.75
NA
NA
1.85
2.01
0.15
01069424

A
Remove ventilating tube
0.85
2.34
2.26
0.68
0.68
0.07
00069433

A
Create eardrum opening
1.54
3.32
3.21
1.60
1.62
0.13
01069436

A
Create eardrum opening
1.98
NA
NA
1.90
2.10
0.19
01069440

A
Exploration of middle ear
7.62
NA
NA
9.12
8.95
0.61
09069450

A
Eardrum revision
5.61
NA
NA
7.62
7.33
0.45
09069501

A
Mastoidectomy
9.12
NA
NA
8.66
8.84
0.73
09069502

A
Mastoidectomy
12.44
NA
NA
11.05
11.32
1.00
09069505

A
Remove mastoid structures
13.05
NA
NA
16.15
16.68
1.05
09069511

A
Extensive mastoid surgery
13.58
NA
NA
16.34
16.91
1.09
09069530

A
Extensive mastoid surgery
20.24
NA
NA
19.67
20.66
1.54
09069535

A
Remove part of temporal bone
37.27
NA
NA
26.78
29.38
2.93
09069540

A
Remove ear lesion
1.22
3.90
3.82
1.85
1.92
0.10
01069550

A
Remove ear lesion
11.04
NA
NA
14.28
14.58
0.89
09069552

A
Remove ear lesion
19.69
NA
NA
18.20
19.44
1.59
09069554

A
Remove ear lesion
35.71
NA
NA
24.01
27.18
2.92
09069601

A
Mastoid surgery revision
13.31
NA
NA
11.93
12.31
1.07
09069602

A
Mastoid surgery revision
13.64
NA
NA
12.81
13.03
1.10
09069603

A
Mastoid surgery revision
14.08
NA
NA
16.45
17.41
1.14
09069604

A
Mastoid surgery revision
14.08
NA
NA
12.79
13.24
1.14
09069605

A
Mastoid surgery revision
18.55
NA
NA
19.30
20.13
1.50
09069610

A
Repair of eardrum
4.44
4.91
5.24
2.59
2.93
0.36
01069620

A
Repair of eardrum
5.94
10.92
11.02
5.84
6.07
0.48
09069631

A
Repair eardrum structures
9.93
NA
NA
11.53
11.37
0.80
09069632

A
Rebuild eardrum structures
12.82
NA
NA
13.32
13.40
1.03
09069633

A
Rebuild eardrum structures
12.17
NA
NA
13.09
13.08
0.98
09069635

A
Repair eardrum structures
13.39
NA
NA
16.30
16.53
1.08
09069636

A
Rebuild eardrum structures
15.29
NA
NA
18.21
18.76
1.23
09069637

A
Rebuild eardrum structures
15.18
NA
NA
18.12
18.68
1.22
09069641

A
Revise middle ear & mastoid
12.77
NA
NA
12.48
12.64
1.03
09069642

A
Revise middle ear & mastoid
16.91
NA
NA
15.54
15.92
1.36
09069643

A
Revise middle ear & mastoid
15.45
NA
NA
14.17
14.50
1.24
09069644

A
Revise middle ear & mastoid
17.09
NA
NA
18.75
19.58
1.37
09069645

A
Revise middle ear & mastoid
16.57
NA
NA
18.61
19.32
1.33
09069646

A
Revise middle ear & mastoid
18.23
NA
NA
19.12
19.95
1.46
09069650

A
Release middle ear bone
9.71
NA
NA
9.54
9.73
0.78
09069660

A
Revise middle ear bone
11.94
NA
NA
10.51
10.85
0.96
09069661

A
Revise middle ear bone
15.80
NA
NA
13.47
14.09
1.27
09069662

A
Revise middle ear bone
15.49
NA
NA
12.51
13.13
1.25
09069666

A
Repair middle ear structures
9.80
NA
NA
9.81
9.89
0.79
09069667

A
Repair middle ear structures
9.81
NA
NA
9.84
9.92
0.79
09069670

A
Remove mastoid air cells
11.62
NA
NA
11.25
11.48
0.93
09069676

A
Remove middle ear nerve
9.58
NA
NA
10.62
10.69
0.81
09069700

A
Close mastoid fistula
8.28
NA
NA
8.68
8.97
0.67
09069710

N
Implant/replace hearing aid
0.00
0.00
0.00
0.00
0.00
0.00
XXX69711

A
Remove/repair hearing aid
10.50
NA
NA
10.42
10.61
0.83
09069714

A
Implant temple bone w/stimul
14.31
NA
NA
11.80
12.23
1.13
09069715

A
Temple bne implnt w/stimulat
18.80
NA
NA
13.34
14.19
1.48
09069717

A
Temple bone implant revision
15.29
NA
NA
11.97
13.22
0.90
09069718

A
Revise temple bone implant
19.05
NA
NA
13.42
14.36
3.22
09069720

A
Release facial nerve
14.57
NA
NA
14.03
14.28
1.16
09069725

A
Release facial nerve
27.44
NA
NA
18.04
19.09
2.45
09069740

A
Repair facial nerve
16.18
NA
NA
11.59
12.51
1.27
09069745

A
Repair facial nerve
16.91
NA
NA
9.94
12.46
1.14
090( print page 2649)69799

C
Middle ear surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY69801

A
Incise inner ear
8.61
NA
NA
9.63
9.55
0.69
09069802

A
Incise inner ear
13.39
NA
NA
11.87
12.10
1.06
09069805

A
Explore inner ear
14.55
NA
NA
10.90
11.39
1.12
09069806

A
Explore inner ear
12.52
NA
NA
10.40
10.72
1.00
09069820

A
Establish inner ear window
10.40
NA
NA
10.26
10.74
0.90
09069840

A
Revise inner ear window
10.32
NA
NA
11.38
12.28
0.79
09069905

A
Remove inner ear
11.15
NA
NA
11.04
11.20
0.90
09069910

A
Remove inner ear & mastoid
13.80
NA
NA
10.89
11.41
1.07
09069915

A
Incise inner ear nerve
22.65
NA
NA
14.83
15.65
1.70
09069930

A
Implant cochlear device
17.60
NA
NA
13.12
13.94
1.36
09069949

C
Inner ear surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY69950

A
Incise inner ear nerve
27.44
NA
NA
16.86
17.89
2.29
09069955

A
Release facial nerve
29.22
NA
NA
19.41
20.40
2.49
09069960

A
Release inner ear canal
29.22
NA
NA
17.92
18.99
2.18
09069970

A
Remove inner ear lesion
32.21
NA
NA
19.54
21.41
2.42
09069979

C
Temporal bone surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY69990

R
Microsurgery add-on
3.46
NA
NA
1.27
1.53
0.89
ZZZ70010

A
Contrast x-ray of brain
1.19
2.82
3.77
NA
NA
0.27
XXX70010
TC
A
Contrast x-ray of brain
0.00
2.40
3.37
NA
NA
0.22
XXX70010
26
A
Contrast x-ray of brain
1.19
0.42
0.40
0.42
0.40
0.05
XXX70015

A
Contrast x-ray of brain
1.19
2.92
2.33
NA
NA
0.16
XXX70015
TC
A
Contrast x-ray of brain
0.00
2.49
1.92
NA
NA
0.08
XXX70015
26
A
Contrast x-ray of brain
1.19
0.43
0.41
0.43
0.41
0.08
XXX70030

A
X-ray eye for foreign body
0.17
0.61
0.54
NA
NA
0.03
XXX70030
TC
A
X-ray eye for foreign body
0.00
0.55
0.48
NA
NA
0.02
XXX70030
26
A
X-ray eye for foreign body
0.17
0.06
0.06
0.06
0.06
0.01
XXX70100

A
X-ray exam of jaw
0.18
0.63
0.61
NA
NA
0.03
XXX70100
TC
A
X-ray exam of jaw
0.00
0.58
0.55
NA
NA
0.02
XXX70100
26
A
X-ray exam of jaw
0.18
0.05
0.06
0.05
0.06
0.01
XXX70110

A
X-ray exam of jaw
0.25
0.81
0.75
NA
NA
0.05
XXX70110
TC
A
X-ray exam of jaw
0.00
0.72
0.67
NA
NA
0.04
XXX70110
26
A
X-ray exam of jaw
0.25
0.09
0.08
0.09
0.08
0.01
XXX70120

A
X-ray exam of mastoids
0.18
0.69
0.69
NA
NA
0.05
XXX70120
TC
A
X-ray exam of mastoids
0.00
0.64
0.63
NA
NA
0.04
XXX70120
26
A
X-ray exam of mastoids
0.18
0.05
0.06
0.05
0.06
0.01
XXX70130

A
X-ray exam of mastoids
0.34
1.15
1.02
NA
NA
0.07
XXX70130
TC
A
X-ray exam of mastoids
0.00
1.04
0.91
NA
NA
0.05
XXX70130
26
A
X-ray exam of mastoids
0.34
0.11
0.11
0.11
0.11
0.02
XXX70134

A
X-ray exam of middle ear
0.34
0.92
0.87
NA
NA
0.07
XXX70134
TC
A
X-ray exam of middle ear
0.00
0.80
0.76
NA
NA
0.05
XXX70134
26
A
X-ray exam of middle ear
0.34
0.12
0.11
0.12
0.11
0.02
XXX70140

A
X-ray exam of facial bones
0.19
0.54
0.62
NA
NA
0.05
XXX70140
TC
A
X-ray exam of facial bones
0.00
0.49
0.56
NA
NA
0.04
XXX70140
26
A
X-ray exam of facial bones
0.19
0.05
0.06
0.05
0.06
0.01
XXX70150

A
X-ray exam of facial bones
0.26
0.85
0.85
NA
NA
0.06
XXX70150
TC
A
X-ray exam of facial bones
0.00
0.77
0.77
NA
NA
0.05
XXX70150
26
A
X-ray exam of facial bones
0.26
0.08
0.08
0.08
0.08
0.01
XXX70160

A
X-ray exam of nasal bones
0.17
0.71
0.64
NA
NA
0.03
XXX70160
TC
A
X-ray exam of nasal bones
0.00
0.65
0.58
NA
NA
0.02
XXX70160
26
A
X-ray exam of nasal bones
0.17
0.06
0.06
0.06
0.06
0.01
XXX70170

C
X-ray exam of tear duct
0.00
0.00
0.00
NA
NA
0.00
XXX70170
TC
C
X-ray exam of tear duct
0.00
0.00
0.00
NA
NA
0.00
XXX70170
26
A
X-ray exam of tear duct
0.30
0.10
0.10
0.10
0.10
0.01
XXX70190

A
X-ray exam of eye sockets
0.21
0.72
0.71
NA
NA
0.05
XXX70190
TC
A
X-ray exam of eye sockets
0.00
0.65
0.64
NA
NA
0.04
XXX70190
26
A
X-ray exam of eye sockets
0.21
0.07
0.07
0.07
0.07
0.01
XXX70200

A
X-ray exam of eye sockets
0.28
0.87
0.87
NA
NA
0.06
XXX70200
TC
A
X-ray exam of eye sockets
0.00
0.78
0.78
NA
NA
0.05
XXX70200
26
A
X-ray exam of eye sockets
0.28
0.09
0.09
0.09
0.09
0.01
XXX70210

A
X-ray exam of sinuses
0.17
0.58
0.62
NA
NA
0.05
XXX70210
TC
A
X-ray exam of sinuses
0.00
0.53
0.57
NA
NA
0.04
XXX70210
26
A
X-ray exam of sinuses
0.17
0.05
0.05
0.05
0.05
0.01
XXX70220

A
X-ray exam of sinuses
0.25
0.73
0.80
NA
NA
0.06
XXX70220
TC
A
X-ray exam of sinuses
0.00
0.65
0.72
NA
NA
0.05
XXX70220
26
A
X-ray exam of sinuses
0.25
0.08
0.08
0.08
0.08
0.01
XXX70240

A
X-ray exam, pituitary saddle
0.19
0.61
0.54
NA
NA
0.03
XXX70240
TC
A
X-ray exam, pituitary saddle
0.00
0.55
0.48
NA
NA
0.02
XXX70240
26
A
X-ray exam, pituitary saddle
0.19
0.06
0.06
0.06
0.06
0.01
XXX70250

A
X-ray exam of skull
0.24
0.70
0.69
NA
NA
0.05
XXX70250
TC
A
X-ray exam of skull
0.00
0.63
0.62
NA
NA
0.04
XXX70250
26
A
X-ray exam of skull
0.24
0.07
0.07
0.07
0.07
0.01
XXX( print page 2650)70260

A
X-ray exam of skull
0.34
0.88
0.94
NA
NA
0.08
XXX70260
TC
A
X-ray exam of skull
0.00
0.78
0.83
NA
NA
0.06
XXX70260
26
A
X-ray exam of skull
0.34
0.10
0.11
0.10
0.11
0.02
XXX70300

A
X-ray exam of teeth
0.10
0.24
0.27
NA
NA
0.03
XXX70300
TC
A
X-ray exam of teeth
0.00
0.21
0.23
NA
NA
0.02
XXX70300
26
A
X-ray exam of teeth
0.10
0.03
0.04
0.03
0.04
0.01
XXX70310

A
X-ray exam of teeth
0.16
0.82
0.65
NA
NA
0.03
XXX70310
TC
A
X-ray exam of teeth
0.00
0.77
0.59
NA
NA
0.02
XXX70310
26
A
X-ray exam of teeth
0.16
0.05
0.06
0.05
0.06
0.01
XXX70320

A
Full mouth x-ray of teeth
0.22
1.07
0.97
NA
NA
0.06
XXX70320
TC
A
Full mouth x-ray of teeth
0.00
1.00
0.89
NA
NA
0.05
XXX70320
26
A
Full mouth x-ray of teeth
0.22
0.07
0.08
0.07
0.08
0.01
XXX70328

A
X-ray exam of jaw joint
0.18
0.63
0.59
NA
NA
0.03
XXX70328
TC
A
X-ray exam of jaw joint
0.00
0.57
0.53
NA
NA
0.02
XXX70328
26
A
X-ray exam of jaw joint
0.18
0.06
0.06
0.06
0.06
0.01
XXX70330

A
X-ray exam of jaw joints
0.24
1.01
0.96
NA
NA
0.06
XXX70330
TC
A
X-ray exam of jaw joints
0.00
0.93
0.88
NA
NA
0.05
XXX70330
26
A
X-ray exam of jaw joints
0.24
0.08
0.08
0.08
0.08
0.01
XXX70332

A
X-ray exam of jaw joint
0.54
1.45
1.88
NA
NA
0.14
XXX70332
TC
A
X-ray exam of jaw joint
0.00
1.29
1.70
NA
NA
0.12
XXX70332
26
A
X-ray exam of jaw joint
0.54
0.16
0.18
0.16
0.18
0.02
XXX70336

A
Magnetic image, jaw joint
1.48
12.17
11.94
NA
NA
0.66
XXX70336
TC
A
Magnetic image, jaw joint
0.00
11.67
11.44
NA
NA
0.59
XXX70336
26
A
Magnetic image, jaw joint
1.48
0.50
0.50
0.50
0.50
0.07
XXX70350

A
X-ray head for orthodontia
0.17
0.32
0.39
NA
NA
0.03
XXX70350
TC
A
X-ray head for orthodontia
0.00
0.27
0.33
NA
NA
0.02
XXX70350
26
A
X-ray head for orthodontia
0.17
0.05
0.06
0.05
0.06
0.01
XXX70355

A
Panoramic x-ray of jaws
0.20
0.30
0.47
NA
NA
0.05
XXX70355
TC
A
Panoramic x-ray of jaws
0.00
0.23
0.40
NA
NA
0.04
XXX70355
26
A
Panoramic x-ray of jaws
0.20
0.07
0.07
0.07
0.07
0.01
XXX70360

A
X-ray exam of neck
0.17
0.56
0.52
NA
NA
0.03
XXX70360
TC
A
X-ray exam of neck
0.00
0.51
0.46
NA
NA
0.02
XXX70360
26
A
X-ray exam of neck
0.17
0.05
0.06
0.05
0.06
0.01
XXX70370

A
Throat x-ray & fluoroscopy
0.32
1.65
1.53
NA
NA
0.08
XXX70370
TC
A
Throat x-ray & fluoroscopy
0.00
1.55
1.43
NA
NA
0.07
XXX70370
26
A
Throat x-ray & fluoroscopy
0.32
0.10
0.10
0.10
0.10
0.01
XXX70371

A
Speech evaluation, complex
0.84
1.48
1.93
NA
NA
0.16
XXX70371
TC
A
Speech evaluation, complex
0.00
1.22
1.66
NA
NA
0.12
XXX70371
26
A
Speech evaluation, complex
0.84
0.26
0.27
0.26
0.27
0.04
XXX70373

A
Contrast x-ray of larynx
0.44
1.58
1.76
NA
NA
0.13
XXX70373
TC
A
Contrast x-ray of larynx
0.00
1.47
1.63
NA
NA
0.11
XXX70373
26
A
Contrast x-ray of larynx
0.44
0.11
0.13
0.11
0.13
0.02
XXX70380

A
X-ray exam of salivary gland
0.17
0.82
0.78
NA
NA
0.05
XXX70380
TC
A
X-ray exam of salivary gland
0.00
0.76
0.72
NA
NA
0.04
XXX70380
26
A
X-ray exam of salivary gland
0.17
0.06
0.06
0.06
0.06
0.01
XXX70390

A
X-ray exam of salivary duct
0.38
2.34
2.13
NA
NA
0.13
XXX70390
TC
A
X-ray exam of salivary duct
0.00
2.21
2.00
NA
NA
0.11
XXX70390
26
A
X-ray exam of salivary duct
0.38
0.13
0.13
0.13
0.13
0.02
XXX70450

A
Ct head/brain w/o dye
0.85
4.92
4.96
NA
NA
0.29
XXX70450
TC
A
Ct head/brain w/o dye
0.00
4.62
4.67
NA
NA
0.25
XXX70450
26
A
Ct head/brain w/o dye
0.85
0.30
0.29
0.30
0.29
0.04
XXX70460

A
Ct head/brain w/dye
1.13
6.51
6.28
NA
NA
0.35
XXX70460
TC
A
Ct head/brain w/dye
0.00
6.11
5.89
NA
NA
0.30
XXX70460
26
A
Ct head/brain w/dye
1.13
0.40
0.39
0.40
0.39
0.05
XXX70470

A
Ct head/brain w/o & w/dye
1.27
7.94
7.71
NA
NA
0.43
XXX70470
TC
A
Ct head/brain w/o & w/dye
0.00
7.49
7.28
NA
NA
0.37
XXX70470
26
A
Ct head/brain w/o & w/dye
1.27
0.45
0.43
0.45
0.43
0.06
XXX70480

A
Ct orbit/ear/fossa w/o dye
1.28
8.49
6.81
NA
NA
0.31
XXX70480
TC
A
Ct orbit/ear/fossa w/o dye
0.00
8.04
6.38
NA
NA
0.25
XXX70480
26
A
Ct orbit/ear/fossa w/o dye
1.28
0.45
0.43
0.45
0.43
0.06
XXX70481

A
Ct orbit/ear/fossa w/dye
1.38
9.98
8.05
NA
NA
0.36
XXX70481
TC
A
Ct orbit/ear/fossa w/dye
0.00
9.49
7.58
NA
NA
0.30
XXX70481
26
A
Ct orbit/ear/fossa w/dye
1.38
0.49
0.47
0.49
0.47
0.06
XXX70482

A
Ct orbit/ear/fossa w/o&w/dye
1.45
11.41
9.48
NA
NA
0.43
XXX70482
TC
A
Ct orbit/ear/fossa w/o&w/dye
0.00
10.90
8.99
NA
NA
0.37
XXX70482
26
A
Ct orbit/ear/fossa w/o&w/dye
1.45
0.51
0.49
0.51
0.49
0.06
XXX70486

A
Ct maxillofacial w/o dye
1.14
6.80
5.94
NA
NA
0.30
XXX70486
TC
A
Ct maxillofacial w/o dye
0.00
6.40
5.56
NA
NA
0.25
XXX70486
26
A
Ct maxillofacial w/o dye
1.14
0.40
0.38
0.40
0.38
0.05
XXX70487

A
Ct maxillofacial w/dye
1.30
8.35
7.23
NA
NA
0.36
XXX70487
TC
A
Ct maxillofacial w/dye
0.00
7.89
6.78
NA
NA
0.30
XXX70487
26
A
Ct maxillofacial w/dye
1.30
0.46
0.45
0.46
0.45
0.06
XXX( print page 2651)70488

A
Ct maxillofacial w/o & w/dye
1.42
10.40
8.97
NA
NA
0.43
XXX70488
TC
A
Ct maxillofacial w/o & w/dye
0.00
9.91
8.49
NA
NA
0.37
XXX70488
26
A
Ct maxillofacial w/o & w/dye
1.42
0.49
0.48
0.49
0.48
0.06
XXX70490

A
Ct soft tissue neck w/o dye
1.28
6.49
5.82
NA
NA
0.31
XXX70490
TC
A
Ct soft tissue neck w/o dye
0.00
6.04
5.38
NA
NA
0.25
XXX70490
26
A
Ct soft tissue neck w/o dye
1.28
0.45
0.44
0.45
0.44
0.06
XXX70491

A
Ct soft tissue neck w/dye
1.38
8.04
7.08
NA
NA
0.36
XXX70491
TC
A
Ct soft tissue neck w/dye
0.00
7.55
6.61
NA
NA
0.30
XXX70491
26
A
Ct soft tissue neck w/dye
1.38
0.49
0.47
0.49
0.47
0.06
XXX70492

A
Ct sft tsue nck w/o & w/dye
1.45
10.04
8.79
NA
NA
0.43
XXX70492
TC
A
Ct sft tsue nck w/o & w/dye
0.00
9.53
8.30
NA
NA
0.37
XXX70492
26
A
Ct sft tsue nck w/o & w/dye
1.45
0.51
0.49
0.51
0.49
0.06
XXX70496

A
Ct angiography, head
1.75
17.10
14.14
NA
NA
0.66
XXX70496
TC
A
Ct angiography, head
0.00
16.47
13.54
NA
NA
0.58
XXX70496
26
A
Ct angiography, head
1.75
0.63
0.60
0.63
0.60
0.08
XXX70498

A
Ct angiography, neck
1.75
17.24
14.21
NA
NA
0.66
XXX70498
TC
A
Ct angiography, neck
0.00
16.59
13.60
NA
NA
0.58
XXX70498
26
A
Ct angiography, neck
1.75
0.65
0.61
0.65
0.61
0.08
XXX70540

A
Mri orbit/face/neck w/o dye
1.35
14.18
12.91
NA
NA
0.45
XXX70540
TC
A
Mri orbit/face/neck w/o dye
0.00
13.72
12.46
NA
NA
0.39
XXX70540
26
A
Mri orbit/face/neck w/o dye
1.35
0.46
0.45
0.46
0.45
0.06
XXX70542

A
Mri orbit/face/neck w/dye
1.62
15.29
14.64
NA
NA
0.54
XXX70542
TC
A
Mri orbit/face/neck w/dye
0.00
14.73
14.09
NA
NA
0.47
XXX70542
26
A
Mri orbit/face/neck w/dye
1.62
0.56
0.55
0.56
0.55
0.07
XXX70543

A
Mri orbt/fac/nck w/o & w/dye
2.15
18.77
22.18
NA
NA
0.94
XXX70543
TC
A
Mri orbt/fac/nck w/o & w/dye
0.00
18.03
21.46
NA
NA
0.84
XXX70543
26
A
Mri orbt/fac/nck w/o & w/dye
2.15
0.74
0.72
0.74
0.72
0.10
XXX70544

A
Mr angiography head w/o dye
1.20
15.86
13.73
NA
NA
0.64
XXX70544
TC
A
Mr angiography head w/o dye
0.00
15.44
13.32
NA
NA
0.59
XXX70544
26
A
Mr angiography head w/o dye
1.20
0.42
0.41
0.42
0.41
0.05
XXX70545

A
Mr angiography head w/dye
1.20
15.74
13.67
NA
NA
0.64
XXX70545
TC
A
Mr angiography head w/dye
0.00
15.32
13.26
NA
NA
0.59
XXX70545
26
A
Mr angiography head w/dye
1.20
0.42
0.41
0.42
0.41
0.05
XXX70546

A
Mr angiograph head w/o&w/dye
1.80
24.03
23.53
NA
NA
0.67
XXX70546
TC
A
Mr angiograph head w/o&w/dye
0.00
23.41
22.92
NA
NA
0.59
XXX70546
26
A
Mr angiograph head w/o&w/dye
1.80
0.62
0.61
0.62
0.61
0.08
XXX70547

A
Mr angiography neck w/o dye
1.20
15.79
13.69
NA
NA
0.64
XXX70547
TC
A
Mr angiography neck w/o dye
0.00
15.38
13.29
NA
NA
0.59
XXX70547
26
A
Mr angiography neck w/o dye
1.20
0.41
0.40
0.41
0.40
0.05
XXX70548

A
Mr angiography neck w/dye
1.20
16.65
14.13
NA
NA
0.64
XXX70548
TC
A
Mr angiography neck w/dye
0.00
16.23
13.72
NA
NA
0.59
XXX70548
26
A
Mr angiography neck w/dye
1.20
0.42
0.41
0.42
0.41
0.05
XXX70549

A
Mr angiograph neck w/o&w/dye
1.80
24.05
23.53
NA
NA
0.67
XXX70549
TC
A
Mr angiograph neck w/o&w/dye
0.00
23.42
22.92
NA
NA
0.59
XXX70549
26
A
Mr angiograph neck w/o&w/dye
1.80
0.63
0.61
0.63
0.61
0.08
XXX70551

A
Mri brain w/o dye
1.48
14.44
13.07
NA
NA
0.66
XXX70551
TC
A
Mri brain w/o dye
0.00
13.93
12.57
NA
NA
0.59
XXX70551
26
A
Mri brain w/o dye
1.48
0.51
0.50
0.51
0.50
0.07
XXX70552

A
Mri brain w/dye
1.78
15.59
14.82
NA
NA
0.78
XXX70552
TC
A
Mri brain w/dye
0.00
14.97
14.21
NA
NA
0.70
XXX70552
26
A
Mri brain w/dye
1.78
0.62
0.61
0.62
0.61
0.08
XXX70553

A
Mri brain w/o & w/dye
2.36
18.09
21.88
NA
NA
1.41
XXX70553
TC
A
Mri brain w/o & w/dye
0.00
17.27
21.08
NA
NA
1.31
XXX70553
26
A
Mri brain w/o & w/dye
2.36
0.82
0.80
0.82
0.80
0.10
XXX70554

A
Fmri brain by tech
2.11
15.42
15.42
NA
NA
0.92
XXX70554
TC
A
Fmri brain by tech
0.00
14.73
14.73
NA
NA
0.82
XXX70554
26
A
Fmri brain by tech
2.11
0.69
0.69
0.69
0.69
0.10
XXX70555

C
Fmri brain by phys/psych
0.00
0.00
0.00
NA
NA
0.00
XXX70555
TC
C
Fmri brain by phys/psych
0.00
0.00
0.00
NA
NA
0.00
XXX70555
26
A
Fmri brain by phys/psych
2.54
0.90
0.90
0.90
0.90
0.11
XXX70557

C
Mri brain w/o dye
0.00
0.00
0.00
NA
NA
0.00
XXX70557
TC
C
Mri brain w/o dye
0.00
0.00
0.00
NA
NA
0.00
XXX70557
26
A
Mri brain w/o dye
2.90
1.03
1.08
1.03
1.08
0.08
XXX70558

C
Mri brain w/dye
0.00
0.00
0.00
NA
NA
0.00
XXX70558
TC
C
Mri brain w/dye
0.00
0.00
0.00
NA
NA
0.00
XXX70558
26
A
Mri brain w/dye
3.20
1.10
1.17
1.10
1.17
0.10
XXX70559

C
Mri brain w/o & w/dye
0.00
0.00
0.00
NA
NA
0.00
XXX70559
TC
C
Mri brain w/o & w/dye
0.00
0.00
0.00
NA
NA
0.00
XXX70559
26
A
Mri brain w/o & w/dye
3.20
1.14
1.19
1.14
1.19
0.12
XXX71010

A
Chest x-ray
0.18
0.43
0.48
NA
NA
0.03
XXX71010
TC
A
Chest x-ray
0.00
0.37
0.42
NA
NA
0.02
XXX71010
26
A
Chest x-ray
0.18
0.06
0.06
0.06
0.06
0.01
XXX( print page 2652)71015

A
Chest x-ray
0.21
0.58
0.58
NA
NA
0.03
XXX71015
TC
A
Chest x-ray
0.00
0.51
0.51
NA
NA
0.02
XXX71015
26
A
Chest x-ray
0.21
0.07
0.07
0.07
0.07
0.01
XXX71020

A
Chest x-ray
0.22
0.57
0.63
NA
NA
0.05
XXX71020
TC
A
Chest x-ray
0.00
0.50
0.56
NA
NA
0.04
XXX71020
26
A
Chest x-ray
0.22
0.07
0.07
0.07
0.07
0.01
XXX71021

A
Chest x-ray
0.27
0.71
0.77
NA
NA
0.06
XXX71021
TC
A
Chest x-ray
0.00
0.62
0.68
NA
NA
0.05
XXX71021
26
A
Chest x-ray
0.27
0.09
0.09
0.09
0.09
0.01
XXX71022

A
Chest x-ray
0.31
0.90
0.86
NA
NA
0.06
XXX71022
TC
A
Chest x-ray
0.00
0.80
0.76
NA
NA
0.05
XXX71022
26
A
Chest x-ray
0.31
0.10
0.10
0.10
0.10
0.01
XXX71023

A
Chest x-ray and fluoroscopy
0.38
1.54
1.23
NA
NA
0.06
XXX71023
TC
A
Chest x-ray and fluoroscopy
0.00
1.40
1.09
NA
NA
0.05
XXX71023
26
A
Chest x-ray and fluoroscopy
0.38
0.14
0.14
0.14
0.14
0.01
XXX71030

A
Chest x-ray
0.31
0.92
0.90
NA
NA
0.06
XXX71030
TC
A
Chest x-ray
0.00
0.82
0.80
NA
NA
0.05
XXX71030
26
A
Chest x-ray
0.31
0.10
0.10
0.10
0.10
0.01
XXX71034

A
Chest x-ray and fluoroscopy
0.46
2.12
1.85
NA
NA
0.10
XXX71034
TC
A
Chest x-ray and fluoroscopy
0.00
1.91
1.67
NA
NA
0.08
XXX71034
26
A
Chest x-ray and fluoroscopy
0.46
0.21
0.18
0.21
0.18
0.02
XXX71035

A
Chest x-ray
0.18
0.78
0.68
NA
NA
0.03
XXX71035
TC
A
Chest x-ray
0.00
0.72
0.62
NA
NA
0.02
XXX71035
26
A
Chest x-ray
0.18
0.06
0.06
0.06
0.06
0.01
XXX71040

A
Contrast x-ray of bronchi
0.58
2.06
1.85
NA
NA
0.11
XXX71040
TC
A
Contrast x-ray of bronchi
0.00
1.88
1.67
NA
NA
0.08
XXX71040
26
A
Contrast x-ray of bronchi
0.58
0.18
0.18
0.18
0.18
0.03
XXX71060

A
Contrast x-ray of bronchi
0.74
3.11
2.78
NA
NA
0.16
XXX71060
TC
A
Contrast x-ray of bronchi
0.00
2.85
2.53
NA
NA
0.13
XXX71060
26
A
Contrast x-ray of bronchi
0.74
0.26
0.25
0.26
0.25
0.03
XXX71090

C
X-ray & pacemaker insertion
0.00
0.00
0.00
NA
NA
0.00
XXX71090
TC
C
X-ray & pacemaker insertion
0.00
0.00
0.00
NA
NA
0.00
XXX71090
26
A
X-ray & pacemaker insertion
0.54
0.28
0.24
0.28
0.24
0.02
XXX71100

A
X-ray exam of ribs
0.22
0.62
0.63
NA
NA
0.05
XXX71100
TC
A
X-ray exam of ribs
0.00
0.55
0.56
NA
NA
0.04
XXX71100
26
A
X-ray exam of ribs
0.22
0.07
0.07
0.07
0.07
0.01
XXX71101

A
X-ray exam of ribs/chest
0.27
0.77
0.76
NA
NA
0.05
XXX71101
TC
A
X-ray exam of ribs/chest
0.00
0.68
0.67
NA
NA
0.04
XXX71101
26
A
X-ray exam of ribs/chest
0.27
0.09
0.09
0.09
0.09
0.01
XXX71110

A
X-ray exam of ribs
0.27
0.77
0.82
NA
NA
0.06
XXX71110
TC
A
X-ray exam of ribs
0.00
0.69
0.73
NA
NA
0.05
XXX71110
26
A
X-ray exam of ribs
0.27
0.08
0.09
0.08
0.09
0.01
XXX71111

A
X-ray exam of ribs/chest
0.32
1.06
1.03
NA
NA
0.07
XXX71111
TC
A
X-ray exam of ribs/chest
0.00
0.96
0.93
NA
NA
0.06
XXX71111
26
A
X-ray exam of ribs/chest
0.32
0.10
0.10
0.10
0.10
0.01
XXX71120

A
X-ray exam of breastbone
0.20
0.63
0.68
NA
NA
0.05
XXX71120
TC
A
X-ray exam of breastbone
0.00
0.56
0.61
NA
NA
0.04
XXX71120
26
A
X-ray exam of breastbone
0.20
0.07
0.07
0.07
0.07
0.01
XXX71130

A
X-ray exam of breastbone
0.22
0.76
0.76
NA
NA
0.05
XXX71130
TC
A
X-ray exam of breastbone
0.00
0.68
0.69
NA
NA
0.04
XXX71130
26
A
X-ray exam of breastbone
0.22
0.08
0.07
0.08
0.07
0.01
XXX71250

A
Ct thorax w/o dye
1.16
6.45
6.37
NA
NA
0.36
XXX71250
TC
A
Ct thorax w/o dye
0.00
6.04
5.98
NA
NA
0.31
XXX71250
26
A
Ct thorax w/o dye
1.16
0.41
0.39
0.41
0.39
0.05
XXX71260

A
Ct thorax w/dye
1.24
8.00
7.74
NA
NA
0.42
XXX71260
TC
A
Ct thorax w/dye
0.00
7.56
7.32
NA
NA
0.37
XXX71260
26
A
Ct thorax w/dye
1.24
0.44
0.42
0.44
0.42
0.05
XXX71270

A
Ct thorax w/o & w/dye
1.38
10.04
9.68
NA
NA
0.52
XXX71270
TC
A
Ct thorax w/o & w/dye
0.00
9.56
9.21
NA
NA
0.46
XXX71270
26
A
Ct thorax w/o & w/dye
1.38
0.48
0.47
0.48
0.47
0.06
XXX71275

A
Ct angiography, chest
1.92
11.77
12.39
NA
NA
0.48
XXX71275
TC
A
Ct angiography, chest
0.00
11.08
11.73
NA
NA
0.39
XXX71275
26
A
Ct angiography, chest
1.92
0.69
0.66
0.69
0.66
0.09
XXX71550

A
Mri chest w/o dye
1.46
16.38
14.03
NA
NA
0.51
XXX71550
TC
A
Mri chest w/o dye
0.00
15.87
13.54
NA
NA
0.45
XXX71550
26
A
Mri chest w/o dye
1.46
0.51
0.49
0.51
0.49
0.06
XXX71551

A
Mri chest w/dye
1.73
17.94
15.97
NA
NA
0.60
XXX71551
TC
A
Mri chest w/dye
0.00
17.34
15.39
NA
NA
0.52
XXX71551
26
A
Mri chest w/dye
1.73
0.60
0.58
0.60
0.58
0.08
XXX71552

A
Mri chest w/o & w/dye
2.26
22.58
24.10
NA
NA
0.78
XXX71552
TC
A
Mri chest w/o & w/dye
0.00
21.77
23.33
NA
NA
0.68
XXX71552
26
A
Mri chest w/o & w/dye
2.26
0.81
0.77
0.81
0.77
0.10
XXX( print page 2653)71555

R
Mri angio chest w or w/o dye
1.81
15.31
13.56
NA
NA
0.67
XXX71555
TC
R
Mri angio chest w or w/o dye
0.00
14.65
12.93
NA
NA
0.59
XXX71555
26
R
Mri angio chest w or w/o dye
1.81
0.66
0.63
0.66
0.63
0.08
XXX72010

A
X-ray exam of spine
0.45
1.43
1.30
NA
NA
0.08
XXX72010
TC
A
X-ray exam of spine
0.00
1.30
1.16
NA
NA
0.06
XXX72010
26
A
X-ray exam of spine
0.45
0.13
0.14
0.13
0.14
0.02
XXX72020

A
X-ray exam of spine
0.15
0.47
0.47
NA
NA
0.03
XXX72020
TC
A
X-ray exam of spine
0.00
0.42
0.42
NA
NA
0.02
XXX72020
26
A
X-ray exam of spine
0.15
0.05
0.05
0.05
0.05
0.01
XXX72040

A
X-ray exam of neck spine
0.22
0.76
0.72
NA
NA
0.05
XXX72040
TC
A
X-ray exam of neck spine
0.00
0.69
0.65
NA
NA
0.04
XXX72040
26
A
X-ray exam of neck spine
0.22
0.07
0.07
0.07
0.07
0.01
XXX72050

A
X-ray exam of neck spine
0.31
1.08
1.03
NA
NA
0.07
XXX72050
TC
A
X-ray exam of neck spine
0.00
0.97
0.93
NA
NA
0.06
XXX72050
26
A
X-ray exam of neck spine
0.31
0.11
0.10
0.11
0.10
0.01
XXX72052

A
X-ray exam of neck spine
0.36
1.39
1.32
NA
NA
0.08
XXX72052
TC
A
X-ray exam of neck spine
0.00
1.27
1.20
NA
NA
0.06
XXX72052
26
A
X-ray exam of neck spine
0.36
0.12
0.12
0.12
0.12
0.02
XXX72069

A
X-ray exam of trunk spine
0.22
0.76
0.66
NA
NA
0.03
XXX72069
TC
A
X-ray exam of trunk spine
0.00
0.68
0.58
NA
NA
0.02
XXX72069
26
A
X-ray exam of trunk spine
0.22
0.08
0.08
0.08
0.08
0.01
XXX72070

A
X-ray exam of thoracic spine
0.22
0.64
0.68
NA
NA
0.05
XXX72070
TC
A
X-ray exam of thoracic spine
0.00
0.57
0.61
NA
NA
0.04
XXX72070
26
A
X-ray exam of thoracic spine
0.22
0.07
0.07
0.07
0.07
0.01
XXX72072

A
X-ray exam of thoracic spine
0.22
0.77
0.78
NA
NA
0.06
XXX72072
TC
A
X-ray exam of thoracic spine
0.00
0.70
0.71
NA
NA
0.05
XXX72072
26
A
X-ray exam of thoracic spine
0.22
0.07
0.07
0.07
0.07
0.01
XXX72074

A
X-ray exam of thoracic spine
0.22
0.95
0.96
NA
NA
0.07
XXX72074
TC
A
X-ray exam of thoracic spine
0.00
0.88
0.89
NA
NA
0.06
XXX72074
26
A
X-ray exam of thoracic spine
0.22
0.07
0.07
0.07
0.07
0.01
XXX72080

A
X-ray exam of trunk spine
0.22
0.70
0.71
NA
NA
0.05
XXX72080
TC
A
X-ray exam of trunk spine
0.00
0.62
0.64
NA
NA
0.04
XXX72080
26
A
X-ray exam of trunk spine
0.22
0.08
0.07
0.08
0.07
0.01
XXX72090

A
X-ray exam of trunk spine
0.28
1.00
0.89
NA
NA
0.05
XXX72090
TC
A
X-ray exam of trunk spine
0.00
0.90
0.79
NA
NA
0.04
XXX72090
26
A
X-ray exam of trunk spine
0.28
0.10
0.10
0.10
0.10
0.01
XXX72100

A
X-ray exam of lower spine
0.22
0.81
0.77
NA
NA
0.05
XXX72100
TC
A
X-ray exam of lower spine
0.00
0.74
0.70
NA
NA
0.04
XXX72100
26
A
X-ray exam of lower spine
0.22
0.07
0.07
0.07
0.07
0.01
XXX72110

A
X-ray exam of lower spine
0.31
1.15
1.07
NA
NA
0.07
XXX72110
TC
A
X-ray exam of lower spine
0.00
1.04
0.97
NA
NA
0.06
XXX72110
26
A
X-ray exam of lower spine
0.31
0.11
0.10
0.11
0.10
0.01
XXX72114

A
X-ray exam of lower spine
0.36
1.57
1.43
NA
NA
0.08
XXX72114
TC
A
X-ray exam of lower spine
0.00
1.44
1.31
NA
NA
0.06
XXX72114
26
A
X-ray exam of lower spine
0.36
0.13
0.12
0.13
0.12
0.02
XXX72120

A
X-ray exam of lower spine
0.22
1.08
1.01
NA
NA
0.07
XXX72120
TC
A
X-ray exam of lower spine
0.00
1.00
0.94
NA
NA
0.06
XXX72120
26
A
X-ray exam of lower spine
0.22
0.08
0.07
0.08
0.07
0.01
XXX72125

A
Ct neck spine w/o dye
1.16
6.47
6.38
NA
NA
0.36
XXX72125
TC
A
Ct neck spine w/o dye
0.00
6.06
5.99
NA
NA
0.31
XXX72125
26
A
Ct neck spine w/o dye
1.16
0.41
0.39
0.41
0.39
0.05
XXX72126

A
Ct neck spine w/dye
1.22
8.00
7.73
NA
NA
0.42
XXX72126
TC
A
Ct neck spine w/dye
0.00
7.57
7.32
NA
NA
0.37
XXX72126
26
A
Ct neck spine w/dye
1.22
0.43
0.41
0.43
0.41
0.05
XXX72127

A
Ct neck spine w/o & w/dye
1.27
10.05
9.66
NA
NA
0.52
XXX72127
TC
A
Ct neck spine w/o & w/dye
0.00
9.61
9.23
NA
NA
0.46
XXX72127
26
A
Ct neck spine w/o & w/dye
1.27
0.44
0.43
0.44
0.43
0.06
XXX72128

A
Ct chest spine w/o dye
1.16
6.46
6.37
NA
NA
0.36
XXX72128
TC
A
Ct chest spine w/o dye
0.00
6.05
5.98
NA
NA
0.31
XXX72128
26
A
Ct chest spine w/o dye
1.16
0.41
0.39
0.41
0.39
0.05
XXX72129

A
Ct chest spine w/dye
1.22
8.00
7.74
NA
NA
0.42
XXX72129
TC
A
Ct chest spine w/dye
0.00
7.57
7.32
NA
NA
0.37
XXX72129
26
A
Ct chest spine w/dye
1.22
0.43
0.42
0.43
0.42
0.05
XXX72130

A
Ct chest spine w/o & w/dye
1.27
9.98
9.63
NA
NA
0.52
XXX72130
TC
A
Ct chest spine w/o & w/dye
0.00
9.54
9.20
NA
NA
0.46
XXX72130
26
A
Ct chest spine w/o & w/dye
1.27
0.44
0.43
0.44
0.43
0.06
XXX72131

A
Ct lumbar spine w/o dye
1.16
6.43
6.36
NA
NA
0.36
XXX72131
TC
A
Ct lumbar spine w/o dye
0.00
6.03
5.97
NA
NA
0.31
XXX72131
26
A
Ct lumbar spine w/o dye
1.16
0.40
0.39
0.40
0.39
0.05
XXX72132

A
Ct lumbar spine w/dye
1.22
7.98
7.72
NA
NA
0.42
XXX72132
TC
A
Ct lumbar spine w/dye
0.00
7.55
7.31
NA
NA
0.37
XXX72132
26
A
Ct lumbar spine w/dye
1.22
0.43
0.41
0.43
0.41
0.05
XXX( print page 2654)72133

A
Ct lumbar spine w/o & w/dye
1.27
10.02
9.65
NA
NA
0.52
XXX72133
TC
A
Ct lumbar spine w/o & w/dye
0.00
9.58
9.22
NA
NA
0.46
XXX72133
26
A
Ct lumbar spine w/o & w/dye
1.27
0.44
0.43
0.44
0.43
0.06
XXX72141

A
Mri neck spine w/o dye
1.60
12.46
12.10
NA
NA
0.66
XXX72141
TC
A
Mri neck spine w/o dye
0.00
11.91
11.56
NA
NA
0.59
XXX72141
26
A
Mri neck spine w/o dye
1.60
0.55
0.54
0.55
0.54
0.07
XXX72142

A
Mri neck spine w/dye
1.92
15.62
14.85
NA
NA
0.79
XXX72142
TC
A
Mri neck spine w/dye
0.00
14.96
14.20
NA
NA
0.70
XXX72142
26
A
Mri neck spine w/dye
1.92
0.66
0.65
0.66
0.65
0.09
XXX72146

A
Mri chest spine w/o dye
1.60
12.48
12.73
NA
NA
0.71
XXX72146
TC
A
Mri chest spine w/o dye
0.00
11.93
12.19
NA
NA
0.64
XXX72146
26
A
Mri chest spine w/o dye
1.60
0.55
0.54
0.55
0.54
0.07
XXX72147

A
Mri chest spine w/dye
1.92
13.58
13.83
NA
NA
0.79
XXX72147
TC
A
Mri chest spine w/dye
0.00
12.91
13.18
NA
NA
0.70
XXX72147
26
A
Mri chest spine w/dye
1.92
0.67
0.65
0.67
0.65
0.09
XXX72148

A
Mri lumbar spine w/o dye
1.48
12.42
12.68
NA
NA
0.71
XXX72148
TC
A
Mri lumbar spine w/o dye
0.00
11.91
12.18
NA
NA
0.64
XXX72148
26
A
Mri lumbar spine w/o dye
1.48
0.51
0.50
0.51
0.50
0.07
XXX72149

A
Mri lumbar spine w/dye
1.78
15.52
14.79
NA
NA
0.78
XXX72149
TC
A
Mri lumbar spine w/dye
0.00
14.90
14.18
NA
NA
0.70
XXX72149
26
A
Mri lumbar spine w/dye
1.78
0.62
0.61
0.62
0.61
0.08
XXX72156

A
Mri neck spine w/o & w/dye
2.57
17.79
21.77
NA
NA
1.42
XXX72156
TC
A
Mri neck spine w/o & w/dye
0.00
16.90
20.90
NA
NA
1.31
XXX72156
26
A
Mri neck spine w/o & w/dye
2.57
0.89
0.87
0.89
0.87
0.11
XXX72157

A
Mri chest spine w/o & w/dye
2.57
16.22
20.98
NA
NA
1.42
XXX72157
TC
A
Mri chest spine w/o & w/dye
0.00
15.32
20.11
NA
NA
1.31
XXX72157
26
A
Mri chest spine w/o & w/dye
2.57
0.90
0.87
0.90
0.87
0.11
XXX72158

A
Mri lumbar spine w/o & w/dye
2.36
17.70
21.69
NA
NA
1.41
XXX72158
TC
A
Mri lumbar spine w/o & w/dye
0.00
16.88
20.89
NA
NA
1.31
XXX72158
26
A
Mri lumbar spine w/o & w/dye
2.36
0.82
0.80
0.82
0.80
0.10
XXX72159

N
Mr angio spine w/o&w/dye
1.80
14.67
13.80
NA
NA
0.74
XXX72159
TC
N
Mr angio spine w/o&w/dye
0.00
14.25
13.25
NA
NA
0.64
XXX72159
26
N
Mr angio spine w/o&w/dye
1.80
0.42
0.55
0.42
0.55
0.10
XXX72170

A
X-ray exam of pelvis
0.17
0.50
0.54
NA
NA
0.03
XXX72170
TC
A
X-ray exam of pelvis
0.00
0.44
0.48
NA
NA
0.02
XXX72170
26
A
X-ray exam of pelvis
0.17
0.06
0.06
0.06
0.06
0.01
XXX72190

A
X-ray exam of pelvis
0.21
0.84
0.79
NA
NA
0.05
XXX72190
TC
A
X-ray exam of pelvis
0.00
0.77
0.72
NA
NA
0.04
XXX72190
26
A
X-ray exam of pelvis
0.21
0.07
0.07
0.07
0.07
0.01
XXX72191

A
Ct angiograph pelv w/o&w/dye
1.81
11.34
11.99
NA
NA
0.47
XXX72191
TC
A
Ct angiograph pelv w/o&w/dye
0.00
10.69
11.36
NA
NA
0.39
XXX72191
26
A
Ct angiograph pelv w/o&w/dye
1.81
0.65
0.63
0.65
0.63
0.08
XXX72192

A
Ct pelvis w/o dye
1.09
6.04
6.15
NA
NA
0.36
XXX72192
TC
A
Ct pelvis w/o dye
0.00
5.65
5.78
NA
NA
0.31
XXX72192
26
A
Ct pelvis w/o dye
1.09
0.39
0.37
0.39
0.37
0.05
XXX72193

A
Ct pelvis w/dye
1.16
7.55
7.39
NA
NA
0.41
XXX72193
TC
A
Ct pelvis w/dye
0.00
7.14
6.99
NA
NA
0.36
XXX72193
26
A
Ct pelvis w/dye
1.16
0.41
0.40
0.41
0.40
0.05
XXX72194

A
Ct pelvis w/o & w/dye
1.22
10.13
9.51
NA
NA
0.48
XXX72194
TC
A
Ct pelvis w/o & w/dye
0.00
9.70
9.10
NA
NA
0.43
XXX72194
26
A
Ct pelvis w/o & w/dye
1.22
0.43
0.41
0.43
0.41
0.05
XXX72195

A
Mri pelvis w/o dye
1.46
14.44
13.06
NA
NA
0.51
XXX72195
TC
A
Mri pelvis w/o dye
0.00
13.93
12.57
NA
NA
0.45
XXX72195
26
A
Mri pelvis w/o dye
1.46
0.51
0.49
0.51
0.49
0.06
XXX72196

A
Mri pelvis w/dye
1.73
15.54
14.78
NA
NA
0.60
XXX72196
TC
A
Mri pelvis w/dye
0.00
14.93
14.19
NA
NA
0.52
XXX72196
26
A
Mri pelvis w/dye
1.73
0.61
0.59
0.61
0.59
0.08
XXX72197

A
Mri pelvis w/o & w/dye
2.26
18.97
22.30
NA
NA
1.02
XXX72197
TC
A
Mri pelvis w/o & w/dye
0.00
18.18
21.54
NA
NA
0.92
XXX72197
26
A
Mri pelvis w/o & w/dye
2.26
0.79
0.76
0.79
0.76
0.10
XXX72198

A
Mr angio pelvis w/o & w/dye
1.80
15.09
13.44
NA
NA
0.67
XXX72198
TC
A
Mr angio pelvis w/o & w/dye
0.00
14.45
12.83
NA
NA
0.59
XXX72198
26
A
Mr angio pelvis w/o & w/dye
1.80
0.64
0.61
0.64
0.61
0.08
XXX72200

A
X-ray exam sacroiliac joints
0.17
0.59
0.59
NA
NA
0.03
XXX72200
TC
A
X-ray exam sacroiliac joints
0.00
0.54
0.53
NA
NA
0.02
XXX72200
26
A
X-ray exam sacroiliac joints
0.17
0.05
0.06
0.05
0.06
0.01
XXX72202

A
X-ray exam sacroiliac joints
0.19
0.74
0.71
NA
NA
0.05
XXX72202
TC
A
X-ray exam sacroiliac joints
0.00
0.67
0.65
NA
NA
0.04
XXX72202
26
A
X-ray exam sacroiliac joints
0.19
0.07
0.06
0.07
0.06
0.01
XXX72220

A
X-ray exam of tailbone
0.17
0.58
0.61
NA
NA
0.05
XXX72220
TC
A
X-ray exam of tailbone
0.00
0.52
0.55
NA
NA
0.04
XXX72220
26
A
X-ray exam of tailbone
0.17
0.06
0.06
0.06
0.06
0.01
XXX( print page 2655)72240

A
Contrast x-ray of neck spine
0.91
2.58
3.80
NA
NA
0.29
XXX72240
TC
A
Contrast x-ray of neck spine
0.00
2.26
3.50
NA
NA
0.25
XXX72240
26
A
Contrast x-ray of neck spine
0.91
0.32
0.30
0.32
0.30
0.04
XXX72255

A
Contrast x-ray, thorax spine
0.91
2.24
3.43
NA
NA
0.26
XXX72255
TC
A
Contrast x-ray, thorax spine
0.00
1.96
3.15
NA
NA
0.22
XXX72255
26
A
Contrast x-ray, thorax spine
0.91
0.28
0.28
0.28
0.28
0.04
XXX72265

A
Contrast x-ray, lower spine
0.83
2.54
3.43
NA
NA
0.26
XXX72265
TC
A
Contrast x-ray, lower spine
0.00
2.25
3.16
NA
NA
0.22
XXX72265
26
A
Contrast x-ray, lower spine
0.83
0.29
0.27
0.29
0.27
0.04
XXX72270

A
Contrast x-ray, spine
1.33
3.99
5.27
NA
NA
0.39
XXX72270
TC
A
Contrast x-ray, spine
0.00
3.52
4.82
NA
NA
0.33
XXX72270
26
A
Contrast x-ray, spine
1.33
0.47
0.45
0.47
0.45
0.06
XXX72275

A
Epidurography
0.76
1.73
2.02
NA
NA
0.26
XXX72275
TC
A
Epidurography
0.00
1.53
1.82
NA
NA
0.22
XXX72275
26
A
Epidurography
0.76
0.20
0.20
0.20
0.20
0.04
XXX72285

A
X-ray c/t spine disk
1.16
1.44
5.09
NA
NA
0.50
XXX72285
TC
A
X-ray c/t spine disk
0.00
1.14
4.76
NA
NA
0.43
XXX72285
26
A
X-ray c/t spine disk
1.16
0.30
0.33
0.30
0.33
0.07
XXX72291

C
Perq vertebroplasty, fluor
0.00
0.00
0.00
NA
NA
0.00
XXX72291
TC
C
Perq vertebroplasty, fluor
0.00
0.00
0.00
NA
NA
0.00
XXX72291
26
A
Perq vertebroplasty, fluor
1.31
0.48
0.47
0.48
0.47
0.10
XXX72292

C
Perq vertebroplasty, ct
0.00
0.00
0.00
NA
NA
0.00
XXX72292
TC
C
Perq vertebroplasty, ct
0.00
0.00
0.00
NA
NA
0.00
XXX72292
26
A
Perq vertebroplasty, ct
1.38
0.50
0.49
0.50
0.49
0.07
XXX72295

A
X-ray of lower spine disk
0.83
1.46
4.80
NA
NA
0.46
XXX72295
TC
A
X-ray of lower spine disk
0.00
1.22
4.54
NA
NA
0.40
XXX72295
26
A
X-ray of lower spine disk
0.83
0.24
0.26
0.24
0.26
0.06
XXX73000

A
X-ray exam of collar bone
0.16
0.55
0.56
NA
NA
0.03
XXX73000
TC
A
X-ray exam of collar bone
0.00
0.50
0.51
NA
NA
0.02
XXX73000
26
A
X-ray exam of collar bone
0.16
0.05
0.05
0.05
0.05
0.01
XXX73010

A
X-ray exam of shoulder blade
0.17
0.58
0.58
NA
NA
0.03
XXX73010
TC
A
X-ray exam of shoulder blade
0.00
0.52
0.52
NA
NA
0.02
XXX73010
26
A
X-ray exam of shoulder blade
0.17
0.06
0.06
0.06
0.06
0.01
XXX73020

A
X-ray exam of shoulder
0.15
0.44
0.48
NA
NA
0.03
XXX73020
TC
A
X-ray exam of shoulder
0.00
0.39
0.43
NA
NA
0.02
XXX73020
26
A
X-ray exam of shoulder
0.15
0.05
0.05
0.05
0.05
0.01
XXX73030

A
X-ray exam of shoulder
0.18
0.57
0.60
NA
NA
0.05
XXX73030
TC
A
X-ray exam of shoulder
0.00
0.51
0.54
NA
NA
0.04
XXX73030
26
A
X-ray exam of shoulder
0.18
0.06
0.06
0.06
0.06
0.01
XXX73040

A
Contrast x-ray of shoulder
0.54
2.25
2.27
NA
NA
0.14
XXX73040
TC
A
Contrast x-ray of shoulder
0.00
2.06
2.08
NA
NA
0.12
XXX73040
26
A
Contrast x-ray of shoulder
0.54
0.19
0.19
0.19
0.19
0.02
XXX73050

A
X-ray exam of shoulders
0.20
0.74
0.73
NA
NA
0.05
XXX73050
TC
A
X-ray exam of shoulders
0.00
0.66
0.66
NA
NA
0.04
XXX73050
26
A
X-ray exam of shoulders
0.20
0.08
0.07
0.08
0.07
0.01
XXX73060

A
X-ray exam of humerus
0.17
0.58
0.60
NA
NA
0.05
XXX73060
TC
A
X-ray exam of humerus
0.00
0.52
0.54
NA
NA
0.04
XXX73060
26
A
X-ray exam of humerus
0.17
0.06
0.06
0.06
0.06
0.01
XXX73070

A
X-ray exam of elbow
0.15
0.55
0.56
NA
NA
0.03
XXX73070
TC
A
X-ray exam of elbow
0.00
0.50
0.51
NA
NA
0.02
XXX73070
26
A
X-ray exam of elbow
0.15
0.05
0.05
0.05
0.05
0.01
XXX73080

A
X-ray exam of elbow
0.17
0.76
0.69
NA
NA
0.05
XXX73080
TC
A
X-ray exam of elbow
0.00
0.70
0.63
NA
NA
0.04
XXX73080
26
A
X-ray exam of elbow
0.17
0.06
0.06
0.06
0.06
0.01
XXX73085

A
Contrast x-ray of elbow
0.54
1.84
2.07
NA
NA
0.14
XXX73085
TC
A
Contrast x-ray of elbow
0.00
1.66
1.88
NA
NA
0.12
XXX73085
26
A
Contrast x-ray of elbow
0.54
0.18
0.19
0.18
0.19
0.02
XXX73090

A
X-ray exam of forearm
0.16
0.55
0.56
NA
NA
0.03
XXX73090
TC
A
X-ray exam of forearm
0.00
0.50
0.51
NA
NA
0.02
XXX73090
26
A
X-ray exam of forearm
0.16
0.05
0.05
0.05
0.05
0.01
XXX73092

A
X-ray exam of arm, infant
0.16
0.58
0.56
NA
NA
0.03
XXX73092
TC
A
X-ray exam of arm, infant
0.00
0.53
0.51
NA
NA
0.02
XXX73092
26
A
X-ray exam of arm, infant
0.16
0.05
0.05
0.05
0.05
0.01
XXX73100

A
X-ray exam of wrist
0.16
0.61
0.57
NA
NA
0.03
XXX73100
TC
A
X-ray exam of wrist
0.00
0.55
0.52
NA
NA
0.02
XXX73100
26
A
X-ray exam of wrist
0.16
0.06
0.05
0.06
0.05
0.01
XXX73110

A
X-ray exam of wrist
0.17
0.78
0.68
NA
NA
0.03
XXX73110
TC
A
X-ray exam of wrist
0.00
0.72
0.62
NA
NA
0.02
XXX73110
26
A
X-ray exam of wrist
0.17
0.06
0.06
0.06
0.06
0.01
XXX73115

A
Contrast x-ray of wrist
0.54
2.33
2.04
NA
NA
0.12
XXX73115
TC
A
Contrast x-ray of wrist
0.00
2.14
1.86
NA
NA
0.10
XXX73115
26
A
Contrast x-ray of wrist
0.54
0.19
0.18
0.19
0.18
0.02
XXX( print page 2656)73120

A
X-ray exam of hand
0.16
0.56
0.55
NA
NA
0.03
XXX73120
TC
A
X-ray exam of hand
0.00
0.51
0.50
NA
NA
0.02
XXX73120
26
A
X-ray exam of hand
0.16
0.05
0.05
0.05
0.05
0.01
XXX73130

A
X-ray exam of hand
0.17
0.66
0.63
NA
NA
0.03
XXX73130
TC
A
X-ray exam of hand
0.00
0.60
0.57
NA
NA
0.02
XXX73130
26
A
X-ray exam of hand
0.17
0.06
0.06
0.06
0.06
0.01
XXX73140

A
X-ray exam of finger(s)
0.13
0.67
0.57
NA
NA
0.03
XXX73140
TC
A
X-ray exam of finger(s)
0.00
0.63
0.53
NA
NA
0.02
XXX73140
26
A
X-ray exam of finger(s)
0.13
0.04
0.04
0.04
0.04
0.01
XXX73200

A
Ct upper extremity w/o dye
1.09
6.40
5.86
NA
NA
0.30
XXX73200
TC
A
Ct upper extremity w/o dye
0.00
6.02
5.49
NA
NA
0.25
XXX73200
26
A
Ct upper extremity w/o dye
1.09
0.38
0.37
0.38
0.37
0.05
XXX73201

A
Ct upper extremity w/dye
1.16
7.92
7.10
NA
NA
0.36
XXX73201
TC
A
Ct upper extremity w/dye
0.00
7.51
6.71
NA
NA
0.31
XXX73201
26
A
Ct upper extremity w/dye
1.16
0.41
0.39
0.41
0.39
0.05
XXX73202

A
Ct uppr extremity w/o&w/dye
1.22
10.55
9.19
NA
NA
0.44
XXX73202
TC
A
Ct uppr extremity w/o&w/dye
0.00
10.13
8.78
NA
NA
0.39
XXX73202
26
A
Ct uppr extremity w/o&w/dye
1.22
0.42
0.41
0.42
0.41
0.05
XXX73206

A
Ct angio upr extrm w/o&w/dye
1.81
10.94
11.24
NA
NA
0.47
XXX73206
TC
A
Ct angio upr extrm w/o&w/dye
0.00
10.26
10.61
NA
NA
0.39
XXX73206
26
A
Ct angio upr extrm w/o&w/dye
1.81
0.68
0.63
0.68
0.63
0.08
XXX73218

A
Mri upper extremity w/o dye
1.35
14.65
13.15
NA
NA
0.45
XXX73218
TC
A
Mri upper extremity w/o dye
0.00
14.19
12.70
NA
NA
0.39
XXX73218
26
A
Mri upper extremity w/o dye
1.35
0.46
0.45
0.46
0.45
0.06
XXX73219

A
Mri upper extremity w/dye
1.62
15.41
14.70
NA
NA
0.54
XXX73219
TC
A
Mri upper extremity w/dye
0.00
14.85
14.15
NA
NA
0.47
XXX73219
26
A
Mri upper extremity w/dye
1.62
0.56
0.55
0.56
0.55
0.07
XXX73220

A
Mri uppr extremity w/o&w/dye
2.15
19.06
22.33
NA
NA
0.94
XXX73220
TC
A
Mri uppr extremity w/o&w/dye
0.00
18.31
21.60
NA
NA
0.84
XXX73220
26
A
Mri uppr extremity w/o&w/dye
2.15
0.75
0.73
0.75
0.73
0.10
XXX73221

A
Mri joint upr extrem w/o dye
1.35
13.56
12.60
NA
NA
0.45
XXX73221
TC
A
Mri joint upr extrem w/o dye
0.00
13.09
12.15
NA
NA
0.39
XXX73221
26
A
Mri joint upr extrem w/o dye
1.35
0.47
0.45
0.47
0.45
0.06
XXX73222

A
Mri joint upr extrem w/dye
1.62
14.31
14.15
NA
NA
0.54
XXX73222
TC
A
Mri joint upr extrem w/dye
0.00
13.75
13.60
NA
NA
0.47
XXX73222
26
A
Mri joint upr extrem w/dye
1.62
0.56
0.55
0.56
0.55
0.07
XXX73223

A
Mri joint upr extr w/o&w/dye
2.15
17.58
21.59
NA
NA
0.94
XXX73223
TC
A
Mri joint upr extr w/o&w/dye
0.00
16.84
20.87
NA
NA
0.84
XXX73223
26
A
Mri joint upr extr w/o&w/dye
2.15
0.74
0.72
0.74
0.72
0.10
XXX73225

N
Mr angio upr extr w/o&w/dye
1.73
14.65
13.16
NA
NA
0.69
XXX73225
TC
N
Mr angio upr extr w/o&w/dye
0.00
14.25
12.63
NA
NA
0.59
XXX73225
26
N
Mr angio upr extr w/o&w/dye
1.73
0.40
0.53
0.40
0.53
0.10
XXX73500

A
X-ray exam of hip
0.17
0.49
0.51
NA
NA
0.03
XXX73500
TC
A
X-ray exam of hip
0.00
0.43
0.45
NA
NA
0.02
XXX73500
26
A
X-ray exam of hip
0.17
0.06
0.06
0.06
0.06
0.01
XXX73510

A
X-ray exam of hip
0.21
0.77
0.71
NA
NA
0.05
XXX73510
TC
A
X-ray exam of hip
0.00
0.70
0.64
NA
NA
0.04
XXX73510
26
A
X-ray exam of hip
0.21
0.07
0.07
0.07
0.07
0.01
XXX73520

A
X-ray exam of hips
0.26
0.79
0.77
NA
NA
0.05
XXX73520
TC
A
X-ray exam of hips
0.00
0.70
0.68
NA
NA
0.04
XXX73520
26
A
X-ray exam of hips
0.26
0.09
0.09
0.09
0.09
0.01
XXX73525

A
Contrast x-ray of hip
0.54
1.83
2.06
NA
NA
0.15
XXX73525
TC
A
Contrast x-ray of hip
0.00
1.65
1.88
NA
NA
0.12
XXX73525
26
A
Contrast x-ray of hip
0.54
0.18
0.18
0.18
0.18
0.03
XXX73530

C
X-ray exam of hip
0.00
0.00
0.00
NA
NA
0.00
XXX73530
TC
C
X-ray exam of hip
0.00
0.00
0.00
NA
NA
0.00
XXX73530
26
A
X-ray exam of hip
0.29
0.11
0.10
0.11
0.10
0.01
XXX73540

A
X-ray exam of pelvis & hips
0.20
0.81
0.72
NA
NA
0.05
XXX73540
TC
A
X-ray exam of pelvis & hips
0.00
0.74
0.65
NA
NA
0.04
XXX73540
26
A
X-ray exam of pelvis & hips
0.20
0.07
0.07
0.07
0.07
0.01
XXX73542

A
X-ray exam, sacroiliac joint
0.59
1.13
1.70
NA
NA
0.15
XXX73542
TC
A
X-ray exam, sacroiliac joint
0.00
0.99
1.55
NA
NA
0.12
XXX73542
26
A
X-ray exam, sacroiliac joint
0.59
0.14
0.15
0.14
0.15
0.03
XXX73550

A
X-ray exam of thigh
0.17
0.55
0.59
NA
NA
0.05
XXX73550
TC
A
X-ray exam of thigh
0.00
0.49
0.53
NA
NA
0.04
XXX73550
26
A
X-ray exam of thigh
0.17
0.06
0.06
0.06
0.06
0.01
XXX73560

A
X-ray exam of knee, 1 or 2
0.17
0.58
0.58
NA
NA
0.03
XXX73560
TC
A
X-ray exam of knee, 1 or 2
0.00
0.52
0.52
NA
NA
0.02
XXX73560
26
A
X-ray exam of knee, 1 or 2
0.17
0.06
0.06
0.06
0.06
0.01
XXX73562

A
X-ray exam of knee, 3
0.18
0.73
0.68
NA
NA
0.05
XXX73562
TC
A
X-ray exam of knee, 3
0.00
0.66
0.62
NA
NA
0.04
XXX73562
26
A
X-ray exam of knee, 3
0.18
0.07
0.06
0.07
0.06
0.01
XXX( print page 2657)73564

A
X-ray exam, knee, 4 or more
0.22
0.86
0.77
NA
NA
0.05
XXX73564
TC
A
X-ray exam, knee, 4 or more
0.00
0.78
0.70
NA
NA
0.04
XXX73564
26
A
X-ray exam, knee, 4 or more
0.22
0.08
0.07
0.08
0.07
0.01
XXX73565

A
X-ray exam of knees
0.17
0.65
0.60
NA
NA
0.03
XXX73565
TC
A
X-ray exam of knees
0.00
0.59
0.54
NA
NA
0.02
XXX73565
26
A
X-ray exam of knees
0.17
0.06
0.06
0.06
0.06
0.01
XXX73580

A
Contrast x-ray of knee joint
0.54
2.56
2.68
NA
NA
0.17
XXX73580
TC
A
Contrast x-ray of knee joint
0.00
2.37
2.50
NA
NA
0.14
XXX73580
26
A
Contrast x-ray of knee joint
0.54
0.19
0.18
0.19
0.18
0.03
XXX73590

A
X-ray exam of lower leg
0.17
0.54
0.56
NA
NA
0.03
XXX73590
TC
A
X-ray exam of lower leg
0.00
0.48
0.50
NA
NA
0.02
XXX73590
26
A
X-ray exam of lower leg
0.17
0.06
0.06
0.06
0.06
0.01
XXX73592

A
X-ray exam of leg, infant
0.16
0.58
0.56
NA
NA
0.03
XXX73592
TC
A
X-ray exam of leg, infant
0.00
0.53
0.51
NA
NA
0.02
XXX73592
26
A
X-ray exam of leg, infant
0.16
0.05
0.05
0.05
0.05
0.01
XXX73600

A
X-ray exam of ankle
0.16
0.56
0.55
NA
NA
0.03
XXX73600
TC
A
X-ray exam of ankle
0.00
0.51
0.50
NA
NA
0.02
XXX73600
26
A
X-ray exam of ankle
0.16
0.05
0.05
0.05
0.05
0.01
XXX73610

A
X-ray exam of ankle
0.17
0.68
0.63
NA
NA
0.03
XXX73610
TC
A
X-ray exam of ankle
0.00
0.62
0.57
NA
NA
0.02
XXX73610
26
A
X-ray exam of ankle
0.17
0.06
0.06
0.06
0.06
0.01
XXX73615

A
Contrast x-ray of ankle
0.54
2.00
2.14
NA
NA
0.15
XXX73615
TC
A
Contrast x-ray of ankle
0.00
1.82
1.96
NA
NA
0.12
XXX73615
26
A
Contrast x-ray of ankle
0.54
0.18
0.18
0.18
0.18
0.03
XXX73620

A
X-ray exam of foot
0.16
0.52
0.54
NA
NA
0.03
XXX73620
TC
A
X-ray exam of foot
0.00
0.48
0.49
NA
NA
0.02
XXX73620
26
A
X-ray exam of foot
0.16
0.04
0.05
0.04
0.05
0.01
XXX73630

A
X-ray exam of foot
0.17
0.65
0.63
NA
NA
0.03
XXX73630
TC
A
X-ray exam of foot
0.00
0.60
0.57
NA
NA
0.02
XXX73630
26
A
X-ray exam of foot
0.17
0.05
0.06
0.05
0.06
0.01
XXX73650

A
X-ray exam of heel
0.16
0.55
0.53
NA
NA
0.03
XXX73650
TC
A
X-ray exam of heel
0.00
0.50
0.48
NA
NA
0.02
XXX73650
26
A
X-ray exam of heel
0.16
0.05
0.05
0.05
0.05
0.01
XXX73660

A
X-ray exam of toe(s)
0.13
0.64
0.55
NA
NA
0.03
XXX73660
TC
A
X-ray exam of toe(s)
0.00
0.60
0.51
NA
NA
0.02
XXX73660
26
A
X-ray exam of toe(s)
0.13
0.04
0.04
0.04
0.04
0.01
XXX73700

A
Ct lower extremity w/o dye
1.09
6.41
5.86
NA
NA
0.30
XXX73700
TC
A
Ct lower extremity w/o dye
0.00
6.03
5.49
NA
NA
0.25
XXX73700
26
A
Ct lower extremity w/o dye
1.09
0.38
0.37
0.38
0.37
0.05
XXX73701

A
Ct lower extremity w/dye
1.16
7.98
7.14
NA
NA
0.36
XXX73701
TC
A
Ct lower extremity w/dye
0.00
7.57
6.74
NA
NA
0.31
XXX73701
26
A
Ct lower extremity w/dye
1.16
0.41
0.40
0.41
0.40
0.05
XXX73702

A
Ct lwr extremity w/o&w/dye
1.22
10.73
9.28
NA
NA
0.44
XXX73702
TC
A
Ct lwr extremity w/o&w/dye
0.00
10.29
8.86
NA
NA
0.39
XXX73702
26
A
Ct lwr extremity w/o&w/dye
1.22
0.44
0.42
0.44
0.42
0.05
XXX73706

A
Ct angio lwr extr w/o&w/dye
1.90
12.35
11.97
NA
NA
0.47
XXX73706
TC
A
Ct angio lwr extr w/o&w/dye
0.00
11.63
11.30
NA
NA
0.39
XXX73706
26
A
Ct angio lwr extr w/o&w/dye
1.90
0.72
0.67
0.72
0.67
0.08
XXX73718

A
Mri lower extremity w/o dye
1.35
14.27
12.96
NA
NA
0.45
XXX73718
TC
A
Mri lower extremity w/o dye
0.00
13.81
12.51
NA
NA
0.39
XXX73718
26
A
Mri lower extremity w/o dye
1.35
0.46
0.45
0.46
0.45
0.06
XXX73719

A
Mri lower extremity w/dye
1.62
15.41
14.70
NA
NA
0.54
XXX73719
TC
A
Mri lower extremity w/dye
0.00
14.84
14.15
NA
NA
0.47
XXX73719
26
A
Mri lower extremity w/dye
1.62
0.57
0.55
0.57
0.55
0.07
XXX73720

A
Mri lwr extremity w/o&w/dye
2.15
19.00
22.29
NA
NA
0.94
XXX73720
TC
A
Mri lwr extremity w/o&w/dye
0.00
18.25
21.57
NA
NA
0.84
XXX73720
26
A
Mri lwr extremity w/o&w/dye
2.15
0.75
0.72
0.75
0.72
0.10
XXX73721

A
Mri jnt of lwr extre w/o dye
1.35
13.88
12.76
NA
NA
0.45
XXX73721
TC
A
Mri jnt of lwr extre w/o dye
0.00
13.41
12.31
NA
NA
0.39
XXX73721
26
A
Mri jnt of lwr extre w/o dye
1.35
0.47
0.45
0.47
0.45
0.06
XXX73722

A
Mri joint of lwr extr w/dye
1.62
14.49
14.24
NA
NA
0.54
XXX73722
TC
A
Mri joint of lwr extr w/dye
0.00
13.92
13.69
NA
NA
0.47
XXX73722
26
A
Mri joint of lwr extr w/dye
1.62
0.57
0.55
0.57
0.55
0.07
XXX73723

A
Mri joint lwr extr w/o&w/dye
2.15
17.56
21.59
NA
NA
0.94
XXX73723
TC
A
Mri joint lwr extr w/o&w/dye
0.00
16.82
20.86
NA
NA
0.84
XXX73723
26
A
Mri joint lwr extr w/o&w/dye
2.15
0.74
0.73
0.74
0.73
0.10
XXX73725

R
Mr ang lwr ext w or w/o dye
1.82
15.13
13.47
NA
NA
0.67
XXX73725
TC
R
Mr ang lwr ext w or w/o dye
0.00
14.49
12.85
NA
NA
0.59
XXX73725
26
R
Mr ang lwr ext w or w/o dye
1.82
0.64
0.62
0.64
0.62
0.08
XXX74000

A
X-ray exam of abdomen
0.18
0.46
0.52
NA
NA
0.03
XXX74000
TC
A
X-ray exam of abdomen
0.00
0.40
0.46
NA
NA
0.02
XXX74000
26
A
X-ray exam of abdomen
0.18
0.06
0.06
0.06
0.06
0.01
XXX( print page 2658)74010

A
X-ray exam of abdomen
0.23
0.79
0.72
NA
NA
0.05
XXX74010
TC
A
X-ray exam of abdomen
0.00
0.71
0.64
NA
NA
0.04
XXX74010
26
A
X-ray exam of abdomen
0.23
0.08
0.08
0.08
0.08
0.01
XXX74020

A
X-ray exam of abdomen
0.27
0.81
0.76
NA
NA
0.05
XXX74020
TC
A
X-ray exam of abdomen
0.00
0.72
0.67
NA
NA
0.04
XXX74020
26
A
X-ray exam of abdomen
0.27
0.09
0.09
0.09
0.09
0.01
XXX74022

A
X-ray exam series, abdomen
0.32
0.99
0.91
NA
NA
0.06
XXX74022
TC
A
X-ray exam series, abdomen
0.00
0.88
0.80
NA
NA
0.05
XXX74022
26
A
X-ray exam series, abdomen
0.32
0.11
0.11
0.11
0.11
0.01
XXX74150

A
Ct abdomen w/o dye
1.19
6.07
6.07
NA
NA
0.35
XXX74150
TC
A
Ct abdomen w/o dye
0.00
5.65
5.66
NA
NA
0.30
XXX74150
26
A
Ct abdomen w/o dye
1.19
0.42
0.41
0.42
0.41
0.05
XXX74160

A
Ct abdomen w/dye
1.27
8.82
8.05
NA
NA
0.42
XXX74160
TC
A
Ct abdomen w/dye
0.00
8.37
7.61
NA
NA
0.36
XXX74160
26
A
Ct abdomen w/dye
1.27
0.45
0.44
0.45
0.44
0.06
XXX74170

A
Ct abdomen w/o & w/dye
1.40
12.19
10.57
NA
NA
0.49
XXX74170
TC
A
Ct abdomen w/o & w/dye
0.00
11.70
10.09
NA
NA
0.43
XXX74170
26
A
Ct abdomen w/o & w/dye
1.40
0.49
0.48
0.49
0.48
0.06
XXX74175

A
Ct angio abdom w/o & w/dye
1.90
12.28
12.46
NA
NA
0.47
XXX74175
TC
A
Ct angio abdom w/o & w/dye
0.00
11.59
11.81
NA
NA
0.39
XXX74175
26
A
Ct angio abdom w/o & w/dye
1.90
0.69
0.65
0.69
0.65
0.08
XXX74181

A
Mri abdomen w/o dye
1.46
12.45
12.07
NA
NA
0.51
XXX74181
TC
A
Mri abdomen w/o dye
0.00
11.94
11.57
NA
NA
0.45
XXX74181
26
A
Mri abdomen w/o dye
1.46
0.51
0.50
0.51
0.50
0.06
XXX74182

A
Mri abdomen w/dye
1.73
17.45
15.74
NA
NA
0.60
XXX74182
TC
A
Mri abdomen w/dye
0.00
16.84
15.15
NA
NA
0.52
XXX74182
26
A
Mri abdomen w/dye
1.73
0.61
0.59
0.61
0.59
0.08
XXX74183

A
Mri abdomen w/o & w/dye
2.26
19.00
22.31
NA
NA
1.02
XXX74183
TC
A
Mri abdomen w/o & w/dye
0.00
18.21
21.55
NA
NA
0.92
XXX74183
26
A
Mri abdomen w/o & w/dye
2.26
0.79
0.76
0.79
0.76
0.10
XXX74185

R
Mri angio, abdom w orw/o dye
1.80
15.09
13.44
NA
NA
0.67
XXX74185
TC
R
Mri angio, abdom w orw/o dye
0.00
14.45
12.83
NA
NA
0.59
XXX74185
26
R
Mri angio, abdom w orw/o dye
1.80
0.64
0.61
0.64
0.61
0.08
XXX74190

C
X-ray exam of peritoneum
0.00
0.00
0.00
NA
NA
0.00
XXX74190
TC
C
X-ray exam of peritoneum
0.00
0.00
0.00
NA
NA
0.00
XXX74190
26
A
X-ray exam of peritoneum
0.48
0.17
0.16
0.17
0.16
0.02
XXX74210

A
Contrst x-ray exam of throat
0.36
1.77
1.54
NA
NA
0.08
XXX74210
TC
A
Contrst x-ray exam of throat
0.00
1.64
1.42
NA
NA
0.06
XXX74210
26
A
Contrst x-ray exam of throat
0.36
0.13
0.12
0.13
0.12
0.02
XXX74220

A
Contrast x-ray, esophagus
0.46
2.01
1.68
NA
NA
0.08
XXX74220
TC
A
Contrast x-ray, esophagus
0.00
1.85
1.52
NA
NA
0.06
XXX74220
26
A
Contrast x-ray, esophagus
0.46
0.16
0.16
0.16
0.16
0.02
XXX74230

A
Cine/vid x-ray, throat/esoph
0.53
1.95
1.72
NA
NA
0.09
XXX74230
TC
A
Cine/vid x-ray, throat/esoph
0.00
1.76
1.54
NA
NA
0.07
XXX74230
26
A
Cine/vid x-ray, throat/esoph
0.53
0.19
0.18
0.19
0.18
0.02
XXX74235

C
Remove esophagus obstruction
0.00
0.00
0.00
NA
NA
0.00
XXX74235
TC
C
Remove esophagus obstruction
0.00
0.00
0.00
NA
NA
0.00
XXX74235
26
A
Remove esophagus obstruction
1.19
0.47
0.43
0.47
0.43
0.05
XXX74240

A
X-ray exam, upper gi tract
0.69
2.30
2.00
NA
NA
0.11
XXX74240
TC
A
X-ray exam, upper gi tract
0.00
2.06
1.76
NA
NA
0.08
XXX74240
26
A
X-ray exam, upper gi tract
0.69
0.24
0.24
0.24
0.24
0.03
XXX74241

A
X-ray exam, upper gi tract
0.69
2.57
2.14
NA
NA
0.11
XXX74241
TC
A
X-ray exam, upper gi tract
0.00
2.33
1.91
NA
NA
0.08
XXX74241
26
A
X-ray exam, upper gi tract
0.69
0.24
0.23
0.24
0.23
0.03
XXX74245

A
X-ray exam, upper gi tract
0.91
3.96
3.32
NA
NA
0.17
XXX74245
TC
A
X-ray exam, upper gi tract
0.00
3.64
3.01
NA
NA
0.13
XXX74245
26
A
X-ray exam, upper gi tract
0.91
0.32
0.31
0.32
0.31
0.04
XXX74246

A
Contrst x-ray uppr gi tract
0.69
2.81
2.34
NA
NA
0.13
XXX74246
TC
A
Contrst x-ray uppr gi tract
0.00
2.56
2.10
NA
NA
0.10
XXX74246
26
A
Contrst x-ray uppr gi tract
0.69
0.25
0.24
0.25
0.24
0.03
XXX74247

A
Contrst x-ray uppr gi tract
0.69
3.22
2.57
NA
NA
0.14
XXX74247
TC
A
Contrst x-ray uppr gi tract
0.00
2.98
2.33
NA
NA
0.11
XXX74247
26
A
Contrst x-ray uppr gi tract
0.69
0.24
0.24
0.24
0.24
0.03
XXX74249

A
Contrst x-ray uppr gi tract
0.91
4.35
3.61
NA
NA
0.18
XXX74249
TC
A
Contrst x-ray uppr gi tract
0.00
4.03
3.30
NA
NA
0.14
XXX74249
26
A
Contrst x-ray uppr gi tract
0.91
0.32
0.31
0.32
0.31
0.04
XXX74250

A
X-ray exam of small bowel
0.47
2.49
1.97
NA
NA
0.09
XXX74250
TC
A
X-ray exam of small bowel
0.00
2.32
1.81
NA
NA
0.07
XXX74250
26
A
X-ray exam of small bowel
0.47
0.17
0.16
0.17
0.16
0.02
XXX74251

A
X-ray exam of small bowel
0.69
10.02
5.78
NA
NA
0.10
XXX74251
TC
A
X-ray exam of small bowel
0.00
9.77
5.54
NA
NA
0.07
XXX74251
26
A
X-ray exam of small bowel
0.69
0.25
0.24
0.25
0.24
0.03
XXX( print page 2659)74260

A
X-ray exam of small bowel
0.50
8.31
4.98
NA
NA
0.10
XXX74260
TC
A
X-ray exam of small bowel
0.00
8.13
4.81
NA
NA
0.08
XXX74260
26
A
X-ray exam of small bowel
0.50
0.18
0.17
0.18
0.17
0.02
XXX74270

A
Contrast x-ray exam of colon
0.69
3.59
2.76
NA
NA
0.14
XXX74270
TC
A
Contrast x-ray exam of colon
0.00
3.34
2.52
NA
NA
0.11
XXX74270
26
A
Contrast x-ray exam of colon
0.69
0.25
0.24
0.25
0.24
0.03
XXX74280

A
Contrast x-ray exam of colon
0.99
4.95
3.75
NA
NA
0.17
XXX74280
TC
A
Contrast x-ray exam of colon
0.00
4.60
3.42
NA
NA
0.13
XXX74280
26
A
Contrast x-ray exam of colon
0.99
0.35
0.33
0.35
0.33
0.04
XXX74283

A
Contrast x-ray exam of colon
2.02
3.49
3.35
NA
NA
0.23
XXX74283
TC
A
Contrast x-ray exam of colon
0.00
2.80
2.68
NA
NA
0.14
XXX74283
26
A
Contrast x-ray exam of colon
2.02
0.69
0.67
0.69
0.67
0.09
XXX74290

A
Contrast x-ray, gallbladder
0.32
1.58
1.21
NA
NA
0.06
XXX74290
TC
A
Contrast x-ray, gallbladder
0.00
1.47
1.10
NA
NA
0.05
XXX74290
26
A
Contrast x-ray, gallbladder
0.32
0.11
0.11
0.11
0.11
0.01
XXX74291

A
Contrast x-rays, gallbladder
0.20
1.56
1.02
NA
NA
0.03
XXX74291
TC
A
Contrast x-rays, gallbladder
0.00
1.49
0.95
NA
NA
0.02
XXX74291
26
A
Contrast x-rays, gallbladder
0.20
0.07
0.07
0.07
0.07
0.01
XXX74300

C
X-ray bile ducts/pancreas
0.00
0.00
0.00
NA
NA
0.00
XXX74300
TC
C
X-ray bile ducts/pancreas
0.00
0.00
0.00
NA
NA
0.00
XXX74300
26
A
X-ray bile ducts/pancreas
0.36
0.13
0.12
0.13
0.12
0.02
XXX74301

C
X-rays at surgery add-on
0.00
0.00
0.00
NA
NA
0.00
ZZZ74301
TC
C
X-rays at surgery add-on
0.00
0.00
0.00
NA
NA
0.00
ZZZ74301
26
A
X-rays at surgery add-on
0.21
0.07
0.07
0.07
0.07
0.01
ZZZ74305

C
X-ray bile ducts/pancreas
0.00
0.00
0.00
NA
NA
0.00
XXX74305
TC
C
X-ray bile ducts/pancreas
0.00
0.00
0.00
NA
NA
0.00
XXX74305
26
A
X-ray bile ducts/pancreas
0.42
0.15
0.15
0.15
0.15
0.02
XXX74320

A
Contrast x-ray of bile ducts
0.54
2.14
2.73
NA
NA
0.19
XXX74320
TC
A
Contrast x-ray of bile ducts
0.00
1.94
2.54
NA
NA
0.17
XXX74320
26
A
Contrast x-ray of bile ducts
0.54
0.20
0.19
0.20
0.19
0.02
XXX74327

A
X-ray bile stone removal
0.70
2.97
2.48
NA
NA
0.14
XXX74327
TC
A
X-ray bile stone removal
0.00
2.72
2.24
NA
NA
0.11
XXX74327
26
A
X-ray bile stone removal
0.70
0.25
0.24
0.25
0.24
0.03
XXX74328

C
X-ray bile duct endoscopy
0.00
0.00
0.00
NA
NA
0.00
XXX74328
TC
C
X-ray bile duct endoscopy
0.00
0.00
0.00
NA
NA
0.00
XXX74328
26
A
X-ray bile duct endoscopy
0.70
0.26
0.25
0.26
0.25
0.03
XXX74329

C
X-ray for pancreas endoscopy
0.00
0.00
0.00
NA
NA
0.00
XXX74329
TC
C
X-ray for pancreas endoscopy
0.00
0.00
0.00
NA
NA
0.00
XXX74329
26
A
X-ray for pancreas endoscopy
0.70
0.27
0.25
0.27
0.25
0.03
XXX74330

C
X-ray bile/panc endoscopy
0.00
0.00
0.00
NA
NA
0.00
XXX74330
TC
C
X-ray bile/panc endoscopy
0.00
0.00
0.00
NA
NA
0.00
XXX74330
26
A
X-ray bile/panc endoscopy
0.90
0.33
0.31
0.33
0.31
0.04
XXX74340

C
X-ray guide for GI tube
0.00
0.00
0.00
NA
NA
0.00
XXX74340
TC
C
X-ray guide for GI tube
0.00
0.00
0.00
NA
NA
0.00
XXX74340
26
A
X-ray guide for GI tube
0.54
0.19
0.19
0.19
0.19
0.02
XXX74355

C
X-ray guide, intestinal tube
0.00
0.00
0.00
NA
NA
0.00
XXX74355
TC
C
X-ray guide, intestinal tube
0.00
0.00
0.00
NA
NA
0.00
XXX74355
26
A
X-ray guide, intestinal tube
0.76
0.28
0.26
0.28
0.26
0.03
XXX74360

C
X-ray guide, GI dilation
0.00
0.00
0.00
NA
NA
0.00
XXX74360
TC
C
X-ray guide, GI dilation
0.00
0.00
0.00
NA
NA
0.00
XXX74360
26
A
X-ray guide, GI dilation
0.54
0.24
0.21
0.24
0.21
0.02
XXX74363

C
X-ray, bile duct dilation
0.00
0.00
0.00
NA
NA
0.00
XXX74363
TC
C
X-ray, bile duct dilation
0.00
0.00
0.00
NA
NA
0.00
XXX74363
26
A
X-ray, bile duct dilation
0.88
0.32
0.30
0.32
0.30
0.04
XXX74400

A
Contrst x-ray, urinary tract
0.49
2.60
2.22
NA
NA
0.13
XXX74400
TC
A
Contrst x-ray, urinary tract
0.00
2.43
2.05
NA
NA
0.11
XXX74400
26
A
Contrst x-ray, urinary tract
0.49
0.17
0.17
0.17
0.17
0.02
XXX74410

A
Contrst x-ray, urinary tract
0.49
2.69
2.40
NA
NA
0.13
XXX74410
TC
A
Contrst x-ray, urinary tract
0.00
2.51
2.23
NA
NA
0.11
XXX74410
26
A
Contrst x-ray, urinary tract
0.49
0.18
0.17
0.18
0.17
0.02
XXX74415

A
Contrst x-ray, urinary tract
0.49
3.27
2.78
NA
NA
0.14
XXX74415
TC
A
Contrst x-ray, urinary tract
0.00
3.10
2.61
NA
NA
0.12
XXX74415
26
A
Contrst x-ray, urinary tract
0.49
0.17
0.17
0.17
0.17
0.02
XXX74420

C
Contrst x-ray, urinary tract
0.00
0.00
0.00
NA
NA
0.00
XXX74420
TC
C
Contrst x-ray, urinary tract
0.00
0.00
0.00
NA
NA
0.00
XXX74420
26
A
Contrst x-ray, urinary tract
0.36
0.14
0.13
0.14
0.13
0.02
XXX74425

C
Contrst x-ray, urinary tract
0.00
0.00
0.00
NA
NA
0.00
XXX74425
TC
C
Contrst x-ray, urinary tract
0.00
0.00
0.00
NA
NA
0.00
XXX74425
26
A
Contrst x-ray, urinary tract
0.36
0.13
0.13
0.13
0.13
0.02
XXX74430

A
Contrast x-ray, bladder
0.32
1.96
1.56
NA
NA
0.08
XXX74430
TC
A
Contrast x-ray, bladder
0.00
1.84
1.45
NA
NA
0.06
XXX74430
26
A
Contrast x-ray, bladder
0.32
0.12
0.11
0.12
0.11
0.02
XXX( print page 2660)74440

A
X-ray, male genital tract
0.38
2.12
1.68
NA
NA
0.08
XXX74440
TC
A
X-ray, male genital tract
0.00
1.98
1.55
NA
NA
0.06
XXX74440
26
A
X-ray, male genital tract
0.38
0.14
0.13
0.14
0.13
0.02
XXX74445

C
X-ray exam of penis
0.00
0.00
0.00
NA
NA
0.00
XXX74445
TC
C
X-ray exam of penis
0.00
0.00
0.00
NA
NA
0.00
XXX74445
26
A
X-ray exam of penis
1.14
0.45
0.41
0.45
0.41
0.07
XXX74450

C
X-ray, urethra/bladder
0.00
0.00
0.00
NA
NA
0.00
XXX74450
TC
C
X-ray, urethra/bladder
0.00
0.00
0.00
NA
NA
0.00
XXX74450
26
A
X-ray, urethra/bladder
0.33
0.12
0.12
0.12
0.12
0.02
XXX74455

A
X-ray, urethra/bladder
0.33
2.18
1.94
NA
NA
0.12
XXX74455
TC
A
X-ray, urethra/bladder
0.00
2.06
1.82
NA
NA
0.10
XXX74455
26
A
X-ray, urethra/bladder
0.33
0.12
0.12
0.12
0.12
0.02
XXX74470

C
X-ray exam of kidney lesion
0.00
0.00
0.00
NA
NA
0.00
XXX74470
TC
C
X-ray exam of kidney lesion
0.00
0.00
0.00
NA
NA
0.00
XXX74470
26
A
X-ray exam of kidney lesion
0.54
0.17
0.18
0.17
0.18
0.02
XXX74475

A
X-ray control, cath insert
0.54
2.12
3.19
NA
NA
0.24
XXX74475
TC
A
X-ray control, cath insert
0.00
1.92
3.00
NA
NA
0.22
XXX74475
26
A
X-ray control, cath insert
0.54
0.20
0.19
0.20
0.19
0.02
XXX74480

A
X-ray control, cath insert
0.54
2.13
3.19
NA
NA
0.24
XXX74480
TC
A
X-ray control, cath insert
0.00
1.93
3.00
NA
NA
0.22
XXX74480
26
A
X-ray control, cath insert
0.54
0.20
0.19
0.20
0.19
0.02
XXX74485

A
X-ray guide, GU dilation
0.54
2.27
2.80
NA
NA
0.20
XXX74485
TC
A
X-ray guide, GU dilation
0.00
2.07
2.61
NA
NA
0.17
XXX74485
26
A
X-ray guide, GU dilation
0.54
0.20
0.19
0.20
0.19
0.03
XXX74710

A
X-ray measurement of pelvis
0.34
0.64
0.90
NA
NA
0.08
XXX74710
TC
A
X-ray measurement of pelvis
0.00
0.53
0.79
NA
NA
0.06
XXX74710
26
A
X-ray measurement of pelvis
0.34
0.11
0.11
0.11
0.11
0.02
XXX74740

A
X-ray, female genital tract
0.38
1.77
1.60
NA
NA
0.09
XXX74740
TC
A
X-ray, female genital tract
0.00
1.64
1.47
NA
NA
0.07
XXX74740
26
A
X-ray, female genital tract
0.38
0.13
0.13
0.13
0.13
0.02
XXX74742

C
X-ray, fallopian tube
0.00
0.00
0.00
NA
NA
0.00
XXX74742
TC
C
X-ray, fallopian tube
0.00
0.00
0.00
NA
NA
0.00
XXX74742
26
A
X-ray, fallopian tube
0.61
0.19
0.20
0.19
0.20
0.03
XXX74775

C
X-ray exam of perineum
0.00
0.00
0.00
NA
NA
0.00
XXX74775
TC
C
X-ray exam of perineum
0.00
0.00
0.00
NA
NA
0.00
XXX74775
26
A
X-ray exam of perineum
0.62
0.22
0.21
0.22
0.21
0.03
XXX75557

A
Cardiac mri for morph
2.35
11.27
11.27
NA
NA
0.97
XXX75557
TC
A
Cardiac mri for morph
0.00
10.33
10.33
NA
NA
0.87
XXX75557
26
A
Cardiac mri for morph
2.35
0.94
0.94
0.94
0.94
0.10
XXX75558

N
Cardiac mri flow/velocity
2.60
12.39
12.39
NA
NA
1.07
XXX75558
TC
N
Cardiac mri flow/velocity
0.00
11.79
11.79
NA
NA
0.96
XXX75558
26
N
Cardiac mri flow/velocity
2.60
0.60
0.60
0.60
0.60
0.11
XXX75559

A
Cardiac mri w/stress img
2.95
17.26
17.26
NA
NA
0.97
XXX75559
TC
A
Cardiac mri w/stress img
0.00
15.99
15.99
NA
NA
0.87
XXX75559
26
A
Cardiac mri w/stress img
2.95
1.27
1.27
1.27
1.27
0.10
XXX75560

N
Cardiac mri flow/vel/stress
3.00
16.84
16.84
NA
NA
1.00
XXX75560
TC
N
Cardiac mri flow/vel/stress
0.00
16.15
16.15
NA
NA
0.89
XXX75560
26
N
Cardiac mri flow/vel/stress
3.00
0.69
0.69
0.69
0.69
0.11
XXX75561

A
Cardiac mri for morph w/dye
2.60
15.98
15.98
NA
NA
1.07
XXX75561
TC
A
Cardiac mri for morph w/dye
0.00
14.94
14.94
NA
NA
0.96
XXX75561
26
A
Cardiac mri for morph w/dye
2.60
1.04
1.04
1.04
1.04
0.11
XXX75562

N
Card mri flow/vel w/dye
2.86
16.77
16.77
NA
NA
1.03
XXX75562
TC
N
Card mri flow/vel w/dye
0.00
16.11
16.11
NA
NA
0.92
XXX75562
26
N
Card mri flow/vel w/dye
2.86
0.66
0.66
0.66
0.66
0.11
XXX75563

A
Card mri w/stress img & dye
3.00
20.22
20.22
NA
NA
1.08
XXX75563
TC
A
Card mri w/stress img & dye
0.00
18.84
18.84
NA
NA
0.97
XXX75563
26
A
Card mri w/stress img & dye
3.00
1.38
1.38
1.38
1.38
0.11
XXX75564

N
Ht mri w/flo/vel/strs & dye
3.35
19.73
19.73
NA
NA
1.21
XXX75564
TC
N
Ht mri w/flo/vel/strs & dye
0.00
18.96
18.96
NA
NA
1.08
XXX75564
26
N
Ht mri w/flo/vel/strs & dye
3.35
0.77
0.77
0.77
0.77
0.13
XXX75600

A
Contrast x-ray exam of aorta
0.49
6.42
9.62
NA
NA
0.67
XXX75600
TC
A
Contrast x-ray exam of aorta
0.00
6.18
9.40
NA
NA
0.65
XXX75600
26
A
Contrast x-ray exam of aorta
0.49
0.24
0.22
0.24
0.22
0.02
XXX75605

A
Contrast x-ray exam of aorta
1.14
3.55
8.28
NA
NA
0.70
XXX75605
TC
A
Contrast x-ray exam of aorta
0.00
3.06
7.84
NA
NA
0.65
XXX75605
26
A
Contrast x-ray exam of aorta
1.14
0.49
0.44
0.49
0.44
0.05
XXX75625

A
Contrast x-ray exam of aorta
1.14
3.35
8.17
NA
NA
0.71
XXX75625
TC
A
Contrast x-ray exam of aorta
0.00
2.93
7.77
NA
NA
0.65
XXX75625
26
A
Contrast x-ray exam of aorta
1.14
0.42
0.40
0.42
0.40
0.06
XXX75630

A
X-ray aorta, leg arteries
1.79
3.76
8.76
NA
NA
0.80
XXX75630
TC
A
X-ray aorta, leg arteries
0.00
3.05
8.10
NA
NA
0.69
XXX75630
26
A
X-ray aorta, leg arteries
1.79
0.71
0.66
0.71
0.66
0.11
XXX( print page 2661)75635

A
Ct angio abdominal arteries
2.40
12.94
14.82
NA
NA
0.50
XXX75635
TC
A
Ct angio abdominal arteries
0.00
12.02
13.97
NA
NA
0.39
XXX75635
26
A
Ct angio abdominal arteries
2.40
0.92
0.85
0.92
0.85
0.11
XXX75650

A
Artery x-rays, head & neck
1.49
3.53
8.31
NA
NA
0.72
XXX75650
TC
A
Artery x-rays, head & neck
0.00
2.95
7.78
NA
NA
0.65
XXX75650
26
A
Artery x-rays, head & neck
1.49
0.58
0.53
0.58
0.53
0.07
XXX75658

A
Artery x-rays, arm
1.31
3.73
8.41
NA
NA
0.72
XXX75658
TC
A
Artery x-rays, arm
0.00
3.29
7.95
NA
NA
0.65
XXX75658
26
A
Artery x-rays, arm
1.31
0.44
0.46
0.44
0.46
0.07
XXX75660

A
Artery x-rays, head & neck
1.31
3.88
8.47
NA
NA
0.71
XXX75660
TC
A
Artery x-rays, head & neck
0.00
3.39
8.00
NA
NA
0.65
XXX75660
26
A
Artery x-rays, head & neck
1.31
0.49
0.47
0.49
0.47
0.06
XXX75662

A
Artery x-rays, head & neck
1.66
5.01
9.11
NA
NA
0.71
XXX75662
TC
A
Artery x-rays, head & neck
0.00
4.31
8.46
NA
NA
0.65
XXX75662
26
A
Artery x-rays, head & neck
1.66
0.70
0.65
0.70
0.65
0.06
XXX75665

A
Artery x-rays, head & neck
1.31
4.10
8.58
NA
NA
0.74
XXX75665
TC
A
Artery x-rays, head & neck
0.00
3.62
8.12
NA
NA
0.65
XXX75665
26
A
Artery x-rays, head & neck
1.31
0.48
0.46
0.48
0.46
0.09
XXX75671

A
Artery x-rays, head & neck
1.66
5.10
9.13
NA
NA
0.72
XXX75671
TC
A
Artery x-rays, head & neck
0.00
4.46
8.54
NA
NA
0.65
XXX75671
26
A
Artery x-rays, head & neck
1.66
0.64
0.59
0.64
0.59
0.07
XXX75676

A
Artery x-rays, neck
1.31
3.87
8.46
NA
NA
0.72
XXX75676
TC
A
Artery x-rays, neck
0.00
3.38
8.00
NA
NA
0.65
XXX75676
26
A
Artery x-rays, neck
1.31
0.49
0.46
0.49
0.46
0.07
XXX75680

A
Artery x-rays, neck
1.66
4.61
8.88
NA
NA
0.72
XXX75680
TC
A
Artery x-rays, neck
0.00
3.95
8.28
NA
NA
0.65
XXX75680
26
A
Artery x-rays, neck
1.66
0.66
0.60
0.66
0.60
0.07
XXX75685

A
Artery x-rays, spine
1.31
3.89
8.47
NA
NA
0.71
XXX75685
TC
A
Artery x-rays, spine
0.00
3.39
8.00
NA
NA
0.65
XXX75685
26
A
Artery x-rays, spine
1.31
0.50
0.47
0.50
0.47
0.06
XXX75705

A
Artery x-rays, spine
2.18
4.18
8.75
NA
NA
0.78
XXX75705
TC
A
Artery x-rays, spine
0.00
3.38
7.99
NA
NA
0.65
XXX75705
26
A
Artery x-rays, spine
2.18
0.80
0.76
0.80
0.76
0.13
XXX75710

A
Artery x-rays, arm/leg
1.14
3.95
8.48
NA
NA
0.72
XXX75710
TC
A
Artery x-rays, arm/leg
0.00
3.53
8.07
NA
NA
0.65
XXX75710
26
A
Artery x-rays, arm/leg
1.14
0.42
0.41
0.42
0.41
0.07
XXX75716

A
Artery x-rays, arms/legs
1.31
4.92
8.98
NA
NA
0.72
XXX75716
TC
A
Artery x-rays, arms/legs
0.00
4.42
8.52
NA
NA
0.65
XXX75716
26
A
Artery x-rays, arms/legs
1.31
0.50
0.46
0.50
0.46
0.07
XXX75722

A
Artery x-rays, kidney
1.14
3.84
8.43
NA
NA
0.70
XXX75722
TC
A
Artery x-rays, kidney
0.00
3.37
7.99
NA
NA
0.65
XXX75722
26
A
Artery x-rays, kidney
1.14
0.47
0.44
0.47
0.44
0.05
XXX75724

A
Artery x-rays, kidneys
1.49
5.13
9.15
NA
NA
0.70
XXX75724
TC
A
Artery x-rays, kidneys
0.00
4.39
8.50
NA
NA
0.65
XXX75724
26
A
Artery x-rays, kidneys
1.49
0.74
0.65
0.74
0.65
0.05
XXX75726

A
Artery x-rays, abdomen
1.14
3.77
8.37
NA
NA
0.70
XXX75726
TC
A
Artery x-rays, abdomen
0.00
3.35
7.98
NA
NA
0.65
XXX75726
26
A
Artery x-rays, abdomen
1.14
0.42
0.39
0.42
0.39
0.05
XXX75731

A
Artery x-rays, adrenal gland
1.14
4.10
8.54
NA
NA
0.71
XXX75731
TC
A
Artery x-rays, adrenal gland
0.00
3.60
8.10
NA
NA
0.65
XXX75731
26
A
Artery x-rays, adrenal gland
1.14
0.50
0.44
0.50
0.44
0.06
XXX75733

A
Artery x-rays, adrenals
1.31
5.46
9.26
NA
NA
0.71
XXX75733
TC
A
Artery x-rays, adrenals
0.00
4.81
8.71
NA
NA
0.65
XXX75733
26
A
Artery x-rays, adrenals
1.31
0.65
0.55
0.65
0.55
0.06
XXX75736

A
Artery x-rays, pelvis
1.14
3.87
8.44
NA
NA
0.71
XXX75736
TC
A
Artery x-rays, pelvis
0.00
3.44
8.03
NA
NA
0.65
XXX75736
26
A
Artery x-rays, pelvis
1.14
0.43
0.41
0.43
0.41
0.06
XXX75741

A
Artery x-rays, lung
1.31
3.18
8.11
NA
NA
0.71
XXX75741
TC
A
Artery x-rays, lung
0.00
2.69
7.65
NA
NA
0.65
XXX75741
26
A
Artery x-rays, lung
1.31
0.49
0.46
0.49
0.46
0.06
XXX75743

A
Artery x-rays, lungs
1.66
3.56
8.36
NA
NA
0.72
XXX75743
TC
A
Artery x-rays, lungs
0.00
2.94
7.78
NA
NA
0.65
XXX75743
26
A
Artery x-rays, lungs
1.66
0.62
0.58
0.62
0.58
0.07
XXX75746

A
Artery x-rays, lung
1.14
3.52
8.26
NA
NA
0.70
XXX75746
TC
A
Artery x-rays, lung
0.00
3.12
7.87
NA
NA
0.65
XXX75746
26
A
Artery x-rays, lung
1.14
0.40
0.39
0.40
0.39
0.05
XXX75756

A
Artery x-rays, chest
1.14
4.34
8.70
NA
NA
0.69
XXX75756
TC
A
Artery x-rays, chest
0.00
3.76
8.19
NA
NA
0.65
XXX75756
26
A
Artery x-rays, chest
1.14
0.58
0.51
0.58
0.51
0.04
XXX75774

A
Artery x-ray, each vessel
0.36
2.51
7.62
NA
NA
0.67
ZZZ75774
TC
A
Artery x-ray, each vessel
0.00
2.37
7.49
NA
NA
0.65
ZZZ75774
26
A
Artery x-ray, each vessel
0.36
0.14
0.13
0.14
0.13
0.02
ZZZ( print page 2662)75790

A
Visualize A-V shunt
1.84
3.12
2.54
NA
NA
0.17
XXX75790
TC
A
Visualize A-V shunt
0.00
2.52
1.94
NA
NA
0.08
XXX75790
26
A
Visualize A-V shunt
1.84
0.60
0.60
0.60
0.60
0.09
XXX75801

C
Lymph vessel x-ray, arm/leg
0.00
0.00
0.00
NA
NA
0.00
XXX75801
TC
C
Lymph vessel x-ray, arm/leg
0.00
0.00
0.00
NA
NA
0.00
XXX75801
26
A
Lymph vessel x-ray, arm/leg
0.81
0.22
0.25
0.22
0.25
0.08
XXX75803

C
Lymph vessel x-ray,arms/legs
0.00
0.00
0.00
NA
NA
0.00
XXX75803
TC
C
Lymph vessel x-ray,arms/legs
0.00
0.00
0.00
NA
NA
0.00
XXX75803
26
A
Lymph vessel x-ray,arms/legs
1.17
0.40
0.39
0.40
0.39
0.05
XXX75805

C
Lymph vessel x-ray, trunk
0.00
0.00
0.00
NA
NA
0.00
XXX75805
TC
C
Lymph vessel x-ray, trunk
0.00
0.00
0.00
NA
NA
0.00
XXX75805
26
A
Lymph vessel x-ray, trunk
0.81
0.27
0.27
0.27
0.27
0.05
XXX75807

C
Lymph vessel x-ray, trunk
0.00
0.00
0.00
NA
NA
0.00
XXX75807
TC
C
Lymph vessel x-ray, trunk
0.00
0.00
0.00
NA
NA
0.00
XXX75807
26
A
Lymph vessel x-ray, trunk
1.17
0.39
0.39
0.39
0.39
0.05
XXX75809

A
Nonvascular shunt, x-ray
0.47
2.17
1.54
NA
NA
0.07
XXX75809
TC
A
Nonvascular shunt, x-ray
0.00
2.01
1.39
NA
NA
0.05
XXX75809
26
A
Nonvascular shunt, x-ray
0.47
0.16
0.15
0.16
0.15
0.02
XXX75810

C
Vein x-ray, spleen/liver
0.00
0.00
0.00
NA
NA
0.00
XXX75810
TC
C
Vein x-ray, spleen/liver
0.00
0.00
0.00
NA
NA
0.00
XXX75810
26
A
Vein x-ray, spleen/liver
1.14
0.39
0.38
0.39
0.38
0.05
XXX75820

A
Vein x-ray, arm/leg
0.70
3.01
2.09
NA
NA
0.09
XXX75820
TC
A
Vein x-ray, arm/leg
0.00
2.72
1.83
NA
NA
0.06
XXX75820
26
A
Vein x-ray, arm/leg
0.70
0.29
0.26
0.29
0.26
0.03
XXX75822

A
Vein x-ray, arms/legs
1.06
3.18
2.50
NA
NA
0.13
XXX75822
TC
A
Vein x-ray, arms/legs
0.00
2.81
2.14
NA
NA
0.08
XXX75822
26
A
Vein x-ray, arms/legs
1.06
0.37
0.36
0.37
0.36
0.05
XXX75825

A
Vein x-ray, trunk
1.14
2.93
7.96
NA
NA
0.72
XXX75825
TC
A
Vein x-ray, trunk
0.00
2.55
7.58
NA
NA
0.65
XXX75825
26
A
Vein x-ray, trunk
1.14
0.38
0.38
0.38
0.38
0.07
XXX75827

A
Vein x-ray, chest
1.14
2.95
7.97
NA
NA
0.70
XXX75827
TC
A
Vein x-ray, chest
0.00
2.58
7.60
NA
NA
0.65
XXX75827
26
A
Vein x-ray, chest
1.14
0.37
0.37
0.37
0.37
0.05
XXX75831

A
Vein x-ray, kidney
1.14
3.05
8.01
NA
NA
0.71
XXX75831
TC
A
Vein x-ray, kidney
0.00
2.67
7.64
NA
NA
0.65
XXX75831
26
A
Vein x-ray, kidney
1.14
0.38
0.37
0.38
0.37
0.06
XXX75833

A
Vein x-ray, kidneys
1.49
3.68
8.39
NA
NA
0.74
XXX75833
TC
A
Vein x-ray, kidneys
0.00
3.18
7.89
NA
NA
0.65
XXX75833
26
A
Vein x-ray, kidneys
1.49
0.50
0.50
0.50
0.50
0.09
XXX75840

A
Vein x-ray, adrenal gland
1.14
2.96
7.98
NA
NA
0.72
XXX75840
TC
A
Vein x-ray, adrenal gland
0.00
2.60
7.61
NA
NA
0.65
XXX75840
26
A
Vein x-ray, adrenal gland
1.14
0.36
0.37
0.36
0.37
0.07
XXX75842

A
Vein x-ray, adrenal glands
1.49
3.75
8.42
NA
NA
0.72
XXX75842
TC
A
Vein x-ray, adrenal glands
0.00
3.20
7.91
NA
NA
0.65
XXX75842
26
A
Vein x-ray, adrenal glands
1.49
0.55
0.51
0.55
0.51
0.07
XXX75860

A
Vein x-ray, neck
1.14
3.40
8.20
NA
NA
0.69
XXX75860
TC
A
Vein x-ray, neck
0.00
2.91
7.76
NA
NA
0.65
XXX75860
26
A
Vein x-ray, neck
1.14
0.49
0.44
0.49
0.44
0.04
XXX75870

A
Vein x-ray, skull
1.14
3.29
8.15
NA
NA
0.70
XXX75870
TC
A
Vein x-ray, skull
0.00
2.89
7.75
NA
NA
0.65
XXX75870
26
A
Vein x-ray, skull
1.14
0.40
0.40
0.40
0.40
0.05
XXX75872

A
Vein x-ray, skull
1.14
4.04
8.52
NA
NA
0.79
XXX75872
TC
A
Vein x-ray, skull
0.00
3.60
8.11
NA
NA
0.65
XXX75872
26
A
Vein x-ray, skull
1.14
0.44
0.41
0.44
0.41
0.14
XXX75880

A
Vein x-ray, eye socket
0.70
3.21
2.20
NA
NA
0.09
XXX75880
TC
A
Vein x-ray, eye socket
0.00
2.94
1.95
NA
NA
0.06
XXX75880
26
A
Vein x-ray, eye socket
0.70
0.27
0.25
0.27
0.25
0.03
XXX75885

A
Vein x-ray, liver
1.44
3.18
8.13
NA
NA
0.71
XXX75885
TC
A
Vein x-ray, liver
0.00
2.66
7.64
NA
NA
0.65
XXX75885
26
A
Vein x-ray, liver
1.44
0.52
0.49
0.52
0.49
0.06
XXX75887

A
Vein x-ray, liver
1.44
3.42
8.25
NA
NA
0.71
XXX75887
TC
A
Vein x-ray, liver
0.00
2.85
7.73
NA
NA
0.65
XXX75887
26
A
Vein x-ray, liver
1.44
0.57
0.52
0.57
0.52
0.06
XXX75889

A
Vein x-ray, liver
1.14
3.07
8.03
NA
NA
0.70
XXX75889
TC
A
Vein x-ray, liver
0.00
2.66
7.64
NA
NA
0.65
XXX75889
26
A
Vein x-ray, liver
1.14
0.41
0.39
0.41
0.39
0.05
XXX75891

A
Vein x-ray, liver
1.14
3.07
8.02
NA
NA
0.70
XXX75891
TC
A
Vein x-ray, liver
0.00
2.66
7.63
NA
NA
0.65
XXX75891
26
A
Vein x-ray, liver
1.14
0.41
0.39
0.41
0.39
0.05
XXX75893

A
Venous sampling by catheter
0.54
2.86
7.83
NA
NA
0.67
XXX75893
TC
A
Venous sampling by catheter
0.00
2.66
7.64
NA
NA
0.65
XXX75893
26
A
Venous sampling by catheter
0.54
0.20
0.19
0.20
0.19
0.02
XXX( print page 2663)75894

C
X-rays, transcath therapy
0.00
0.00
0.00
NA
NA
0.00
XXX75894
TC
C
X-rays, transcath therapy
0.00
0.00
0.00
NA
NA
0.00
XXX75894
26
A
X-rays, transcath therapy
1.31
0.46
0.44
0.46
0.44
0.08
XXX75896

C
X-rays, transcath therapy
0.00
0.00
0.00
NA
NA
0.00
XXX75896
TC
C
X-rays, transcath therapy
0.00
0.00
0.00
NA
NA
0.00
XXX75896
26
A
X-rays, transcath therapy
1.31
0.52
0.48
0.52
0.48
0.05
XXX75898

C
Follow-up angiography
0.00
0.00
0.00
NA
NA
0.00
XXX75898
TC
C
Follow-up angiography
0.00
0.00
0.00
NA
NA
0.00
XXX75898
26
A
Follow-up angiography
1.65
0.63
0.59
0.63
0.59
0.07
XXX75900

C
Intravascular cath exchange
0.00
0.00
0.00
NA
NA
0.00
XXX75900
TC
C
Intravascular cath exchange
0.00
0.00
0.00
NA
NA
0.00
XXX75900
26
A
Intravascular cath exchange
0.49
0.17
0.16
0.17
0.16
0.03
XXX75901

A
Remove cva device obstruct
0.49
4.15
2.81
NA
NA
0.85
XXX75901
TC
A
Remove cva device obstruct
0.00
3.98
2.64
NA
NA
0.83
XXX75901
26
A
Remove cva device obstruct
0.49
0.17
0.17
0.17
0.17
0.02
XXX75902

A
Remove cva lumen obstruct
0.39
1.63
1.53
NA
NA
0.85
XXX75902
TC
A
Remove cva lumen obstruct
0.00
1.50
1.40
NA
NA
0.83
XXX75902
26
A
Remove cva lumen obstruct
0.39
0.13
0.13
0.13
0.13
0.02
XXX75940

C
X-ray placement, vein filter
0.00
0.00
0.00
NA
NA
0.00
XXX75940
TC
C
X-ray placement, vein filter
0.00
0.00
0.00
NA
NA
0.00
XXX75940
26
A
X-ray placement, vein filter
0.54
0.18
0.18
0.18
0.18
0.04
XXX75945

C
Intravascular us
0.00
0.00
0.00
NA
NA
0.00
XXX75945
TC
C
Intravascular us
0.00
0.00
0.00
NA
NA
0.00
XXX75945
26
A
Intravascular us
0.40
0.14
0.14
0.14
0.14
0.04
XXX75946

C
Intravascular us add-on
0.00
0.00
0.00
NA
NA
0.00
ZZZ75946
TC
C
Intravascular us add-on
0.00
0.00
0.00
NA
NA
0.00
ZZZ75946
26
A
Intravascular us add-on
0.40
0.12
0.13
0.12
0.13
0.05
ZZZ75952

C
Endovasc repair abdom aorta
0.00
0.00
0.00
NA
NA
0.00
XXX75952
TC
C
Endovasc repair abdom aorta
0.00
0.00
0.00
NA
NA
0.00
XXX75952
26
A
Endovasc repair abdom aorta
4.49
1.30
1.39
1.30
1.39
0.43
XXX75953

C
Abdom aneurysm endovas rpr
0.00
0.00
0.00
NA
NA
0.00
XXX75953
TC
C
Abdom aneurysm endovas rpr
0.00
0.00
0.00
NA
NA
0.00
XXX75953
26
A
Abdom aneurysm endovas rpr
1.36
0.40
0.42
0.40
0.42
0.13
XXX75954

C
Iliac aneurysm endovas rpr
0.00
0.00
0.00
NA
NA
0.00
XXX75954
TC
C
Iliac aneurysm endovas rpr
0.00
0.00
0.00
NA
NA
0.00
XXX75954
26
A
Iliac aneurysm endovas rpr
2.25
0.63
0.70
0.63
0.70
0.15
XXX75956

C
Xray, endovasc thor ao repr
0.00
0.00
0.00
NA
NA
0.00
XXX75956
TC
C
Xray, endovasc thor ao repr
0.00
0.00
0.00
NA
NA
0.00
XXX75956
26
A
Xray, endovasc thor ao repr
7.00
1.88
2.29
1.88
2.29
0.69
XXX75957

C
Xray, endovasc thor ao repr
0.00
0.00
0.00
NA
NA
0.00
XXX75957
TC
C
Xray, endovasc thor ao repr
0.00
0.00
0.00
NA
NA
0.00
XXX75957
26
A
Xray, endovasc thor ao repr
6.00
1.63
1.97
1.63
1.97
0.59
XXX75958

C
Xray, place prox ext thor ao
0.00
0.00
0.00
NA
NA
0.00
XXX75958
TC
C
Xray, place prox ext thor ao
0.00
0.00
0.00
NA
NA
0.00
XXX75958
26
A
Xray, place prox ext thor ao
4.00
1.05
1.30
1.05
1.30
0.39
XXX75959

C
Xray, place dist ext thor ao
0.00
0.00
0.00
NA
NA
0.00
XXX75959
TC
C
Xray, place dist ext thor ao
0.00
0.00
0.00
NA
NA
0.00
XXX75959
26
A
Xray, place dist ext thor ao
3.50
0.92
1.14
0.92
1.14
0.34
XXX75960

A
Transcath iv stent rs&i
0.82
2.71
8.95
NA
NA
0.82
XXX75960
TC
A
Transcath iv stent rs&i
0.00
2.39
8.65
NA
NA
0.77
XXX75960
26
A
Transcath iv stent rs&i
0.82
0.32
0.30
0.32
0.30
0.05
XXX75961

A
Retrieval, broken catheter
4.24
4.68
8.29
NA
NA
0.73
XXX75961
TC
A
Retrieval, broken catheter
0.00
3.19
6.85
NA
NA
0.55
XXX75961
26
A
Retrieval, broken catheter
4.24
1.49
1.44
1.49
1.44
0.18
XXX75962

A
Repair arterial blockage
0.54
3.50
9.72
NA
NA
0.86
XXX75962
TC
A
Repair arterial blockage
0.00
3.30
9.53
NA
NA
0.83
XXX75962
26
A
Repair arterial blockage
0.54
0.20
0.19
0.20
0.19
0.03
XXX75964

A
Repair artery blockage, each
0.36
2.35
5.43
NA
NA
0.46
ZZZ75964
TC
A
Repair artery blockage, each
0.00
2.22
5.31
NA
NA
0.43
ZZZ75964
26
A
Repair artery blockage, each
0.36
0.13
0.12
0.13
0.12
0.03
ZZZ75966

A
Repair arterial blockage
1.31
4.17
10.19
NA
NA
0.89
XXX75966
TC
A
Repair arterial blockage
0.00
3.60
9.68
NA
NA
0.83
XXX75966
26
A
Repair arterial blockage
1.31
0.57
0.51
0.57
0.51
0.06
XXX75968

A
Repair artery blockage, each
0.36
2.41
5.46
NA
NA
0.45
ZZZ75968
TC
A
Repair artery blockage, each
0.00
2.25
5.32
NA
NA
0.43
ZZZ75968
26
A
Repair artery blockage, each
0.36
0.16
0.14
0.16
0.14
0.02
ZZZ75970

C
Vascular biopsy
0.00
0.00
0.00
NA
NA
0.00
XXX75970
TC
C
Vascular biopsy
0.00
0.00
0.00
NA
NA
0.00
XXX75970
26
A
Vascular biopsy
0.83
0.31
0.29
0.31
0.29
0.04
XXX75978

A
Repair venous blockage
0.54
3.27
9.60
NA
NA
0.85
XXX75978
TC
A
Repair venous blockage
0.00
3.09
9.42
NA
NA
0.83
XXX75978
26
A
Repair venous blockage
0.54
0.18
0.18
0.18
0.18
0.02
XXX( print page 2664)75980

C
Contrast xray exam bile duct
0.00
0.00
0.00
NA
NA
0.00
XXX75980
TC
C
Contrast xray exam bile duct
0.00
0.00
0.00
NA
NA
0.00
XXX75980
26
A
Contrast xray exam bile duct
1.44
0.52
0.50
0.52
0.50
0.06
XXX75982

C
Contrast xray exam bile duct
0.00
0.00
0.00
NA
NA
0.00
XXX75982
TC
C
Contrast xray exam bile duct
0.00
0.00
0.00
NA
NA
0.00
XXX75982
26
A
Contrast xray exam bile duct
1.44
0.52
0.50
0.52
0.50
0.06
XXX75984

A
Xray control catheter change
0.72
2.31
2.24
NA
NA
0.14
XXX75984
TC
A
Xray control catheter change
0.00
2.05
2.00
NA
NA
0.11
XXX75984
26
A
Xray control catheter change
0.72
0.26
0.24
0.26
0.24
0.03
XXX75989

A
Abscess drainage under x-ray
1.19
2.24
2.90
NA
NA
0.22
XXX75989
TC
A
Abscess drainage under x-ray
0.00
1.82
2.49
NA
NA
0.17
XXX75989
26
A
Abscess drainage under x-ray
1.19
0.42
0.41
0.42
0.41
0.05
XXX75992

C
Atherectomy, x-ray exam
0.00
0.00
0.00
NA
NA
0.00
XXX75992
TC
C
Atherectomy, x-ray exam
0.00
0.00
0.00
NA
NA
0.00
XXX75992
26
A
Atherectomy, x-ray exam
0.54
0.22
0.21
0.22
0.21
0.03
XXX75993

C
Atherectomy, x-ray exam
0.00
0.00
0.00
NA
NA
0.00
ZZZ75993
TC
C
Atherectomy, x-ray exam
0.00
0.00
0.00
NA
NA
0.00
ZZZ75993
26
A
Atherectomy, x-ray exam
0.36
0.14
0.13
0.14
0.13
0.02
ZZZ75994

C
Atherectomy, x-ray exam
0.00
0.00
0.00
NA
NA
0.00
XXX75994
TC
C
Atherectomy, x-ray exam
0.00
0.00
0.00
NA
NA
0.00
XXX75994
26
A
Atherectomy, x-ray exam
1.31
0.54
0.50
0.54
0.50
0.07
XXX75995

C
Atherectomy, x-ray exam
0.00
0.00
0.00
NA
NA
0.00
XXX75995
TC
C
Atherectomy, x-ray exam
0.00
0.00
0.00
NA
NA
0.00
XXX75995
26
A
Atherectomy, x-ray exam
1.31
0.48
0.47
0.48
0.47
0.05
XXX75996

C
Atherectomy, x-ray exam
0.00
0.00
0.00
NA
NA
0.00
ZZZ75996
TC
C
Atherectomy, x-ray exam
0.00
0.00
0.00
NA
NA
0.00
ZZZ75996
26
A
Atherectomy, x-ray exam
0.36
0.12
0.12
0.12
0.12
0.02
ZZZ76000

A
Fluoroscope examination
0.17
2.77
2.06
NA
NA
0.08
XXX76000
TC
A
Fluoroscope examination
0.00
2.71
2.01
NA
NA
0.07
XXX76000
26
A
Fluoroscope examination
0.17
0.06
0.05
0.06
0.05
0.01
XXX76001

C
Fluoroscope exam, extensive
0.00
0.00
0.00
NA
NA
0.00
XXX76001
TC
C
Fluoroscope exam, extensive
0.00
0.00
0.00
NA
NA
0.00
XXX76001
26
A
Fluoroscope exam, extensive
0.67
0.24
0.23
0.24
0.23
0.05
XXX76010

A
X-ray, nose to rectum
0.18
0.54
0.56
NA
NA
0.03
XXX76010
TC
A
X-ray, nose to rectum
0.00
0.48
0.50
NA
NA
0.02
XXX76010
26
A
X-ray, nose to rectum
0.18
0.06
0.06
0.06
0.06
0.01
XXX76080

A
X-ray exam of fistula
0.54
1.10
1.16
NA
NA
0.08
XXX76080
TC
A
X-ray exam of fistula
0.00
0.90
0.97
NA
NA
0.06
XXX76080
26
A
X-ray exam of fistula
0.54
0.20
0.19
0.20
0.19
0.02
XXX76098

A
X-ray exam, breast specimen
0.16
0.32
0.39
NA
NA
0.03
XXX76098
TC
A
X-ray exam, breast specimen
0.00
0.27
0.34
NA
NA
0.02
XXX76098
26
A
X-ray exam, breast specimen
0.16
0.05
0.05
0.05
0.05
0.01
XXX76100

A
X-ray exam of body section
0.58
3.55
2.50
NA
NA
0.10
XXX76100
TC
A
X-ray exam of body section
0.00
3.35
2.30
NA
NA
0.07
XXX76100
26
A
X-ray exam of body section
0.58
0.20
0.20
0.20
0.20
0.03
XXX76101

A
Complex body section x-ray
0.58
5.47
3.54
NA
NA
0.11
XXX76101
TC
A
Complex body section x-ray
0.00
5.28
3.35
NA
NA
0.08
XXX76101
26
A
Complex body section x-ray
0.58
0.19
0.19
0.19
0.19
0.03
XXX76102

A
Complex body section x-rays
0.58
7.65
4.78
NA
NA
0.14
XXX76102
TC
A
Complex body section x-rays
0.00
7.47
4.60
NA
NA
0.11
XXX76102
26
A
Complex body section x-rays
0.58
0.18
0.18
0.18
0.18
0.03
XXX76120

A
Cine/video x-rays
0.38
1.87
1.53
NA
NA
0.08
XXX76120
TC
A
Cine/video x-rays
0.00
1.74
1.40
NA
NA
0.06
XXX76120
26
A
Cine/video x-rays
0.38
0.13
0.13
0.13
0.13
0.02
XXX76125

C
Cine/video x-rays add-on
0.00
0.00
0.00
NA
NA
0.00
ZZZ76125
TC
C
Cine/video x-rays add-on
0.00
0.00
0.00
NA
NA
0.00
ZZZ76125
26
A
Cine/video x-rays add-on
0.27
0.12
0.11
0.12
0.11
0.01
ZZZ76140

I
X-ray consultation
0.00
0.00
0.00
0.00
0.00
0.00
XXX76150

A
X-ray exam, dry process
0.00
0.68
0.55
NA
NA
0.02
XXX76350

C
Special x-ray contrast study
0.00
0.00
0.00
0.00
0.00
0.00
XXX76376

A
3d render w/o postprocess
0.20
1.41
2.45
NA
NA
0.10
XXX76376
TC
A
3d render w/o postprocess
0.00
1.34
2.38
NA
NA
0.08
XXX76376
26
A
3d render w/o postprocess
0.20
0.07
0.07
0.07
0.07
0.02
XXX76377

A
3d rendering w/postprocess
0.79
1.40
2.54
NA
NA
0.39
XXX76377
TC
A
3d rendering w/postprocess
0.00
1.12
2.27
NA
NA
0.31
XXX76377
26
A
3d rendering w/postprocess
0.79
0.28
0.27
0.28
0.27
0.08
XXX76380

A
CAT scan follow-up study
0.98
4.72
4.27
NA
NA
0.22
XXX76380
TC
A
CAT scan follow-up study
0.00
4.38
3.94
NA
NA
0.18
XXX76380
26
A
CAT scan follow-up study
0.98
0.34
0.33
0.34
0.33
0.04
XXX76390

N
Mr spectroscopy
1.40
9.43
10.46
NA
NA
0.66
XXX76390
TC
N
Mr spectroscopy
0.00
9.11
10.06
NA
NA
0.59
XXX76390
26
N
Mr spectroscopy
1.40
0.32
0.40
0.32
0.40
0.07
XXX( print page 2665)76496

C
Fluoroscopic procedure
0.00
0.00
0.00
NA
NA
0.00
XXX76496
TC
C
Fluoroscopic procedure
0.00
0.00
0.00
NA
NA
0.00
XXX76496
26
C
Fluoroscopic procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX76497

C
Ct procedure
0.00
0.00
0.00
NA
NA
0.00
XXX76497
TC
C
Ct procedure
0.00
0.00
0.00
NA
NA
0.00
XXX76497
26
C
Ct procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX76498

C
Mri procedure
0.00
0.00
0.00
NA
NA
0.00
XXX76498
TC
C
Mri procedure
0.00
0.00
0.00
NA
NA
0.00
XXX76498
26
C
Mri procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX76499

C
Radiographic procedure
0.00
0.00
0.00
NA
NA
0.00
XXX76499
TC
C
Radiographic procedure
0.00
0.00
0.00
NA
NA
0.00
XXX76499
26
C
Radiographic procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX76506

A
Echo exam of head
0.63
2.76
2.21
NA
NA
0.14
XXX76506
TC
A
Echo exam of head
0.00
2.56
1.99
NA
NA
0.08
XXX76506
26
A
Echo exam of head
0.63
0.20
0.22
0.20
0.22
0.06
XXX76510

A
Ophth us, b & quant a
1.55
2.25
2.55
NA
NA
0.10
XXX76510
TC
A
Ophth us, b & quant a
0.00
1.70
1.94
NA
NA
0.07
XXX76510
26
A
Ophth us, b & quant a
1.55
0.55
0.61
0.55
0.61
0.03
XXX76511

A
Ophth us, quant a only
0.94
1.35
1.89
NA
NA
0.10
XXX76511
TC
A
Ophth us, quant a only
0.00
1.02
1.53
NA
NA
0.07
XXX76511
26
A
Ophth us, quant a only
0.94
0.33
0.36
0.33
0.36
0.03
XXX76512

A
Ophth us, b w/non-quant a
0.94
1.16
1.69
NA
NA
0.12
XXX76512
TC
A
Ophth us, b w/non-quant a
0.00
0.83
1.32
NA
NA
0.10
XXX76512
26
A
Ophth us, b w/non-quant a
0.94
0.33
0.37
0.33
0.37
0.02
XXX76513

A
Echo exam of eye, water bath
0.66
1.52
1.67
NA
NA
0.12
XXX76513
TC
A
Echo exam of eye, water bath
0.00
1.29
1.41
NA
NA
0.10
XXX76513
26
A
Echo exam of eye, water bath
0.66
0.23
0.26
0.23
0.26
0.02
XXX76514

A
Echo exam of eye, thickness
0.17
0.16
0.15
NA
NA
0.02
XXX76514
TC
A
Echo exam of eye, thickness
0.00
0.10
0.08
NA
NA
0.01
XXX76514
26
A
Echo exam of eye, thickness
0.17
0.06
0.07
0.06
0.07
0.01
XXX76516

A
Echo exam of eye
0.54
1.15
1.31
NA
NA
0.08
XXX76516
TC
A
Echo exam of eye
0.00
0.97
1.10
NA
NA
0.07
XXX76516
26
A
Echo exam of eye
0.54
0.18
0.21
0.18
0.21
0.01
XXX76519

A
Echo exam of eye
0.54
1.29
1.42
NA
NA
0.08
XXX76519
TC
A
Echo exam of eye
0.00
1.10
1.20
NA
NA
0.07
XXX76519
26
A
Echo exam of eye
0.54
0.19
0.22
0.19
0.22
0.01
XXX76529

A
Echo exam of eye
0.57
1.15
1.26
NA
NA
0.10
XXX76529
TC
A
Echo exam of eye
0.00
0.95
1.04
NA
NA
0.08
XXX76529
26
A
Echo exam of eye
0.57
0.20
0.22
0.20
0.22
0.02
XXX76536

A
Us exam of head and neck
0.56
2.68
2.14
NA
NA
0.10
XXX76536
TC
A
Us exam of head and neck
0.00
2.50
1.96
NA
NA
0.08
XXX76536
26
A
Us exam of head and neck
0.56
0.18
0.18
0.18
0.18
0.02
XXX76604

A
Us exam, chest
0.55
1.83
1.66
NA
NA
0.09
XXX76604
TC
A
Us exam, chest
0.00
1.64
1.47
NA
NA
0.07
XXX76604
26
A
Us exam, chest
0.55
0.19
0.19
0.19
0.19
0.02
XXX76645

A
Us exam, breast(s)
0.54
2.12
1.67
NA
NA
0.08
XXX76645
TC
A
Us exam, breast(s)
0.00
1.93
1.49
NA
NA
0.06
XXX76645
26
A
Us exam, breast(s)
0.54
0.19
0.18
0.19
0.18
0.02
XXX76700

A
Us exam, abdom, complete
0.81
3.02
2.63
NA
NA
0.15
XXX76700
TC
A
Us exam, abdom, complete
0.00
2.75
2.36
NA
NA
0.11
XXX76700
26
A
Us exam, abdom, complete
0.81
0.27
0.27
0.27
0.27
0.04
XXX76705

A
Echo exam of abdomen
0.59
2.36
1.98
NA
NA
0.11
XXX76705
TC
A
Echo exam of abdomen
0.00
2.15
1.78
NA
NA
0.08
XXX76705
26
A
Echo exam of abdomen
0.59
0.21
0.20
0.21
0.20
0.03
XXX76770

A
Us exam abdo back wall, comp
0.74
2.93
2.57
NA
NA
0.14
XXX76770
TC
A
Us exam abdo back wall, comp
0.00
2.67
2.32
NA
NA
0.11
XXX76770
26
A
Us exam abdo back wall, comp
0.74
0.26
0.25
0.26
0.25
0.03
XXX76775

A
Us exam abdo back wall, lim
0.58
2.42
2.01
NA
NA
0.11
XXX76775
TC
A
Us exam abdo back wall, lim
0.00
2.21
1.81
NA
NA
0.08
XXX76775
26
A
Us exam abdo back wall, lim
0.58
0.21
0.20
0.21
0.20
0.03
XXX76776

A
Us exam k transpl w/doppler
0.76
3.43
2.83
NA
NA
0.14
XXX76776
TC
A
Us exam k transpl w/doppler
0.00
3.16
2.57
NA
NA
0.11
XXX76776
26
A
Us exam k transpl w/doppler
0.76
0.27
0.26
0.27
0.26
0.03
XXX76800

A
Us exam, spinal canal
1.13
2.31
2.03
NA
NA
0.13
XXX76800
TC
A
Us exam, spinal canal
0.00
2.03
1.72
NA
NA
0.08
XXX76800
26
A
Us exam, spinal canal
1.13
0.28
0.31
0.28
0.31
0.05
XXX76801

A
Ob us < 14 wks, single fetus
0.99
2.46
2.45
NA
NA
0.16
XXX76801
TC
A
Ob us < 14 wks, single fetus
0.00
2.16
2.13
NA
NA
0.12
XXX76801
26
A
Ob us < 14 wks, single fetus
0.99
0.30
0.32
0.30
0.32
0.04
XXX76802

A
Ob us < 14 wks, addÆl fetus
0.83
0.97
1.16
NA
NA
0.16
ZZZ76802
TC
A
Ob us < 14 wks, addÆl fetus
0.00
0.71
0.88
NA
NA
0.12
ZZZ76802
26
A
Ob us < 14 wks, addÆl fetus
0.83
0.26
0.28
0.26
0.28
0.04
ZZZ( print page 2666)76805

A
Ob us >/= 14 wks, sngl fetus
0.99
3.05
2.74
NA
NA
0.16
XXX76805
TC
A
Ob us >/= 14 wks, sngl fetus
0.00
2.74
2.42
NA
NA
0.12
XXX76805
26
A
Ob us >/= 14 wks, sngl fetus
0.99
0.31
0.32
0.31
0.32
0.04
XXX76810

A
Ob us >/= 14 wks, addl fetus
0.98
1.65
1.52
NA
NA
0.26
ZZZ76810
TC
A
Ob us >/= 14 wks, addl fetus
0.00
1.35
1.20
NA
NA
0.22
ZZZ76810
26
A
Ob us >/= 14 wks, addl fetus
0.98
0.30
0.32
0.30
0.32
0.04
ZZZ76811

A
Ob us, detailed, sngl fetus
1.90
3.05
3.64
NA
NA
0.52
XXX76811
TC
A
Ob us, detailed, sngl fetus
0.00
2.51
3.02
NA
NA
0.43
XXX76811
26
A
Ob us, detailed, sngl fetus
1.90
0.54
0.62
0.54
0.62
0.09
XXX76812

A
Ob us, detailed, addl fetus
1.78
3.98
2.84
NA
NA
0.49
ZZZ76812
TC
A
Ob us, detailed, addl fetus
0.00
3.48
2.26
NA
NA
0.41
ZZZ76812
26
A
Ob us, detailed, addl fetus
1.78
0.50
0.58
0.50
0.58
0.08
ZZZ76813

A
Ob us nuchal meas, 1 gest
1.18
2.21
2.21
NA
NA
0.19
XXX76813
TC
A
Ob us nuchal meas, 1 gest
0.00
1.81
1.81
NA
NA
0.14
XXX76813
26
A
Ob us nuchal meas, 1 gest
1.18
0.40
0.40
0.40
0.40
0.05
XXX76814

A
Ob us nuchal meas, add-on
0.99
1.15
1.15
NA
NA
0.19
XXX76814
TC
A
Ob us nuchal meas, add-on
0.00
0.86
0.86
NA
NA
0.14
XXX76814
26
A
Ob us nuchal meas, add-on
0.99
0.29
0.29
0.29
0.29
0.05
XXX76815

A
Ob us, limited, fetus(s)
0.65
1.80
1.72
NA
NA
0.11
XXX76815
TC
A
Ob us, limited, fetus(s)
0.00
1.60
1.51
NA
NA
0.08
XXX76815
26
A
Ob us, limited, fetus(s)
0.65
0.20
0.21
0.20
0.21
0.03
XXX76816

A
Ob us, follow-up, per fetus
0.85
2.38
1.90
NA
NA
0.10
XXX76816
TC
A
Ob us, follow-up, per fetus
0.00
2.13
1.62
NA
NA
0.06
XXX76816
26
A
Ob us, follow-up, per fetus
0.85
0.25
0.28
0.25
0.28
0.04
XXX76817

A
Transvaginal us, obstetric
0.75
2.02
1.89
NA
NA
0.09
XXX76817
TC
A
Transvaginal us, obstetric
0.00
1.79
1.65
NA
NA
0.06
XXX76817
26
A
Transvaginal us, obstetric
0.75
0.23
0.24
0.23
0.24
0.03
XXX76818

A
Fetal biophys profile w/nst
1.05
2.22
2.11
NA
NA
0.15
XXX76818
TC
A
Fetal biophys profile w/nst
0.00
1.92
1.76
NA
NA
0.10
XXX76818
26
A
Fetal biophys profile w/nst
1.05
0.30
0.35
0.30
0.35
0.05
XXX76819

A
Fetal biophys profil w/o nst
0.77
1.63
1.76
NA
NA
0.13
XXX76819
TC
A
Fetal biophys profil w/o nst
0.00
1.40
1.50
NA
NA
0.10
XXX76819
26
A
Fetal biophys profil w/o nst
0.77
0.23
0.26
0.23
0.26
0.03
XXX76820

A
Umbilical artery echo
0.50
0.56
1.18
NA
NA
0.15
XXX76820
TC
A
Umbilical artery echo
0.00
0.42
1.01
NA
NA
0.12
XXX76820
26
A
Umbilical artery echo
0.50
0.14
0.17
0.14
0.17
0.03
XXX76821

A
Middle cerebral artery echo
0.70
1.87
1.88
NA
NA
0.15
XXX76821
TC
A
Middle cerebral artery echo
0.00
1.67
1.64
NA
NA
0.12
XXX76821
26
A
Middle cerebral artery echo
0.70
0.20
0.24
0.20
0.24
0.03
XXX76825

A
Echo exam of fetal heart
1.67
4.37
3.47
NA
NA
0.18
XXX76825
TC
A
Echo exam of fetal heart
0.00
3.87
2.92
NA
NA
0.11
XXX76825
26
A
Echo exam of fetal heart
1.67
0.50
0.55
0.50
0.55
0.07
XXX76826

A
Echo exam of fetal heart
0.83
2.76
1.88
NA
NA
0.08
XXX76826
TC
A
Echo exam of fetal heart
0.00
2.52
1.61
NA
NA
0.05
XXX76826
26
A
Echo exam of fetal heart
0.83
0.24
0.27
0.24
0.27
0.03
XXX76827

A
Echo exam of fetal heart
0.58
1.07
1.50
NA
NA
0.14
XXX76827
TC
A
Echo exam of fetal heart
0.00
0.90
1.31
NA
NA
0.12
XXX76827
26
A
Echo exam of fetal heart
0.58
0.17
0.19
0.17
0.19
0.02
XXX76828

A
Echo exam of fetal heart
0.56
0.63
0.98
NA
NA
0.11
XXX76828
TC
A
Echo exam of fetal heart
0.00
0.48
0.79
NA
NA
0.08
XXX76828
26
A
Echo exam of fetal heart
0.56
0.15
0.19
0.15
0.19
0.03
XXX76830

A
Transvaginal us, non-ob
0.69
2.76
2.26
NA
NA
0.13
XXX76830
TC
A
Transvaginal us, non-ob
0.00
2.54
2.03
NA
NA
0.10
XXX76830
26
A
Transvaginal us, non-ob
0.69
0.22
0.23
0.22
0.23
0.03
XXX76831

A
Echo exam, uterus
0.72
2.74
2.25
NA
NA
0.13
XXX76831
TC
A
Echo exam, uterus
0.00
2.53
2.02
NA
NA
0.10
XXX76831
26
A
Echo exam, uterus
0.72
0.21
0.23
0.21
0.23
0.03
XXX76856

A
Us exam, pelvic, complete
0.69
2.80
2.27
NA
NA
0.13
XXX76856
TC
A
Us exam, pelvic, complete
0.00
2.56
2.04
NA
NA
0.10
XXX76856
26
A
Us exam, pelvic, complete
0.69
0.24
0.23
0.24
0.23
0.03
XXX76857

A
Us exam, pelvic, limited
0.38
2.49
2.16
NA
NA
0.08
XXX76857
TC
A
Us exam, pelvic, limited
0.00
2.35
2.03
NA
NA
0.06
XXX76857
26
A
Us exam, pelvic, limited
0.38
0.14
0.13
0.14
0.13
0.02
XXX76870

A
Us exam, scrotum
0.64
2.83
2.28
NA
NA
0.13
XXX76870
TC
A
Us exam, scrotum
0.00
2.60
2.06
NA
NA
0.10
XXX76870
26
A
Us exam, scrotum
0.64
0.23
0.22
0.23
0.22
0.03
XXX76872

A
Us, transrectal
0.69
3.41
2.82
NA
NA
0.14
XXX76872
TC
A
Us, transrectal
0.00
3.14
2.58
NA
NA
0.10
XXX76872
26
A
Us, transrectal
0.69
0.27
0.24
0.27
0.24
0.04
XXX76873

A
Echograp trans r, pros study
1.55
3.40
3.00
NA
NA
0.25
XXX76873
TC
A
Echograp trans r, pros study
0.00
2.85
2.48
NA
NA
0.16
XXX76873
26
A
Echograp trans r, pros study
1.55
0.55
0.52
0.55
0.52
0.09
XXX( print page 2667)76880

A
Us exam, extremity
0.59
3.19
2.40
NA
NA
0.11
XXX76880
TC
A
Us exam, extremity
0.00
3.01
2.21
NA
NA
0.08
XXX76880
26
A
Us exam, extremity
0.59
0.18
0.19
0.18
0.19
0.03
XXX76885

A
Us exam infant hips, dynamic
0.74
3.26
2.50
NA
NA
0.13
XXX76885
TC
A
Us exam infant hips, dynamic
0.00
3.01
2.26
NA
NA
0.10
XXX76885
26
A
Us exam infant hips, dynamic
0.74
0.25
0.24
0.25
0.24
0.03
XXX76886

A
Us exam infant hips, static
0.62
2.28
1.95
NA
NA
0.11
XXX76886
TC
A
Us exam infant hips, static
0.00
2.06
1.74
NA
NA
0.08
XXX76886
26
A
Us exam infant hips, static
0.62
0.22
0.21
0.22
0.21
0.03
XXX76930

A
Echo guide, cardiocentesis
0.67
2.08
1.92
NA
NA
0.12
XXX76930
TC
A
Echo guide, cardiocentesis
0.00
1.74
1.63
NA
NA
0.10
XXX76930
26
A
Echo guide, cardiocentesis
0.67
0.34
0.29
0.34
0.29
0.02
XXX76932

C
Echo guide for heart biopsy
0.00
0.00
0.00
NA
NA
0.00
XXX76932
TC
C
Echo guide for heart biopsy
0.00
0.00
0.00
NA
NA
0.00
XXX76932
26
A
Echo guide for heart biopsy
0.67
0.35
0.30
0.35
0.30
0.02
XXX76936

A
Echo guide for artery repair
1.99
6.13
6.55
NA
NA
0.47
XXX76936
TC
A
Echo guide for artery repair
0.00
5.42
5.86
NA
NA
0.34
XXX76936
26
A
Echo guide for artery repair
1.99
0.71
0.69
0.71
0.69
0.13
XXX76937

A
Us guide, vascular access
0.30
0.62
0.55
NA
NA
0.13
ZZZ76937
TC
A
Us guide, vascular access
0.00
0.52
0.45
NA
NA
0.10
ZZZ76937
26
A
Us guide, vascular access
0.30
0.10
0.10
0.10
0.10
0.03
ZZZ76940

C
Us guide, tissue ablation
0.00
0.00
0.00
NA
NA
0.00
XXX76940
TC
C
Us guide, tissue ablation
0.00
0.00
0.00
NA
NA
0.00
XXX76940
26
A
Us guide, tissue ablation
2.00
0.65
0.65
0.65
0.65
0.31
XXX76941

C
Echo guide for transfusion
0.00
0.00
0.00
NA
NA
0.00
XXX76941
TC
C
Echo guide for transfusion
0.00
0.00
0.00
NA
NA
0.00
XXX76941
26
A
Echo guide for transfusion
1.34
0.38
0.43
0.38
0.43
0.07
XXX76942

A
Echo guide for biopsy
0.67
4.80
3.91
NA
NA
0.13
XXX76942
TC
A
Echo guide for biopsy
0.00
4.56
3.68
NA
NA
0.10
XXX76942
26
A
Echo guide for biopsy
0.67
0.24
0.23
0.24
0.23
0.03
XXX76945

C
Echo guide, villus sampling
0.00
0.00
0.00
NA
NA
0.00
XXX76945
TC
C
Echo guide, villus sampling
0.00
0.00
0.00
NA
NA
0.00
XXX76945
26
A
Echo guide, villus sampling
0.67
0.21
0.21
0.21
0.21
0.03
XXX76946

A
Echo guide for amniocentesis
0.38
0.45
1.05
NA
NA
0.12
XXX76946
TC
A
Echo guide for amniocentesis
0.00
0.34
0.93
NA
NA
0.10
XXX76946
26
A
Echo guide for amniocentesis
0.38
0.11
0.12
0.11
0.12
0.02
XXX76948

A
Echo guide, ova aspiration
0.38
0.45
1.04
NA
NA
0.12
XXX76948
TC
A
Echo guide, ova aspiration
0.00
0.35
0.93
NA
NA
0.10
XXX76948
26
A
Echo guide, ova aspiration
0.38
0.10
0.11
0.10
0.11
0.02
XXX76950

A
Echo guidance radiotherapy
0.58
1.21
1.35
NA
NA
0.10
XXX76950
TC
A
Echo guidance radiotherapy
0.00
1.02
1.16
NA
NA
0.07
XXX76950
26
A
Echo guidance radiotherapy
0.58
0.19
0.19
0.19
0.19
0.03
XXX76965

A
Echo guidance radiotherapy
1.34
1.20
3.60
NA
NA
0.37
XXX76965
TC
A
Echo guidance radiotherapy
0.00
0.70
3.14
NA
NA
0.29
XXX76965
26
A
Echo guidance radiotherapy
1.34
0.50
0.46
0.50
0.46
0.08
XXX76970

A
Ultrasound exam follow-up
0.40
1.99
1.58
NA
NA
0.08
XXX76970
TC
A
Ultrasound exam follow-up
0.00
1.88
1.46
NA
NA
0.06
XXX76970
26
A
Ultrasound exam follow-up
0.40
0.11
0.12
0.11
0.12
0.02
XXX76975

C
GI endoscopic ultrasound
0.00
0.00
0.00
NA
NA
0.00
XXX76975
TC
C
GI endoscopic ultrasound
0.00
0.00
0.00
NA
NA
0.00
XXX76975
26
A
GI endoscopic ultrasound
0.81
0.30
0.29
0.30
0.29
0.04
XXX76977

A
Us bone density measure
0.05
0.10
0.48
NA
NA
0.06
XXX76977
TC
A
Us bone density measure
0.00
0.09
0.46
NA
NA
0.05
XXX76977
26
A
Us bone density measure
0.05
0.01
0.02
0.01
0.02
0.01
XXX76998

C
Us guide, intraop
0.00
0.00
0.00
NA
NA
0.00
XXX76998
TC
C
Us guide, intraop
0.00
0.00
0.00
NA
NA
0.00
XXX76998
26
A
Us guide, intraop
1.20
0.35
0.38
0.35
0.38
0.13
XXX76999

C
Echo examination procedure
0.00
0.00
0.00
NA
NA
0.00
XXX76999
TC
C
Echo examination procedure
0.00
0.00
0.00
NA
NA
0.00
XXX76999
26
C
Echo examination procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX77001

A
Fluoroguide for vein device
0.38
2.73
2.08
NA
NA
0.11
ZZZ77001
TC
A
Fluoroguide for vein device
0.00
2.60
1.95
NA
NA
0.10
ZZZ77001
26
A
Fluoroguide for vein device
0.38
0.13
0.13
0.13
0.13
0.01
ZZZ77002

A
Needle localization by xray
0.54
1.23
1.35
NA
NA
0.09
XXX77002
TC
A
Needle localization by xray
0.00
1.07
1.19
NA
NA
0.07
XXX77002
26
A
Needle localization by xray
0.54
0.16
0.16
0.16
0.16
0.02
XXX77003

A
Fluoroguide for spine inject
0.60
0.76
1.11
NA
NA
0.10
XXX77003
TC
A
Fluoroguide for spine inject
0.00
0.62
0.96
NA
NA
0.07
XXX77003
26
A
Fluoroguide for spine inject
0.60
0.14
0.15
0.14
0.15
0.03
XXX77011

A
Ct scan for localization
1.21
20.28
14.47
NA
NA
0.47
XXX77011
TC
A
Ct scan for localization
0.00
19.88
14.07
NA
NA
0.42
XXX77011
26
A
Ct scan for localization
1.21
0.40
0.40
0.40
0.40
0.05
XXX( print page 2668)77012

A
Ct scan for needle biopsy
1.16
2.33
5.49
NA
NA
0.47
XXX77012
TC
A
Ct scan for needle biopsy
0.00
1.92
5.09
NA
NA
0.42
XXX77012
26
A
Ct scan for needle biopsy
1.16
0.41
0.40
0.41
0.40
0.05
XXX77013

C
Ct guide for tissue ablation
0.00
0.00
0.00
NA
NA
0.00
XXX77013
TC
C
Ct guide for tissue ablation
0.00
0.00
0.00
NA
NA
0.00
XXX77013
26
A
Ct guide for tissue ablation
3.99
1.43
1.36
1.43
1.36
0.18
XXX77014

A
Ct scan for therapy guide
0.85
4.48
3.86
NA
NA
0.20
XXX77014
TC
A
Ct scan for therapy guide
0.00
4.20
3.58
NA
NA
0.16
XXX77014
26
A
Ct scan for therapy guide
0.85
0.28
0.28
0.28
0.28
0.04
XXX77021

A
Mr guidance for needle place
1.50
9.71
10.71
NA
NA
0.64
XXX77021
TC
A
Mr guidance for needle place
0.00
9.19
10.20
NA
NA
0.55
XXX77021
26
A
Mr guidance for needle place
1.50
0.52
0.51
0.52
0.51
0.09
XXX77022

C
Mri for tissue ablation
0.00
0.00
0.00
NA
NA
0.00
XXX77022
TC
C
Mri for tissue ablation
0.00
0.00
0.00
NA
NA
0.00
XXX77022
26
A
Mri for tissue ablation
4.24
1.52
1.45
1.52
1.45
0.24
XXX77031

A
Stereotact guide for brst bx
1.59
1.87
4.78
NA
NA
0.46
XXX77031
TC
A
Stereotact guide for brst bx
0.00
1.34
4.25
NA
NA
0.37
XXX77031
26
A
Stereotact guide for brst bx
1.59
0.53
0.53
0.53
0.53
0.09
XXX77032

A
Guidance for needle, breast
0.56
0.84
1.17
NA
NA
0.09
XXX77032
TC
A
Guidance for needle, breast
0.00
0.64
0.98
NA
NA
0.07
XXX77032
26
A
Guidance for needle, breast
0.56
0.20
0.19
0.20
0.19
0.02
XXX77051

A
Computer dx mammogram add-on
0.06
0.20
0.32
NA
NA
0.02
ZZZ77051
TC
A
Computer dx mammogram add-on
0.00
0.18
0.30
NA
NA
0.01
ZZZ77051
26
A
Computer dx mammogram add-on
0.06
0.02
0.02
0.02
0.02
0.01
ZZZ77052

A
Comp screen mammogram add-on
0.06
0.20
0.32
NA
NA
0.02
ZZZ77052
TC
A
Comp screen mammogram add-on
0.00
0.18
0.30
NA
NA
0.01
ZZZ77052
26
A
Comp screen mammogram add-on
0.06
0.02
0.02
0.02
0.02
0.01
ZZZ77053

A
X-ray of mammary duct
0.36
1.24
1.99
NA
NA
0.16
XXX77053
TC
A
X-ray of mammary duct
0.00
1.11
1.87
NA
NA
0.14
XXX77053
26
A
X-ray of mammary duct
0.36
0.13
0.12
0.13
0.12
0.02
XXX77054

A
X-ray of mammary ducts
0.45
1.68
2.74
NA
NA
0.21
XXX77054
TC
A
X-ray of mammary ducts
0.00
1.52
2.59
NA
NA
0.19
XXX77054
26
A
X-ray of mammary ducts
0.45
0.16
0.15
0.16
0.15
0.02
XXX77055

A
Mammogram, one breast
0.70
1.65
1.46
NA
NA
0.09
XXX77055
TC
A
Mammogram, one breast
0.00
1.40
1.22
NA
NA
0.06
XXX77055
26
A
Mammogram, one breast
0.70
0.25
0.24
0.25
0.24
0.03
XXX77056

A
Mammogram, both breasts
0.87
2.15
1.86
NA
NA
0.11
XXX77056
TC
A
Mammogram, both breasts
0.00
1.84
1.57
NA
NA
0.07
XXX77056
26
A
Mammogram, both breasts
0.87
0.31
0.29
0.31
0.29
0.04
XXX77057

A
Mammogram, screening
0.70
1.44
1.46
NA
NA
0.10
XXX77057
TC
A
Mammogram, screening
0.00
1.20
1.22
NA
NA
0.07
XXX77057
26
A
Mammogram, screening
0.70
0.24
0.24
0.24
0.24
0.03
XXX77058

A
Mri, one breast
1.63
21.65
19.91
NA
NA
0.99
XXX77058
TC
A
Mri, one breast
0.00
21.09
19.36
NA
NA
0.92
XXX77058
26
A
Mri, one breast
1.63
0.56
0.55
0.56
0.55
0.07
XXX77059

A
Mri, both breasts
1.63
21.58
23.02
NA
NA
1.31
XXX77059
TC
A
Mri, both breasts
0.00
21.01
22.47
NA
NA
1.24
XXX77059
26
A
Mri, both breasts
1.63
0.57
0.55
0.57
0.55
0.07
XXX77071

A
X-ray stress view
0.41
0.77
0.48
0.77
0.48
0.06
XXX77072

A
X-rays for bone age
0.19
0.42
0.42
NA
NA
0.03
XXX77072
TC
A
X-rays for bone age
0.00
0.36
0.36
NA
NA
0.02
XXX77072
26
A
X-rays for bone age
0.19
0.06
0.06
0.06
0.06
0.01
XXX77073

A
X-rays, bone length studies
0.27
0.67
0.78
NA
NA
0.06
XXX77073
TC
A
X-rays, bone length studies
0.00
0.57
0.68
NA
NA
0.05
XXX77073
26
A
X-rays, bone length studies
0.27
0.10
0.10
0.10
0.10
0.01
XXX77074

A
X-rays, bone survey, limited
0.45
1.45
1.30
NA
NA
0.08
XXX77074
TC
A
X-rays, bone survey, limited
0.00
1.29
1.14
NA
NA
0.06
XXX77074
26
A
X-rays, bone survey, limited
0.45
0.16
0.16
0.16
0.16
0.02
XXX77075

A
X-rays, bone survey complete
0.54
2.29
1.96
NA
NA
0.10
XXX77075
TC
A
X-rays, bone survey complete
0.00
2.10
1.77
NA
NA
0.08
XXX77075
26
A
X-rays, bone survey complete
0.54
0.19
0.19
0.19
0.19
0.02
XXX77076

A
X-rays, bone survey, infant
0.70
2.13
1.55
NA
NA
0.08
XXX77076
TC
A
X-rays, bone survey, infant
0.00
1.90
1.32
NA
NA
0.05
XXX77076
26
A
X-rays, bone survey, infant
0.70
0.23
0.23
0.23
0.23
0.03
XXX77077

A
Joint survey, single view
0.31
0.66
0.93
NA
NA
0.08
XXX77077
TC
A
Joint survey, single view
0.00
0.55
0.83
NA
NA
0.06
XXX77077
26
A
Joint survey, single view
0.31
0.11
0.10
0.11
0.10
0.02
XXX77078

A
Ct bone density, axial
0.25
4.75
3.88
NA
NA
0.17
XXX77078
TC
A
Ct bone density, axial
0.00
4.66
3.80
NA
NA
0.16
XXX77078
26
A
Ct bone density, axial
0.25
0.09
0.08
0.09
0.08
0.01
XXX77079

A
Ct bone density, peripheral
0.22
0.83
1.92
NA
NA
0.06
XXX77079
TC
A
Ct bone density, peripheral
0.00
0.75
1.85
NA
NA
0.05
XXX( print page 2669)77079
26
A
Ct bone density, peripheral
0.22
0.08
0.07
0.08
0.07
0.01
XXX77080

A
Dxa bone density, axial
0.20
1.10
2.15
NA
NA
0.18
XXX77080
TC
A
Dxa bone density, axial
0.00
1.04
2.07
NA
NA
0.17
XXX77080
26
A
Dxa bone density, axial
0.20
0.06
0.08
0.06
0.08
0.01
XXX77081

A
Dxa bone density/peripheral
0.22
0.47
0.65
NA
NA
0.06
XXX77081
TC
A
Dxa bone density/peripheral
0.00
0.41
0.58
NA
NA
0.05
XXX77081
26
A
Dxa bone density/peripheral
0.22
0.06
0.07
0.06
0.07
0.01
XXX77082

A
Dxa bone density, vert fx
0.17
0.53
0.66
NA
NA
0.06
XXX77082
TC
A
Dxa bone density, vert fx
0.00
0.48
0.61
NA
NA
0.05
XXX77082
26
A
Dxa bone density, vert fx
0.17
0.05
0.05
0.05
0.05
0.01
XXX77083

A
Radiographic absorptiometry
0.20
0.37
0.59
NA
NA
0.06
XXX77083
TC
A
Radiographic absorptiometry
0.00
0.32
0.53
NA
NA
0.05
XXX77083
26
A
Radiographic absorptiometry
0.20
0.05
0.06
0.05
0.06
0.01
XXX77084

A
Magnetic image, bone marrow
1.60
13.57
12.65
NA
NA
0.66
XXX77084
TC
A
Magnetic image, bone marrow
0.00
13.05
12.13
NA
NA
0.59
XXX77084
26
A
Magnetic image, bone marrow
1.60
0.52
0.52
0.52
0.52
0.07
XXX77261

A
Radiation therapy planning
1.39
0.48
0.49
0.48
0.49
0.07
XXX77262

A
Radiation therapy planning
2.11
0.69
0.72
0.69
0.72
0.11
XXX77263

A
Radiation therapy planning
3.14
1.03
1.07
1.03
1.07
0.16
XXX77280

A
Set radiation therapy field
0.70
4.43
4.07
NA
NA
0.22
XXX77280
TC
A
Set radiation therapy field
0.00
4.20
3.84
NA
NA
0.18
XXX77280
26
A
Set radiation therapy field
0.70
0.23
0.23
0.23
0.23
0.04
XXX77285

A
Set radiation therapy field
1.05
8.02
6.97
NA
NA
0.35
XXX77285
TC
A
Set radiation therapy field
0.00
7.68
6.63
NA
NA
0.30
XXX77285
26
A
Set radiation therapy field
1.05
0.34
0.34
0.34
0.34
0.05
XXX77290

A
Set radiation therapy field
1.56
13.43
10.22
NA
NA
0.43
XXX77290
TC
A
Set radiation therapy field
0.00
12.92
9.72
NA
NA
0.35
XXX77290
26
A
Set radiation therapy field
1.56
0.51
0.50
0.51
0.50
0.08
XXX77295

A
Set radiation therapy field
4.56
7.46
18.43
NA
NA
1.71
XXX77295
TC
A
Set radiation therapy field
0.00
5.96
16.95
NA
NA
1.48
XXX77295
26
A
Set radiation therapy field
4.56
1.50
1.48
1.50
1.48
0.23
XXX77299

C
Radiation therapy planning
0.00
0.00
0.00
NA
NA
0.00
XXX77299
TC
C
Radiation therapy planning
0.00
0.00
0.00
NA
NA
0.00
XXX77299
26
C
Radiation therapy planning
0.00
0.00
0.00
0.00
0.00
0.00
XXX77300

A
Radiation therapy dose plan
0.62
1.18
1.36
NA
NA
0.10
XXX77300
TC
A
Radiation therapy dose plan
0.00
0.98
1.16
NA
NA
0.07
XXX77300
26
A
Radiation therapy dose plan
0.62
0.20
0.20
0.20
0.20
0.03
XXX77301

A
Radiotherapy dose plan, imrt
7.99
57.48
43.99
NA
NA
1.88
XXX77301
TC
A
Radiotherapy dose plan, imrt
0.00
54.86
41.40
NA
NA
1.48
XXX77301
26
A
Radiotherapy dose plan, imrt
7.99
2.62
2.59
2.62
2.59
0.40
XXX77305

A
Teletx isodose plan simple
0.70
0.90
1.50
NA
NA
0.15
XXX77305
TC
A
Teletx isodose plan simple
0.00
0.67
1.27
NA
NA
0.11
XXX77305
26
A
Teletx isodose plan simple
0.70
0.23
0.23
0.23
0.23
0.04
XXX77310

A
Teletx isodose plan intermed
1.05
1.24
1.96
NA
NA
0.18
XXX77310
TC
A
Teletx isodose plan intermed
0.00
0.90
1.62
NA
NA
0.13
XXX77310
26
A
Teletx isodose plan intermed
1.05
0.34
0.34
0.34
0.34
0.05
XXX77315

A
Teletx isodose plan complex
1.56
2.08
2.62
NA
NA
0.22
XXX77315
TC
A
Teletx isodose plan complex
0.00
1.57
2.12
NA
NA
0.14
XXX77315
26
A
Teletx isodose plan complex
1.56
0.51
0.50
0.51
0.50
0.08
XXX77321

A
Special teletx port plan
0.95
1.51
2.93
NA
NA
0.26
XXX77321
TC
A
Special teletx port plan
0.00
1.20
2.62
NA
NA
0.21
XXX77321
26
A
Special teletx port plan
0.95
0.31
0.31
0.31
0.31
0.05
XXX77326

A
Brachytx isodose calc simp
0.93
2.98
2.82
NA
NA
0.18
XXX77326
TC
A
Brachytx isodose calc simp
0.00
2.68
2.52
NA
NA
0.13
XXX77326
26
A
Brachytx isodose calc simp
0.93
0.30
0.30
0.30
0.30
0.05
XXX77327

A
Brachytx isodose calc interm
1.39
4.09
4.01
NA
NA
0.25
XXX77327
TC
A
Brachytx isodose calc interm
0.00
3.64
3.56
NA
NA
0.18
XXX77327
26
A
Brachytx isodose calc interm
1.39
0.45
0.45
0.45
0.45
0.07
XXX77328

A
Brachytx isodose plan compl
2.09
5.26
5.44
NA
NA
0.36
XXX77328
TC
A
Brachytx isodose plan compl
0.00
4.57
4.76
NA
NA
0.25
XXX77328
26
A
Brachytx isodose plan compl
2.09
0.69
0.68
0.69
0.68
0.11
XXX77331

A
Special radiation dosimetry
0.87
0.81
0.79
NA
NA
0.06
XXX77331
TC
A
Special radiation dosimetry
0.00
0.52
0.51
NA
NA
0.02
XXX77331
26
A
Special radiation dosimetry
0.87
0.29
0.28
0.29
0.28
0.04
XXX77332

A
Radiation treatment aid(s)
0.54
1.55
1.53
NA
NA
0.10
XXX77332
TC
A
Radiation treatment aid(s)
0.00
1.37
1.36
NA
NA
0.07
XXX77332
26
A
Radiation treatment aid(s)
0.54
0.18
0.17
0.18
0.17
0.03
XXX77333

A
Radiation treatment aid(s)
0.84
0.52
1.34
NA
NA
0.15
XXX77333
TC
A
Radiation treatment aid(s)
0.00
0.24
1.07
NA
NA
0.11
XXX77333
26
A
Radiation treatment aid(s)
0.84
0.28
0.27
0.28
0.27
0.04
XXX77334

A
Radiation treatment aid(s)
1.24
2.72
3.18
NA
NA
0.23
XXX77334
TC
A
Radiation treatment aid(s)
0.00
2.31
2.78
NA
NA
0.17
XXX( print page 2670)77334
26
A
Radiation treatment aid(s)
1.24
0.41
0.40
0.41
0.40
0.06
XXX77336

A
Radiation physics consult
0.00
1.14
2.06
NA
NA
0.16
XXX77370

A
Radiation physics consult
0.00
3.05
3.27
NA
NA
0.18
XXX77371

A
Srs, multisource
0.00
30.11
30.11
NA
NA
0.13
XXX77372

A
Srs, linear based
0.00
22.83
22.83
NA
NA
0.13
XXX77373

A
Sbrt delivery
0.00
42.67
42.67
NA
NA
0.13
XXX77399

C
External radiation dosimetry
0.00
0.00
0.00
NA
NA
0.00
XXX77399
TC
C
External radiation dosimetry
0.00
0.00
0.00
NA
NA
0.00
XXX77399
26
C
External radiation dosimetry
0.00
0.00
0.00
0.00
0.00
0.00
XXX77401

A
Radiation treatment delivery
0.00
0.47
1.12
NA
NA
0.11
XXX77402

A
Radiation treatment delivery
0.00
4.35
3.06
NA
NA
0.11
XXX77403

A
Radiation treatment delivery
0.00
3.76
2.77
NA
NA
0.11
XXX77404

A
Radiation treatment delivery
0.00
4.21
2.99
NA
NA
0.11
XXX77406

A
Radiation treatment delivery
0.00
4.24
3.01
NA
NA
0.11
XXX77407

A
Radiation treatment delivery
0.00
5.78
3.94
NA
NA
0.12
XXX77408

A
Radiation treatment delivery
0.00
5.19
3.64
NA
NA
0.12
XXX77409

A
Radiation treatment delivery
0.00
5.77
3.93
NA
NA
0.12
XXX77411

A
Radiation treatment delivery
0.00
5.74
3.92
NA
NA
0.12
XXX77412

A
Radiation treatment delivery
0.00
6.79
4.56
NA
NA
0.13
XXX77413

A
Radiation treatment delivery
0.00
6.86
4.60
NA
NA
0.13
XXX77414

A
Radiation treatment delivery
0.00
7.72
5.03
NA
NA
0.13
XXX77416

A
Radiation treatment delivery
0.00
7.73
5.03
NA
NA
0.13
XXX77417

A
Radiology port film(s)
0.00
0.36
0.48
NA
NA
0.04
XXX77418

A
Radiation tx delivery, imrt
0.00
13.17
15.60
NA
NA
0.13
XXX77421

A
Stereoscopic x-ray guidance
0.39
2.39
2.93
NA
NA
0.12
XXX77421
TC
A
Stereoscopic x-ray guidance
0.00
2.26
2.80
NA
NA
0.10
XXX77421
26
A
Stereoscopic x-ray guidance
0.39
0.13
0.13
0.13
0.13
0.02
XXX77422

A
Neutron beam tx, simple
0.00
5.36
3.53
NA
NA
0.13
XXX77423

A
Neutron beam tx, complex
0.00
7.47
4.86
NA
NA
0.13
XXX77427

A
Radiation tx management, x5
3.70
1.39
1.22
1.39
1.22
0.17
XXX77431

A
Radiation therapy management
1.81
0.78
0.73
0.78
0.73
0.09
XXX77432

A
Stereotactic radiation trmt
7.92
2.59
2.75
2.59
2.75
0.41
XXX77435

A
Sbrt management
13.00
4.76
4.76
NA
NA
0.67
XXX77470

A
Special radiation treatment
2.09
1.92
6.88
NA
NA
0.70
XXX77470
TC
A
Special radiation treatment
0.00
1.24
6.20
NA
NA
0.59
XXX77470
26
A
Special radiation treatment
2.09
0.68
0.68
0.68
0.68
0.11
XXX77499

C
Radiation therapy management
0.00
0.00
0.00
NA
NA
0.00
XXX77499
TC
C
Radiation therapy management
0.00
0.00
0.00
NA
NA
0.00
XXX77499
26
C
Radiation therapy management
0.00
0.00
0.00
0.00
0.00
0.00
XXX77520

C
Proton trmt, simple w/o comp
0.00
0.00
0.00
0.00
0.00
0.00
XXX77522

C
Proton trmt, simple w/comp
0.00
0.00
0.00
0.00
0.00
0.00
XXX77523

C
Proton trmt, intermediate
0.00
0.00
0.00
0.00
0.00
0.00
XXX77525

C
Proton treatment, complex
0.00
0.00
0.00
0.00
0.00
0.00
XXX77600

R
Hyperthermia treatment
1.56
10.24
6.90
NA
NA
0.24
XXX77600
TC
R
Hyperthermia treatment
0.00
9.74
6.40
NA
NA
0.16
XXX77600
26
R
Hyperthermia treatment
1.56
0.50
0.50
0.50
0.50
0.08
XXX77605

R
Hyperthermia treatment
2.09
18.48
11.60
NA
NA
0.38
XXX77605
TC
R
Hyperthermia treatment
0.00
17.93
11.00
NA
NA
0.22
XXX77605
26
R
Hyperthermia treatment
2.09
0.55
0.60
0.55
0.60
0.16
XXX77610

R
Hyperthermia treatment
1.56
17.94
10.75
NA
NA
0.24
XXX77610
TC
R
Hyperthermia treatment
0.00
17.58
10.32
NA
NA
0.16
XXX77610
26
R
Hyperthermia treatment
1.56
0.36
0.43
0.36
0.43
0.08
XXX77615

R
Hyperthermia treatment
2.09
25.93
15.32
NA
NA
0.33
XXX77615
TC
R
Hyperthermia treatment
0.00
25.29
14.67
NA
NA
0.22
XXX77615
26
R
Hyperthermia treatment
2.09
0.64
0.65
0.64
0.65
0.11
XXX77620

R
Hyperthermia treatment
1.56
10.50
7.04
NA
NA
0.36
XXX77620
TC
R
Hyperthermia treatment
0.00
10.10
6.58
NA
NA
0.16
XXX77620
26
R
Hyperthermia treatment
1.56
0.40
0.46
0.40
0.46
0.20
XXX77750

A
Infuse radioactive materials
4.94
4.55
3.73
NA
NA
0.32
09077750
TC
A
Infuse radioactive materials
0.00
2.93
2.13
NA
NA
0.07
09077750
26
A
Infuse radioactive materials
4.94
1.62
1.60
1.62
1.60
0.25
09077761

A
Apply intrcav radiat simple
3.82
6.34
4.97
NA
NA
0.33
09077761
TC
A
Apply intrcav radiat simple
0.00
5.10
3.80
NA
NA
0.14
09077761
26
A
Apply intrcav radiat simple
3.82
1.24
1.17
1.24
1.17
0.19
09077762

A
Apply intrcav radiat interm
5.73
7.63
6.54
NA
NA
0.48
09077762
TC
A
Apply intrcav radiat interm
0.00
5.75
4.68
NA
NA
0.19
09077762
26
A
Apply intrcav radiat interm
5.73
1.88
1.86
1.88
1.86
0.29
09077763

A
Apply intrcav radiat compl
8.60
10.35
8.79
NA
NA
0.66
09077763
TC
A
Apply intrcav radiat compl
0.00
7.53
6.01
NA
NA
0.23
09077763
26
A
Apply intrcav radiat compl
8.60
2.82
2.78
2.82
2.78
0.43
09077776

A
Apply interstit radiat simpl
4.67
7.46
5.30
NA
NA
0.57
09077776
TC
A
Apply interstit radiat simpl
0.00
5.79
3.99
NA
NA
0.13
090( print page 2671)77776
26
A
Apply interstit radiat simpl
4.67
1.67
1.31
1.67
1.31
0.44
09077777

A
Apply interstit radiat inter
7.49
7.92
7.26
NA
NA
0.61
09077777
TC
A
Apply interstit radiat inter
0.00
5.47
4.85
NA
NA
0.22
09077777
26
A
Apply interstit radiat inter
7.49
2.45
2.41
2.45
2.41
0.39
09077778

A
Apply interstit radiat compl
11.23
11.33
10.01
NA
NA
0.84
09077778
TC
A
Apply interstit radiat compl
0.00
7.63
6.38
NA
NA
0.27
09077778
26
A
Apply interstit radiat compl
11.23
3.70
3.63
3.70
3.63
0.57
09077781

A
High intensity brachytherapy
1.21
4.41
12.62
NA
NA
1.14
XXX77781
TC
A
High intensity brachytherapy
0.00
4.01
12.16
NA
NA
1.06
XXX77781
26
A
High intensity brachytherapy
1.21
0.40
0.46
0.40
0.46
0.08
XXX77782

A
High intensity brachytherapy
2.04
12.42
16.76
NA
NA
1.19
XXX77782
TC
A
High intensity brachytherapy
0.00
11.75
16.03
NA
NA
1.06
XXX77782
26
A
High intensity brachytherapy
2.04
0.67
0.73
0.67
0.73
0.13
XXX77783

A
High intensity brachytherapy
3.27
24.21
22.86
NA
NA
1.25
XXX77783
TC
A
High intensity brachytherapy
0.00
23.14
21.73
NA
NA
1.06
XXX77783
26
A
High intensity brachytherapy
3.27
1.07
1.13
1.07
1.13
0.19
XXX77784

A
High intensity brachytherapy
5.15
45.71
33.91
NA
NA
1.35
XXX77784
TC
A
High intensity brachytherapy
0.00
44.03
32.17
NA
NA
1.06
XXX77784
26
A
High intensity brachytherapy
5.15
1.68
1.74
1.68
1.74
0.29
XXX77789

A
Apply surface radiation
1.14
2.02
1.42
NA
NA
0.08
00077789
TC
A
Apply surface radiation
0.00
1.64
1.04
NA
NA
0.02
00077789
26
A
Apply surface radiation
1.14
0.38
0.38
0.38
0.38
0.06
00077790

A
Radiation handling
1.05
1.46
1.15
NA
NA
0.07
XXX77790
TC
A
Radiation handling
0.00
1.12
0.81
NA
NA
0.02
XXX77790
26
A
Radiation handling
1.05
0.34
0.34
0.34
0.34
0.05
XXX77799

C
Radium/radioisotope therapy
0.00
0.00
0.00
NA
NA
0.00
XXX77799
TC
C
Radium/radioisotope therapy
0.00
0.00
0.00
NA
NA
0.00
XXX77799
26
C
Radium/radioisotope therapy
0.00
0.00
0.00
0.00
0.00
0.00
XXX78000

A
Thyroid, single uptake
0.19
1.85
1.44
NA
NA
0.07
XXX78000
TC
A
Thyroid, single uptake
0.00
1.79
1.38
NA
NA
0.06
XXX78000
26
A
Thyroid, single uptake
0.19
0.06
0.06
0.06
0.06
0.01
XXX78001

A
Thyroid, multiple uptakes
0.26
2.31
1.85
NA
NA
0.08
XXX78001
TC
A
Thyroid, multiple uptakes
0.00
2.22
1.76
NA
NA
0.07
XXX78001
26
A
Thyroid, multiple uptakes
0.26
0.09
0.09
0.09
0.09
0.01
XXX78003

A
Thyroid suppress/stimul
0.33
1.94
1.50
NA
NA
0.07
XXX78003
TC
A
Thyroid suppress/stimul
0.00
1.82
1.39
NA
NA
0.06
XXX78003
26
A
Thyroid suppress/stimul
0.33
0.12
0.11
0.12
0.11
0.01
XXX78006

A
Thyroid imaging with uptake
0.49
6.23
4.38
NA
NA
0.15
XXX78006
TC
A
Thyroid imaging with uptake
0.00
6.06
4.22
NA
NA
0.13
XXX78006
26
A
Thyroid imaging with uptake
0.49
0.17
0.16
0.17
0.16
0.02
XXX78007

A
Thyroid image, mult uptakes
0.50
3.06
2.90
NA
NA
0.16
XXX78007
TC
A
Thyroid image, mult uptakes
0.00
2.89
2.73
NA
NA
0.14
XXX78007
26
A
Thyroid image, mult uptakes
0.50
0.17
0.17
0.17
0.17
0.02
XXX78010

A
Thyroid imaging
0.39
4.19
3.07
NA
NA
0.13
XXX78010
TC
A
Thyroid imaging
0.00
4.06
2.94
NA
NA
0.11
XXX78010
26
A
Thyroid imaging
0.39
0.13
0.13
0.13
0.13
0.02
XXX78011

A
Thyroid imaging with flow
0.45
4.55
3.55
NA
NA
0.15
XXX78011
TC
A
Thyroid imaging with flow
0.00
4.39
3.40
NA
NA
0.13
XXX78011
26
A
Thyroid imaging with flow
0.45
0.16
0.15
0.16
0.15
0.02
XXX78015

A
Thyroid met imaging
0.67
5.34
4.08
NA
NA
0.17
XXX78015
TC
A
Thyroid met imaging
0.00
5.12
3.85
NA
NA
0.14
XXX78015
26
A
Thyroid met imaging
0.67
0.22
0.23
0.22
0.23
0.03
XXX78016

A
Thyroid met imaging/studies
0.82
8.54
6.15
NA
NA
0.21
XXX78016
TC
A
Thyroid met imaging/studies
0.00
8.26
5.87
NA
NA
0.18
XXX78016
26
A
Thyroid met imaging/studies
0.82
0.28
0.28
0.28
0.28
0.03
XXX78018

A
Thyroid met imaging, body
0.86
7.94
6.83
NA
NA
0.33
XXX78018
TC
A
Thyroid met imaging, body
0.00
7.64
6.53
NA
NA
0.29
XXX78018
26
A
Thyroid met imaging, body
0.86
0.30
0.30
0.30
0.30
0.04
XXX78020

A
Thyroid met uptake
0.60
1.80
1.66
NA
NA
0.16
ZZZ78020
TC
A
Thyroid met uptake
0.00
1.60
1.45
NA
NA
0.14
ZZZ78020
26
A
Thyroid met uptake
0.60
0.20
0.21
0.20
0.21
0.02
ZZZ78070

A
Parathyroid nuclear imaging
0.82
3.48
4.02
NA
NA
0.15
XXX78070
TC
A
Parathyroid nuclear imaging
0.00
3.20
3.74
NA
NA
0.11
XXX78070
26
A
Parathyroid nuclear imaging
0.82
0.28
0.28
0.28
0.28
0.04
XXX78075

A
Adrenal nuclear imaging
0.74
11.63
8.65
NA
NA
0.32
XXX78075
TC
A
Adrenal nuclear imaging
0.00
11.38
8.40
NA
NA
0.29
XXX78075
26
A
Adrenal nuclear imaging
0.74
0.25
0.25
0.25
0.25
0.03
XXX78099

C
Endocrine nuclear procedure
0.00
0.00
0.00
NA
NA
0.00
XXX78099
TC
C
Endocrine nuclear procedure
0.00
0.00
0.00
NA
NA
0.00
XXX78099
26
C
Endocrine nuclear procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX78102

A
Bone marrow imaging, ltd
0.55
4.18
3.21
NA
NA
0.14
XXX78102
TC
A
Bone marrow imaging, ltd
0.00
3.99
3.02
NA
NA
0.12
XXX( print page 2672)78102
26
A
Bone marrow imaging, ltd
0.55
0.19
0.19
0.19
0.19
0.02
XXX78103

A
Bone marrow imaging, mult
0.75
5.44
4.44
NA
NA
0.20
XXX78103
TC
A
Bone marrow imaging, mult
0.00
5.18
4.18
NA
NA
0.17
XXX78103
26
A
Bone marrow imaging, mult
0.75
0.26
0.26
0.26
0.26
0.03
XXX78104

A
Bone marrow imaging, body
0.80
6.23
5.29
NA
NA
0.25
XXX78104
TC
A
Bone marrow imaging, body
0.00
5.94
5.01
NA
NA
0.22
XXX78104
26
A
Bone marrow imaging, body
0.80
0.29
0.28
0.29
0.28
0.03
XXX78110

A
Plasma volume, single
0.19
2.13
1.58
NA
NA
0.07
XXX78110
TC
A
Plasma volume, single
0.00
2.06
1.51
NA
NA
0.06
XXX78110
26
A
Plasma volume, single
0.19
0.07
0.07
0.07
0.07
0.01
XXX78111

A
Plasma volume, multiple
0.22
2.14
2.40
NA
NA
0.15
XXX78111
TC
A
Plasma volume, multiple
0.00
2.07
2.32
NA
NA
0.14
XXX78111
26
A
Plasma volume, multiple
0.22
0.07
0.08
0.07
0.08
0.01
XXX78120

A
Red cell mass, single
0.23
2.10
1.96
NA
NA
0.12
XXX78120
TC
A
Red cell mass, single
0.00
2.02
1.88
NA
NA
0.11
XXX78120
26
A
Red cell mass, single
0.23
0.08
0.08
0.08
0.08
0.01
XXX78121

A
Red cell mass, multiple
0.32
2.20
2.62
NA
NA
0.15
XXX78121
TC
A
Red cell mass, multiple
0.00
2.10
2.51
NA
NA
0.14
XXX78121
26
A
Red cell mass, multiple
0.32
0.10
0.11
0.10
0.11
0.01
XXX78122

A
Blood volume
0.45
2.25
3.51
NA
NA
0.26
XXX78122
TC
A
Blood volume
0.00
2.10
3.35
NA
NA
0.24
XXX78122
26
A
Blood volume
0.45
0.15
0.16
0.15
0.16
0.02
XXX78130

A
Red cell survival study
0.61
3.50
3.28
NA
NA
0.17
XXX78130
TC
A
Red cell survival study
0.00
3.29
3.07
NA
NA
0.14
XXX78130
26
A
Red cell survival study
0.61
0.21
0.21
0.21
0.21
0.03
XXX78135

A
Red cell survival kinetics
0.64
8.68
6.89
NA
NA
0.28
XXX78135
TC
A
Red cell survival kinetics
0.00
8.46
6.67
NA
NA
0.25
XXX78135
26
A
Red cell survival kinetics
0.64
0.22
0.22
0.22
0.22
0.03
XXX78140

A
Red cell sequestration
0.61
2.95
3.54
NA
NA
0.24
XXX78140
TC
A
Red cell sequestration
0.00
2.73
3.33
NA
NA
0.21
XXX78140
26
A
Red cell sequestration
0.61
0.22
0.21
0.22
0.21
0.03
XXX78185

A
Spleen imaging
0.40
5.20
3.85
NA
NA
0.15
XXX78185
TC
A
Spleen imaging
0.00
5.06
3.71
NA
NA
0.13
XXX78185
26
A
Spleen imaging
0.40
0.14
0.14
0.14
0.14
0.02
XXX78190

A
Platelet survival, kinetics
1.09
8.38
7.24
NA
NA
0.38
XXX78190
TC
A
Platelet survival, kinetics
0.00
8.13
6.92
NA
NA
0.30
XXX78190
26
A
Platelet survival, kinetics
1.09
0.25
0.32
0.25
0.32
0.08
XXX78191

A
Platelet survival
0.61
3.52
5.53
NA
NA
0.40
XXX78191
TC
A
Platelet survival
0.00
3.31
5.32
NA
NA
0.37
XXX78191
26
A
Platelet survival
0.61
0.21
0.21
0.21
0.21
0.03
XXX78195

A
Lymph system imaging
1.20
8.69
6.58
NA
NA
0.28
XXX78195
TC
A
Lymph system imaging
0.00
8.28
6.17
NA
NA
0.22
XXX78195
26
A
Lymph system imaging
1.20
0.41
0.41
0.41
0.41
0.06
XXX78199

C
Blood/lymph nuclear exam
0.00
0.00
0.00
NA
NA
0.00
XXX78199
TC
C
Blood/lymph nuclear exam
0.00
0.00
0.00
NA
NA
0.00
XXX78199
26
C
Blood/lymph nuclear exam
0.00
0.00
0.00
0.00
0.00
0.00
XXX78201

A
Liver imaging
0.44
4.60
3.56
NA
NA
0.15
XXX78201
TC
A
Liver imaging
0.00
4.47
3.42
NA
NA
0.13
XXX78201
26
A
Liver imaging
0.44
0.13
0.14
0.13
0.14
0.02
XXX78202

A
Liver imaging with flow
0.51
5.35
4.20
NA
NA
0.16
XXX78202
TC
A
Liver imaging with flow
0.00
5.18
4.03
NA
NA
0.14
XXX78202
26
A
Liver imaging with flow
0.51
0.17
0.17
0.17
0.17
0.02
XXX78205

A
Liver imaging (3D)
0.71
5.27
5.71
NA
NA
0.34
XXX78205
TC
A
Liver imaging (3D)
0.00
5.02
5.47
NA
NA
0.31
XXX78205
26
A
Liver imaging (3D)
0.71
0.25
0.24
0.25
0.24
0.03
XXX78206

A
Liver image (3d) with flow
0.96
8.61
7.42
NA
NA
0.15
XXX78206
TC
A
Liver image (3d) with flow
0.00
8.27
7.09
NA
NA
0.11
XXX78206
26
A
Liver image (3d) with flow
0.96
0.34
0.33
0.34
0.33
0.04
XXX78215

A
Liver and spleen imaging
0.49
4.82
3.97
NA
NA
0.16
XXX78215
TC
A
Liver and spleen imaging
0.00
4.65
3.80
NA
NA
0.14
XXX78215
26
A
Liver and spleen imaging
0.49
0.17
0.17
0.17
0.17
0.02
XXX78216

A
Liver & spleen image/flow
0.57
2.86
3.26
NA
NA
0.20
XXX78216
TC
A
Liver & spleen image/flow
0.00
2.66
3.07
NA
NA
0.18
XXX78216
26
A
Liver & spleen image/flow
0.57
0.20
0.19
0.20
0.19
0.02
XXX78220

A
Liver function study
0.49
3.08
3.48
NA
NA
0.21
XXX78220
TC
A
Liver function study
0.00
2.91
3.32
NA
NA
0.19
XXX78220
26
A
Liver function study
0.49
0.17
0.16
0.17
0.16
0.02
XXX78223

A
Hepatobiliary imaging
0.84
8.51
6.23
NA
NA
0.23
XXX78223
TC
A
Hepatobiliary imaging
0.00
8.22
5.94
NA
NA
0.19
XXX78223
26
A
Hepatobiliary imaging
0.84
0.29
0.29
0.29
0.29
0.04
XXX78230

A
Salivary gland imaging
0.45
4.17
3.25
NA
NA
0.15
XXX78230
TC
A
Salivary gland imaging
0.00
4.01
3.10
NA
NA
0.13
XXX( print page 2673)78230
26
A
Salivary gland imaging
0.45
0.16
0.15
0.16
0.15
0.02
XXX78231

A
Serial salivary imaging
0.52
2.81
3.07
NA
NA
0.19
XXX78231
TC
A
Serial salivary imaging
0.00
2.64
2.90
NA
NA
0.17
XXX78231
26
A
Serial salivary imaging
0.52
0.17
0.17
0.17
0.17
0.02
XXX78232

A
Salivary gland function exam
0.47
2.78
3.24
NA
NA
0.20
XXX78232
TC
A
Salivary gland function exam
0.00
2.63
3.08
NA
NA
0.18
XXX78232
26
A
Salivary gland function exam
0.47
0.15
0.16
0.15
0.16
0.02
XXX78258

A
Esophageal motility study
0.74
5.52
4.33
NA
NA
0.17
XXX78258
TC
A
Esophageal motility study
0.00
5.25
4.07
NA
NA
0.14
XXX78258
26
A
Esophageal motility study
0.74
0.27
0.26
0.27
0.26
0.03
XXX78261

A
Gastric mucosa imaging
0.69
6.01
5.17
NA
NA
0.25
XXX78261
TC
A
Gastric mucosa imaging
0.00
5.77
4.93
NA
NA
0.22
XXX78261
26
A
Gastric mucosa imaging
0.69
0.24
0.24
0.24
0.24
0.03
XXX78262

A
Gastroesophageal reflux exam
0.68
5.96
5.22
NA
NA
0.25
XXX78262
TC
A
Gastroesophageal reflux exam
0.00
5.74
5.00
NA
NA
0.22
XXX78262
26
A
Gastroesophageal reflux exam
0.68
0.22
0.22
0.22
0.22
0.03
XXX78264

A
Gastric emptying study
0.78
7.16
5.78
NA
NA
0.25
XXX78264
TC
A
Gastric emptying study
0.00
6.89
5.51
NA
NA
0.22
XXX78264
26
A
Gastric emptying study
0.78
0.27
0.27
0.27
0.27
0.03
XXX78267

X
Breath tst attain/anal c-14
0.00
0.00
0.00
0.00
0.00
0.00
XXX78268

X
Breath test analysis, c-14
0.00
0.00
0.00
0.00
0.00
0.00
XXX78270

A
Vit B-12 absorption exam
0.20
1.95
1.78
NA
NA
0.11
XXX78270
TC
A
Vit B-12 absorption exam
0.00
1.88
1.71
NA
NA
0.10
XXX78270
26
A
Vit B-12 absorption exam
0.20
0.07
0.07
0.07
0.07
0.01
XXX78271

A
Vit b-12 absrp exam, int fac
0.20
1.89
1.80
NA
NA
0.11
XXX78271
TC
A
Vit b-12 absrp exam, int fac
0.00
1.84
1.74
NA
NA
0.10
XXX78271
26
A
Vit b-12 absrp exam, int fac
0.20
0.05
0.06
0.05
0.06
0.01
XXX78272

A
Vit B-12 absorp, combined
0.27
2.06
2.24
NA
NA
0.14
XXX78272
TC
A
Vit B-12 absorp, combined
0.00
1.99
2.16
NA
NA
0.13
XXX78272
26
A
Vit B-12 absorp, combined
0.27
0.07
0.08
0.07
0.08
0.01
XXX78278

A
Acute GI blood loss imaging
0.99
8.61
6.91
NA
NA
0.29
XXX78278
TC
A
Acute GI blood loss imaging
0.00
8.26
6.57
NA
NA
0.25
XXX78278
26
A
Acute GI blood loss imaging
0.99
0.35
0.34
0.35
0.34
0.04
XXX78282

C
GI protein loss exam
0.00
0.00
0.00
NA
NA
0.00
XXX78282
TC
C
GI protein loss exam
0.00
0.00
0.00
NA
NA
0.00
XXX78282
26
A
GI protein loss exam
0.38
0.13
0.13
0.13
0.13
0.02
XXX78290

A
MeckelÆs divert exam
0.68
8.52
5.91
NA
NA
0.19
XXX78290
TC
A
MeckelÆs divert exam
0.00
8.28
5.67
NA
NA
0.16
XXX78290
26
A
MeckelÆs divert exam
0.68
0.24
0.24
0.24
0.24
0.03
XXX78291

A
Leveen/shunt patency exam
0.88
6.15
4.76
NA
NA
0.20
XXX78291
TC
A
Leveen/shunt patency exam
0.00
5.85
4.46
NA
NA
0.16
XXX78291
26
A
Leveen/shunt patency exam
0.88
0.30
0.30
0.30
0.30
0.04
XXX78299

C
GI nuclear procedure
0.00
0.00
0.00
NA
NA
0.00
XXX78299
TC
C
GI nuclear procedure
0.00
0.00
0.00
NA
NA
0.00
XXX78299
26
C
GI nuclear procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX78300

A
Bone imaging, limited area
0.62
4.23
3.46
NA
NA
0.17
XXX78300
TC
A
Bone imaging, limited area
0.00
4.01
3.25
NA
NA
0.14
XXX78300
26
A
Bone imaging, limited area
0.62
0.22
0.21
0.22
0.21
0.03
XXX78305

A
Bone imaging, multiple areas
0.83
5.48
4.71
NA
NA
0.23
XXX78305
TC
A
Bone imaging, multiple areas
0.00
5.20
4.43
NA
NA
0.19
XXX78305
26
A
Bone imaging, multiple areas
0.83
0.28
0.28
0.28
0.28
0.04
XXX78306

A
Bone imaging, whole body
0.86
6.07
5.32
NA
NA
0.26
XXX78306
TC
A
Bone imaging, whole body
0.00
5.77
5.02
NA
NA
0.22
XXX78306
26
A
Bone imaging, whole body
0.86
0.30
0.30
0.30
0.30
0.04
XXX78315

A
Bone imaging, 3 phase
1.02
8.60
6.86
NA
NA
0.29
XXX78315
TC
A
Bone imaging, 3 phase
0.00
8.24
6.51
NA
NA
0.25
XXX78315
26
A
Bone imaging, 3 phase
1.02
0.36
0.35
0.36
0.35
0.04
XXX78320

A
Bone imaging (3D)
1.04
5.35
5.82
NA
NA
0.35
XXX78320
TC
A
Bone imaging (3D)
0.00
4.99
5.46
NA
NA
0.31
XXX78320
26
A
Bone imaging (3D)
1.04
0.36
0.36
0.36
0.36
0.04
XXX78350

N
Bone mineral, single photon
0.22
0.51
0.67
NA
NA
0.06
XXX78350
TC
N
Bone mineral, single photon
0.00
0.46
0.61
NA
NA
0.05
XXX78350
26
N
Bone mineral, single photon
0.22
0.05
0.06
0.05
0.06
0.01
XXX78351

N
Bone mineral, dual photon
0.30
NA
NA
0.07
0.09
0.01
XXX78399

C
Musculoskeletal nuclear exam
0.00
0.00
0.00
NA
NA
0.00
XXX78399
TC
C
Musculoskeletal nuclear exam
0.00
0.00
0.00
NA
NA
0.00
XXX78399
26
C
Musculoskeletal nuclear exam
0.00
0.00
0.00
0.00
0.00
0.00
XXX78414

C
Non-imaging heart function
0.00
0.00
0.00
NA
NA
0.00
XXX78414
TC
C
Non-imaging heart function
0.00
0.00
0.00
NA
NA
0.00
XXX78414
26
A
Non-imaging heart function
0.45
0.17
0.17
0.17
0.17
0.02
XXX78428

A
Cardiac shunt imaging
0.78
5.26
3.90
NA
NA
0.16
XXX78428
TC
A
Cardiac shunt imaging
0.00
4.90
3.58
NA
NA
0.13
XXX( print page 2674)78428
26
A
Cardiac shunt imaging
0.78
0.36
0.32
0.36
0.32
0.03
XXX78445

A
Vascular flow imaging
0.49
4.49
3.26
NA
NA
0.13
XXX78445
TC
A
Vascular flow imaging
0.00
4.32
3.09
NA
NA
0.11
XXX78445
26
A
Vascular flow imaging
0.49
0.17
0.17
0.17
0.17
0.02
XXX78456

A
Acute venous thrombus image
1.00
8.81
6.57
NA
NA
0.33
XXX78456
TC
A
Acute venous thrombus image
0.00
8.44
6.21
NA
NA
0.29
XXX78456
26
A
Acute venous thrombus image
1.00
0.37
0.36
0.37
0.36
0.04
XXX78457

A
Venous thrombosis imaging
0.77
4.66
3.79
NA
NA
0.17
XXX78457
TC
A
Venous thrombosis imaging
0.00
4.41
3.54
NA
NA
0.14
XXX78457
26
A
Venous thrombosis imaging
0.77
0.25
0.25
0.25
0.25
0.03
XXX78458

A
Ven thrombosis images, bilat
0.90
4.51
4.43
NA
NA
0.25
XXX78458
TC
A
Ven thrombosis images, bilat
0.00
4.22
4.12
NA
NA
0.21
XXX78458
26
A
Ven thrombosis images, bilat
0.90
0.29
0.31
0.29
0.31
0.04
XXX78459

C
Heart muscle imaging (PET)
0.00
0.00
0.00
NA
NA
0.00
XXX78459
TC
C
Heart muscle imaging (PET)
0.00
0.00
0.00
NA
NA
0.00
XXX78459
26
A
Heart muscle imaging (PET)
1.50
0.61
0.59
0.61
0.59
0.05
XXX78460

A
Heart muscle blood, single
0.86
4.66
3.65
NA
NA
0.17
XXX78460
TC
A
Heart muscle blood, single
0.00
4.34
3.35
NA
NA
0.13
XXX78460
26
A
Heart muscle blood, single
0.86
0.32
0.30
0.32
0.30
0.04
XXX78461

A
Heart muscle blood, multiple
1.23
4.07
4.61
NA
NA
0.30
XXX78461
TC
A
Heart muscle blood, multiple
0.00
3.61
4.17
NA
NA
0.25
XXX78461
26
A
Heart muscle blood, multiple
1.23
0.46
0.44
0.46
0.44
0.05
XXX78464

A
Heart image (3d), single
1.09
5.86
6.66
NA
NA
0.41
XXX78464
TC
A
Heart image (3d), single
0.00
5.36
6.22
NA
NA
0.37
XXX78464
26
A
Heart image (3d), single
1.09
0.50
0.44
0.50
0.44
0.04
XXX78465

A
Heart image (3d), multiple
1.46
11.46
11.88
NA
NA
0.67
XXX78465
TC
A
Heart image (3d), multiple
0.00
10.75
11.27
NA
NA
0.62
XXX78465
26
A
Heart image (3d), multiple
1.46
0.71
0.61
0.71
0.61
0.05
XXX78466

A
Heart infarct image
0.69
4.58
3.72
NA
NA
0.17
XXX78466
TC
A
Heart infarct image
0.00
4.29
3.46
NA
NA
0.14
XXX78466
26
A
Heart infarct image
0.69
0.29
0.26
0.29
0.26
0.03
XXX78468

A
Heart infarct image (ef)
0.80
5.88
4.90
NA
NA
0.22
XXX78468
TC
A
Heart infarct image (ef)
0.00
5.48
4.57
NA
NA
0.19
XXX78468
26
A
Heart infarct image (ef)
0.80
0.40
0.33
0.40
0.33
0.03
XXX78469

A
Heart infarct image (3D)
0.92
6.29
5.92
NA
NA
0.31
XXX78469
TC
A
Heart infarct image (3D)
0.00
5.85
5.54
NA
NA
0.28
XXX78469
26
A
Heart infarct image (3D)
0.92
0.44
0.38
0.44
0.38
0.03
XXX78472

A
Gated heart, planar, single
0.98
6.03
5.94
NA
NA
0.34
XXX78472
TC
A
Gated heart, planar, single
0.00
5.62
5.57
NA
NA
0.30
XXX78472
26
A
Gated heart, planar, single
0.98
0.41
0.37
0.41
0.37
0.04
XXX78473

A
Gated heart, multiple
1.47
7.76
8.27
NA
NA
0.48
XXX78473
TC
A
Gated heart, multiple
0.00
7.12
7.69
NA
NA
0.42
XXX78473
26
A
Gated heart, multiple
1.47
0.64
0.58
0.64
0.58
0.06
XXX78478

A
Heart wall motion add-on
0.50
0.80
1.30
NA
NA
0.12
XXX78478
TC
A
Heart wall motion add-on
0.00
0.56
1.06
NA
NA
0.10
XXX78478
26
A
Heart wall motion add-on
0.50
0.24
0.24
0.24
0.24
0.02
XXX78480

A
Heart function add-on
0.30
0.70
1.24
NA
NA
0.12
XXX78480
TC
A
Heart function add-on
0.00
0.56
1.06
NA
NA
0.10
XXX78480
26
A
Heart function add-on
0.30
0.14
0.18
0.14
0.18
0.02
XXX78481

A
Heart first pass, single
0.98
5.07
5.33
NA
NA
0.31
XXX78481
TC
A
Heart first pass, single
0.00
4.58
4.90
NA
NA
0.28
XXX78481
26
A
Heart first pass, single
0.98
0.49
0.43
0.49
0.43
0.03
XXX78483

A
Heart first pass, multiple
1.47
6.87
7.64
NA
NA
0.46
XXX78483
TC
A
Heart first pass, multiple
0.00
6.09
6.98
NA
NA
0.41
XXX78483
26
A
Heart first pass, multiple
1.47
0.78
0.66
0.78
0.66
0.05
XXX78491

C
Heart image (pet), single
0.00
0.00
0.00
NA
NA
0.00
XXX78491
TC
C
Heart image (pet), single
0.00
0.00
0.00
NA
NA
0.00
XXX78491
26
A
Heart image (pet), single
1.50
0.63
0.61
0.63
0.61
0.06
XXX78492

C
Heart image (pet), multiple
0.00
0.00
0.00
NA
NA
0.00
XXX78492
TC
C
Heart image (pet), multiple
0.00
0.00
0.00
NA
NA
0.00
XXX78492
26
A
Heart image (pet), multiple
1.87
0.91
0.82
0.91
0.82
0.07
XXX78494

A
Heart image, spect
1.19
6.23
6.86
NA
NA
0.35
XXX78494
TC
A
Heart image, spect
0.00
5.69
6.38
NA
NA
0.30
XXX78494
26
A
Heart image, spect
1.19
0.54
0.48
0.54
0.48
0.05
XXX78496

A
Heart first pass add-on
0.50
0.88
4.06
NA
NA
0.32
ZZZ78496
TC
A
Heart first pass add-on
0.00
0.65
3.86
NA
NA
0.30
ZZZ78496
26
A
Heart first pass add-on
0.50
0.23
0.20
0.23
0.20
0.02
ZZZ78499

C
Cardiovascular nuclear exam
0.00
0.00
0.00
NA
NA
0.00
XXX78499
TC
C
Cardiovascular nuclear exam
0.00
0.00
0.00
NA
NA
0.00
XXX78499
26
C
Cardiovascular nuclear exam
0.00
0.00
0.00
0.00
0.00
0.00
XXX78580

A
Lung perfusion imaging
0.74
5.13
4.41
NA
NA
0.21
XXX78580
TC
A
Lung perfusion imaging
0.00
4.87
4.15
NA
NA
0.18
XXX( print page 2675)78580
26
A
Lung perfusion imaging
0.74
0.26
0.26
0.26
0.26
0.03
XXX78584

A
Lung V/Q image single breath
0.99
3.02
3.28
NA
NA
0.21
XXX78584
TC
A
Lung V/Q image single breath
0.00
2.67
2.94
NA
NA
0.17
XXX78584
26
A
Lung V/Q image single breath
0.99
0.35
0.34
0.35
0.34
0.04
XXX78585

A
Lung V/Q imaging
1.09
8.63
7.32
NA
NA
0.35
XXX78585
TC
A
Lung V/Q imaging
0.00
8.25
6.95
NA
NA
0.30
XXX78585
26
A
Lung V/Q imaging
1.09
0.38
0.37
0.38
0.37
0.05
XXX78586

A
Aerosol lung image, single
0.40
4.17
3.44
NA
NA
0.16
XXX78586
TC
A
Aerosol lung image, single
0.00
4.03
3.31
NA
NA
0.14
XXX78586
26
A
Aerosol lung image, single
0.40
0.14
0.13
0.14
0.13
0.02
XXX78587

A
Aerosol lung image, multiple
0.49
5.44
4.21
NA
NA
0.16
XXX78587
TC
A
Aerosol lung image, multiple
0.00
5.27
4.04
NA
NA
0.14
XXX78587
26
A
Aerosol lung image, multiple
0.49
0.17
0.17
0.17
0.17
0.02
XXX78588

A
Perfusion lung image
1.09
8.66
6.11
NA
NA
0.23
XXX78588
TC
A
Perfusion lung image
0.00
8.28
5.74
NA
NA
0.18
XXX78588
26
A
Perfusion lung image
1.09
0.38
0.37
0.38
0.37
0.05
XXX78591

A
Vent image, 1 breath, 1 proj
0.40
4.17
3.58
NA
NA
0.16
XXX78591
TC
A
Vent image, 1 breath, 1 proj
0.00
4.03
3.44
NA
NA
0.14
XXX78591
26
A
Vent image, 1 breath, 1 proj
0.40
0.14
0.14
0.14
0.14
0.02
XXX78593

A
Vent image, 1 proj, gas
0.49
4.82
4.21
NA
NA
0.20
XXX78593
TC
A
Vent image, 1 proj, gas
0.00
4.65
4.05
NA
NA
0.18
XXX78593
26
A
Vent image, 1 proj, gas
0.49
0.17
0.16
0.17
0.16
0.02
XXX78594

A
Vent image, mult proj, gas
0.53
5.29
5.23
NA
NA
0.27
XXX78594
TC
A
Vent image, mult proj, gas
0.00
5.11
5.05
NA
NA
0.25
XXX78594
26
A
Vent image, mult proj, gas
0.53
0.18
0.18
0.18
0.18
0.02
XXX78596

A
Lung differential function
1.27
8.68
8.09
NA
NA
0.42
XXX78596
TC
A
Lung differential function
0.00
8.29
7.68
NA
NA
0.37
XXX78596
26
A
Lung differential function
1.27
0.39
0.41
0.39
0.41
0.05
XXX78599

C
Respiratory nuclear exam
0.00
0.00
0.00
NA
NA
0.00
XXX78599
TC
C
Respiratory nuclear exam
0.00
0.00
0.00
NA
NA
0.00
XXX78599
26
C
Respiratory nuclear exam
0.00
0.00
0.00
0.00
0.00
0.00
XXX78600

A
Brain image < 4 views
0.44
4.39
3.71
NA
NA
0.16
XXX78600
TC
A
Brain image < 4 views
0.00
4.24
3.56
NA
NA
0.14
XXX78600
26
A
Brain image < 4 views
0.44
0.15
0.15
0.15
0.15
0.02
XXX78601

A
Brain image w/flow < 4 views
0.51
5.39
4.47
NA
NA
0.20
XXX78601
TC
A
Brain image w/flow < 4 views
0.00
5.21
4.30
NA
NA
0.18
XXX78601
26
A
Brain image w/flow < 4 views
0.51
0.18
0.17
0.18
0.17
0.02
XXX78605

A
Brain image 4+ views
0.53
4.85
4.22
NA
NA
0.20
XXX78605
TC
A
Brain image 4+ views
0.00
4.66
4.03
NA
NA
0.18
XXX78605
26
A
Brain image 4+ views
0.53
0.19
0.19
0.19
0.19
0.02
XXX78606

A
Brain image w/flow 4 + views
0.64
8.54
6.31
NA
NA
0.24
XXX78606
TC
A
Brain image w/flow 4 + views
0.00
8.32
6.10
NA
NA
0.21
XXX78606
26
A
Brain image w/flow 4 + views
0.64
0.22
0.21
0.22
0.21
0.03
XXX78607

A
Brain imaging (3D)
1.23
8.64
7.81
NA
NA
0.40
XXX78607
TC
A
Brain imaging (3D)
0.00
8.23
7.39
NA
NA
0.35
XXX78607
26
A
Brain imaging (3D)
1.23
0.41
0.42
0.41
0.42
0.05
XXX78608

C
Brain imaging (PET)
0.00
0.00
0.00
NA
NA
0.00
XXX78608
TC
C
Brain imaging (PET)
0.00
0.00
0.00
NA
NA
0.00
XXX78608
26
A
Brain imaging (PET)
1.50
0.49
0.50
0.49
0.50
0.06
XXX78609

N
Brain imaging (PET)
1.50
0.00
0.49
NA
NA
0.06
XXX78609
TC
N
Brain imaging (PET)
0.00
0.00
0.00
NA
NA
0.00
XXX78609
26
N
Brain imaging (PET)
1.50
0.00
0.49
0.00
0.49
0.06
XXX78610

A
Brain flow imaging only
0.30
4.46
4.24
NA
NA
0.11
XXX78610
TC
A
Brain flow imaging only
0.00
4.36
4.11
NA
NA
0.10
XXX78610
26
A
Brain flow imaging only
0.30
0.10
0.13
0.10
0.13
0.01
XXX78630

A
Cerebrospinal fluid scan
0.68
8.66
6.96
NA
NA
0.30
XXX78630
TC
A
Cerebrospinal fluid scan
0.00
8.42
6.73
NA
NA
0.27
XXX78630
26
A
Cerebrospinal fluid scan
0.68
0.24
0.23
0.24
0.23
0.03
XXX78635

A
CSF ventriculography
0.61
8.80
5.79
NA
NA
0.16
XXX78635
TC
A
CSF ventriculography
0.00
8.59
5.57
NA
NA
0.14
XXX78635
26
A
CSF ventriculography
0.61
0.21
0.22
0.21
0.22
0.02
XXX78645

A
CSF shunt evaluation
0.57
8.49
6.05
NA
NA
0.20
XXX78645
TC
A
CSF shunt evaluation
0.00
8.29
5.86
NA
NA
0.18
XXX78645
26
A
CSF shunt evaluation
0.57
0.20
0.19
0.20
0.19
0.02
XXX78647

A
Cerebrospinal fluid scan
0.90
8.53
7.38
NA
NA
0.35
XXX78647
TC
A
Cerebrospinal fluid scan
0.00
8.24
7.08
NA
NA
0.31
XXX78647
26
A
Cerebrospinal fluid scan
0.90
0.29
0.30
0.29
0.30
0.04
XXX78650

A
CSF leakage imaging
0.61
8.57
6.71
NA
NA
0.27
XXX78650
TC
A
CSF leakage imaging
0.00
8.36
6.50
NA
NA
0.24
XXX78650
26
A
CSF leakage imaging
0.61
0.21
0.21
0.21
0.21
0.03
XXX78660

A
Nuclear exam of tear flow
0.53
4.26
3.28
NA
NA
0.14
XXX78660
TC
A
Nuclear exam of tear flow
0.00
4.07
3.10
NA
NA
0.12
XXX( print page 2676)78660
26
A
Nuclear exam of tear flow
0.53
0.19
0.18
0.19
0.18
0.02
XXX78699

C
Nervous system nuclear exam
0.00
0.00
0.00
NA
NA
0.00
XXX78699
TC
C
Nervous system nuclear exam
0.00
0.00
0.00
NA
NA
0.00
XXX78699
26
C
Nervous system nuclear exam
0.00
0.00
0.00
0.00
0.00
0.00
XXX78700

A
Kidney imaging, morphol
0.45
4.39
3.80
NA
NA
0.18
XXX78700
TC
A
Kidney imaging, morphol
0.00
4.23
3.64
NA
NA
0.16
XXX78700
26
A
Kidney imaging, morphol
0.45
0.16
0.16
0.16
0.16
0.02
XXX78701

A
Kidney imaging with flow
0.49
5.39
4.56
NA
NA
0.20
XXX78701
TC
A
Kidney imaging with flow
0.00
5.22
4.39
NA
NA
0.18
XXX78701
26
A
Kidney imaging with flow
0.49
0.17
0.17
0.17
0.17
0.02
XXX78707

A
K flow/funct image w/o drug
0.96
5.49
5.14
NA
NA
0.27
XXX78707
TC
A
K flow/funct image w/o drug
0.00
5.15
4.81
NA
NA
0.23
XXX78707
26
A
K flow/funct image w/o drug
0.96
0.34
0.33
0.34
0.33
0.04
XXX78708

A
K flow/funct image w/drug
1.21
3.48
4.18
NA
NA
0.28
XXX78708
TC
A
K flow/funct image w/drug
0.00
3.05
3.76
NA
NA
0.23
XXX78708
26
A
K flow/funct image w/drug
1.21
0.43
0.42
0.43
0.42
0.05
XXX78709

A
K flow/funct image, multiple
1.41
8.89
6.91
NA
NA
0.29
XXX78709
TC
A
K flow/funct image, multiple
0.00
8.40
6.43
NA
NA
0.23
XXX78709
26
A
K flow/funct image, multiple
1.41
0.49
0.48
0.49
0.48
0.06
XXX78710

A
Kidney imaging (3D)
0.66
5.28
5.71
NA
NA
0.34
XXX78710
TC
A
Kidney imaging (3D)
0.00
5.06
5.49
NA
NA
0.31
XXX78710
26
A
Kidney imaging (3D)
0.66
0.22
0.22
0.22
0.22
0.03
XXX78725

A
Kidney function study
0.38
2.35
2.14
NA
NA
0.13
XXX78725
TC
A
Kidney function study
0.00
2.23
2.01
NA
NA
0.11
XXX78725
26
A
Kidney function study
0.38
0.12
0.13
0.12
0.13
0.02
XXX78730

A
Urinary bladder retention
0.15
1.99
1.78
NA
NA
0.10
ZZZ78730
TC
A
Urinary bladder retention
0.00
1.93
1.69
NA
NA
0.08
ZZZ78730
26
A
Urinary bladder retention
0.15
0.06
0.09
0.06
0.09
0.02
ZZZ78740

A
Ureteral reflux study
0.57
5.65
3.98
NA
NA
0.15
XXX78740
TC
A
Ureteral reflux study
0.00
5.46
3.79
NA
NA
0.12
XXX78740
26
A
Ureteral reflux study
0.57
0.19
0.19
0.19
0.19
0.03
XXX78761

A
Testicular imaging w/flow
0.71
5.06
4.24
NA
NA
0.20
XXX78761
TC
A
Testicular imaging w/flow
0.00
4.81
4.00
NA
NA
0.17
XXX78761
26
A
Testicular imaging w/flow
0.71
0.25
0.24
0.25
0.24
0.03
XXX78799

C
Genitourinary nuclear exam
0.00
0.00
0.00
NA
NA
0.00
XXX78799
TC
C
Genitourinary nuclear exam
0.00
0.00
0.00
NA
NA
0.00
XXX78799
26
C
Genitourinary nuclear exam
0.00
0.00
0.00
0.00
0.00
0.00
XXX78800

A
Tumor imaging, limited area
0.66
4.34
3.99
NA
NA
0.22
XXX78800
TC
A
Tumor imaging, limited area
0.00
4.13
3.77
NA
NA
0.18
XXX78800
26
A
Tumor imaging, limited area
0.66
0.21
0.22
0.21
0.22
0.04
XXX78801

A
Tumor imaging, mult areas
0.79
6.06
5.27
NA
NA
0.27
XXX78801
TC
A
Tumor imaging, mult areas
0.00
5.79
5.00
NA
NA
0.22
XXX78801
26
A
Tumor imaging, mult areas
0.79
0.27
0.27
0.27
0.27
0.05
XXX78802

A
Tumor imaging, whole body
0.86
8.15
6.98
NA
NA
0.34
XXX78802
TC
A
Tumor imaging, whole body
0.00
7.85
6.69
NA
NA
0.30
XXX78802
26
A
Tumor imaging, whole body
0.86
0.30
0.29
0.30
0.29
0.04
XXX78803

A
Tumor imaging (3D)
1.09
8.54
7.74
NA
NA
0.40
XXX78803
TC
A
Tumor imaging (3D)
0.00
8.17
7.36
NA
NA
0.35
XXX78803
26
A
Tumor imaging (3D)
1.09
0.37
0.38
0.37
0.38
0.05
XXX78804

A
Tumor imaging, whole body
1.07
14.85
13.14
NA
NA
0.34
XXX78804
TC
A
Tumor imaging, whole body
0.00
14.48
12.77
NA
NA
0.30
XXX78804
26
A
Tumor imaging, whole body
1.07
0.37
0.37
0.37
0.37
0.04
XXX78805

A
Abscess imaging, ltd area
0.73
4.23
3.94
NA
NA
0.21
XXX78805
TC
A
Abscess imaging, ltd area
0.00
3.98
3.69
NA
NA
0.18
XXX78805
26
A
Abscess imaging, ltd area
0.73
0.25
0.25
0.25
0.25
0.03
XXX78806

A
Abscess imaging, whole body
0.86
8.36
7.54
NA
NA
0.39
XXX78806
TC
A
Abscess imaging, whole body
0.00
8.06
7.25
NA
NA
0.35
XXX78806
26
A
Abscess imaging, whole body
0.86
0.30
0.29
0.30
0.29
0.04
XXX78807

A
Nuclear localization/abscess
1.09
8.52
7.73
NA
NA
0.39
XXX78807
TC
A
Nuclear localization/abscess
0.00
8.15
7.35
NA
NA
0.35
XXX78807
26
A
Nuclear localization/abscess
1.09
0.37
0.38
0.37
0.38
0.04
XXX78811

C
Pet image, ltd area
0.00
0.00
0.00
NA
NA
0.00
XXX78811
TC
C
Pet image, ltd area
0.00
0.00
0.00
NA
NA
0.00
XXX78811
26
A
Pet image, ltd area
1.54
0.54
0.53
0.54
0.53
0.11
XXX78812

C
Pet image, skull-thigh
0.00
0.00
0.00
NA
NA
0.00
XXX78812
TC
C
Pet image, skull-thigh
0.00
0.00
0.00
NA
NA
0.00
XXX78812
26
A
Pet image, skull-thigh
1.93
0.67
0.66
0.67
0.66
0.11
XXX78813

C
Pet image, full body
0.00
0.00
0.00
NA
NA
0.00
XXX78813
TC
C
Pet image, full body
0.00
0.00
0.00
NA
NA
0.00
XXX78813
26
A
Pet image, full body
2.00
0.68
0.69
0.68
0.69
0.11
XXX78814

C
Pet image w/ct, lmtd
0.00
0.00
0.00
NA
NA
0.00
XXX78814
TC
C
Pet image w/ct, lmtd
0.00
0.00
0.00
NA
NA
0.00
XXX( print page 2677)78814
26
A
Pet image w/ct, lmtd
2.20
0.74
0.75
0.74
0.75
0.11
XXX78815

C
Pet image w/ct, skull-thigh
0.00
0.00
0.00
NA
NA
0.00
XXX78815
TC
C
Pet image w/ct, skull-thigh
0.00
0.00
0.00
NA
NA
0.00
XXX78815
26
A
Pet image w/ct, skull-thigh
2.44
0.84
0.84
0.84
0.84
0.11
XXX78816

C
Pet image w/ct, full body
0.00
0.00
0.00
NA
NA
0.00
XXX78816
TC
C
Pet image w/ct, full body
0.00
0.00
0.00
NA
NA
0.00
XXX78816
26
A
Pet image w/ct, full body
2.50
0.85
0.86
0.85
0.86
0.11
XXX78890

B
Nuclear medicine data proc
0.05
0.39
0.86
NA
NA
0.07
XXX78890
TC
B
Nuclear medicine data proc
0.00
0.38
0.84
NA
NA
0.06
XXX78890
26
B
Nuclear medicine data proc
0.05
0.01
0.02
0.01
0.02
0.01
XXX78891

B
Nuclear med data proc
0.10
0.88
1.77
NA
NA
0.14
XXX78891
TC
B
Nuclear med data proc
0.00
0.86
1.74
NA
NA
0.13
XXX78891
26
B
Nuclear med data proc
0.10
0.02
0.03
0.02
0.03
0.01
XXX78999

C
Nuclear diagnostic exam
0.00
0.00
0.00
NA
NA
0.00
XXX78999
TC
C
Nuclear diagnostic exam
0.00
0.00
0.00
NA
NA
0.00
XXX78999
26
C
Nuclear diagnostic exam
0.00
0.00
0.00
0.00
0.00
0.00
XXX79005

A
Nuclear rx, oral admin
1.80
1.85
2.54
NA
NA
0.22
XXX79005
TC
A
Nuclear rx, oral admin
0.00
1.27
1.95
NA
NA
0.14
XXX79005
26
A
Nuclear rx, oral admin
1.80
0.58
0.59
0.58
0.59
0.08
XXX79101

A
Nuclear rx, iv admin
1.96
2.17
2.73
NA
NA
0.22
XXX79101
TC
A
Nuclear rx, iv admin
0.00
1.43
2.03
NA
NA
0.14
XXX79101
26
A
Nuclear rx, iv admin
1.96
0.74
0.70
0.74
0.70
0.08
XXX79200

A
Nuclear rx, intracav admin
1.99
2.22
2.77
NA
NA
0.23
XXX79200
TC
A
Nuclear rx, intracav admin
0.00
1.57
2.10
NA
NA
0.14
XXX79200
26
A
Nuclear rx, intracav admin
1.99
0.65
0.67
0.65
0.67
0.09
XXX79300

C
Nuclr rx, interstit colloid
0.00
0.00
0.00
NA
NA
0.00
XXX79300
TC
C
Nuclr rx, interstit colloid
0.00
0.00
0.00
NA
NA
0.00
XXX79300
26
A
Nuclr rx, interstit colloid
1.60
0.54
0.55
0.54
0.55
0.13
XXX79403

A
Hematopoietic nuclear tx
2.25
2.92
4.04
NA
NA
0.24
XXX79403
TC
A
Hematopoietic nuclear tx
0.00
2.17
3.22
NA
NA
0.14
XXX79403
26
A
Hematopoietic nuclear tx
2.25
0.75
0.82
0.75
0.82
0.10
XXX79440

A
Nuclear rx, intra-articular
1.99
1.84
2.59
NA
NA
0.22
XXX79440
TC
A
Nuclear rx, intra-articular
0.00
1.16
1.89
NA
NA
0.14
XXX79440
26
A
Nuclear rx, intra-articular
1.99
0.68
0.70
0.68
0.70
0.08
XXX79445

C
Nuclear rx, intra-arterial
0.00
0.00
0.00
NA
NA
0.00
XXX79445
TC
C
Nuclear rx, intra-arterial
0.00
0.00
0.00
NA
NA
0.00
XXX79445
26
A
Nuclear rx, intra-arterial
2.40
0.85
0.83
0.85
0.83
0.12
XXX79999

C
Nuclear medicine therapy
0.00
0.00
0.00
NA
NA
0.00
XXX79999
TC
C
Nuclear medicine therapy
0.00
0.00
0.00
NA
NA
0.00
XXX79999
26
C
Nuclear medicine therapy
0.00
0.00
0.00
0.00
0.00
0.00
XXX80500

A
Lab pathology consultation
0.37
0.20
0.20
0.11
0.14
0.01
XXX80502

A
Lab pathology consultation
1.33
0.31
0.43
0.25
0.40
0.04
XXX83020
26
A
Hemoglobin electrophoresis
0.37
0.12
0.13
0.12
0.13
0.01
XXX83912
26
A
Genetic examination
0.37
0.11
0.12
0.11
0.12
0.01
XXX84165
26
A
Protein e-phoresis, serum
0.37
0.12
0.13
0.12
0.13
0.01
XXX84166
26
A
Protein e-phoresis/urine/csf
0.37
0.12
0.13
0.12
0.13
0.01
XXX84181
26
A
Western blot test
0.37
0.12
0.13
0.12
0.13
0.01
XXX84182
26
A
Protein, western blot test
0.37
0.12
0.14
0.12
0.14
0.02
XXX85060

A
Blood smear interpretation
0.45
0.14
0.16
0.14
0.16
0.02
XXX85097

A
Bone marrow interpretation
0.94
1.25
1.58
0.27
0.34
0.04
XXX85390
26
A
Fibrinolysins screen
0.37
0.13
0.13
0.13
0.13
0.01
XXX85396

A
Clotting assay, whole blood
0.37
NA
NA
0.10
0.13
0.04
XXX85576
26
A
Blood platelet aggregation
0.37
0.12
0.14
0.12
0.14
0.01
XXX86077

A
Physician blood bank service
0.94
0.38
0.39
0.30
0.34
0.03
XXX86078

A
Physician blood bank service
0.94
0.38
0.42
0.30
0.35
0.03
XXX86079

A
Physician blood bank service
0.94
0.39
0.42
0.30
0.36
0.03
XXX86255
26
A
Fluorescent antibody, screen
0.37
0.12
0.13
0.12
0.13
0.01
XXX86256
26
A
Fluorescent antibody, titer
0.37
0.12
0.14
0.12
0.14
0.01
XXX86320
26
A
Serum immunoelectrophoresis
0.37
0.12
0.14
0.12
0.14
0.01
XXX86325
26
A
Other immunoelectrophoresis
0.37
0.12
0.13
0.12
0.13
0.01
XXX86327
26
A
Immunoelectrophoresis assay
0.42
0.12
0.15
0.12
0.15
0.02
XXX86334
26
A
Immunofix e-phoresis, serum
0.37
0.12
0.13
0.12
0.13
0.01
XXX86335
26
A
Immunfix e-phorsis/urine/csf
0.37
0.12
0.13
0.12
0.13
0.01
XXX86485

C
Skin test, candida
0.00
0.00
0.00
0.00
0.00
0.00
XXX86486

A
Skin test, nos antigen
0.00
0.13
0.13
NA
NA
0.02
XXX86490

A
Coccidioidomycosis skin test
0.00
0.13
0.21
NA
NA
0.02
XXX86510

A
Histoplasmosis skin test
0.00
0.13
0.22
NA
NA
0.02
XXX86580

A
TB intradermal test
0.00
0.16
0.20
NA
NA
0.02
XXX87164
26
A
Dark field examination
0.37
0.12
0.12
0.12
0.12
0.01
XXX87207
26
A
Smear, special stain
0.37
0.12
0.14
0.12
0.14
0.01
XXX88104

A
Cytopath fl nongyn, smears
0.56
1.19
1.02
NA
NA
0.04
XXX88104
TC
A
Cytopath fl nongyn, smears
0.00
1.03
0.82
NA
NA
0.02
XXX( print page 2678)88104
26
A
Cytopath fl nongyn, smears
0.56
0.16
0.20
0.16
0.20
0.02
XXX88106

A
Cytopath fl nongyn, filter
0.56
1.52
1.44
NA
NA
0.04
XXX88106
TC
A
Cytopath fl nongyn, filter
0.00
1.37
1.24
NA
NA
0.02
XXX88106
26
A
Cytopath fl nongyn, filter
0.56
0.15
0.20
0.15
0.20
0.02
XXX88107

A
Cytopath fl nongyn, sm/fltr
0.76
2.00
1.77
NA
NA
0.05
XXX88107
TC
A
Cytopath fl nongyn, sm/fltr
0.00
1.77
1.49
NA
NA
0.02
XXX88107
26
A
Cytopath fl nongyn, sm/fltr
0.76
0.23
0.28
0.23
0.28
0.03
XXX88108

A
Cytopath, concentrate tech
0.56
1.47
1.34
NA
NA
0.04
XXX88108
TC
A
Cytopath, concentrate tech
0.00
1.32
1.14
NA
NA
0.02
XXX88108
26
A
Cytopath, concentrate tech
0.56
0.15
0.20
0.15
0.20
0.02
XXX88112

A
Cytopath, cell enhance tech
1.18
1.47
1.72
NA
NA
0.04
XXX88112
TC
A
Cytopath, cell enhance tech
0.00
1.18
1.32
NA
NA
0.02
XXX88112
26
A
Cytopath, cell enhance tech
1.18
0.29
0.40
0.29
0.40
0.02
XXX88125

A
Forensic cytopathology
0.26
0.21
0.24
NA
NA
0.02
XXX88125
TC
A
Forensic cytopathology
0.00
0.16
0.16
NA
NA
0.01
XXX88125
26
A
Forensic cytopathology
0.26
0.05
0.08
0.05
0.08
0.01
XXX88141

A
Cytopath, c/v, interpret
0.42
0.38
0.26
0.38
0.26
0.02
XXX88160

A
Cytopath smear, other source
0.50
0.91
0.87
NA
NA
0.04
XXX88160
TC
A
Cytopath smear, other source
0.00
0.78
0.70
NA
NA
0.02
XXX88160
26
A
Cytopath smear, other source
0.50
0.13
0.17
0.13
0.17
0.02
XXX88161

A
Cytopath smear, other source
0.50
1.06
1.00
NA
NA
0.04
XXX88161
TC
A
Cytopath smear, other source
0.00
0.92
0.82
NA
NA
0.02
XXX88161
26
A
Cytopath smear, other source
0.50
0.14
0.18
0.14
0.18
0.02
XXX88162

A
Cytopath smear, other source
0.76
1.58
1.30
NA
NA
0.05
XXX88162
TC
A
Cytopath smear, other source
0.00
1.35
1.02
NA
NA
0.02
XXX88162
26
A
Cytopath smear, other source
0.76
0.23
0.28
0.23
0.28
0.03
XXX88172

A
Cytopathology eval of fna
0.60
0.81
0.77
NA
NA
0.04
XXX88172
TC
A
Cytopathology eval of fna
0.00
0.64
0.55
NA
NA
0.02
XXX88172
26
A
Cytopathology eval of fna
0.60
0.17
0.22
0.17
0.22
0.02
XXX88173

A
Cytopath eval, fna, report
1.39
2.20
2.16
NA
NA
0.07
XXX88173
TC
A
Cytopath eval, fna, report
0.00
1.82
1.68
NA
NA
0.02
XXX88173
26
A
Cytopath eval, fna, report
1.39
0.38
0.48
0.38
0.48
0.05
XXX88182

A
Cell marker study
0.77
2.02
1.99
NA
NA
0.07
XXX88182
TC
A
Cell marker study
0.00
1.88
1.76
NA
NA
0.04
XXX88182
26
A
Cell marker study
0.77
0.14
0.23
0.14
0.23
0.03
XXX88184

A
Flowcytometry/ tc, 1 marker
0.00
2.47
1.89
NA
NA
0.02
XXX88185

A
Flowcytometry/tc, add-on
0.00
1.50
1.07
NA
NA
0.02
ZZZ88187

A
Flowcytometry/read, 2-8
1.36
0.40
0.42
0.40
0.42
0.01
XXX88188

A
Flowcytometry/read, 9-15
1.69
0.44
0.51
0.44
0.51
0.01
XXX88189

A
Flowcytometry/read, 16 & >
2.23
0.47
0.61
0.47
0.61
0.01
XXX88199

C
Cytopathology procedure
0.00
0.00
0.00
NA
NA
0.00
XXX88199
TC
C
Cytopathology procedure
0.00
0.00
0.00
NA
NA
0.00
XXX88199
26
C
Cytopathology procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX88291

A
Cyto/molecular report
0.52
0.27
0.22
0.27
0.22
0.02
XXX88299

C
Cytogenetic study
0.00
0.00
0.00
0.00
0.00
0.00
XXX88300

A
Surgical path, gross
0.08
0.56
0.51
NA
NA
0.02
XXX88300
TC
A
Surgical path, gross
0.00
0.54
0.48
NA
NA
0.01
XXX88300
26
A
Surgical path, gross
0.08
0.02
0.03
0.02
0.03
0.01
XXX88302

A
Tissue exam by pathologist
0.13
1.29
1.16
NA
NA
0.03
XXX88302
TC
A
Tissue exam by pathologist
0.00
1.25
1.11
NA
NA
0.02
XXX88302
26
A
Tissue exam by pathologist
0.13
0.04
0.05
0.04
0.05
0.01
XXX88304

A
Tissue exam by pathologist
0.22
1.48
1.39
NA
NA
0.03
XXX88304
TC
A
Tissue exam by pathologist
0.00
1.42
1.32
NA
NA
0.02
XXX88304
26
A
Tissue exam by pathologist
0.22
0.06
0.07
0.06
0.07
0.01
XXX88305

A
Tissue exam by pathologist
0.75
2.05
1.97
NA
NA
0.07
XXX88305
TC
A
Tissue exam by pathologist
0.00
1.85
1.71
NA
NA
0.04
XXX88305
26
A
Tissue exam by pathologist
0.75
0.20
0.26
0.20
0.26
0.03
XXX88307

A
Tissue exam by pathologist
1.59
4.41
3.79
NA
NA
0.12
XXX88307
TC
A
Tissue exam by pathologist
0.00
3.94
3.21
NA
NA
0.06
XXX88307
26
A
Tissue exam by pathologist
1.59
0.47
0.58
0.47
0.58
0.06
XXX88309

A
Tissue exam by pathologist
2.80
6.17
5.28
NA
NA
0.14
XXX88309
TC
A
Tissue exam by pathologist
0.00
5.34
4.38
NA
NA
0.06
XXX88309
26
A
Tissue exam by pathologist
2.80
0.83
0.90
0.83
0.90
0.08
XXX88311

A
Decalcify tissue
0.24
0.24
0.23
NA
NA
0.02
XXX88311
TC
A
Decalcify tissue
0.00
0.17
0.15
NA
NA
0.01
XXX88311
26
A
Decalcify tissue
0.24
0.07
0.08
0.07
0.08
0.01
XXX88312

A
Special stains
0.54
2.30
1.90
NA
NA
0.03
XXX88312
TC
A
Special stains
0.00
2.16
1.72
NA
NA
0.01
XXX88312
26
A
Special stains
0.54
0.14
0.18
0.14
0.18
0.02
XXX88313

A
Special stains
0.24
1.95
1.60
NA
NA
0.02
XXX88313
TC
A
Special stains
0.00
1.89
1.52
NA
NA
0.01
XXX88313
26
A
Special stains
0.24
0.06
0.08
0.06
0.08
0.01
XXX( print page 2679)88314

A
Histochemical stain
0.45
1.96
2.01
NA
NA
0.04
XXX88314
TC
A
Histochemical stain
0.00
1.82
1.85
NA
NA
0.02
XXX88314
26
A
Histochemical stain
0.45
0.14
0.16
0.14
0.16
0.02
XXX88318

A
Chemical histochemistry
0.42
2.95
2.30
NA
NA
0.03
XXX88318
TC
A
Chemical histochemistry
0.00
2.83
2.15
NA
NA
0.01
XXX88318
26
A
Chemical histochemistry
0.42
0.12
0.15
0.12
0.15
0.02
XXX88319

A
Enzyme histochemistry
0.53
3.23
3.32
NA
NA
0.04
XXX88319
TC
A
Enzyme histochemistry
0.00
3.08
3.13
NA
NA
0.02
XXX88319
26
A
Enzyme histochemistry
0.53
0.15
0.19
0.15
0.19
0.02
XXX88321

A
Microslide consultation
1.63
0.71
0.75
0.46
0.51
0.05
XXX88323

A
Microslide consultation
1.83
2.21
2.00
NA
NA
0.07
XXX88323
TC
A
Microslide consultation
0.00
1.75
1.48
NA
NA
0.02
XXX88323
26
A
Microslide consultation
1.83
0.46
0.52
0.46
0.52
0.05
XXX88325

A
Comprehensive review of data
2.50
2.40
2.67
0.69
0.82
0.07
XXX88329

A
Path consult introp
0.67
0.66
0.66
0.20
0.24
0.02
XXX88331

A
Path consult intraop, 1 bloc
1.19
1.21
1.16
NA
NA
0.08
XXX88331
TC
A
Path consult intraop, 1 bloc
0.00
0.84
0.72
NA
NA
0.04
XXX88331
26
A
Path consult intraop, 1 bloc
1.19
0.37
0.44
0.37
0.44
0.04
XXX88332

A
Path consult intraop, addÆl
0.59
0.48
0.47
NA
NA
0.04
XXX88332
TC
A
Path consult intraop, addÆl
0.00
0.30
0.25
NA
NA
0.02
XXX88332
26
A
Path consult intraop, addÆl
0.59
0.18
0.22
0.18
0.22
0.02
XXX88333

A
Intraop cyto path consult, 1
1.20
1.32
1.20
NA
NA
0.08
XXX88333
TC
A
Intraop cyto path consult, 1
0.00
0.95
0.75
NA
NA
0.04
XXX88333
26
A
Intraop cyto path consult, 1
1.20
0.37
0.45
0.37
0.45
0.04
XXX88334

A
Intraop cyto path consult, 2
0.73
0.78
0.69
NA
NA
0.04
XXX88334
TC
A
Intraop cyto path consult, 2
0.00
0.56
0.45
NA
NA
0.02
XXX88334
26
A
Intraop cyto path consult, 2
0.73
0.22
0.24
0.22
0.24
0.02
XXX88342

A
Immunohistochemistry
0.85
2.00
1.72
NA
NA
0.05
XXX88342
TC
A
Immunohistochemistry
0.00
1.77
1.43
NA
NA
0.02
XXX88342
26
A
Immunohistochemistry
0.85
0.23
0.29
0.23
0.29
0.03
XXX88346

A
Immunofluorescent study
0.86
1.91
1.74
NA
NA
0.05
XXX88346
TC
A
Immunofluorescent study
0.00
1.68
1.45
NA
NA
0.02
XXX88346
26
A
Immunofluorescent study
0.86
0.23
0.29
0.23
0.29
0.03
XXX88347

A
Immunofluorescent study
0.86
1.31
1.29
NA
NA
0.05
XXX88347
TC
A
Immunofluorescent study
0.00
1.13
1.02
NA
NA
0.02
XXX88347
26
A
Immunofluorescent study
0.86
0.18
0.27
0.18
0.27
0.03
XXX88348

A
Electron microscopy
1.51
18.26
13.81
NA
NA
0.13
XXX88348
TC
A
Electron microscopy
0.00
17.84
13.28
NA
NA
0.07
XXX88348
26
A
Electron microscopy
1.51
0.42
0.53
0.42
0.53
0.06
XXX88349

A
Scanning electron microscopy
0.76
9.40
6.48
NA
NA
0.09
XXX88349
TC
A
Scanning electron microscopy
0.00
9.17
6.20
NA
NA
0.06
XXX88349
26
A
Scanning electron microscopy
0.76
0.23
0.28
0.23
0.28
0.03
XXX88355

A
Analysis, skeletal muscle
1.85
3.22
6.00
NA
NA
0.13
XXX88355
TC
A
Analysis, skeletal muscle
0.00
2.85
5.42
NA
NA
0.06
XXX88355
26
A
Analysis, skeletal muscle
1.85
0.37
0.58
0.37
0.58
0.07
XXX88356

A
Analysis, nerve
3.02
5.36
4.77
NA
NA
0.19
XXX88356
TC
A
Analysis, nerve
0.00
4.78
3.85
NA
NA
0.07
XXX88356
26
A
Analysis, nerve
3.02
0.58
0.92
0.58
0.92
0.12
XXX88358

A
Analysis, tumor
0.95
1.10
0.97
NA
NA
0.17
XXX88358
TC
A
Analysis, tumor
0.00
0.94
0.69
NA
NA
0.07
XXX88358
26
A
Analysis, tumor
0.95
0.16
0.28
0.16
0.28
0.10
XXX88360

A
Tumor immunohistochem/manual
1.10
2.22
1.98
NA
NA
0.08
XXX88360
TC
A
Tumor immunohistochem/manual
0.00
1.95
1.61
NA
NA
0.02
XXX88360
26
A
Tumor immunohistochem/manual
1.10
0.27
0.37
0.27
0.37
0.06
XXX88361

A
Tumor immunohistochem/comput
1.18
2.80
2.91
NA
NA
0.17
XXX88361
TC
A
Tumor immunohistochem/comput
0.00
2.53
2.53
NA
NA
0.07
XXX88361
26
A
Tumor immunohistochem/comput
1.18
0.27
0.38
0.27
0.38
0.10
XXX88362

A
Nerve teasing preparations
2.17
5.00
4.85
NA
NA
0.15
XXX88362
TC
A
Nerve teasing preparations
0.00
4.43
4.10
NA
NA
0.06
XXX88362
26
A
Nerve teasing preparations
2.17
0.57
0.75
0.57
0.75
0.09
XXX88365

A
Insitu hybridization (fish)
1.20
3.34
2.73
NA
NA
0.05
XXX88365
TC
A
Insitu hybridization (fish)
0.00
3.04
2.33
NA
NA
0.02
XXX88365
26
A
Insitu hybridization (fish)
1.20
0.30
0.40
0.30
0.40
0.03
XXX88367

A
Insitu hybridization, auto
1.30
5.16
4.60
NA
NA
0.12
XXX88367
TC
A
Insitu hybridization, auto
0.00
4.94
4.22
NA
NA
0.06
XXX88367
26
A
Insitu hybridization, auto
1.30
0.22
0.38
0.22
0.38
0.06
XXX88368

A
Insitu hybridization, manual
1.40
4.97
3.69
NA
NA
0.12
XXX88368
TC
A
Insitu hybridization, manual
0.00
4.72
3.26
NA
NA
0.06
XXX88368
26
A
Insitu hybridization, manual
1.40
0.25
0.43
0.25
0.43
0.06
XXX88371
26
A
Protein, western blot tissue
0.37
0.10
0.12
0.10
0.12
0.01
XXX88372
26
A
Protein analysis w/probe
0.37
0.12
0.14
0.12
0.14
0.01
XXX88380

A
Microdissection, laser
1.56
2.66
2.66
NA
NA
0.14
XXX( print page 2680)88380
TC
A
Microdissection, laser
0.00
2.23
2.23
NA
NA
0.07
XXX88380
26
A
Microdissection, laser
1.56
0.43
0.43
0.43
0.43
0.07
XXX88381

A
Microdissection, manual
1.18
4.47
4.47
NA
NA
0.08
XXX88381
TC
A
Microdissection, manual
0.00
4.15
4.15
NA
NA
0.02
XXX88381
26
A
Microdissection, manual
1.18
0.32
0.32
0.32
0.32
0.06
XXX88384

C
Eval molecular probes, 11-50
0.00
0.00
0.00
NA
NA
0.00
XXX88384
TC
C
Eval molecular probes, 11-50
0.00
0.00
0.00
NA
NA
0.00
XXX88384
26
C
Eval molecular probes, 11-50
0.00
0.00
0.00
0.00
0.00
0.00
XXX88385

A
Eval  molecul probes, 51-250
1.50
15.55
11.32
NA
NA
0.12
XXX88385
TC
A
Eval  molecul probes, 51-250
0.00
15.28
10.86
NA
NA
0.06
XXX88385
26
A
Eval  molecul probes, 51-250
1.50
0.27
0.46
0.27
0.46
0.06
XXX88386

A
Eval molecul probes, 251-500
1.88
15.46
11.25
NA
NA
0.16
XXX88386
TC
A
Eval molecul probes, 251-500
0.00
15.12
10.67
NA
NA
0.08
XXX88386
26
A
Eval molecul probes, 251-500
1.88
0.34
0.58
0.34
0.58
0.08
XXX88399

C
Surgical pathology procedure
0.00
0.00
0.00
NA
NA
0.00
XXX88399
TC
C
Surgical pathology procedure
0.00
0.00
0.00
NA
NA
0.00
XXX88399
26
C
Surgical pathology procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX89049

A
Chct for mal hyperthermia
1.40
3.56
3.56
0.19
0.23
0.06
XXX89060
26
A
Exam,synovial fluid crystals
0.37
0.12
0.14
0.12
0.14
0.01
XXX89100

A
Sample intestinal contents
0.60
7.90
4.87
0.54
0.37
0.03
XXX89105

A
Sample intestinal contents
0.50
7.85
5.04
0.46
0.32
0.02
XXX89130

A
Sample stomach contents
0.45
6.55
4.15
0.38
0.25
0.02
XXX89132

A
Sample stomach contents
0.19
8.39
4.97
0.39
0.22
0.01
XXX89135

A
Sample stomach contents
0.79
8.83
5.36
0.67
0.46
0.04
XXX89136

A
Sample stomach contents
0.21
5.95
3.84
0.26
0.18
0.01
XXX89140

A
Sample stomach contents
0.94
6.22
4.15
0.43
0.35
0.04
XXX89141

A
Sample stomach contents
0.85
6.36
4.58
0.49
0.41
0.03
XXX89220

A
Sputum specimen collection
0.00
0.37
0.40
NA
NA
0.02
XXX89230

A
Collect sweat for test
0.00
0.07
0.09
NA
NA
0.02
XXX89240

C
Pathology lab procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX90281

I
Human ig, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90283

I
Human ig, iv
0.00
0.00
0.00
0.00
0.00
0.00
XXX90284

X
Human ig, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90287

I
Botulinum antitoxin
0.00
0.00
0.00
0.00
0.00
0.00
XXX90288

I
Botulism ig, iv
0.00
0.00
0.00
0.00
0.00
0.00
XXX90291

I
Cmv ig, iv
0.00
0.00
0.00
0.00
0.00
0.00
XXX90296

E
Diphtheria antitoxin
0.00
0.00
0.00
0.00
0.00
0.00
XXX90371

E
Hep b ig, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90375

E
Rabies ig, im/sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90376

E
Rabies ig, heat treated
0.00
0.00
0.00
0.00
0.00
0.00
XXX90378

X
Rsv ig, im, 50mg
0.00
0.00
0.00
0.00
0.00
0.00
XXX90379

I
Rsv ig, iv
0.00
0.00
0.00
0.00
0.00
0.00
XXX90384

I
Rh ig, full-dose, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90385

E
Rh ig, minidose, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90386

I
Rh ig, iv
0.00
0.00
0.00
0.00
0.00
0.00
XXX90389

I
Tetanus ig, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90393

E
Vaccina ig, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90396

E
Varicella-zoster ig, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90399

I
Immune globulin
0.00
0.00
0.00
0.00
0.00
0.00
XXX90465

A
Immune admin 1 inj, < 8 yrs
0.17
0.44
0.38
NA
NA
0.01
XXX90466

A
Immune admin addl inj, < 8 y
0.15
0.12
0.12
0.04
0.08
0.01
ZZZ90467

R
Immune admin o or n, < 8 yrs
0.17
0.17
0.17
0.07
0.08
0.01
XXX90468

R
Immune admin o/n, addl < 8 y
0.15
0.11
0.11
0.04
0.05
0.01
ZZZ90471

A
Immunization admin
0.17
0.44
0.38
NA
NA
0.01
XXX90472

A
Immunization admin, each add
0.15
0.12
0.13
0.04
0.08
0.01
ZZZ90473

R
Immune admin oral/nasal
0.17
0.17
0.18
0.04
0.06
0.01
XXX90474

R
Immune admin oral/nasal addl
0.15
0.08
0.09
0.04
0.05
0.01
ZZZ90476

E
Adenovirus vaccine, type 4
0.00
0.00
0.00
0.00
0.00
0.00
XXX90477

E
Adenovirus vaccine, type 7
0.00
0.00
0.00
0.00
0.00
0.00
XXX90581

E
Anthrax vaccine, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90585

E
Bcg vaccine, percut
0.00
0.00
0.00
0.00
0.00
0.00
XXX90586

E
Bcg vaccine, intravesical
0.00
0.00
0.00
0.00
0.00
0.00
XXX90632

E
Hep a vaccine, adult im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90633

E
Hep a vacc, ped/adol, 2 dose
0.00
0.00
0.00
0.00
0.00
0.00
XXX90634

E
Hep a vacc, ped/adol, 3 dose
0.00
0.00
0.00
0.00
0.00
0.00
XXX90636

E
Hep a/hep b vacc, adult im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90645

E
Hib vaccine, hboc, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90646

E
Hib vaccine, prp-d, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90647

E
Hib vaccine, prp-omp, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90648

E
Hib vaccine, prp-t, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90649

E
H papilloma vacc 3 dose im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90655

X
Flu vaccine no preserv 6-35m
0.00
0.00
0.00
0.00
0.00
0.00
XXX( print page 2681)90656

X
Flu vaccine no preserv 3 & >
0.00
0.00
0.00
0.00
0.00
0.00
XXX90657

X
Flu vaccine, 3 yrs, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90658

X
Flu vaccine, 3 yrs & >, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90660

X
Flu vaccine, nasal
0.00
0.00
0.00
0.00
0.00
0.00
XXX90661

X
Flu vacc cell cult prsv free
0.00
0.00
0.00
0.00
0.00
0.00
XXX90662

X
Flu vacc prsv free inc antig
0.00
0.00
0.00
0.00
0.00
0.00
XXX90663

X
Flu vacc pandemic
0.00
0.00
0.00
0.00
0.00
0.00
XXX90665

E
Lyme disease vaccine, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90669

X
Pneumococcal vacc, ped <5
0.00
0.00
0.00
0.00
0.00
0.00
XXX90675

E
Rabies vaccine, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90676

E
Rabies vaccine, id
0.00
0.00
0.00
0.00
0.00
0.00
XXX90680

E
Rotovirus vacc 3 dose, oral
0.00
0.00
0.00
0.00
0.00
0.00
XXX90690

E
Typhoid vaccine, oral
0.00
0.00
0.00
0.00
0.00
0.00
XXX90691

E
Typhoid vaccine, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90692

E
Typhoid vaccine, h-p, sc/id
0.00
0.00
0.00
0.00
0.00
0.00
XXX90693

E
Typhoid vaccine, akd, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90698

E
Dtap-hib-ip vaccine, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90700

E
Dtap vaccine, < 7 yrs, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90701

E
Dtp vaccine, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90702

E
Dt vaccine < 7, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90703

E
Tetanus vaccine, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90704

E
Mumps vaccine, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90705

E
Measles vaccine, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90706

E
Rubella vaccine, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90707

E
Mmr vaccine, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90708

E
Measles-rubella vaccine, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90710

E
Mmrv vaccine, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90712

E
Oral poliovirus vaccine
0.00
0.00
0.00
0.00
0.00
0.00
XXX90713

E
Poliovirus, ipv, sc/im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90714

E
Td vaccine no prsrv >/= 7 im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90715

E
Tdap vaccine >7 im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90716

E
Chicken pox vaccine, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90717

E
Yellow fever vaccine, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90718

E
Td vaccine > 7, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90719

E
Diphtheria vaccine, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90720

E
Dtp/hib vaccine, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90721

E
Dtap/hib vaccine, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90723

I
Dtap-hep b-ipv vaccine, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90725

E
Cholera vaccine, injectable
0.00
0.00
0.00
0.00
0.00
0.00
XXX90727

E
Plague vaccine, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90732

X
Pneumococcal vaccine
0.00
0.00
0.00
0.00
0.00
0.00
XXX90733

E
Meningococcal vaccine, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90734

E
Meningococcal vaccine, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90735

E
Encephalitis vaccine, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90736

E
Zoster vacc, sc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90740

X
Hepb vacc, ill pat 3 dose im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90743

X
Hep b vacc, adol, 2 dose, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90744

X
Hepb vacc ped/adol 3 dose im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90746

X
Hep b vaccine, adult, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90747

X
Hepb vacc, ill pat 4 dose im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90748

I
Hep b/hib vaccine, im
0.00
0.00
0.00
0.00
0.00
0.00
XXX90749

E
Vaccine toxoid
0.00
0.00
0.00
0.00
0.00
0.00
XXX90760

A
Hydration iv infusion, init
0.17
1.32
1.37
NA
NA
0.07
XXX90761

A
Hydrate iv infusion, add-on
0.09
0.32
0.36
NA
NA
0.04
ZZZ90765

A
Ther/proph/diag iv inf, init
0.21
1.62
1.69
NA
NA
0.07
XXX90766

A
Ther/proph/dg iv inf, add-on
0.18
0.37
0.42
NA
NA
0.04
ZZZ90767

A
Tx/proph/dg addl seq iv inf
0.19
0.69
0.79
NA
NA
0.04
ZZZ90768

A
Ther/diag concurrent inf
0.17
0.33
0.39
NA
NA
0.04
ZZZ90769

A
Sc ther infusion, up to 1 hr
0.21
3.93
3.93
NA
NA
0.06
XXX90770

A
Sc ther infusion, addl hr
0.18
0.22
0.22
NA
NA
0.04
ZZZ90771

A
Sc ther infusion, reset pump
0.00
1.86
1.86
NA
NA
0.01
ZZZ90772

A
Ther/proph/diag inj, sc/im
0.17
0.44
0.38
NA
NA
0.01
XXX90773

A
Ther/proph/diag inj, ia
0.17
0.30
0.31
NA
NA
0.02
XXX90774

A
Ther/proph/diag inj, iv push
0.18
1.33
1.32
NA
NA
0.04
XXX90775

A
Tx/pro/dx inj new drug addon
0.10
0.51
0.54
NA
NA
0.04
ZZZ90776

X
Tx/pro/dx inj same drug adon
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ90779

C
Ther/prop/diag inj/inf proc
0.00
0.00
0.00
0.00
0.00
0.00
XXX90801

A
Psy dx interview
2.80
1.49
1.33
0.60
0.76
0.06
XXX90802

A
Intac psy dx interview
3.01
1.54
1.37
0.68
0.83
0.07
XXX90804

A
Psytx, office, 20-30 min
1.21
0.56
0.52
0.22
0.30
0.03
XXX90805

A
Psytx, off, 20-30 min w/e&m
1.37
0.60
0.55
0.24
0.33
0.03
XXX90806

A
Psytx, off, 45-50 min
1.86
0.53
0.61
0.33
0.46
0.04
XXX( print page 2682)90807

A
Psytx, off, 45-50 min w/e&m
2.02
0.70
0.70
0.35
0.49
0.05
XXX90808

A
Psytx, office, 75-80 min
2.79
0.69
0.86
0.49
0.70
0.06
XXX90809

A
Psytx, off, 75-80, w/e&m
2.95
0.86
0.93
0.52
0.72
0.07
XXX90810

A
Intac psytx, off, 20-30 min
1.32
0.54
0.52
0.23
0.33
0.04
XXX90811

A
Intac psytx, 20-30, w/e&m
1.48
0.72
0.64
0.26
0.36
0.04
XXX90812

A
Intac psytx, off, 45-50 min
1.97
0.65
0.72
0.34
0.49
0.04
XXX90813

A
Intac psytx, 45-50 min w/e&m
2.13
0.83
0.80
0.37
0.52
0.05
XXX90814

A
Intac psytx, off, 75-80 min
2.90
0.81
0.95
0.53
0.75
0.06
XXX90815

A
Intac psytx, 75-80 w/e&m
3.06
0.99
1.02
0.53
0.74
0.07
XXX90816

A
Psytx, hosp, 20-30 min
1.25
NA
NA
0.33
0.39
0.03
XXX90817

A
Psytx, hosp, 20-30 min w/e&m
1.41
NA
NA
0.35
0.40
0.03
XXX90818

A
Psytx, hosp, 45-50 min
1.89
NA
NA
0.44
0.56
0.04
XXX90819

A
Psytx, hosp, 45-50 min w/e&m
2.05
NA
NA
0.46
0.56
0.05
XXX90821

A
Psytx, hosp, 75-80 min
2.83
NA
NA
0.60
0.80
0.06
XXX90822

A
Psytx, hosp, 75-80 min w/e&m
2.99
NA
NA
0.63
0.79
0.08
XXX90823

A
Intac psytx, hosp, 20-30 min
1.36
NA
NA
0.35
0.41
0.03
XXX90824

A
Intac psytx, hsp 20-30 w/e&m
1.52
NA
NA
0.37
0.43
0.04
XXX90826

A
Intac psytx, hosp, 45-50 min
2.01
NA
NA
0.46
0.59
0.05
XXX90827

A
Intac psytx, hsp 45-50 w/e&m
2.16
NA
NA
0.48
0.58
0.05
XXX90828

A
Intac psytx, hosp, 75-80 min
2.94
NA
NA
0.62
0.84
0.06
XXX90829

A
Intac psytx, hsp 75-80 w/e&m
3.10
NA
NA
0.64
0.81
0.07
XXX90845

A
Psychoanalysis
1.79
0.39
0.48
0.32
0.43
0.04
XXX90846

R
Family psytx w/o patient
1.83
0.51
0.58
0.43
0.54
0.04
XXX90847

R
Family psytx w/patient
2.21
0.74
0.78
0.49
0.63
0.05
XXX90849

R
Multiple family group psytx
0.59
0.33
0.30
0.21
0.22
0.02
XXX90853

A
Group psychotherapy
0.59
0.26
0.26
0.20
0.21
0.01
XXX90857

A
Intac group psytx
0.63
0.38
0.33
0.21
0.23
0.01
XXX90862

A
Medication management
0.95
0.62
0.51
0.27
0.29
0.02
XXX90865

A
Narcosynthesis
2.84
1.17
1.26
0.63
0.77
0.12
XXX90870

A
Electroconvulsive therapy
1.88
1.92
1.93
0.38
0.49
0.04
00090875

N
Psychophysiological therapy
1.20
0.53
0.71
0.28
0.37
0.04
XXX90876

N
Psychophysiological therapy
1.90
0.67
0.92
0.44
0.58
0.05
XXX90880

A
Hypnotherapy
2.19
0.58
0.81
0.39
0.54
0.05
XXX90882

N
Environmental manipulation
0.00
0.00
0.00
0.00
0.00
0.00
XXX90885

B
Psy evaluation of records
0.97
0.22
0.30
0.22
0.30
0.02
XXX90887

B
Consultation with family
1.48
0.61
0.71
0.34
0.45
0.04
XXX90889

B
Preparation of report
0.00
0.00
0.00
0.00
0.00
0.00
XXX90899

C
Psychiatric service/therapy
0.00
0.00
0.00
0.00
0.00
0.00
XXX90901

A
Biofeedback train, any meth
0.41
0.46
0.56
0.10
0.12
0.02
00090911

A
Biofeedback peri/uro/rectal
0.89
1.37
1.47
0.30
0.30
0.06
00090918

I
ESRD related services, month
11.16
4.70
5.41
3.74
4.93
0.36
XXX90919

I
ESRD related services, month
8.53
3.03
3.52
2.55
3.28
0.29
XXX90920

I
ESRD related services, month
7.26
2.74
3.24
2.27
3.01
0.23
XXX90921

I
ESRD related services, month
4.46
1.71
2.08
1.61
2.03
0.14
XXX90922

I
ESRD related services, day
0.37
0.16
0.18
0.13
0.17
0.01
XXX90923

I
Esrd related services, day
0.28
0.10
0.11
0.08
0.11
0.01
XXX90924

I
Esrd related services, day
0.24
0.09
0.10
0.07
0.10
0.01
XXX90925

I
Esrd related services, day
0.15
0.05
0.07
0.05
0.07
0.01
XXX90935

A
Hemodialysis, one evaluation
1.22
NA
NA
0.54
0.60
0.04
00090937

A
Hemodialysis, repeated eval
2.11
NA
NA
0.77
0.87
0.07
00090940

X
Hemodialysis access study
0.00
0.00
0.00
0.00
0.00
0.00
XXX90945

A
Dialysis, one evaluation
1.28
NA
NA
0.55
0.62
0.04
00090947

A
Dialysis, repeated eval
2.16
NA
NA
0.79
0.89
0.07
00090989

X
Dialysis training, complete
0.00
0.00
0.00
0.00
0.00
0.00
XXX90993

X
Dialysis training, incompl
0.00
0.00
0.00
0.00
0.00
0.00
XXX90997

A
Hemoperfusion
1.84
NA
NA
0.50
0.58
0.06
00090999

C
Dialysis procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX91000

A
Esophageal intubation
0.73
2.13
1.23
NA
NA
0.04
00091000
TC
A
Esophageal intubation
0.00
1.91
0.99
NA
NA
0.01
00091000
26
A
Esophageal intubation
0.73
0.22
0.24
0.22
0.24
0.03
00091010

A
Esophagus motility study
1.25
3.67
4.04
NA
NA
0.12
00091010
TC
A
Esophagus motility study
0.00
3.12
3.55
NA
NA
0.06
00091010
26
A
Esophagus motility study
1.25
0.55
0.49
0.55
0.49
0.06
00091011

A
Esophagus motility study
1.50
5.38
5.30
NA
NA
0.13
00091011
TC
A
Esophagus motility study
0.00
4.66
4.68
NA
NA
0.06
00091011
26
A
Esophagus motility study
1.50
0.72
0.62
0.72
0.62
0.07
00091012

A
Esophagus motility study
1.46
5.44
5.60
NA
NA
0.13
00091012
TC
A
Esophagus motility study
0.00
4.76
5.00
NA
NA
0.07
00091012
26
A
Esophagus motility study
1.46
0.68
0.60
0.68
0.60
0.06
00091020

A
Gastric motility studies
1.44
4.82
4.67
NA
NA
0.13
00091020
TC
A
Gastric motility studies
0.00
4.21
4.12
NA
NA
0.06
00091020
26
A
Gastric motility studies
1.44
0.61
0.55
0.61
0.55
0.07
000( print page 2683)91022

A
Duodenal motility study
1.44
3.14
3.76
NA
NA
0.13
00091022
TC
A
Duodenal motility study
0.00
2.52
3.20
NA
NA
0.06
00091022
26
A
Duodenal motility study
1.44
0.62
0.56
0.62
0.56
0.07
00091030

A
Acid perfusion of esophagus
0.91
2.90
2.67
NA
NA
0.06
00091030
TC
A
Acid perfusion of esophagus
0.00
2.48
2.30
NA
NA
0.02
00091030
26
A
Acid perfusion of esophagus
0.91
0.42
0.37
0.42
0.37
0.04
00091034

A
Gastroesophageal reflux test
0.97
4.15
4.69
NA
NA
0.12
00091034
TC
A
Gastroesophageal reflux test
0.00
3.73
4.31
NA
NA
0.06
00091034
26
A
Gastroesophageal reflux test
0.97
0.42
0.38
0.42
0.38
0.06
00091035

A
G-esoph reflx tst w/electrod
1.59
11.39
11.10
NA
NA
0.12
00091035
TC
A
G-esoph reflx tst w/electrod
0.00
10.69
10.47
NA
NA
0.06
00091035
26
A
G-esoph reflx tst w/electrod
1.59
0.70
0.63
0.70
0.63
0.06
00091037

A
Esoph imped function test
0.97
3.47
3.20
NA
NA
0.12
00091037
TC
A
Esoph imped function test
0.00
3.03
2.81
NA
NA
0.06
00091037
26
A
Esoph imped function test
0.97
0.44
0.39
0.44
0.39
0.06
00091038

A
Esoph imped funct test > 1h
1.10
2.81
2.52
NA
NA
0.12
00091038
TC
A
Esoph imped funct test > 1h
0.00
2.31
2.07
NA
NA
0.06
00091038
26
A
Esoph imped funct test > 1h
1.10
0.50
0.45
0.50
0.45
0.06
00091040

A
Esoph balloon distension tst
0.97
7.73
9.43
NA
NA
0.12
00091040
TC
A
Esoph balloon distension tst
0.00
7.45
9.12
NA
NA
0.06
00091040
26
A
Esoph balloon distension tst
0.97
0.28
0.31
0.28
0.31
0.06
00091052

A
Gastric analysis test
0.79
2.92
2.68
NA
NA
0.05
00091052
TC
A
Gastric analysis test
0.00
2.55
2.36
NA
NA
0.02
00091052
26
A
Gastric analysis test
0.79
0.37
0.32
0.37
0.32
0.03
00091055

A
Gastric intubation for smear
0.94
2.58
2.76
NA
NA
0.07
00091055
TC
A
Gastric intubation for smear
0.00
2.29
2.48
NA
NA
0.02
00091055
26
A
Gastric intubation for smear
0.94
0.29
0.28
0.29
0.28
0.05
00091065

A
Breath hydrogen test
0.20
1.34
1.40
NA
NA
0.03
00091065
TC
A
Breath hydrogen test
0.00
1.28
1.33
NA
NA
0.02
00091065
26
A
Breath hydrogen test
0.20
0.06
0.07
0.06
0.07
0.01
00091100

A
Pass intestine bleeding tube
1.08
2.14
2.47
0.32
0.30
0.07
00091105

A
Gastric intubation treatment
0.37
1.67
1.89
0.07
0.08
0.03
00091110

A
Gi tract capsule endoscopy
3.64
20.66
21.42
NA
NA
0.16
XXX91110
TC
A
Gi tract capsule endoscopy
0.00
18.99
19.95
NA
NA
0.07
XXX91110
26
A
Gi tract capsule endoscopy
3.64
1.67
1.47
1.67
1.47
0.09
XXX91111

A
Esophageal capsule endoscopy
1.00
18.84
18.84
NA
NA
0.05
XXX91111
TC
A
Esophageal capsule endoscopy
0.00
18.39
18.39
NA
NA
0.02
XXX91111
26
A
Esophageal capsule endoscopy
1.00
0.45
0.45
0.45
0.45
0.03
XXX91120

A
Rectal sensation test
0.97
8.89
9.94
NA
NA
0.11
XXX91120
TC
A
Rectal sensation test
0.00
8.62
9.63
NA
NA
0.04
XXX91120
26
A
Rectal sensation test
0.97
0.27
0.31
0.27
0.31
0.07
XXX91122

A
Anal pressure record
1.77
4.31
4.70
NA
NA
0.21
00091122
TC
A
Anal pressure record
0.00
3.69
4.09
NA
NA
0.08
00091122
26
A
Anal pressure record
1.77
0.62
0.61
0.62
0.61
0.13
00091123

B
Irrigate fecal impaction
0.00
0.00
0.00
0.00
0.00
0.00
XXX91132

C
Electrogastrography
0.00
0.00
0.00
NA
NA
0.00
XXX91132
TC
C
Electrogastrography
0.00
0.00
0.00
NA
NA
0.00
XXX91132
26
A
Electrogastrography
0.52
0.25
0.22
0.25
0.22
0.02
XXX91133

C
Electrogastrography w/test
0.00
0.00
0.00
NA
NA
0.00
XXX91133
TC
C
Electrogastrography w/test
0.00
0.00
0.00
NA
NA
0.00
XXX91133
26
A
Electrogastrography w/test
0.66
0.32
0.28
0.32
0.28
0.03
XXX91299

C
Gastroenterology procedure
0.00
0.00
0.00
NA
NA
0.00
XXX91299
TC
C
Gastroenterology procedure
0.00
0.00
0.00
NA
NA
0.00
XXX91299
26
C
Gastroenterology procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX92002

A
Eye exam, new patient
0.88
0.93
0.95
0.25
0.30
0.02
XXX92004

A
Eye exam, new patient
1.82
1.57
1.63
0.55
0.62
0.04
XXX92012

A
Eye exam established pat
0.92
0.99
1.01
0.31
0.30
0.02
XXX92014

A
Eye exam & treatment
1.42
1.37
1.39
0.46
0.46
0.03
XXX92015

N
Refraction
0.38
0.10
0.79
0.09
0.12
0.01
XXX92018

A
New eye exam & treatment
2.50
NA
NA
0.86
0.96
0.07
XXX92019

A
Eye exam & treatment
1.31
NA
NA
0.35
0.46
0.03
XXX92020

A
Special eye evaluation
0.37
0.25
0.29
0.13
0.14
0.01
XXX92025

A
Corneal topography
0.35
0.49
0.49
NA
NA
0.02
XXX92025
TC
A
Corneal topography
0.00
0.37
0.37
NA
NA
0.01
XXX92025
26
A
Corneal topography
0.35
0.12
0.12
0.12
0.12
0.01
XXX92060

A
Special eye evaluation
0.69
0.76
0.75
NA
NA
0.03
XXX92060
TC
A
Special eye evaluation
0.00
0.54
0.49
NA
NA
0.01
XXX92060
26
A
Special eye evaluation
0.69
0.22
0.26
0.22
0.26
0.02
XXX92065

A
Orthoptic/pleoptic training
0.37
0.86
0.69
NA
NA
0.02
XXX92065
TC
A
Orthoptic/pleoptic training
0.00
0.77
0.57
NA
NA
0.01
XXX92065
26
A
Orthoptic/pleoptic training
0.37
0.09
0.12
0.09
0.12
0.01
XXX92070

A
Fitting of contact lens
0.70
0.90
0.99
0.22
0.27
0.02
XXX( print page 2684)92081

A
Visual field examination(s)
0.36
0.95
0.95
NA
NA
0.02
XXX92081
TC
A
Visual field examination(s)
0.00
0.84
0.82
NA
NA
0.01
XXX92081
26
A
Visual field examination(s)
0.36
0.11
0.13
0.11
0.13
0.01
XXX92082

A
Visual field examination(s)
0.44
1.32
1.27
NA
NA
0.02
XXX92082
TC
A
Visual field examination(s)
0.00
1.18
1.11
NA
NA
0.01
XXX92082
26
A
Visual field examination(s)
0.44
0.14
0.16
0.14
0.16
0.01
XXX92083

A
Visual field examination(s)
0.50
1.51
1.47
NA
NA
0.02
XXX92083
TC
A
Visual field examination(s)
0.00
1.35
1.28
NA
NA
0.01
XXX92083
26
A
Visual field examination(s)
0.50
0.16
0.19
0.16
0.19
0.01
XXX92100

A
Serial tonometry exam(s)
0.92
1.24
1.29
0.27
0.32
0.02
XXX92120

A
Tonography & eye evaluation
0.81
0.97
1.02
0.25
0.28
0.02
XXX92130

A
Water provocation tonography
0.81
1.18
1.23
0.27
0.32
0.02
XXX92135

A
Ophth dx imaging post seg
0.35
0.79
0.79
NA
NA
0.02
XXX92135
TC
A
Ophth dx imaging post seg
0.00
0.67
0.66
NA
NA
0.01
XXX92135
26
A
Ophth dx imaging post seg
0.35
0.12
0.13
0.12
0.13
0.01
XXX92136

A
Ophthalmic biometry
0.54
1.42
1.54
NA
NA
0.08
XXX92136
TC
A
Ophthalmic biometry
0.00
1.23
1.32
NA
NA
0.07
XXX92136
26
A
Ophthalmic biometry
0.54
0.19
0.22
0.19
0.22
0.01
XXX92140

A
Glaucoma provocative tests
0.50
0.89
0.94
0.14
0.18
0.01
XXX92225

A
Special eye exam, initial
0.38
0.24
0.23
0.12
0.14
0.01
XXX92226

A
Special eye exam, subsequent
0.33
0.23
0.22
0.11
0.13
0.01
XXX92230

A
Eye exam with photos
0.60
0.68
1.10
0.19
0.19
0.02
XXX92235

A
Eye exam with photos
0.81
2.26
2.44
NA
NA
0.08
XXX92235
TC
A
Eye exam with photos
0.00
1.97
2.11
NA
NA
0.06
XXX92235
26
A
Eye exam with photos
0.81
0.29
0.33
0.29
0.33
0.02
XXX92240

A
Icg angiography
1.10
4.38
5.25
NA
NA
0.09
XXX92240
TC
A
Icg angiography
0.00
3.99
4.80
NA
NA
0.06
XXX92240
26
A
Icg angiography
1.10
0.39
0.45
0.39
0.45
0.03
XXX92250

A
Eye exam with photos
0.44
1.30
1.41
NA
NA
0.02
XXX92250
TC
A
Eye exam with photos
0.00
1.16
1.25
NA
NA
0.01
XXX92250
26
A
Eye exam with photos
0.44
0.14
0.16
0.14
0.16
0.01
XXX92260

A
Ophthalmoscopy/dynamometry
0.20
0.23
0.24
0.07
0.08
0.01
XXX92265

A
Eye muscle evaluation
0.81
1.00
1.24
NA
NA
0.06
XXX92265
TC
A
Eye muscle evaluation
0.00
0.76
0.98
NA
NA
0.02
XXX92265
26
A
Eye muscle evaluation
0.81
0.24
0.26
0.24
0.26
0.04
XXX92270

A
Electro-oculography
0.81
1.32
1.42
NA
NA
0.05
XXX92270
TC
A
Electro-oculography
0.00
1.09
1.14
NA
NA
0.02
XXX92270
26
A
Electro-oculography
0.81
0.23
0.28
0.23
0.28
0.03
XXX92275

A
Electroretinography
1.01
2.42
2.18
NA
NA
0.05
XXX92275
TC
A
Electroretinography
0.00
2.07
1.79
NA
NA
0.02
XXX92275
26
A
Electroretinography
1.01
0.35
0.39
0.35
0.39
0.03
XXX92283

A
Color vision examination
0.17
0.99
0.91
NA
NA
0.02
XXX92283
TC
A
Color vision examination
0.00
0.94
0.85
NA
NA
0.01
XXX92283
26
A
Color vision examination
0.17
0.05
0.06
0.05
0.06
0.01
XXX92284

A
Dark adaptation eye exam
0.24
1.13
1.50
NA
NA
0.02
XXX92284
TC
A
Dark adaptation eye exam
0.00
1.06
1.43
NA
NA
0.01
XXX92284
26
A
Dark adaptation eye exam
0.24
0.07
0.07
0.07
0.07
0.01
XXX92285

A
Eye photography
0.20
0.80
0.89
NA
NA
0.02
XXX92285
TC
A
Eye photography
0.00
0.73
0.81
NA
NA
0.01
XXX92285
26
A
Eye photography
0.20
0.07
0.08
0.07
0.08
0.01
XXX92286

A
Internal eye photography
0.66
2.09
2.56
NA
NA
0.04
XXX92286
TC
A
Internal eye photography
0.00
1.87
2.31
NA
NA
0.02
XXX92286
26
A
Internal eye photography
0.66
0.22
0.25
0.22
0.25
0.02
XXX92287

A
Internal eye photography
0.81
1.90
2.14
0.27
0.29
0.02
XXX92310

N
Contact lens fitting
1.17
1.06
1.09
0.27
0.36
0.04
XXX92311

A
Contact lens fitting
1.08
1.27
1.18
0.31
0.33
0.03
XXX92312

A
Contact lens fitting
1.26
1.45
1.27
0.33
0.42
0.03
XXX92313

A
Contact lens fitting
0.92
1.42
1.24
0.31
0.30
0.02
XXX92314

N
Prescription of contact lens
0.69
1.14
1.04
0.16
0.21
0.01
XXX92315

A
Prescription of contact lens
0.45
1.31
1.08
0.13
0.14
0.01
XXX92316

A
Prescription of contact lens
0.68
1.63
1.27
0.22
0.26
0.02
XXX92317

A
Prescription of contact lens
0.45
1.31
1.12
0.11
0.13
0.01
XXX92325

A
Modification of contact lens
0.00
0.83
0.62
NA
NA
0.01
XXX92326

A
Replacement of contact lens
0.00
0.73
1.18
NA
NA
0.06
XXX92340

N
Fitting of spectacles
0.37
0.44
0.57
0.09
0.11
0.01
XXX92341

N
Fitting of spectacles
0.47
0.46
0.60
0.11
0.14
0.01
XXX92342

N
Fitting of spectacles
0.53
0.48
0.62
0.12
0.17
0.01
XXX92352

B
Special spectacles fitting
0.37
0.56
0.62
0.09
0.11
0.01
XXX92353

B
Special spectacles fitting
0.50
0.59
0.66
0.11
0.15
0.02
XXX92354

B
Special spectacles fitting
0.00
0.28
4.58
NA
NA
0.10
XXX92355

B
Special spectacles fitting
0.00
0.44
2.39
NA
NA
0.01
XXX92358

B
Eye prosthesis service
0.00
0.24
0.60
NA
NA
0.05
XXX( print page 2685)92370

N
Repair & adjust spectacles
0.32
0.39
0.47
0.07
0.10
0.02
XXX92371

B
Repair & adjust spectacles
0.00
0.24
0.43
NA
NA
0.02
XXX92499

C
Eye service or procedure
0.00
0.00
0.00
NA
NA
0.00
XXX92499
TC
C
Eye service or procedure
0.00
0.00
0.00
NA
NA
0.00
XXX92499
26
C
Eye service or procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX92502

A
Ear and throat examination
1.51
NA
NA
0.90
1.01
0.05
00092504

A
Ear microscopy examination
0.18
0.60
0.55
0.06
0.07
0.01
XXX92506

A
Speech/hearing evaluation
0.86
3.50
3.05
0.28
0.34
0.03
XXX92507

A
Speech/hearing therapy
0.52
1.23
1.17
0.16
0.19
0.02
XXX92508

A
Speech/hearing therapy
0.26
0.55
0.53
0.09
0.11
0.01
XXX92511

A
Nasopharyngoscopy
0.84
3.12
3.22
0.67
0.72
0.03
00092512

A
Nasal function studies
0.55
1.00
1.07
0.17
0.18
0.02
XXX92516

A
Facial nerve function test
0.43
1.23
1.21
0.14
0.18
0.01
XXX92520

A
Laryngeal function studies
0.75
0.93
0.72
0.24
0.31
0.03
XXX92526

A
Oral function therapy
0.55
1.70
1.67
0.16
0.18
0.02
XXX92531

B
Spontaneous nystagmus study
0.00
0.00
0.00
0.00
0.00
0.00
XXX92532

B
Positional nystagmus test
0.00
0.00
0.00
0.00
0.00
0.00
XXX92533

B
Caloric vestibular test
0.00
0.00
0.00
0.00
0.00
0.00
XXX92534

B
Optokinetic nystagmus test
0.00
0.00
0.00
0.00
0.00
0.00
XXX92541

A
Spontaneous nystagmus test
0.40
1.15
1.09
NA
NA
0.04
XXX92541
TC
A
Spontaneous nystagmus test
0.00
1.04
0.94
NA
NA
0.02
XXX92541
26
A
Spontaneous nystagmus test
0.40
0.11
0.15
0.11
0.15
0.02
XXX92542

A
Positional nystagmus test
0.33
1.29
1.22
NA
NA
0.03
XXX92542
TC
A
Positional nystagmus test
0.00
1.20
1.09
NA
NA
0.02
XXX92542
26
A
Positional nystagmus test
0.33
0.09
0.13
0.09
0.13
0.01
XXX92543

A
Caloric vestibular test
0.10
0.65
0.61
NA
NA
0.02
XXX92543
TC
A
Caloric vestibular test
0.00
0.62
0.57
NA
NA
0.01
XXX92543
26
A
Caloric vestibular test
0.10
0.03
0.04
0.03
0.04
0.01
XXX92544

A
Optokinetic nystagmus test
0.26
1.03
0.97
NA
NA
0.03
XXX92544
TC
A
Optokinetic nystagmus test
0.00
0.96
0.87
NA
NA
0.02
XXX92544
26
A
Optokinetic nystagmus test
0.26
0.07
0.10
0.07
0.10
0.01
XXX92545

A
Oscillating tracking test
0.23
1.00
0.90
NA
NA
0.03
XXX92545
TC
A
Oscillating tracking test
0.00
0.94
0.81
NA
NA
0.02
XXX92545
26
A
Oscillating tracking test
0.23
0.06
0.09
0.06
0.09
0.01
XXX92546

A
Sinusoidal rotational test
0.29
1.81
1.90
NA
NA
0.03
XXX92546
TC
A
Sinusoidal rotational test
0.00
1.73
1.80
NA
NA
0.02
XXX92546
26
A
Sinusoidal rotational test
0.29
0.08
0.10
0.08
0.10
0.01
XXX92547

A
Supplemental electrical test
0.00
0.11
0.09
0.11
0.09
0.06
ZZZ92548

A
Posturography
0.50
1.70
1.98
NA
NA
0.15
XXX92548
TC
A
Posturography
0.00
1.56
1.78
NA
NA
0.13
XXX92548
26
A
Posturography
0.50
0.14
0.20
0.14
0.20
0.02
XXX92551

N
Pure tone hearing test, air
0.00
0.25
0.25
NA
NA
0.01
XXX92552

A
Pure tone audiometry, air
0.00
0.61
0.52
NA
NA
0.04
XXX92553

A
Audiometry, air & bone
0.00
0.77
0.71
NA
NA
0.06
XXX92555

A
Speech threshold audiometry
0.00
0.41
0.40
NA
NA
0.04
XXX92556

A
Speech audiometry, complete
0.00
0.51
0.54
NA
NA
0.06
XXX92557

A
Comprehensive hearing test
0.60
0.29
0.74
0.20
0.69
0.12
XXX92559

N
Group audiometric testing
0.00
0.00
0.00
0.00
0.00
0.00
XXX92560

N
Bekesy audiometry, screen
0.00
0.00
0.00
0.00
0.00
0.00
XXX92561

A
Bekesy audiometry, diagnosis
0.00
0.70
0.71
NA
NA
0.06
XXX92562

A
Loudness balance test
0.00
0.62
0.51
NA
NA
0.04
XXX92563

A
Tone decay hearing test
0.00
0.55
0.46
NA
NA
0.04
XXX92564

A
Sisi hearing test
0.00
0.48
0.47
NA
NA
0.05
XXX92565

A
Stenger test, pure tone
0.00
0.25
0.33
NA
NA
0.04
XXX92567

A
Tympanometry
0.20
0.13
0.33
0.07
0.29
0.06
XXX92568

A
Acoustic refl threshold tst
0.29
0.10
0.24
0.09
0.24
0.04
XXX92569

A
Acoustic reflex decay test
0.20
0.07
0.24
0.07
0.24
0.04
XXX92571

A
Filtered speech hearing test
0.00
0.44
0.41
NA
NA
0.04
XXX92572

A
Staggered spondaic word test
0.00
0.59
0.34
NA
NA
0.01
XXX92575

A
Sensorineural acuity test
0.00
1.15
0.73
NA
NA
0.02
XXX92576

A
Synthetic sentence test
0.00
0.58
0.51
NA
NA
0.05
XXX92577

A
Stenger test, speech
0.00
0.26
0.49
NA
NA
0.07
XXX92579

A
Visual audiometry (vra)
0.70
0.35
0.54
0.23
0.48
0.06
XXX92582

A
Conditioning play audiometry
0.00
1.17
0.95
NA
NA
0.06
XXX92583

A
Select picture audiometry
0.00
0.73
0.81
NA
NA
0.08
XXX92584

A
Electrocochleography
0.00
1.36
1.92
NA
NA
0.21
XXX92585

A
Auditor evoke potent, compre
0.50
2.10
2.08
NA
NA
0.17
XXX92585
TC
A
Auditor evoke potent, compre
0.00
1.95
1.90
NA
NA
0.14
XXX92585
26
A
Auditor evoke potent, compre
0.50
0.15
0.18
0.15
0.18
0.03
XXX92586

A
Auditor evoke potent, limit
0.00
1.41
1.64
NA
NA
0.14
XXX92587

A
Evoked auditory test
0.13
0.65
1.01
NA
NA
0.12
XXX92587
TC
A
Evoked auditory test
0.00
0.61
0.96
NA
NA
0.11
XXX( print page 2686)92587
26
A
Evoked auditory test
0.13
0.04
0.05
0.04
0.05
0.01
XXX92588

A
Evoked auditory test
0.36
1.12
1.38
NA
NA
0.14
XXX92588
TC
A
Evoked auditory test
0.00
1.01
1.24
NA
NA
0.13
XXX92588
26
A
Evoked auditory test
0.36
0.11
0.14
0.11
0.14
0.01
XXX92590

N
Hearing aid exam, one ear
0.00
0.00
0.00
0.00
0.00
0.00
XXX92591

N
Hearing aid exam, both ears
0.00
0.00
0.00
0.00
0.00
0.00
XXX92592

N
Hearing aid check, one ear
0.00
0.00
0.00
0.00
0.00
0.00
XXX92593

N
Hearing aid check, both ears
0.00
0.00
0.00
0.00
0.00
0.00
XXX92594

N
Electro hearng aid test, one
0.00
0.00
0.00
0.00
0.00
0.00
XXX92595

N
Electro hearng aid tst, both
0.00
0.00
0.00
0.00
0.00
0.00
XXX92596

A
Ear protector evaluation
0.00
1.02
0.80
NA
NA
0.06
XXX92597

A
Oral speech device eval
0.86
1.99
1.84
0.28
0.37
0.03
XXX92601

A
Cochlear implt f/up exam < 7
2.30
1.09
2.29
0.64
2.07
0.07
XXX92602

A
Reprogram cochlear implt < 7
1.30
0.84
1.61
0.40
1.39
0.07
XXX92603

A
Cochlear implt f/up exam 7 >
2.25
1.19
1.67
0.73
1.44
0.07
XXX92604

A
Reprogram cochlear implt 7 >
1.25
0.78
1.06
0.41
0.88
0.07
XXX92605

B
Eval for nonspeech device rx
0.00
0.00
0.00
0.00
0.00
0.00
XXX92606

B
Non-speech device service
0.00
0.00
0.00
0.00
0.00
0.00
XXX92607

A
Ex for speech device rx, 1hr
0.00
4.63
3.86
NA
NA
0.05
XXX92608

A
Ex for speech device rx addl
0.00
0.88
0.72
NA
NA
0.05
XXX92609

A
Use of speech device service
0.00
2.45
2.02
NA
NA
0.04
XXX92610

A
Evaluate swallowing function
0.00
1.70
2.57
NA
NA
0.08
XXX92611

A
Motion fluoroscopy/swallow
0.00
1.95
2.69
NA
NA
0.08
XXX92612

A
Endoscopy swallow tst (fees)
1.27
2.97
2.86
0.42
0.54
0.04
XXX92613

A
Endoscopy swallow tst (fees)
0.71
0.24
0.32
0.24
0.31
0.05
XXX92614

A
Laryngoscopic sensory test
1.27
2.42
2.46
0.42
0.54
0.04
XXX92615

A
Eval laryngoscopy sense tst
0.63
0.21
0.28
0.21
0.28
0.05
XXX92616

A
Fees w/laryngeal sense test
1.88
3.16
3.28
0.61
0.80
0.06
XXX92617

A
Interprt fees/laryngeal test
0.79
0.26
0.35
0.26
0.35
0.05
XXX92620

A
Auditory function, 60 min
0.00
1.93
1.54
NA
NA
0.06
XXX92621

A
Auditory function, + 15 min
0.00
0.44
0.34
NA
NA
0.06
ZZZ92625

A
Tinnitus assessment
0.00
1.94
1.53
1.94
1.53
0.06
XXX92626

A
Eval aud rehab status
0.00
2.01
2.10
NA
NA
0.06
XXX92627

A
Eval aud status rehab add-on
0.00
0.46
0.50
0.46
0.50
0.02
ZZZ92630

I
Aud rehab pre-ling hear loss
0.00
0.00
0.00
0.00
0.00
0.00
XXX92633

I
Aud rehab postling hear loss
0.00
0.00
0.00
0.00
0.00
0.00
XXX92640

A
Aud brainstem implt programg
0.00
1.34
1.34
1.34
1.34
0.01
XXX92700

C
Ent procedure/service
0.00
0.00
0.00
0.00
0.00
0.00
XXX92950

A
Heart/lung resuscitation cpr
3.79
3.25
3.72
0.77
0.87
0.28
00092953

A
Temporary external pacing
0.23
NA
NA
0.07
0.07
0.02
00092960

A
Cardioversion electric, ext
2.25
4.37
5.34
1.45
1.31
0.07
00092961

A
Cardioversion, electric, int
4.59
NA
NA
2.43
2.26
0.29
00092970

A
Cardioassist, internal
3.51
NA
NA
1.46
1.26
0.16
00092971

A
Cardioassist, external
1.77
NA
NA
1.09
0.97
0.06
00092973

A
Percut coronary thrombectomy
3.28
NA
NA
1.76
1.52
0.23
ZZZ92974

A
Cath place, cardio brachytx
3.00
NA
NA
1.62
1.40
0.21
ZZZ92975

A
Dissolve clot, heart vessel
7.24
NA
NA
3.84
3.33
0.50
00092977

A
Dissolve clot, heart vessel
0.00
1.73
4.89
NA
NA
0.46
XXX92978

C
Intravasc us, heart add-on
0.00
0.00
0.00
NA
NA
0.00
ZZZ92978
TC
C
Intravasc us, heart add-on
0.00
0.00
0.00
NA
NA
0.00
ZZZ92978
26
A
Intravasc us, heart add-on
1.80
0.96
0.84
0.96
0.84
0.06
ZZZ92979

C
Intravasc us, heart add-on
0.00
0.00
0.00
NA
NA
0.00
ZZZ92979
TC
C
Intravasc us, heart add-on
0.00
0.00
0.00
NA
NA
0.00
ZZZ92979
26
A
Intravasc us, heart add-on
1.44
0.77
0.67
0.77
0.67
0.06
ZZZ92980

A
Insert intracoronary stent
14.82
NA
NA
8.13
7.09
1.03
00092981

A
Insert intracoronary stent
4.16
NA
NA
2.23
1.93
0.29
ZZZ92982

A
Coronary artery dilation
10.96
NA
NA
6.06
5.29
0.76
00092984

A
Coronary artery dilation
2.97
NA
NA
1.58
1.37
0.21
ZZZ92986

A
Revision of aortic valve
22.70
NA
NA
15.34
13.59
1.51
09092987

A
Revision of mitral valve
23.48
NA
NA
15.96
14.09
1.59
09092990

A
Revision of pulmonary valve
18.12
NA
NA
11.34
10.57
1.20
09092992

C
Revision of heart chamber
0.00
0.00
0.00
0.00
0.00
0.00
09092993

C
Revision of heart chamber
0.00
0.00
0.00
0.00
0.00
0.00
09092995

A
Coronary atherectomy
12.07
NA
NA
6.65
5.80
0.84
00092996

A
Coronary atherectomy add-on
3.26
NA
NA
1.76
1.51
0.10
ZZZ92997

A
Pul art balloon repr, percut
11.98
NA
NA
5.61
5.22
0.40
00092998

A
Pul art balloon repr, percut
5.99
NA
NA
3.00
2.60
0.28
ZZZ93000

A
Electrocardiogram, complete
0.17
0.35
0.42
NA
NA
0.03
XXX93005

A
Electrocardiogram, tracing
0.00
0.28
0.36
NA
NA
0.02
XXX93010

A
Electrocardiogram report
0.17
0.07
0.06
0.07
0.06
0.01
XXX93012

A
Transmission of ecg
0.00
4.17
5.09
NA
NA
0.18
XXX93014

A
Report on transmitted ecg
0.52
0.22
0.21
0.22
0.21
0.02
XXX( print page 2687)93015

A
Cardiovascular stress test
0.75
1.91
1.94
NA
NA
0.14
XXX93016

A
Cardiovascular stress test
0.45
0.22
0.20
0.22
0.20
0.02
XXX93017

A
Cardiovascular stress test
0.00
1.54
1.61
NA
NA
0.11
XXX93018

A
Cardiovascular stress test
0.30
0.15
0.13
0.15
0.13
0.01
XXX93024

A
Cardiac drug stress test
1.17
2.40
1.98
NA
NA
0.12
XXX93024
TC
A
Cardiac drug stress test
0.00
1.82
1.47
NA
NA
0.08
XXX93024
26
A
Cardiac drug stress test
1.17
0.58
0.51
0.58
0.51
0.04
XXX93025

A
Microvolt t-wave assess
0.75
3.93
5.77
NA
NA
0.14
XXX93025
TC
A
Microvolt t-wave assess
0.00
3.55
5.43
NA
NA
0.11
XXX93025
26
A
Microvolt t-wave assess
0.75
0.38
0.34
0.38
0.34
0.03
XXX93040

A
Rhythm ECG with report
0.16
0.19
0.20
NA
NA
0.02
XXX93041

A
Rhythm ECG, tracing
0.00
0.14
0.15
NA
NA
0.01
XXX93042

A
Rhythm ECG, report
0.16
0.05
0.05
0.05
0.05
0.01
XXX93224

A
ECG monitor/report, 24 hrs
0.52
2.31
2.97
NA
NA
0.24
XXX93225

A
ECG monitor/record, 24 hrs
0.00
0.85
1.05
NA
NA
0.08
XXX93226

A
ECG monitor/report, 24 hrs
0.00
1.19
1.69
NA
NA
0.14
XXX93227

A
ECG monitor/review, 24 hrs
0.52
0.27
0.23
0.27
0.23
0.02
XXX93230

A
ECG monitor/report, 24 hrs
0.52
2.30
3.10
NA
NA
0.26
XXX93231

A
Ecg monitor/record, 24 hrs
0.00
0.72
1.12
NA
NA
0.11
XXX93232

A
ECG monitor/report, 24 hrs
0.00
1.35
1.77
NA
NA
0.13
XXX93233

A
ECG monitor/review, 24 hrs
0.52
0.23
0.21
0.23
0.21
0.02
XXX93235

C
ECG monitor/report, 24 hrs
0.00
0.00
0.00
0.00
0.00
0.00
XXX93236

C
ECG monitor/report, 24 hrs
0.00
0.00
0.00
0.00
0.00
0.00
XXX93237

A
ECG monitor/review, 24 hrs
0.45
0.22
0.19
0.22
0.19
0.02
XXX93268

A
ECG record/review
0.52
5.79
6.61
NA
NA
0.28
XXX93270

A
ECG recording
0.00
0.29
0.76
NA
NA
0.08
XXX93271

A
Ecg/monitoring and analysis
0.00
5.28
5.65
NA
NA
0.18
XXX93272

A
Ecg/review, interpret only
0.52
0.22
0.20
0.22
0.20
0.02
XXX93278

A
ECG/signal-averaged
0.25
0.62
0.93
NA
NA
0.12
XXX93278
TC
A
ECG/signal-averaged
0.00
0.52
0.83
NA
NA
0.11
XXX93278
26
A
ECG/signal-averaged
0.25
0.10
0.10
0.10
0.10
0.01
XXX93303

A
Echo transthoracic
1.30
4.50
4.41
NA
NA
0.27
XXX93303
TC
A
Echo transthoracic
0.00
3.97
3.91
NA
NA
0.23
XXX93303
26
A
Echo transthoracic
1.30
0.53
0.50
0.53
0.50
0.04
XXX93304

A
Echo transthoracic
0.75
3.10
2.67
NA
NA
0.15
XXX93304
TC
A
Echo transthoracic
0.00
2.80
2.38
NA
NA
0.13
XXX93304
26
A
Echo transthoracic
0.75
0.30
0.29
0.30
0.29
0.02
XXX93307

A
Echo exam of heart
0.92
3.73
3.97
NA
NA
0.26
XXX93307
TC
A
Echo exam of heart
0.00
3.28
3.57
NA
NA
0.23
XXX93307
26
A
Echo exam of heart
0.92
0.45
0.40
0.45
0.40
0.03
XXX93308

A
Echo exam of heart
0.53
2.62
2.38
NA
NA
0.15
XXX93308
TC
A
Echo exam of heart
0.00
2.35
2.15
NA
NA
0.13
XXX93308
26
A
Echo exam of heart
0.53
0.27
0.23
0.27
0.23
0.02
XXX93312

A
Echo transesophageal
2.20
7.39
5.98
NA
NA
0.37
XXX93312
TC
A
Echo transesophageal
0.00
6.42
5.10
NA
NA
0.29
XXX93312
26
A
Echo transesophageal
2.20
0.97
0.88
0.97
0.88
0.08
XXX93313

A
Echo transesophageal
0.95
NA
NA
0.12
0.17
0.06
XXX93314

A
Echo transesophageal
1.25
7.22
5.73
NA
NA
0.33
XXX93314
TC
A
Echo transesophageal
0.00
6.66
5.22
NA
NA
0.29
XXX93314
26
A
Echo transesophageal
1.25
0.56
0.51
0.56
0.51
0.04
XXX93315

C
Echo transesophageal
0.00
0.00
0.00
NA
NA
0.00
XXX93315
TC
C
Echo transesophageal
0.00
0.00
0.00
NA
NA
0.00
XXX93315
26
A
Echo transesophageal
2.78
1.31
1.16
1.31
1.16
0.09
XXX93316

A
Echo transesophageal
0.95
NA
NA
0.26
0.25
0.05
XXX93317

C
Echo transesophageal
0.00
0.00
0.00
NA
NA
0.00
XXX93317
TC
C
Echo transesophageal
0.00
0.00
0.00
NA
NA
0.00
XXX93317
26
A
Echo transesophageal
1.83
0.55
0.61
0.55
0.61
0.08
XXX93318

C
Echo transesophageal intraop
0.00
0.00
0.00
NA
NA
0.00
XXX93318
TC
C
Echo transesophageal intraop
0.00
0.00
0.00
NA
NA
0.00
XXX93318
26
A
Echo transesophageal intraop
2.20
0.86
0.67
0.86
0.67
0.14
XXX93320

A
Doppler echo exam, heart
0.38
1.67
1.77
NA
NA
0.13
ZZZ93320
TC
A
Doppler echo exam, heart
0.00
1.49
1.60
NA
NA
0.12
ZZZ93320
26
A
Doppler echo exam, heart
0.38
0.18
0.17
0.18
0.17
0.01
ZZZ93321

A
Doppler echo exam, heart
0.15
0.61
0.89
NA
NA
0.09
ZZZ93321
TC
A
Doppler echo exam, heart
0.00
0.54
0.82
NA
NA
0.08
ZZZ93321
26
A
Doppler echo exam, heart
0.15
0.07
0.07
0.07
0.07
0.01
ZZZ93325

A
Doppler color flow add-on
0.07
0.66
1.80
NA
NA
0.22
ZZZ93325
TC
A
Doppler color flow add-on
0.00
0.63
1.77
NA
NA
0.21
ZZZ93325
26
A
Doppler color flow add-on
0.07
0.03
0.03
0.03
0.03
0.01
ZZZ93350

A
Echo transthoracic
1.48
5.09
3.71
NA
NA
0.18
XXX93350
TC
A
Echo transthoracic
0.00
4.33
3.05
NA
NA
0.13
XXX93350
26
A
Echo transthoracic
1.48
0.76
0.66
0.76
0.66
0.05
XXX( print page 2688)93501

A
Right heart catheterization
3.02
18.71
18.39
NA
NA
1.27
00093501
TC
A
Right heart catheterization
0.00
17.14
17.03
NA
NA
1.06
00093501
26
A
Right heart catheterization
3.02
1.57
1.36
1.57
1.36
0.21
00093503

A
Insert/place heart catheter
2.91
NA
NA
NA
NA
0.20
00093505

A
Biopsy of heart lining
4.37
20.92
12.29
NA
NA
0.46
00093505
TC
A
Biopsy of heart lining
0.00
18.64
10.31
NA
NA
0.16
00093505
26
A
Biopsy of heart lining
4.37
2.28
1.98
2.28
1.98
0.30
00093508

A
Cath placement, angiography
4.09
28.85
21.78
NA
NA
0.93
00093508
TC
A
Cath placement, angiography
0.00
26.68
19.65
NA
NA
0.65
00093508
26
A
Cath placement, angiography
4.09
2.17
2.13
2.17
2.13
0.28
00093510

A
Left heart catheterization
4.32
28.15
33.65
NA
NA
2.61
00093510
TC
A
Left heart catheterization
0.00
25.87
31.42
NA
NA
2.31
00093510
26
A
Left heart catheterization
4.32
2.28
2.23
2.28
2.23
0.30
00093511

C
Left heart catheterization
0.00
NA
NA
NA
NA
0.00
00093511
TC
C
Left heart catheterization
0.00
NA
NA
NA
NA
0.00
00093511
26
A
Left heart catheterization
5.02
2.65
2.55
2.65
2.55
0.35
00093514

C
Left heart catheterization
0.00
NA
NA
NA
NA
0.00
00093514
TC
C
Left heart catheterization
0.00
NA
NA
NA
NA
0.00
00093514
26
A
Left heart catheterization
7.04
2.95
3.04
2.95
3.04
0.49
00093524

C
Left heart catheterization
0.00
NA
NA
NA
NA
0.00
00093524
TC
C
Left heart catheterization
0.00
NA
NA
NA
NA
0.00
00093524
26
A
Left heart catheterization
6.94
3.78
3.47
3.78
3.47
0.48
00093526

A
Rt & Lt heart catheters
5.98
35.14
43.04
NA
NA
3.46
00093526
TC
A
Rt & Lt heart catheters
0.00
31.97
40.05
NA
NA
3.04
00093526
26
A
Rt & Lt heart catheters
5.98
3.17
2.99
3.17
2.99
0.42
00093527

C
Rt & Lt heart catheters
0.00
NA
NA
NA
NA
0.00
00093527
TC
C
Rt & Lt heart catheters
0.00
NA
NA
NA
NA
0.00
00093527
26
A
Rt & Lt heart catheters
7.27
3.86
3.59
3.86
3.59
0.51
00093528

C
Rt & Lt heart catheters
0.00
NA
NA
NA
NA
0.00
00093528
TC
C
Rt & Lt heart catheters
0.00
NA
NA
NA
NA
0.00
00093528
26
A
Rt & Lt heart catheters
8.99
4.43
4.23
4.43
4.23
0.62
00093529

C
Rt, lt heart catheterization
0.00
NA
NA
NA
NA
0.00
00093529
TC
C
Rt, lt heart catheterization
0.00
NA
NA
NA
NA
0.00
00093529
26
A
Rt, lt heart catheterization
4.79
2.58
2.43
2.58
2.43
0.33
00093530

C
Rt heart cath, congenital
0.00
NA
NA
NA
NA
0.00
00093530
TC
C
Rt heart cath, congenital
0.00
NA
NA
NA
NA
0.00
00093530
26
A
Rt heart cath, congenital
4.22
1.84
1.89
1.84
1.89
0.29
00093531

C
R & l heart cath, congenital
0.00
NA
NA
NA
NA
0.00
00093531
TC
C
R & l heart cath, congenital
0.00
NA
NA
NA
NA
0.00
00093531
26
A
R & l heart cath, congenital
8.34
3.57
3.58
3.57
3.58
0.58
00093532

C
R & l heart cath, congenital
0.00
NA
NA
NA
NA
0.00
00093532
TC
C
R & l heart cath, congenital
0.00
NA
NA
NA
NA
0.00
00093532
26
A
R & l heart cath, congenital
9.99
3.66
3.95
3.66
3.95
0.69
00093533

C
R & l heart cath, congenital
0.00
NA
NA
NA
NA
0.00
00093533
TC
C
R & l heart cath, congenital
0.00
NA
NA
NA
NA
0.00
00093533
26
A
R & l heart cath, congenital
6.69
3.16
2.98
3.16
2.98
0.47
00093539

A
Injection, cardiac cath
0.40
2.47
1.31
0.21
0.19
0.01
00093540

A
Injection, cardiac cath
0.43
8.62
4.39
0.23
0.20
0.01
00093541

A
Injection for lung angiogram
0.29
0.15
0.13
0.15
0.13
0.01
00093542

A
Injection for heart x-rays
0.29
5.19
2.65
0.15
0.13
0.01
00093543

A
Injection for heart x-rays
0.29
2.62
1.37
0.16
0.13
0.01
00093544

A
Injection for aortography
0.25
1.84
0.97
0.13
0.12
0.01
00093545

A
Inject for coronary x-rays
0.40
5.87
3.01
0.21
0.19
0.01
00093555

A
Imaging, cardiac cath
0.81
0.60
3.59
NA
NA
0.37
XXX93555
TC
A
Imaging, cardiac cath
0.00
0.17
3.22
NA
NA
0.34
XXX93555
26
A
Imaging, cardiac cath
0.81
0.43
0.37
0.43
0.37
0.03
XXX93556

A
Imaging, cardiac cath
0.83
0.88
5.55
NA
NA
0.54
XXX93556
TC
A
Imaging, cardiac cath
0.00
0.44
5.17
NA
NA
0.51
XXX93556
26
A
Imaging, cardiac cath
0.83
0.44
0.38
0.44
0.38
0.03
XXX93561

C
Cardiac output measurement
0.00
NA
NA
NA
NA
0.00
00093561
TC
C
Cardiac output measurement
0.00
NA
NA
NA
NA
0.00
00093561
26
A
Cardiac output measurement
0.50
0.14
0.15
0.14
0.15
0.02
00093562

C
Cardiac output measurement
0.00
NA
NA
NA
NA
0.00
00093562
TC
C
Cardiac output measurement
0.00
NA
NA
NA
NA
0.00
00093562
26
A
Cardiac output measurement
0.16
0.03
0.04
0.03
0.04
0.01
00093571

C
Heart flow reserve measure
0.00
NA
NA
NA
NA
0.00
ZZZ93571
TC
C
Heart flow reserve measure
0.00
NA
NA
NA
NA
0.00
ZZZ93571
26
A
Heart flow reserve measure
1.80
0.96
0.82
0.96
0.82
0.06
ZZZ93572

C
Heart flow reserve measure
0.00
NA
NA
NA
NA
0.00
ZZZ93572
TC
C
Heart flow reserve measure
0.00
NA
NA
NA
NA
0.00
ZZZ93572
26
A
Heart flow reserve measure
1.44
0.74
0.62
0.74
0.62
0.04
ZZZ93580

A
Transcath closure of asd
17.97
NA
NA
9.41
8.40
1.25
000( print page 2689)93581

A
Transcath closure of vsd
24.39
NA
NA
11.56
10.48
1.72
00093600

C
Bundle of His recording
0.00
0.00
0.00
NA
NA
0.00
00093600
TC
C
Bundle of His recording
0.00
0.00
0.00
NA
NA
0.00
00093600
26
A
Bundle of His recording
2.12
1.09
0.96
1.09
0.96
0.16
00093602

C
Intra-atrial recording
0.00
0.00
0.00
NA
NA
0.00
00093602
TC
C
Intra-atrial recording
0.00
0.00
0.00
NA
NA
0.00
00093602
26
A
Intra-atrial recording
2.12
1.04
0.93
1.04
0.93
0.17
00093603

C
Right ventricular recording
0.00
0.00
0.00
NA
NA
0.00
00093603
TC
C
Right ventricular recording
0.00
0.00
0.00
NA
NA
0.00
00093603
26
A
Right ventricular recording
2.12
1.04
0.92
1.04
0.92
0.18
00093609

C
Map tachycardia, add-on
0.00
0.00
0.00
NA
NA
0.00
ZZZ93609
TC
C
Map tachycardia, add-on
0.00
0.00
0.00
NA
NA
0.00
ZZZ93609
26
A
Map tachycardia, add-on
4.99
2.61
2.29
2.61
2.29
0.35
ZZZ93610

C
Intra-atrial pacing
0.00
0.00
0.00
NA
NA
0.00
00093610
TC
C
Intra-atrial pacing
0.00
0.00
0.00
NA
NA
0.00
00093610
26
A
Intra-atrial pacing
3.02
1.47
1.31
1.47
1.31
0.24
00093612

C
Intraventricular pacing
0.00
0.00
0.00
NA
NA
0.00
00093612
TC
C
Intraventricular pacing
0.00
0.00
0.00
NA
NA
0.00
00093612
26
A
Intraventricular pacing
3.02
1.43
1.29
1.43
1.29
0.25
00093613

A
Electrophys map 3d, add-on
6.99
NA
NA
3.69
3.23
0.49
ZZZ93615

C
Esophageal recording
0.00
0.00
0.00
NA
NA
0.00
00093615
TC
C
Esophageal recording
0.00
0.00
0.00
NA
NA
0.00
00093615
26
A
Esophageal recording
0.99
0.54
0.40
0.54
0.40
0.03
00093616

C
Esophageal recording
0.00
0.00
0.00
NA
NA
0.00
00093616
TC
C
Esophageal recording
0.00
0.00
0.00
NA
NA
0.00
00093616
26
A
Esophageal recording
1.49
0.26
0.35
0.26
0.35
0.09
00093618

C
Heart rhythm pacing
0.00
0.00
0.00
NA
NA
0.00
00093618
TC
C
Heart rhythm pacing
0.00
0.00
0.00
NA
NA
0.00
00093618
26
A
Heart rhythm pacing
4.25
2.28
1.97
2.28
1.97
0.30
00093619

C
Electrophysiology evaluation
0.00
0.00
0.00
NA
NA
0.00
00093619
TC
C
Electrophysiology evaluation
0.00
0.00
0.00
NA
NA
0.00
00093619
26
A
Electrophysiology evaluation
7.31
3.87
3.53
3.87
3.53
0.51
00093620

C
Electrophysiology evaluation
0.00
0.00
0.00
NA
NA
0.00
00093620
TC
C
Electrophysiology evaluation
0.00
0.00
0.00
NA
NA
0.00
00093620
26
A
Electrophysiology evaluation
11.57
6.09
5.46
6.09
5.46
0.80
00093621

C
Electrophysiology evaluation
0.00
0.00
0.00
NA
NA
0.00
ZZZ93621
TC
C
Electrophysiology evaluation
0.00
0.00
0.00
NA
NA
0.00
ZZZ93621
26
A
Electrophysiology evaluation
2.10
1.10
0.96
1.10
0.96
0.15
ZZZ93622

C
Electrophysiology evaluation
0.00
0.00
0.00
NA
NA
0.00
ZZZ93622
TC
C
Electrophysiology evaluation
0.00
0.00
0.00
NA
NA
0.00
ZZZ93622
26
A
Electrophysiology evaluation
3.10
1.57
1.39
1.57
1.39
0.22
ZZZ93623

C
Stimulation, pacing heart
0.00
0.00
0.00
NA
NA
0.00
ZZZ93623
TC
C
Stimulation, pacing heart
0.00
0.00
0.00
NA
NA
0.00
ZZZ93623
26
A
Stimulation, pacing heart
2.85
1.50
1.30
1.50
1.30
0.20
ZZZ93624

C
Electrophysiologic study
0.00
0.00
0.00
NA
NA
0.00
00093624
TC
C
Electrophysiologic study
0.00
0.00
0.00
NA
NA
0.00
00093624
26
A
Electrophysiologic study
4.80
2.60
2.40
2.60
2.40
0.33
00093631

C
Heart pacing, mapping
0.00
0.00
0.00
NA
NA
0.00
00093631
TC
C
Heart pacing, mapping
0.00
0.00
0.00
NA
NA
0.00
00093631
26
A
Heart pacing, mapping
7.59
2.75
2.76
2.75
2.76
0.97
00093640

C
Evaluation heart device
0.00
0.00
0.00
NA
NA
0.00
00093640
TC
C
Evaluation heart device
0.00
0.00
0.00
NA
NA
0.00
00093640
26
A
Evaluation heart device
3.51
1.82
1.59
1.82
1.59
0.24
00093641

C
Electrophysiology evaluation
0.00
0.00
0.00
NA
NA
0.00
00093641
TC
C
Electrophysiology evaluation
0.00
0.00
0.00
NA
NA
0.00
00093641
26
A
Electrophysiology evaluation
5.92
3.11
2.71
3.11
2.71
0.41
00093642

C
Electrophysiology evaluation
0.00
0.00
0.00
NA
NA
0.00
00093642
TC
A
Electrophysiology evaluation
0.00
4.77
5.97
NA
NA
0.42
00093642
26
A
Electrophysiology evaluation
4.88
2.60
2.41
2.60
2.41
0.15
00093650

A
Ablate heart dysrhythm focus
10.49
NA
NA
5.80
5.12
0.73
00093651

A
Ablate heart dysrhythm focus
16.23
NA
NA
8.53
7.43
1.13
00093652

A
Ablate heart dysrhythm focus
17.65
NA
NA
9.35
8.12
1.23
00093660

A
Tilt table evaluation
1.89
3.01
2.71
NA
NA
0.08
00093660
TC
A
Tilt table evaluation
0.00
2.04
1.86
NA
NA
0.02
00093660
26
A
Tilt table evaluation
1.89
0.97
0.85
0.97
0.85
0.06
00093662

C
Intracardiac ecg (ice)
0.00
0.00
0.00
NA
NA
0.00
ZZZ93662
TC
C
Intracardiac ecg (ice)
0.00
0.00
0.00
NA
NA
0.00
ZZZ93662
26
A
Intracardiac ecg (ice)
2.80
1.47
1.29
1.47
1.29
0.09
ZZZ93668

N
Peripheral vascular rehab
0.00
0.41
0.41
NA
NA
0.01
XXX93701

A
Bioimpedance, thoracic
0.17
0.70
0.84
NA
NA
0.02
XXX93701
TC
A
Bioimpedance, thoracic
0.00
0.64
0.77
NA
NA
0.01
XXX93701
26
A
Bioimpedance, thoracic
0.17
0.06
0.07
0.06
0.07
0.01
XXX( print page 2690)93720

A
Total body plethysmography
0.17
1.17
0.97
NA
NA
0.07
XXX93721

A
Plethysmography tracing
0.00
1.13
0.92
NA
NA
0.06
XXX93722

A
Plethysmography report
0.17
0.04
0.05
0.04
0.05
0.01
XXX93724

A
Analyze pacemaker system
4.88
3.23
4.55
NA
NA
0.39
00093724
TC
A
Analyze pacemaker system
0.00
0.88
2.42
NA
NA
0.24
00093724
26
A
Analyze pacemaker system
4.88
2.35
2.13
2.35
2.13
0.15
00093727

A
Analyze ilr system
0.52
0.64
0.42
0.64
0.42
0.02
XXX93731

A
Analyze pacemaker system
0.45
0.79
0.72
NA
NA
0.05
XXX93731
TC
A
Analyze pacemaker system
0.00
0.55
0.52
NA
NA
0.04
XXX93731
26
A
Analyze pacemaker system
0.45
0.24
0.20
0.24
0.20
0.01
XXX93732

A
Analyze pacemaker system
0.92
1.15
1.01
NA
NA
0.07
XXX93732
TC
A
Analyze pacemaker system
0.00
0.67
0.59
NA
NA
0.04
XXX93732
26
A
Analyze pacemaker system
0.92
0.48
0.42
0.48
0.42
0.03
XXX93733

A
Telephone analy, pacemaker
0.17
0.93
0.86
NA
NA
0.07
XXX93733
TC
A
Telephone analy, pacemaker
0.00
0.85
0.79
NA
NA
0.06
XXX93733
26
A
Telephone analy, pacemaker
0.17
0.08
0.07
0.08
0.07
0.01
XXX93734

A
Analyze pacemaker system
0.38
0.69
0.60
NA
NA
0.03
XXX93734
TC
A
Analyze pacemaker system
0.00
0.50
0.43
NA
NA
0.02
XXX93734
26
A
Analyze pacemaker system
0.38
0.19
0.17
0.19
0.17
0.01
XXX93735

A
Analyze pacemaker system
0.74
0.96
0.84
NA
NA
0.06
XXX93735
TC
A
Analyze pacemaker system
0.00
0.57
0.51
NA
NA
0.04
XXX93735
26
A
Analyze pacemaker system
0.74
0.39
0.33
0.39
0.33
0.02
XXX93736

A
Telephonic analy, pacemaker
0.15
0.91
0.79
NA
NA
0.07
XXX93736
TC
A
Telephonic analy, pacemaker
0.00
0.84
0.73
NA
NA
0.06
XXX93736
26
A
Telephonic analy, pacemaker
0.15
0.07
0.06
0.07
0.06
0.01
XXX93740

B
Temperature gradient studies
0.16
0.04
0.11
NA
NA
0.02
XXX93740
TC
B
Temperature gradient studies
0.00
0.00
0.07
NA
NA
0.01
XXX93740
26
B
Temperature gradient studies
0.16
0.04
0.04
0.04
0.04
0.01
XXX93741

A
Analyze ht pace device sngl
0.80
1.02
0.99
NA
NA
0.07
XXX93741
TC
A
Analyze ht pace device sngl
0.00
0.60
0.63
NA
NA
0.04
XXX93741
26
A
Analyze ht pace device sngl
0.80
0.42
0.36
0.42
0.36
0.03
XXX93742

A
Analyze ht pace device sngl
0.91
1.15
1.09
NA
NA
0.07
XXX93742
TC
A
Analyze ht pace device sngl
0.00
0.67
0.67
NA
NA
0.04
XXX93742
26
A
Analyze ht pace device sngl
0.91
0.48
0.42
0.48
0.42
0.03
XXX93743

A
Analyze ht pace device dual
1.03
1.19
1.16
NA
NA
0.07
XXX93743
TC
A
Analyze ht pace device dual
0.00
0.64
0.69
NA
NA
0.04
XXX93743
26
A
Analyze ht pace device dual
1.03
0.55
0.47
0.55
0.47
0.03
XXX93744

A
Analyze ht pace device dual
1.18
1.35
1.23
NA
NA
0.08
XXX93744
TC
A
Analyze ht pace device dual
0.00
0.72
0.69
NA
NA
0.04
XXX93744
26
A
Analyze ht pace device dual
1.18
0.63
0.54
0.63
0.54
0.04
XXX93745

C
Set-up cardiovert-defibrill
0.00
0.00
0.00
NA
NA
0.00
XXX93745
TC
C
Set-up cardiovert-defibrill
0.00
0.00
0.00
NA
NA
0.00
XXX93745
26
C
Set-up cardiovert-defibrill
0.00
0.00
0.00
0.00
0.00
0.00
XXX93760

N
Cephalic thermogram
0.00
0.00
0.00
0.00
0.00
0.00
XXX93762

N
Peripheral thermogram
0.00
0.00
0.00
0.00
0.00
0.00
XXX93770

B
Measure venous pressure
0.16
0.04
0.05
NA
NA
0.02
XXX93770
TC
B
Measure venous pressure
0.00
0.00
0.01
NA
NA
0.01
XXX93770
26
B
Measure venous pressure
0.16
0.04
0.04
0.04
0.04
0.01
XXX93784

A
Ambulatory BP monitoring
0.38
1.39
1.47
NA
NA
0.03
XXX93786

A
Ambulatory BP recording
0.00
0.81
0.86
NA
NA
0.01
XXX93788

A
Ambulatory BP analysis
0.00
0.45
0.48
NA
NA
0.01
XXX93790

A
Review/report BP recording
0.38
0.13
0.13
0.13
0.13
0.01
XXX93797

A
Cardiac rehab
0.18
0.32
0.31
0.09
0.08
0.01
00093798

A
Cardiac rehab/monitor
0.28
0.44
0.45
0.13
0.12
0.01
00093799

C
Cardiovascular procedure
0.00
0.00
0.00
NA
NA
0.00
XXX93799
TC
C
Cardiovascular procedure
0.00
0.00
0.00
NA
NA
0.00
XXX93799
26
C
Cardiovascular procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX93875

A
Extracranial study
0.22
2.55
2.44
NA
NA
0.12
XXX93875
TC
A
Extracranial study
0.00
2.48
2.37
NA
NA
0.11
XXX93875
26
A
Extracranial study
0.22
0.07
0.07
0.07
0.07
0.01
XXX93880

A
Extracranial study
0.60
6.16
5.85
NA
NA
0.39
XXX93880
TC
A
Extracranial study
0.00
5.95
5.65
NA
NA
0.35
XXX93880
26
A
Extracranial study
0.60
0.21
0.20
0.21
0.20
0.04
XXX93882

A
Extracranial study
0.40
4.12
3.82
NA
NA
0.26
XXX93882
TC
A
Extracranial study
0.00
4.01
3.69
NA
NA
0.22
XXX93882
26
A
Extracranial study
0.40
0.11
0.13
0.11
0.13
0.04
XXX93886

A
Intracranial study
0.94
7.03
6.88
NA
NA
0.45
XXX93886
TC
A
Intracranial study
0.00
6.75
6.56
NA
NA
0.39
XXX93886
26
A
Intracranial study
0.94
0.28
0.32
0.28
0.32
0.06
XXX93888

A
Intracranial study
0.62
4.92
4.57
NA
NA
0.32
XXX93888
TC
A
Intracranial study
0.00
4.72
4.36
NA
NA
0.27
XXX93888
26
A
Intracranial study
0.62
0.20
0.21
0.20
0.21
0.05
XXX( print page 2691)93890

A
Tcd, vasoreactivity study
1.00
6.44
5.68
NA
NA
0.45
XXX93890
TC
A
Tcd, vasoreactivity study
0.00
6.13
5.32
NA
NA
0.39
XXX93890
26
A
Tcd, vasoreactivity study
1.00
0.31
0.36
0.31
0.36
0.06
XXX93892

A
Tcd, emboli detect w/o inj
1.15
6.85
6.00
NA
NA
0.45
XXX93892
TC
A
Tcd, emboli detect w/o inj
0.00
6.53
5.61
NA
NA
0.39
XXX93892
26
A
Tcd, emboli detect w/o inj
1.15
0.32
0.39
0.32
0.39
0.06
XXX93893

A
Tcd, emboli detect w/inj
1.15
7.00
6.01
NA
NA
0.45
XXX93893
TC
A
Tcd, emboli detect w/inj
0.00
6.67
5.62
NA
NA
0.39
XXX93893
26
A
Tcd, emboli detect w/inj
1.15
0.33
0.39
0.33
0.39
0.06
XXX93922

A
Extremity study
0.25
3.11
2.90
NA
NA
0.15
XXX93922
TC
A
Extremity study
0.00
3.03
2.82
NA
NA
0.13
XXX93922
26
A
Extremity study
0.25
0.08
0.08
0.08
0.08
0.02
XXX93923

A
Extremity study
0.45
4.68
4.35
NA
NA
0.26
XXX93923
TC
A
Extremity study
0.00
4.54
4.21
NA
NA
0.22
XXX93923
26
A
Extremity study
0.45
0.14
0.14
0.14
0.14
0.04
XXX93924

A
Extremity study
0.50
5.94
5.36
NA
NA
0.30
XXX93924
TC
A
Extremity study
0.00
5.77
5.19
NA
NA
0.25
XXX93924
26
A
Extremity study
0.50
0.17
0.17
0.17
0.17
0.05
XXX93925

A
Lower extremity study
0.58
8.02
7.40
NA
NA
0.39
XXX93925
TC
A
Lower extremity study
0.00
7.83
7.21
NA
NA
0.35
XXX93925
26
A
Lower extremity study
0.58
0.19
0.19
0.19
0.19
0.04
XXX93926

A
Lower extremity study
0.39
5.14
4.60
NA
NA
0.27
XXX93926
TC
A
Lower extremity study
0.00
5.03
4.48
NA
NA
0.23
XXX93926
26
A
Lower extremity study
0.39
0.11
0.12
0.11
0.12
0.04
XXX93930

A
Upper extremity study
0.46
6.25
5.80
NA
NA
0.41
XXX93930
TC
A
Upper extremity study
0.00
6.10
5.65
NA
NA
0.37
XXX93930
26
A
Upper extremity study
0.46
0.15
0.15
0.15
0.15
0.04
XXX93931

A
Upper extremity study
0.31
4.18
3.83
NA
NA
0.27
XXX93931
TC
A
Upper extremity study
0.00
4.08
3.73
NA
NA
0.24
XXX93931
26
A
Upper extremity study
0.31
0.10
0.10
0.10
0.10
0.03
XXX93965

A
Extremity study
0.35
3.01
2.90
NA
NA
0.14
XXX93965
TC
A
Extremity study
0.00
2.90
2.79
NA
NA
0.12
XXX93965
26
A
Extremity study
0.35
0.11
0.11
0.11
0.11
0.02
XXX93970

A
Extremity study
0.68
6.20
5.73
NA
NA
0.46
XXX93970
TC
A
Extremity study
0.00
5.99
5.51
NA
NA
0.40
XXX93970
26
A
Extremity study
0.68
0.21
0.22
0.21
0.22
0.06
XXX93971

A
Extremity study
0.45
4.07
3.83
NA
NA
0.30
XXX93971
TC
A
Extremity study
0.00
3.92
3.68
NA
NA
0.27
XXX93971
26
A
Extremity study
0.45
0.15
0.15
0.15
0.15
0.03
XXX93975

A
Vascular study
1.80
8.46
8.04
NA
NA
0.56
XXX93975
TC
A
Vascular study
0.00
7.83
7.43
NA
NA
0.43
XXX93975
26
A
Vascular study
1.80
0.63
0.61
0.63
0.61
0.13
XXX93976

A
Vascular study
1.21
4.58
4.45
NA
NA
0.35
XXX93976
TC
A
Vascular study
0.00
4.16
4.04
NA
NA
0.30
XXX93976
26
A
Vascular study
1.21
0.42
0.41
0.42
0.41
0.05
XXX93978

A
Vascular study
0.65
6.03
5.28
NA
NA
0.43
XXX93978
TC
A
Vascular study
0.00
5.82
5.06
NA
NA
0.37
XXX93978
26
A
Vascular study
0.65
0.21
0.22
0.21
0.22
0.06
XXX93979

A
Vascular study
0.44
4.16
3.69
NA
NA
0.27
XXX93979
TC
A
Vascular study
0.00
4.02
3.54
NA
NA
0.24
XXX93979
26
A
Vascular study
0.44
0.14
0.15
0.14
0.15
0.03
XXX93980

A
Penile vascular study
1.25
3.48
3.16
NA
NA
0.42
XXX93980
TC
A
Penile vascular study
0.00
3.02
2.73
NA
NA
0.34
XXX93980
26
A
Penile vascular study
1.25
0.46
0.43
0.46
0.43
0.08
XXX93981

A
Penile vascular study
0.44
2.84
2.86
NA
NA
0.33
XXX93981
TC
A
Penile vascular study
0.00
2.68
2.71
NA
NA
0.31
XXX93981
26
A
Penile vascular study
0.44
0.16
0.15
0.16
0.15
0.02
XXX93982

R
Aneurysm pressure sens study
0.30
0.80
0.80
NA
NA
0.01
XXX93990

A
Doppler flow testing
0.25
5.22
4.61
NA
NA
0.26
XXX93990
TC
A
Doppler flow testing
0.00
5.16
4.53
NA
NA
0.23
XXX93990
26
A
Doppler flow testing
0.25
0.06
0.08
0.06
0.08
0.03
XXX94002

A
Vent mgmt inpat, init day
1.99
NA
NA
0.35
0.34
0.09
XXX94003

A
Vent mgmt inpat, subq day
1.37
NA
NA
0.32
0.32
0.06
XXX94004

A
Vent mgmt nf per day
1.00
NA
NA
0.23
0.23
0.04
XXX94005

B
Home vent mgmt supervision
1.50
0.70
0.70
NA
NA
0.06
XXX94010

A
Breathing capacity test
0.17
0.74
0.71
NA
NA
0.03
XXX94010
TC
A
Breathing capacity test
0.00
0.70
0.66
NA
NA
0.02
XXX94010
26
A
Breathing capacity test
0.17
0.04
0.05
0.04
0.05
0.01
XXX94014

A
Patient recorded spirometry
0.52
0.81
0.78
NA
NA
0.03
XXX94015

A
Patient recorded spirometry
0.00
0.67
0.63
NA
NA
0.01
XXX94016

A
Review patient spirometry
0.52
0.14
0.15
0.14
0.15
0.02
XXX94060

A
Evaluation of wheezing
0.31
1.32
1.19
NA
NA
0.07
XXX( print page 2692)94060
TC
A
Evaluation of wheezing
0.00
1.24
1.11
NA
NA
0.06
XXX94060
26
A
Evaluation of wheezing
0.31
0.08
0.08
0.08
0.08
0.01
XXX94070

A
Evaluation of wheezing
0.60
1.00
0.90
NA
NA
0.13
XXX94070
TC
A
Evaluation of wheezing
0.00
0.85
0.74
NA
NA
0.10
XXX94070
26
A
Evaluation of wheezing
0.60
0.15
0.16
0.15
0.16
0.03
XXX94150

B
Vital capacity test
0.07
0.48
0.47
NA
NA
0.02
XXX94150
TC
B
Vital capacity test
0.00
0.46
0.45
NA
NA
0.01
XXX94150
26
B
Vital capacity test
0.07
0.02
0.02
0.02
0.02
0.01
XXX94200

A
Lung function test (MBC/MVV)
0.11
0.51
0.47
NA
NA
0.03
XXX94200
TC
A
Lung function test (MBC/MVV)
0.00
0.48
0.44
NA
NA
0.02
XXX94200
26
A
Lung function test (MBC/MVV)
0.11
0.03
0.03
0.03
0.03
0.01
XXX94240

A
Residual lung capacity
0.26
0.82
0.74
NA
NA
0.06
XXX94240
TC
A
Residual lung capacity
0.00
0.76
0.67
NA
NA
0.05
XXX94240
26
A
Residual lung capacity
0.26
0.06
0.07
0.06
0.07
0.01
XXX94250

A
Expired gas collection
0.11
0.51
0.58
NA
NA
0.02
XXX94250
TC
A
Expired gas collection
0.00
0.48
0.55
NA
NA
0.01
XXX94250
26
A
Expired gas collection
0.11
0.03
0.03
0.03
0.03
0.01
XXX94260

A
Thoracic gas volume
0.13
0.76
0.66
NA
NA
0.05
XXX94260
TC
A
Thoracic gas volume
0.00
0.73
0.63
NA
NA
0.04
XXX94260
26
A
Thoracic gas volume
0.13
0.03
0.03
0.03
0.03
0.01
XXX94350

A
Lung nitrogen washout curve
0.26
0.61
0.69
NA
NA
0.05
XXX94350
TC
A
Lung nitrogen washout curve
0.00
0.55
0.62
NA
NA
0.04
XXX94350
26
A
Lung nitrogen washout curve
0.26
0.06
0.07
0.06
0.07
0.01
XXX94360

A
Measure airflow resistance
0.26
0.95
0.82
NA
NA
0.07
XXX94360
TC
A
Measure airflow resistance
0.00
0.89
0.75
NA
NA
0.06
XXX94360
26
A
Measure airflow resistance
0.26
0.06
0.07
0.06
0.07
0.01
XXX94370

A
Breath airway closing volume
0.26
0.60
0.66
NA
NA
0.03
XXX94370
TC
A
Breath airway closing volume
0.00
0.53
0.59
NA
NA
0.02
XXX94370
26
A
Breath airway closing volume
0.26
0.07
0.07
0.07
0.07
0.01
XXX94375

A
Respiratory flow volume loop
0.31
0.73
0.66
NA
NA
0.03
XXX94375
TC
A
Respiratory flow volume loop
0.00
0.65
0.58
NA
NA
0.02
XXX94375
26
A
Respiratory flow volume loop
0.31
0.08
0.08
0.08
0.08
0.01
XXX94400

A
CO2 breathing response curve
0.40
1.03
0.94
NA
NA
0.09
XXX94400
TC
A
CO2 breathing response curve
0.00
0.93
0.83
NA
NA
0.06
XXX94400
26
A
CO2 breathing response curve
0.40
0.10
0.11
0.10
0.11
0.03
XXX94450

A
Hypoxia response curve
0.40
1.01
0.92
NA
NA
0.04
XXX94450
TC
A
Hypoxia response curve
0.00
0.92
0.82
NA
NA
0.02
XXX94450
26
A
Hypoxia response curve
0.40
0.09
0.10
0.09
0.10
0.02
XXX94452

A
Hast w/report
0.31
1.27
1.14
NA
NA
0.04
XXX94452
TC
A
Hast w/report
0.00
1.20
1.06
NA
NA
0.02
XXX94452
26
A
Hast w/report
0.31
0.07
0.08
0.07
0.08
0.02
XXX94453

A
Hast w/oxygen titrate
0.40
1.69
1.60
NA
NA
0.04
XXX94453
TC
A
Hast w/oxygen titrate
0.00
1.59
1.49
NA
NA
0.02
XXX94453
26
A
Hast w/oxygen titrate
0.40
0.10
0.11
0.10
0.11
0.02
XXX94610

A
Surfactant admin thru tube
1.16
0.34
0.34
0.34
0.34
0.26
XXX94620

A
Pulmonary stress test/simple
0.64
0.79
1.64
NA
NA
0.13
XXX94620
TC
A
Pulmonary stress test/simple
0.00
0.63
1.46
NA
NA
0.10
XXX94620
26
A
Pulmonary stress test/simple
0.64
0.16
0.18
0.16
0.18
0.03
XXX94621

A
Pulm stress test/complex
1.42
3.18
2.69
NA
NA
0.16
XXX94621
TC
A
Pulm stress test/complex
0.00
2.73
2.25
NA
NA
0.10
XXX94621
26
A
Pulm stress test/complex
1.42
0.45
0.44
0.45
0.44
0.06
XXX94640

A
Airway inhalation treatment
0.00
0.38
0.34
NA
NA
0.02
XXX94642

C
Aerosol inhalation treatment
0.00
0.00
0.00
0.00
0.00
0.00
XXX94644

A
Cbt, 1st hour
0.00
0.96
0.96
NA
NA
0.02
XXX94645

A
Cbt, each addl hour
0.00
0.35
0.35
NA
NA
0.02
XXX94660

A
Pos airway pressure, CPAP
0.76
0.81
0.73
0.19
0.21
0.04
XXX94662

A
Neg press ventilation, cnp
0.76
NA
NA
0.20
0.21
0.03
XXX94664

A
Evaluate pt use of inhaler
0.00
0.40
0.36
NA
NA
0.04
XXX94667

A
Chest wall manipulation
0.00
0.54
0.53
NA
NA
0.05
XXX94668

A
Chest wall manipulation
0.00
0.51
0.48
NA
NA
0.02
XXX94680

A
Exhaled air analysis, o2
0.26
1.06
1.46
NA
NA
0.07
XXX94680
TC
A
Exhaled air analysis, o2
0.00
1.00
1.39
NA
NA
0.06
XXX94680
26
A
Exhaled air analysis, o2
0.26
0.06
0.07
0.06
0.07
0.01
XXX94681

A
Exhaled air analysis, o2/co2
0.20
1.07
1.79
NA
NA
0.13
XXX94681
TC
A
Exhaled air analysis, o2/co2
0.00
1.02
1.74
NA
NA
0.12
XXX94681
26
A
Exhaled air analysis, o2/co2
0.20
0.05
0.05
0.05
0.05
0.01
XXX94690

A
Exhaled air analysis
0.07
1.04
1.52
NA
NA
0.05
XXX94690
TC
A
Exhaled air analysis
0.00
1.02
1.50
NA
NA
0.04
XXX94690
26
A
Exhaled air analysis
0.07
0.02
0.02
0.02
0.02
0.01
XXX94720

A
Monoxide diffusing capacity
0.26
1.15
1.08
NA
NA
0.07
XXX94720
TC
A
Monoxide diffusing capacity
0.00
1.09
1.01
NA
NA
0.06
XXX94720
26
A
Monoxide diffusing capacity
0.26
0.06
0.07
0.06
0.07
0.01
XXX( print page 2693)94725

A
Membrane diffusion capacity
0.26
0.98
1.94
NA
NA
0.13
XXX94725
TC
A
Membrane diffusion capacity
0.00
0.91
1.87
NA
NA
0.12
XXX94725
26
A
Membrane diffusion capacity
0.26
0.07
0.07
0.07
0.07
0.01
XXX94750

A
Pulmonary compliance study
0.23
1.77
1.55
NA
NA
0.05
XXX94750
TC
A
Pulmonary compliance study
0.00
1.71
1.49
NA
NA
0.04
XXX94750
26
A
Pulmonary compliance study
0.23
0.06
0.06
0.06
0.06
0.01
XXX94760

T
Measure blood oxygen level
0.00
0.06
0.05
NA
NA
0.02
XXX94761

T
Measure blood oxygen level
0.00
0.11
0.09
NA
NA
0.06
XXX94762

A
Measure blood oxygen level
0.00
0.84
0.66
NA
NA
0.10
XXX94770

A
Exhaled carbon dioxide test
0.15
0.81
0.78
NA
NA
0.08
XXX94770
TC
A
Exhaled carbon dioxide test
0.00
0.77
0.74
NA
NA
0.07
XXX94770
26
A
Exhaled carbon dioxide test
0.15
0.04
0.04
0.04
0.04
0.01
XXX94772

C
Breath recording, infant
0.00
0.00
0.00
NA
NA
0.00
XXX94772
TC
C
Breath recording, infant
0.00
0.00
0.00
NA
NA
0.00
XXX94772
26
C
Breath recording, infant
0.00
0.00
0.00
0.00
0.00
0.00
XXX94774

C
Ped home apnea rec, compl
0.00
0.00
0.00
0.00
0.00
0.00
YYY94775

C
Ped home apnea rec, hk-up
0.00
0.00
0.00
0.00
0.00
0.00
YYY94776

C
Ped home apnea rec, downld
0.00
0.00
0.00
0.00
0.00
0.00
YYY94777

C
Ped home apnea rec, report
0.00
0.00
0.00
0.00
0.00
0.00
YYY94799

C
Pulmonary service/procedure
0.00
0.00
0.00
NA
NA
0.00
XXX94799
TC
C
Pulmonary service/procedure
0.00
0.00
0.00
NA
NA
0.00
XXX94799
26
C
Pulmonary service/procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX95004

A
Percut allergy skin tests
0.01
0.15
0.13
NA
NA
0.01
XXX95010

A
Percut allergy titrate test
0.15
0.31
0.32
NA
NA
0.01
XXX95012

A
Exhaled nitric oxide meas
0.00
0.49
0.49
NA
NA
0.01
XXX95015

A
Id allergy titrate-drug/bug
0.15
0.21
0.18
NA
NA
0.01
XXX95024

A
Id allergy test, drug/bug
0.01
0.17
0.16
NA
NA
0.01
XXX95027

A
Id allergy titrate-airborne
0.01
0.10
0.12
NA
NA
0.01
XXX95028

A
Id allergy test-delayed type
0.00
0.31
0.27
NA
NA
0.01
XXX95044

A
Allergy patch tests
0.00
0.15
0.18
NA
NA
0.01
XXX95052

A
Photo patch test
0.00
0.16
0.20
NA
NA
0.01
XXX95056

A
Photosensitivity tests
0.00
1.25
0.71
NA
NA
0.01
XXX95060

A
Eye allergy tests
0.00
0.73
0.54
0.73
0.54
0.02
XXX95065

A
Nose allergy test
0.00
0.70
0.45
0.70
0.45
0.01
XXX95070

A
Bronchial allergy tests
0.00
0.81
1.55
NA
NA
0.02
XXX95071

A
Bronchial allergy tests
0.00
0.98
1.95
NA
NA
0.02
XXX95075

A
Ingestion challenge test
0.95
0.68
0.75
0.26
0.32
0.03
XXX95115

A
Immunotherapy, one injection
0.00
0.23
0.31
NA
NA
0.02
XXX95117

A
Immunotherapy injections
0.00
0.28
0.39
NA
NA
0.02
XXX95120

I
Immunotherapy, one injection
0.00
0.00
0.00
0.00
0.00
0.00
XXX95125

I
Immunotherapy, many antigens
0.00
0.00
0.00
0.00
0.00
0.00
XXX95130

I
Immunotherapy, insect venom
0.00
0.00
0.00
0.00
0.00
0.00
XXX95131

I
Immunotherapy, insect venoms
0.00
0.00
0.00
0.00
0.00
0.00
XXX95132

I
Immunotherapy, insect venoms
0.00
0.00
0.00
0.00
0.00
0.00
XXX95133

I
Immunotherapy, insect venoms
0.00
0.00
0.00
0.00
0.00
0.00
XXX95134

I
Immunotherapy, insect venoms
0.00
0.00
0.00
0.00
0.00
0.00
XXX95144

A
Antigen therapy services
0.06
0.27
0.23
0.02
0.02
0.01
XXX95145

A
Antigen therapy services
0.06
0.36
0.34
0.02
0.02
0.01
XXX95146

A
Antigen therapy services
0.06
0.68
0.56
0.02
0.02
0.01
XXX95147

A
Antigen therapy services
0.06
0.66
0.54
0.02
0.02
0.01
XXX95148

A
Antigen therapy services
0.06
0.98
0.78
0.02
0.02
0.01
XXX95149

A
Antigen therapy services
0.06
1.30
1.05
0.02
0.02
0.01
XXX95165

A
Antigen therapy services
0.06
0.26
0.23
0.02
0.02
0.01
XXX95170

A
Antigen therapy services
0.06
0.20
0.17
0.02
0.02
0.01
XXX95180

A
Rapid desensitization
2.01
1.66
1.85
0.77
0.85
0.04
XXX95199

C
Allergy immunology services
0.00
0.00
0.00
0.00
0.00
0.00
XXX95250

A
Glucose monitoring, cont
0.00
3.50
3.80
NA
NA
0.01
XXX95251

A
Gluc monitor, cont, phys i&r
0.85
0.26
0.22
0.26
0.22
0.02
XXX95805

A
Multiple sleep latency test
1.88
7.02
12.14
NA
NA
0.43
XXX95805
TC
A
Multiple sleep latency test
0.00
6.51
11.56
NA
NA
0.34
XXX95805
26
A
Multiple sleep latency test
1.88
0.51
0.58
0.51
0.58
0.09
XXX95806

A
Sleep study, unattended
1.66
3.93
3.64
NA
NA
0.39
XXX95806
TC
A
Sleep study, unattended
0.00
3.46
3.13
NA
NA
0.31
XXX95806
26
A
Sleep study, unattended
1.66
0.47
0.51
0.47
0.51
0.08
XXX95807

A
Sleep study, attended
1.66
12.31
12.08
NA
NA
0.50
XXX95807
TC
A
Sleep study, attended
0.00
11.90
11.61
NA
NA
0.42
XXX95807
26
A
Sleep study, attended
1.66
0.41
0.47
0.41
0.47
0.08
XXX95808

A
Polysomnography, 1-3
2.65
15.76
14.48
NA
NA
0.55
XXX95808
TC
A
Polysomnography, 1-3
0.00
15.06
13.67
NA
NA
0.42
XXX95808
26
A
Polysomnography, 1-3
2.65
0.70
0.81
0.70
0.81
0.13
XXX95810

A
Polysomnography, 4 or more
3.52
17.70
17.60
NA
NA
0.59
XXX95810
TC
A
Polysomnography, 4 or more
0.00
16.80
16.56
NA
NA
0.42
XXX( print page 2694)95810
26
A
Polysomnography, 4 or more
3.52
0.90
1.04
0.90
1.04
0.17
XXX95811

A
Polysomnography w/cpap
3.79
19.70
19.45
NA
NA
0.61
XXX95811
TC
A
Polysomnography w/cpap
0.00
18.74
18.34
NA
NA
0.43
XXX95811
26
A
Polysomnography w/cpap
3.79
0.96
1.11
0.96
1.11
0.18
XXX95812

A
Eeg, 41-60 minutes
1.08
5.90
4.97
NA
NA
0.17
XXX95812
TC
A
Eeg, 41-60 minutes
0.00
5.60
4.59
NA
NA
0.11
XXX95812
26
A
Eeg, 41-60 minutes
1.08
0.30
0.38
0.30
0.38
0.06
XXX95813

A
Eeg, over 1 hour
1.73
6.52
5.77
NA
NA
0.20
XXX95813
TC
A
Eeg, over 1 hour
0.00
6.04
5.18
NA
NA
0.11
XXX95813
26
A
Eeg, over 1 hour
1.73
0.48
0.59
0.48
0.59
0.09
XXX95816

A
Eeg, awake and drowsy
1.08
5.28
4.49
NA
NA
0.16
XXX95816
TC
A
Eeg, awake and drowsy
0.00
4.98
4.11
NA
NA
0.10
XXX95816
26
A
Eeg, awake and drowsy
1.08
0.30
0.38
0.30
0.38
0.06
XXX95819

A
Eeg, awake and asleep
1.08
6.13
4.56
NA
NA
0.16
XXX95819
TC
A
Eeg, awake and asleep
0.00
5.83
4.18
NA
NA
0.10
XXX95819
26
A
Eeg, awake and asleep
1.08
0.30
0.38
0.30
0.38
0.06
XXX95822

A
Eeg, coma or sleep only
1.08
5.52
5.06
NA
NA
0.19
XXX95822
TC
A
Eeg, coma or sleep only
0.00
5.22
4.68
NA
NA
0.13
XXX95822
26
A
Eeg, coma or sleep only
1.08
0.30
0.38
0.30
0.38
0.06
XXX95824

C
Eeg, cerebral death only
0.00
0.00
0.00
NA
NA
0.00
XXX95824
TC
C
Eeg, cerebral death only
0.00
0.00
0.00
NA
NA
0.00
XXX95824
26
A
Eeg, cerebral death only
0.74
0.21
0.26
0.21
0.26
0.04
XXX95827

A
Eeg, all night recording
1.08
11.54
7.12
NA
NA
0.19
XXX95827
TC
A
Eeg, all night recording
0.00
11.24
6.77
NA
NA
0.14
XXX95827
26
A
Eeg, all night recording
1.08
0.30
0.35
0.30
0.35
0.05
XXX95829

A
Surgery electrocorticogram
6.20
24.77
27.90
NA
NA
0.50
XXX95829
TC
A
Surgery electrocorticogram
0.00
23.01
25.86
NA
NA
0.02
XXX95829
26
A
Surgery electrocorticogram
6.20
1.76
2.04
1.76
2.04
0.48
XXX95830

A
Insert electrodes for EEG
1.70
2.97
3.13
0.41
0.57
0.11
XXX95831

A
Limb muscle testing, manual
0.28
0.40
0.43
0.09
0.11
0.01
XXX95832

A
Hand muscle testing, manual
0.29
0.37
0.35
0.10
0.11
0.02
XXX95833

A
Body muscle testing, manual
0.47
0.50
0.54
0.14
0.18
0.02
XXX95834

A
Body muscle testing, manual
0.60
0.54
0.58
0.17
0.23
0.03
XXX95851

A
Range of motion measurements
0.16
0.26
0.31
0.04
0.06
0.01
XXX95852

A
Range of motion measurements
0.11
0.24
0.25
0.04
0.04
0.01
XXX95857

A
Tensilon test
0.53
0.58
0.59
0.16
0.19
0.02
XXX95860

A
Muscle test, one limb
0.96
1.16
1.29
NA
NA
0.07
XXX95860
TC
A
Muscle test, one limb
0.00
0.84
0.92
NA
NA
0.02
XXX95860
26
A
Muscle test, one limb
0.96
0.32
0.37
0.32
0.37
0.05
XXX95861

A
Muscle test, 2 limbs
1.54
1.66
1.53
NA
NA
0.13
XXX95861
TC
A
Muscle test, 2 limbs
0.00
1.15
0.94
NA
NA
0.06
XXX95861
26
A
Muscle test, 2 limbs
1.54
0.51
0.59
0.51
0.59
0.07
XXX95863

A
Muscle test, 3 limbs
1.87
1.92
1.82
NA
NA
0.15
XXX95863
TC
A
Muscle test, 3 limbs
0.00
1.35
1.14
NA
NA
0.06
XXX95863
26
A
Muscle test, 3 limbs
1.87
0.57
0.68
0.57
0.68
0.09
XXX95864

A
Muscle test, 4 limbs
1.99
2.14
2.40
NA
NA
0.21
XXX95864
TC
A
Muscle test, 4 limbs
0.00
1.53
1.66
NA
NA
0.12
XXX95864
26
A
Muscle test, 4 limbs
1.99
0.61
0.74
0.61
0.74
0.09
XXX95865

A
Muscle test, larynx
1.57
1.39
1.42
NA
NA
0.11
XXX95865
TC
A
Muscle test, larynx
0.00
0.90
0.79
NA
NA
0.03
XXX95865
26
A
Muscle test, larynx
1.57
0.49
0.63
0.49
0.63
0.08
XXX95866

A
Muscle test, hemidiaphragm
1.25
1.32
1.03
NA
NA
0.10
XXX95866
TC
A
Muscle test, hemidiaphragm
0.00
0.93
0.56
NA
NA
0.03
XXX95866
26
A
Muscle test, hemidiaphragm
1.25
0.39
0.47
0.39
0.47
0.07
XXX95867

A
Muscle test cran nerv unilat
0.79
1.15
1.04
NA
NA
0.07
XXX95867
TC
A
Muscle test cran nerv unilat
0.00
0.91
0.75
NA
NA
0.04
XXX95867
26
A
Muscle test cran nerv unilat
0.79
0.24
0.29
0.24
0.29
0.03
XXX95868

A
Muscle test cran nerve bilat
1.18
1.47
1.35
NA
NA
0.10
XXX95868
TC
A
Muscle test cran nerve bilat
0.00
1.11
0.91
NA
NA
0.05
XXX95868
26
A
Muscle test cran nerve bilat
1.18
0.36
0.44
0.36
0.44
0.05
XXX95869

A
Muscle test, thor paraspinal
0.37
1.03
0.70
NA
NA
0.04
XXX95869
TC
A
Muscle test, thor paraspinal
0.00
0.91
0.56
NA
NA
0.02
XXX95869
26
A
Muscle test, thor paraspinal
0.37
0.12
0.14
0.12
0.14
0.02
XXX95870

A
Muscle test, nonparaspinal
0.37
0.99
0.68
NA
NA
0.04
XXX95870
TC
A
Muscle test, nonparaspinal
0.00
0.87
0.54
NA
NA
0.02
XXX95870
26
A
Muscle test, nonparaspinal
0.37
0.12
0.14
0.12
0.14
0.02
XXX95872

A
Muscle test, one fiber
2.88
1.64
1.43
NA
NA
0.13
XXX95872
TC
A
Muscle test, one fiber
0.00
0.76
0.68
NA
NA
0.05
XXX95872
26
A
Muscle test, one fiber
2.88
0.88
0.75
0.88
0.75
0.08
XXX95873

A
Guide nerv destr, elec stim
0.37
1.02
0.69
NA
NA
0.04
ZZZ95873
TC
A
Guide nerv destr, elec stim
0.00
0.88
0.54
NA
NA
0.02
ZZZ95873
26
A
Guide nerv destr, elec stim
0.37
0.14
0.15
0.14
0.15
0.02
ZZZ( print page 2695)95874

A
Guide nerv destr, needle emg
0.37
0.95
0.67
NA
NA
0.04
ZZZ95874
TC
A
Guide nerv destr, needle emg
0.00
0.83
0.52
NA
NA
0.02
ZZZ95874
26
A
Guide nerv destr, needle emg
0.37
0.12
0.15
0.12
0.15
0.02
ZZZ95875

A
Limb exercise test
1.10
1.48
1.46
NA
NA
0.11
XXX95875
TC
A
Limb exercise test
0.00
1.09
1.03
NA
NA
0.06
XXX95875
26
A
Limb exercise test
1.10
0.39
0.43
0.39
0.43
0.05
XXX95900

A
Motor nerve conduction test
0.42
0.92
1.09
NA
NA
0.04
XXX95900
TC
A
Motor nerve conduction test
0.00
0.78
0.93
NA
NA
0.02
XXX95900
26
A
Motor nerve conduction test
0.42
0.14
0.16
0.14
0.16
0.02
XXX95903

A
Motor nerve conduction test
0.60
1.00
1.10
NA
NA
0.05
XXX95903
TC
A
Motor nerve conduction test
0.00
0.83
0.88
NA
NA
0.02
XXX95903
26
A
Motor nerve conduction test
0.60
0.17
0.22
0.17
0.22
0.03
XXX95904

A
Sense nerve conduction test
0.34
0.84
0.97
NA
NA
0.04
XXX95904
TC
A
Sense nerve conduction test
0.00
0.74
0.84
NA
NA
0.02
XXX95904
26
A
Sense nerve conduction test
0.34
0.10
0.13
0.10
0.13
0.02
XXX95920

A
Intraop nerve test add-on
2.11
1.72
1.99
NA
NA
0.23
ZZZ95920
TC
A
Intraop nerve test add-on
0.00
1.10
1.21
NA
NA
0.07
ZZZ95920
26
A
Intraop nerve test add-on
2.11
0.62
0.78
0.62
0.78
0.16
ZZZ95921

A
Autonomic nerv function test
0.90
1.16
0.94
NA
NA
0.06
XXX95921
TC
A
Autonomic nerv function test
0.00
0.91
0.65
NA
NA
0.02
XXX95921
26
A
Autonomic nerv function test
0.90
0.25
0.29
0.25
0.29
0.04
XXX95922

A
Autonomic nerv function test
0.96
1.61
1.19
NA
NA
0.07
XXX95922
TC
A
Autonomic nerv function test
0.00
1.35
0.86
NA
NA
0.02
XXX95922
26
A
Autonomic nerv function test
0.96
0.26
0.33
0.26
0.33
0.05
XXX95923

A
Autonomic nerv function test
0.90
2.33
2.14
NA
NA
0.07
XXX95923
TC
A
Autonomic nerv function test
0.00
2.08
1.82
NA
NA
0.02
XXX95923
26
A
Autonomic nerv function test
0.90
0.25
0.32
0.25
0.32
0.05
XXX95925

A
Somatosensory testing
0.54
3.07
2.10
NA
NA
0.10
XXX95925
TC
A
Somatosensory testing
0.00
2.92
1.91
NA
NA
0.06
XXX95925
26
A
Somatosensory testing
0.54
0.15
0.19
0.15
0.19
0.04
XXX95926

A
Somatosensory testing
0.54
3.00
2.07
NA
NA
0.09
XXX95926
TC
A
Somatosensory testing
0.00
2.85
1.88
NA
NA
0.06
XXX95926
26
A
Somatosensory testing
0.54
0.15
0.19
0.15
0.19
0.03
XXX95927

A
Somatosensory testing
0.54
3.13
2.15
NA
NA
0.10
XXX95927
TC
A
Somatosensory testing
0.00
2.97
1.94
NA
NA
0.06
XXX95927
26
A
Somatosensory testing
0.54
0.16
0.21
0.16
0.21
0.04
XXX95928

A
C motor evoked, uppr limbs
1.50
3.94
3.48
NA
NA
0.09
XXX95928
TC
A
C motor evoked, uppr limbs
0.00
3.50
2.94
NA
NA
0.03
XXX95928
26
A
C motor evoked, uppr limbs
1.50
0.44
0.54
0.44
0.54
0.06
XXX95929

A
C motor evoked, lwr limbs
1.50
4.26
3.74
NA
NA
0.09
XXX95929
TC
A
C motor evoked, lwr limbs
0.00
3.82
3.19
NA
NA
0.03
XXX95929
26
A
C motor evoked, lwr limbs
1.50
0.44
0.55
0.44
0.55
0.06
XXX95930

A
Visual evoked potential test
0.35
2.64
2.45
NA
NA
0.03
XXX95930
TC
A
Visual evoked potential test
0.00
2.54
2.32
NA
NA
0.01
XXX95930
26
A
Visual evoked potential test
0.35
0.10
0.13
0.10
0.13
0.02
XXX95933

A
Blink reflex test
0.59
1.11
1.07
NA
NA
0.10
XXX95933
TC
A
Blink reflex test
0.00
0.94
0.86
NA
NA
0.06
XXX95933
26
A
Blink reflex test
0.59
0.17
0.21
0.17
0.21
0.04
XXX95934

A
H-reflex test
0.51
0.85
0.64
NA
NA
0.04
XXX95934
TC
A
H-reflex test
0.00
0.70
0.45
NA
NA
0.02
XXX95934
26
A
H-reflex test
0.51
0.15
0.19
0.15
0.19
0.02
XXX95936

A
H-reflex test
0.55
0.59
0.52
NA
NA
0.05
XXX95936
TC
A
H-reflex test
0.00
0.43
0.32
NA
NA
0.02
XXX95936
26
A
H-reflex test
0.55
0.16
0.20
0.16
0.20
0.03
XXX95937

A
Neuromuscular junction test
0.65
0.92
0.76
NA
NA
0.10
XXX95937
TC
A
Neuromuscular junction test
0.00
0.72
0.53
NA
NA
0.02
XXX95937
26
A
Neuromuscular junction test
0.65
0.20
0.23
0.20
0.23
0.08
XXX95950

A
Ambulatory eeg monitoring
1.51
4.93
4.43
NA
NA
0.51
XXX95950
TC
A
Ambulatory eeg monitoring
0.00
4.50
3.90
NA
NA
0.43
XXX95950
26
A
Ambulatory eeg monitoring
1.51
0.43
0.53
0.43
0.53
0.08
XXX95951

C
EEG monitoring/videorecord
0.00
0.00
0.00
NA
NA
0.00
XXX95951
TC
C
EEG monitoring/videorecord
0.00
0.00
0.00
NA
NA
0.00
XXX95951
26
A
EEG monitoring/videorecord
5.99
1.68
2.12
1.68
2.12
0.32
XXX95953

A
EEG monitoring/computer
3.30
7.22
7.43
NA
NA
0.60
XXX95953
TC
A
EEG monitoring/computer
0.00
6.29
6.32
NA
NA
0.43
XXX95953
26
A
EEG monitoring/computer
3.30
0.93
1.11
0.93
1.11
0.17
XXX95954

A
EEG monitoring/giving drugs
2.45
4.38
4.30
NA
NA
0.19
XXX95954
TC
A
EEG monitoring/giving drugs
0.00
3.96
3.57
NA
NA
0.06
XXX95954
26
A
EEG monitoring/giving drugs
2.45
0.42
0.73
0.42
0.73
0.13
XXX95955

A
EEG during surgery
1.01
2.76
2.54
NA
NA
0.22
XXX95955
TC
A
EEG during surgery
0.00
2.48
2.22
NA
NA
0.17
XXX95955
26
A
EEG during surgery
1.01
0.28
0.32
0.28
0.32
0.05
XXX( print page 2696)95956

A
Eeg monitoring, cable/radio
3.08
16.30
15.86
NA
NA
0.59
XXX95956
TC
A
Eeg monitoring, cable/radio
0.00
15.44
14.78
NA
NA
0.43
XXX95956
26
A
Eeg monitoring, cable/radio
3.08
0.86
1.08
0.86
1.08
0.16
XXX95957

A
EEG digital analysis
1.98
5.85
4.20
NA
NA
0.23
XXX95957
TC
A
EEG digital analysis
0.00
5.30
3.50
NA
NA
0.12
XXX95957
26
A
EEG digital analysis
1.98
0.55
0.70
0.55
0.70
0.11
XXX95958

A
EEG monitoring/function test
4.24
6.70
5.10
NA
NA
0.34
XXX95958
TC
A
EEG monitoring/function test
0.00
5.47
3.61
NA
NA
0.13
XXX95958
26
A
EEG monitoring/function test
4.24
1.23
1.49
1.23
1.49
0.21
XXX95961

A
Electrode stimulation, brain
2.97
3.05
2.84
NA
NA
0.55
XXX95961
TC
A
Electrode stimulation, brain
0.00
2.18
1.74
NA
NA
0.07
XXX95961
26
A
Electrode stimulation, brain
2.97
0.87
1.10
0.87
1.10
0.48
XXX95962

A
Electrode stim, brain add-on
3.21
2.21
2.45
NA
NA
0.39
ZZZ95962
TC
A
Electrode stim, brain add-on
0.00
1.30
1.30
NA
NA
0.07
ZZZ95962
26
A
Electrode stim, brain add-on
3.21
0.91
1.15
0.91
1.15
0.32
ZZZ95965

C
Meg, spontaneous
0.00
0.00
0.00
NA
NA
0.00
XXX95965
TC
C
Meg, spontaneous
0.00
0.00
0.00
NA
NA
0.00
XXX95965
26
A
Meg, spontaneous
7.99
2.39
2.91
2.39
2.91
0.46
XXX95966

C
Meg, evoked, single
0.00
0.00
0.00
NA
NA
0.00
XXX95966
TC
C
Meg, evoked, single
0.00
0.00
0.00
NA
NA
0.00
XXX95966
26
A
Meg, evoked, single
3.99
1.19
1.45
1.19
1.45
0.19
XXX95967

C
Meg, evoked, each addÆl
0.00
0.00
0.00
NA
NA
0.00
ZZZ95967
TC
C
Meg, evoked, each addÆl
0.00
0.00
0.00
NA
NA
0.00
ZZZ95967
26
A
Meg, evoked, each addÆl
3.49
1.01
1.09
1.01
1.09
0.16
ZZZ95970

A
Analyze neurostim, no prog
0.45
0.90
0.87
0.13
0.13
0.03
XXX95971

A
Analyze neurostim, simple
0.78
0.58
0.63
0.18
0.20
0.07
XXX95972

A
Analyze neurostim, complex
1.50
1.15
1.18
0.44
0.46
0.14
XXX95973

A
Analyze neurostim, complex
0.92
0.49
0.55
0.22
0.28
0.07
ZZZ95974

A
Cranial neurostim, complex
3.00
1.44
1.57
0.78
1.04
0.16
XXX95975

A
Cranial neurostim, complex
1.70
0.73
0.81
0.47
0.60
0.12
ZZZ95978

A
Analyze neurostim brain/1h
3.50
1.86
1.90
1.02
1.16
0.18
XXX95979

A
Analyz neurostim brain addon
1.64
0.72
0.80
0.46
0.58
0.08
ZZZ95980

A
Io anal gast  n-stim init
0.80
NA
NA
0.25
0.25
0.07
XXX95981

A
Io anal gast n-stim subsq
0.30
0.44
0.44
0.12
0.12
0.02
XXX95982

A
Io ga n-stim subsq w/reprog
0.65
0.47
0.47
0.18
0.18
0.05
XXX95990

A
Spin/brain pump refil & main
0.00
1.62
1.56
NA
NA
0.06
XXX95991

A
Spin/brain pump refil & main
0.77
1.61
1.55
0.17
0.17
0.06
XXX95999

C
Neurological procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX96000

A
Motion analysis, video/3d
1.80
NA
NA
0.44
0.48
0.11
XXX96001

A
Motion test w/ft press meas
2.15
NA
NA
0.56
0.61
0.10
XXX96002

A
Dynamic surface emg
0.41
NA
NA
0.10
0.13
0.02
XXX96003

A
Dynamic fine wire emg
0.37
NA
NA
0.09
0.10
0.02
XXX96004

A
Phys review of motion tests
2.14
0.65
0.79
0.65
0.79
0.11
XXX96020

C
Functional brain mapping
0.00
0.00
0.00
NA
NA
0.00
XXX96020
TC
C
Functional brain mapping
0.00
0.00
0.00
NA
NA
0.00
XXX96020
26
A
Functional brain mapping
3.43
1.07
1.07
1.07
1.07
0.17
XXX96040

B
Genetic counseling, 30 min
0.00
0.98
0.98
NA
NA
0.01
XXX96101

A
Psycho testing by psych/phys
1.86
0.35
0.50
0.33
0.48
0.05
XXX96102

A
Psycho testing by technician
0.50
1.10
0.88
0.09
0.13
0.01
XXX96103

A
Psycho testing admin by comp
0.51
0.92
0.56
0.10
0.14
0.02
XXX96105

A
Assessment of aphasia
0.00
1.66
1.71
NA
NA
0.18
XXX96110

A
Developmental test, lim
0.00
0.19
0.18
NA
NA
0.18
XXX96111

A
Developmental test, extend
2.60
0.69
0.87
0.58
0.81
0.18
XXX96116

A
Neurobehavioral status exam
1.86
0.53
0.68
0.40
0.52
0.18
XXX96118

A
Neuropsych tst by psych/phys
1.86
0.84
1.11
0.33
0.48
0.18
XXX96119

A
Neuropsych testing by tec
0.55
1.53
1.27
0.10
0.14
0.18
XXX96120

A
Neuropsych tst admin w/comp
0.51
1.69
1.21
0.10
0.13
0.02
XXX96125

A
Cognitive test by hc pro
1.70
0.76
0.76
0.37
0.37
0.16
XXX96150

A
Assess hlth/behave, init
0.50
0.10
0.14
0.09
0.13
0.01
XXX96151

A
Assess hlth/behave, subseq
0.48
0.10
0.14
0.09
0.13
0.01
XXX96152

A
Intervene hlth/behave, indiv
0.46
0.09
0.13
0.08
0.12
0.01
XXX96153

A
Intervene hlth/behave, group
0.10
0.02
0.03
0.02
0.02
0.01
XXX96154

A
Interv hlth/behav, fam w/pt
0.45
0.09
0.13
0.08
0.12
0.01
XXX96155

N
Interv hlth/behav fam no pt
0.44
0.10
0.14
0.10
0.14
0.02
XXX96401

A
Chemo, anti-neopl, sq/im
0.21
1.86
1.51
NA
NA
0.01
XXX96402

A
Chemo hormon antineopl sq/im
0.19
0.78
0.89
NA
NA
0.01
XXX96405

A
Chemo intralesional, up to 7
0.52
3.69
3.06
0.24
0.24
0.03
00096406

A
Chemo intralesional over 7
0.80
3.62
3.31
0.32
0.31
0.03
00096409

A
Chemo, iv push, sngl drug
0.24
2.80
2.86
NA
NA
0.06
XXX96411

A
Chemo, iv push, addl drug
0.20
1.50
1.55
NA
NA
0.06
ZZZ96413

A
Chemo, iv infusion, 1 hr
0.28
3.64
3.91
NA
NA
0.08
XXX96415

A
Chemo, iv infusion, addl hr
0.19
0.66
0.71
NA
NA
0.07
ZZZ( print page 2697)96416

A
Chemo prolong infuse w/pump
0.21
4.09
4.34
NA
NA
0.08
XXX96417

A
Chemo iv infus each addl seq
0.21
1.73
1.84
NA
NA
0.07
ZZZ96420

A
Chemo, ia, push tecnique
0.17
2.78
2.72
NA
NA
0.08
XXX96422

A
Chemo ia infusion up to 1 hr
0.17
4.50
4.66
NA
NA
0.08
XXX96423

A
Chemo ia infuse each addl hr
0.17
1.99
1.94
NA
NA
0.02
ZZZ96425

A
Chemotherapy,infusion method
0.17
4.67
4.57
NA
NA
0.08
XXX96440

A
Chemotherapy, intracavitary
2.37
5.56
6.84
0.98
1.10
0.17
00096445

A
Chemotherapy, intracavitary
2.20
5.42
6.73
0.96
1.07
0.14
00096450

A
Chemotherapy, into CNS
1.53
4.99
5.97
0.83
1.06
0.09
00096521

A
Refill/maint, portable pump
0.21
3.16
3.46
NA
NA
0.06
XXX96522

A
Refill/maint pump/resvr syst
0.21
2.78
2.71
NA
NA
0.06
XXX96523

T
Irrig drug delivery device
0.04
0.64
0.67
NA
NA
0.01
XXX96542

A
Chemotherapy injection
0.75
3.56
3.90
0.32
0.49
0.07
XXX96549

C
Chemotherapy, unspecified
0.00
0.00
0.00
0.00
0.00
0.00
XXX96567

A
Photodynamic tx, skin
0.00
3.74
2.85
NA
NA
0.04
XXX96570

A
Photodynamic tx, 30 min
1.10
0.40
0.38
0.40
0.38
0.11
ZZZ96571

A
Photodynamic tx, addl 15 min
0.55
0.19
0.19
0.19
0.19
0.03
ZZZ96900

A
Ultraviolet light therapy
0.00
0.57
0.50
NA
NA
0.02
XXX96902

B
Trichogram
0.41
0.11
0.15
0.09
0.13
0.01
XXX96904

R
Whole body photography
0.00
1.90
1.90
NA
NA
0.01
XXX96910

A
Photochemotherapy with UV-B
0.00
2.01
1.50
NA
NA
0.04
XXX96912

A
Photochemotherapy with UV-A
0.00
2.58
1.92
NA
NA
0.05
XXX96913

A
Photochemotherapy, UV-A or B
0.00
3.47
2.57
NA
NA
0.10
XXX96920

A
Laser tx, skin < 250 sq cm
1.15
3.58
3.06
0.56
0.56
0.02
00096921

A
Laser tx, skin 250-500 sq cm
1.17
3.33
2.97
0.51
0.54
0.03
00096922

A
Laser tx, skin > 500 sq cm
2.10
4.64
4.06
1.04
0.83
0.04
00096999

C
Dermatological procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX97001

A
Pt evaluation
1.20
0.65
0.70
NA
NA
0.05
XXX97002

A
Pt re-evaluation
0.60
0.41
0.42
NA
NA
0.02
XXX97003

A
Ot evaluation
1.20
0.76
0.82
NA
NA
0.06
XXX97004

A
Ot re-evaluation
0.60
0.54
0.61
NA
NA
0.02
XXX97005

I
Athletic train eval
0.00
0.00
0.00
0.00
0.00
0.00
XXX97006

I
Athletic train reeval
0.00
0.00
0.00
0.00
0.00
0.00
XXX97010

B
Hot or cold packs therapy
0.06
0.07
0.06
NA
NA
0.01
XXX97012

A
Mechanical traction therapy
0.25
0.14
0.14
NA
NA
0.01
XXX97014

I
Electric stimulation therapy
0.18
0.18
0.18
NA
NA
0.01
XXX97016

A
Vasopneumatic device therapy
0.18
0.24
0.21
NA
NA
0.01
XXX97018

A
Paraffin bath therapy
0.06
0.17
0.13
NA
NA
0.01
XXX97022

A
Whirlpool therapy
0.17
0.33
0.27
NA
NA
0.01
XXX97024

A
Diathermy eg, microwave
0.06
0.08
0.07
NA
NA
0.01
XXX97026

A
Infrared therapy
0.06
0.07
0.06
NA
NA
0.01
XXX97028

A
Ultraviolet therapy
0.08
0.08
0.08
NA
NA
0.01
XXX97032

A
Electrical stimulation
0.25
0.20
0.18
NA
NA
0.01
XXX97033

A
Electric current therapy
0.26
0.44
0.36
NA
NA
0.01
XXX97034

A
Contrast bath therapy
0.21
0.20
0.17
NA
NA
0.01
XXX97035

A
Ultrasound therapy
0.21
0.10
0.10
NA
NA
0.01
XXX97036

A
Hydrotherapy
0.28
0.44
0.38
NA
NA
0.01
XXX97039

C
Physical therapy treatment
0.00
0.00
0.00
0.00
0.00
0.00
XXX97110

A
Therapeutic exercises
0.45
0.32
0.29
NA
NA
0.02
XXX97112

A
Neuromuscular reeducation
0.45
0.34
0.33
NA
NA
0.01
XXX97113

A
Aquatic therapy/exercises
0.44
0.53
0.46
NA
NA
0.01
XXX97116

A
Gait training therapy
0.40
0.27
0.26
NA
NA
0.01
XXX97124

A
Massage therapy
0.35
0.27
0.25
NA
NA
0.01
XXX97139

C
Physical medicine procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX97140

A
Manual therapy
0.43
0.29
0.27
NA
NA
0.01
XXX97150

A
Group therapeutic procedures
0.27
0.22
0.20
NA
NA
0.01
XXX97530

A
Therapeutic activities
0.44
0.38
0.35
NA
NA
0.01
XXX97532

A
Cognitive skills development
0.44
0.22
0.21
NA
NA
0.01
XXX97533

A
Sensory integration
0.44
0.27
0.25
NA
NA
0.01
XXX97535

A
Self care mngment training
0.45
0.37
0.35
NA
NA
0.01
XXX97537

A
Community/work reintegration
0.45
0.28
0.27
NA
NA
0.01
XXX97542

A
Wheelchair mngment training
0.45
0.29
0.28
NA
NA
0.01
XXX97545

R
Work hardening
0.00
0.00
0.00
0.00
0.00
0.00
XXX97546

R
Work hardening add-on
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ97597

A
Active wound care/20 cm or <
0.58
1.10
0.88
0.12
0.39
0.05
XXX97598

A
Active wound care > 20 cm
0.80
1.27
1.03
0.17
0.48
0.05
XXX97602

B
Wound(s) care non-selective
0.00
0.00
0.00
0.00
0.00
0.00
XXX97605

A
Neg press wound tx, < 50 cm
0.55
0.40
0.37
0.11
0.17
0.02
XXX97606

A
Neg press wound tx, > 50 cm
0.60
0.41
0.38
0.13
0.18
0.03
XXX97750

A
Physical performance test
0.45
0.33
0.32
NA
NA
0.02
XXX97755

A
Assistive technology assess
0.62
0.27
0.28
NA
NA
0.02
XXX97760

A
Orthotic mgmt and training
0.45
0.42
0.38
NA
NA
0.03
XXX( print page 2698)97761

A
Prosthetic training
0.45
0.33
0.30
NA
NA
0.02
XXX97762

A
C/o for orthotic/prosth use
0.25
0.73
0.58
NA
NA
0.02
XXX97799

C
Physical medicine procedure
0.00
0.00
0.00
0.00
0.00
0.00
XXX97802

A
Medical nutrition, indiv, in
0.45
0.14
0.30
0.11
0.29
0.01
XXX97803

A
Med nutrition, indiv, subseq
0.37
0.12
0.29
0.09
0.28
0.01
XXX97804

A
Medical nutrition, group
0.25
0.08
0.13
0.07
0.12
0.01
XXX97810

N
Acupunct w/o stimul 15 min
0.60
0.26
0.32
0.14
0.18
0.03
XXX97811

N
Acupunct w/o stimul addl 15m
0.50
0.15
0.20
0.11
0.15
0.03
ZZZ97813

N
Acupunct w/stimul 15 min
0.65
0.27
0.33
0.15
0.20
0.03
XXX97814

N
Acupunct w/stimul addl 15m
0.55
0.19
0.24
0.13
0.17
0.03
ZZZ98925

A
Osteopathic manipulation
0.45
0.29
0.30
0.12
0.13
0.02
00098926

A
Osteopathic manipulation
0.65
0.37
0.39
0.17
0.21
0.03
00098927

A
Osteopathic manipulation
0.87
0.45
0.48
0.22
0.26
0.03
00098928

A
Osteopathic manipulation
1.03
0.51
0.55
0.26
0.30
0.04
00098929

A
Osteopathic manipulation
1.19
0.57
0.62
0.30
0.33
0.05
00098940

A
Chiropractic manipulation
0.45
0.21
0.22
0.12
0.12
0.01
00098941

A
Chiropractic manipulation
0.65
0.27
0.29
0.17
0.17
0.01
00098942

A
Chiropractic manipulation
0.87
0.33
0.35
0.24
0.23
0.02
00098943

N
Chiropractic manipulation
0.40
0.17
0.21
0.09
0.13
0.01
XXX98960

B
Self-mgmt educ & train, 1 pt
0.00
0.58
0.58
NA
NA
0.01
XXX98961

B
Self-mgmt educ/train, 2-4 pt
0.00
0.28
0.28
NA
NA
0.01
XXX98962

B
Self-mgmt educ/train, 5-8 pt
0.00
0.20
0.20
NA
NA
0.01
XXX98966

N
Hc pro phone call 5-10 min
0.25
0.09
0.09
0.06
0.06
0.01
XXX98967

N
Hc pro phone call 11-20 min
0.50
0.14
0.14
0.11
0.11
0.02
XXX98968

N
Hc pro phone call 21-30 min
0.75
0.20
0.20
0.17
0.17
0.03
XXX98969

N
Online service by hc pro
0.00
0.00
0.00
0.00
0.00
0.00
XXX99000

B
Specimen handling
0.00
0.00
0.00
0.00
0.00
0.00
XXX99001

B
Specimen handling
0.00
0.00
0.00
0.00
0.00
0.00
XXX99002

B
Device handling
0.00
0.00
0.00
0.00
0.00
0.00
XXX99024

B
Postop follow-up visit
0.00
0.00
0.00
0.00
0.00
0.00
XXX99026

N
In-hospital on call service
0.00
0.00
0.00
0.00
0.00
0.00
XXX99027

N
Out-of-hosp on call service
0.00
0.00
0.00
0.00
0.00
0.00
XXX99050

B
Medical services after hrs
0.00
0.00
0.00
0.00
0.00
0.00
XXX99051

B
Med serv, eve/wkend/holiday
0.00
0.00
0.00
0.00
0.00
0.00
XXX99053

B
Med serv 10pm-8am, 24 hr fac
0.00
0.00
0.00
0.00
0.00
0.00
XXX99056

B
Med service out of office
0.00
0.00
0.00
0.00
0.00
0.00
XXX99058

B
Office emergency care
0.00
0.00
0.00
0.00
0.00
0.00
XXX99060

B
Out of office emerg med serv
0.00
0.00
0.00
0.00
0.00
0.00
XXX99070

B
Special supplies
0.00
0.00
0.00
0.00
0.00
0.00
XXX99071

B
Patient education materials
0.00
0.00
0.00
0.00
0.00
0.00
XXX99075

N
Medical testimony
0.00
0.00
0.00
0.00
0.00
0.00
XXX99078

B
Group health education
0.00
0.00
0.00
0.00
0.00
0.00
XXX99080

B
Special reports or forms
0.00
0.00
0.00
0.00
0.00
0.00
XXX99082

C
Unusual physician travel
0.00
0.00
0.00
0.00
0.00
0.00
XXX99090

B
Computer data analysis
0.00
0.00
0.00
0.00
0.00
0.00
XXX99091

B
Collect/review data from pt
1.10
0.25
0.25
NA
NA
0.04
XXX99100

B
Special anesthesia service
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ99116

B
Anesthesia with hypothermia
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ99135

B
Special anesthesia procedure
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ99140

B
Emergency anesthesia
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ99143

C
Mod cs by same phys, < 5 yrs
0.00
0.00
0.00
0.00
0.00
0.00
XXX99144

C
Mod cs by same phys, 5 yrs +
0.00
0.00
0.00
0.00
0.00
0.00
XXX99145

C
Mod cs by same phys add-on
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ99148

C
Mod cs diff phys < 5 yrs
0.00
0.00
0.00
0.00
0.00
0.00
XXX99149

C
Mod cs diff phys 5 yrs +
0.00
0.00
0.00
0.00
0.00
0.00
XXX99150

C
Mod cs diff phys add-on
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ99170

A
Anogenital exam, child
1.75
1.83
1.80
0.61
0.58
0.08
00099172

N
Ocular function screen
0.00
0.00
0.00
0.00
0.00
0.00
XXX99173

N
Visual acuity screen
0.00
0.06
0.06
NA
NA
0.01
XXX99174

N
Ocular photoscreening
0.00
0.00
0.00
0.00
0.00
0.00
XXX99175

A
Induction of vomiting
0.00
0.36
0.87
NA
NA
0.10
XXX99183

A
Hyperbaric oxygen therapy
2.34
2.60
2.92
0.57
0.65
0.16
XXX99185

A
Regional hypothermia
0.00
1.67
1.15
NA
NA
0.04
XXX99186

A
Total body hypothermia
0.00
1.63
1.71
NA
NA
0.45
XXX99190

X
Special pump services
0.00
0.00
0.00
0.00
0.00
0.00
XXX99191

X
Special pump services
0.00
0.00
0.00
0.00
0.00
0.00
XXX99192

X
Special pump services
0.00
0.00
0.00
0.00
0.00
0.00
XXX99195

A
Phlebotomy
0.00
2.56
1.50
NA
NA
0.02
XXX99199

C
Special service/proc/report
0.00
0.00
0.00
0.00
0.00
0.00
XXX99201

A
Office/outpatient visit, new
0.45
0.55
0.52
0.16
0.15
0.03
XXX99202

A
Office/outpatient visit, new
0.88
0.84
0.81
0.29
0.30
0.05
XXX99203

A
Office/outpatient visit, new
1.34
1.11
1.12
0.43
0.45
0.09
XXX( print page 2699)99204

A
Office/outpatient visit, new
2.30
1.49
1.49
0.71
0.71
0.12
XXX99205

A
Office/outpatient visit, new
3.00
1.79
1.78
0.91
0.93
0.15
XXX99211

A
Office/outpatient visit, est
0.17
0.32
0.36
0.06
0.06
0.01
XXX99212

A
Office/outpatient visit, est
0.45
0.55
0.55
0.15
0.15
0.03
XXX99213

A
Office/outpatient visit, est
0.92
0.76
0.73
0.28
0.26
0.03
XXX99214

A
Office/outpatient visit, est
1.42
1.10
1.06
0.44
0.42
0.05
XXX99215

A
Office/outpatient visit, est
2.00
1.38
1.35
0.61
0.63
0.08
XXX99217

A
Observation care discharge
1.28
NA
NA
0.50
0.51
0.06
XXX99218

A
Observation care
1.28
NA
NA
0.38
0.41
0.06
XXX99219

A
Observation care
2.14
NA
NA
0.59
0.65
0.10
XXX99220

A
Observation care
2.99
NA
NA
0.84
0.93
0.14
XXX99221

A
Initial hospital care
1.88
NA
NA
0.54
0.50
0.07
XXX99222

A
Initial hospital care
2.56
NA
NA
0.71
0.72
0.10
XXX99223

A
Initial hospital care
3.78
NA
NA
1.07
1.05
0.13
XXX99231

A
Subsequent hospital care
0.76
NA
NA
0.24
0.23
0.03
XXX99232

A
Subsequent hospital care
1.39
NA
NA
0.42
0.40
0.04
XXX99233

A
Subsequent hospital care
2.00
NA
NA
0.59
0.56
0.06
XXX99234

A
Observ/hosp same date
2.56
NA
NA
0.78
0.83
0.13
XXX99235

A
Observ/hosp same date
3.41
NA
NA
0.98
1.07
0.16
XXX99236

A
Observ/hosp same date
4.26
NA
NA
1.21
1.32
0.19
XXX99238

A
Hospital discharge day
1.28
NA
NA
0.49
0.52
0.05
XXX99239

A
Hospital discharge day
1.90
NA
NA
0.67
0.70
0.07
XXX99241

A
Office consultation
0.64
0.66
0.65
0.22
0.22
0.05
XXX99242

A
Office consultation
1.34
1.08
1.06
0.48
0.47
0.10
XXX99243

A
Office consultation
1.88
1.45
1.42
0.67
0.65
0.13
XXX99244

A
Office consultation
3.02
1.93
1.88
1.08
1.00
0.16
XXX99245

A
Office consultation
3.77
2.26
2.27
1.31
1.27
0.21
XXX99251

A
Inpatient consultation
1.00
NA
NA
0.31
0.27
0.05
XXX99252

A
Inpatient consultation
1.50
NA
NA
0.49
0.50
0.09
XXX99253

A
Inpatient consultation
2.27
NA
NA
0.80
0.74
0.11
XXX99254

A
Inpatient consultation
3.29
NA
NA
1.19
1.08
0.13
XXX99255

A
Inpatient consultation
4.00
NA
NA
1.39
1.37
0.18
XXX99281

A
Emergency dept visit
0.45
NA
NA
0.09
0.09
0.02
XXX99282

A
Emergency dept visit
0.88
NA
NA
0.17
0.15
0.04
XXX99283

A
Emergency dept visit
1.34
NA
NA
0.25
0.28
0.09
XXX99284

A
Emergency dept visit
2.56
NA
NA
0.46
0.47
0.14
XXX99285

A
Emergency dept visit
3.80
NA
NA
0.67
0.69
0.23
XXX99288

B
Direct advanced life support
0.00
0.00
0.00
0.00
0.00
0.00
XXX99289

A
Ped crit care transport
4.79
NA
NA
1.08
1.26
0.24
XXX99290

A
Ped crit care transport addl
2.40
NA
NA
0.89
0.85
0.12
ZZZ99291

A
Critical care, first hour
4.50
2.26
2.42
1.10
1.19
0.21
XXX99292

A
Critical care, addÆl 30 min
2.25
0.80
0.85
0.56
0.60
0.11
ZZZ99293

A
Ped critical care, initial
15.98
NA
NA
3.78
4.27
1.12
XXX99294

A
Ped critical care, subseq
7.99
NA
NA
1.65
2.03
0.45
XXX99295

A
Neonate crit care, initial
18.46
NA
NA
4.57
4.97
1.16
XXX99296

A
Neonate critical care subseq
7.99
NA
NA
2.06
2.30
0.32
XXX99298

A
Ic for lbw infant < 1500 gm
2.75
NA
NA
0.68
0.80
0.17
XXX99299

A
Ic, lbw infant 1500-2500 gm
2.50
NA
NA
0.58
0.72
0.16
XXX99300

A
Ic, infant pbw 2501-5000 gm
2.40
NA
NA
0.71
0.77
0.15
XXX99304

A
Nursing facility care, init
1.61
0.57
0.53
0.57
0.53
0.05
XXX99305

A
Nursing facility care, init
2.30
0.74
0.68
0.74
0.68
0.07
XXX99306

A
Nursing facility care, init
3.00
0.91
0.83
0.91
0.83
0.09
XXX99307

A
Nursing fac care, subseq
0.76
0.31
0.29
0.31
0.29
0.03
XXX99308

A
Nursing fac care, subseq
1.16
0.47
0.46
0.47
0.46
0.04
XXX99309

A
Nursing fac care, subseq
1.55
0.61
0.61
0.61
0.61
0.06
XXX99310

A
Nursing fac care, subseq
2.35
0.87
0.82
0.87
0.82
0.08
XXX99315

A
Nursing fac discharge day
1.13
0.41
0.43
0.41
0.43
0.05
XXX99316

A
Nursing fac discharge day
1.50
0.51
0.55
0.51
0.55
0.06
XXX99318

A
Annual nursing fac assessmnt
1.71
0.56
0.53
0.56
0.53
0.05
XXX99324

A
Domicil/r-home visit new pat
1.01
0.43
0.46
NA
NA
0.05
XXX99325

A
Domicil/r-home visit new pat
1.52
0.55
0.62
NA
NA
0.07
XXX99326

A
Domicil/r-home visit new pat
2.63
0.82
0.87
NA
NA
0.10
XXX99327

A
Domicil/r-home visit new pat
3.46
1.02
1.09
NA
NA
0.13
XXX99328

A
Domicil/r-home visit new pat
4.09
1.16
1.29
NA
NA
0.16
XXX99334

A
Domicil/r-home visit est pat
1.07
0.43
0.42
NA
NA
0.04
XXX99335

A
Domicil/r-home visit est pat
1.72
0.59
0.58
NA
NA
0.06
XXX99336

A
Domicil/r-home visit est pat
2.46
0.77
0.79
NA
NA
0.09
XXX99337

A
Domicil/r-home visit est pat
3.58
1.03
1.09
NA
NA
0.13
XXX99339

B
Domicil/r-home care supervis
1.25
0.58
0.58
NA
NA
0.06
XXX99340

B
Domicil/r-home care supervis
1.80
0.77
0.77
NA
NA
0.07
XXX99341

A
Home visit, new patient
1.01
0.43
0.45
NA
NA
0.05
XXX99342

A
Home visit, new patient
1.52
0.56
0.62
NA
NA
0.07
XXX( print page 2700)99343

A
Home visit, new patient
2.53
0.82
0.88
NA
NA
0.10
XXX99344

A
Home visit, new patient
3.38
1.00
1.09
NA
NA
0.13
XXX99345

A
Home visit, new patient
4.09
1.15
1.29
NA
NA
0.16
XXX99347

A
Home visit, est patient
1.00
0.42
0.41
NA
NA
0.04
XXX99348

A
Home visit, est patient
1.56
0.56
0.57
NA
NA
0.06
XXX99349

A
Home visit, est patient
2.33
0.73
0.78
NA
NA
0.09
XXX99350

A
Home visit, est patient
3.28
0.96
1.07
NA
NA
0.13
XXX99354

A
Prolonged service, office
1.77
0.65
0.71
0.50
0.58
0.08
ZZZ99355

A
Prolonged service, office
1.77
0.62
0.68
0.47
0.54
0.07
ZZZ99356

A
Prolonged service, inpatient
1.71
NA
NA
0.50
0.56
0.07
ZZZ99357

A
Prolonged service, inpatient
1.71
NA
NA
0.50
0.56
0.08
ZZZ99358

B
Prolonged serv, w/o contact
2.10
0.51
0.51
0.51
0.51
0.09
ZZZ99359

B
Prolonged serv, w/o contact
1.00
0.26
0.26
0.26
0.26
0.04
ZZZ99360

X
Physician standby services
1.20
0.28
0.28
0.28
0.28
0.05
XXX99363

B
Anticoag mgmt, init
1.65
1.30
1.30
0.38
0.38
0.07
XXX99364

B
Anticoag mgmt, subseq
0.63
0.38
0.38
0.14
0.14
0.04
XXX99366

B
Team conf w/pat by hc pro
0.82
0.20
0.20
0.19
0.19
0.06
XXX99367

B
Team conf w/o pat by phys
1.10
0.25
0.25
0.25
0.25
0.05
XXX99368

B
Team conf w/o pat by hc pro
0.72
0.16
0.16
0.16
0.16
0.03
XXX99374

B
Home health care supervision
1.10
0.55
0.62
0.25
0.34
0.05
XXX99375

I
Home health care supervision
1.73
0.75
1.15
0.40
0.97
0.07
XXX99377

B
Hospice care supervision
1.10
0.55
0.62
0.25
0.34
0.05
XXX99378

I
Hospice care supervision
1.73
0.75
1.35
0.40
1.17
0.07
XXX99379

B
Nursing fac care supervision
1.10
0.55
0.62
0.25
0.34
0.04
XXX99380

B
Nursing fac care supervision
1.73
0.75
0.87
0.40
0.53
0.06
XXX99381

N
Init pm e/m, new pat, inf
1.19
1.00
1.25
0.27
0.36
0.05
XXX99382

N
Init pm e/m, new pat 1-4 yrs
1.36
1.04
1.29
0.31
0.42
0.05
XXX99383

N
Prev visit, new, age 5-11
1.36
1.03
1.25
0.31
0.42
0.05
XXX99384

N
Prev visit, new, age 12-17
1.53
1.07
1.31
0.35
0.47
0.06
XXX99385

N
Prev visit, new, age 18-39
1.53
1.07
1.31
0.35
0.47
0.06
XXX99386

N
Prev visit, new, age 40-64
1.88
1.15
1.45
0.43
0.58
0.07
XXX99387

N
Init pm e/m, new pat 65+ yrs
2.06
1.28
1.58
0.47
0.63
0.07
XXX99391

N
Per pm reeval, est pat, inf
1.02
0.86
0.94
0.24
0.31
0.04
XXX99392

N
Prev visit, est, age 1-4
1.19
0.90
1.00
0.27
0.36
0.05
XXX99393

N
Prev visit, est, age 5-11
1.19
0.90
0.98
0.27
0.36
0.05
XXX99394

N
Prev visit, est, age 12-17
1.36
0.93
1.03
0.31
0.42
0.05
XXX99395

N
Prev visit, est, age 18-39
1.36
0.94
1.05
0.31
0.42
0.05
XXX99396

N
Prev visit, est, age 40-64
1.53
0.98
1.11
0.35
0.47
0.06
XXX99397

N
Per pm reeval est pat 65+ yr
1.71
1.12
1.24
0.39
0.53
0.06
XXX99401

N
Preventive counseling, indiv
0.48
0.36
0.49
0.11
0.15
0.01
XXX99402

N
Preventive counseling, indiv
0.98
0.48
0.67
0.22
0.30
0.02
XXX99403

N
Preventive counseling, indiv
1.46
0.59
0.84
0.34
0.45
0.04
XXX99404

N
Preventive counseling, indiv
1.95
0.70
1.01
0.45
0.60
0.05
XXX99406

A
Behav chng smoking 3-10 min
0.24
0.11
0.10
0.07
0.08
0.01
XXX99407

A
Behav chng smoking < 10 min
0.50
0.18
0.18
0.13
0.15
0.01
XXX99408

N
Audit/dast, 15-30 min
0.65
0.19
0.19
0.15
0.15
0.01
XXX99409

N
Audit/dast, over 30 min
1.30
0.34
0.34
0.30
0.30
0.03
XXX99411

N
Preventive counseling, group
0.15
0.22
0.20
0.03
0.05
0.01
XXX99412

N
Preventive counseling, group
0.25
0.24
0.25
0.06
0.08
0.01
XXX99420

N
Health risk assessment test
0.00
0.22
0.22
NA
NA
0.01
XXX99429

N
Unlisted preventive service
0.00
0.00
0.00
0.00
0.00
0.00
XXX99431

A
Initial care, normal newborn
1.17
NA
NA
0.27
0.32
0.05
XXX99432

A
Newborn care, not in hosp
1.26
1.01
0.97
0.29
0.34
0.07
XXX99433

A
Normal newborn care/hospital
0.62
NA
NA
0.17
0.19
0.02
XXX99435

A
Newborn discharge day hosp
1.50
NA
NA
0.50
0.54
0.06
XXX99436

A
Attendance, birth
1.50
NA
NA
0.33
0.40
0.06
XXX99440

A
Newborn resuscitation
2.93
NA
NA
0.67
0.80
0.12
XXX99441

N
Phone e/m by phys 5-10 min
0.25
0.09
0.09
0.06
0.06
0.02
XXX99442

N
Phone e/m by phys 11-20 min
0.50
0.14
0.14
0.11
0.11
0.02
XXX99443

N
Phone e/m by phys 21-30 min
0.75
0.20
0.20
0.17
0.17
0.03
XXX99444

N
Online e/m by phys
0.00
0.00
0.00
0.00
0.00
0.00
XXX99450

N
Basic life disability exam
0.00
0.00
0.00
0.00
0.00
0.00
XXX99455

R
Work related disability exam
0.00
0.00
0.00
0.00
0.00
0.00
XXX99456

R
Disability examination
0.00
0.00
0.00
0.00
0.00
0.00
XXX99477

A
Init day hosp neonate care
7.00
1.98
1.98
1.98
1.98
0.32
XXX99499

C
Unlisted e&m service
0.00
0.00
0.00
0.00
0.00
0.00
XXX99500

I
Home visit, prenatal
0.00
0.00
0.00
0.00
0.00
0.00
XXX99501

I
Home visit, postnatal
0.00
0.00
0.00
0.00
0.00
0.00
XXX99502

I
Home visit, nb care
0.00
0.00
0.00
0.00
0.00
0.00
XXX99503

I
Home visit, resp therapy
0.00
0.00
0.00
0.00
0.00
0.00
XXX99504

I
Home visit mech ventilator
0.00
0.00
0.00
0.00
0.00
0.00
XXX99505

I
Home visit, stoma care
0.00
0.00
0.00
0.00
0.00
0.00
XXX( print page 2701)99506

I
Home visit, im injection
0.00
0.00
0.00
0.00
0.00
0.00
XXX99507

I
Home visit, cath maintain
0.00
0.00
0.00
0.00
0.00
0.00
XXX99509

I
Home visit day life activity
0.00
0.00
0.00
0.00
0.00
0.00
XXX99510

I
Home visit, sing/m/fam couns
0.00
0.00
0.00
0.00
0.00
0.00
XXX99511

I
Home visit, fecal/enema mgmt
0.00
0.00
0.00
0.00
0.00
0.00
XXX99512

I
Home visit for hemodialysis
0.00
0.00
0.00
0.00
0.00
0.00
XXX99600

I
Home visit nos
0.00
0.00
0.00
0.00
0.00
0.00
XXX99601

I
Home infusion/visit, 2 hrs
0.00
0.00
0.00
0.00
0.00
0.00
XXX99602

I
Home infusion, each addtl hr
0.00
0.00
0.00
0.00
0.00
0.00
XXX99605

X
Mtms by pharm, np, 15 min
0.00
0.00
0.00
0.00
0.00
0.00
XXX99606

X
Mtms by pharm, est, 15 min
0.00
0.00
0.00
0.00
0.00
0.00
XXX99607

X
Mtms by pharm, addl 15 min
0.00
0.00
0.00
0.00
0.00
0.00
XXXA4890

R
Repair/maint cont hemo equip
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0008

X
Admin influenza virus vac
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0009

X
Admin pneumococcal vaccine
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0010

X
Admin hepatitis b vaccine
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0027

X
Semen analysis
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0101

A
CA screen;pelvic/breast exam
0.45
0.48
0.50
NA
NA
0.02
XXXG0102

A
Prostate ca screening; dre
0.17
0.32
0.36
0.06
0.06
0.01
XXXG0103

X
PSA screening
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0104

A
CA screen;flexi sigmoidscope
0.96
2.52
2.40
0.62
0.56
0.08
000G0105

A
Colorectal scrn; hi risk ind
3.69
6.39
6.27
1.82
1.65
0.30
000G0105
53
A
Colorectal scrn; hi risk ind
0.96
2.52
2.40
0.62
0.56
0.08
000G0106

A
Colon CA screen;barium enema
0.99
4.95
3.75
NA
NA
0.17
XXXG0106
TC
A
Colon CA screen;barium enema
0.00
4.60
3.42
NA
NA
0.13
XXXG0106
26
A
Colon CA screen;barium enema
0.99
0.35
0.33
0.35
0.33
0.04
XXXG0108

A
Diab manage trn  per indiv
0.00
0.59
0.71
NA
NA
0.01
XXXG0109

A
Diab manage trn ind/group
0.00
0.31
0.40
NA
NA
0.01
XXXG0117

T
Glaucoma scrn hgh risk direc
0.45
0.76
0.74
NA
NA
0.01
XXXG0118

T
Glaucoma scrn hgh risk direc
0.17
0.71
0.62
NA
NA
0.01
XXXG0120

A
Colon ca scrn; barium enema
0.99
4.95
3.75
NA
NA
0.17
XXXG0120
TC
A
Colon ca scrn; barium enema
0.00
4.60
3.42
NA
NA
0.13
XXXG0120
26
A
Colon ca scrn; barium enema
0.99
0.35
0.33
0.35
0.33
0.04
XXXG0121

A
Colon ca scrn not hi rsk ind
3.69
6.39
6.27
1.82
1.65
0.30
000G0121
53
A
Colon ca scrn not hi rsk ind
0.96
2.52
2.40
0.62
0.56
0.08
000G0122

N
Colon ca scrn; barium enema
0.99
5.65
4.11
NA
NA
0.18
XXXG0122
TC
N
Colon ca scrn; barium enema
0.00
5.42
3.81
NA
NA
0.13
XXXG0122
26
N
Colon ca scrn; barium enema
0.99
0.23
0.30
0.23
0.30
0.05
XXXG0123

X
Screen cerv/vag thin layer
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0124

A
Screen c/v thin layer by MD
0.42
0.38
0.26
0.38
0.26
0.02
XXXG0127

R
Trim nail(s)
0.17
0.38
0.32
0.04
0.06
0.01
000G0128

R
CORF skilled nursing service
0.08
0.02
0.02
0.02
0.02
0.01
XXXG0130

A
Single energy x-ray study
0.22
0.55
0.72
NA
NA
0.06
XXXG0130
TC
A
Single energy x-ray study
0.00
0.49
0.65
NA
NA
0.05
XXXG0130
26
A
Single energy x-ray study
0.22
0.06
0.07
0.06
0.07
0.01
XXXG0141

A
Scr c/v cyto,autosys and md
0.42
0.38
0.26
0.38
0.26
0.02
XXXG0143

X
Scr c/v cyto,thinlayer,rescr
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0144

X
Scr c/v cyto,thinlayer,rescr
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0145

X
Scr c/v cyto,thinlayer,rescr
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0147

X
Scr c/v cyto, automated sys
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0148

X
Scr c/v cyto, autosys, rescr
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0166

A
Extrnl counterpulse, per tx
0.07
4.50
4.04
NA
NA
0.01
XXXG0168

A
Wound closure by adhesive
0.45
1.58
1.76
0.21
0.21
0.03
000G0173

X
Linear acc stereo radsur com
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0175

X
OPPS Service,sched team conf
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0176

X
OPPS/PHP;activity therapy
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0177

X
OPPS/PHP; train & educ serv
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0179

A
MD recertification HHA PT
0.45
0.48
0.75
NA
NA
0.02
XXXG0180

A
MD certification HHA patient
0.67
0.56
0.91
NA
NA
0.03
XXXG0181

A
Home health care supervision
1.73
0.80
1.14
NA
NA
0.07
XXXG0182

A
Hospice care supervision
1.73
0.82
1.24
NA
NA
0.07
XXXG0186

C
Dstry eye lesn,fdr vssl tech
0.00
0.00
0.00
0.00
0.00
0.00
YYYG0202

A
Screeningmammographydigital
0.70
2.81
2.79
NA
NA
0.10
XXXG0202
TC
A
Screeningmammographydigital
0.00
2.57
2.56
NA
NA
0.07
XXXG0202
26
A
Screeningmammographydigital
0.70
0.24
0.23
0.24
0.23
0.03
XXXG0204

A
Diagnosticmammographydigital
0.87
3.40
3.09
NA
NA
0.11
XXXG0204
TC
A
Diagnosticmammographydigital
0.00
3.10
2.80
NA
NA
0.07
XXXG0204
26
A
Diagnosticmammographydigital
0.87
0.30
0.29
0.30
0.29
0.04
XXXG0206

A
Diagnosticmammographydigital
0.70
2.67
2.46
NA
NA
0.09
XXXG0206
TC
A
Diagnosticmammographydigital
0.00
2.43
2.23
NA
NA
0.06
XXXG0206
26
A
Diagnosticmammographydigital
0.70
0.24
0.23
0.24
0.23
0.03
XXXG0219

N
PET img wholbod melano nonco
0.00
0.00
0.00
NA
NA
0.00
XXX( print page 2702)G0219
TC
N
PET img wholbod melano nonco
0.00
0.00
0.00
NA
NA
0.00
XXXG0219
26
N
PET img wholbod melano nonco
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0235

N
PET not otherwise specified
0.00
0.00
0.00
NA
NA
0.00
XXXG0235
TC
N
PET not otherwise specified
0.00
0.00
0.00
NA
NA
0.00
XXXG0235
26
N
PET not otherwise specified
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0237

A
Therapeutic procd strg endur
0.00
0.21
0.34
NA
NA
0.02
XXXG0238

A
Oth resp proc, indiv
0.00
0.23
0.36
NA
NA
0.02
XXXG0239

A
Oth resp proc, group
0.00
0.31
0.32
NA
NA
0.02
XXXG0245

R
Initial foot exam pt lops
0.88
0.84
0.81
0.29
0.30
0.04
XXXG0246

R
Followup eval of foot pt lop
0.45
0.55
0.55
0.15
0.15
0.02
XXXG0247

R
Routine footcare pt w lops
0.50
0.68
0.60
0.16
0.18
0.02
ZZZG0248

R
Demonstrate use home inr mon
0.00
3.41
5.01
NA
NA
0.01
XXXG0249

R
Provide test material,equipm
0.00
3.40
3.68
NA
NA
0.01
XXXG0250

R
MD review interpret of test
0.18
0.08
0.07
NA
NA
0.01
XXXG0251

E
Linear acc based stero radio
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0252

N
PET imaging initial dx
0.00
0.00
0.00
NA
NA
0.00
XXXG0252
TC
N
PET imaging initial dx
0.00
0.00
0.00
NA
NA
0.00
XXXG0252
26
N
PET imaging initial dx
1.50
0.00
0.60
0.00
0.60
0.04
XXXG0255

N
Current percep threshold tst
0.00
0.00
0.00
NA
NA
0.00
XXXG0255
TC
N
Current percep threshold tst
0.00
0.00
0.00
NA
NA
0.00
XXXG0255
26
N
Current percep threshold tst
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0257

E
Unsched dialysis ESRD pt hos
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0259

E
Inject for sacroiliac joint
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0260

E
Inj for sacroiliac jt anesth
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0268

A
Removal of impacted wax md
0.61
0.66
0.65
0.20
0.22
0.02
000G0269

B
Occlusive device in vein art
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0270

A
MNT subs tx for change dx
0.37
0.12
0.29
0.09
0.28
0.01
XXXG0271

A
Group MNT 2 or more 30 mins
0.25
0.08
0.13
0.07
0.12
0.01
XXXG0275

A
Renal angio, cardiac cath
0.25
NA
NA
0.13
0.12
0.01
ZZZG0278

A
Iliac art angio,cardiac cath
0.25
NA
NA
0.13
0.12
0.01
ZZZG0281

A
Elec stim unattend for press
0.18
0.14
0.12
NA
NA
0.01
XXXG0282

N
Elect stim wound care not pd
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0283

A
Elec stim other than wound
0.18
0.14
0.12
NA
NA
0.01
XXXG0288

A
Recon, CTA for surg plan
0.00
1.03
5.83
NA
NA
0.18
XXXG0289

A
Arthro, loose body + chondro
1.48
NA
NA
0.58
0.69
0.26
ZZZG0290

E
Drug-eluting stents, single
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0291

E
Drug-eluting stents,each add
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0293

E
Non-cov surg proc,clin trial
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0294

E
Non-cov proc, clinical trial
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0295

N
Electromagnetic therapy onc
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0297

X
Insert single chamber/cd
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0300

X
Insert reposit lead dual+gen
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0302

X
Pre-op service LVRS complete
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0303

X
Pre-op service LVRS 10-15dos
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0304

X
Pre-op service LVRS 1-9 dos
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0305

X
Post op service LVRS min 6
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0306

X
CBC/diffwbc w/o platelet
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0307

X
CBC without platelet
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0308

A
ESRD related svc 4+mo < 2yrs
12.74
5.57
7.06
5.57
7.06
0.42
XXXG0309

A
ESRD related svc 2-3mo <2yrs
10.61
4.16
5.63
4.16
5.63
0.36
XXXG0310

A
ESRD related svc 1 vst <2yrs
8.49
2.78
4.24
2.78
4.24
0.28
XXXG0311

A
ESRD related svs 4+mo 2-11yr
9.73
3.55
4.13
3.55
4.13
0.34
XXXG0312

A
ESRD relate svs 2-3 mo 2-11y
8.11
2.70
3.31
2.70
3.31
0.29
XXXG0313

A
ESRD related svs 1 mon 2-11y
6.49
1.84
2.49
1.84
2.49
0.22
XXXG0314

A
ESRD related svs 4+ mo 12-19
8.28
3.39
3.90
3.39
3.90
0.27
XXXG0315

A
ESRD related svs 2-3mo/12-19
6.90
2.56
3.12
2.56
3.12
0.23
XXXG0316

A
ESRD related svs 1vis/12-19y
5.52
1.66
2.30
1.66
2.30
0.17
XXXG0317

A
ESRD related svs 4+mo 20+yrs
5.09
2.25
2.56
2.25
2.56
0.17
XXXG0318

A
ESRD related svs 2-3 mo 20+y
4.24
1.69
2.04
1.69
2.04
0.14
XXXG0319

A
ESRD related svs 1visit 20+y
3.39
1.13
1.52
1.13
1.52
0.11
XXXG0320

A
ESD related svs home undr 2
10.61
2.69
4.90
2.69
4.90
0.36
XXXG0321

A
ESRDrelatedsvs home mo 2-11y
8.11
1.99
2.95
1.99
2.95
0.29
XXXG0322

A
ESRD related svs hom mo12-19
6.90
1.71
2.69
1.71
2.69
0.23
XXXG0323

A
ESRD related svs home mo 20+
4.24
1.14
1.76
1.14
1.76
0.14
XXXG0324

A
ESRD relate svs home/dy <2yr
0.35
0.16
0.20
0.16
0.20
0.01
XXXG0325

A
ESRD relate home/day/ 2-11yr
0.23
0.09
0.10
0.09
0.10
0.01
XXXG0326

A
ESRD relate home/dy 12-19yr
0.27
0.10
0.11
0.10
0.11
0.01
XXXG0327

A
ESRD relate home/dy 20+yrs
0.14
0.06
0.07
0.06
0.07
0.01
XXXG0328

X
Fecal blood scrn immunoassay
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0329

A
Electromagntic tx for ulcers
0.06
0.15
0.15
NA
NA
0.01
XXXG0332

A
Preadmin IV immunoglobulin
0.00
0.00
1.97
NA
NA
0.00
XXXG0333

X
Dispense fee initial 30 day
0.00
0.00
0.00
0.00
0.00
0.00
XXX( print page 2703)G0337

X
Hospice evaluation preelecti
1.34
0.31
0.41
0.31
0.41
0.09
XXXG0339

C
Robot lin-radsurg com, first
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0340

C
Robt lin-radsurg fractx 2-5
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0341

A
Percutaneous islet celltrans
6.98
NA
NA
2.36
2.48
0.48
000G0342

A
Laparoscopy islet cell trans
11.92
NA
NA
5.07
5.18
1.46
090G0343

A
Laparotomy islet cell transp
19.85
NA
NA
8.55
8.66
2.07
090G0344

A
Initial preventive exam
1.34
1.11
1.12
0.43
0.45
0.10
XXXG0364

A
Bone marrow aspirate &biopsy
0.16
0.16
0.15
0.07
0.06
0.04
ZZZG0365

A
Vessel mapping hemo access
0.25
5.22
4.61
NA
NA
0.25
XXXG0365
TC
A
Vessel mapping hemo access
0.00
5.16
4.53
NA
NA
0.23
XXXG0365
26
A
Vessel mapping hemo access
0.25
0.06
0.08
0.06
0.08
0.02
XXXG0366

A
EKG for initial prevent exam
0.17
0.35
0.42
NA
NA
0.03
XXXG0367

A
EKG tracing for initial prev
0.00
0.28
0.36
NA
NA
0.02
XXXG0368

A
EKG interpret & report preve
0.17
0.07
0.06
0.07
0.06
0.01
XXXG0372

A
MD service required for PMD
0.17
0.04
0.22
0.04
0.05
0.01
XXXG0377

X
Administra Part D vaccine
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0378

X
Hospital observation per hr
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0379

X
Direct admit hospital observ
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0389

A
Ultrasound exam AAA screen
0.58
2.41
2.41
NA
NA
0.11
XXXG0389
TC
A
Ultrasound exam AAA screen
0.00
2.21
2.21
NA
NA
0.08
XXXG0389
26
A
Ultrasound exam AAA screen
0.58
0.20
0.20
0.20
0.20
0.03
XXXG0392

A
AV fistula or graft arterial
9.48
48.69
52.41
3.39
3.47
0.62
000G0393

A
AV fistula or graft venous
6.03
37.15
40.96
2.23
2.29
0.34
000G0394

X
Blood occult test,colorectal
0.00
0.00
0.00
0.00
0.00
0.00
XXXG0396

A
Alcohol/subs interv 15-30mn
0.65
0.19
0.19
0.15
0.15
0.01
XXXG0397

A
Alcohol/subs interv >30 min
1.30
0.34
0.34
0.29
0.29
0.03
XXXG3001

X
Admin + supply, tositumomab
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9001

X
MCCD, initial rate
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9002

X
MCCD,maintenance rate
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9003

X
MCCD, risk adj hi, initial
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9004

X
MCCD, risk adj lo, initial
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9005

X
MCCD, risk adj, maintenance
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9006

X
MCCD, Home monitoring
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9007

X
MCCD, sch team conf
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9008

X
Mccd,phys coor-care ovrsght
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9009

X
MCCD, risk adj, level 3
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9010

X
MCCD, risk adj, level 4
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9011

X
MCCD, risk adj, level 5
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9012

X
Other Specified Case Mgmt
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9013

N
ESRD demo bundle level I
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9014

N
ESRD demo bundle-level II
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9016

N
Demo-smoking cessation coun
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9017

X
Amantadine HCL 100mg oral
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9018

X
Zanamivir,inhalation pwd 10m
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9019

X
Oseltamivir phosphate 75mg
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9020

X
Rimantadine HCL 100mg oral
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9033

X
Amantadine HCL oral brand
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9034

X
Zanamivir, inh pwdr, brand
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9035

X
Oseltamivir phosp, brand
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9036

X
Rimantadine HCL, brand
0.00
0.00
0.00
0.00
0.00
0.00
XXXG9041

A
Low vision rehab occupationa
0.44
0.10
0.20
0.10
0.20
0.01
XXXG9042

A
Low vision rehab orient/mobi
0.10
0.02
0.16
0.02
0.16
0.01
XXXG9043

A
Low vision lowvision therapi
0.10
0.02
0.16
0.02
0.16
0.01
XXXG9044

A
Low vision rehabilate teache
0.10
0.02
0.13
0.02
0.13
0.01
XXXG9140

X
Frontier extended stay demo
0.00
0.00
0.00
0.00
0.00
0.00
XXXM0064

A
Visit for drug monitoring
0.37
0.91
0.62
0.07
0.09
0.01
XXXP3001

A
Screening pap smear by phys
0.42
0.38
0.26
0.38
0.26
0.02
XXXQ0035

A
Cardiokymography
0.17
0.30
0.37
NA
NA
0.03
XXXQ0035
TC
A
Cardiokymography
0.00
0.25
0.32
NA
NA
0.02
XXXQ0035
26
A
Cardiokymography
0.17
0.05
0.05
0.05
0.05
0.01
XXXQ0091

A
Obtaining screen pap smear
0.37
0.75
0.71
0.10
0.12
0.02
XXXQ0092

A
Set up port xray equipment
0.00
0.47
0.40
0.47
0.40
0.01
XXXQ3001

C
Brachytherapy Radioelements
0.00
0.00
0.00
0.00
0.00
0.00
XXXQ3014

X
Telehealth facility fee
0.00
0.00
0.00
0.00
0.00
0.00
XXXR0070

C
Transport portable x-ray
0.00
0.00
0.00
0.00
0.00
0.00
XXXR0075

C
Transport port x-ray multipl
0.00
0.00
0.00
0.00
0.00
0.00
XXXR0076

B
Transport portable EKG
0.00
0.00
0.00
0.00
0.00
0.00
XXXV5299

R
Hearing service
0.00
0.00
0.00
0.00
0.00
0.00
XXX1
                             CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.2
                             If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare payment.
 ( print page 2704) 2.  On pages 66543 through 66545, Addendum C, Codes with Interim RVUs, the table is corrected to read as follows: 1 2 Addendum C.—Codes With Interim RVUS
CPT 1
                                / HCPCS
Mod
Status
Description
Physician work 
                                 
                                    RVUs 2
Fully 
                                 implemented  
                                 non-facility  
                                 
                                    PE RVUs 2
Year 2008 
                                 transitional  
                                 non-facility  
                                 
                                    PE RVUs 2
Fully 
                                 implemented  
                                 facility  
                                 
                                    PE RVUs 2
Year 2008 
                                 transitional  
                                 facility  
                                 
                                    PE RVUs 2
Mal-
                                 practice  
                                 
                                    RVUs 2
Global20555

A
Place ndl musc/tis for rt
6.00
NA
NA
2.18
2.18
0.43
00020660

A
Apply, rem fixation device
4.00
2.28
2.28
1.55
1.55
0.59
00020690

A
Apply bone fixation device
8.65
NA
NA
3.71
3.71
0.59
09020692

A
Apply bone fixation device
16.00
NA
NA
6.79
6.79
1.05
09020985

A
Cptr-asst dir ms px
2.50
0.99
0.99
0.99
0.99
0.48
ZZZ20986

C
Cptr-asst dir ms px io img
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ20987

C
Cptr-asst dir ms px  pre img
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ21073

A
Mnpj of tmj w/anesth
3.33
5.50
5.50
2.31
2.31
0.43
09022206

A
Cut spine 3 col, thor
37.00
NA
NA
17.73
17.73
6.23
09022207

A
Cut spine 3 col, lumb
36.50
NA
NA
17.61
17.61
6.07
09022208

A
Cut spine 3 col, addl seg
9.66
3.73
3.73
3.73
3.73
2.07
ZZZ23515

A
Treat clavicle fracture
9.53
NA
NA
6.78
6.78
1.28
09023585

A
Treat scapula fracture
14.07
NA
NA
8.08
8.08
1.54
09023615

A
Treat humerus fracture
12.12
NA
NA
8.45
8.45
1.62
09023616

A
Treat humerus fracture
18.19
NA
NA
12.30
12.30
3.70
09023630

A
Treat humerus fracture
10.39
NA
NA
7.00
7.00
1.27
09023670

A
Treat dislocation/fracture
12.12
NA
NA
7.38
7.38
1.36
09023680

A
Treat dislocation/fracture
12.99
NA
NA
8.17
8.17
1.76
09024357

A
Repair elbow, perc
5.32
NA
NA
5.15
5.15
0.87
09024358

A
Repair elbow w/deb, open
6.54
NA
NA
5.73
5.73
1.07
09024359

A
Repair elbow deb/attch open
8.86
NA
NA
6.20
6.20
1.41
09024545

A
Treat humerus fracture
12.99
NA
NA
8.37
8.37
1.83
09024546

A
Treat humerus fracture
14.73
NA
NA
10.22
10.22
2.74
09024575

A
Treat humerus fracture
9.53
NA
NA
7.69
7.69
1.87
09024579

A
Treat humerus fracture
11.26
NA
NA
8.29
8.29
2.03
09024635

A
Treat elbow fracture
8.64
NA
NA
10.31
10.31
2.29
09024685

A
Treat ulnar fracture
8.21
NA
NA
7.02
7.02
1.52
09025515

A
Treat fracture of radius
8.64
NA
NA
6.97
6.97
1.59
09025525

A
Treat fracture of radius
10.37
NA
NA
8.71
8.71
2.13
09025526

A
Treat fracture of radius
12.96
NA
NA
11.10
11.10
2.20
09025545

A
Treat fracture of ulna
7.78
NA
NA
6.95
6.95
1.53
09025574

A
Treat fracture radius & ulna
8.64
NA
NA
6.88
6.88
1.21
09025575

A
Treat fracture radius/ulna
12.10
NA
NA
8.94
8.94
1.82
09025628

A
Treat wrist bone fracture
9.51
NA
NA
7.34
7.34
1.37
09026615

A
Treat metacarpal fracture
6.91
NA
NA
5.66
5.66
0.86
09026650

A
Treat thumb fracture
5.19
NA
NA
5.79
5.79
0.94
09026665

A
Treat thumb fracture
7.78
NA
NA
6.47
6.47
0.90
09026685

A
Treat hand dislocation
6.91
NA
NA
6.06
6.06
1.09
09026715

A
Treat knuckle dislocation
6.87
NA
NA
5.76
5.76
0.91
09026735

A
Treat finger fracture, each
7.26
NA
NA
5.84
5.84
0.95
09026746

A
Treat finger fracture, each
9.59
NA
NA
6.38
6.38
0.91
09026765

A
Treat finger fracture, each
5.70
NA
NA
4.93
4.93
0.66
09026785

A
Treat finger dislocation
6.44
NA
NA
5.15
5.15
0.68
09027248

A
Treat thigh fracture
10.64
NA
NA
7.30
7.30
1.82
09027267

A
Cltx thigh fx
5.38
NA
NA
4.40
4.40
0.89
09027268

A
Cltx thigh fx w/mnpj
7.00
NA
NA
5.02
5.02
1.16
09027269

A
Optx thigh fx
18.75
NA
NA
9.89
9.89
2.93
09027416

A
Osteochondral knee autograft
14.00
NA
NA
8.39
8.39
2.32
09027511

A
Treatment of thigh fracture
14.97
NA
NA
9.66
9.66
2.38
09027513

A
Treatment of thigh fracture
19.11
NA
NA
11.82
11.82
3.13
09027514

A
Treatment of thigh fracture
14.46
NA
NA
10.62
10.62
3.01
09027519

A
Treat thigh fx growth plate
13.11
NA
NA
9.49
9.49
2.56
09027535

A
Treat knee fracture
13.27
NA
NA
8.78
8.78
2.01
09027540

A
Treat knee fracture
11.16
NA
NA
8.45
8.45
2.28
09027556

A
Treat knee dislocation
12.86
NA
NA
9.46
9.46
2.51
09027557

A
Treat knee dislocation
15.76
NA
NA
10.79
10.79
2.98
09027558

A
Treat knee dislocation
18.25
NA
NA
11.17
11.17
3.09
09027726

A
Repair fibula nonunion
14.20
NA
NA
7.68
7.68
1.43
09027766

A
Optx medial ankle fx
7.73
NA
NA
6.68
6.68
1.44
09027767

A
Cltx post ankle fx
2.50
3.62
3.62
3.65
3.65
0.30
09027768

A
Cltx post ankle fx w/mnpj
5.00
NA
NA
4.30
4.30
0.79
09027769

A
Optx post ankle fx
10.00
NA
NA
6.08
6.08
1.45
09027784

A
Treatment of fibula fracture
9.51
NA
NA
6.66
6.66
1.23
09027792

A
Treatment of ankle fracture
9.55
NA
NA
6.89
6.89
1.32
09027814

A
Treatment of ankle fracture
10.46
NA
NA
7.90
7.90
1.86
09027822

A
Treatment of ankle fracture
11.03
NA
NA
9.43
9.43
1.92
09027823

A
Treatment of ankle fracture
12.98
NA
NA
10.21
10.21
2.26
09027826

A
Treat lower leg fracture
10.92
NA
NA
8.52
8.52
1.47
09027827

A
Treat lower leg fracture
14.56
NA
NA
11.48
11.48
2.44
09027828

A
Treat lower leg fracture
18.20
NA
NA
12.76
12.76
2.82
090( print page 2705)27829

A
Treat lower leg joint
8.64
NA
NA
6.88
6.88
0.95
09027832

A
Treat lower leg dislocation
10.01
NA
NA
6.50
6.50
1.03
09028415

A
Treat heel fracture
15.96
NA
NA
11.77
11.77
2.67
09028420

A
Treat/graft heel fracture
17.29
NA
NA
11.60
11.60
2.81
09028445

A
Treat ankle fracture
15.53
NA
NA
10.26
10.26
2.59
09028446

A
Osteochondral talus autogrft
17.50
NA
NA
10.36
10.36
2.45
09028465

A
Treat midfoot fracture, each
8.64
NA
NA
6.19
6.19
1.10
09028485

A
Treat metatarsal fracture
7.28
NA
NA
5.51
5.51
0.83
09028505

A
Treat big toe fracture
7.28
8.28
8.28
4.36
4.36
0.56
09028525

A
Treat toe fracture
5.46
7.82
7.82
3.88
3.88
0.49
09028555

A
Repair foot dislocation
9.49
10.36
10.36
5.99
5.99
1.04
09028585

A
Repair foot dislocation
10.92
9.45
9.45
6.41
6.41
1.25
09028615

A
Repair foot dislocation
10.46
NA
NA
8.09
8.09
1.30
09028645

A
Repair toe dislocation
7.28
6.65
6.65
3.95
3.95
0.57
09028675

A
Repair of toe dislocation
5.46
7.69
7.69
3.90
3.90
0.45
09029828

A
Arthroscopy biceps tenodesis
13.00
NA
NA
8.18
8.18
2.17
09029904

A
Subtalar arthro w/fb rmvl
8.50
NA
NA
5.89
5.89
1.25
09029905

A
Subtalar arthro w/exc
9.00
NA
NA
6.52
6.52
1.32
09029906

A
Subtalar arthro w/deb
9.47
NA
NA
6.88
6.88
1.39
09029907

A
Subtalar arthro w/fusion
12.00
NA
NA
7.87
7.87
1.90
09031500

A
Insert emergency airway
2.33
NA
NA
0.48
0.48
0.17
00033257

A
Ablate atria, lmtd, add-on
9.63
NA
NA
5.47
5.47
0.89
ZZZ33258

A
Ablate atria, x10sv, add-on
11.00
NA
NA
5.99
5.99
1.09
ZZZ33259

A
Ablate atria w/bypass add-on
14.14
NA
NA
7.80
7.80
1.78
ZZZ33864

A
Ascending aortic graft
60.00
NA
NA
20.11
20.11
6.73
09034806

A
Aneurysm press sensor add-on
2.06
0.51
0.51
0.51
0.51
0.30
ZZZ35523

A
Artery bypass graft
24.00
NA
NA
9.22
9.22
2.14
09036591

T
Draw blood off venous device
0.00
0.54
0.54
NA
NA
0.01
XXX36592

T
Collect blood from picc
0.00
0.67
0.67
NA
NA
0.01
XXX36593

A
Declot vascular device
0.00
0.60
0.60
NA
NA
0.37
XXX36620

A
Insertion catheter, artery
1.15
NA
NA
0.19
0.19
0.07
00041019

A
Place needles h&n for rt
8.84
NA
NA
3.28
3.28
0.59
00043760

A
Change gastrostomy tube
0.90
4.04
4.04
0.39
0.39
0.09
00049203

A
Exc abd tum 5 cm or less
20.00
NA
NA
7.66
7.66
2.27
09049204

A
Exc abd tum over 5 cm
26.00
NA
NA
9.27
9.27
2.94
09049205

A
Exc abd tum over 10 cm
30.00
NA
NA
10.35
10.35
3.40
09049440

A
Place gastrostomy tube perc
4.18
25.06
25.06
1.81
1.81
0.49
01049441

A
Place duod/jej tube perc
4.77
30.13
30.13
2.01
2.01
0.29
01049442

A
Place cecostomy tube perc
4.00
24.46
24.46
1.63
1.63
0.24
01049446

A
Change g-tube to g-j perc
3.31
25.78
25.78
1.15
1.15
0.18
00049450

A
Replace g/c tube perc
1.36
18.97
18.97
0.44
0.44
0.08
00049451

A
Replace duod/jej tube perc
1.84
19.71
19.71
0.64
0.64
0.11
00049452

A
Replace g-j tube perc
2.86
23.51
23.51
1.00
1.00
0.18
00049460

A
Fix g/colon tube w/device
0.96
20.59
20.59
0.31
0.31
0.05
00049465

A
Fluoro exam of g/colon tube
0.62
3.89
3.89
0.22
0.22
0.03
00050385

A
Change stent via transureth
4.44
30.64
30.64
2.05
2.05
0.27
00050386

A
Remove stent via transureth
3.30
19.38
19.38
1.61
1.61
0.20
00050593

A
Perc cryo ablate renal tum
9.08
114.62
114.62
3.45
3.45
0.58
01051797
26
A
Intraabdominal pressure test
0.80
0.41
0.41
0.41
0.41
0.12
ZZZ52649

A
2Prostate laser enucleation
17.16
NA
NA
9.32
9.32
1.11
09055920

A
Place needles pelvic for rt
8.31
NA
NA
3.14
3.14
0.58
00057284

A
Repair paravag defect, open
14.25
NA
NA
6.57
6.57
1.41
09057285

A
Repair paravag defect, vag
11.52
NA
NA
5.16
5.16
0.63
09057423

A
Repair paravag defect, lap
16.00
NA
NA
6.52
6.52
1.65
09058570

A
Tlh, uterus 250 g or less
15.75
NA
NA
6.46
6.46
1.82
09058571

A
Tlh w/t/o 250 g or less
17.56
NA
NA
6.95
6.95
1.81
09058572

A
Tlh, uterus over 250 g
19.96
NA
NA
7.60
7.60
2.31
09058573

A
Tlh w/t/o uterus over 250 g
22.98
NA
NA
8.42
8.42
2.28
09067041

A
Vit for macular pucker
19.00
NA
NA
10.37
10.37
0.86
09067042

A
Vit for macular hole
22.13
NA
NA
11.49
11.49
1.00
09067043

A
Vit for membrane dissect
22.94
NA
NA
12.35
12.35
1.04
09067113

A
Repair retinal detach, cplx
25.00
NA
NA
13.75
13.75
1.13
09067229

A
Tr retinal les preterm inf
16.00
NA
NA
9.52
9.52
0.71
09068816

A
Probe nl duct w/balloon
3.00
12.75
12.75
2.51
2.51
0.16
01075557
26
A
Cardiac mri for morph
2.35
0.94
0.94
0.94
0.94
0.10
XXX75558
26
N
Cardiac mri flow/velocity
2.60
0.60
0.60
0.60
0.60
0.11
XXX75559
26
A
Cardiac mri w/stress img
2.95
1.27
1.27
1.27
1.27
0.10
XXX75560
26
N
Cardiac mri flow/vel/stress
3.00
0.69
0.69
0.69
0.69
0.11
XXX75561
26
A
Cardiac mri for morph w/dye
2.60
1.04
1.04
1.04
1.04
0.11
XXX75562
26
N
Card mri flow/vel w/dye
2.86
0.66
0.66
0.66
0.66
0.11
XXX75563
26
A
Card mri w/stress img & dye
3.00
1.38
1.38
1.38
1.38
0.11
XXX75564
26
N
Ht mri w/flo/vel/strs & dye
3.35
0.77
0.77
0.77
0.77
0.13
XXX78811
26
A
Pet image, ltd area
1.54
0.53
0.53
0.53
0.53
0.11
XXX( print page 2706)78812
26
A
Pet image, skull-thigh
1.93
0.66
0.66
0.66
0.66
0.11
XXX78813
26
A
Pet image, full body
2.00
0.69
0.69
0.69
0.69
0.11
XXX78814
26
A
Pet image w/ct, lmtd
2.20
0.75
0.75
0.75
0.75
0.11
XXX78815
26
A
Pet image w/ct, skull-thigh
2.44
0.84
0.84
0.84
0.84
0.11
XXX78816
26
A
Pet image w/ct, full body
2.50
0.86
0.86
0.86
0.86
0.11
XXX86486

A
Skin test, nos antigen
0.00
0.13
0.13
NA
NA
0.02
XXX88380
26
A
Microdissection, laser
1.56
0.43
0.43
0.43
0.43
0.07
XXX88381
26
A
Microdissection, manual
1.18
0.32
0.32
0.32
0.32
0.06
XXX90769

A
Sc ther infusion, up to 1 hr
0.21
3.93
3.93
NA
NA
0.06
XXX90770

A
Sc ther infusion, addl hr
0.18
0.22
0.22
NA
NA
0.04
ZZZ90771

A
Sc ther infusion, reset pump
0.00
1.86
1.86
NA
NA
0.01
ZZZ93503

A
Insert/place heart catheter
2.91
NA
NA
NA
NA
0.20
00093982

R
Aneurysm pressure sens study
0.30
0.80
0.80
NA
NA
0.01
XXX95004

A
Percut allergy skin tests
0.01
0.13
0.13
NA
NA
0.01
XXX95024

A
Id allergy test, drug/bug
0.01
0.16
0.16
NA
NA
0.01
XXX95027

A
Id allergy titrate-airborne
0.01
0.12
0.12
NA
NA
0.01
XXX95980

A
Io anal gast  n-stim init
0.80
NA
NA
0.25
0.25
0.07
XXX95981

A
Io anal gast n-stim subsq
0.30
0.44
0.44
0.12
0.12
0.02
XXX95982

A
Io ga n-stim subsq w/reprog
0.65
0.47
0.47
0.18
0.18
0.05
XXX96125

A
Cognitive test by hc pro
1.70
0.76
0.76
0.37
0.37
0.16
XXX98966

N
Hc pro phone call 5-10 min
0.25
0.09
0.09
0.06
0.06
0.01
XXX98967

N
Hc pro phone call 11-20 min
0.50
0.14
0.14
0.11
0.11
0.02
XXX98968

N
Hc pro phone call 21-30 min
0.75
0.20
0.20
0.17
0.17
0.03
XXX98969

N
Online service by hc pro
0.00
0.00
0.00
0.00
0.00
0.00
XXX99174

N
Ocular photoscreening
0.00
0.00
0.00
0.00
0.00
0.00
XXX99366

B
Team conf w/pat by hc pro
0.82
0.20
0.20
0.19
0.19
0.06
XXX99367

B
Team conf w/o pat by phys
1.10
0.25
0.25
0.25
0.25
0.05
XXX99368

B
Team conf w/o pat by hc pro
0.72
0.16
0.16
0.16
0.16
0.03
XXX99406

A
Behav chng smoking 3-10 min
0.24
0.10
0.10
0.08
0.08
0.01
XXX99407

A
Behav chng smoking < 10 min
0.50
0.18
0.18
0.15
0.15
0.01
XXX99408

N
Audit/dast, 15-30 min
0.65
0.19
0.19
0.15
0.15
0.01
XXX99409

N
Audit/dast, over 30 min
1.30
0.34
0.34
0.30
0.30
0.03
XXX99441

N
Phone e/m by phys 5-10 min
0.25
0.09
0.09
0.06
0.06
0.02
XXX99442

N
Phone e/m by phys 11-20 min
0.50
0.14
0.14
0.11
0.11
0.02
XXX99443

N
Phone e/m by phys 21-30 min
0.75
0.20
0.20
0.17
0.17
0.03
XXX99444

N
Online e/m by phys
0.00
0.00
0.00
0.00
0.00
0.00
XXX99477

A
Init day hosp neonate care
7.00
1.98
1.98
1.98
1.98
0.32
XXXG0396

A
Alcohol/subs interv 15-30mn
0.65
0.19
0.19
0.15
0.15
0.01
XXXG0397

A
Alcohol/subs interv > 30 min
1.30
0.34
0.34
0.29
0.29
0.03
XXX1
                             CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.2
                             If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare payment.
  3.  On pages 66545 through 66546, Addendum D, 2008 Geographic Adjustment Factors (GAFs), the table is corrected to read as follows: Addendum D.—2008 Geographic Adjustment Factors (GAFs) by Medicare Locality
Carrier
Locality
Locality name
GAF31140
06
San Mateo, CA
1.23131140
05
San Francisco, CA
1.22831140
09
Santa Clara, CA
1.20700803
01
Manhattan, NY
1.17400803
02
NYC Suburbs/Long I., NY
1.17131140
07
Oakland/Berkeley, CA
1.15431143
01
Metropolitan Boston
1.14314330
04
Queens, NY
1.13731140
03
Marin/Napa/Solano, CA
1.13300805
01
Northern NJ
1.13000903
01
DC + MD/VA Suburbs
1.12631146
26
Anaheim/Santa Ana, CA
1.12431146
17
Ventura, CA
1.10231146
18
Los Angeles, CA
1.10000591
00
Connecticut
1.09600952
16
Chicago, IL
1.09300590
04
Miami, FL
1.09200953
01
Detroit, MI
1.09000805
99
Rest of New Jersey
1.07800952
15
Suburban Chicago, IL
1.07400865
01
Metropolitan Philadelphia, PA
1.07200833
01
Hawaii/Guam
1.05000831
01
Alaska
1.045( print page 2707)00836
02
Seattle (King Cnty), WA
1.04531143
99
Rest of Massachusetts
1.04200803
03
Poughkpsie/N NYC Suburbs, NY
1.04000901
01
Baltimore/Surr. Cntys, MD
1.03700590
03
Fort Lauderdale, FL
1.03300524
01
Rhode Island
1.03100511
01
Atlanta, GA
1.02400900
11
Dallas, TX
1.02200900
18
Houston, TX
1.02100834
00
Nevada
1.01931140
99
Rest of California *
1.01431146
99
Rest of California *
1.01400902
01
Delaware
1.01200900
31
Austin, TX
1.00100835
01
Portland, OR
0.99631144
40
New Hampshire
0.99400900
09
Brazoria, TX
0.99400528
01
New Orleans, LA
0.99300952
12
East St. Louis, IL
0.99200900
28
Fort Worth, TX
0.98900973
50
Virgin Islands
0.98900900
15
Galveston, TX
0.98600824
01
Colorado
0.98331142
03
Southern Maine
0.98100901
99
Rest of Maryland
0.98103102
00
Arizona
0.98000740
02
Metropolitan Kansas City, MO
0.98000590
99
Rest of Florida
0.97700953
99
Rest of Michigan
0.97600836
99
Rest of Washington
0.97300523
01
Metropolitan St Louis, MO
0.97100883
00
Ohio
0.97000954
00
Minnesota
0.96700865
99
Rest of Pennsylvania
0.95631145
50
Vermont
0.95300904
00
Virginia
0.95003502
09
Utah
0.94800900
20
Beaumont, TX
0.94600801
99
Rest of New York
0.94500951
00
Wisconsin
0.94300952
99
Rest of Illinois
0.94105535
00
North Carolina
0.93700521
05
New Mexico
0.93600630
00
Indiana
0.93500511
99
Rest of Georgia
0.93100900
99
Rest of Texas
0.93100835
99
Rest of Oregon
0.93000884
16
West Virginia
0.92500528
99
Rest of Louisiana
0.92305440
35
Tennessee
0.92300880
01
South Carolina
0.92000650
00
Kansas *
0.91700740
04
Kansas *
0.91731142
99
Rest of Maine
0.91500660
00
Kentucky
0.91200510
00
Alabama
0.91005130
00
Idaho
0.90903602
21
Wyoming
0.90700826
00
Iowa
0.90600512
00
Mississippi
0.90200655
00
Nebraska
0.90203202
01
Montana
0.89800522
00
Oklahoma
0.89800523
99
Rest of Missouri *
0.88900740
99
Rest of Missouri *
0.88903402
02
South Dakota
0.88900520
13
Arkansas
0.88803302
01
North Dakota
0.88700973
20
Puerto Rico
0.789* Indicates multiple carriers.
 
 
 4.  On pages 66546 through 66547, Addendum E, 2008*** Geographic Practice Cost Indices by State and Medicare Locality, the table is corrected to read as follows: Addendum E.—2008**
                             Geographic Practice Cost Indices by State and Medicare Locality
Carrier
Locality
Locality name
2008 GPCIsWork
PE
MP00510
00
Alabama
0.982
0.850
0.61700831
01
Alaska
1.017
1.098
0.82803102
00
Arizona
0.988
0.975
0.93600520
13
Arkansas
0.961
0.839
0.43931146
26
Anaheim/Santa Ana, CA
1.034
1.254
0.87431146
18
Los Angeles, CA
1.041
1.192
0.87131140
03
Marin/Napa/Solano, CA
1.034
1.304
0.53531140
07
Oakland/Berkeley, CA
1.053
1.330
0.53131140
05
San Francisco, CA
1.059
1.494
0.52631140
06
San Mateo, CA
1.072
1.486
0.51031140
09
Santa Clara, CA
1.083
1.419
0.48531146
17
Ventura, CA
1.027
1.223
0.74931140
99
Rest of California *
1.007
1.056
0.63431146
99
Rest of California *
1.007
1.056
0.63400824
01
Colorado
0.986
1.004
0.71500591
00
Connecticut
1.038
1.179
0.93400903
01
DC + MD/VA Suburbs
1.047
1.235
0.97200902
01
Delaware
1.011
1.033
0.77700590
03
Fort Lauderdale, FL
0.989
1.004
1.96500590
04
Miami, FL
1.000
1.059
2.70300590
99
Rest of Florida
0.973
0.937
1.48900511
01
Atlanta, GA
1.009
1.053
0.89200511
99
Rest of Georgia
0.979
0.878
0.88900833
01
Hawaii/Guam
1.001
1.137
0.72605130
00
Idaho
0.967
0.876
0.50000952
12
East St. Louis, IL
0.989
0.929
1.75700952
15
Suburban Chicago, IL
1.017
1.093
1.62800952
16
Chicago, IL
1.025
1.104
1.88800952
99
Rest of Illinois
0.975
0.877
1.19600630
00
Indiana
0.986
0.912
0.51400826
00
Iowa
0.966
0.869
0.50600650
00
Kansas *
0.968
0.881
0.63200740
04
Kansas *
0.968
0.881
0.63200660
00
Kentucky
0.969
0.857
0.75400528
01
New Orleans, LA
0.986
0.995
1.06600528
99
Rest of Louisiana
0.970
0.863
0.96531142
03
Southern Maine
0.980
1.020
0.55831142
99
Rest of Maine
0.962
0.889
0.55800901
01
Baltimore/Surr. Cntys, MD
1.012
1.069
1.01000901
99
Rest of Maryland
0.994
0.981
0.81231143
01
Metropolitan Boston
1.029
1.311
0.78731143
99
Rest of Massachusetts
1.007
1.106
0.78700953
01
Detroit, MI
1.036
1.048
2.30000953
99
Rest of Michigan
0.998
0.922
1.28700954
00
Minnesota
0.992
0.994
0.32400512
00
Mississippi
0.959
0.847
0.76000523
01
Metropolitan St Louis, MO
0.993
0.943
1.00100740
02
Metropolitan Kansas City, MO
0.990
0.960
1.06100523
99
Rest of Missouri *
0.949
0.812
0.93800740
99
Rest of Missouri *
0.949
0.812
0.93803202
01
Montana
0.950
0.846
0.78000655
00
Nebraska
0.959
0.882
0.34500834
00
Nevada
1.002
1.036
1.06731144
40
New Hampshire
0.982
1.034
0.69300805
01
Northern NJ
1.057
1.225
1.03800805
99
Rest of New Jersey
1.042
1.124
1.03800521
05
New Mexico
0.973
0.888
0.98900803
01
Manhattan, NY
1.064
1.299
1.24300803
02
NYC Suburbs/Long I., NY
1.051
1.286
1.49300803
03
Poughkpsie/N NYC Suburbs, NY
1.014
1.077
0.98314330
04
Queens, NY
1.032
1.235
1.44900801
99
Rest of New York
0.997
0.919
0.54405535
00
North Carolina
0.972
0.923
0.63203302
01
North Dakota
0.946
0.852
0.49000883
00
Ohio
0.993
0.930
1.09700522
00
Oklahoma
0.964
0.853
0.503( print page 2709)00835
01
Portland, OR
1.002
1.037
0.45300835
99
Rest of Oregon
0.968
0.926
0.45300865
01
Metropolitan Philadelphia, PA
1.016
1.102
1.49200865
99
Rest of Pennsylvania
0.993
0.914
0.93800973
20
Puerto Rico
0.905
0.696
0.25400524
01
Rhode Island
1.029
1.040
0.94600880
01
South Carolina
0.975
0.899
0.41703402
02
South Dakota
0.942
0.870
0.39005440
35
Tennessee
0.978
0.884
0.61500900
31
Austin, TX
0.991
1.016
0.96900900
20
Beaumont, TX
0.984
0.868
1.31100900
09
Brazoria, TX
1.019
0.942
1.25000900
11
Dallas, TX
1.009
1.033
1.07700900
28
Fort Worth, TX
0.998
0.971
1.07700900
15
Galveston, TX
0.991
0.956
1.25000900
18
Houston, TX
1.016
1.001
1.31000900
99
Rest of Texas
0.968
0.872
1.09203502
09
Utah
0.977
0.922
0.84131145
50
Vermont
0.968
0.976
0.49700904
00
Virginia
0.982
0.941
0.61400973
50
Virgin Islands
0.982
0.996
0.99800836
02
Seattle (King Cnty), WA
1.014
1.109
0.75500836
99
Rest of Washington
0.987
0.976
0.74800951
00
Wisconsin
0.988
0.920
0.59200884
16
West Virginia
0.973
0.823
1.43603602
21
Wyoming
0.956
0.848
0.904* Indicates multiple carriers.** 2008 GPCIs are the first year of the update transition.
 5. On page 66551, Addendum F, CPT/HCPCS Imaging Codes Defined by DRA 5102(B), the descriptors for the following CPT codes are corrected to read as follows: Addendum F.—CPT/HCPCS Imaging Codes Defined by DRA 5102(B)
HCPCS/CPT*
Short descriptor92135
Ophth dx imaging post seg.92235
Eye exam with photos.92240
Icg angiography.92250
Eye exam with photos.92285
Eye photography.92286
Internal eye photography.
 6.  On pages 66575 through 66578, Addendum I, List of CPT 1
                        /HCPCS Codes Used to Describe Certain Designated Health Service Categories 2
                         Under Section 1877 of the Social Security Act, the table is corrected by— a. Correcting the following entries: **Radiology and Certain Other Imaging Services**0146T
Ccta w/wo dye.0147T
Ccta w/wo, quan calcium.71010
Chest x-ray.71015
Chest x-ray.76801
Ob us < 14 wks, single fetus.A9501
Technetium TC-99m teboroxime.Q9953
Inj Fe-based MR contrast, 1ml.**Radiation Therapy Services and Supplies**C1716
Brachytx, non-str, Gold-198.C1717
Brachytx, non-str, HDR Ir-192.C1719
Brachytx, NS, Non-HDRIr-192.C2616
Brachytx, non-str, Yttrium-90.C2634
Brachytx, non-str, HA, I-125.C2635
Brachytx, non-str, HA, P-103.C2636
Brachy linear, non-str, P-103.C2640
Brachytx, stranded, P-103.C2641
Brachytx, non-stranded, P-103.G0103
PSA screening.
 b.  Deleting the following entries: **Radiology and Certain Other Imaging Services**75558
Cardiac MRI flow/velocity.75560
Cardiac MRI flo/vel/stress.75562
Card MRI flow/vel w/dye.75564
Ht MRI w/flow/vel/strs & dye.**Radiation Therapy Services and Supplies**C2637
Brachytx, Ytterbium-169.
 IV.  Waiver of Proposed Rulemaking and Delay in Effective Date We ordinarily publish a notice of proposed rulemaking in the 
                        **Federal Register**
                         to provide a period for public comment before the provisions of a rule take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)).  However, we can waive the notice and comment procedures if the Secretary finds, for good cause, that the notice and comment process is impracticable, unnecessary or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the rule. Section 553(d) of the APA ordinarily requires a 30-day delay in effective date of final rules after the date of their publication.  This 30-day delay in effective date can be waived, however, if an agency finds for good cause that the delay is impracticable, unnecessary, or contrary to the public interest, and the agency incorporates a statement of the findings and its reasons in the rule issued. This correction notice addresses typographical and technical errors made in FR Doc. 07-5506, the CY 2008 PFS final rule with comment period, which appeared in the November 27, 2007 
                        **Federal Register**
                         (72 FR 66222), and is, with limited exceptions as noted in that rule, effective January 1, 2008.  The provisions of the final rule with comment period have been subjected previously to notice and comment procedures.  These corrections contained in this correction notice are consistent with, and do not make substantive 
                        ( print page 2710)
                        changes to, the payment methodologies and policies adopted in the CY 2008 PFS final rule with comment period.  As such, this correction notice is intended to ensure the CY 2008 PFS final rule with comment period accurately reflects the policies adopted in that rule.  We find, therefore, for good cause that it is unnecessary and would be contrary to the public interest to undertake further notice and comment procedures to incorporate these corrections into the final rule with comment period. For the same reasons, we are also waiving the 30-day delay in effective date for this correction notice.  We believe that it is in the public interest to ensure that the CY 2008 PFS final rule with comment period accurately states our policies as of the date they take effect.  Therefore, we find that delaying the effective date of these corrections beyond the effective date of the final rule with comment period would be contrary to the public interest.  In so doing, we find good cause to waive the 30-day delay in the effective date. Authority:
                        (Catalog of Federal Domestic Assistance Program No. 93.774, Medicare—Supplementary Medical Insurance Program) Dated: December 31, 2007. Ashley Files Flory, Deputy Executive Secretary to the Department.


[FR Doc. 07-6308 Filed 12-31-07; 4:47 pm] BILLING CODE 4120-01-P