HCPCS code	HCPCS code description	Period	Labor Code	Labor code description	Labor Code Cost per Minute	Labor Activity	Nonfacility Minutes	Facility Minutes
11980	Implant hormone pellet(s)	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
11980	Implant hormone pellet(s)	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
11980	Implant hormone pellet(s)	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	SVC Provide pre-service education/obtain consent	3	0
11980	Implant hormone pellet(s)	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
11980	Implant hormone pellet(s)	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	2	0
11980	Implant hormone pellet(s)	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Sedate/Apply anesthesia	2	0
11980	Implant hormone pellet(s)	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	12	0
11980	Implant hormone pellet(s)	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
11980	Implant hormone pellet(s)	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean surgical instrument package	10	0
11980	Implant hormone pellet(s)	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	0
11980	Implant hormone pellet(s)	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	0
20604	Drain/inj joint/bursa w/us	Pre-service Period	L037D	RN/LPN/MTA	0.37	Retrieve prior images for comparison	3	0
20604	Drain/inj joint/bursa w/us	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	SVC Provide pre-service education/obtain consent	3	0
20604	Drain/inj joint/bursa w/us	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
20604	Drain/inj joint/bursa w/us	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	3	0
20604	Drain/inj joint/bursa w/us	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	10	0
20604	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
20604	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
20604	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	1	0
20604	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Review examination with interpreting MD	2	0
20604	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Exam documents scanned into PACS.  Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
20606	Drain/inj joint/bursa w/us	Pre-service Period	L037D	RN/LPN/MTA	0.37	Retrieve prior images for comparison	3	0
20606	Drain/inj joint/bursa w/us	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	SVC Provide pre-service education/obtain consent	3	0
20606	Drain/inj joint/bursa w/us	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
20606	Drain/inj joint/bursa w/us	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	3	0
20606	Drain/inj joint/bursa w/us	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	10	0
20606	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
20606	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
20606	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	1	0
20606	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Review examination with interpreting MD	2	0
20606	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Exam documents scanned into PACS.  Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
20611	Drain/inj joint/bursa w/us	Pre-service Period	L037D	RN/LPN/MTA	0.37	Retrieve prior images for comparison	3	0
20611	Drain/inj joint/bursa w/us	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	SVC Provide pre-service education/obtain consent	3	0
20611	Drain/inj joint/bursa w/us	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
20611	Drain/inj joint/bursa w/us	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	3	0
20611	Drain/inj joint/bursa w/us	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	10	0
20611	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
20611	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
20611	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	1	0
20611	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Review examination with interpreting MD	2	0
20611	Drain/inj joint/bursa w/us	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Exam documents scanned into PACS.  Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
20983	Ablate bone tumor(s) perq	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	5	5
20983	Ablate bone tumor(s) perq	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	3	10
20983	Ablate bone tumor(s) perq	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	5
20983	Ablate bone tumor(s) perq	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	7	7
20983	Ablate bone tumor(s) perq	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	3	3
20983	Ablate bone tumor(s) perq	Pre-service Period	L046A	CT Technologist	0.46	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	6	0
20983	Ablate bone tumor(s) perq	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
20983	Ablate bone tumor(s) perq	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	5	0
20983	Ablate bone tumor(s) perq	Service Period: Pre-service	L046A	CT Technologist	0.46	"Prepare room, equipment, supplies"	6	0
20983	Ablate bone tumor(s) perq	Service Period: Pre-service	L046A	CT Technologist	0.46	Prepare and position pt/ monitor pt/ set up IV	2	0
20983	Ablate bone tumor(s) perq	Service Period: Pre-service	L051A	RN	0.51	Sedate/Apply anesthesia	2	0
20983	Ablate bone tumor(s) perq	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Circulator (25%)	29	0
20983	Ablate bone tumor(s) perq	Service Period: Intra-service	L046A	CT Technologist	0.46	Acquire images (75%)	86	0
20983	Ablate bone tumor(s) perq	Service Period: Intra-service	L051A	RN	0.51	Assist physician in performing procedure	115	0
20983	Ablate bone tumor(s) perq	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
20983	Ablate bone tumor(s) perq	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	3	0
20983	Ablate bone tumor(s) perq	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
20983	Ablate bone tumor(s) perq	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean RFA equipment	3	0
20983	Ablate bone tumor(s) perq	Service Period: Post-service	L046A	CT Technologist	0.46	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
20983	Ablate bone tumor(s) perq	Service Period: Post-service	L046A	CT Technologist	0.46	Exam documents scanned into PACS.  Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
20983	Ablate bone tumor(s) perq	Service Period: Post-service	L051A	RN	0.51	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	15	0
20983	Ablate bone tumor(s) perq	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	3
21811	Optx of rib fx w/fixj scope	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
21811	Optx of rib fx w/fixj scope	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
21811	Optx of rib fx w/fixj scope	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
21812	Treatment of rib fracture	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
21812	Treatment of rib fracture	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
21812	Treatment of rib fracture	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
21813	Treatment of rib fracture	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
21813	Treatment of rib fracture	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
21813	Treatment of rib fracture	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
22510	Perq cervicothoracic inject	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	5	5
22510	Perq cervicothoracic inject	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	3	10
22510	Perq cervicothoracic inject	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	5
22510	Perq cervicothoracic inject	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	7	7
22510	Perq cervicothoracic inject	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	3	3
22510	Perq cervicothoracic inject	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
22510	Perq cervicothoracic inject	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	5	0
22510	Perq cervicothoracic inject	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	5	0
22510	Perq cervicothoracic inject	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	3	0
22510	Perq cervicothoracic inject	Service Period: Pre-service	L051A	RN	0.51	Sedate/Apply anesthesia	2	0
22510	Perq cervicothoracic inject	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician - circulator	11	0
22510	Perq cervicothoracic inject	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician - acquire images	34	0
22510	Perq cervicothoracic inject	Service Period: Intra-service	L041C	Second Radiologic Technologist for Vertebroplasty	0.41	Assist physician in performing procedure	45	0
22510	Perq cervicothoracic inject	Service Period: Intra-service	L051A	RN	0.51	Assist physician in performing procedure	45	0
22510	Perq cervicothoracic inject	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
22510	Perq cervicothoracic inject	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	2	0
22510	Perq cervicothoracic inject	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Review/read X-ray, lab, and pathology reports"	2	0
22510	Perq cervicothoracic inject	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
22510	Perq cervicothoracic inject	Service Period: Post-service	L051A	RN	0.51	Monitor pt following moderate sedation	15	0
22510	Perq cervicothoracic inject	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	36	36
22511	Perq lumbosacral injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	5	5
22511	Perq lumbosacral injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	3	10
22511	Perq lumbosacral injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	5
22511	Perq lumbosacral injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	7	7
22511	Perq lumbosacral injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	3	3
22511	Perq lumbosacral injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
22511	Perq lumbosacral injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	5	0
22511	Perq lumbosacral injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	5	0
22511	Perq lumbosacral injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	3	0
22511	Perq lumbosacral injection	Service Period: Pre-service	L051A	RN	0.51	Sedate/Apply anesthesia	2	0
22511	Perq lumbosacral injection	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician - circulator	11	0
22511	Perq lumbosacral injection	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician - acquire images	34	0
22511	Perq lumbosacral injection	Service Period: Intra-service	L041C	Second Radiologic Technologist for Vertebroplasty	0.41	Assist physician in performing procedure	45	0
22511	Perq lumbosacral injection	Service Period: Intra-service	L051A	RN	0.51	Assist physician in performing procedure	45	0
22511	Perq lumbosacral injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
22511	Perq lumbosacral injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	2	0
22511	Perq lumbosacral injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Review/read X-ray, lab, and pathology reports"	2	0
22511	Perq lumbosacral injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
22511	Perq lumbosacral injection	Service Period: Post-service	L051A	RN	0.51	Monitor pt following moderate sedation	15	0
22511	Perq lumbosacral injection	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	36	36
22512	Vertebroplasty addl inject	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician - circulator	7	0
22512	Vertebroplasty addl inject	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician - acquire images	23	0
22512	Vertebroplasty addl inject	Service Period: Intra-service	L041C	Second Radiologic Technologist for Vertebroplasty	0.41	Assist physician in performing procedure	30	0
22512	Vertebroplasty addl inject	Service Period: Intra-service	L051A	RN	0.51	Assist physician in performing procedure	30	0
22513	Perq vertebral augmentation	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	5	5
22513	Perq vertebral augmentation	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	3	10
22513	Perq vertebral augmentation	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	5
22513	Perq vertebral augmentation	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	7	7
22513	Perq vertebral augmentation	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	3	3
22513	Perq vertebral augmentation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
22513	Perq vertebral augmentation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	5	0
22513	Perq vertebral augmentation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	5	0
22513	Perq vertebral augmentation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	3	0
22513	Perq vertebral augmentation	Service Period: Pre-service	L051A	RN	0.51	Sedate/Apply anesthesia	2	0
22513	Perq vertebral augmentation	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician - circulator	12	0
22513	Perq vertebral augmentation	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician - acquire images	38	0
22513	Perq vertebral augmentation	Service Period: Intra-service	L041C	Second Radiologic Technologist for Vertebroplasty	0.41	Assist physician in performing procedure	50	0
22513	Perq vertebral augmentation	Service Period: Intra-service	L051A	RN	0.51	Assist physician in performing procedure	50	0
22513	Perq vertebral augmentation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
22513	Perq vertebral augmentation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	2	0
22513	Perq vertebral augmentation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Review/read X-ray, lab, and pathology reports"	2	0
22513	Perq vertebral augmentation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
22513	Perq vertebral augmentation	Service Period: Post-service	L051A	RN	0.51	Monitor pt following moderate sedation	15	0
22513	Perq vertebral augmentation	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	36	36
22514	Perq vertebral augmentation	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	5	5
22514	Perq vertebral augmentation	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	3	10
22514	Perq vertebral augmentation	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	5
22514	Perq vertebral augmentation	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	7	7
22514	Perq vertebral augmentation	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	3	3
22514	Perq vertebral augmentation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	3	0
22514	Perq vertebral augmentation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
22514	Perq vertebral augmentation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	5	0
22514	Perq vertebral augmentation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	5	0
22514	Perq vertebral augmentation	Service Period: Pre-service	L051A	RN	0.51	Sedate/Apply anesthesia	2	0
22514	Perq vertebral augmentation	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician - circulator	11	0
22514	Perq vertebral augmentation	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician - acquire images	34	0
22514	Perq vertebral augmentation	Service Period: Intra-service	L041C	Second Radiologic Technologist for Vertebroplasty	0.41	Assist physician in performing procedure	45	0
22514	Perq vertebral augmentation	Service Period: Intra-service	L051A	RN	0.51	Assist physician in performing procedure	45	0
22514	Perq vertebral augmentation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
22514	Perq vertebral augmentation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	2	0
22514	Perq vertebral augmentation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Review/read X-ray, lab, and pathology reports"	2	0
22514	Perq vertebral augmentation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
22514	Perq vertebral augmentation	Service Period: Post-service	L051A	RN	0.51	Monitor pt following moderate sedation	15	0
22514	Perq vertebral augmentation	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	36	36
22515	Perq vertebral augmentation	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician - circulator	7	0
22515	Perq vertebral augmentation	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician - acquire images	23	0
22515	Perq vertebral augmentation	Service Period: Intra-service	L041C	Second Radiologic Technologist for Vertebroplasty	0.41	Assist physician in performing procedure	30	0
22515	Perq vertebral augmentation	Service Period: Intra-service	L051A	RN	0.51	Assist physician in performing procedure	30	0
22856	Cerv artific diskectomy	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
22856	Cerv artific diskectomy	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
22856	Cerv artific diskectomy	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
22856	Cerv artific diskectomy	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
22856	Cerv artific diskectomy	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
22856	Cerv artific diskectomy	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	12
22856	Cerv artific diskectomy	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	108
27279	Arthrodesis sacroiliac joint	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
27279	Arthrodesis sacroiliac joint	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
27279	Arthrodesis sacroiliac joint	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
27279	Arthrodesis sacroiliac joint	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
27279	Arthrodesis sacroiliac joint	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
27279	Arthrodesis sacroiliac joint	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
27279	Arthrodesis sacroiliac joint	Post-service Period	L037D	RN/LPN/MTA	0.37	99212    27  minutes	0	27
27279	Arthrodesis sacroiliac joint	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
29200	Strapping of chest	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	SVC Provide pre-service education/obtain consent	3	0
29200	Strapping of chest	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	"Prepare room, equipment, supplies"	2	0
29200	Strapping of chest	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	Prepare and position pt/ monitor pt/ set up IV	2	0
29200	Strapping of chest	Service Period: Intra-service	L023A	Physical Therapy Aide	0.23	Assist physician in performing procedure	8	0
29200	Strapping of chest	Service Period: Post-service	L023A	Physical Therapy Aide	0.23	Clean room/equipment by physician staff	3	0
29200	Strapping of chest	Post-service Period	L023A	Physical Therapy Aide	0.23	Conduct phone calls/call in prescriptions	3	0
29240	Strapping of shoulder	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	SVC Provide pre-service education/obtain consent	3	0
29240	Strapping of shoulder	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	"Prepare room, equipment, supplies"	2	0
29240	Strapping of shoulder	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	Prepare and position pt/ monitor pt/ set up IV	2	0
29240	Strapping of shoulder	Service Period: Intra-service	L023A	Physical Therapy Aide	0.23	Assist physician in performing procedure	8	0
29240	Strapping of shoulder	Service Period: Post-service	L023A	Physical Therapy Aide	0.23	Clean room/equipment by physician staff	3	0
29240	Strapping of shoulder	Post-service Period	L023A	Physical Therapy Aide	0.23	Conduct phone calls/call in prescriptions	3	0
29260	Strapping of elbow or wrist	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	SVC Provide pre-service education/obtain consent	3	0
29260	Strapping of elbow or wrist	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	"Prepare room, equipment, supplies"	2	0
29260	Strapping of elbow or wrist	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	Prepare and position pt/ monitor pt/ set up IV	2	0
29260	Strapping of elbow or wrist	Service Period: Intra-service	L023A	Physical Therapy Aide	0.23	Assist physician in performing procedure	8	0
29260	Strapping of elbow or wrist	Service Period: Post-service	L023A	Physical Therapy Aide	0.23	Clean room/equipment by physician staff	3	0
29260	Strapping of elbow or wrist	Post-service Period	L023A	Physical Therapy Aide	0.23	Conduct phone calls/call in prescriptions	3	0
29280	Strapping of hand or finger	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	SVC Provide pre-service education/obtain consent	3	0
29280	Strapping of hand or finger	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	"Prepare room, equipment, supplies"	2	0
29280	Strapping of hand or finger	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	Prepare and position pt/ monitor pt/ set up IV	2	0
29280	Strapping of hand or finger	Service Period: Intra-service	L023A	Physical Therapy Aide	0.23	Assist physician in performing procedure	8	0
29280	Strapping of hand or finger	Service Period: Post-service	L023A	Physical Therapy Aide	0.23	Clean room/equipment by physician staff	3	0
29280	Strapping of hand or finger	Post-service Period	L023A	Physical Therapy Aide	0.23	Conduct phone calls/call in prescriptions	3	0
29520	Strapping of hip	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	SVC Provide pre-service education/obtain consent	3	0
29520	Strapping of hip	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	"Prepare room, equipment, supplies"	2	0
29520	Strapping of hip	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	Prepare and position pt/ monitor pt/ set up IV	2	0
29520	Strapping of hip	Service Period: Intra-service	L023A	Physical Therapy Aide	0.23	Assist physician in performing procedure	8	0
29520	Strapping of hip	Service Period: Post-service	L023A	Physical Therapy Aide	0.23	Clean room/equipment by physician staff	3	0
29520	Strapping of hip	Post-service Period	L023A	Physical Therapy Aide	0.23	Conduct phone calls/call in prescriptions	3	0
29530	Strapping of knee	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	SVC Provide pre-service education/obtain consent	3	0
29530	Strapping of knee	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	"Prepare room, equipment, supplies"	2	0
29530	Strapping of knee	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	Prepare and position pt/ monitor pt/ set up IV	2	0
29530	Strapping of knee	Service Period: Intra-service	L023A	Physical Therapy Aide	0.23	Assist physician in performing procedure	8	0
29530	Strapping of knee	Service Period: Post-service	L023A	Physical Therapy Aide	0.23	Clean room/equipment by physician staff	3	0
29530	Strapping of knee	Post-service Period	L023A	Physical Therapy Aide	0.23	Conduct phone calls/call in prescriptions	3	0
29540	Strapping of ankle and/or ft	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	SVC Provide pre-service education/obtain consent	3	0
29540	Strapping of ankle and/or ft	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	"Prepare room, equipment, supplies"	2	0
29540	Strapping of ankle and/or ft	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	Prepare and position pt/ monitor pt/ set up IV	2	0
29540	Strapping of ankle and/or ft	Service Period: Intra-service	L023A	Physical Therapy Aide	0.23	Assist physician in performing procedure	8	0
29540	Strapping of ankle and/or ft	Service Period: Post-service	L023A	Physical Therapy Aide	0.23	Clean room/equipment by physician staff	3	0
29540	Strapping of ankle and/or ft	Post-service Period	L023A	Physical Therapy Aide	0.23	Conduct phone calls/call in prescriptions	3	0
29550	Strapping of toes	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	SVC Provide pre-service education/obtain consent	3	0
29550	Strapping of toes	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	"Prepare room, equipment, supplies"	2	0
29550	Strapping of toes	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	Prepare and position pt/ monitor pt/ set up IV	2	0
29550	Strapping of toes	Service Period: Intra-service	L023A	Physical Therapy Aide	0.23	Assist physician in performing procedure	8	0
29550	Strapping of toes	Service Period: Post-service	L023A	Physical Therapy Aide	0.23	Clean room/equipment by physician staff	3	0
29550	Strapping of toes	Post-service Period	L023A	Physical Therapy Aide	0.23	Conduct phone calls/call in prescriptions	3	0
31627	Navigational bronchoscopy	Service Period: Pre-service	L042B	Respiratory Therapist	0.42	"Power, System Preparation & Attaching to Bronchoscope"	11	0
31627	Navigational bronchoscopy	Service Period: Intra-service	L047C	RN/Respiratory Therapist	0.47	Assist physician in performing procedure	30	0
31627	Navigational bronchoscopy	Service Period: Intra-service	L051A	RN	0.51	Moderate sedation	30	0
33270	Ins/rep subq defibrillator	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
33270	Ins/rep subq defibrillator	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
33270	Ins/rep subq defibrillator	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
33270	Ins/rep subq defibrillator	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
33270	Ins/rep subq defibrillator	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
33270	Ins/rep subq defibrillator	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	12
33270	Ins/rep subq defibrillator	Post-service Period	L037D	RN/LPN/MTA	0.37	99214    53  minutes	0	53
33271	Insj subq impltbl dfb elctrd	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
33271	Insj subq impltbl dfb elctrd	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
33271	Insj subq impltbl dfb elctrd	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
33271	Insj subq impltbl dfb elctrd	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
33271	Insj subq impltbl dfb elctrd	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
33271	Insj subq impltbl dfb elctrd	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	12
33271	Insj subq impltbl dfb elctrd	Post-service Period	L037D	RN/LPN/MTA	0.37	99214    53  minutes	0	53
33272	Rmvl of subq defibrillator	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
33272	Rmvl of subq defibrillator	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
33272	Rmvl of subq defibrillator	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
33272	Rmvl of subq defibrillator	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
33272	Rmvl of subq defibrillator	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
33272	Rmvl of subq defibrillator	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
33272	Rmvl of subq defibrillator	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	36
33273	Repos prev impltbl subq dfb	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
33273	Repos prev impltbl subq dfb	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
33273	Repos prev impltbl subq dfb	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
33273	Repos prev impltbl subq dfb	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
33273	Repos prev impltbl subq dfb	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
33273	Repos prev impltbl subq dfb	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	12
33273	Repos prev impltbl subq dfb	Post-service Period	L037D	RN/LPN/MTA	0.37	99214    53  minutes	0	53
33418	Repair tcat mitral valve	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
33418	Repair tcat mitral valve	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
33418	Repair tcat mitral valve	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
33418	Repair tcat mitral valve	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
33418	Repair tcat mitral valve	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
33418	Repair tcat mitral valve	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99239 -- 15 minutes	0	15
33418	Repair tcat mitral valve	Post-service Period	L037D	RN/LPN/MTA	0.37	99214    53  minutes	0	106
33951	Ecmo/ecls insj prph cannula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33952	Ecmo/ecls insj prph cannula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33953	Ecmo/ecls insj prph cannula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33954	Ecmo/ecls insj prph cannula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33955	Ecmo/ecls insj ctr cannula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33956	Ecmo/ecls insj ctr cannula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33957	Ecmo/ecls repos perph cnula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33958	Ecmo/ecls repos perph cnula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33959	Ecmo/ecls repos perph cnula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33962	Ecmo/ecls repos perph cnula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33963	Ecmo/ecls repos perph cnula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33964	Ecmo/ecls repos perph cnula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33965	Ecmo/ecls rmvl perph cannula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33966	Ecmo/ecls rmvl prph cannula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33969	Ecmo/ecls rmvl perph cannula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33984	Ecmo/ecls rmvl prph cannula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33985	Ecmo/ecls rmvl ctr cannula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33986	Ecmo/ecls rmvl ctr cannula	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33988	Insertion of left heart vent	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
33989	Removal of left heart vent	Pre-service Period	L051A	RN	0.51	Schedule space and equipment in facility	0	5
36475	Endovenous rf 1st vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	2	2
36475	Endovenous rf 1st vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	3	5
36475	Endovenous rf 1st vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	5
36475	Endovenous rf 1st vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	4	0
36475	Endovenous rf 1st vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	3	3
36475	Endovenous rf 1st vein	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
36475	Endovenous rf 1st vein	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	2	0
36475	Endovenous rf 1st vein	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
36475	Endovenous rf 1st vein	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	5	0
36475	Endovenous rf 1st vein	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
36475	Endovenous rf 1st vein	Service Period: Pre-service	L042A	RN/LPN	0.42	Prepare and position pt/ monitor pt/ set up IV	2	0
36475	Endovenous rf 1st vein	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Setup scope (non facility setting only) (Set up US Equip)	2	0
36475	Endovenous rf 1st vein	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Circulating throughout procedure	11	0
36475	Endovenous rf 1st vein	Service Period: Intra-service	L042A	RN/LPN	0.42	Assist physician in performing procedure	45	0
36475	Endovenous rf 1st vein	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Assist with image acquisition (75%)	34	0
36475	Endovenous rf 1st vein	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	7	0
36475	Endovenous rf 1st vein	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
36475	Endovenous rf 1st vein	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	0
36475	Endovenous rf 1st vein	Service Period: Post-service	L054A	Vascular Technologist	0.54	"Technologist QCs images US machine, checking for all images, reformats, and dose page"	2	0
36475	Endovenous rf 1st vein	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	2	0
36475	Endovenous rf 1st vein	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
36475	Endovenous rf 1st vein	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	3
36476	Endovenous rf vein add-on	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Circulating throughout procedure	7	0
36476	Endovenous rf vein add-on	Service Period: Intra-service	L042A	RN/LPN	0.42	Assist physician in performing procedure	30	0
36476	Endovenous rf vein add-on	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Assist with image acquisition (75%)	23	0
36478	Endovenous laser 1st vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	4	0
36478	Endovenous laser 1st vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	3	3
36478	Endovenous laser 1st vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	2	2
36478	Endovenous laser 1st vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	3	5
36478	Endovenous laser 1st vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	5
36478	Endovenous laser 1st vein	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	2	0
36478	Endovenous laser 1st vein	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
36478	Endovenous laser 1st vein	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
36478	Endovenous laser 1st vein	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	5	0
36478	Endovenous laser 1st vein	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
36478	Endovenous laser 1st vein	Service Period: Pre-service	L042A	RN/LPN	0.42	Prepare and position pt/ monitor pt/ set up IV	2	0
36478	Endovenous laser 1st vein	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Setup scope (non facility setting only) (Set up US Equip)	2	0
36478	Endovenous laser 1st vein	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Circulating throughout procedure	11	0
36478	Endovenous laser 1st vein	Service Period: Intra-service	L042A	RN/LPN	0.42	Assist physician in performing procedure	45	0
36478	Endovenous laser 1st vein	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Assist with image acquisition (75%)	34	0
36478	Endovenous laser 1st vein	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	7	0
36478	Endovenous laser 1st vein	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
36478	Endovenous laser 1st vein	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
36478	Endovenous laser 1st vein	Service Period: Post-service	L054A	Vascular Technologist	0.54	"Technologist QCs images US machine, checking for all images, reformats, and dose page"	2	0
36478	Endovenous laser 1st vein	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	2	0
36478	Endovenous laser 1st vein	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	3
36479	Endovenous laser vein addon	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Circulating throughout procedure	7	0
36479	Endovenous laser vein addon	Service Period: Intra-service	L042A	RN/LPN	0.42	Assist physician in performing procedure	30	0
36479	Endovenous laser vein addon	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Assist with image acquisition (75%)	23	0
36818	Av fuse uppr arm cephalic	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
36818	Av fuse uppr arm cephalic	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
36818	Av fuse uppr arm cephalic	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
36818	Av fuse uppr arm cephalic	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
36818	Av fuse uppr arm cephalic	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
36818	Av fuse uppr arm cephalic	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
36818	Av fuse uppr arm cephalic	Post-service Period	L037D	RN/LPN/MTA	0.37	99212    27  minutes	0	27
36818	Av fuse uppr arm cephalic	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	36
36819	Av fuse uppr arm basilic	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
36819	Av fuse uppr arm basilic	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
36819	Av fuse uppr arm basilic	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
36819	Av fuse uppr arm basilic	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
36819	Av fuse uppr arm basilic	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
36819	Av fuse uppr arm basilic	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
36819	Av fuse uppr arm basilic	Post-service Period	L037D	RN/LPN/MTA	0.37	99212    27  minutes	0	27
36819	Av fuse uppr arm basilic	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	36
36820	Av fusion/forearm vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
36820	Av fusion/forearm vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
36820	Av fusion/forearm vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
36820	Av fusion/forearm vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
36820	Av fusion/forearm vein	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
36820	Av fusion/forearm vein	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
36820	Av fusion/forearm vein	Post-service Period	L037D	RN/LPN/MTA	0.37	99212    27  minutes	0	27
36820	Av fusion/forearm vein	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	36
36821	Av fusion direct any site	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
36821	Av fusion direct any site	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
36821	Av fusion direct any site	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
36821	Av fusion direct any site	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
36821	Av fusion direct any site	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
36821	Av fusion direct any site	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
36821	Av fusion direct any site	Post-service Period	L037D	RN/LPN/MTA	0.37	99212    27  minutes	0	27
36821	Av fusion direct any site	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	36
36825	Artery-vein autograft	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
36825	Artery-vein autograft	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
36825	Artery-vein autograft	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
36825	Artery-vein autograft	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
36825	Artery-vein autograft	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
36825	Artery-vein autograft	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
36825	Artery-vein autograft	Post-service Period	L037D	RN/LPN/MTA	0.37	99212    27  minutes	0	27
36825	Artery-vein autograft	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
36830	Artery-vein nonautograft	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
36830	Artery-vein nonautograft	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
36830	Artery-vein nonautograft	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
36830	Artery-vein nonautograft	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
36830	Artery-vein nonautograft	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
36830	Artery-vein nonautograft	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
36830	Artery-vein nonautograft	Post-service Period	L037D	RN/LPN/MTA	0.37	99212    27  minutes	0	27
36830	Artery-vein nonautograft	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	36
36831	Open thrombect av fistula	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
36831	Open thrombect av fistula	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
36831	Open thrombect av fistula	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
36831	Open thrombect av fistula	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
36831	Open thrombect av fistula	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
36831	Open thrombect av fistula	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
36831	Open thrombect av fistula	Post-service Period	L037D	RN/LPN/MTA	0.37	99212    27  minutes	0	27
36831	Open thrombect av fistula	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	36
36832	Av fistula revision open	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
36832	Av fistula revision open	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
36832	Av fistula revision open	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
36832	Av fistula revision open	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
36832	Av fistula revision open	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
36832	Av fistula revision open	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
36832	Av fistula revision open	Post-service Period	L037D	RN/LPN/MTA	0.37	99212    27  minutes	0	27
36832	Av fistula revision open	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
36833	Av fistula revision	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
36833	Av fistula revision	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
36833	Av fistula revision	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
36833	Av fistula revision	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
36833	Av fistula revision	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
36833	Av fistula revision	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
36833	Av fistula revision	Post-service Period	L037D	RN/LPN/MTA	0.37	99212    27  minutes	0	27
36833	Av fistula revision	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
37218	Stent placemt ante carotid	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
37218	Stent placemt ante carotid	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
37218	Stent placemt ante carotid	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
37218	Stent placemt ante carotid	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
37218	Stent placemt ante carotid	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
37218	Stent placemt ante carotid	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	12
37218	Stent placemt ante carotid	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
43180	Esophagoscopy rigid trnso	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
43180	Esophagoscopy rigid trnso	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
43180	Esophagoscopy rigid trnso	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
43180	Esophagoscopy rigid trnso	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
43180	Esophagoscopy rigid trnso	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
43180	Esophagoscopy rigid trnso	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	12
43180	Esophagoscopy rigid trnso	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	36
47383	Perq abltj lvr cryoablation	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	5	5
47383	Perq abltj lvr cryoablation	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	3	10
47383	Perq abltj lvr cryoablation	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	5
47383	Perq abltj lvr cryoablation	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	7	7
47383	Perq abltj lvr cryoablation	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	3	3
47383	Perq abltj lvr cryoablation	Pre-service Period	L046A	CT Technologist	0.46	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	6	0
47383	Perq abltj lvr cryoablation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
47383	Perq abltj lvr cryoablation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	5	0
47383	Perq abltj lvr cryoablation	Service Period: Pre-service	L046A	CT Technologist	0.46	"Prepare room, equipment, supplies"	4	0
47383	Perq abltj lvr cryoablation	Service Period: Pre-service	L046A	CT Technologist	0.46	Prepare and position pt/ monitor pt/ set up IV	2	0
47383	Perq abltj lvr cryoablation	Service Period: Pre-service	L051A	RN	0.51	Sedate/Apply anesthesia	2	0
47383	Perq abltj lvr cryoablation	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Circulator (25%)	23	0
47383	Perq abltj lvr cryoablation	Service Period: Intra-service	L046A	CT Technologist	0.46	Assist physician in performing procedure	90	0
47383	Perq abltj lvr cryoablation	Service Period: Intra-service	L051A	RN	0.51	Assist physician in performing procedure	90	0
47383	Perq abltj lvr cryoablation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
47383	Perq abltj lvr cryoablation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	3	0
47383	Perq abltj lvr cryoablation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
47383	Perq abltj lvr cryoablation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
47383	Perq abltj lvr cryoablation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean RFA equipment	3	0
47383	Perq abltj lvr cryoablation	Service Period: Post-service	L051A	RN	0.51	Monitor pt following moderate sedation	15	0
47383	Perq abltj lvr cryoablation	Service Period: Post-service	L051A	RN	0.51	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	45	0
47383	Perq abltj lvr cryoablation	Post-service Period	L037D	RN/LPN/MTA	0.37	99212    27  minutes	27	27
52441	Cystourethro w/implant	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
52441	Cystourethro w/implant	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
52441	Cystourethro w/implant	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	SVC Provide pre-service education/obtain consent	3	0
52441	Cystourethro w/implant	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
52441	Cystourethro w/implant	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	2	0
52441	Cystourethro w/implant	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Setup scope (non facility setting only)	5	0
52441	Cystourethro w/implant	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	30	0
52441	Cystourethro w/implant	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
52441	Cystourethro w/implant	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean scope	30	0
52441	Cystourethro w/implant	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	5	0
52441	Cystourethro w/implant	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	2	0
52442	Cystourethro w/addl implant	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	25	0
55840	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
55840	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
55840	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
55840	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
55840	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
55840	Extensive prostate surgery	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	12
55840	Extensive prostate surgery	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
55840	Extensive prostate surgery	Post-service Period	L037D	RN/LPN/MTA	0.37	99214    53  minutes	0	53
55842	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
55842	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
55842	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
55842	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
55842	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
55842	Extensive prostate surgery	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	12
55842	Extensive prostate surgery	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
55842	Extensive prostate surgery	Post-service Period	L037D	RN/LPN/MTA	0.37	99214    53  minutes	0	53
55845	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
55845	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
55845	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
55845	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
55845	Extensive prostate surgery	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
55845	Extensive prostate surgery	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	12
55845	Extensive prostate surgery	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
55845	Extensive prostate surgery	Post-service Period	L037D	RN/LPN/MTA	0.37	99214    53  minutes	0	53
58541	Lsh uterus 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
58541	Lsh uterus 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
58541	Lsh uterus 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
58541	Lsh uterus 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
58541	Lsh uterus 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
58541	Lsh uterus 250 g or less	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
58541	Lsh uterus 250 g or less	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
58542	Lsh w/t/o ut 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
58542	Lsh w/t/o ut 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
58542	Lsh w/t/o ut 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
58542	Lsh w/t/o ut 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
58542	Lsh w/t/o ut 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
58542	Lsh w/t/o ut 250 g or less	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
58542	Lsh w/t/o ut 250 g or less	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
58543	Lsh uterus above 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
58543	Lsh uterus above 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
58543	Lsh uterus above 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
58543	Lsh uterus above 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
58543	Lsh uterus above 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
58543	Lsh uterus above 250 g	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
58543	Lsh uterus above 250 g	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
58544	Lsh w/t/o uterus above 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
58544	Lsh w/t/o uterus above 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
58544	Lsh w/t/o uterus above 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
58544	Lsh w/t/o uterus above 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
58544	Lsh w/t/o uterus above 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
58544	Lsh w/t/o uterus above 250 g	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
58544	Lsh w/t/o uterus above 250 g	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
58570	Tlh uterus 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
58570	Tlh uterus 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
58570	Tlh uterus 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
58570	Tlh uterus 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
58570	Tlh uterus 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
58570	Tlh uterus 250 g or less	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
58570	Tlh uterus 250 g or less	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
58571	Tlh w/t/o 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
58571	Tlh w/t/o 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
58571	Tlh w/t/o 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
58571	Tlh w/t/o 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
58571	Tlh w/t/o 250 g or less	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
58571	Tlh w/t/o 250 g or less	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
58571	Tlh w/t/o 250 g or less	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
58572	Tlh uterus over 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
58572	Tlh uterus over 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
58572	Tlh uterus over 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
58572	Tlh uterus over 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
58572	Tlh uterus over 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
58572	Tlh uterus over 250 g	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
58572	Tlh uterus over 250 g	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
58573	Tlh w/t/o uterus over 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	0	5
58573	Tlh w/t/o uterus over 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Coordinate pre-surgery services	0	20
58573	Tlh w/t/o uterus over 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	8
58573	Tlh w/t/o uterus over 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	0	20
58573	Tlh w/t/o uterus over 250 g	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	0	7
58573	Tlh w/t/o uterus over 250 g	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Discharge day management 99238 --12 minutes	0	6
58573	Tlh w/t/o uterus over 250 g	Post-service Period	L037D	RN/LPN/MTA	0.37	99213    36  minutes	0	72
62284	Injection for myelogram	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	3	3
62284	Injection for myelogram	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	3
62284	Injection for myelogram	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	5	5
62284	Injection for myelogram	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	3	3
62284	Injection for myelogram	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
62284	Injection for myelogram	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
62284	Injection for myelogram	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
62284	Injection for myelogram	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	2	0
62284	Injection for myelogram	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	15	0
62284	Injection for myelogram	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
62284	Injection for myelogram	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	2	0
62284	Injection for myelogram	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
62284	Injection for myelogram	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Monitor pt following service/check tubes, monitors, drains"	15	0
62284	Injection for myelogram	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	3
62302	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	3	3
62302	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	3
62302	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	5	5
62302	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	3	3
62302	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Availability of prior images confirmed	2	0
62302	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
62302	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
62302	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
62302	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
62302	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	3	0
62302	Myelography lumbar injection	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	13	0
62302	Myelography lumbar injection	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician in performing procedure	13	0
62302	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
62302	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	2	0
62302	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
62302	Myelography lumbar injection	Service Period: Post-service	L041B	Radiologic Technologist	0.41	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
62302	Myelography lumbar injection	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Review examination with interpreting MD	2	0
62302	Myelography lumbar injection	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	3
62303	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
62303	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	3	3
62303	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	3
62303	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	5	5
62303	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	3	3
62303	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Availability of prior images confirmed	2	0
62303	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
62303	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
62303	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
62303	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	3	0
62303	Myelography lumbar injection	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	13	0
62303	Myelography lumbar injection	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician in performing procedure	12	0
62303	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Monitor pt following service/check tubes, monitors, drains"	15	0
62303	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
62303	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	2	0
62303	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
62303	Myelography lumbar injection	Service Period: Post-service	L041B	Radiologic Technologist	0.41	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
62303	Myelography lumbar injection	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Review examination with interpreting MD	2	0
62303	Myelography lumbar injection	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	3
62304	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
62304	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	3	3
62304	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	3
62304	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	5	5
62304	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	3	3
62304	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Availability of prior images confirmed	2	0
62304	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
62304	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
62304	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
62304	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	3	0
62304	Myelography lumbar injection	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	13	0
62304	Myelography lumbar injection	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician in performing procedure	12	0
62304	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
62304	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	2	0
62304	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
62304	Myelography lumbar injection	Service Period: Post-service	L041B	Radiologic Technologist	0.41	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
62304	Myelography lumbar injection	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Review examination with interpreting MD	2	0
62304	Myelography lumbar injection	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Exam documents scanned into PACS.  Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
62304	Myelography lumbar injection	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	3
62305	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Complete pre-service diagnostic and referral forms	3	3
62305	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Schedule space and equipment in facility	0	3
62305	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	5	5
62305	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	3	3
62305	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	Availability of prior images confirmed	2	0
62305	Myelography lumbar injection	Pre-service Period	L037D	RN/LPN/MTA	0.37	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
62305	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
62305	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
62305	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
62305	Myelography lumbar injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	3	0
62305	Myelography lumbar injection	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	15	0
62305	Myelography lumbar injection	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician in performing procedure	15	0
62305	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
62305	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	2	0
62305	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
62305	Myelography lumbar injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Monitor pt following service/check tubes, monitors, drains"	15	0
62305	Myelography lumbar injection	Service Period: Post-service	L041B	Radiologic Technologist	0.41	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
62305	Myelography lumbar injection	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Review examination with interpreting MD	2	0
62305	Myelography lumbar injection	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	3
64486	Tap block unil by injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
64486	Tap block unil by injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
64486	Tap block unil by injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
64486	Tap block unil by injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	2	0
64486	Tap block unil by injection	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure (67%)	7	0
64486	Tap block unil by injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
64486	Tap block unil by injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
64486	Tap block unil by injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	7	0
64486	Tap block unil by injection	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	0
64487	Tap block uni by infusion	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
64487	Tap block uni by infusion	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
64487	Tap block uni by infusion	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
64487	Tap block uni by infusion	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	2	0
64487	Tap block uni by infusion	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure (67%)	10	0
64487	Tap block uni by infusion	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
64487	Tap block uni by infusion	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
64487	Tap block uni by infusion	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	7	0
64487	Tap block uni by infusion	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	0
64488	Tap block bi injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
64488	Tap block bi injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
64488	Tap block bi injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
64488	Tap block bi injection	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	2	0
64488	Tap block bi injection	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure (67%)	10	0
64488	Tap block bi injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
64488	Tap block bi injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
64488	Tap block bi injection	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	7	0
64488	Tap block bi injection	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	0
64489	Tap block bi by infusion	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
64489	Tap block bi by infusion	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
64489	Tap block bi by infusion	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
64489	Tap block bi by infusion	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	2	0
64489	Tap block bi by infusion	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure (67%)	13	0
64489	Tap block bi by infusion	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
64489	Tap block bi by infusion	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
64489	Tap block bi by infusion	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Monitor pt following service/check tubes, monitors, drains (not related to moderate sedation)"	7	0
64489	Tap block bi by infusion	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	0
64561	Implant neuroelectrodes	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
64561	Implant neuroelectrodes	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
64561	Implant neuroelectrodes	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	SVC Provide pre-service education/obtain consent	3	0
64561	Implant neuroelectrodes	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
64561	Implant neuroelectrodes	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	2	0
64561	Implant neuroelectrodes	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Sedate/Apply anesthesia	2	0
64561	Implant neuroelectrodes	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	45	0
64561	Implant neuroelectrodes	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
64561	Implant neuroelectrodes	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	0
64561	Implant neuroelectrodes	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	3
64561	Implant neuroelectrodes	Post-service Period	L037D	RN/LPN/MTA	0.37	99214    53  minutes	53	53
66179	Aqueous shunt eye w/o graft	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Complete pre-service diagnostic and referral forms	0	5
66179	Aqueous shunt eye w/o graft	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Coordinate pre-surgery services	0	20
66179	Aqueous shunt eye w/o graft	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Schedule space and equipment in facility	0	8
66179	Aqueous shunt eye w/o graft	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	PRE Provide pre-service education/obtain consent	0	20
66179	Aqueous shunt eye w/o graft	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Follow-up phone calls and prescriptions	0	7
66179	Aqueous shunt eye w/o graft	Service Period: Post-service	L038A	COMT/COT/RN/CST	0.38	Discharge day management 99238 --12 minutes	0	6
66179	Aqueous shunt eye w/o graft	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99212    27  minutes	0	81
66179	Aqueous shunt eye w/o graft	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99213    36  minutes	0	180
66180	Aqueous shunt eye w/graft	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Complete pre-service diagnostic and referral forms	0	5
66180	Aqueous shunt eye w/graft	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Coordinate pre-surgery services	0	20
66180	Aqueous shunt eye w/graft	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Schedule space and equipment in facility	0	8
66180	Aqueous shunt eye w/graft	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	PRE Provide pre-service education/obtain consent	0	20
66180	Aqueous shunt eye w/graft	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Follow-up phone calls and prescriptions	0	7
66180	Aqueous shunt eye w/graft	Service Period: Post-service	L038A	COMT/COT/RN/CST	0.38	Discharge day management 99238 --12 minutes	0	6
66180	Aqueous shunt eye w/graft	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99212    27  minutes	0	81
66180	Aqueous shunt eye w/graft	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99213    36  minutes	0	180
66184	Revision of aqueous shunt	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Complete pre-service diagnostic and referral forms	0	5
66184	Revision of aqueous shunt	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Coordinate pre-surgery services	0	20
66184	Revision of aqueous shunt	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Schedule space and equipment in facility	0	8
66184	Revision of aqueous shunt	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	PRE Provide pre-service education/obtain consent	0	20
66184	Revision of aqueous shunt	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Follow-up phone calls and prescriptions	0	7
66184	Revision of aqueous shunt	Service Period: Post-service	L038A	COMT/COT/RN/CST	0.38	Discharge day management 99238 --12 minutes	0	6
66184	Revision of aqueous shunt	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99212    27  minutes	0	81
66184	Revision of aqueous shunt	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99213    36  minutes	0	144
66185	Revise aqueous shunt eye	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Complete pre-service diagnostic and referral forms	0	5
66185	Revise aqueous shunt eye	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Coordinate pre-surgery services	0	20
66185	Revise aqueous shunt eye	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Schedule space and equipment in facility	0	8
66185	Revise aqueous shunt eye	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	PRE Provide pre-service education/obtain consent	0	20
66185	Revise aqueous shunt eye	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Follow-up phone calls and prescriptions	0	7
66185	Revise aqueous shunt eye	Service Period: Post-service	L038A	COMT/COT/RN/CST	0.38	Discharge day management 99238 --12 minutes	0	6
66185	Revise aqueous shunt eye	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99212    27  minutes	0	81
66185	Revise aqueous shunt eye	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99213    36  minutes	0	144
67036	Removal of inner eye fluid	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Complete pre-service diagnostic and referral forms	0	5
67036	Removal of inner eye fluid	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Coordinate pre-surgery services	0	20
67036	Removal of inner eye fluid	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Schedule space and equipment in facility	0	8
67036	Removal of inner eye fluid	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	PRE Provide pre-service education/obtain consent	0	20
67036	Removal of inner eye fluid	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Follow-up phone calls and prescriptions	0	7
67036	Removal of inner eye fluid	Service Period: Post-service	L038A	COMT/COT/RN/CST	0.38	Discharge day management 99238 --12 minutes	0	6
67036	Removal of inner eye fluid	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99213    36  minutes	0	180
67039	Laser treatment of retina	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Complete pre-service diagnostic and referral forms	0	5
67039	Laser treatment of retina	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Coordinate pre-surgery services	0	20
67039	Laser treatment of retina	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Schedule space and equipment in facility	0	8
67039	Laser treatment of retina	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	PRE Provide pre-service education/obtain consent	0	20
67039	Laser treatment of retina	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Follow-up phone calls and prescriptions	0	7
67039	Laser treatment of retina	Service Period: Post-service	L038A	COMT/COT/RN/CST	0.38	Discharge day management 99238 --12 minutes	0	6
67039	Laser treatment of retina	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99213    36  minutes	0	180
67040	Laser treatment of retina	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Complete pre-service diagnostic and referral forms	0	5
67040	Laser treatment of retina	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Coordinate pre-surgery services	0	20
67040	Laser treatment of retina	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Schedule space and equipment in facility	0	8
67040	Laser treatment of retina	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	PRE Provide pre-service education/obtain consent	0	20
67040	Laser treatment of retina	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Follow-up phone calls and prescriptions	0	7
67040	Laser treatment of retina	Service Period: Post-service	L038A	COMT/COT/RN/CST	0.38	Discharge day management 99238 --12 minutes	0	6
67040	Laser treatment of retina	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99213    36  minutes	0	180
67041	Vit for macular pucker	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Complete pre-service diagnostic and referral forms	0	5
67041	Vit for macular pucker	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Coordinate pre-surgery services	0	20
67041	Vit for macular pucker	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Schedule space and equipment in facility	0	8
67041	Vit for macular pucker	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	PRE Provide pre-service education/obtain consent	0	20
67041	Vit for macular pucker	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Follow-up phone calls and prescriptions	0	7
67041	Vit for macular pucker	Service Period: Post-service	L038A	COMT/COT/RN/CST	0.38	Discharge day management 99238 --12 minutes	0	6
67041	Vit for macular pucker	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99213    36  minutes	0	180
67042	Vit for macular hole	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Complete pre-service diagnostic and referral forms	0	5
67042	Vit for macular hole	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Coordinate pre-surgery services	0	20
67042	Vit for macular hole	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Schedule space and equipment in facility	0	8
67042	Vit for macular hole	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	PRE Provide pre-service education/obtain consent	0	20
67042	Vit for macular hole	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Follow-up phone calls and prescriptions	0	7
67042	Vit for macular hole	Service Period: Post-service	L038A	COMT/COT/RN/CST	0.38	Discharge day management 99238 --12 minutes	0	6
67042	Vit for macular hole	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99213    36  minutes	0	180
67043	Vit for membrane dissect	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Complete pre-service diagnostic and referral forms	0	5
67043	Vit for membrane dissect	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Coordinate pre-surgery services	0	20
67043	Vit for membrane dissect	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Schedule space and equipment in facility	0	8
67043	Vit for membrane dissect	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	PRE Provide pre-service education/obtain consent	0	20
67043	Vit for membrane dissect	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Follow-up phone calls and prescriptions	0	7
67043	Vit for membrane dissect	Service Period: Post-service	L038A	COMT/COT/RN/CST	0.38	Discharge day management 99238 --12 minutes	0	6
67043	Vit for membrane dissect	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99213    36  minutes	0	180
67255	Reinforce/graft eye wall	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Complete pre-service diagnostic and referral forms	0	5
67255	Reinforce/graft eye wall	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Coordinate pre-surgery services	0	20
67255	Reinforce/graft eye wall	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Schedule space and equipment in facility	0	8
67255	Reinforce/graft eye wall	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	PRE Provide pre-service education/obtain consent	0	20
67255	Reinforce/graft eye wall	Pre-service Period	L038A	COMT/COT/RN/CST	0.38	Follow-up phone calls and prescriptions	0	7
67255	Reinforce/graft eye wall	Service Period: Post-service	L038A	COMT/COT/RN/CST	0.38	Discharge day management 99238 --12 minutes	0	6
67255	Reinforce/graft eye wall	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99212    27  minutes	0	81
67255	Reinforce/graft eye wall	Post-service Period	L038A	COMT/COT/RN/CST	0.38	99213    36  minutes	0	108
70486	Ct maxillofacial w/o dye	Pre-service Period	L041B	Radiologic Technologist	0.41	Availability of prior images confirmed	2	0
70486	Ct maxillofacial w/o dye	Pre-service Period	L041B	Radiologic Technologist	0.41	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
70486	Ct maxillofacial w/o dye	Service Period: Pre-service	L046A	CT Technologist	0.46	Greet patient and provide gowning	3	0
70486	Ct maxillofacial w/o dye	Service Period: Pre-service	L046A	CT Technologist	0.46	SVC Provide pre-service education/obtain consent	2	0
70486	Ct maxillofacial w/o dye	Service Period: Pre-service	L046A	CT Technologist	0.46	"Prepare room, equipment, supplies"	2	0
70486	Ct maxillofacial w/o dye	Service Period: Pre-service	L046A	CT Technologist	0.46	Prepare and position pt/ monitor pt/ set up IV	2	0
70486	Ct maxillofacial w/o dye	Service Period: Intra-service	L046A	CT Technologist	0.46	Acquire images	15	0
70486	Ct maxillofacial w/o dye	Service Period: Post-service	L046A	CT Technologist	0.46	Clean room/equipment by physician staff	3	0
70486	Ct maxillofacial w/o dye	Service Period: Post-service	L046A	CT Technologist	0.46	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
70486	Ct maxillofacial w/o dye	Service Period: Post-service	L046A	CT Technologist	0.46	Review examination with interpreting MD	2	0
70486	Ct maxillofacial w/o dye	Service Period: Post-service	L046A	CT Technologist	0.46	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
70487	Ct maxillofacial w/dye	Pre-service Period	L041B	Radiologic Technologist	0.41	Availability of prior images confirmed	2	0
70487	Ct maxillofacial w/dye	Pre-service Period	L041B	Radiologic Technologist	0.41	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
70487	Ct maxillofacial w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	Greet patient and provide gowning	3	0
70487	Ct maxillofacial w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	SVC Provide pre-service education/obtain consent	2	0
70487	Ct maxillofacial w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	"Prepare room, equipment, supplies"	2	0
70487	Ct maxillofacial w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	Prepare and position pt/ monitor pt/ set up IV	4	0
70487	Ct maxillofacial w/dye	Service Period: Intra-service	L046A	CT Technologist	0.46	Acquire images	17	0
70487	Ct maxillofacial w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Clean room/equipment by physician staff	3	0
70487	Ct maxillofacial w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
70487	Ct maxillofacial w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Review examination with interpreting MD	2	0
70487	Ct maxillofacial w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
70488	Ct maxillofacial w/o & w/dye	Pre-service Period	L041B	Radiologic Technologist	0.41	Availability of prior images confirmed	2	0
70488	Ct maxillofacial w/o & w/dye	Pre-service Period	L041B	Radiologic Technologist	0.41	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
70488	Ct maxillofacial w/o & w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	Greet patient and provide gowning	3	0
70488	Ct maxillofacial w/o & w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	SVC Provide pre-service education/obtain consent	2	0
70488	Ct maxillofacial w/o & w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	"Prepare room, equipment, supplies"	2	0
70488	Ct maxillofacial w/o & w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	Prepare and position pt/ monitor pt/ set up IV	4	0
70488	Ct maxillofacial w/o & w/dye	Service Period: Intra-service	L046A	CT Technologist	0.46	Acquire images	26	0
70488	Ct maxillofacial w/o & w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Clean room/equipment by physician staff	3	0
70488	Ct maxillofacial w/o & w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
70488	Ct maxillofacial w/o & w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Review examination with interpreting MD	2	0
70488	Ct maxillofacial w/o & w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
70496	Ct angiography head	Pre-service Period	L041B	Radiologic Technologist	0.41	Availability of prior images confirmed	2	0
70496	Ct angiography head	Pre-service Period	L041B	Radiologic Technologist	0.41	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
70496	Ct angiography head	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Greet patient and provide gowning	3	0
70496	Ct angiography head	Service Period: Pre-service	L046A	CT Technologist	0.46	SVC Provide pre-service education/obtain consent	2	0
70496	Ct angiography head	Service Period: Pre-service	L046A	CT Technologist	0.46	"Prepare room, equipment, supplies"	2	0
70496	Ct angiography head	Service Period: Pre-service	L046A	CT Technologist	0.46	Prepare and position pt/ monitor pt/ set up IV	5	0
70496	Ct angiography head	Service Period: Intra-service	L046A	CT Technologist	0.46	Acquire images	28	0
70496	Ct angiography head	Service Period: Intra-service	L046A	CT Technologist	0.46	Computer post processing	33	0
70496	Ct angiography head	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
70496	Ct angiography head	Service Period: Post-service	L046A	CT Technologist	0.46	Review examination with interpreting MD	2	0
70496	Ct angiography head	Service Period: Post-service	L046A	CT Technologist	0.46	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
70496	Ct angiography head	Service Period: Post-service	L046A	CT Technologist	0.46	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
70498	Ct angiography neck	Pre-service Period	L041B	Radiologic Technologist	0.41	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
70498	Ct angiography neck	Pre-service Period	L041B	Radiologic Technologist	0.41	Availability of prior images confirmed	2	0
70498	Ct angiography neck	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Greet patient and provide gowning	3	0
70498	Ct angiography neck	Service Period: Pre-service	L046A	CT Technologist	0.46	SVC Provide pre-service education/obtain consent	2	0
70498	Ct angiography neck	Service Period: Pre-service	L046A	CT Technologist	0.46	"Prepare room, equipment, supplies"	2	0
70498	Ct angiography neck	Service Period: Pre-service	L046A	CT Technologist	0.46	Prepare and position pt/ monitor pt/ set up IV	5	0
70498	Ct angiography neck	Service Period: Intra-service	L046A	CT Technologist	0.46	Computer post processing	33	0
70498	Ct angiography neck	Service Period: Intra-service	L046A	CT Technologist	0.46	Acquire images	28	0
70498	Ct angiography neck	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
70498	Ct angiography neck	Service Period: Post-service	L046A	CT Technologist	0.46	Review examination with interpreting MD	2	0
70498	Ct angiography neck	Service Period: Post-service	L046A	CT Technologist	0.46	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
70498	Ct angiography neck	Service Period: Post-service	L046A	CT Technologist	0.46	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
71275	Ct angiography chest	Pre-service Period	L046A	CT Technologist	0.46	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
71275	Ct angiography chest	Pre-service Period	L046A	CT Technologist	0.46	Availability of prior images confirmed	2	0
71275	Ct angiography chest	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Greet patient and provide gowning	3	0
71275	Ct angiography chest	Service Period: Pre-service	L046A	CT Technologist	0.46	SVC Provide pre-service education/obtain consent	2	0
71275	Ct angiography chest	Service Period: Pre-service	L046A	CT Technologist	0.46	"Prepare room, equipment, supplies"	2	0
71275	Ct angiography chest	Service Period: Pre-service	L046A	CT Technologist	0.46	Prepare and position pt/ monitor pt/ set up IV	5	0
71275	Ct angiography chest	Service Period: Intra-service	L046A	CT Technologist	0.46	Computer post processing	33	0
71275	Ct angiography chest	Service Period: Intra-service	L046A	CT Technologist	0.46	Acquire images	28	0
71275	Ct angiography chest	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
71275	Ct angiography chest	Service Period: Post-service	L046A	CT Technologist	0.46	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
71275	Ct angiography chest	Service Period: Post-service	L046A	CT Technologist	0.46	Review examination with interpreting MD	2	0
71275	Ct angiography chest	Service Period: Post-service	L046A	CT Technologist	0.46	Exam documents scanned into PACS.  Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
72191	Ct angiograph pelv w/o&w/dye	Pre-service Period	L046A	CT Technologist	0.46	Availability of prior images confirmed	2	0
72191	Ct angiograph pelv w/o&w/dye	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Greet patient and provide gowning	3	0
72191	Ct angiograph pelv w/o&w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	SVC Provide pre-service education/obtain consent	2	0
72191	Ct angiograph pelv w/o&w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	"Prepare room, equipment, supplies"	2	0
72191	Ct angiograph pelv w/o&w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	Prepare and position pt/ monitor pt/ set up IV	5	0
72191	Ct angiograph pelv w/o&w/dye	Service Period: Intra-service	L046A	CT Technologist	0.46	Acquire images	28	0
72191	Ct angiograph pelv w/o&w/dye	Service Period: Intra-service	L046A	CT Technologist	0.46	Assist physician in performing procedure/Computer post processing	33	0
72191	Ct angiograph pelv w/o&w/dye	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
72191	Ct angiograph pelv w/o&w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Scanning other documents into PACs	1	0
72191	Ct angiograph pelv w/o&w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Post processing: Technical QC	2	0
72191	Ct angiograph pelv w/o&w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Review documents w/ physician	2	0
72240	Myelography neck spine	Pre-service Period	L041B	Radiologic Technologist	0.41	Availability of prior images confirmed	2	0
72240	Myelography neck spine	Pre-service Period	L041B	Radiologic Technologist	0.41	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
72240	Myelography neck spine	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Prepare and position pt/ monitor pt/ set up IV	1	0
72240	Myelography neck spine	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician in performing procedure	16	0
72240	Myelography neck spine	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
72240	Myelography neck spine	Service Period: Post-service	L041B	Radiologic Technologist	0.41	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
72240	Myelography neck spine	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Review examination with interpreting MD	2	0
72240	Myelography neck spine	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
72255	Myelography thoracic spine	Pre-service Period	L041B	Radiologic Technologist	0.41	Availability of prior images confirmed	2	0
72255	Myelography thoracic spine	Pre-service Period	L041B	Radiologic Technologist	0.41	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
72255	Myelography thoracic spine	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Prepare and position pt/ monitor pt/ set up IV	1	0
72255	Myelography thoracic spine	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician in performing procedure	15	0
72255	Myelography thoracic spine	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
72255	Myelography thoracic spine	Service Period: Post-service	L041B	Radiologic Technologist	0.41	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
72255	Myelography thoracic spine	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Review examination with interpreting MD	2	0
72255	Myelography thoracic spine	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
72265	Myelography l-s spine	Pre-service Period	L041B	Radiologic Technologist	0.41	Availability of prior images confirmed	2	0
72265	Myelography l-s spine	Pre-service Period	L041B	Radiologic Technologist	0.41	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
72265	Myelography l-s spine	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Prepare and position pt/ monitor pt/ set up IV	1	0
72265	Myelography l-s spine	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician in performing procedure	15	0
72265	Myelography l-s spine	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
72265	Myelography l-s spine	Service Period: Post-service	L041B	Radiologic Technologist	0.41	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
72265	Myelography l-s spine	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Review examination with interpreting MD	2	0
72265	Myelography l-s spine	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
72270	Myelogphy 2/> spine regions	Pre-service Period	L041B	Radiologic Technologist	0.41	Availability of prior images confirmed	2	0
72270	Myelogphy 2/> spine regions	Pre-service Period	L041B	Radiologic Technologist	0.41	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
72270	Myelogphy 2/> spine regions	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Prepare and position pt/ monitor pt/ set up IV	1	0
72270	Myelogphy 2/> spine regions	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician in performing procedure	20	0
72270	Myelogphy 2/> spine regions	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
72270	Myelogphy 2/> spine regions	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Review examination with interpreting MD	2	0
72270	Myelogphy 2/> spine regions	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
74174	Ct angio abd&pelv w/o&w/dye	Pre-service Period	L046A	CT Technologist	0.46	Availability of prior images confirmed	2	0
74174	Ct angio abd&pelv w/o&w/dye	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Greet patient and provide gowning	3	0
74174	Ct angio abd&pelv w/o&w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	SVC Provide pre-service education/obtain consent	2	0
74174	Ct angio abd&pelv w/o&w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	"Prepare room, equipment, supplies"	2	0
74174	Ct angio abd&pelv w/o&w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	Prepare and position pt/ monitor pt/ set up IV	5	0
74174	Ct angio abd&pelv w/o&w/dye	Service Period: Intra-service	L046A	CT Technologist	0.46	Assist physician in performing procedure/Computer post processing	33	0
74174	Ct angio abd&pelv w/o&w/dye	Service Period: Intra-service	L046A	CT Technologist	0.46	Acquire images	45	0
74174	Ct angio abd&pelv w/o&w/dye	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
74174	Ct angio abd&pelv w/o&w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Post processing: Technical QC	2	0
74174	Ct angio abd&pelv w/o&w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Review documents w/ physician	2	0
74174	Ct angio abd&pelv w/o&w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Scanning other documents into PACs	1	0
74175	Ct angio abdom w/o & w/dye	Pre-service Period	L046A	CT Technologist	0.46	Availability of prior images confirmed	2	0
74175	Ct angio abdom w/o & w/dye	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Greet patient and provide gowning	3	0
74175	Ct angio abdom w/o & w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	SVC Provide pre-service education/obtain consent	2	0
74175	Ct angio abdom w/o & w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	"Prepare room, equipment, supplies"	2	0
74175	Ct angio abdom w/o & w/dye	Service Period: Pre-service	L046A	CT Technologist	0.46	Prepare and position pt/ monitor pt/ set up IV	5	0
74175	Ct angio abdom w/o & w/dye	Service Period: Intra-service	L046A	CT Technologist	0.46	Acquire images	28	0
74175	Ct angio abdom w/o & w/dye	Service Period: Intra-service	L046A	CT Technologist	0.46	Assist physician in performing procedure/Computer post processing	33	0
74175	Ct angio abdom w/o & w/dye	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
74175	Ct angio abdom w/o & w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Post processing: Technical QC	2	0
74175	Ct angio abdom w/o & w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Review documents w/ physician	2	0
74175	Ct angio abdom w/o & w/dye	Service Period: Post-service	L046A	CT Technologist	0.46	Scanning other documents into PACs	1	0
74230	Cine/vid x-ray throat/esoph	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Greet patient and provide gowning	3	0
74230	Cine/vid x-ray throat/esoph	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	"Prepare room, equipment, supplies"	2	0
74230	Cine/vid x-ray throat/esoph	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Prepare and position pt/ monitor pt/ set up IV	6	0
74230	Cine/vid x-ray throat/esoph	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Acquire images	15	0
74230	Cine/vid x-ray throat/esoph	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
74230	Cine/vid x-ray throat/esoph	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Review examination with interpreting MD	2	0
74230	Cine/vid x-ray throat/esoph	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Exam documents scanned into PACS.  Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
76641	Ultrasound breast complete	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	Availability of prior images confirmed	2	0
76641	Ultrasound breast complete	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
76641	Ultrasound breast complete	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	Greet patient and provide gowning	3	0
76641	Ultrasound breast complete	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	SVC Provide pre-service education/obtain consent	2	0
76641	Ultrasound breast complete	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	"Prepare room, equipment, supplies"	2	0
76641	Ultrasound breast complete	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	Prepare and position pt/ monitor pt/ set up IV	3	0
76641	Ultrasound breast complete	Service Period: Intra-service	L050B	Diagnostic Medical Sonographer	0.5	Acquire images	15	0
76641	Ultrasound breast complete	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Review examination with interpreting MD	2	0
76641	Ultrasound breast complete	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
76641	Ultrasound breast complete	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Clean room/equipment by physician staff	3	0
76641	Ultrasound breast complete	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
76642	Ultrasound breast limited	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	Availability of prior images confirmed	2	0
76642	Ultrasound breast limited	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
76642	Ultrasound breast limited	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	Greet patient and provide gowning	3	0
76642	Ultrasound breast limited	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	SVC Provide pre-service education/obtain consent	2	0
76642	Ultrasound breast limited	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	"Prepare room, equipment, supplies"	2	0
76642	Ultrasound breast limited	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	Prepare and position pt/ monitor pt/ set up IV	2	0
76642	Ultrasound breast limited	Service Period: Intra-service	L046A	CT Technologist	0.46	Acquire images	10	0
76642	Ultrasound breast limited	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Clean room/equipment by physician staff	3	0
76642	Ultrasound breast limited	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	1	0
76642	Ultrasound breast limited	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Review examination with interpreting MD	2	0
76642	Ultrasound breast limited	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
76700	Us exam abdom complete	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	Availability of prior images confirmed	2	0
76700	Us exam abdom complete	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	"Review patient electronic clinical information and questionnaire reviewed, order from physician confirmed, and exam protocoled"	2	0
76700	Us exam abdom complete	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
76700	Us exam abdom complete	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	"Prepare room, equipment, supplies"	2	0
76700	Us exam abdom complete	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	Prepare and position patient/ monitor patient/ set up IV	3	0
76700	Us exam abdom complete	Service Period: Intra-service	L050B	Diagnostic Medical Sonographer	0.5	Assist physician - acquire images	23	0
76700	Us exam abdom complete	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Clean room/equipment by physician staff	3	0
76700	Us exam abdom complete	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Post processing: Technical QC	2	0
76700	Us exam abdom complete	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Review documents w/ physician	2	0
76700	Us exam abdom complete	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Scanning other documents into PACs	1	0
76705	Echo exam of abdomen	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	Availability of prior images confirmed	2	0
76705	Echo exam of abdomen	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	"Review patient electronic clinical information and questionnaire reviewed, order from physician confirmed, and exam protocoled"	2	0
76705	Echo exam of abdomen	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
76705	Echo exam of abdomen	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	"Prepare room, equipment, supplies"	2	0
76705	Echo exam of abdomen	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	Prepare and position patient	2	0
76705	Echo exam of abdomen	Service Period: Intra-service	L050B	Diagnostic Medical Sonographer	0.5	Assist physician - acquire images	15	0
76705	Echo exam of abdomen	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Clean room/equipment by physician staff	3	0
76705	Echo exam of abdomen	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Post processing: Technical QC	1	0
76705	Echo exam of abdomen	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Review charts	2	0
76705	Echo exam of abdomen	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Scanning other documents into PACs	1	0
76770	Us exam abdo back wall comp	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	Availability of prior images confirmed	2	0
76770	Us exam abdo back wall comp	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	"Review patient electronic clinical information and questionnaire reviewed, order from physician confirmed, and exam protocoled"	2	0
76770	Us exam abdo back wall comp	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	Greet patient and provide gowning	3	0
76770	Us exam abdo back wall comp	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	"Prepare room, equipment, supplies"	2	0
76770	Us exam abdo back wall comp	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	Prepare and position pt/ monitor pt/ set up IV	3	0
76770	Us exam abdo back wall comp	Service Period: Intra-service	L050B	Diagnostic Medical Sonographer	0.5	Acquire images	20	0
76770	Us exam abdo back wall comp	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Clean room/equipment by physician staff	3	0
76770	Us exam abdo back wall comp	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Post processing: Technical QC	2	0
76770	Us exam abdo back wall comp	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Review documents w/ physician	2	0
76770	Us exam abdo back wall comp	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Scanning other documents into PACs	1	0
76775	Us exam abdo back wall lim	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	Availability of prior images confirmed	2	0
76775	Us exam abdo back wall lim	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	"Review patient electronic clinical information and questionnaire reviewed, order from physician confirmed, and exam protocoled"	2	0
76775	Us exam abdo back wall lim	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	Greet patient and provide gowning	3	0
76775	Us exam abdo back wall lim	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	"Prepare room, equipment, supplies"	2	0
76775	Us exam abdo back wall lim	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	Prepare and position pt/ monitor pt/ set up IV	2	0
76775	Us exam abdo back wall lim	Service Period: Intra-service	L050B	Diagnostic Medical Sonographer	0.5	Acquire images	15	0
76775	Us exam abdo back wall lim	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Clean room/equipment by physician staff	3	0
76775	Us exam abdo back wall lim	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Post processing: Technical QC	1	0
76775	Us exam abdo back wall lim	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Review documents w/ physician	2	0
76775	Us exam abdo back wall lim	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Scanning other documents into PACs	1	0
76856	Us exam pelvic complete	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	Availability of prior images confirmed	2	0
76856	Us exam pelvic complete	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	"Review patient electronic clinical information and questionnaire reviewed, order from physician confirmed, and exam protocoled"	2	0
76856	Us exam pelvic complete	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	Greet patient and provide gowning	3	0
76856	Us exam pelvic complete	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	"Prepare room, equipment, supplies"	2	0
76856	Us exam pelvic complete	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	Prepare and position pt/ monitor pt/ set up IV	3	0
76856	Us exam pelvic complete	Service Period: Intra-service	L050B	Diagnostic Medical Sonographer	0.5	Acquire images	20	0
76856	Us exam pelvic complete	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Clean room/equipment by physician staff	3	0
76856	Us exam pelvic complete	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Post processing: Technical QC	2	0
76856	Us exam pelvic complete	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Review documents w/ physician	2	0
76856	Us exam pelvic complete	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Scanning other documents into PACs	1	0
76857	Us exam pelvic limited	Pre-service Period	L050B	Diagnostic Medical Sonographer	0.5	"Review patient electronic clinical information and questionnaire reviewed, order from physician confirmed, and exam protocoled"	2	0
76857	Us exam pelvic limited	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	"Prepare room, equipment, supplies"	2	0
76857	Us exam pelvic limited	Service Period: Pre-service	L050B	Diagnostic Medical Sonographer	0.5	Prepare and position pt/ monitor pt/ set up IV	2	0
76857	Us exam pelvic limited	Service Period: Intra-service	L050B	Diagnostic Medical Sonographer	0.5	Acquire images	12	0
76857	Us exam pelvic limited	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Clean room/equipment by physician staff	3	0
76857	Us exam pelvic limited	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Post processing: Technical QC	1	0
76857	Us exam pelvic limited	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Review documents w/ physician	2	0
76857	Us exam pelvic limited	Service Period: Post-service	L050B	Diagnostic Medical Sonographer	0.5	Scanning other documents into PACs	1	0
76942	Echo guide for biopsy	Pre-service Period	L051B	RN/Diagnostic Medical Sonographer	0.51	Availability of prior images confirmed	2	0
76942	Echo guide for biopsy	Service Period: Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.51	"Prepare room, equipment, supplies"	2	0
76942	Echo guide for biopsy	Service Period: Pre-service	L051B	RN/Diagnostic Medical Sonographer	0.51	Prepare and position pt/ monitor pt/ set up IV	2	0
76942	Echo guide for biopsy	Service Period: Intra-service	L051B	RN/Diagnostic Medical Sonographer	0.51	Moderate sedation	15	0
76942	Echo guide for biopsy	Service Period: Post-service	L051B	RN/Diagnostic Medical Sonographer	0.51	Clean room/equipment by physician staff	2	0
76942	Echo guide for biopsy	Service Period: Post-service	L051B	RN/Diagnostic Medical Sonographer	0.51	Review examination with interpreting MD	2	0
76942	Echo guide for biopsy	Service Period: Post-service	L051B	RN/Diagnostic Medical Sonographer	0.51	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
77063	Breast tomosynthesis bi	Service Period: Pre-service	L043A	Mammography Technologist	0.43	SVC Provide pre-service education/obtain consent	2	0
77063	Breast tomosynthesis bi	Service Period: Pre-service	L043A	Mammography Technologist	0.43	Prepare and position pt/ monitor pt/ set up IV	2	0
77063	Breast tomosynthesis bi	Service Period: Intra-service	L043A	Mammography Technologist	0.43	Acquire images	6	0
77063	Breast tomosynthesis bi	Service Period: Post-service	L043A	Mammography Technologist	0.43	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
77080	Dxa bone density axial	Pre-service Period	L041B	Radiologic Technologist	0.41	Availability of prior images confirmed	2	0
77080	Dxa bone density axial	Pre-service Period	L041B	Radiologic Technologist	0.41	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
77080	Dxa bone density axial	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Greet patient and provide gowning	3	0
77080	Dxa bone density axial	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Obtain vital signs	3	0
77080	Dxa bone density axial	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	SVC Provide pre-service education/obtain consent	2	0
77080	Dxa bone density axial	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	"Prepare room, equipment, supplies"	2	0
77080	Dxa bone density axial	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician in performing procedure	15	0
77080	Dxa bone density axial	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
77080	Dxa bone density axial	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Review examination with interpreting MD	2	0
77080	Dxa bone density axial	Service Period: Post-service	L041B	Radiologic Technologist	0.41	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
77080	Dxa bone density axial	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
77085	Dxa bone density study	Pre-service Period	L041B	Radiologic Technologist	0.41	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
77085	Dxa bone density study	Pre-service Period	L041B	Radiologic Technologist	0.41	Availability of prior images confirmed	2	0
77085	Dxa bone density study	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Greet patient and provide gowning	3	0
77085	Dxa bone density study	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Obtain vital signs	3	0
77085	Dxa bone density study	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	SVC Provide pre-service education/obtain consent	2	0
77085	Dxa bone density study	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	"Prepare room, equipment, supplies"	2	0
77085	Dxa bone density study	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician in performing procedure	25	0
77085	Dxa bone density study	Service Period: Post-service	L041B	Radiologic Technologist	0.41	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
77085	Dxa bone density study	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Review examination with interpreting MD	2	0
77085	Dxa bone density study	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
77085	Dxa bone density study	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
77086	Fracture assessment via dxa	Pre-service Period	L041B	Radiologic Technologist	0.41	Availability of prior images confirmed	2	0
77086	Fracture assessment via dxa	Pre-service Period	L041B	Radiologic Technologist	0.41	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
77086	Fracture assessment via dxa	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Greet patient and provide gowning	3	0
77086	Fracture assessment via dxa	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	Obtain vital signs	3	0
77086	Fracture assessment via dxa	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	SVC Provide pre-service education/obtain consent	2	0
77086	Fracture assessment via dxa	Service Period: Pre-service	L041B	Radiologic Technologist	0.41	"Prepare room, equipment, supplies"	2	0
77086	Fracture assessment via dxa	Service Period: Intra-service	L041B	Radiologic Technologist	0.41	Assist physician in performing procedure	10	0
77086	Fracture assessment via dxa	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Clean room/equipment by physician staff	3	0
77086	Fracture assessment via dxa	Service Period: Post-service	L041B	Radiologic Technologist	0.41	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
77086	Fracture assessment via dxa	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Review examination with interpreting MD	2	0
77086	Fracture assessment via dxa	Service Period: Post-service	L041B	Radiologic Technologist	0.41	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
77300	Radiation therapy dose plan	Service Period: Pre-service	L107A	Medical Dosimetrist/Medical Physicist	1.075	Perform Procedure - Dose Calculations	14	0
77306	Telethx isodose plan simple	Service Period: Pre-service	L063A	Medical Dosimetrist	0.63	Perform Procedure - Isodose Planning	14	0
77306	Telethx isodose plan simple	Service Period: Pre-service	L107A	Medical Dosimetrist/Medical Physicist	1.075	Perform Procedure - Dose Calculations	23	0
77307	Telethx isodose plan cplx	Service Period: Pre-service	L063A	Medical Dosimetrist	0.63	Perform Procedure - Isodose Planning	26	0
77307	Telethx isodose plan cplx	Service Period: Pre-service	L107A	Medical Dosimetrist/Medical Physicist	1.075	Perform Procedure - Dose Calculations	42	0
77316	Brachytx isodose plan simple	Service Period: Pre-service	L063A	Medical Dosimetrist	0.63	Perform Procedure - Isodose Planning	72	0
77316	Brachytx isodose plan simple	Service Period: Pre-service	L107A	Medical Dosimetrist/Medical Physicist	1.075	Perform Procedure - Dose Calculations	11	0
77316	Brachytx isodose plan simple	Service Period: Pre-service	L152A	Medical Physicist	1.523	Perform Procedure - Isodose Planning	8	0
77317	Brachytx isodose intermed	Service Period: Pre-service	L063A	Medical Dosimetrist	0.63	Perform Procedure - Isodose Planning	104	0
77317	Brachytx isodose intermed	Service Period: Pre-service	L107A	Medical Dosimetrist/Medical Physicist	1.075	Perform Procedure - Dose Calculations	11	0
77317	Brachytx isodose intermed	Service Period: Pre-service	L152A	Medical Physicist	1.523	Perform Procedure - Isodose Planning	8	0
77318	Brachytx isodose complex	Service Period: Pre-service	L063A	Medical Dosimetrist	0.63	Perform Procedure - Isodose Planning	134	0
77318	Brachytx isodose complex	Service Period: Pre-service	L107A	Medical Dosimetrist/Medical Physicist	1.075	Perform Procedure - Dose Calculations	23	0
77318	Brachytx isodose complex	Service Period: Pre-service	L152A	Medical Physicist	1.523	Perform Procedure - Isodose Planning	8	0
88341	Immunohisto antibody slide	Pre-service Period	L033A	Lab Technician	0.33	"Place slides in oven and incubate for 60 minutes, remove from oven, set timer"	1	0
88341	Immunohisto antibody slide	Pre-service Period	L033A	Lab Technician	0.33	Remove slides from automated slide stainer. Rinse slides in soapy water to remove the coverslip material.  Load slides on to cover rack.	1	0
88341	Immunohisto antibody slide	Pre-service Period	L033A	Lab Technician	0.33	"Dehydrate to xylene through progressive alcohols, clear and coverslip by hand with permanent mounting media"	1	0
88341	Immunohisto antibody slide	Pre-service Period	L033A	Lab Technician	0.33	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	0.5	0
88341	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	Pull and verify tissue block and control block	0.5	0
88341	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	"Prepare positive control block to include the following: Confirm control tissue ID. Embed tissue in paraffin. Take cassette out of embedding chamber, open cassette, put paraffin in bottom of embedding mold, embed tissue…"	0.15	0
88341	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	"Cut patient tissue and place on slide to include the following:  - Section paraffin block in microtome, place section in water bath…"	1	0
88341	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	Cut positive control tissue and place on slide	3	0
88341	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	"Enter patient data, computational prep for antibody testing, generate and apply bar codes to slides, and enter data for automated slide stainer"	0.5	0
88341	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	"Load the primary antibody (load secondary if applicable), detection kit dispensers and required reagents onto the reagent tray and place the tray on the automated slide stainer.  Load the slides onto the automated slide stainer…"	2	0
88341	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	Review positive and negative control slides	1	0
88341	Immunohisto antibody slide	Post-service Period	L033A	Lab Technician	0.33	Clean equipment and work station in histology lab	0.5	0
88341	Immunohisto antibody slide	Post-service Period	L033A	Lab Technician	0.33	Hazardous waste disposal	1	0
88341	Immunohisto antibody slide	Post-service Period	L033A	Lab Technician	0.33	Recycle xylene from tissue processor and stainer	1	0
88341	Immunohisto antibody slide	Post-service Period	L037B	Histotechnologist	0.37	"Refile block, unload and store antibody, detection kit and reagents"	1	0
88342	Immunohisto antibody stain	Pre-service Period	L033A	Lab Technician	0.33	Verify order and accession immunohistochemical stain order in laboratory information system	1	0
88342	Immunohisto antibody stain	Pre-service Period	L033A	Lab Technician	0.33	"Place slides in oven and incubate for 60 minutes, remove from oven, set timer"	1	0
88342	Immunohisto antibody stain	Pre-service Period	L033A	Lab Technician	0.33	Remove slides from automated slide stainer. Rinse slides in soapy water to remove the coverslip material.  Load slides on to cover rack.	1	0
88342	Immunohisto antibody stain	Pre-service Period	L033A	Lab Technician	0.33	"Dehydrate to xylene through progressive alcohols, clear and coverslip by hand with permanent mounting media"	1	0
88342	Immunohisto antibody stain	Pre-service Period	L033A	Lab Technician	0.33	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	0
88342	Immunohisto antibody stain	Pre-service Period	L037B	Histotechnologist	0.37	Pull and verify tissue block and control block	1	0
88342	Immunohisto antibody stain	Pre-service Period	L037B	Histotechnologist	0.37	"Prepare positive control block to include the following: Confirm control tissue ID. Embed tissue in paraffin. Take cassette out of embedding chamber, open cassette, put paraffin in bottom of embedding mold, embed tissue…"	0.15	0
88342	Immunohisto antibody stain	Pre-service Period	L037B	Histotechnologist	0.37	"Cut patient tissue and place on slide to include the following:  - Section paraffin block in microtome, place section in water bath…"	3	0
88342	Immunohisto antibody stain	Pre-service Period	L037B	Histotechnologist	0.37	Cut positive control tissue and place on slide	3	0
88342	Immunohisto antibody stain	Pre-service Period	L037B	Histotechnologist	0.37	Cut patient tissue and place on negative control slide	1	0
88342	Immunohisto antibody stain	Pre-service Period	L037B	Histotechnologist	0.37	"Enter patient data, computational prep for antibody testing, generate and apply bar codes to slides, and enter data for automated slide stainer"	5	0
88342	Immunohisto antibody stain	Pre-service Period	L037B	Histotechnologist	0.37	"Load the primary antibody (load secondary if applicable), detection kit dispensers and required reagents onto the reagent tray and place the tray on the automated slide stainer.  Load the slides onto the automated slide stainer…"	3	0
88342	Immunohisto antibody stain	Pre-service Period	L037B	Histotechnologist	0.37	Review positive and negative control slides	1	0
88342	Immunohisto antibody stain	Post-service Period	L033A	Lab Technician	0.33	Clean equipment and work station in histology lab	4	0
88342	Immunohisto antibody stain	Post-service Period	L033A	Lab Technician	0.33	Hazardous waste disposal	1	0
88342	Immunohisto antibody stain	Post-service Period	L033A	Lab Technician	0.33	Recycle xylene from tissue processor and stainer	1	0
88342	Immunohisto antibody stain	Post-service Period	L037B	Histotechnologist	0.37	"Refile block, unload and store antibody, detection kit and reagents"	2	0
88344	Immunohisto antibody slide	Pre-service Period	L033A	Lab Technician	0.33	"Place slides in oven and incubate for 60 minutes, remove from oven, set timer"	1	0
88344	Immunohisto antibody slide	Pre-service Period	L033A	Lab Technician	0.33	Remove slides from automated slide stainer. Rinse slides in soapy water to remove the coverslip material.  Load slides on to cover rack.	1	0
88344	Immunohisto antibody slide	Pre-service Period	L033A	Lab Technician	0.33	"Dehydrate to xylene through progressive alcohols, clear and coverslip by hand with permanent mounting media"	1	0
88344	Immunohisto antibody slide	Pre-service Period	L033A	Lab Technician	0.33	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	0.5	0
88344	Immunohisto antibody slide	Pre-service Period	L033A	Lab Technician	0.33	Verify order and accession immunohistochemical stain order in laboratory information system	1	0
88344	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	Pull and verify tissue block and control block	1	0
88344	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	"Prepare positive control block to include the following: Confirm control tissue ID. Embed tissue in paraffin. Take cassette out of embedding chamber, open cassette, put paraffin in bottom of embedding mold, embed tissue…"	0.15	0
88344	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	"Cut patient tissue and place on slide to include the following:  - Section paraffin block in microtome, place section in water bath…"	3	0
88344	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	Cut positive control tissue and place on slide	3	0
88344	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	"Enter patient data, computational prep for antibody testing, generate and apply bar codes to slides, and enter data for automated slide stainer"	5	0
88344	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	"Load the primary antibody (load secondary if applicable), detection kit dispensers and required reagents onto the reagent tray and place the tray on the automated slide stainer.  Load the slides onto the automated slide stainer…"	2	0
88344	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	Review positive and negative control slides	1	0
88344	Immunohisto antibody slide	Pre-service Period	L037B	Histotechnologist	0.37	Cut patient tissue and place on negative control slide	1	0
88344	Immunohisto antibody slide	Post-service Period	L033A	Lab Technician	0.33	Clean equipment and work station in histology lab	4	0
88344	Immunohisto antibody slide	Post-service Period	L033A	Lab Technician	0.33	Hazardous waste disposal	1	0
88344	Immunohisto antibody slide	Post-service Period	L033A	Lab Technician	0.33	Recycle xylene from tissue processor and stainer	1	0
88344	Immunohisto antibody slide	Post-service Period	L037B	Histotechnologist	0.37	"Refile block, unload and store antibody, detection kit and reagents"	3	0
88348	Electron microscopy	Pre-service Period	L033A	Lab Technician	0.33	Collect electron micrographs from photographic laboratory and transport back to electron microscopy laboratory.	5	0
88348	Electron microscopy	Pre-service Period	L033A	Lab Technician	0.33	Deliver prints and slides to pathologist.	1	0
88348	Electron microscopy	Pre-service Period	L033A	Lab Technician	0.33	Retrieve specimen from surgical pathology laboratory and transport to electron microscopy laboratory.	1	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Prepare and mix resin for EM tissue blocks.	10	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	"Put resin into block molds, and add patient identifying number into resin mold."	1	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Embed tissue in resin molds.Place blocks in oven for partial resin polymerization.	3	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Remove partially polymerized tissue blocks from oven and reposition tissue to center of embedding mold.  Return tissue blocks to oven.	3	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Remove completely polymerized tissue blocks from oven and trim blocks.	8	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	"Prepare specimen labels for tissue block storage, EM grid identification, toluidine blue slide labels, and EM print file folder.  Prepare and label patient specimen boxes for storage of blocks."	5	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Examine blocks under light microscope to identify glomeruli.	4	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Face off tissue blocks on milling machine. Trim excess polymerized resin from sides of faced block to form pyramidal blocks that can be cut using microtome.	8	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Cut resin blocks on microtome to make one micron sections and place on labeled microscopic slides.	20	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Prepare glass knifes for thick sectioning.	2	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Prepare toluidine blue staining solution for staining thick sections.	5	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Stain microscopic slides while applying heat to achieve proper metachromatic staining effect.	8	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Affix labels to toluidine blue slides and examine under light microscopy access for adequacy.  Recut and/or retain slides as necessary.  Collate stained slides and paperwork and place in labeled case folder.	3	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Deliver case folder including plastic sections and paperwork to pathologist and review plastic sections with pathologist.	10	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Cut thin sections on diamond knife from block selected by pathologist.	20	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Place thin sections on labeled electron microscopic grids.  Place grids into appropriately labeled petri dishes.	3	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Prepare uranyl acetate and lead citrate staining solutions.	5	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Insert grid into staining rings.	1	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Stain thin sections with uranyl acetate and lead citrate  Place petri dishes in oven.	10	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Retrieve liquid nitrogen from storage dewar (-70C solution) and place in electron microscope cooling chamber.	5	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Print electron microscopic images from digital files.	5	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	"Perform measurements on glomerular basement membranes (30 separate foci), enter into excel spread sheet, average measurements, and print for inclusions in file folder."	20	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	"Collate printed images, plastic sections, and place in labeled file folder."	3	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	"Prepare instrument for carbon coating procedure.  Prepare carbon rod, insert into carbon evaporator, arrange petri dishes so that grids will receive ample carbon coating. Lower bell jar and prepump and pump system…"	22	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Dilute 25% concentrated glutaraldehyde solution into working 3.75% buffered solution. Fill and label specimen containers with glutaraldehyde and distribute to surgical pathology grossing station.	3	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Accession specimen in electron microscopy laboratory computer system.	2	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Prepare and load solutions onto tissue processor.	10	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Program tissue processor and perform quality control functions.	5	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	"Examine tissue specimen under dissecting microscope and section into appropriately sized pieces for processing, wrap specimens in lens tissue and place into processor baskets with identification numbers.  Place baskets into processor vial."	10	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Load tissue processor with specimens and start processor.	2	0
88348	Electron microscopy	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	Remove tissue from processor.	2	0
88348	Electron microscopy	Post-service Period	L033A	Lab Technician	0.33	Dispose of tissue trimmings. Dispose of used chemicals	1	0
88348	Electron microscopy	Post-service Period	L033A	Lab Technician	0.33	Clean room/equipment by physician staff	3	0
88348	Electron microscopy	Post-service Period	L033A	Lab Technician	0.33	File glass slides from plastic sections.  File electron microscopic prints.	2	0
88356	Analysis nerve	Pre-service Period	L033A	Lab Technician	0.33	Accession specimen/prepare for examination	3	0
88356	Analysis nerve	Pre-service Period	L033A	Lab Technician	0.33	Prepare specimen containers/preload fixative/label containers/distribute requisition form(s) to physician	6.5	0
88356	Analysis nerve	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	"EM-lab prepares labels, requisitions, billing forms.  Verifies order worksheet."	5	0
88356	Analysis nerve	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	"EM - lab prepares containers  by mixing solutions, labeling and prefilling with fixative."	10	0
88356	Analysis nerve	Pre-service Period	L045B	Electron Microscopy Technologist	0.45	EM-retrieves specimen from receiving workstation or storage area.  Accession specimen and evaluate specimen quality.	1	0
88356	Analysis nerve	Service Period: Pre-service	L033A	Lab Technician	0.33	"Under dissecting microscope, after fixation, cut cross and longitudinal sections for histologic sections and retain portion for possible additional EM or nerve teasing studies."	5	0
88356	Analysis nerve	Service Period: Pre-service	L033A	Lab Technician	0.33	Assemble and deliver slides with paperwork to pathologists	2	0
88356	Analysis nerve	Service Period: Pre-service	L037B	Histotechnologist	0.37	Assist pathologist with gross specimen examination	10	0
88356	Analysis nerve	Service Period: Pre-service	L045B	Electron Microscopy Technologist	0.45	"Fixes specimen in glutaraldehyde, washes 3 times, dehydrates, mixes resin and infiltrates specimen with resin. Labels blocks (types labels, prints, cuts, puts into capsules/molds, logs into book). Places specimen into capsules/molds, orients and trims…"	96	0
88356	Analysis nerve	Post-service Period	L033A	Lab Technician	0.33	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	0
88356	Analysis nerve	Post-service Period	L033A	Lab Technician	0.33	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	3	0
88356	Analysis nerve	Post-service Period	L033A	Lab Technician	0.33	File glass slides from plastic sections.  File electron microscopic prints.	2	0
88356	Analysis nerve	Post-service Period	L033A	Lab Technician	0.33	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	3	0
88364	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	14	0
88364	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Signal Enumeration: Verify and QC controls and slide adequacy.	3	0
88364	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Examine signals in each cell and generate data for the pathologist to interpret	10	0
88364	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Photograph and print samples	5	0
88364	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	0.5	0
88364	Insitu hybridization (fish)	Post-service Period	L037B	Histotechnologist	0.37	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	0
88364	Insitu hybridization (fish)	Post-service Period	L037B	Histotechnologist	0.37	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	0.5	0
88365	Insitu hybridization (fish)	Pre-service Period	L035A	Lab Tech/Histotechnologist	0.35	"Gather all the relevant slides, prior report, and history on the patient for the pathologist to review to choose the region of interest on the slide"	4	0
88365	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Retrieve and accession specimen	1.5	0
88365	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	43	0
88365	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Signal Enumeration: Verify and QC controls and slide adequacy.	3	0
88365	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Examine signals in each cell and generate data for the pathologist to interpret	10	0
88365	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Photograph and print samples	7	0
88365	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	0
88365	Insitu hybridization (fish)	Post-service Period	L037B	Histotechnologist	0.37	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	0
88365	Insitu hybridization (fish)	Post-service Period	L037B	Histotechnologist	0.37	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	0
88365	Insitu hybridization (fish)	Post-service Period	L037B	Histotechnologist	0.37	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	0
88366	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Retrieve and accession specimen	1.5	0
88366	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	"Gather all the relevant slides, prior report, and history on the patient for the pathologist to review to choose the region of interest on the slide"	4	0
88366	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	43	0
88366	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Signal Enumeration: Verify and QC controls and slide adequacy.	4.5	0
88366	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Examine signals in each cell and generate data for the pathologist to interpret	15	0
88366	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Photograph and print samples	7	0
88366	Insitu hybridization (fish)	Pre-service Period	L037B	Histotechnologist	0.37	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	0
88366	Insitu hybridization (fish)	Post-service Period	L037B	Histotechnologist	0.37	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	0
88366	Insitu hybridization (fish)	Post-service Period	L037B	Histotechnologist	0.37	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	0
88366	Insitu hybridization (fish)	Post-service Period	L037B	Histotechnologist	0.37	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	0
88367	Insitu hybridization auto	Pre-service Period	L037B	Histotechnologist	0.37	Retrieve and accession specimen	1.5	0
88367	Insitu hybridization auto	Pre-service Period	L037B	Histotechnologist	0.37	"Gather all the relevant slides, prior report, and history on the patient for the pathologist to review to choose the region of interest on the slide"	4	0
88367	Insitu hybridization auto	Pre-service Period	L037B	Histotechnologist	0.37	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	32	0
88367	Insitu hybridization auto	Pre-service Period	L037B	Histotechnologist	0.37	Photograph and print samples	1	0
88367	Insitu hybridization auto	Pre-service Period	L037B	Histotechnologist	0.37	"Load slides on Auto Vysis Scanner, and enter slide IDs.    After pathologist has verified fields of interest, select the fields to be scanned."	4	0
88367	Insitu hybridization auto	Pre-service Period	L037B	Histotechnologist	0.37	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	0
88367	Insitu hybridization auto	Post-service Period	L037B	Histotechnologist	0.37	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	0
88367	Insitu hybridization auto	Post-service Period	L037B	Histotechnologist	0.37	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	0
88367	Insitu hybridization auto	Post-service Period	L037B	Histotechnologist	0.37	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	0
88368	Insitu hybridization manual	Pre-service Period	L037B	Histotechnologist	0.37	Retrieve and accession specimen	1.5	0
88368	Insitu hybridization manual	Pre-service Period	L037B	Histotechnologist	0.37	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	43	0
88368	Insitu hybridization manual	Pre-service Period	L037B	Histotechnologist	0.37	Signal Enumeration: Verify and QC controls and slide adequacy.	4	0
88368	Insitu hybridization manual	Pre-service Period	L037B	Histotechnologist	0.37	Signal Enumeration: Count signals in malignant cells and generate data for pathologist to interpret	12	0
88368	Insitu hybridization manual	Pre-service Period	L037B	Histotechnologist	0.37	Photograph and print samples	7	0
88368	Insitu hybridization manual	Pre-service Period	L037B	Histotechnologist	0.37	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	0
88368	Insitu hybridization manual	Pre-service Period	L037B	Histotechnologist	0.37	"Gather all the relevant slides, prior report, and history on the patient for the pathologist to review to choose the region of interest on the slide"	4	0
88368	Insitu hybridization manual	Post-service Period	L037B	Histotechnologist	0.37	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	0
88368	Insitu hybridization manual	Post-service Period	L037B	Histotechnologist	0.37	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	0
88368	Insitu hybridization manual	Post-service Period	L037B	Histotechnologist	0.37	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	0
88369	M/phmtrc alysishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	14	0
88369	M/phmtrc alysishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Signal Enumeration: Verify and QC controls and slide adequacy.	4	0
88369	M/phmtrc alysishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Signal Enumeration: Count signals in malignant cells and generate data for pathologist to interpret	12	0
88369	M/phmtrc alysishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Photograph and print samples	5	0
88369	M/phmtrc alysishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	0.5	0
88369	M/phmtrc alysishquant/semiq	Post-service Period	L037B	Histotechnologist	0.37	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	0
88369	M/phmtrc alysishquant/semiq	Post-service Period	L037B	Histotechnologist	0.37	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	0.5	0
88373	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	10	0
88373	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Photograph and print samples	1	0
88373	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	"Load slides on Auto Vysis Scanner, and enter slide IDs.    After pathologist has verified fields of interest, select the fields to be scanned."	4	0
88373	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	0.5	0
88373	M/phmtrc alys ishquant/semiq	Post-service Period	L037B	Histotechnologist	0.37	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	0.5	0
88373	M/phmtrc alys ishquant/semiq	Post-service Period	L037B	Histotechnologist	0.37	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	0.5	0
88373	M/phmtrc alys ishquant/semiq	Post-service Period	L037B	Histotechnologist	0.37	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	1	0
88374	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Retrieve and accession specimen	1.5	0
88374	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	"Gather all the relevant slides, prior report, and history on the patient for the pathologist to review to choose the region of interest on the slide"	4	0
88374	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	32	0
88374	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Photograph and print samples	1	0
88374	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	"Load slides on Auto Vysis Scanner, and enter slide IDs.    After pathologist has verified fields of interest, select the fields to be scanned."	4	0
88374	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	0
88374	M/phmtrc alys ishquant/semiq	Post-service Period	L037B	Histotechnologist	0.37	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	0
88374	M/phmtrc alys ishquant/semiq	Post-service Period	L037B	Histotechnologist	0.37	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	0
88374	M/phmtrc alys ishquant/semiq	Post-service Period	L037B	Histotechnologist	0.37	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	0
88377	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Retrieve and accession specimen	1.5	0
88377	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	"Gather all the relevant slides, prior report, and history on the patient for the pathologist to review to choose the region of interest on the slide"	4	0
88377	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	"Prepare reagents and equipment.  Re-cut paraffin blocks and bake slides. Deparaffinize, treat with HCL, wash. Treat with enzyme, wash and rehydrate.  Apply DNA probe mixture to positive, negative control and patient’s slide…"	43	0
88377	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Signal Enumeration: Verify and QC controls and slide adequacy.	6	0
88377	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Signal Enumeration: Count signals in malignant cells and generate data for pathologist to interpret	18	0
88377	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Photograph and print samples	7	0
88377	M/phmtrc alys ishquant/semiq	Pre-service Period	L037B	Histotechnologist	0.37	Complete workload recording logs. Collate slides and paperwork. Deliver to pathologist.	1	0
88377	M/phmtrc alys ishquant/semiq	Post-service Period	L037B	Histotechnologist	0.37	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	0
88377	M/phmtrc alys ishquant/semiq	Post-service Period	L037B	Histotechnologist	0.37	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	0
88377	M/phmtrc alys ishquant/semiq	Post-service Period	L037B	Histotechnologist	0.37	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	0
88380	Microdissection laser	Pre-service Period	L033A	Lab Technician	0.33	"Accession specimen/prepare for examination, assemble slides"	1.5	0
88380	Microdissection laser	Pre-service Period	L033A	Lab Technician	0.33	Retrieve block	1	0
88380	Microdissection laser	Pre-service Period	L037B	Histotechnologist	0.37	"Process specimen for H&E slide preparation (includes refacing block and preparing for cutting, step sectioning and recuts,  routine  staining, coverslipping, quality control function, maintaining specimen tracking logs and labeling.)"	14.5	0
88380	Microdissection laser	Service Period: Pre-service	L033A	Lab Technician	0.33	Assemble and deliver slides with paperwork to pathologists for H&E examination and target selection	1	0
88380	Microdissection laser	Service Period: Pre-service	L033A	Lab Technician	0.33	Slides and paperwork delivered to the laboratory after target selection	1	0
88380	Microdissection laser	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Deparaffination of unstained slides	15	0
88380	Microdissection laser	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Methylene blue staining of 10 (laser) and 8 (manual) slides	8	0
88380	Microdissection laser	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Examination of stained slides to verify and visualize targets	8	0
88380	Microdissection laser	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Etch slide with diamond tipped marker	3	0
88380	Microdissection laser	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Collect and label tubes for target	1	0
88380	Microdissection laser	Service Period: Pre-service	L045A	Cytotechnologist	0.45	"Prepare laser instrument, quality control and maintenance functions"	3	0
88380	Microdissection laser	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Document procedure in logs and place tubes in storage until extraction	4	0
88380	Microdissection laser	Service Period: Pre-service	L045A	Cytotechnologist	0.45	"Place tape on tube, place parafilm over tube lid.  Add to 55 degree waterbath overnight, after which tube will be transported to atuomated DNA extractor"	3	0
88380	Microdissection laser	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Prepare Incubation buffer: Thaw proteinase K and DDT.  Add 100 uL of proteinase K and 100 uL of DTT to 800 uL of incubation buffer (can use for 10 cases).  Add 60uL of incubation buffer into cap of tube and 40uL of incubation buffer to tube. 	6	0
88380	Microdissection laser	Post-service Period	L033A	Lab Technician	0.33	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	0
88380	Microdissection laser	Post-service Period	L033A	Lab Technician	0.33	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	0
88380	Microdissection laser	Post-service Period	L033A	Lab Technician	0.33	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	0
88381	Microdissection manual	Pre-service Period	L033A	Lab Technician	0.33	"Accession specimen/prepare for examination, assemble slides"	1.5	0
88381	Microdissection manual	Pre-service Period	L033A	Lab Technician	0.33	Retrieve block	1	0
88381	Microdissection manual	Pre-service Period	L037B	Histotechnologist	0.37	"Process specimen for H&E slide preparation (includes refacing block and preparing for cutting, step sectioning and recuts,  routine  staining, coverslipping, quality control function, maintaining specimen tracking logs and labeling.)"	14.5	0
88381	Microdissection manual	Service Period: Pre-service	L033A	Lab Technician	0.33	Assemble and deliver slides with paperwork to pathologists for H&E examination and target selection	1	0
88381	Microdissection manual	Service Period: Pre-service	L033A	Lab Technician	0.33	Slides and paperwork delivered to the laboratory after target selection	1	0
88381	Microdissection manual	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Etch slide with diamond tipped marker	3	0
88381	Microdissection manual	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Collect and label tubes for target	1	0
88381	Microdissection manual	Service Period: Pre-service	L045A	Cytotechnologist	0.45	decontamination of workspace and dissecting scope	3	0
88381	Microdissection manual	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Prepare Incubation buffer: Thaw proteinase K and DDT.  Add 100 uL of proteinase K and 100 uL of DTT to 800 uL of incubation buffer (can use for 10 cases).  Add 60uL of incubation buffer into cap of tube and 40uL of incubation buffer to tube. 	6	0
88381	Microdissection manual	Service Period: Pre-service	L045A	Cytotechnologist	0.45	"Turn on dissecting microscope, place slide on scope, remove razor blade from box.  Microdissect tissue within etched area, while viewing slide under dissecting scope, place tissue into cap of collection tube with blade.  Repeat"	30	0
88381	Microdissection manual	Service Period: Pre-service	L045A	Cytotechnologist	0.45	"Dispose of razor blade, Cap tube and vortex specimens. Visually inspect tube to make sure microdissected material are at the bottom of tube."	3	0
88381	Microdissection manual	Service Period: Pre-service	L045A	Cytotechnologist	0.45	"Place tape on tube, place parafilm over tube lid.  Add to 55 degree waterbath overnight, after which tube will be transported to atuomated DNA extractor"	3	0
88381	Microdissection manual	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Document procedure in logs and place tubes in storage until extraction	4	0
88381	Microdissection manual	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Deparaffination of unstained slides	15	0
88381	Microdissection manual	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Methylene blue staining of 10 (laser) and 8 (manual) slides	8	0
88381	Microdissection manual	Service Period: Pre-service	L045A	Cytotechnologist	0.45	Examination of stained slides to verify and visualize targets	8	0
88381	Microdissection manual	Post-service Period	L033A	Lab Technician	0.33	"Prepare, pack and transport specimens and records for in-house storage and external storage (where applicable)"	2	0
88381	Microdissection manual	Post-service Period	L033A	Lab Technician	0.33	"Dispose of remaining specimens, spent chemicals/other consumables, and hazardous waste"	1	0
88381	Microdissection manual	Post-service Period	L033A	Lab Technician	0.33	Clean room/equipment following procedure (including any equipment maintenance that must be done after the procedure)	1	0
91200	Liver elastography	Pre-service Period	L037D	RN/LPN/MTA	0.37	PRE Provide pre-service education/obtain consent	3	0
91200	Liver elastography	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
91200	Liver elastography	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	2	0
91200	Liver elastography	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
91200	Liver elastography	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	7	0
91200	Liver elastography	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
91200	Liver elastography	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Review documents w/ physician	2	0
92145	Corneal hysteresis deter	Service Period: Pre-service	L038A	COMT/COT/RN/CST	0.38	SVC Provide pre-service education/obtain consent	1	0
92145	Corneal hysteresis deter	Service Period: Pre-service	L038A	COMT/COT/RN/CST	0.38	"Prepare room, equipment, supplies"	2	0
92145	Corneal hysteresis deter	Service Period: Pre-service	L038A	COMT/COT/RN/CST	0.38	Prepare and position pt/ monitor pt/ set up IV	2	0
92145	Corneal hysteresis deter	Service Period: Intra-service	L038A	COMT/COT/RN/CST	0.38	Assist physician in performing procedure	5	0
93260	Prgrmg dev eval impltbl sys	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
93260	Prgrmg dev eval impltbl sys	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
93260	Prgrmg dev eval impltbl sys	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	SVC Provide pre-service education/obtain consent	3	0
93260	Prgrmg dev eval impltbl sys	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
93260	Prgrmg dev eval impltbl sys	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Review charts	2	0
93260	Prgrmg dev eval impltbl sys	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	15	0
93260	Prgrmg dev eval impltbl sys	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
93260	Prgrmg dev eval impltbl sys	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Scan & File	2	0
93260	Prgrmg dev eval impltbl sys	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Print PaceArt Report & Send	3	0
93261	Interrogate subq defib	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
93261	Interrogate subq defib	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
93261	Interrogate subq defib	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	SVC Provide pre-service education/obtain consent	3	0
93261	Interrogate subq defib	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
93261	Interrogate subq defib	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Review charts	2	0
93261	Interrogate subq defib	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	15	0
93261	Interrogate subq defib	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
93261	Interrogate subq defib	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Scan & File	2	0
93261	Interrogate subq defib	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Print PaceArt Report & Send	3	0
93312	Echo transesophageal	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	2	0
93312	Echo transesophageal	Pre-service Period	L037D	RN/LPN/MTA	0.37	Availability of prior images confirmed	2	0
93312	Echo transesophageal	Pre-service Period	L037D	RN/LPN/MTA	0.37	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93312	Echo transesophageal	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
93312	Echo transesophageal	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
93312	Echo transesophageal	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	SVC Provide pre-service education/obtain consent	3	0
93312	Echo transesophageal	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
93312	Echo transesophageal	Service Period: Pre-service	L051A	RN	0.51	Prepare and position pt/ monitor pt/ set up IV	2	0
93312	Echo transesophageal	Service Period: Intra-service	L050A	Cardiac Sonographer	0.5	Assist physician in performing procedure (acquire ultrasound data)	30	0
93312	Echo transesophageal	Service Period: Intra-service	L051A	RN	0.51	Sedate/apply anesthesia	2	0
93312	Echo transesophageal	Service Period: Intra-service	L051A	RN	0.51	Assist physician/moderate sedation (% of physician time)	30	0
93312	Echo transesophageal	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	5	0
93312	Echo transesophageal	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93312	Echo transesophageal	Service Period: Post-service	L050A	Cardiac Sonographer	0.5	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
93312	Echo transesophageal	Service Period: Post-service	L050A	Cardiac Sonographer	0.5	Review images with MD	2	0
93312	Echo transesophageal	Service Period: Post-service	L051A	RN	0.51	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	15	0
93312	Echo transesophageal	Post-service Period	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
93312	Echo transesophageal	Post-service Period	L050A	Cardiac Sonographer	0.5	Clean scope	10	0
93312	Echo transesophageal	Post-service Period	L051A	RN	0.51	Check dressings & wound/home care instructions / coordinate office visits / prescriptions	3	0
93314	Echo transesophageal	Pre-service Period	L037D	RN/LPN/MTA	0.37	Follow-up phone calls and prescriptions	2	0
93314	Echo transesophageal	Pre-service Period	L037D	RN/LPN/MTA	0.37	Availability of prior images confirmed	2	0
93314	Echo transesophageal	Pre-service Period	L037D	RN/LPN/MTA	0.37	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93314	Echo transesophageal	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
93314	Echo transesophageal	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
93314	Echo transesophageal	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	SVC Provide pre-service education/obtain consent	3	0
93314	Echo transesophageal	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
93314	Echo transesophageal	Service Period: Pre-service	L051A	RN	0.51	Prepare and position pt/ monitor pt/ set up IV	2	0
93314	Echo transesophageal	Service Period: Intra-service	L050A	Cardiac Sonographer	0.5	Assist physician in performing procedure (acquire ultrasound data)	30	0
93314	Echo transesophageal	Service Period: Intra-service	L051A	RN	0.51	Assist physician/moderate sedation (% of physician time)	30	0
93314	Echo transesophageal	Service Period: Intra-service	L051A	RN	0.51	Sedate/apply anesthesia	2	0
93314	Echo transesophageal	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93314	Echo transesophageal	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	5	0
93314	Echo transesophageal	Service Period: Post-service	L050A	Cardiac Sonographer	0.5	Review images with MD	2	0
93314	Echo transesophageal	Service Period: Post-service	L050A	Cardiac Sonographer	0.5	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
93314	Echo transesophageal	Service Period: Post-service	L051A	RN	0.51	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	15	0
93314	Echo transesophageal	Post-service Period	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
93314	Echo transesophageal	Post-service Period	L050A	Cardiac Sonographer	0.5	Clean scope	10	0
93314	Echo transesophageal	Post-service Period	L051A	RN	0.51	Check dressings & wound/home care instructions / coordinate office visits / prescriptions	3	0
93320	Doppler echo exam heart	Service Period: Intra-service	L050A	Cardiac Sonographer	0.5	Acquire images	19	0
93321	Doppler echo exam heart	Service Period: Intra-service	L050A	Cardiac Sonographer	0.5	Acquire images	10	0
93325	Doppler color flow add-on	Service Period: Intra-service	L050A	Cardiac Sonographer	0.5	Acquire images	11	0
93644	Electrophysiology evaluation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
93644	Electrophysiology evaluation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	SVC Provide pre-service education/obtain consent	7	0
93644	Electrophysiology evaluation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
93644	Electrophysiology evaluation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position patient / apply electrodes	2	0
93644	Electrophysiology evaluation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Assemble lab/x-ray/path reports	2	0
93644	Electrophysiology evaluation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Review history, system, medications"	5	0
93644	Electrophysiology evaluation	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
93644	Electrophysiology evaluation	Service Period: Pre-service	L051A	RN	0.51	Sedate/Apply anesthesia	2	0
93644	Electrophysiology evaluation	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	14	0
93644	Electrophysiology evaluation	Service Period: Intra-service	L051A	RN	0.51	Assist physician/moderate sedation (% of physician time)	20	0
93644	Electrophysiology evaluation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
93644	Electrophysiology evaluation	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"Complete diagnostic forms, lab, X-ray requisitions"	3	0
93644	Electrophysiology evaluation	Service Period: Post-service	L051A	RN	0.51	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	15	0
93644	Electrophysiology evaluation	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	0
93702	Bis xtracell fluid analysis	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
93702	Bis xtracell fluid analysis	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	SVC Provide pre-service education/obtain consent	2	0
93702	Bis xtracell fluid analysis	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
93702	Bis xtracell fluid analysis	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	2	0
93702	Bis xtracell fluid analysis	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	2	0
93702	Bis xtracell fluid analysis	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
93880	Extracranial bilat study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93880	Extracranial bilat study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93880	Extracranial bilat study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93880	Extracranial bilat study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Obtain vital signs	3	0
93880	Extracranial bilat study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	3	0
93880	Extracranial bilat study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93880	Extracranial bilat study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93880	Extracranial bilat study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93880	Extracranial bilat study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	42	0
93880	Extracranial bilat study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	2	0
93880	Extracranial bilat study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93880	Extracranial bilat study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93880	Extracranial bilat study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93882	Extracranial uni/ltd study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93882	Extracranial uni/ltd study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93882	Extracranial uni/ltd study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93882	Extracranial uni/ltd study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Obtain vital signs	3	0
93882	Extracranial uni/ltd study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	3	0
93882	Extracranial uni/ltd study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93882	Extracranial uni/ltd study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93882	Extracranial uni/ltd study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93882	Extracranial uni/ltd study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	21	0
93882	Extracranial uni/ltd study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93882	Extracranial uni/ltd study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93882	Extracranial uni/ltd study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93882	Extracranial uni/ltd study	Service Period: Post-service	L054A	Vascular Technologist	0.54	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
93886	Intracranial complete study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93886	Intracranial complete study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93886	Intracranial complete study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93886	Intracranial complete study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Obtain vital signs	3	0
93886	Intracranial complete study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	3	0
93886	Intracranial complete study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93886	Intracranial complete study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93886	Intracranial complete study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93886	Intracranial complete study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	48	0
93886	Intracranial complete study	Service Period: Post-service	L054A	Vascular Technologist	0.54	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
93886	Intracranial complete study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93886	Intracranial complete study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS.  Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93886	Intracranial complete study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93888	Intracranial limited study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93888	Intracranial limited study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93888	Intracranial limited study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93888	Intracranial limited study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Obtain vital signs	3	0
93888	Intracranial limited study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	3	0
93888	Intracranial limited study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93888	Intracranial limited study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93888	Intracranial limited study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93888	Intracranial limited study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	24	0
93888	Intracranial limited study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93888	Intracranial limited study	Service Period: Post-service	L054A	Vascular Technologist	0.54	"Technologist QCs images in PACS, checking all images, reformats, and dose page"	2	0
93888	Intracranial limited study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93888	Intracranial limited study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS.  Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93925	Lower extremity study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93925	Lower extremity study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93925	Lower extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93925	Lower extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Obtain vital signs	3	0
93925	Lower extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	3	0
93925	Lower extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93925	Lower extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93925	Lower extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93925	Lower extremity study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	69	0
93925	Lower extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	2	0
93925	Lower extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93925	Lower extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93925	Lower extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93926	Lower extremity study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93926	Lower extremity study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93926	Lower extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93926	Lower extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Obtain vital signs	3	0
93926	Lower extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	3	0
93926	Lower extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93926	Lower extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93926	Lower extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93926	Lower extremity study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	35	0
93926	Lower extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93926	Lower extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93926	Lower extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93926	Lower extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	2	0
93930	Upper extremity study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93930	Upper extremity study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93930	Upper extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93930	Upper extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Obtain vital signs	3	0
93930	Upper extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	3	0
93930	Upper extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93930	Upper extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93930	Upper extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93930	Upper extremity study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	45	0
93930	Upper extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93930	Upper extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93930	Upper extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93930	Upper extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	8	0
93931	Upper extremity study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93931	Upper extremity study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93931	Upper extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93931	Upper extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Obtain vital signs	3	0
93931	Upper extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	3	0
93931	Upper extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93931	Upper extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93931	Upper extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93931	Upper extremity study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	23	0
93931	Upper extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93931	Upper extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93931	Upper extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93931	Upper extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	5	0
93970	Extremity study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93970	Extremity study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93970	Extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93970	Extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	3	0
93970	Extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93970	Extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93970	Extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93970	Extremity study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	45	0
93970	Extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93970	Extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93970	Extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93970	Extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	5	0
93971	Extremity study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93971	Extremity study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93971	Extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Greet patient, provide gowning, ensure appropriate medical records are available"	3	0
93971	Extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Provide pre-service education/obtain consent	3	0
93971	Extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93971	Extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93971	Extremity study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position patient/ monitor patient/ set up IV	2	0
93971	Extremity study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	23	0
93971	Extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93971	Extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	2	0
93971	Extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93971	Extremity study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS.  Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93975	Vascular study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93975	Vascular study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93975	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93975	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Obtain vital signs	3	0
93975	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	3	0
93975	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93975	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93975	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93975	Vascular study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	67	0
93975	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93975	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	2	0
93975	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93975	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93976	Vascular study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93976	Vascular study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93976	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93976	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Obtain vital signs	3	0
93976	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	3	0
93976	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93976	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93976	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93976	Vascular study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	28	0
93976	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93976	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	2	0
93976	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93976	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93978	Vascular study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93978	Vascular study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93978	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93978	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Obtain vital signs	3	0
93978	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	3	0
93978	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93978	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93978	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93978	Vascular study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	40	0
93978	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93978	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93978	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93978	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	8	0
93979	Vascular study	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93979	Vascular study	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93979	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93979	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Obtain vital signs	3	0
93979	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	3	0
93979	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93979	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93979	Vascular study	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93979	Vascular study	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	20	0
93979	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93979	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
93979	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Exam documents scanned into PACS. Exam completed in RIS system to generate billing process and to populate images into Radiologist work queue	1	0
93979	Vascular study	Service Period: Post-service	L054A	Vascular Technologist	0.54	Technologist reviews & optimizes all duplex images; reviews & optimizes spectrum analysis measuring velocities & assuring proper angle acquisition. Compiles findings with sufficient data for physician review & diagnosis.	5	0
93990	Doppler flow testing	Pre-service Period	L054A	Vascular Technologist	0.54	Availability of prior images confirmed	1	0
93990	Doppler flow testing	Pre-service Period	L054A	Vascular Technologist	0.54	"Patient clinical information and questionnaire reviewed by technologist, order from physician confirmed and exam protocoled by radiologist"	2	0
93990	Doppler flow testing	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Greet patient and provide gowning	3	0
93990	Doppler flow testing	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Obtain vital signs	3	0
93990	Doppler flow testing	Service Period: Pre-service	L054A	Vascular Technologist	0.54	SVC Provide pre-service education/obtain consent	2	0
93990	Doppler flow testing	Service Period: Pre-service	L054A	Vascular Technologist	0.54	"Prepare room, equipment, supplies"	2	0
93990	Doppler flow testing	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Prepare and position pt/ monitor pt/ set up IV	2	0
93990	Doppler flow testing	Service Period: Pre-service	L054A	Vascular Technologist	0.54	Set up US Equipment	2	0
93990	Doppler flow testing	Service Period: Intra-service	L054A	Vascular Technologist	0.54	Acquire images	38	0
93990	Doppler flow testing	Service Period: Post-service	L054A	Vascular Technologist	0.54	Clean room/equipment by physician staff	3	0
93990	Doppler flow testing	Service Period: Post-service	L054A	Vascular Technologist	0.54	Review examination with interpreting MD	1	0
95971	Analyze neurostim simple	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
95971	Analyze neurostim simple	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
95971	Analyze neurostim simple	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
95971	Analyze neurostim simple	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	2	0
95971	Analyze neurostim simple	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	14	0
95971	Analyze neurostim simple	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	3	0
95971	Analyze neurostim simple	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	0
95972	Analyze neurostim complex	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	3	0
95972	Analyze neurostim complex	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	3	0
95972	Analyze neurostim complex	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
95972	Analyze neurostim complex	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Prepare and position pt/ monitor pt/ set up IV	2	0
95972	Analyze neurostim complex	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	15	0
95972	Analyze neurostim complex	Post-service Period	L037D	RN/LPN/MTA	0.37	Conduct phone calls/call in prescriptions	3	0
96127	Brief emotional/behav assmt	Service Period: Intra-service	L026A	Medical/Technical Assistant	0.26	Scoring completed behavior assessment tool	7	0
97605	Neg press wound tx </=50 cm	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
97605	Neg press wound tx </=50 cm	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	20	0
97605	Neg press wound tx </=50 cm	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	1	0
97605	Neg press wound tx </=50 cm	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	0
97606	Neg press wound tx >50 cm	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	2	0
97606	Neg press wound tx >50 cm	Service Period: Intra-service	L037D	RN/LPN/MTA	0.37	Assist physician in performing procedure	30	0
97606	Neg press wound tx >50 cm	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	1	0
97606	Neg press wound tx >50 cm	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	2	0
97610	Low frequency non-thermal us	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	Greet patient and provide gowning	3	0
97610	Low frequency non-thermal us	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	Obtain vital signs	3	0
97610	Low frequency non-thermal us	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	SVC Provide pre-service education/obtain consent	3	0
97610	Low frequency non-thermal us	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	"Prepare room, equipment, supplies"	2	0
97610	Low frequency non-thermal us	Service Period: Pre-service	L023A	Physical Therapy Aide	0.23	Prepare and position pt/ monitor pt/ set up IV	2	0
97610	Low frequency non-thermal us	Service Period: Intra-service	L023A	Physical Therapy Aide	0.23	Assist physician in performing procedure	12	0
97610	Low frequency non-thermal us	Service Period: Post-service	L023A	Physical Therapy Aide	0.23	Clean room/equipment by physician staff	3	0
97610	Low frequency non-thermal us	Service Period: Post-service	L023A	Physical Therapy Aide	0.23	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	3	0
99490	Chron care mgmt srvc 20 min	Pre-service Period	L037D	RN/LPN/MTA	0.37	Care management activities performed by clinical staff	20	0
G0277	"HBOT, full body chamber, 30"	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Greet patient and provide gowning	1	0
G0277	"HBOT, full body chamber, 30"	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	Obtain vital signs	1	0
G0277	"HBOT, full body chamber, 30"	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"Prepare room, equipment, supplies"	0.5	0
G0277	"HBOT, full body chamber, 30"	Service Period: Pre-service	L037D	RN/LPN/MTA	0.37	"*Other Clinical: blood glucose, food/H2O, blood glucose recheck"	0.25	0
G0277	"HBOT, full body chamber, 30"	Service Period: Pre-service	L047C	RN/Respiratory Therapist	0.47	SVC Provide pre-service education/obtain consent	1	0
G0277	"HBOT, full body chamber, 30"	Service Period: Pre-service	L047C	RN/Respiratory Therapist	0.47	Prepare and position pt/ monitor pt/ set up IV	1	0
G0277	"HBOT, full body chamber, 30"	Service Period: Pre-service	L047C	RN/Respiratory Therapist	0.47	"*Other Clinical:Turn on chamber operating panel, check communications with patient and adjust volumes, prepare chamber operating settings per physician order"	1	0
G0277	"HBOT, full body chamber, 30"	Service Period: Intra-service	L047C	RN/Respiratory Therapist	0.47	Assist physician in performing procedure	15	0
G0277	"HBOT, full body chamber, 30"	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	Clean room/equipment by physician staff	1	0
G0277	"HBOT, full body chamber, 30"	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"*Other Clinical: post-service blood glucose, food/H2O, blood glucose recheck"	0.25	0
G0277	"HBOT, full body chamber, 30"	Service Period: Post-service	L037D	RN/LPN/MTA	0.37	"*Other Clinical: clean air mask and tubes, clean inside of chamber"	2	0
G0277	"HBOT, full body chamber, 30"	Service Period: Post-service	L047C	RN/Respiratory Therapist	0.47	"Monitor pt following service/check tubes, monitors, drains (moderate sedation)"	1	0
G0277	"HBOT, full body chamber, 30"	Service Period: Post-service	L047C	RN/Respiratory Therapist	0.47	Check dressings & wound/ home care instructions /coordinate office visits /prescriptions	1	0
