Spreadsheet: 81495d1281643099-vlookup-function-compare
Sheet: TMM Procedure

TMM Table Name | Is this a CPT/Diagnosis code combination? Yes or No | Code Type | Code Low | Code Low Description | Code High | Code High Description | LOS Type | LOS [NAME] | Name of Task List | Task Reason | # of Days task is due | Task Due from: System or Admit Date
 | No | CPT | 11004 | debride genitalia & perineum | 11004 | debride genitalia & perineum | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 11005 | debride abdom wall | 11005 | debride abdom wall | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 11008 | remove mesh from [NAME] | 11008 | remove mesh from [NAME] | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 11010 | debride skin, fx | 11010 | debride skin, fx | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 11011 | debride skin/muscle, fx | 11011 | debride skin/muscle, fx | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 11012 | debride skin/muscle/bone, fx | 11012 | debride skin/muscle/bone, fx | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 13160 | late closure of wound | 13160 | late closure of wound | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 15101 | skin splt grft t/a/l, add-on | 15101 | skin splt grft t/a/l, add-on | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 15121 | skn splt a-grft f/n/hf/g add | 15121 | skn splt a-grft f/n/hf/g add | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 15734 | muscle-skin graft, trunk | 15734 | muscle-skin graft, trunk | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 15738 | muscle-skin graft, leg | 15738 | muscle-skin graft, leg | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 15756 | free myo/skin flap microvasc | 15756 | free myo/skin flap microvasc | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 15758 | free fascial flap, microvasc | 15758 | free fascial flap, microvasc | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 16020 | dress/debrid p-thick burn, s | 16020 | dress/debrid p-thick burn, s | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 16025 | dress/debrid p-thick burn, m | 16035 | dress/debrid p-thick burn, m | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 16036 | escharotomy; addl incision | 16036 | escharotomy; addl incision | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 19260 | removal of chest wall lesion | 19260 | removal of chest wall lesion | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 19301 | partical mastectomy | 19306 | partical mastectomy | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 19307 | mast, mod rad | 19307 | mast, mod rad | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 20005 | incision of deep abscess | 20005 | incision of deep abscess | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 20102 | explore wound, abdomen | 20102 | explore wound, abdomen | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 20950 | fluid pressure, muscle | 20950 | fluid pressure, muscle | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 21365 | treat cheek bone fracture | 21365 | treat cheek bone fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 21557 | resect neck tum < 5 cm | 21557 | resect neck tum < 5 cm | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 21615 | removal of rib | 21615 | removal of rib | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 21627 | sternal debridement | 21627 | sternal debridement | Moderate | 7 |  | Concurrent Review | 7 | Admit Date
 | No | CPT | 21705 | revision of neck muscle/rib | 21705 | revision of neck muscle/rib | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 21750 | repair of sternum separation | 21750 | repair of sternum separation | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 22315 | treat spine fracture | 22315 | treat spine fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 22325 | treat spine fracture | 22325 | treat spine fracture | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 22326 | treat neck spine fracture | 22326 | treat neck spine fracture | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 22327 | treat thorax spine fracture | 22327 | treat thorax spine fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 22595 | neck spinal fusion | 22595 | neck spinal fusion | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 22800 | fusion of spine | 22802 | fusion of spine | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 22842 | [NAME] device | 22843 | [NAME] device | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 22849 | reinsert spinal fixation | 22849 | reinsert spinal fixation | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 22850 | remove spine fixation device | 22850 | remove spine fixation device | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 22852 | remove spine fixation device | 22852 | remove spine fixation device | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 23030 | drain shoulder lesion | 23030 | drain shoulder lesion | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 23410 | repair rotator cuff, acute | 23410 | repair rotator cuff, acute | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 23412 | repair rotator cuff, chronic | 23412 | repair rotator cuff, chronic | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 23415 | release of shoulder ligament | 23415 | release of shoulder ligament | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 23420 | repair of shoulder | 23420 | repair of shoulder | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 23470 | reconstruct shoulder joint | 23470 | reconstruct shoulder joint | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 23472 | reconstruct shoulder joint | 23472 | reconstruct shoulder joint | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 23616 | treat humerus fracture | 23616 | treat humerus fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 24363 | replace elbow joint | 24363 | replace elbow joint | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 24516 | treat humerus fracture | 24516 | treat humerus fracture | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 24546 | treat humerus fracture | 24546 | treat humerus fracture | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 27030 | drainage of hip joint | 27030 | drainage of hip joint | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 27049 | resect hip/pelv tum  < 5 cm | 27049 | resect hip/pelv tum  < 5 cm | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27090 | removal of hip prosthesis | 27091 | removal of hip prosthesis | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 27125 | partial hip replacement | 27138 | partial hip replacement | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27125 | partial hip replacement | 27125 | partial hip replacement | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27130 | total hip arthroplasty | 27137 | total hip arthroplasty | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27138 | revise hip joint replacement | 27138 | revise hip joint replacement | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27165 | incision/fixation of femur | 27165 | incision/fixation of femur | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27193 | treat pelvic ring fracture | 27193 | treat pelvic ring fracture | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 27194 | treat pelvic ring fracture | 27194 | treat pelvic ring fracture | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27216 | treat pelvic ring fracture | 27216 | treat pelvic ring fracture | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 27217 | treat pelvic ring fracture | 27217 | treat pelvic ring fracture | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 27226 | treat hip wall fracture | 27226 | treat hip wall fracture | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 27228 | treat hip fracture(s) | 27228 | treat hip fracture(s) | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 27235 | treat thigh fracture | 27236 | treat thigh fracture | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27244 | treat thigh fracture | 27245 | treat thigh fracture | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27246 | treat thigh fracture | 27246 | treat thigh fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27248 | treat thigh fracture | 27248 | treat thigh fracture | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27258 | treat hip dislocation | 27259 | treat hip dislocation | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 27269 | optx thigh fx | 27269 | optx thigh fx | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27329 | resect thigh/knee tum < 5 cm | 27329 | resect thigh/knee tum < 5 cm | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27445 | revision of knee joint | 27447 | revision of knee joint | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27455 | realignment of knee | 27457 | realignment of knee | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 27486 | revise/replace knee joint | 27487 | revise/replace knee joint | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27488 | removal of knee prosthesis | 27488 | removal of knee prosthesis | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 27495 | reinforce thigh | 27495 | reinforce thigh | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27506 | treatment of thigh fracture | 27507 | treatment of thigh fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27511 | treatment of thigh fracture | 27514 | treatment of thigh fracture | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27524 | treat kneecap fracture | 27524 | treat kneecap fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27535 | treat knee fracture | 27536 | treat knee fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27556 | treat knee dislocation | 27556 | treat knee dislocation | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 27557 | treat knee dislocation | 27558 | treat knee dislocation | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 27590 | amputate leg at thigh | 27592 | amputate leg at thigh | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27596 | amputation follow-up surgery | 27596 | amputation follow-up surgery | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 27598 | amputate lower leg at knee | 27598 | amputate lower leg at knee | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27600 | decompression of lower leg | 27600 | decompression of lower leg | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 27601 | decompression of lower leg | 27601 | decompression of lower leg | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 27602 | decompression of lower leg | 27602 | decompression of lower leg | Moderate | 7 |  | Concurrent Review | 7 | Admit Date
 | No | CPT | 27720 | repair of tibia | 27720 | repair of tibia | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 27724 | repair/graft of tibia | 27724 | repair/graft of tibia | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27756 | treatment of tibia fracture | 27756 | treatment of tibia fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27758 | treatment of tibia fracture | 27759 | treatment of tibia fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27766 | optx medial ankle fx | 27766 | optx medial ankle fx | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27769 | optx post ankle fx | 27769 | optx post ankle fx | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27784 | treatment of fibula fracture | 27784 | treatment of fibula fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27792 | treatment of ankle fracture | 27792 | treatment of ankle fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27810 | treatment of ankle fracture | 27810 | treatment of ankle fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27814 | treatment of ankle fracture | 27814 | treatment of ankle fracture | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 27818 | treatment of ankle fracture | 27818 | treatment of ankle fracture | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 27822 | treatment of ankle fracture | 27823 | treatment of ankle fracture | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 27826 | treat lower leg fracture | 27828 | treat lower leg fracture | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 27827 | treat lower leg fracture | 27828 | treat lower leg fracture | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 27846 | treat ankle dislocation | 27846 | treat ankle dislocation | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 27848 | treat ankle dislocation | 27848 | treat ankle dislocation | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 27880 | amputation of lower leg | 27886 | amputation of lower leg | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 28005 | treat foot bone lesion | 28005 | treat foot bone lesion | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 28415 | treat heel fracture | 28415 | treat heel fracture | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 28420 | treat/graft heel fracture | 28420 | treat/graft heel fracture | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 28445 | treat ankle fracture | 28445 | treat ankle fracture | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 28476 | treat metatarsal fracture | 28476 | treat metatarsal fracture | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 28715 | fusion of foot bones | 28715 | fusion of foot bones | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 28800 | amputation of midfoot | 28805 | amputation of midfoot | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 28810 | amputation toe & metatarsal | 28810 | amputation toe & metatarsal | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 30906 | repeat control of nosebleed | 30906 | repeat control of nosebleed | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 31360 | removal of larynx | 31365 | removal of larynx | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 31360 | removal of larynx | 31395 | removal of larynx | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 31367 | partial removal of larynx | 31382 | partial removal of larynx | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 31390 | removal of larynx & pharynx | 31395 | removal of larynx & pharynx | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 31515 | laryngoscopy for aspiration | 31515 | laryngoscopy for aspiration | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 31600 | incision of windpipe | 31600 | incision of windpipe | Moderate | 12 |  | Concurrent Review | 12 | Admit Date
 | No | CPT | 31603 | incision of windpipe | 31603 | incision of windpipe | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 31610 | incision of windpipe | 31610 | incision of windpipe | Moderate | 11 |  | Concurrent Review | 11 | Admit Date
 | No | CPT | 31622 | dx bronchoscope/wash | 31622 | dx bronchoscope/wash | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 31625 | [NAME]) | 31628 | [NAME]) | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 32000 | drainage of chest | 32000 | drainage of chest | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 32002 | treatment of collapsed lung | 32005 | treatment of collapsed lung | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 32095 | biopsy through chest wall | 32100 | biopsy through chest wall | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 32120 | re-exploration of chest | 32120 | re-exploration of chest | Moderate | 7 |  | Concurrent Review | 7 | Admit Date
 | No | CPT | 32124 | explore chest free adhesions | 32151 | explore chest free adhesions | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 32215 | treat chest lining | 32215 | treat chest lining | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 32220 | release of lung | 32310 | release of lung | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 32220 | release of lung | 32220 | release of lung | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 32225 | partial release of lung | 32310 | partial release of lung | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 32320 | free/remove chest lining | 32402 | free/remove chest lining | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 32422 | thoracentesis w/tube insert | 32422 | thoracentesis w/tube insert | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 32440 | removal of lung | 32440 | removal of lung | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 32480 | partial removal of lung | 32480 | partial removal of lung | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 32482 | bilobectomy | 32482 | bilobectomy | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 32484 | segmentectomy | 32484 | segmentectomy | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 32500 | partial removal of lung | 32500 | partial removal of lung | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 32551 | insertion of chest tube | 32551 | insertion of chest tube | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 32560 | treat pleurodesis w/agent | 32560 | treat pleurodesis w/agent | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 32601 | thoracoscopy, diagnostic | 32604 | thoracoscopy, diagnostic | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 32650 | thoracoscopy, surgical | 32657 | thoracoscopy, surgical | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 32663 | thoracoscopy, surgical | 32663 | thoracoscopy, surgical | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 33025 | incision of heart sac | 33025 | incision of heart sac | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33400 | repair of aortic valve | 33478 | repair of aortic valve | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33510 | cabg, vein, single | 33530 | cabg, vein, single | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 33533 | cabg, arterial, single | 33534 | cabg, arterial, single | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 33535 | cabg, arterial, three | 33536 | cabg, arterial, three | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 33542 | removal of heart lesion | 33542 | removal of heart lesion | Moderate | 7 |  | Concurrent Review | 7 | Admit Date
 | No | CPT | 33545 | repair of heart damage | 33545 | repair of heart damage | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 33572 | open coronary endarterectomy | 33572 | open coronary endarterectomy | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 33600 | closure of valve | 33600 | closure of valve | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 33600 | closure of valve | 33641 | closure of valve | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 33602 | closure of valve | 33608 | closure of valve | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33610 | repair by enlargement | 33610 | repair by enlargement | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 33611 | repair double ventricle | 33619 | repair double ventricle | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33641 | repair heart septum defect | 33641 | repair heart septum defect | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 33647 | repair heart septum defects | 33647 | repair heart septum defects | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33660 | repair of heart defects | 33688 | repair of heart defects | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33660 | repair of heart defects | 33677 | repair of heart defects | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33681 | repair heart septum defect | 33681 | repair heart septum defect | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 33684 | repair heart septum defect | 33688 | repair heart septum defect | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33692 | repair of heart defects | 33692 | repair of heart defects | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33694 | repair of heart defects | 33694 | repair of heart defects | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33697 | repair of heart defects | 33697 | repair of heart defects | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33724 | repair venous anomaly | 33724 | repair venous anomaly | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33730 | repair heart-vein defect(s) | 33767 | repair heart-vein defect(s) | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33770 | repair great vessels defect | 33788 | repair great vessels defect | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33820 | revise major vessel | 33824 | revise major vessel | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 33840 | [NAME] constriction | 33851 | [NAME] constriction | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 33860 | ascending aortic graft | 33860 | ascending aortic graft | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 33863 | ascending aortic graft | 33864 | ascending aortic graft | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 33870 | transverse aortic arch graft | 33870 | transverse aortic arch graft | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 33875 | thoracic aortic graft | 33877 | thoracic aortic graft | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 33917 | repair pulmonary artery | 33917 | repair pulmonary artery | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 33920 | repair pulmonary atresia | 33920 | repair pulmonary atresia | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 33945 | transplantation of heart | 33945 | transplantation of heart | Moderate | 9 |  | Concurrent Review | 9 | Admit Date
 | No | CPT | 33967 | [NAME] | 33967 | [NAME] | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 33968 | remove aortic assist device | 33968 | remove aortic assist device | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 33970 | aortic circulation assist | 33971 | aortic circulation assist | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 34101 | removal of artery clot | 34101 | removal of artery clot | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 34111 | removal of arm artery clot | 34111 | removal of arm artery clot | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 34201 | removal of artery clot | 34201 | removal of artery clot | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 34203 | removal of leg artery clot | 34203 | removal of leg artery clot | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 34800 | endovas aaa repr w/sm tube | 34800 | endovas aaa repr w/sm tube | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 34803 | endovas aaa repr w/3-p part | 34805 | endovas aaa repr w/3-p part | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 34820 | xpose for endoprosth, iliac | 34820 | xpose for endoprosth, iliac | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 34825 | endovasc extend prosth, init | 34825 | endovasc extend prosth, init | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 34830 | open aortic tube prosth repr | 34832 | open aortic tube prosth repr | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35081 | repair defect of artery | 35082 | repair defect of artery | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35091 | repair defect of artery | 35092 | repair defect of artery | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35091 | repair defect of artery | 35091 | repair defect of artery | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35102 | repair defect of artery | 35102 | repair defect of artery | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35103 | repair artery rupture, groin | 35103 | repair artery rupture, groin | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35141 | repair defect of artery | 35141 | repair defect of artery | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 35151 | repair defect of artery | 35151 | repair defect of artery | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 35190 | repair blood vessel lesion | 35190 | repair blood vessel lesion | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 35206 | repair blood vessel lesion | 35206 | repair blood vessel lesion | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 35221 | repair blood vessel lesion | 35221 | repair blood vessel lesion | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 35226 | repair blood vessel lesion | 35226 | repair blood vessel lesion | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 35256 | repair blood vessel lesion | 35256 | repair blood vessel lesion | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 35286 | repair blood vessel lesion | 35286 | repair blood vessel lesion | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 35301 | rechanneling of artery | 35301 | rechanneling of artery | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 35351 | rechanneling of artery | 35351 | rechanneling of artery | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 35355 | rechanneling of artery | 35355 | rechanneling of artery | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 35371 | rechanneling of artery | 35371 | rechanneling of artery | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 35372 | rechanneling of artery | 35372 | rechanneling of artery | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 35537 | artery bypass graft | 35540 | artery bypass graft | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35541 | artery bypass graft | 35549 | artery bypass graft | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 35541 | artery bypass graft | 35556 | artery bypass graft | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 35551 | artery bypass graft | 35556 | artery bypass graft | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35571 | artery bypass graft | 35572 | artery bypass graft | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 35583 | vein bypass graft | 35583 | vein bypass graft | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 35585 | vein bypass graft | 35585 | vein bypass graft | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35606 | artery bypass graft | 35606 | artery bypass graft | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 35631 | artery bypass graft | 35631 | artery bypass graft | Moderate | 7 |  | Concurrent Review | 7 | Admit Date
 | No | CPT | 35637 | artery bypass graft | 35638 | artery bypass graft | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35641 | artery bypass graft | 35641 | artery bypass graft | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 35646 | artery bypass graft | 35647 | artery bypass graft | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35651 | artery bypass graft | 35651 | artery bypass graft | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35654 | artery bypass graft | 35654 | artery bypass graft | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35656 | artery bypass graft | 35656 | artery bypass graft | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 35661 | artery bypass graft | 35661 | artery bypass graft | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 35665 | artery bypass graft | 35665 | artery bypass graft | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 35666 | artery bypass graft | 35666 | artery bypass graft | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 35721 | exploration, femoral artery | 35721 | exploration, femoral artery | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 35761 | exploration of artery/vein | 35761 | exploration of artery/vein | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35800 | explore neck vessels | 35800 | explore neck vessels | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 35820 | explore chest vessels | 35820 | explore chest vessels | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 35840 | explore abdominal vessels | 35840 | explore abdominal vessels | Moderate | 7 |  | Concurrent Review | 7 | Admit Date
 | No | CPT | 35860 | explore limb vessels | 35860 | explore limb vessels | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35875 | removal of clot in graft | 35875 | removal of clot in graft | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 35876 | removal of clot in graft | 35876 | removal of clot in graft | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 35879 | revise graft w/vein | 35879 | revise graft w/vein | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 35903 | excision, graft, extremity | 35903 | excision, graft, extremity | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 36010 | place catheter in vein | 36012 | place catheter in vein | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 36200 | place catheter in aorta | 36218 | place catheter in aorta | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 36450 | bl exchange/transfuse, nb | 36450 | bl exchange/transfuse, nb | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 37617 | ligation of abdomen artery | 37617 | ligation of abdomen artery | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 37618 | ligation of extremity artery | 37618 | ligation of extremity artery | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 37620 | revision of major vein | 37620 | revision of major vein | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 38100 | removal of spleen, total | 38101 | removal of spleen, total | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 38102 | removal of spleen, total | 38102 | removal of spleen, total | Moderate | 8 |  | Concurrent Review | 8 | Admit Date
 | No | CPT | 38115 | repair of ruptured spleen | 38115 | repair of ruptured spleen | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 38120 | laparoscopy, splenectomy | 38120 | laparoscopy, splenectomy | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 38562 | removal, pelvic lymph nodes | 38562 | removal, pelvic lymph nodes | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 38571 | laparoscopy, lymphadenectomy | 38571 | laparoscopy, lymphadenectomy | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 38700 | removal of lymph nodes, neck | 38724 | removal of lymph nodes, neck | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 38746 | remove thoracic lymph nodes | 38746 | remove thoracic lymph nodes | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 38747 | remove abdominal lymph nodes | 38747 | remove abdominal lymph nodes | Moderate | 7 |  | Concurrent Review | 7 | Admit Date
 | No | CPT | 38760 | remove groin lymph nodes | 38760 | remove groin lymph nodes | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 38770 | remove pelvis lymph nodes | 38770 | remove pelvis lymph nodes | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 38780 | remove abdomen lymph nodes | 38780 | remove abdomen lymph nodes | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 39010 | exploration of chest | 39010 | exploration of chest | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 39220 | removal chest lesion | 39220 | removal chest lesion | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 39502 | repair paraesophageal hernia | 39502 | repair paraesophageal hernia | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 39520 | repair of diaphragm hernia | 39520 | repair of diaphragm hernia | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 39599 | diaphragm surgery procedure | 39599 | diaphragm surgery procedure | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 41135 | tongue and neck surgery | 41135 | tongue and neck surgery | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 41145 | tongue removal, neck surgery | 41145 | tongue removal, neck surgery | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 41153 | tongue, mouth, neck surgery | 41153 | tongue, mouth, neck surgery | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 42720 | drainage of throat abscess | 42725 | drainage of throat abscess | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 43030 | throat muscle surgery | 43030 | throat muscle surgery | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 43107 | removal of esophagus | 43108 | removal of esophagus | Moderate | 7 |  | Concurrent Review | 7 | Admit Date
 | No | CPT | 43112 | removal of esophagus | 43113 | removal of esophagus | Moderate | 7 |  | Concurrent Review | 7 | Admit Date
 | No | CPT | 43116 | partial removal of esophagus | 43124 | partial removal of esophagus | Moderate | 7 |  | Concurrent Review | 7 | Admit Date
 | No | CPT | 43130 | removal of esophagus pouch | 43130 | removal of esophagus pouch | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 43241 | upper gi endoscopy with tube | 43241 | upper gi endoscopy with tube | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 43243 | upper gi endoscopy & inject | 43244 | upper gi endoscopy & inject | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 43246 | place gastrostomy tube | 43246 | place gastrostomy tube | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 43255 | operative upper gi endoscopy | 43255 | operative upper gi endoscopy | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 43271 | endo cholangiopancreatograph | 43271 | endo cholangiopancreatograph | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 43324 | revise esophagus & stomach | 43324 | revise esophagus & stomach | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 43501 | surgical repair of stomach | 43501 | surgical repair of stomach | Moderate | 8 |  | Concurrent Review | 8 | Admit Date
 | No | CPT | 43520 | incision of pyloric muscle | 43520 | incision of pyloric muscle | Moderate | 1 |  | Concurrent Review | 1 | Admit Date
 | No | CPT | 43610 | excision of stomach lesion | 43610 | excision of stomach lesion | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 43621 | removal of stomach | 43621 | removal of stomach | Moderate | 8 |  | Concurrent Review | 8 | Admit Date
 | No | CPT | 43631 | removal of stomach, partial | 43635 | removal of stomach, partial | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 43640 | vagotomy & pylorus repair | 43641 | vagotomy & pylorus repair | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 43800 | reconstruction of pylorus | 43810 | reconstruction of pylorus | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 43800 | reconstruction of pylorus | 43825 | reconstruction of pylorus | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 43820 | fusion of stomach and bowel | 43820 | fusion of stomach and bowel | Moderate | 7 |  | Concurrent Review | 7 | Admit Date
 | No | CPT | 43825 | fusion of stomach and bowel | 43825 | fusion of stomach and bowel | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 43830 | place gastrostomy tube | 43830 | place gastrostomy tube | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 43832 | place gastrostomy tube | 43832 | place gastrostomy tube | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 43840 | repair of stomach lesion | 43840 | repair of stomach lesion | Moderate | 7 |  | Concurrent Review | 7 | Admit Date
 | No | CPT | 43850 | revise stomach-bowel fusion | 43855 | revise stomach-bowel fusion | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 43850 | revise stomach-bowel fusion | 43865 | revise stomach-bowel fusion | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 43860 | revise stomach-bowel fusion | 43860 | revise stomach-bowel fusion | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 43865 | revise stomach-bowel fusion | 43865 | revise stomach-bowel fusion | Moderate | 2 |  | Concurrent Review | 2 | Admit Date
 | No | CPT | 44005 | freeing of bowel adhesion | 44005 | freeing of bowel adhesion | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 44020 | explore small intestine | 44020 | explore small intestine | Moderate | 7 |  | Concurrent Review | 7 | Admit Date
 | No | CPT | 44021 | decompress small bowel | 44021 | decompress small bowel | Moderate | 8 |  | Concurrent Review | 8 | Admit Date
 | No | CPT | 44050 | reduce bowel obstruction | 44050 | reduce bowel obstruction | Moderate | 3 |  | Concurrent Review | 3 | Admit Date
 | No | CPT | 44055 | correct malrotation of bowel | 44055 | correct malrotation of bowel | Moderate | 4 |  | Concurrent Review | 4 | Admit Date
 | No | CPT | 44110 | excise intestine lesion(s) | 44128 | excise intestine lesion(s) | Moderate | 5 |  | Concurrent Review | 5 | Admit Date
 | No | CPT | 44130 | bowel to bowel fusion | 44130 | bowel to bowel fusion | Moderate | 8 |  | Concurrent Review | 8 | Admit Date
 | No | CPT | 44139 | mobilization of colon | 44139 | mobilization of colon | Moderate | 6 |  | Concurrent Review | 6 | Admit Date
 | No | CPT | 44140 | partial removal of colon | 44147 | partial removal of colon | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 44140 | partial removal of colon | 44160 | partial removal of colon | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 44150 | removal of colon | 44158 | removal of colon | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 44160 | removal of colon | 44160 | removal of colon | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 44202 | lap, enterectomy | 44210 | lap, enterectomy | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 44202 | lap, enterectomy | 44202 | lap, enterectomy | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 44203 | lap resect s/intestine, addl | 44210 | lap resect s/intestine, addl | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 44213 | lap, mobil splenic fl add-on | 44213 | lap, mobil splenic fl add-on | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 44300 | open bowel to skin | 44300 | open bowel to skin | Moderate | 9 |  | Concurrent Review | 9
 | No | CPT | 44310 | ileostomy/jejunostomy | 44310 | ileostomy/jejunostomy | Moderate | 7 |  | Concurrent Review | 7
 | No | CPT | 44320 | [NAME] | 44320 | [NAME] | Moderate | 7 |  | Concurrent Review | 7
 | No | CPT | 44345 | revision of colostomy | 44345 | revision of colostomy | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 44346 | revision of colostomy | 44346 | revision of colostomy | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 44602 | suture, small intestine | 44603 | suture, small intestine | Moderate | 7 |  | Concurrent Review | 7
 | No | CPT | 44604 | suture, large intestine | 44604 | suture, large intestine | Moderate | 6 |  | Concurrent Review | 6
 | No | CPT | 44615 | intestinal stricturoplasty | 44615 | intestinal stricturoplasty | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 44620 | repair bowel opening | 44620 | repair bowel opening | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 44625 | repair bowel opening | 44625 | repair bowel opening | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 44625 | repair bowel opening | 44626 | repair bowel opening | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 44626 | repair bowel opening | 44626 | repair bowel opening | Moderate | 6 |  | Concurrent Review | 6
 | No | CPT | 44640 | repair bowel-skin fistula | 44640 | repair bowel-skin fistula | Moderate | 8 |  | Concurrent Review | 8
 | No | CPT | 44661 | repair bowel-bladder fistula | 44661 | repair bowel-bladder fistula | Moderate | 6 |  | Concurrent Review | 6
 | No | CPT | 44700 | suspend [NAME]/prosthesis | 44700 | suspend [NAME]/prosthesis | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 44799 | unlisted procedure intestine | 44799 | unlisted procedure intestine | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 44900 | drain app abscess, open | 44900 | drain app abscess, open | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 44950 | appendectomy | 44950 | appendectomy | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 44960 | appendectomy | 44960 | appendectomy | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 45020 | drainage of rectal abscess | 45020 | drainage of rectal abscess | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 45110 | removal of rectum | 45110 | removal of rectum | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 45112 | removal of rectum | 45112 | removal of rectum | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 45120 | removal of rectum | 45121 | removal of rectum | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 45395 | lap, removal of rectum | 45395 | lap, removal of rectum | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 45397 | lap, remove rectum w/pouch | 45397 | lap, remove rectum w/pouch | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 45541 | correct rectal prolapse | 45541 | correct rectal prolapse | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 45563 | exploration/repair of rectum | 45563 | exploration/repair of rectum | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 46040 | incision of rectal abscess | 46040 | incision of rectal abscess | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 47011 | percut drain, liver lesion | 47011 | percut drain, liver lesion | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 47120 | partial removal of liver | 47120 | partial removal of liver | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 47135 | transplantation of liver | 47136 | transplantation of liver | Moderate | 7 |  | Concurrent Review | 7
 | No | CPT | 47490 | incision of gallbladder | 47490 | incision of gallbladder | Moderate | 6 |  | Concurrent Review | 6
 | No | CPT | 47600 | removal of gallbladder | 47600 | removal of gallbladder | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 47605 | removal of gallbladder | 47605 | removal of gallbladder | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 47610 | removal of gallbladder | 47610 | removal of gallbladder | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 47760 | fuse bile ducts and bowel | 47760 | fuse bile ducts and bowel | Moderate | 6 |  | Concurrent Review | 6
 | No | CPT | 48100 | biopsy of pancreas, open | 48100 | biopsy of pancreas, open | Moderate | 6 |  | Concurrent Review | 6
 | No | CPT | 48140 | partial removal of pancreas | 48140 | partial removal of pancreas | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 48146 | pancreatectomy | 48155 | pancreatectomy | Moderate | 7 |  | Concurrent Review | 7
 | No | CPT | 49000 | exploration of abdomen | 49000 | exploration of abdomen | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 49002 | reopening of abdomen | 49002 | reopening of abdomen | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 49010 | exploration behind abdomen | 49010 | exploration behind abdomen | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 49020 | drain abdominal abscess | 49020 | drain abdominal abscess | Moderate | 6 |  | Concurrent Review | 6
 | No | CPT | 49021 | drain abdominal abscess | 49021 | drain abdominal abscess | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 49040 | drain, open, abdom abscess | 49040 | drain, open, abdom abscess | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 49060 | drain, open, retrop abscess | 49060 | drain, open, retrop abscess | Moderate | 6 |  | Concurrent Review | 6
 | No | CPT | 49255 | removal of omentum | 49255 | removal of omentum | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 49491 | rpr hern preemie reduc | 49491 | rpr hern preemie reduc | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 49900 | repair of abdominal wall | 49900 | repair of abdominal wall | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 50220 | remove kidney, open | 50240 | remove kidney, open | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 50300 | remove cadaver donor kidney | 50320 | remove cadaver donor kidney | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 50340 | removal of kidney | 50340 | removal of kidney | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 50340 | removal of kidney | 50365 | removal of kidney | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 50360 | transplantation of kidney | 50365 | transplantation of kidney | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 50370 | remove transplanted kidney | 50370 | remove transplanted kidney | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 50400 | revision of kidney/ureter | 50400 | revision of kidney/ureter | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 50543 | [NAME] partial nephrectomy | 50543 | [NAME] partial nephrectomy | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 50545 | [NAME] | 50548 | [NAME] | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 50600 | exploration of ureter | 50630 | exploration of ureter | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 50715 | release of ureter | 50715 | release of ureter | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 50727 | revise ureter | 50728 | revise ureter | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 50780 | reimplant ureter in bladder | 50780 | reimplant ureter in bladder | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 50820 | construct bowel bladder | 50820 | construct bowel bladder | Moderate | 7 |  | Concurrent Review | 7
 | No | CPT | 51570 | removal of bladder | 51596 | removal of bladder | Moderate | 6 |  | Concurrent Review | 6
 | No | CPT | 51860 | repair of bladder wound | 51860 | repair of bladder wound | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 51865 | repair of bladder wound | 51865 | repair of bladder wound | Moderate | 5 |  | Concurrent Review | 5
 | No | CPT | 53415 | reconstruction of urethra | 53415 | reconstruction of urethra | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 53510 | repair of urethra injury | 53510 | repair of urethra injury | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 53515 | repair of urethra injury | 53515 | repair of urethra injury | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 54160 | circumcision, neonate | 54160 | circumcision, neonate | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 54332 | revise penis/urethra | 54336 | revise penis/urethra | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 54348 | secondary urethral surgery | 54348 | secondary urethral surgery | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 54348 | secondary urethral surgery | 54352 | secondary urethral surgery | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 54352 | reconstruct urethra/penis | 54352 | reconstruct urethra/penis | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 54380 | repair penis | 54390 | repair penis | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 55810 | extensive prostate surgery | 55815 | extensive prostate surgery | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 55821 | removal of prostate | 55821 | removal of prostate | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 55831 | removal of prostate | 55831 | removal of prostate | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 55840 | extensive prostate surgery | 55845 | extensive prostate surgery | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 55866 | laparo radical prostatectomy | 55866 | laparo radical prostatectomy | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 57240 | repair bladder & vagina | 57265 | repair bladder & vagina | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 57268 | repair of bowel bulge | 57283 | repair of bowel bulge | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 57288 | repair bladder defect | 57289 | repair bladder defect | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 58140 | myomectomy abdom method | 58146 | myomectomy abdom method | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 58150 | total hysterectomy | 58180 | total hysterectomy | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 58200 | extensive hysterectomy | 58200 | extensive hysterectomy | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 58210 | extensive hysterectomy | 58210 | extensive hysterectomy | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 58541 | lsh, uterus 250 g or less | 58554 | lsh, uterus 250 g or less | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 58548 | lap radical hyst | 58548 | lap radical hyst | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 58570 | tlh, uterus 250 g or less | 58573 | tlh, uterus 250 g or less | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 58700 | removal of fallopian tube | 58770 | removal of fallopian tube | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 58805 | drainage of ovarian cyst(s) | 58805 | drainage of ovarian cyst(s) | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 58822 | drain ovary abscess, percut | 58822 | drain ovary abscess, percut | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 58825 | transposition, ovary(s) | 58825 | transposition, ovary(s) | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 58900 | biopsy of ovary(s) | 58950 | biopsy of ovary(s) | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 58900 | biopsy of ovary(s) | 58960 | biopsy of ovary(s) | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 58951 | [NAME] | 58951 | [NAME] | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 58952 | [NAME] | 58960 | [NAME] | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 59120 | treat ectopic pregnancy | 59121 | treat ectopic pregnancy | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 59136 | treat ectopic pregnancy | 59136 | treat ectopic pregnancy | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 59160 | d & c after delivery | 59160 | d & c after delivery | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 59200 | insert cervical dilator | 59200 | insert cervical dilator | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 59300 | episiotomy or vaginal repair | 59300 | episiotomy or vaginal repair | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 59400 | obstetrical care | 59410 | obstetrical care | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 59412 | antepartum manipulation | 59412 | antepartum manipulation | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 59510 | cesarean delivery | 59515 | cesarean delivery | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 59525 | remove uterus after cesarean | 59525 | remove uterus after cesarean | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 60500 | explore parathyroid glands | 60502 | explore parathyroid glands | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 60521 | removal of thymus gland | 60521 | removal of thymus gland | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 60540 | explore adrenal gland | 60545 | explore adrenal gland | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 60650 | laparoscopy adrenalectomy | 60650 | laparoscopy adrenalectomy | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 61150 | [NAME] for drainage | 61150 | [NAME] for drainage | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 61304 | open skull for exploration | 61304 | open skull for exploration | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 61312 | open skull for drainage | 61312 | open skull for drainage | Moderate | 7 |  | Concurrent Review | 7
 | No | CPT | 61313 | open skull for drainage | 61323 | open skull for drainage | Moderate | 7 |  | Concurrent Review | 7
 | No | CPT | 61343 | incise skull (press relief) | 61343 | incise skull (press relief) | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 61458 | incise skull for brain wound | 61458 | incise skull for brain wound | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 61500 | removal of skull lesion | 61500 | removal of skull lesion | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 61510 | removal of brain lesion | 61516 | removal of brain lesion | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 61518 | removal of brain lesion | 61518 | removal of brain lesion | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 61520 | removal of brain lesion | 61520 | removal of brain lesion | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 61537 | removal of brain tissue | 61544 | removal of brain tissue | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 61548 | removal of pituitary gland | 61548 | removal of pituitary gland | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 61566 | removal of brain tissue | 61567 | removal of brain tissue | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 61570 | remove foreign body, brain | 61571 | remove foreign body, brain | Moderate | 7 |  | Concurrent Review | 7
 | No | CPT | 61595 | transtemporal approach/skull | 61595 | transtemporal approach/skull | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 61616 | resect/excise lesion, skull | 61618 | resect/excise lesion, skull | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 61624 | transcath occlusion, cns | 61624 | transcath occlusion, cns | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 61680 | intracranial vessel surgery | 61682 | intracranial vessel surgery | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 61690 | intracranial vessel surgery | 61692 | intracranial vessel surgery | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 61697 | brain aneurysm repr, complx | 61697 | brain aneurysm repr, complx | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 61697 | brain aneurysm repr, complx | 61698 | brain aneurysm repr, complx | Moderate | 8 |  | Concurrent Review | 8
 | No | CPT | 61698 | brain aneurysm repr, complx | 61698 | brain aneurysm repr, complx | Moderate | 8 |  | Concurrent Review | 8
 | No | CPT | 61700 | brain aneurysm repr, simple | 61700 | brain aneurysm repr, simple | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 62005 | treat skull fracture | 62005 | treat skull fracture | Moderate | 7 |  | Concurrent Review | 7
 | No | CPT | 62010 | treatment of head injury | 62010 | treatment of head injury | Moderate | 7 |  | Concurrent Review | 7
 | No | CPT | 62140 | repair of skull defect | 62147 | repair of skull defect | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 62165 | remove pituit tumor w/scope | 62165 | remove pituit tumor w/scope | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 62190 | establish brain cavity shunt | 62190 | establish brain cavity shunt | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 62223 | establish brain cavity shunt | 62223 | establish brain cavity shunt | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 62230 | replace/revise brain shunt | 62230 | replace/revise brain shunt | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 62256 | remove brain cavity shunt | 62256 | remove brain cavity shunt | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 62258 | replace brain cavity shunt | 62258 | replace brain cavity shunt | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 63707 | repair spinal fluid leakage | 63707 | repair spinal fluid leakage | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 63709 | repair spinal fluid leakage | 63709 | repair spinal fluid leakage | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 63710 | graft repair of spine defect | 63710 | graft repair of spine defect | Moderate | 3 |  | Concurrent Review | 3
 | No | CPT | 64755 | incision of stomach nerves | 64755 | incision of stomach nerves | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 64760 | incision of vagus nerve | 64760 | incision of vagus nerve | Moderate | 4 |  | Concurrent Review | 4
 | No | CPT | 69155 | extensive ear/neck surgery | 69155 | extensive ear/neck surgery | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 92992 | revision of heart chamber | 92993 | revision of heart chamber | Moderate | 2 |  | Concurrent Review | 2
 | No | CPT | 93501 | right heart catheterization | 93501 | right heart catheterization | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 93542 | injection for heart x-rays | 93542 | injection for heart x-rays | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 93619 | electrophysiology evaluation | 93620 | electrophysiology evaluation | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 93640 | evaluation heart device | 93642 | evaluation heart device | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 95950 | ambulatory eeg monitoring | 95953 | ambulatory eeg monitoring | Moderate | 1 |  | Concurrent Review | 1
 | No | CPT | 95956 | eeg monitoring, cable/radio | 95956 | eeg monitoring, cable/radio | Moderate | 1 |  | Concurrent Review | 1
 | No | NUBC | 0115 | HOSPICE/PVT | 0115 | HOSPICE/PVT | Moderate | 5 |  | Concurrent Review | 5
 | No | NUBC | 0125 | HOSPICE/SEMI-PVT | 0125 | HOSPICE/SEMI-PVT | Moderate | 5 |  | Concurrent Review | 5
 | No | NUBC | 0135 | HOSPICE/3&4BED | 0135 | HOSPICE/3&4BED | Moderate | 5 |  | Concurrent Review | 5
 | No | NUBC | 0145 | HOSPICE/DLXPVT | 0145 | HOSPICE/DLXPVT | Moderate | 5 |  | Concurrent Review | 5
 | No | NUBC | 0155 | HOSPICE/WARD | 0155 | HOSPICE/WARD | Moderate | 5 |  | Concurrent Review | 5
 | No | SITE | 44780 | BARD SKIN CARE CLEANSER SPRA  SPRAY/PUMP | 44780 | BARD SKIN CARE CLEANSER SPRA  SPRAY/PUMP | Moderate | 7 |  | Concurrent Review | 7