Addendum AA -- CN ASC Covered Surgical Procedures for CY 2022                                                                                                      (Including Surgical Procedures for Which Payment is Packaged)							
"CPT codes and descriptions only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.  Dental codes (D codes) are copyright 2021 American Dental Association. All Rights Reserved. The existence or absence of a HCPCS code does not mean that an item or service is covered or non-covered. As a reminder, the fact that a drug, device, procedure, or service is assigned a HCPCS code and a payment rate under the OPPS does not imply coverage by the Medicare program, but indicates only how the product, procedure, or service may be paid if covered by the program. Medicare Administrative Contractors (MACs) determine whether a drug, device, procedure, or other service meets all program requirements for coverage. For example, MACs determine that it is reasonable and necessary to treat the beneficiarys condition and whether it is excluded from payment."							
							
HCPCS Code		Short Descriptor	Subject to Multiple Procedure Discounting	CN CY 2022 Comment Indicator	 CN CY 2022 Payment Indicator	 CN CY 2022 Payment Weight  	 CN CY 2022 Payment Rate 
0100T		Prosth retina receive&gen	Y		J8	69.8260	"$3,485.43 "
0101T		Esw muscskel sys nos	Y		G2	27.2588	"$1,360.65 "
0102T		Esw phy anes lat hmrl epcndl	Y		G2	27.2588	"$1,360.65 "
0191T		Insert ant segment drain int		CH	D5		
0200T		Perq sacral augmt unilat inj	Y	CH	J8	78.2048	"$3,903.67 "
0201T		Perq sacral augmt bilat inj	Y		G2	60.0780	"$2,998.85 "
0213T		Njx paravert w/us cer/thor	Y		R2	8.5355	$426.06 
0214T		Njx paravert w/us cer/thor	N		N1		
0215T		Njx paravert w/us cer/thor	N		N1		
0216T		Njx paravert w/us lumb/sac	Y		R2	8.5355	$426.06 
0217T		Njx paravert w/us lumb/sac	N		N1		
0218T		Njx paravert w/us lumb/sac	N		N1		
0232T		Njx platelet plasma	N		N1		
0238T		Trluml perip athrc iliac art	Y		J8	190.4698	"$9,507.49 "
0253T		Insert aqueous drain device	Y		J8	53.7607	"$2,683.52 "
0263T		Im b1 mrw cel ther cmpl	N		G2	41.9341	"$2,093.18 "
0264T		Im b1 mrw cel ther xcl hrvst	N		G2	41.9341	"$2,093.18 "
0265T		Im b1 mrw cel ther hrvst onl	N		G2	41.9341	"$2,093.18 "
0266T		Implt/rpl crtd sns dev total	Y		J8	460.0329	"$22,963.00 "
0268T		Implt/rpl crtd sns dev gen	N		J8	518.1611	"$25,864.53 "
0269T		Rev/remvl crtd sns dev total	N		G2	50.0103	"$2,496.31 "
0270T		Rev/remvl crtd sns dev lead	Y		G2	37.5646	"$1,875.07 "
0271T		Rev/remvl crtd sns dev gen	Y		G2	37.5646	"$1,875.07 "
0274T		Perq lamot/lam crv/thrc	Y		G2	60.0780	"$2,998.85 "
0275T		Perq lamot/lam lumbar	Y		J8	80.5143	"$4,018.95 "
0278T		Tempr	N		N1		
0290T		Laser inc for pkp/lkp recip		CH	D5		
0308T		Insj ocular telescope prosth	Y		J8	457.9100	"$22,857.10 "
0313T		Laps rmvl nstim array vagus	Y		J8	70.1188	"$3,500.05 "
0314T		Laps rmvl vgl arry&pls gen	Y		G2	37.5646	"$1,875.07 "
0315T		Rmvl vagus nerve pls gen	Y		G2	37.5646	"$1,875.07 "
0316T		Replc vagus nerve pls gen	N		J8	497.4643	"$24,831.43 "
0330T		Tear film img uni/bi w/i&r	N		N1		
0335T		Insj sinus tarsi implant	Y		J8	90.9929	"$4,542.00 "
0338T		Trnscth renal symp denrv unl	N		G2	44.2068	"$2,206.63 "
0339T		Trnscth renal symp denrv bil	N		G2	44.2068	"$2,206.63 "
0342T		Thxp apheresis w/hdl delip	N		G2	41.9341	"$2,093.18 "
0347T		Ins bone device for rsa	N		N1		
0348T		Rsa spine exam	N		N1		
0349T		Rsa upper extr exam	N		N1		
0350T		Rsa lower extr exam	N		N1		
0351T		Intraop oct brst/node spec	N		N1		
0353T		Intraop oct breast cavity	N		N1		
0356T		Insrt drug device for iop		CH	D5		
0376T		Insert ant segment drain int		CH	D5		
0379T		Vis field assmnt tech suppt	N		N1		
0397T		Ercp w/optical endomicroscpy	N		N1		
0402T	*	Colgn cross-link crn med sep	Y		R2	17.4911	$873.09 
0404T		Trnscrv uterin fibroid abltj	Y		J8	74.2359	"$3,705.56 "
0408T		Insj/rplc cardiac modulj sys	Y		J8	353.8681	"$17,663.68 "
0409T		Insj/rplc car modulj pls gn	Y		J8	308.3763	"$15,392.91 "
0410T		Insj/rplc car modulj atr elt	Y		J8	108.2691	"$5,404.36 "
0411T		Insj/rplc car modulj vnt elt	Y		J8	108.2691	"$5,404.36 "
0412T		Rmvl cardiac modulj pls gen	N		G2	35.7042	"$1,782.21 "
0413T		Rmvl car modulj tranvns elt	N		G2	35.7042	"$1,782.21 "
0414T		Rmvl & rpl car modulj pls gn	Y		J8	308.3763	"$15,392.91 "
0415T		Repos car modulj tranvns elt	Y		G2	5.6046	$279.76 
0416T		Reloc skin pocket pls gen	Y		G2	17.7592	$886.47 
0419T		Dstrj neurofibroma xtnsv	Y		R2	5.4304	$271.06 
0420T		Dstrj neurofibroma xtnsv	Y		R2	5.4304	$271.06 
0421T		Waterjet prostate abltj cmpl	Y		G2	83.2161	"$4,153.81 "
0424T		Insj/rplc nstim apnea compl	Y	CH	J8	347.6342	"$17,352.51 "
0425T		Insj/rplc nstim apnea sen ld	Y		G2	124.5335	"$6,216.21 "
0426T		Insj/rplc nstim apnea stm ld	Y		G2	124.5335	"$6,216.21 "
0427T		Insj/rplc nstim apnea pls gn	Y		J8	475.8813	"$23,754.09 "
0428T		Rmvl nstim apnea pls gen	Y	CH	J8	48.8985	"$2,440.82 "
0429T		Rmvl nstim apnea sen ld	Y		G2	37.5646	"$1,875.07 "
0430T		Rmvl nstim apnea stimj ld	Y		G2	37.5646	"$1,875.07 "
0431T		Rmvl/rplc nstim apnea pls gn	Y		J8	479.2177	"$23,920.63 "
0432T		Repos nstim apnea stimj ld	Y	CH	J8	48.8985	"$2,440.82 "
0433T		Repos nstim apnea sensing ld	Y		G2	37.5646	"$1,875.07 "
0434T		Interro eval npgs apnea	N		G2	1.0409	$51.96 
0437T		Impltj synth rnfcmt abdl wal	N		N1		
0439T		Myocrd contrast prfuj echo	N		N1		
0440T		Abltj perc uxtr/perph nrv	Y		G2	16.5303	$825.13 
0441T		Abltj perc lxtr/perph nrv	Y		G2	16.5303	$825.13 
0442T		Abltj perc plex/trncl nrv	Y		J8	84.1993	"$4,202.89 "
0443T		R-t spctrl alys prst8 tiss	N		N1		
0444T		1st plmt drug elut oc ins	N		N1		
0445T		Sbsqt plmt drug elut oc ins	N		N1		
0446T		Insj impltbl glucose sensor	Y		G2	17.7592	$886.47 
0447T		Rmvl impltbl glucose sensor	N		G2	1.8620	$92.94 
0448T		Remvl insj impltbl gluc sens	Y		G2	17.7592	$886.47 
0449T		Insj aqueous drain dev 1st	Y		J8	59.5741	"$2,973.70 "
0450T		Insj aqueous drain dev each	N		N1		
0465T		Supchrdl njx rx w/o supply	Y		R2	3.3060	$165.02 
0466T		Insj ch wal respir eltrd/ra		CH	D5		
0467T		Revj/rplmnt ch respir eltrd		CH	D5		
0468T		Rmvl ch wal respir eltrd/ra		CH	D5		
0471T		Oct skn img acquisj i&r addl	N		N1		
0479T		Fxjl abl lsr 1st 100 sq cm	Y		G2	5.4304	$271.06 
0480T		Fxjl abl lsr ea addl 100sqcm	N		N1		
0487T		Trvg biomchn mapg w/reprt	N		N1		
0491T		Abl lsr opn wnd 1st 20 sqcm	Y		G2	3.5839	$178.89 
0492T		Abl lsr opn wnd addl 20 sqcm	N		N1		
0493T		Cntc near ifr spectrsc wound	N		N1		
0499T		Cysto f/urtl strix/stenosis	Y		G2	28.6271	"$1,428.95 "
0502T		Cor ffr data prep & transmis	N		N1		
0503T		Cor ffr alys gnrj ffr mdl	N		N1		
0510T		Rmvl sinus tarsi implant	N		G2	27.2588	"$1,360.65 "
0511T		Rmvl&rinsj sinus tarsi implt	Y		J8	88.7357	"$4,429.33 "
0512T	*	Esw integ wnd hlg 1st wnd	N		R2	1.8620	$92.94 
0513T		Esw integ wnd hlg ea addl	N		N1		
0514T		Intraop vis axis id pt fixj	N		N1		
0523T		Ntrapx c ffr w/3d funcjl map	N		N1		
0524T		Ev cath dir chem abltj w/img	Y		G2	28.0092	"$1,398.11 "
0525T		Insj/rplcmt compl iims	Y		J8	128.2412	"$6,401.29 "
0526T		Insj/rplcmt iims eltrd only	Y		J8	108.2691	"$5,404.36 "
0527T		Insj/rplcmt iims implt mntr	Y		G2	83.1739	"$4,151.71 "
0530T		Removal complete iims	N		G2	35.7042	"$1,782.21 "
0531T		Removal iims electrode only	N		G2	35.7042	"$1,782.21 "
0532T		Removal iims implt mntr only	N		G2	35.7042	"$1,782.21 "
0548T		Tprnl balo cntnc dev bi		CH	D5		
0549T		Tprnl balo cntnc dev uni		CH	D5		
0550T		Tprnl balo cntnc dev rmvl ea		CH	D5		
0551T	*	Tprnl balo cntnc dev adjmt		CH	D5		
0583T		Tmpst auto tube dlvr sys	Y		J8	13.7148	$684.59 
0587T		Perq impltj/rplcmt isdns ptn	Y		J8	95.8797	"$4,785.93 "
0588T	*	Revision/removal isdns ptn	Y		R2	37.5646	"$1,875.07 "
0594T		Osteot hum xtrnl lngth dev	Y		J8	78.2048	"$3,903.67 "
0596T		Temp fml iu vlv-pmp 1st insj	Y		R2	5.9652	$297.76 
0597T		Temp fml iu valve-pmp rplcmt	Y		R2	5.9652	$297.76 
0600T		Ire abltj 1+tum organ perq	Y		J8	125.0585	"$6,242.42 "
0601T		Ire abltj 1+tumors open	Y		J8	101.4030	"$5,061.63 "
0614T		Rmvl&rplcmt ss impl dfb pg	Y		J8	308.3763	"$15,392.91 "
0616T		Insertion of iris prosthesis	Y		J8	27.7128	"$1,383.31 "
0617T		Insj iris prosth w/rmvl&insj	Y		J8	49.9998	"$2,495.79 "
0618T		Insj iris prosth sec io lens	Y		J8	49.9998	"$2,495.79 "
0619T		Cysto w/prst8 commissurotomy	Y		J8	55.0845	"$2,749.60 "
0620T		Evasc ven artlz tibl/prnl vn	Y		J8	188.4967	"$9,409.00 "
0627T		Perq njx algc fluor lmbr 1st	Y		G2	120.5061	"$6,015.18 "
0628T		Perq njx algc fluor lmbr ea	N		N1		
0629T		Perq njx algc ct lmbr 1st	Y		G2	120.5061	"$6,015.18 "
0630T		Perq njx algc ct lmbr ea	N		N1		
0632T		Perq tcat us abltj nrv p-art	Y		J8	188.4967	"$9,409.00 "
0644T		Tcat rmvl/dblk icar mas perq	Y	NC	J8	57.5449	"$2,872.41 "
0647T		Insj gtube perq mag gastrpxy	Y	NC	J8	18.4209	$919.50 
0651T		Mag ctrld capsule endoscopy	Y	NC	J8	10.9211	$545.14 
0652T		Egd flx transnasal dx br/wa	Y	NC	J8	10.9211	$545.14 
0653T		Egd flx transnasal bx 1/mlt	Y	NC	J8	10.9211	$545.14 
0654T		Egd flx transnasal tube/cath	Y	NC	J8	18.4209	$919.50 
0655T		Tprnl focal abltj mal prst8	Y	NC	G2	28.6271	"$1,428.95 "
0671T		Insj ant sgm aq drg dev 1+	Y	NC	J8	32.0703	"$1,600.82 "
0673T		Abltj b9 thyr ndul perq lasr	Y	NC	G2	12.1845	$608.20 
0686T		Histotripsy mal hepatcel tis	N	NC	G2	126.9103	"$6,334.85 "
0699T		Njx pst chmbr eye medication	Y	NC	G2	21.2893	"$1,062.68 "
0707T		Njx b1 sub mtrl sbchdrl dfct	Y	NC	J8	35.4834	"$1,771.19 "
10004		Fna bx w/o img gdn ea addl	N		N1		
10005		Fna bx w/us gdn 1st les	Y		G2	6.4523	$322.07 
10006		Fna bx w/us gdn ea addl	N		N1		
10007		Fna bx w/fluor gdn 1st les	Y		P3		$235.52 
10008		Fna bx w/fluor gdn ea addl	N		N1		
10009		Fna bx w/ct gdn 1st les	Y		G2	6.4523	$322.07 
10010		Fna bx w/ct gdn ea addl	N		N1		
10011		Fna bx w/mr gdn 1st les	Y		R2	6.4523	$322.07 
10012		Fna bx w/mr gdn ea addl	N		N1		
10021		Fna bx w/o img gdn 1st les	Y		P3		$62.83 
10030		Guide cathet fluid drainage	Y		G2	6.4523	$322.07 
10035		Perq dev soft tiss 1st imag	Y		N1		
10036		Perq dev soft tiss add imag	N		N1		
10040		Acne surgery	N		N1		
10060		Drainage of skin abscess	Y		P3		$78.96 
10061		Drainage of skin abscess	Y		P3		$119.27 
10080		Drainage of pilonidal cyst	Y		P3		$211.33 
10081		Drainage of pilonidal cyst	Y		P3		$254.00 
10120		Remove foreign body	Y		P3		$104.83 
10121		Remove foreign body	Y		A2	12.1845	$608.20 
10140		Drainage of hematoma/fluid	Y		P3		$110.20 
10160		Puncture drainage of lesion	Y		P3		$82.32 
10180		Complex drainage wound	Y		A2	20.4190	"$1,019.23 "
11000		Debride infected skin	Y		P3		$36.29 
11001		Debride infected skin add-on	N		N1		
11010		Debride skin at fx site	Y		A2	6.4523	$322.07 
11011		Debride skin musc at fx site	Y		A2	6.4523	$322.07 
11012		Deb skin bone at fx site	Y		A2	20.4190	"$1,019.23 "
11042		Deb subq tissue 20 sq cm/<	Y		A2	3.5839	$178.89 
11043		Deb musc/fascia 20 sq cm/<	Y		A2	5.4304	$271.06 
11044		Deb bone 20 sq cm/<	Y		A2	12.1845	$608.20 
11045		Deb subq tissue add-on	N		N1		
11046		Deb musc/fascia add-on	N		N1		
11047		Deb bone add-on	N		N1		
11055		Trim skin lesion	N		N1		
11056		Trim skin lesions 2 to 4	N		N1		
11057		Trim skin lesions over 4	Y		P3		$67.53 
11102		Tangntl bx skin single les	Y		P3		$77.95 
11103		Tangntl bx skin ea sep/addl	N		N1		
11104		Punch bx skin single lesion	Y		P3		$96.43 
11105		Punch bx skin ea sep/addl	N		N1		
11106		Incal bx skn single les	Y		P3		$119.95 
11107		Incal bx skn ea sep/addl	N		N1		
11200		Removal of skin tags <w/15	N		N1		
11201		Remove skin tags add-on	N		N1		
11300		Shave skin lesion 0.5 cm/<	N		N1		
11301		Shave skin lesion 0.6-1.0 cm	N		N1		
11302		Shave skin lesion 1.1-2.0 cm	N		N1		
11303		Shave skin lesion >2.0 cm	N		N1		
11305		Shave skin lesion 0.5 cm/<	N		N1		
11306		Shave skin lesion 0.6-1.0 cm	N		N1		
11307		Shave skin lesion 1.1-2.0 cm	Y		P2	1.8620	$92.94 
11308		Shave skin lesion >2.0 cm	N		N1		
11310		Shave skin lesion 0.5 cm/<	Y		P3		$87.36 
11311		Shave skin lesion 0.6-1.0 cm	Y		P2	1.8620	$92.94 
11312		Shave skin lesion 1.1-2.0 cm	Y		P3		$108.52 
11313		Shave skin lesion >2.0 cm	Y		P3		$119.61 
11400		Exc tr-ext b9+marg 0.5 cm<	Y		P3		$94.41 
11401		Exc tr-ext b9+marg 0.6-1 cm	Y		P3		$108.19 
11402		Exc tr-ext b9+marg 1.1-2 cm	Y		P3		$117.26 
11403		Exc tr-ext b9+marg 2.1-3cm	Y		P3		$127.67 
11404		Exc tr-ext b9+marg 3.1-4 cm	Y		A2	12.1845	$608.20 
11406		Exc tr-ext b9+marg >4.0 cm	Y		A2	12.1845	$608.20 
11420		Exc h-f-nk-sp b9+marg 0.5/<	Y		P3		$90.04 
11421		Exc h-f-nk-sp b9+marg 0.6-1	Y		P3		$105.16 
11422		Exc h-f-nk-sp b9+marg 1.1-2	Y		P3		$116.25 
11423		Exc h-f-nk-sp b9+marg 2.1-3	Y		P3		$126.67 
11424		Exc h-f-nk-sp b9+marg 3.1-4	Y		A2	12.1845	$608.20 
11426		Exc h-f-nk-sp b9+marg >4 cm	Y		A2	20.4190	"$1,019.23 "
11440		Exc face-mm b9+marg 0.5 cm/<	Y		P3		$104.83 
11441		Exc face-mm b9+marg 0.6-1 cm	Y		P3		$116.59 
11442		Exc face-mm b9+marg 1.1-2 cm	Y		P3		$125.99 
11443		Exc face-mm b9+marg 2.1-3 cm	Y		P3		$138.76 
11444		Exc face-mm b9+marg 3.1-4 cm	Y		A2	12.1845	$608.20 
11446		Exc face-mm b9+marg >4 cm	Y		A2	20.4190	"$1,019.23 "
11450		Removal sweat gland lesion	Y		A2	20.4190	"$1,019.23 "
11451		Removal sweat gland lesion	Y		A2	20.4190	"$1,019.23 "
11462		Removal sweat gland lesion	Y		A2	20.4190	"$1,019.23 "
11463		Removal sweat gland lesion	Y		A2	20.4190	"$1,019.23 "
11470		Removal sweat gland lesion	Y		A2	20.4190	"$1,019.23 "
11471		Removal sweat gland lesion	Y		A2	20.4190	"$1,019.23 "
11600		Exc tr-ext mal+marg 0.5 cm/<	Y		P3		$136.75 
11601		Exc tr-ext mal+marg 0.6-1 cm	Y		P3		$150.86 
11602		Exc tr-ext mal+marg 1.1-2 cm	Y		P3		$159.26 
11603		Exc tr-ext mal+marg 2.1-3 cm	Y		P3		$171.69 
11604		Exc tr-ext mal+marg 3.1-4 cm	Y		A2	6.4523	$322.07 
11606		Exc tr-ext mal+marg >4 cm	Y		A2	12.1845	$608.20 
11620		Exc h-f-nk-sp mal+marg 0.5/<	Y		P3		$137.08 
11621		Exc s/n/h/f/g mal+mrg 0.6-1	Y		P3		$151.19 
11622		Exc s/n/h/f/g mal+mrg 1.1-2	Y		P3		$161.94 
11623		Exc s/n/h/f/g mal+mrg 2.1-3	Y		P3		$177.74 
11624		Exc s/n/h/f/g mal+mrg 3.1-4	Y		A2	12.1845	$608.20 
11626		Exc s/n/h/f/g mal+mrg >4 cm	Y		A2	20.4190	"$1,019.23 "
11640		Exc f/e/e/n/l mal+mrg 0.5cm<	Y		P3		$140.78 
11641		Exc f/e/e/n/l mal+mrg 0.6-1	Y		P3		$155.22 
11642		Exc f/e/e/n/l mal+mrg 1.1-2	Y		P3		$168.66 
11643		Exc f/e/e/n/l mal+mrg 2.1-3	Y		P3		$184.79 
11644		Exc f/e/e/n/l mal+mrg 3.1-4	Y		A2	12.1845	$608.20 
11646		Exc f/e/e/n/l mal+mrg >4 cm	Y		A2	20.4190	"$1,019.23 "
11719		Trim nail(s) any number	N		N1		
11720		Debride nail 1-5	N		N1		
11721		Debride nail 6 or more	N		N1		
11730		Removal of nail plate	N		N1		
11732		Remove nail plate add-on	N		N1		
11740		Drain blood from under nail	N		N1		
11750		Removal of nail bed	Y		P3		$102.81 
11755		Biopsy nail unit	Y		P3		$77.95 
11760		Repair of nail bed	Y		P3		$127.67 
11762		Reconstruction of nail bed	Y		P3		$180.76 
11765		Excision of nail fold toe	N		N1		
11770		Remove pilonidal cyst simple	Y		A2	20.4190	"$1,019.23 "
11771		Remove pilonidal cyst exten	Y		A2	20.4190	"$1,019.23 "
11772		Remove pilonidal cyst compl	Y		A2	20.4190	"$1,019.23 "
11900		Inject skin lesions </w 7	N		N1		
11901		Inject skin lesions >7	N		N1		
11920		Correct skin color 6.0 cm/<	Y		P3		$131.71 
11921		Correct skn color 6.1-20.0cm	Y		P3		$145.48 
11922		Correct skin color ea 20.0cm	N		N1		
11950		Tx contour defects 1 cc/<	Y		P3		$46.70 
11951		Tx contour defects 1.1-5.0cc	Y		P3		$59.47 
11952		Tx contour defects 5.1-10cc	Y		P3		$75.60 
11954		Tx contour defects >10.0 cc	Y		P3		$83.66 
11960		Insert tissue expander(s)	Y		A2	36.5103	"$1,822.45 "
11970		Rplcmt tiss xpndr perm implt	Y		J8	77.8654	"$3,886.73 "
11971		Rmvl tis xpndr wo insj implt	N		A2	20.4190	"$1,019.23 "
11976		Remove contraceptive capsule	N		P3		$74.92 
11980		Implant hormone pellet(s)	N		N1		
11981		Insertion drug dlvr implant	N		N1		
11982		Remove drug implant device	N		N1		
11983		Remove/insert drug implant	N		N1		
12001		Rpr s/n/ax/gen/trnk 2.5cm/<	N		N1		
12002		Rpr s/n/ax/gen/trnk2.6-7.5cm	N		N1		
12004		Rpr s/n/ax/gen/trk7.6-12.5cm	N		N1		
12005		Rpr s/n/a/gen/trk12.6-20.0cm	N		A2	3.5839	$178.89 
12006		Rpr s/n/a/gen/trk20.1-30.0cm	N		A2	3.5839	$178.89 
12007		Rpr s/n/ax/gen/trnk >30.0 cm	Y		A2	1.8620	$92.94 
12011		Rpr f/e/e/n/l/m 2.5 cm/<	N		N1		
12013		Rpr f/e/e/n/l/m 2.6-5.0 cm	N		N1		
12014		Rpr f/e/e/n/l/m 5.1-7.5 cm	N		N1		
12015		Rpr f/e/e/n/l/m 7.6-12.5 cm	N		G2	1.8620	$92.94 
12016		Rpr fe/e/en/l/m 12.6-20.0 cm	N		A2	3.5839	$178.89 
12017		Rpr fe/e/en/l/m 20.1-30.0 cm	N		A2	3.5839	$178.89 
12018		Rpr f/e/e/n/l/m >30.0 cm	N		A2	1.8620	$92.94 
12020		Closure of split wound	Y		A2	5.4304	$271.06 
12021		Closure of split wound	Y		A2	3.5839	$178.89 
12031		Intmd rpr s/a/t/ext 2.5 cm/<	Y		P2	3.5839	$178.89 
12032		Intmd rpr s/a/t/ext 2.6-7.5	Y		P2	3.5839	$178.89 
12034		Intmd rpr s/tr/ext 7.6-12.5	Y		A2	3.5839	$178.89 
12035		Intmd rpr s/a/t/ext 12.6-20	Y		A2	3.5839	$178.89 
12036		Intmd rpr s/a/t/ext 20.1-30	Y		A2	5.4304	$271.06 
12037		Intmd rpr s/tr/ext >30.0 cm	Y		A2	17.7592	$886.47 
12041		Intmd rpr n-hf/genit 2.5cm/<	N		P2	3.5839	$178.89 
12042		Intmd rpr n-hf/genit2.6-7.5	Y		P2	3.5839	$178.89 
12044		Intmd rpr n-hf/genit7.6-12.5	Y		A2	5.4304	$271.06 
12045		Intmd rpr n-hf/genit12.6-20	Y		A2	5.4304	$271.06 
12046		Intmd rpr n-hf/genit20.1-30	Y		A2	5.4304	$271.06 
12047		Intmd rpr n-hf/genit >30.0cm	Y		A2	17.7592	$886.47 
12051		Intmd rpr face/mm 2.5 cm/<	Y		P2	3.5839	$178.89 
12052		Intmd rpr face/mm 2.6-5.0 cm	Y		P2	3.5839	$178.89 
12053		Intmd rpr face/mm 5.1-7.5 cm	Y		P2	3.5839	$178.89 
12054		Intmd rpr face/mm 7.6-12.5cm	N		A2	3.5839	$178.89 
12055		Intmd rpr face/mm 12.6-20 cm	Y		A2	3.5839	$178.89 
12056		Intmd rpr face/mm 20.1-30.0	N		A2	3.5839	$178.89 
12057		Intmd rpr face/mm >30.0 cm	Y		A2	3.5839	$178.89 
13100		Cmplx rpr trunk 1.1-2.5 cm	Y		A2	5.4304	$271.06 
13101		Cmplx rpr trunk 2.6-7.5 cm	Y		A2	5.4304	$271.06 
13102		Cmplx rpr trunk addl 5cm/<	N		N1		
13120		Cmplx rpr s/a/l 1.1-2.5 cm	Y		A2	5.4304	$271.06 
13121		Cmplx rpr s/a/l 2.6-7.5 cm	Y		A2	5.4304	$271.06 
13122		Cmplx rpr s/a/l addl 5 cm/>	N		N1		
13131		Cmplx rpr f/c/c/m/n/ax/g/h/f	Y		A2	3.5839	$178.89 
13132		Cmplx rpr f/c/c/m/n/ax/g/h/f	Y		A2	5.4304	$271.06 
13133		Cmplx rpr f/c/c/m/n/ax/g/h/f	N		N1		
13151		Cmplx rpr e/n/e/l 1.1-2.5 cm	Y		A2	5.4304	$271.06 
13152		Cmplx rpr e/n/e/l 2.6-7.5 cm	Y		A2	5.4304	$271.06 
13153		Cmplx rpr e/n/e/l addl 5cm/<	N		N1		
13160		Late closure of wound	Y		A2	17.7592	$886.47 
14000		Tis trnfr trunk 10 sq cm/<	Y		A2	17.7592	$886.47 
14001		Tis trnfr trunk 10.1-30sqcm	Y		A2	17.7592	$886.47 
14020		Tis trnfr s/a/l 10 sq cm/<	Y		A2	17.7592	$886.47 
14021		Tis trnfr s/a/l 10.1-30 sqcm	Y		A2	17.7592	$886.47 
14040		Tis trnfr f/c/c/m/n/a/g/h/f	Y		A2	17.7592	$886.47 
14041		Tis trnfr f/c/c/m/n/a/g/h/f	Y		A2	17.7592	$886.47 
14060		Tis trnfr e/n/e/l 10 sq cm/<	Y		A2	17.7592	$886.47 
14061		Tis trnfr e/n/e/l10.1-30sqcm	Y		A2	17.7592	$886.47 
14301		Tis trnfr any 30.1-60 sq cm	Y		G2	36.5103	"$1,822.45 "
14302		Tis trnfr addl 30 sq cm	N		N1		
14350		Filleted finger/toe flap	Y		A2	17.7592	$886.47 
15002		Wound prep trk/arm/leg	Y		A2	17.7592	$886.47 
15003		Wound prep addl 100 cm	N		N1		
15004		Wound prep f/n/hf/g	Y		A2	5.4304	$271.06 
15005		Wnd prep f/n/hf/g addl cm	N		N1		
15040		Harvest cultured skin graft	Y		A2	17.7592	$886.47 
15050		Skin pinch graft	Y		A2	5.4304	$271.06 
15100		Skin splt grft trnk/arm/leg	Y		A2	17.7592	$886.47 
15101		Skin splt grft t/a/l add-on	N		N1		
15110		Epidrm autogrft trnk/arm/leg	Y		A2	17.7592	$886.47 
15111		Epidrm autogrft t/a/l add-on	N		N1		
15115		Epidrm a-grft face/nck/hf/g	Y		A2	17.7592	$886.47 
15116		Epidrm a-grft f/n/hf/g addl	N		N1		
15120		Skn splt a-grft fac/nck/hf/g	Y		A2	36.5103	"$1,822.45 "
15121		Skn splt a-grft f/n/hf/g add	N		N1		
15130		Derm autograft trnk/arm/leg	Y		A2	17.7592	$886.47 
15131		Derm autograft t/a/l add-on	N		N1		
15135		Derm autograft face/nck/hf/g	Y		A2	36.5103	"$1,822.45 "
15136		Derm autograft f/n/hf/g add	N		N1		
15150		Cult skin grft t/arm/leg	Y		A2	17.7592	$886.47 
15151		Cult skin grft t/a/l addl	N		N1		
15152		Cult skin graft t/a/l +%	N		N1		
15155		Cult skin graft f/n/hf/g	Y		A2	36.5103	"$1,822.45 "
15156		Cult skin grft f/n/hfg add	N		N1		
15157		Cult epiderm grft f/n/hfg +%	N		N1		
15200		Skin full graft trunk	Y		A2	17.7592	$886.47 
15201		Skin full graft trunk add-on	N		N1		
15220		Skin full graft sclp/arm/leg	Y		A2	17.7592	$886.47 
15221		Skin full graft add-on	N		N1		
15240		Skin full grft face/genit/hf	Y		A2	17.7592	$886.47 
15241		Skin full graft add-on	N		N1		
15260		Skin full graft een & lips	Y		A2	17.7592	$886.47 
15261		Skin full graft add-on	N		N1		
15271		Skin sub graft trnk/arm/leg	Y		G2	17.7592	$886.47 
15272		Skin sub graft t/a/l add-on	N		N1		
15273		Skin sub grft t/arm/lg child	Y		G2	36.5103	"$1,822.45 "
15274		Skn sub grft t/a/l child add	N		N1		
15275		Skin sub graft face/nk/hf/g	Y		G2	17.7592	$886.47 
15276		Skin sub graft f/n/hf/g addl	N		N1		
15277		Skn sub grft f/n/hf/g child	Y		G2	17.7592	$886.47 
15278		Skn sub grft f/n/hf/g ch add	N		N1		
15570		Skin pedicle flap trunk	Y		A2	17.7592	$886.47 
15572		Skin pedicle flap arms/legs	Y		A2	36.5103	"$1,822.45 "
15574		Pedcle fh/ch/ch/m/n/ax/g/h/f	Y		A2	17.7592	$886.47 
15576		Pedicle e/n/e/l/ntroral	Y		A2	17.7592	$886.47 
15600		Delay flap trunk	Y		A2	36.5103	"$1,822.45 "
15610		Delay flap arms/legs	Y		A2	17.7592	$886.47 
15620		Delay flap f/c/c/n/ax/g/h/f	Y		A2	17.7592	$886.47 
15630		Delay flap eye/nos/ear/lip	Y		A2	17.7592	$886.47 
15650		Transfer skin pedicle flap	Y		A2	17.7592	$886.47 
15730		Mdfc flap w/prsrv vasc pedcl	Y		G2	36.5103	"$1,822.45 "
15731		Forehead flap w/vasc pedicle	Y		A2	36.5103	"$1,822.45 "
15733		Musc myoq/fscq flp h&n pedcl	Y		A2	36.5103	"$1,822.45 "
15734		Muscle-skin graft trunk	Y		A2	36.5103	"$1,822.45 "
15736		Muscle-skin graft arm	Y		A2	17.7592	$886.47 
15738		Muscle-skin graft leg	Y		A2	36.5103	"$1,822.45 "
15740		Island pedicle flap graft	Y		A2	17.7592	$886.47 
15750		Neurovascular pedicle flap	Y		A2	36.5103	"$1,822.45 "
15760		Composite skin graft	Y		A2	17.7592	$886.47 
15769		Grfg autol soft tiss dir exc	Y		G2	36.5103	"$1,822.45 "
15770		Derma-fat-fascia graft	Y		A2	36.5103	"$1,822.45 "
15771		Grfg autol fat lipo 50 cc/<	Y		G2	36.5103	"$1,822.45 "
15773		Grfg autol fat lipo 25 cc/<	Y		G2	17.7592	$886.47 
15775		Hair trnspl 1-15 punch grfts	Y		A2	3.5839	$178.89 
15776		Hair trnspl >15 punch grafts	Y		A2	3.5839	$178.89 
15777		Acellular derm matrix implt	N		N1		
15780		Dermabrasion total face	Y		P3		$515.73 
15781		Dermabrasion segmental face	Y		P2	6.4523	$322.07 
15782		Dermabrasion other than face	Y		P3		$317.50 
15783		Dermabrasion suprfl any site	Y		P2	3.5839	$178.89 
15786		Abrasion lesion single	N		N1		
15787		Abrasion lesions add-on	N		N1		
15788		Chemical peel face epiderm	N		N1		
15789		Chemical peel face dermal	Y		P2	5.4304	$271.06 
15792		Chemical peel nonfacial	N		N1		
15793		Chemical peel nonfacial	N		N1		
15819		Plastic surgery neck	Y		G2	17.7592	$886.47 
15820		Revision of lower eyelid	Y		A2	17.7592	$886.47 
15821		Revision of lower eyelid	Y		A2	17.7592	$886.47 
15822		Revision of upper eyelid	Y		A2	17.7592	$886.47 
15823		Revision of upper eyelid	Y		A2	17.7592	$886.47 
15824		Removal of forehead wrinkles	Y		A2	17.7592	$886.47 
15825		Removal of neck wrinkles	Y		A2	36.5103	"$1,822.45 "
15826		Removal of brow wrinkles	Y		A2	36.5103	"$1,822.45 "
15828		Removal of face wrinkles	Y		A2	36.5103	"$1,822.45 "
15829		Removal of skin wrinkles	Y		A2	36.5103	"$1,822.45 "
15830		Exc skin abd	Y		A2	46.2187	"$2,307.05 "
15832		Excise excessive skin thigh	Y		A2	20.4190	"$1,019.23 "
15833		Excise excessive skin leg	Y		A2	20.4190	"$1,019.23 "
15834		Excise excessive skin hip	Y		A2	20.4190	"$1,019.23 "
15835		Excise excessive skin buttck	Y		A2	20.4190	"$1,019.23 "
15836		Excise excessive skin arm	Y		A2	20.4190	"$1,019.23 "
15837		Excise excess skin arm/hand	Y		G2	20.4190	"$1,019.23 "
15838		Excise excess skin fat pad	Y		G2	20.4190	"$1,019.23 "
15839		Excise excess skin & tissue	Y		A2	20.4190	"$1,019.23 "
15840		Nerve palsy fascial graft	Y		A2	36.5103	"$1,822.45 "
15841		Nerve palsy muscle graft	Y		A2	36.5103	"$1,822.45 "
15842		Nerve palsy microsurg graft	Y		G2	17.7592	$886.47 
15845		Skin and muscle repair face	Y		A2	36.5103	"$1,822.45 "
15847		Exc skin abd add-on	N		N1		
15850		Remove sutures same surgeon	Y		G2	5.4304	$271.06 
15851		Remove sutures diff surgeon	Y		P3		$75.60 
15852		Dressing change not for burn	N		N1		
15860		Test for blood flow in graft	N		N1		
15876		Suction lipectomy head&neck	Y		A2	36.5103	"$1,822.45 "
15877		Suction lipectomy trunk	Y		A2	36.5103	"$1,822.45 "
15878		Suction lipectomy upr extrem	Y		A2	17.7592	$886.47 
15879		Suction lipectomy lwr extrem	Y		A2	36.5103	"$1,822.45 "
15920		Removal of tail bone ulcer	Y		A2	20.4190	"$1,019.23 "
15922		Removal of tail bone ulcer	Y		A2	36.5103	"$1,822.45 "
15931		Remove sacrum pressure sore	Y		A2	20.4190	"$1,019.23 "
15933		Remove sacrum pressure sore	Y		A2	20.4190	"$1,019.23 "
15934		Remove sacrum pressure sore	Y		A2	36.5103	"$1,822.45 "
15935		Remove sacrum pressure sore	Y		A2	36.5103	"$1,822.45 "
15936		Remove sacrum pressure sore	Y		A2	17.7592	$886.47 
15937		Remove sacrum pressure sore	Y		A2	17.7592	$886.47 
15940		Remove hip pressure sore	Y		A2	20.4190	"$1,019.23 "
15941		Remove hip pressure sore	Y		A2	20.4190	"$1,019.23 "
15944		Remove hip pressure sore	Y		A2	36.5103	"$1,822.45 "
15945		Remove hip pressure sore	Y		A2	17.7592	$886.47 
15946		Remove hip pressure sore	Y		A2	17.7592	$886.47 
15950		Remove thigh pressure sore	Y		A2	12.1845	$608.20 
15951		Remove thigh pressure sore	Y		A2	20.4190	"$1,019.23 "
15952		Remove thigh pressure sore	Y		A2	17.7592	$886.47 
15953		Remove thigh pressure sore	Y		A2	36.5103	"$1,822.45 "
15956		Remove thigh pressure sore	Y		A2	17.7592	$886.47 
15958		Remove thigh pressure sore	Y		A2	36.5103	"$1,822.45 "
16000		Initial treatment of burn(s)	N		N1		
16020		Dress/debrid p-thick burn s	N		N1		
16025		Dress/debrid p-thick burn m	Y		A2	1.8620	$92.94 
16030		Dress/debrid p-thick burn l	Y		A2	3.5839	$178.89 
16035		Incision of burn scab initi	Y		G2	3.5839	$178.89 
17000		Destruct premalg lesion	N		N1		
17003		Destruct premalg les 2-14	N		N1		
17004		Destroy premal lesions 15/>	Y		P3		$117.93 
17106		Destruction of skin lesions	Y		P2	3.5839	$178.89 
17107		Destruction of skin lesions	Y	CH	P3		$262.07 
17108		Destruction of skin lesions	Y		P3		$340.35 
17110		Destruct b9 lesion 1-14	N		N1		
17111		Destruct lesion 15 or more	N		N1		
17250		Chem caut of granltj tissue	N		N1		
17260		Destruction of skin lesions	N		N1		
17261		Destruction of skin lesions	N		N1		
17262		Destruction of skin lesions	N		N1		
17263		Destruction of skin lesions	N		N1		
17264		Destruction of skin lesions	Y		P3		$132.38 
17266		Destruction of skin lesions	Y		P3		$145.82 
17270		Destruction of skin lesions	Y		P2	1.8620	$92.94 
17271		Destruction of skin lesions	Y		P2	1.8620	$92.94 
17272		Destruction of skin lesions	N		N1		
17273		Destruction of skin lesions	Y		P3		$130.36 
17274		Destruction of skin lesions	Y		P3		$145.82 
17276		Destruction of skin lesions	Y		P3		$162.28 
17280		Destruction of skin lesions	N		N1		
17281		Destruction of skin lesions	Y		P3		$113.56 
17282		Destruction of skin lesions	Y		P3		$127.34 
17283		Destruction of skin lesions	Y		P3		$142.12 
17284		Destruction of skin lesions	Y		P3		$156.23 
17286		Destruction of skin lesions	Y		P3		$186.13 
17311		Mohs 1 stage h/n/hf/g	Y		P2	5.4304	$271.06 
17312		Mohs addl stage	N		N1		
17313		Mohs 1 stage t/a/l	Y		P2	5.4304	$271.06 
17314		Mohs addl stage t/a/l	N		N1		
17315		Mohs surg addl block	N		N1		
17340		Cryotherapy of skin	N		N1		
17360		Skin peel therapy	N		N1		
17380		Hair removal by electrolysis	Y		R2	5.4304	$271.06 
19000		Drainage of breast lesion	Y		P3		$71.90 
19001		Drain breast lesion add-on	N		N1		
19020		Incision of breast lesion	Y		A2	12.1845	$608.20 
19030		Injection for breast x-ray	N		N1		
19081		Bx breast 1st lesion strtctc	Y		G2	12.1845	$608.20 
19082		Bx breast add lesion strtctc	N		N1		
19083		Bx breast 1st lesion us imag	Y		G2	12.1845	$608.20 
19084		Bx breast add lesion us imag	N		N1		
19085		Bx breast 1st lesion mr imag	Y		G2	12.1845	$608.20 
19086		Bx breast add lesion mr imag	N		N1		
19100		Bx breast percut w/o image	Y		A2	12.1845	$608.20 
19101		Biopsy of breast open	Y		A2	24.1376	"$1,204.85 "
19105		Cryosurg ablate fa each	Y		J8	34.9818	"$1,746.15 "
19110		Nipple exploration	Y		A2	24.1376	"$1,204.85 "
19112		Excise breast duct fistula	Y		A2	24.1376	"$1,204.85 "
19120		Removal of breast lesion	Y		A2	24.1376	"$1,204.85 "
19125		Excision breast lesion	Y		A2	24.1376	"$1,204.85 "
19126		Excision addl breast lesion	N		N1		
19281		Perq device breast 1st imag	N		N1		
19282		Perq device breast ea imag	N		N1		
19283		Perq dev breast 1st strtctc	N		N1		
19284		Perq dev breast add strtctc	N		N1		
19285		Perq dev breast 1st us imag	N		N1		
19286		Perq dev breast add us imag	N		N1		
19287		Perq dev breast 1st mr guide	N		N1		
19288		Perq dev breast add mr guide	N		N1		
19294		Prep tum cav iort prtl mast	N		N1		
19296		Place po breast cath for rad	Y		J8	87.9081	"$4,388.02 "
19297		Place breast cath for rad	N		N1		
19298		Place breast rad tube/caths	Y		G2	46.2187	"$2,307.05 "
19300		Removal of breast tissue	Y		A2	24.1376	"$1,204.85 "
19301		Partial mastectomy	Y		A2	24.1376	"$1,204.85 "
19302		P-mastectomy w/ln removal	Y		A2	46.2187	"$2,307.05 "
19303		Mast simple complete	Y		A2	46.2187	"$2,307.05 "
19316		Suspension of breast	Y		A2	46.2187	"$2,307.05 "
19318		Breast reduction	Y		A2	46.2187	"$2,307.05 "
19325		Breast augmentation w/implt	Y		G2	57.1526	"$2,852.83 "
19328		Rmvl intact breast implant	N		A2	24.1376	"$1,204.85 "
19330		Rmvl ruptured breast implant	N		A2	24.1376	"$1,204.85 "
19340		Insj breast implt sm d mast	Y		A2	46.2187	"$2,307.05 "
19342		Insj/rplcmt brst implt sep d	Y		A2	57.1526	"$2,852.83 "
19350		Breast reconstruction	Y		A2	24.1376	"$1,204.85 "
19355		Correct inverted nipple(s)	Y		A2	24.1376	"$1,204.85 "
19357		Tiss xpndr plmt brst rcnstj	Y		J8	114.9742	"$5,739.05 "
19370		Revj peri-implt capsule brst	Y		A2	24.1376	"$1,204.85 "
19371		Peri-implt capslc brst compl	Y		A2	24.1376	"$1,204.85 "
19380		Revj reconstructed breast	Y		A2	46.2187	"$2,307.05 "
19396		Design custom breast implant	Y		G2	24.1376	"$1,204.85 "
20103		Explore wound extremity	Y		G2	6.4523	$322.07 
20150		Excise epiphyseal bar	Y		G2	27.2588	"$1,360.65 "
20200		Muscle biopsy	Y		A2	12.1845	$608.20 
20205		Deep muscle biopsy	Y		A2	20.4190	"$1,019.23 "
20206		Needle biopsy muscle	Y		A2	12.1845	$608.20 
20220		Bone biopsy trocar/needle	Y		A2	12.1845	$608.20 
20225		Bone biopsy trocar/needle	Y		A2	12.1845	$608.20 
20240		Bone biopsy open superficial	Y		A2	20.4190	"$1,019.23 "
20245		Bone biopsy open deep	Y		A2	20.4190	"$1,019.23 "
20250		Open bone biopsy	Y	CH	J8	37.7863	"$1,886.14 "
20251		Open bone biopsy	Y		A2	60.0780	"$2,998.85 "
20500		Injection of sinus tract	Y		P3		$73.58 
20501		Inject sinus tract for x-ray	N		N1		
20520		Removal of foreign body	Y		P3		$145.48 
20525		Removal of foreign body	Y		A2	20.4190	"$1,019.23 "
20526		Ther injection carp tunnel	Y		P3		$44.35 
20527		Inj dupuytren cord w/enzyme	Y		P3		$46.70 
20550		Inj tendon sheath/ligament	Y		P3		$28.56 
20551		Inj tendon origin/insertion	Y		P3		$29.57 
20552		Inj trigger point 1/2 muscl	Y		P3		$28.22 
20553		Inject trigger points 3/>	Y		P3		$32.93 
20555		Place ndl musc/tis for rt	Y		R2	27.2588	"$1,360.65 "
20600		Drain/inj joint/bursa w/o us	Y		P3		$27.55 
20604		Drain/inj joint/bursa w/us	Y		P3		$48.38 
20605		Drain/inj joint/bursa w/o us	Y		P3		$28.56 
20606		Drain/inj joint/bursa w/us	Y		P3		$51.41 
20610		Drain/inj joint/bursa w/o us	Y		P3		$33.93 
20611		Drain/inj joint/bursa w/us	Y		P3		$57.45 
20612		Aspirate/inj ganglion cyst	Y		P3		$36.96 
20615		Treatment of bone cyst	Y		P3		$164.63 
20650		Insert and remove bone pin	Y		A2	27.2588	"$1,360.65 "
20662		Application of pelvis brace	Y		R2	14.8545	$741.48 
20663		Application of thigh brace	Y		R2	27.2588	"$1,360.65 "
20665		Removal of fixation device	N		G2	2.8140	$140.46 
20670		Removal of support implant	N		A2	12.1845	$608.20 
20680		Removal of support implant	N		A2	20.4190	"$1,019.23 "
20690		Apply bone fixation device	Y		J8	85.7068	"$4,278.14 "
20692		Apply bone fixation device	Y		J8	186.5390	"$9,311.28 "
20693		Adjust bone fixation device	Y		A2	60.0780	"$2,998.85 "
20694		Remove bone fixation device	N		A2	14.8545	$741.48 
20696		Comp multiplane ext fixation	Y		J8	225.7100	"$11,266.54 "
20697		Comp ext fixate strut change	Y		P2	14.8545	$741.48 
20822		Replantation digit complete	Y		G2	14.8545	$741.48 
20900		Removal of bone for graft	Y	CH	J8	78.2048	"$3,903.67 "
20902		Removal of bone for graft	Y		A2	60.0780	"$2,998.85 "
20910		Remove cartilage for graft	Y		A2	5.4304	$271.06 
20912		Remove cartilage for graft	Y		A2	36.5103	"$1,822.45 "
20920		Removal of fascia for graft	Y		A2	17.7592	$886.47 
20922		Removal of fascia for graft	Y		A2	17.7592	$886.47 
20924		Removal of tendon for graft	Y	CH	J8	79.1285	"$3,949.78 "
20930		Sp bone algrft morsel add-on	N		N1		
20931		Sp bone algrft struct add-on	N		N1		
20932		Osteoart algrft w/surf & b1	N		N1		
20933		Hemicrt intrclry algrft prtl	N		N1		
20934		Intercalary algrft compl	N		N1		
20936		Sp bone agrft local add-on	N		N1		
20937		Sp bone agrft morsel add-on	N		N1		
20938		Sp bone agrft struct add-on	N		N1		
20939		Bone marrow aspir bone grfg	N		N1		
20950		Fluid pressure muscle	Y		G2	6.4523	$322.07 
20972		Bone/skin graft metatarsal	Y		G2	60.0780	"$2,998.85 "
20973		Bone/skin graft great toe	Y		R2	60.0780	"$2,998.85 "
20975		Electrical bone stimulation	N		N1		
20979		Us bone stimulation	N		N1		
20982		Ablate bone tumor(s) perq	Y		G2	60.0780	"$2,998.85 "
20983		Ablate bone tumor(s) perq	Y	CH	J8	80.6196	"$4,024.21 "
20985		Cptr-asst dir ms px	N		N1		
21010		Incision of jaw joint	Y		A2	22.2082	"$1,108.54 "
21011		Exc face les sc <2 cm	Y		P3		$257.03 
21012		Exc face les sbq 2 cm/>	Y		R2	12.1845	$608.20 
21013		Exc face tum deep < 2 cm	Y		P3		$323.89 
21014		Exc face tum deep 2 cm/>	Y		R2	20.4190	"$1,019.23 "
21015		Resect face/scalp tum < 2 cm	Y		G2	20.4190	"$1,019.23 "
21016		Resect face/scalp tum 2 cm/>	Y		G2	20.4190	"$1,019.23 "
21025		Excision of bone lower jaw	Y		A2	48.9494	"$2,443.36 "
21026		Excision of facial bone(s)	Y		A2	48.9494	"$2,443.36 "
21029		Contour of face bone lesion	Y		A2	22.2082	"$1,108.54 "
21030		Excise max/zygoma b9 tumor	Y		P3		$281.22 
21031		Remove exostosis mandible	Y		P3		$263.41 
21032		Remove exostosis maxilla	Y		P3		$248.63 
21034		Excise max/zygoma mal tumor	Y		A2	48.9494	"$2,443.36 "
21040		Excise mandible lesion	Y		A2	22.2082	"$1,108.54 "
21044		Removal of jaw bone lesion	Y		A2	48.9494	"$2,443.36 "
21046		Remove mandible cyst complex	Y		A2	48.9494	"$2,443.36 "
21047		Excise lwr jaw cyst w/repair	Y		A2	48.9494	"$2,443.36 "
21048		Remove maxilla cyst complex	Y		R2	48.9494	"$2,443.36 "
21050		Removal of jaw joint	Y		A2	48.9494	"$2,443.36 "
21060		Remove jaw joint cartilage	Y		A2	48.9494	"$2,443.36 "
21070		Remove coronoid process	Y		A2	48.9494	"$2,443.36 "
21073		Mnpj of tmj w/anesth	Y		P3		$247.62 
21076		Prepare face/oral prosthesis	Y		P3		$357.15 
21077		Prepare face/oral prosthesis	Y		P3		$851.72 
21079		Prepare face/oral prosthesis	Y		P3		$612.83 
21080		Prepare face/oral prosthesis	Y		P3		$736.14 
21081		Prepare face/oral prosthesis	Y		P3		$680.37 
21082		Prepare face/oral prosthesis	Y		P3		$630.98 
21083		Prepare face/oral prosthesis	Y		P3		$625.26 
21084		Prepare face/oral prosthesis	Y		P3		$696.16 
21085		Prepare face/oral prosthesis	Y		P2	2.1936	$109.50 
21086		Prepare face/oral prosthesis	Y		P3		$642.40 
21087		Prepare face/oral prosthesis	Y		P3		$642.40 
21088		Prepare face/oral prosthesis	Y		R2	22.2082	"$1,108.54 "
21100		Maxillofacial fixation	Y		A2	48.9494	"$2,443.36 "
21110		Interdental fixation	N		P2	10.5360	$525.91 
21116		Injection jaw joint x-ray	N		N1		
21120		Reconstruction of chin	Y		G2	48.9494	"$2,443.36 "
21121		Reconstruction of chin	Y		A2	22.2082	"$1,108.54 "
21122		Reconstruction of chin	Y		A2	48.9494	"$2,443.36 "
21123		Reconstruction of chin	Y		A2	22.2082	"$1,108.54 "
21125		Augmentation lower jaw bone	Y		A2	48.9494	"$2,443.36 "
21127		Augmentation lower jaw bone	Y		A2	48.9494	"$2,443.36 "
21137		Reduction of forehead	Y		G2	22.2082	"$1,108.54 "
21138		Reduction of forehead	Y		G2	48.9494	"$2,443.36 "
21139		Reduction of forehead	Y		G2	48.9494	"$2,443.36 "
21150		Lefort ii anterior intrusion	Y		G2	48.9494	"$2,443.36 "
21181		Contour cranial bone lesion	Y		A2	48.9494	"$2,443.36 "
21198		Reconstr lwr jaw segment	Y		G2	48.9494	"$2,443.36 "
21199		Reconstr lwr jaw w/advance	Y	CH	J8	63.9278	"$3,191.02 "
21206		Reconstruct upper jaw bone	Y		A2	48.9494	"$2,443.36 "
21208		Augmentation of facial bones	Y	CH	J8	67.7727	"$3,382.94 "
21209		Reduction of facial bones	Y		A2	48.9494	"$2,443.36 "
21210		Face bone graft	Y		A2	48.9494	"$2,443.36 "
21215		Lower jaw bone graft	Y	CH	J8	69.8261	"$3,485.44 "
21230		Rib cartilage graft	Y		A2	48.9494	"$2,443.36 "
21235		Ear cartilage graft	Y		A2	48.9494	"$2,443.36 "
21240		Reconstruction of jaw joint	Y		A2	48.9494	"$2,443.36 "
21242		Reconstruction of jaw joint	Y		A2	48.9494	"$2,443.36 "
21243		Reconstruction of jaw joint	Y		J8	243.6471	"$12,161.89 "
21244		Reconstruction of lower jaw	Y		J8	67.3247	"$3,360.58 "
21245		Reconstruction of jaw	Y	CH	J8	63.7182	"$3,180.56 "
21246		Reconstruction of jaw	Y		A2	48.9494	"$2,443.36 "
21248		Reconstruction of jaw	Y		A2	48.9494	"$2,443.36 "
21249		Reconstruction of jaw	Y		A2	48.9494	"$2,443.36 "
21260		Revise eye sockets	Y		G2	48.9494	"$2,443.36 "
21267		Revise eye sockets	Y		J8	76.1672	"$3,801.96 "
21270		Augmentation cheek bone	Y		A2	48.9494	"$2,443.36 "
21275		Revision orbitofacial bones	Y		G2	48.9494	"$2,443.36 "
21280		Revision of eyelid	Y		A2	22.2082	"$1,108.54 "
21282		Revision of eyelid	Y		A2	22.2082	"$1,108.54 "
21295		Revision of jaw muscle/bone	Y		A2	10.5360	$525.91 
21296		Revision of jaw muscle/bone	Y		A2	22.2082	"$1,108.54 "
21310		Closed tx nose fx w/o manj		CH	D5		
21315		Clsd tx nsl fx mnpj wo stblj	Y		A2	10.5360	$525.91 
21320		Clsd tx nsl fx w/mnpj&stablj	Y		A2	22.2082	"$1,108.54 "
21325		Open tx nose fx uncomplicatd	Y		A2	22.2082	"$1,108.54 "
21330		Open tx nose fx w/skele fixj	Y		A2	48.9494	"$2,443.36 "
21335		Open tx nose & septal fx	Y		A2	22.2082	"$1,108.54 "
21336		Open tx septal fx w/wo stabj	Y		A2	27.2588	"$1,360.65 "
21337		Closed tx septal&nose fx	Y		A2	22.2082	"$1,108.54 "
21338		Open nasoethmoid fx w/o fixj	Y		J8	71.3314	"$3,560.58 "
21339		Open nasoethmoid fx w/ fixj	Y		A2	48.9494	"$2,443.36 "
21340		Perq tx nasoethmoid fx	Y		A2	22.2082	"$1,108.54 "
21345		Closed tx nose/jaw fx	Y		A2	10.5360	$525.91 
21355		Perq tx malar fracture	Y		A2	22.2082	"$1,108.54 "
21356		Opn tx dprsd zygomatic arch	Y		A2	48.9494	"$2,443.36 "
21360		Opn tx dprsd malar fracture	Y		G2	48.9494	"$2,443.36 "
21365		Opn tx complx malar fx	Y	CH	J8	63.7182	"$3,180.56 "
21390		Opn tx orbit periorbtl implt	Y		G2	48.9494	"$2,443.36 "
21400		Closed tx orbit w/o manipulj	Y		A2	4.6894	$234.08 
21401		Closed tx orbit w/manipulj	Y	CH	J8	13.7405	$685.87 
21406		Opn tx orbit fx w/o implant	Y		G2	48.9494	"$2,443.36 "
21407		Opn tx orbit fx w/implant	Y		G2	48.9494	"$2,443.36 "
21421		Treat mouth roof fracture	Y		A2	22.2082	"$1,108.54 "
21440		Treat dental ridge fracture	Y		P3		$569.16 
21445		Treat dental ridge fracture	Y	CH	J8	64.6759	"$3,228.36 "
21450		Treat lower jaw fracture	Y		J8	6.2822	$313.58 
21451		Treat lower jaw fracture	Y		A2	10.5360	$525.91 
21452		Treat lower jaw fracture	Y		J8	64.4425	"$3,216.71 "
21453		Treat lower jaw fracture	Y		A2	48.9494	"$2,443.36 "
21454		Treat lower jaw fracture	Y		J8	66.6101	"$3,324.91 "
21461		Treat lower jaw fracture	Y		J8	66.1289	"$3,300.89 "
21462		Treat lower jaw fracture	Y		J8	69.8974	"$3,489.00 "
21465		Treat lower jaw fracture	Y		J8	65.6240	"$3,275.69 "
21480		Reset dislocated jaw	Y		A2	2.1371	$106.68 
21485		Reset dislocated jaw	Y		A2	10.5360	$525.91 
21490		Repair dislocated jaw	Y		A2	22.2082	"$1,108.54 "
21497		Interdental wiring	Y		A2	10.5360	$525.91 
21501		Drain neck/chest lesion	Y		A2	20.4190	"$1,019.23 "
21502		Drain chest lesion	Y		A2	27.2588	"$1,360.65 "
21550		Biopsy of neck/chest	Y		G2	12.1845	$608.20 
21552		Exc neck les sc 3 cm/>	Y		G2	20.4190	"$1,019.23 "
21554		Exc neck tum deep 5 cm/>	Y		G2	20.4190	"$1,019.23 "
21555		Exc neck les sc < 3 cm	Y		G2	12.1845	$608.20 
21556		Exc neck tum deep < 5 cm	Y		G2	20.4190	"$1,019.23 "
21557		Resect neck thorax tumor<5cm	Y		G2	20.4190	"$1,019.23 "
21558		Resect neck tumor 5 cm/>	Y		G2	20.4190	"$1,019.23 "
21600		Partial removal of rib	Y		A2	60.0780	"$2,998.85 "
21610		Partial removal of rib	Y		A2	27.2588	"$1,360.65 "
21685		Hyoid myotomy & suspension	Y	CH	J8	63.6087	"$3,175.09 "
21700		Revision of neck muscle	Y		A2	60.0780	"$2,998.85 "
21720		Revision of neck muscle	Y		A2	27.2588	"$1,360.65 "
21725		Revision of neck muscle	Y		A2	6.4523	$322.07 
21820		Treat sternum fracture	Y		A2	2.1371	$106.68 
21920		Biopsy soft tissue of back	Y		P3		$180.09 
21925		Biopsy soft tissue of back	Y		A2	12.1845	$608.20 
21930		Exc back les sc < 3 cm	Y		G2	12.1845	$608.20 
21931		Exc back les sc 3 cm/>	Y		G2	12.1845	$608.20 
21932		Exc back tum deep < 5 cm	Y		G2	20.4190	"$1,019.23 "
21933		Exc back tum deep 5 cm/>	Y		G2	20.4190	"$1,019.23 "
21935		Resect back tum < 5 cm	Y		G2	20.4190	"$1,019.23 "
21936		Resect back tum 5 cm/>	Y		G2	20.4190	"$1,019.23 "
22102		Remove part lumbar vertebra	Y		G2	60.0780	"$2,998.85 "
22103		Remove extra spine segment	N		N1		
22310		Closed tx vert fx w/o manj	Y		A2	2.1371	$106.68 
22315		Closed tx vert fx w/manj	Y		A2	27.2588	"$1,360.65 "
22505		Manipulation of spine	Y		A2	14.8545	$741.48 
22510		Perq cervicothoracic inject	Y		G2	27.2588	"$1,360.65 "
22511		Perq lumbosacral injection	Y		G2	27.2588	"$1,360.65 "
22512		Vertebroplasty addl inject	N		N1		
22513		Perq vertebral augmentation	Y		G2	60.0780	"$2,998.85 "
22514		Perq vertebral augmentation	Y		G2	60.0780	"$2,998.85 "
22515		Perq vertebral augmentation	N		N1		
22551		Arthrd ant ntrbdy cervical	Y		J8	175.1739	"$8,743.98 "
22552		Arthrd ant ntrbd cervical ea	N		N1		
22554		Arthrd ant ntrbd min dsc crv	Y		J8	174.0949	"$8,690.12 "
22585		Arthrd ant ntrbd min dsc ea	N		N1		
22612		Arthrd pst tq 1ntrspc lumbar	Y		J8	176.5931	"$8,814.82 "
22614		Arthrd pst tq 1ntrspc ea add	N		N1		
22840		Insert spine fixation device	N		N1		
22842		Insert spine fixation device	N		N1		
22845		Insert spine fixation device	N		N1		
22853		Insj biomechanical device	N		N1		
22854		Insj biomechanical device	N		N1		
22856		Tot disc arthrp ant 1ntrspc	Y		J8	248.2709	"$12,392.69 "
22858		Tot disc arthrp ant 2nd lvl	N		N1		
22859		Insj biomechanical device	N		N1		
22867		Insj stablj dev w/dcmprn	Y		J8	258.6515	"$12,910.85 "
22868		Insj stablj dev w/dcmprn	N		N1		
22869		Insj stablj dev w/o dcmprn	Y		J8	209.9730	"$10,481.01 "
22870		Insj stablj dev w/o dcmprn	N		N1		
22900		Exc abdl tum deep < 5 cm	Y		G2	20.4190	"$1,019.23 "
22901		Exc abdl tum deep 5 cm/>	Y		G2	20.4190	"$1,019.23 "
22902		Exc abd les sc < 3 cm	Y		G2	12.1845	$608.20 
22903		Exc abd les sc 3 cm/>	Y		G2	20.4190	"$1,019.23 "
22904		Radical resect abd tumor<5cm	Y		G2	20.4190	"$1,019.23 "
22905		Rad resect abd tumor 5 cm/>	Y		G2	20.4190	"$1,019.23 "
23000		Removal of calcium deposits	Y		A2	20.4190	"$1,019.23 "
23020		Release shoulder joint	Y		A2	27.2588	"$1,360.65 "
23030		Drain shoulder lesion	Y		A2	20.4190	"$1,019.23 "
23031		Drain shoulder bursa	Y		A2	20.4190	"$1,019.23 "
23035		Drain shoulder bone lesion	Y		A2	14.8545	$741.48 
23040		Exploratory shoulder surgery	Y		A2	27.2588	"$1,360.65 "
23044		Exploratory shoulder surgery	Y		A2	27.2588	"$1,360.65 "
23065		Biopsy shoulder tissues	Y		P3		$139.10 
23066		Biopsy shoulder tissues	Y		A2	20.4190	"$1,019.23 "
23071		Exc shoulder les sc 3 cm/>	Y		G2	12.1845	$608.20 
23073		Exc shoulder tum deep 5 cm/>	Y		G2	20.4190	"$1,019.23 "
23075		Exc shoulder les sc < 3 cm	Y		G2	12.1845	$608.20 
23076		Exc shoulder tum deep < 5 cm	Y		G2	20.4190	"$1,019.23 "
23077		Resect shoulder tumor < 5 cm	Y		R2	20.4190	"$1,019.23 "
23078		Resect shoulder tumor 5 cm/>	Y		G2	20.4190	"$1,019.23 "
23100		Biopsy of shoulder joint	Y		A2	27.2588	"$1,360.65 "
23101		Shoulder joint surgery	Y		A2	27.2588	"$1,360.65 "
23105		Remove shoulder joint lining	Y		A2	60.0780	"$2,998.85 "
23106		Incision of collarbone joint	Y		A2	27.2588	"$1,360.65 "
23107		Explore treat shoulder joint	Y		A2	60.0780	"$2,998.85 "
23120		Partial removal collar bone	Y		A2	27.2588	"$1,360.65 "
23125		Removal of collar bone	Y		A2	27.2588	"$1,360.65 "
23130		Remove shoulder bone part	Y		A2	27.2588	"$1,360.65 "
23140		Removal of bone lesion	Y		A2	27.2588	"$1,360.65 "
23145		Removal of bone lesion	Y		A2	27.2588	"$1,360.65 "
23146		Removal of bone lesion	Y		A2	60.0780	"$2,998.85 "
23150		Removal of humerus lesion	Y		A2	27.2588	"$1,360.65 "
23155		Removal of humerus lesion	Y		A2	60.0780	"$2,998.85 "
23156		Removal of humerus lesion	Y	CH	J8	78.2048	"$3,903.67 "
23170		Remove collar bone lesion	Y		A2	27.2588	"$1,360.65 "
23172		Remove shoulder blade lesion	Y		A2	27.2588	"$1,360.65 "
23174		Remove humerus lesion	Y		A2	60.0780	"$2,998.85 "
23180		Remove collar bone lesion	Y		A2	60.0780	"$2,998.85 "
23182		Remove shoulder blade lesion	Y		A2	60.0780	"$2,998.85 "
23184		Remove humerus lesion	Y		A2	60.0780	"$2,998.85 "
23190		Partial removal of scapula	Y		A2	27.2588	"$1,360.65 "
23195		Removal of head of humerus	Y		A2	60.0780	"$2,998.85 "
23330		Remove shoulder foreign body	Y		A2	6.4523	$322.07 
23333		Remove shoulder fb deep	Y		G2	20.4190	"$1,019.23 "
23334		Shoulder prosthesis removal	Y		G2	20.4190	"$1,019.23 "
23350		Injection for shoulder x-ray	N		N1		
23395		Muscle transfer shoulder/arm	Y		A2	60.0780	"$2,998.85 "
23397		Muscle transfers	Y		A2	60.0780	"$2,998.85 "
23400		Fixation of shoulder blade	Y		A2	60.0780	"$2,998.85 "
23405		Incision of tendon & muscle	Y		A2	60.0780	"$2,998.85 "
23406		Incise tendon(s) & muscle(s)	Y	CH	J8	77.7017	"$3,878.56 "
23410		Repair rotator cuff acute	Y		A2	60.0780	"$2,998.85 "
23412		Repair rotator cuff chronic	Y		A2	60.0780	"$2,998.85 "
23415		Release of shoulder ligament	Y		A2	60.0780	"$2,998.85 "
23420		Repair of shoulder	Y		A2	60.0780	"$2,998.85 "
23430		Repair biceps tendon	Y		A2	60.0780	"$2,998.85 "
23440		Remove/transplant tendon	Y	CH	J8	80.6431	"$4,025.38 "
23450		Repair shoulder capsule	Y		J8	84.9291	"$4,239.32 "
23455		Repair shoulder capsule	Y		J8	80.8594	"$4,036.18 "
23460		Repair shoulder capsule	Y	CH	J8	93.7701	"$4,680.63 "
23462		Repair shoulder capsule	Y		A2	60.0780	"$2,998.85 "
23465		Repair shoulder capsule	Y		G2	60.0780	"$2,998.85 "
23466		Repair shoulder capsule	Y		A2	60.0780	"$2,998.85 "
23480		Revision of collar bone	Y		A2	60.0780	"$2,998.85 "
23485		Revision of collar bone	Y		J8	169.2273	"$8,447.15 "
23490		Reinforce clavicle	Y	CH	J8	86.7125	"$4,328.34 "
23491		Reinforce shoulder bones	Y		J8	160.6771	"$8,020.36 "
23500		Treat clavicle fracture	Y		A2	2.1371	$106.68 
23505		Treat clavicle fracture	Y		A2	14.8545	$741.48 
23515		Treat clavicle fracture	Y		J8	82.5082	"$4,118.48 "
23520		Treat clavicle dislocation	Y		A2	14.8545	$741.48 
23525		Treat clavicle dislocation	Y		A2	2.1371	$106.68 
23530		Treat clavicle dislocation	Y		A2	60.0780	"$2,998.85 "
23532		Treat clavicle dislocation	Y		J8	83.1046	"$4,148.25 "
23540		Treat clavicle dislocation	Y		A2	2.1371	$106.68 
23545		Treat clavicle dislocation	Y		A2	2.1371	$106.68 
23550		Treat clavicle dislocation	Y	CH	J8	79.0232	"$3,944.52 "
23552		Treat clavicle dislocation	Y		J8	80.0641	"$3,996.48 "
23570		Treat shoulder blade fx	Y		A2	2.1371	$106.68 
23575		Treat shoulder blade fx	Y		A2	14.8545	$741.48 
23585		Treat scapula fracture	Y	CH	J8	82.0639	"$4,096.30 "
23600		Treat humerus fracture	Y		P2	2.1371	$106.68 
23605		Treat humerus fracture	Y		A2	14.8545	$741.48 
23615		Treat humerus fracture	Y		J8	173.0744	"$8,639.18 "
23616		Treat humerus fracture	Y		J8	238.3094	"$11,895.45 "
23620		Treat humerus fracture	Y		P2	2.1371	$106.68 
23625		Treat humerus fracture	Y		A2	14.8545	$741.48 
23630		Treat humerus fracture	Y	CH	J8	78.2048	"$3,903.67 "
23650		Treat shoulder dislocation	Y		A2	2.1371	$106.68 
23655		Treat shoulder dislocation	Y		A2	14.8545	$741.48 
23660		Treat shoulder dislocation	Y		A2	60.0780	"$2,998.85 "
23665		Treat dislocation/fracture	Y		A2	14.8545	$741.48 
23670		Treat dislocation/fracture	Y		A2	60.0780	"$2,998.85 "
23675		Treat dislocation/fracture	Y		A2	14.8545	$741.48 
23680		Treat dislocation/fracture	Y		J8	188.6970	"$9,419.00 "
23700		Fixation of shoulder	Y		A2	14.8545	$741.48 
23800		Fusion of shoulder joint	Y		G2	60.0780	"$2,998.85 "
23802		Fusion of shoulder joint	Y		G2	120.5061	"$6,015.18 "
23921		Amputation follow-up surgery	Y		A2	17.7592	$886.47 
23930		Drainage of arm lesion	Y		A2	20.4190	"$1,019.23 "
23931		Drainage of arm bursa	Y		A2	12.1845	$608.20 
23935		Drain arm/elbow bone lesion	Y		A2	27.2588	"$1,360.65 "
24000		Exploratory elbow surgery	Y		A2	27.2588	"$1,360.65 "
24006		Release elbow joint	Y		A2	27.2588	"$1,360.65 "
24065		Biopsy arm/elbow soft tissue	Y		P3		$181.43 
24066		Biopsy arm/elbow soft tissue	Y		A2	20.4190	"$1,019.23 "
24071		Exc arm/elbow les sc 3 cm/>	Y		G2	20.4190	"$1,019.23 "
24073		Ex arm/elbow tum deep 5 cm/>	Y		G2	20.4190	"$1,019.23 "
24075		Exc arm/elbow les sc < 3 cm	Y		G2	12.1845	$608.20 
24076		Ex arm/elbow tum deep < 5 cm	Y		G2	20.4190	"$1,019.23 "
24077		Resect arm/elbow tum < 5 cm	Y		G2	20.4190	"$1,019.23 "
24079		Resect arm/elbow tum 5 cm/>	Y		G2	20.4190	"$1,019.23 "
24100		Biopsy elbow joint lining	Y		A2	27.2588	"$1,360.65 "
24101		Explore/treat elbow joint	Y		A2	27.2588	"$1,360.65 "
24102		Remove elbow joint lining	Y		A2	27.2588	"$1,360.65 "
24105		Removal of elbow bursa	Y		A2	27.2588	"$1,360.65 "
24110		Remove humerus lesion	Y		A2	27.2588	"$1,360.65 "
24115		Remove/graft bone lesion	Y		A2	60.0780	"$2,998.85 "
24116		Remove/graft bone lesion	Y	CH	J8	78.2048	"$3,903.67 "
24120		Remove elbow lesion	Y		A2	27.2588	"$1,360.65 "
24125		Remove/graft bone lesion	Y		A2	27.2588	"$1,360.65 "
24126		Remove/graft bone lesion	Y		J8	97.3780	"$4,860.72 "
24130		Removal of head of radius	Y		A2	27.2588	"$1,360.65 "
24134		Removal of arm bone lesion	Y		A2	60.0780	"$2,998.85 "
24136		Remove radius bone lesion	Y		A2	27.2588	"$1,360.65 "
24138		Remove elbow bone lesion	Y		A2	60.0780	"$2,998.85 "
24140		Partial removal of arm bone	Y		A2	27.2588	"$1,360.65 "
24145		Partial removal of radius	Y		A2	60.0780	"$2,998.85 "
24147		Partial removal of elbow	Y		A2	27.2588	"$1,360.65 "
24149		Radical resection of elbow	Y		G2	60.0780	"$2,998.85 "
24152		Resect radius tumor	Y		G2	60.0780	"$2,998.85 "
24155		Removal of elbow joint	Y		A2	27.2588	"$1,360.65 "
24160		Remove elbow joint implant	N		A2	27.2588	"$1,360.65 "
24164		Remove radius head implant	N		A2	27.2588	"$1,360.65 "
24200		Removal of arm foreign body	Y		P3		$149.85 
24201		Removal of arm foreign body	Y		A2	20.4190	"$1,019.23 "
24220		Injection for elbow x-ray	N		N1		
24300		Manipulate elbow w/anesth	Y		G2	14.8545	$741.48 
24301		Muscle/tendon transfer	Y		A2	60.0780	"$2,998.85 "
24305		Arm tendon lengthening	Y		A2	27.2588	"$1,360.65 "
24310		Revision of arm tendon	Y		A2	27.2588	"$1,360.65 "
24320		Repair of arm tendon	Y		A2	60.0780	"$2,998.85 "
24330		Revision of arm muscles	Y		A2	60.0780	"$2,998.85 "
24331		Revision of arm muscles	Y		A2	60.0780	"$2,998.85 "
24332		Tenolysis triceps	Y		G2	27.2588	"$1,360.65 "
24340		Repair of biceps tendon	Y		A2	60.0780	"$2,998.85 "
24341		Repair arm tendon/muscle	Y		A2	60.0780	"$2,998.85 "
24342		Repair of ruptured tendon	Y		A2	60.0780	"$2,998.85 "
24343		Repr elbow lat ligmnt w/tiss	Y		G2	27.2588	"$1,360.65 "
24344		Reconstruct elbow lat ligmnt	Y		J8	78.4853	"$3,917.67 "
24345		Repr elbw med ligmnt w/tissu	Y		A2	60.0780	"$2,998.85 "
24346		Reconstruct elbow med ligmnt	Y		G2	120.5061	"$6,015.18 "
24357		Repair elbow perc	Y		G2	27.2588	"$1,360.65 "
24358		Repair elbow w/deb open	Y		G2	27.2588	"$1,360.65 "
24359		Repair elbow deb/attch open	Y		G2	27.2588	"$1,360.65 "
24360		Reconstruct elbow joint	Y		J8	77.7544	"$3,881.19 "
24361		Reconstruct elbow joint	Y		J8	255.3464	"$12,745.87 "
24362		Reconstruct elbow joint	Y		J8	192.5793	"$9,612.79 "
24363		Replace elbow joint	Y		J8	252.3518	"$12,596.39 "
24365		Reconstruct head of radius	Y		J8	178.8098	"$8,925.47 "
24366		Reconstruct head of radius	Y		J8	186.5390	"$9,311.28 "
24370		Revise reconst elbow joint	Y		J8	165.6501	"$8,268.59 "
24371		Revise reconst elbow joint	Y		J8	226.7650	"$11,319.20 "
24400		Revision of humerus	Y		A2	60.0780	"$2,998.85 "
24410		Revision of humerus	Y		G2	120.5061	"$6,015.18 "
24420		Revision of humerus	Y	CH	J8	78.2048	"$3,903.67 "
24430		Repair of humerus	Y		J8	168.4179	"$8,406.75 "
24435		Repair humerus with graft	Y		J8	168.0193	"$8,386.85 "
24470		Revision of elbow joint	Y		A2	27.2588	"$1,360.65 "
24495		Decompression of forearm	Y		A2	60.0780	"$2,998.85 "
24498		Reinforce humerus	Y		J8	161.6271	"$8,067.78 "
24500		Treat humerus fracture	Y		A2	2.1371	$106.68 
24505		Treat humerus fracture	Y		A2	14.8545	$741.48 
24515		Treat humerus fracture	Y		J8	164.7117	"$8,221.75 "
24516		Treat humerus fracture	Y		J8	168.4179	"$8,406.75 "
24530		Treat humerus fracture	Y		A2	2.1371	$106.68 
24535		Treat humerus fracture	Y		A2	14.8545	$741.48 
24538		Treat humerus fracture	Y		A2	60.0780	"$2,998.85 "
24545		Treat humerus fracture	Y		J8	170.0248	"$8,486.96 "
24546		Treat humerus fracture	Y		J8	229.5737	"$11,459.40 "
24560		Treat humerus fracture	Y		A2	2.1371	$106.68 
24565		Treat humerus fracture	Y		A2	14.8545	$741.48 
24566		Treat humerus fracture	Y		A2	14.8545	$741.48 
24575		Treat humerus fracture	Y		J8	165.5445	"$8,263.32 "
24576		Treat humerus fracture	Y		A2	2.1371	$106.68 
24577		Treat humerus fracture	Y		A2	14.8545	$741.48 
24579		Treat humerus fracture	Y		J8	158.8943	"$7,931.37 "
24582		Treat humerus fracture	Y		A2	60.0780	"$2,998.85 "
24586		Treat elbow fracture	Y	CH	J8	170.8576	"$8,528.53 "
24587		Treat elbow fracture	Y		J8	181.8826	"$9,078.85 "
24600		Treat elbow dislocation	Y		A2	2.1371	$106.68 
24605		Treat elbow dislocation	Y		A2	14.8545	$741.48 
24615		Treat elbow dislocation	Y	CH	J8	83.8415	"$4,185.03 "
24620		Treat elbow fracture	Y		A2	14.8545	$741.48 
24635		Treat elbow fracture	Y		J8	83.2392	"$4,154.97 "
24640		Treat elbow dislocation	Y		P3		$59.47 
24650		Treat radius fracture	Y		P2	2.1371	$106.68 
24655		Treat radius fracture	Y		A2	14.8545	$741.48 
24665		Treat radius fracture	Y		A2	60.0780	"$2,998.85 "
24666		Treat radius fracture	Y		J8	187.7236	"$9,370.41 "
24670		Treat ulnar fracture	Y		A2	2.1371	$106.68 
24675		Treat ulnar fracture	Y		A2	14.8545	$741.48 
24685		Treat ulnar fracture	Y		J8	79.4793	"$3,967.29 "
24800		Fusion of elbow joint	Y		A2	60.0780	"$2,998.85 "
24802		Fusion/graft of elbow joint	Y		G2	120.5061	"$6,015.18 "
24925		Amputation follow-up surgery	Y		A2	27.2588	"$1,360.65 "
25000		Incision of tendon sheath	Y		A2	14.8545	$741.48 
25001		Incise flexor carpi radialis	Y		G2	27.2588	"$1,360.65 "
25020		Decompress forearm 1 space	Y		A2	14.8545	$741.48 
25023		Decompress forearm 1 space	Y		A2	27.2588	"$1,360.65 "
25024		Decompress forearm 2 spaces	Y		A2	27.2588	"$1,360.65 "
25025		Decompress forearm 2 spaces	Y		A2	14.8545	$741.48 
25028		Drainage of forearm lesion	Y		A2	27.2588	"$1,360.65 "
25031		Drainage of forearm bursa	Y		A2	14.8545	$741.48 
25035		Treat forearm bone lesion	Y		A2	60.0780	"$2,998.85 "
25040		Explore/treat wrist joint	Y		A2	27.2588	"$1,360.65 "
25065		Biopsy forearm soft tissues	Y		P3		$181.43 
25066		Biopsy forearm soft tissues	Y		A2	20.4190	"$1,019.23 "
25071		Exc forearm les sc 3 cm/>	Y		G2	12.1845	$608.20 
25073		Exc forearm tum deep 3 cm/>	Y		G2	20.4190	"$1,019.23 "
25075		Exc forearm les sc < 3 cm	Y		G2	12.1845	$608.20 
25076		Exc forearm tum deep < 3 cm	Y		G2	12.1845	$608.20 
25077		Resect forearm/wrist tum<3cm	Y		G2	20.4190	"$1,019.23 "
25078		Resect forarm/wrist tum 3cm>	Y		G2	20.4190	"$1,019.23 "
25085		Incision of wrist capsule	Y		A2	27.2588	"$1,360.65 "
25100		Biopsy of wrist joint	Y		A2	27.2588	"$1,360.65 "
25101		Explore/treat wrist joint	Y		A2	27.2588	"$1,360.65 "
25105		Remove wrist joint lining	Y		A2	27.2588	"$1,360.65 "
25107		Remove wrist joint cartilage	Y		A2	27.2588	"$1,360.65 "
25109		Excise tendon forearm/wrist	Y		G2	27.2588	"$1,360.65 "
25110		Remove wrist tendon lesion	Y		A2	14.8545	$741.48 
25111		Remove wrist tendon lesion	Y		A2	14.8545	$741.48 
25112		Reremove wrist tendon lesion	Y		A2	14.8545	$741.48 
25115		Remove wrist/forearm lesion	Y		A2	14.8545	$741.48 
25116		Remove wrist/forearm lesion	Y		A2	27.2588	"$1,360.65 "
25118		Excise wrist tendon sheath	Y		A2	14.8545	$741.48 
25119		Partial removal of ulna	Y		A2	27.2588	"$1,360.65 "
25120		Removal of forearm lesion	Y		A2	27.2588	"$1,360.65 "
25125		Remove/graft forearm lesion	Y		A2	14.8545	$741.48 
25126		Remove/graft forearm lesion	Y		A2	27.2588	"$1,360.65 "
25130		Removal of wrist lesion	Y		A2	27.2588	"$1,360.65 "
25135		Remove & graft wrist lesion	Y		A2	60.0780	"$2,998.85 "
25136		Remove & graft wrist lesion	Y		A2	60.0780	"$2,998.85 "
25145		Remove forearm bone lesion	Y		A2	27.2588	"$1,360.65 "
25150		Partial removal of ulna	Y		A2	27.2588	"$1,360.65 "
25151		Partial removal of radius	Y		A2	27.2588	"$1,360.65 "
25210		Removal of wrist bone	Y		A2	27.2588	"$1,360.65 "
25215		Removal of wrist bones	Y		A2	27.2588	"$1,360.65 "
25230		Partial removal of radius	Y		A2	27.2588	"$1,360.65 "
25240		Partial removal of ulna	Y		A2	27.2588	"$1,360.65 "
25246		Injection for wrist x-ray	N		N1		
25248		Remove forearm foreign body	Y		A2	14.8545	$741.48 
25250		Removal of wrist prosthesis	N		A2	14.8545	$741.48 
25251		Removal of wrist prosthesis	N		A2	27.2588	"$1,360.65 "
25259		Manipulate wrist w/anesthes	Y		G2	14.8545	$741.48 
25260		Repair forearm tendon/muscle	Y		A2	27.2588	"$1,360.65 "
25263		Repair forearm tendon/muscle	Y		A2	60.0780	"$2,998.85 "
25265		Repair forearm tendon/muscle	Y		A2	27.2588	"$1,360.65 "
25270		Repair forearm tendon/muscle	Y		A2	27.2588	"$1,360.65 "
25272		Repair forearm tendon/muscle	Y		A2	27.2588	"$1,360.65 "
25274		Repair forearm tendon/muscle	Y		A2	27.2588	"$1,360.65 "
25275		Repair forearm tendon sheath	Y		A2	27.2588	"$1,360.65 "
25280		Revise wrist/forearm tendon	Y		A2	27.2588	"$1,360.65 "
25290		Incise wrist/forearm tendon	Y		A2	27.2588	"$1,360.65 "
25295		Release wrist/forearm tendon	Y		A2	27.2588	"$1,360.65 "
25300		Fusion of tendons at wrist	Y		A2	27.2588	"$1,360.65 "
25301		Fusion of tendons at wrist	Y		A2	27.2588	"$1,360.65 "
25310		Transplant forearm tendon	Y		A2	27.2588	"$1,360.65 "
25312		Transplant forearm tendon	Y		A2	27.2588	"$1,360.65 "
25315		Revise palsy hand tendon(s)	Y		A2	60.0780	"$2,998.85 "
25316		Revise palsy hand tendon(s)	Y		A2	60.0780	"$2,998.85 "
25320		Repair/revise wrist joint	Y		A2	60.0780	"$2,998.85 "
25332		Revise wrist joint	Y		A2	27.2588	"$1,360.65 "
25335		Realignment of hand	Y		A2	27.2588	"$1,360.65 "
25337		Reconstruct ulna/radioulnar	Y	CH	J8	78.5438	"$3,920.59 "
25350		Revision of radius	Y		J8	84.8005	"$4,232.90 "
25355		Revision of radius	Y		A2	27.2588	"$1,360.65 "
25360		Revision of ulna	Y	CH	J8	78.4502	"$3,915.92 "
25365		Revise radius & ulna	Y		A2	120.5061	"$6,015.18 "
25370		Revise radius or ulna	Y		A2	27.2588	"$1,360.65 "
25375		Revise radius & ulna	Y		A2	27.2588	"$1,360.65 "
25390		Shorten radius or ulna	Y		J8	82.7891	"$4,132.50 "
25391		Lengthen radius or ulna	Y		J8	171.8898	"$8,580.05 "
25392		Shorten radius & ulna	Y		A2	60.0780	"$2,998.85 "
25393		Lengthen radius & ulna	Y	CH	J8	79.0292	"$3,944.82 "
25394		Repair carpal bone shorten	Y		G2	27.2588	"$1,360.65 "
25400		Repair radius or ulna	Y		J8	84.2041	"$4,203.13 "
25405		Repair/graft radius or ulna	Y		J8	82.9117	"$4,138.62 "
25415		Repair radius & ulna	Y		J8	89.2093	"$4,452.97 "
25420		Repair/graft radius & ulna	Y		J8	85.9466	"$4,290.11 "
25425		Repair/graft radius or ulna	Y		A2	60.0780	"$2,998.85 "
25426		Repair/graft radius & ulna	Y		J8	37.0779	"$1,850.78 "
25430		Vasc graft into carpal bone	Y		G2	27.2588	"$1,360.65 "
25431		Repair nonunion carpal bone	Y		G2	60.0780	"$2,998.85 "
25440		Repair/graft wrist bone	Y		A2	60.0780	"$2,998.85 "
25441		Reconstruct wrist joint	Y		J8	191.6526	"$9,566.53 "
25442		Reconstruct wrist joint	Y		J8	261.2894	"$13,042.52 "
25443		Reconstruct wrist joint	Y		J8	89.7882	"$4,481.87 "
25444		Reconstruct wrist joint	Y		J8	187.2193	"$9,345.24 "
25445		Reconstruct wrist joint	Y		J8	90.4431	"$4,514.56 "
25446		Wrist replacement	Y		J8	268.6285	"$13,408.86 "
25447		Repair wrist joints	Y		A2	27.2588	"$1,360.65 "
25449		Remove wrist joint implant	Y		A2	60.0780	"$2,998.85 "
25450		Revision of wrist joint	Y		A2	27.2588	"$1,360.65 "
25455		Revision of wrist joint	Y		A2	27.2588	"$1,360.65 "
25490		Reinforce radius	Y		A2	60.0780	"$2,998.85 "
25491		Reinforce ulna	Y	CH	J8	156.8653	"$7,830.09 "
25492		Reinforce radius and ulna	Y		A2	27.2588	"$1,360.65 "
25500		Treat fracture of radius	Y		P2	2.1371	$106.68 
25505		Treat fracture of radius	Y		A2	14.8545	$741.48 
25515		Treat fracture of radius	Y		J8	80.8068	"$4,033.55 "
25520		Treat fracture of radius	Y		A2	14.8545	$741.48 
25525		Treat fracture of radius	Y		J8	79.1812	"$3,952.41 "
25526		Treat fracture of radius	Y	CH	J8	78.2048	"$3,903.67 "
25530		Treat fracture of ulna	Y		P2	2.1371	$106.68 
25535		Treat fracture of ulna	Y		A2	2.1371	$106.68 
25545		Treat fracture of ulna	Y		J8	79.1462	"$3,950.66 "
25560		Treat fracture radius & ulna	Y		P2	2.1371	$106.68 
25565		Treat fracture radius & ulna	Y		A2	14.8545	$741.48 
25574		Treat fracture radius & ulna	Y		J8	85.7477	"$4,280.18 "
25575		Treat fracture radius/ulna	Y		J8	83.6601	"$4,175.98 "
25600		Treat fracture radius/ulna	Y		P2	2.1371	$106.68 
25605		Treat fracture radius/ulna	Y		A2	14.8545	$741.48 
25606		Treat fx distal radial	Y		A2	27.2588	"$1,360.65 "
25607		Treat fx rad extra-articul	Y		J8	86.2565	"$4,305.58 "
25608		Treat fx rad intra-articul	Y		J8	86.0868	"$4,297.11 "
25609		Treat fx radial 3+ frag	Y		J8	86.4669	"$4,316.08 "
25622		Treat wrist bone fracture	Y		P2	2.1371	$106.68 
25624		Treat wrist bone fracture	Y		A2	14.8545	$741.48 
25628		Treat wrist bone fracture	Y		A2	60.0780	"$2,998.85 "
25630		Treat wrist bone fracture	Y		P2	2.1371	$106.68 
25635		Treat wrist bone fracture	Y		A2	14.8545	$741.48 
25645		Treat wrist bone fracture	Y		A2	27.2588	"$1,360.65 "
25650		Treat wrist bone fracture	Y		P2	2.1371	$106.68 
25651		Pin ulnar styloid fracture	Y		G2	27.2588	"$1,360.65 "
25652		Treat fracture ulnar styloid	Y		J8	78.1695	"$3,901.91 "
25660		Treat wrist dislocation	Y		A2	2.1371	$106.68 
25670		Treat wrist dislocation	Y		J8	93.7058	"$4,677.42 "
25671		Pin radioulnar dislocation	Y		A2	27.2588	"$1,360.65 "
25675		Treat wrist dislocation	Y		A2	2.1371	$106.68 
25676		Treat wrist dislocation	Y		A2	60.0780	"$2,998.85 "
25680		Treat wrist fracture	Y		A2	2.1371	$106.68 
25685		Treat wrist fracture	Y		A2	60.0780	"$2,998.85 "
25690		Treat wrist dislocation	Y		A2	14.8545	$741.48 
25695		Treat wrist dislocation	Y		A2	60.0780	"$2,998.85 "
25800		Fusion of wrist joint	Y		J8	82.2101	"$4,103.60 "
25805		Fusion/graft of wrist joint	Y		J8	85.5429	"$4,269.96 "
25810		Fusion/graft of wrist joint	Y		J8	170.7402	"$8,522.67 "
25820		Fusion of hand bones	Y		J8	82.2159	"$4,103.89 "
25825		Fuse hand bones with graft	Y		J8	83.0988	"$4,147.96 "
25830		Fusion radioulnar jnt/ulna	Y		A2	60.0780	"$2,998.85 "
25907		Amputation follow-up surgery	Y		A2	27.2588	"$1,360.65 "
25922		Amputate hand at wrist	Y		A2	14.8545	$741.48 
25929		Amputation follow-up surgery	Y		A2	17.7592	$886.47 
25931		Amputation follow-up surgery	Y		G2	27.2588	"$1,360.65 "
26010		Drainage of finger abscess	Y		P2	1.8620	$92.94 
26011		Drainage of finger abscess	Y		A2	12.1845	$608.20 
26020		Drain hand tendon sheath	Y		A2	27.2588	"$1,360.65 "
26025		Drainage of palm bursa	Y		A2	27.2588	"$1,360.65 "
26030		Drainage of palm bursas	Y		A2	27.2588	"$1,360.65 "
26034		Treat hand bone lesion	Y		A2	14.8545	$741.48 
26035		Decompress fingers/hand	Y		G2	27.2588	"$1,360.65 "
26037		Decompress fingers/hand	Y		G2	27.2588	"$1,360.65 "
26040		Release palm contracture	Y		A2	14.8545	$741.48 
26045		Release palm contracture	Y		A2	27.2588	"$1,360.65 "
26055		Incise finger tendon sheath	Y		A2	14.8545	$741.48 
26060		Incision of finger tendon	Y		A2	14.8545	$741.48 
26070		Explore/treat hand joint	Y		A2	14.8545	$741.48 
26075		Explore/treat finger joint	Y		A2	27.2588	"$1,360.65 "
26080		Explore/treat finger joint	Y		A2	14.8545	$741.48 
26100		Biopsy hand joint lining	Y		A2	27.2588	"$1,360.65 "
26105		Biopsy finger joint lining	Y		A2	27.2588	"$1,360.65 "
26110		Biopsy finger joint lining	Y		A2	14.8545	$741.48 
26111		Exc hand les sc 1.5 cm/>	Y		G2	12.1845	$608.20 
26113		Exc hand tum deep 1.5 cm/>	Y		G2	12.1845	$608.20 
26115		Exc hand les sc < 1.5 cm	Y		G2	12.1845	$608.20 
26116		Exc hand tum deep < 1.5 cm	Y		G2	12.1845	$608.20 
26117		Rad resect hand tumor < 3 cm	Y		G2	20.4190	"$1,019.23 "
26118		Rad resect hand tumor 3 cm/>	Y		G2	20.4190	"$1,019.23 "
26121		Release palm contracture	Y		A2	27.2588	"$1,360.65 "
26123		Release palm contracture	Y		A2	27.2588	"$1,360.65 "
26125		Release palm contracture	N		N1		
26130		Remove wrist joint lining	Y		A2	27.2588	"$1,360.65 "
26135		Revise finger joint each	Y		A2	27.2588	"$1,360.65 "
26140		Revise finger joint each	Y		A2	14.8545	$741.48 
26145		Tendon excision palm/finger	Y		A2	14.8545	$741.48 
26160		Remove tendon sheath lesion	Y		A2	14.8545	$741.48 
26170		Removal of palm tendon each	Y		A2	14.8545	$741.48 
26180		Removal of finger tendon	Y		A2	14.8545	$741.48 
26185		Remove finger bone	Y		A2	14.8545	$741.48 
26200		Remove hand bone lesion	Y		A2	14.8545	$741.48 
26205		Remove/graft bone lesion	Y		A2	60.0780	"$2,998.85 "
26210		Removal of finger lesion	Y		A2	14.8545	$741.48 
26215		Remove/graft finger lesion	Y		A2	27.2588	"$1,360.65 "
26230		Partial removal of hand bone	Y		A2	27.2588	"$1,360.65 "
26235		Partial removal finger bone	Y		A2	14.8545	$741.48 
26236		Partial removal finger bone	Y		A2	14.8545	$741.48 
26250		Extensive hand surgery	Y		A2	27.2588	"$1,360.65 "
26260		Resect prox finger tumor	Y		A2	27.2588	"$1,360.65 "
26262		Resect distal finger tumor	Y		A2	14.8545	$741.48 
26320		Removal of implant from hand	N		A2	12.1845	$608.20 
26340		Manipulate finger w/anesth	Y		G2	14.8545	$741.48 
26341		Manipulat palm cord post inj	Y		P3		$80.97 
26350		Repair finger/hand tendon	Y		A2	27.2588	"$1,360.65 "
26352		Repair/graft hand tendon	Y		A2	60.0780	"$2,998.85 "
26356		Repair finger/hand tendon	Y		A2	27.2588	"$1,360.65 "
26357		Repair finger/hand tendon	Y		A2	27.2588	"$1,360.65 "
26358		Repair/graft hand tendon	Y		A2	60.0780	"$2,998.85 "
26370		Repair finger/hand tendon	Y		A2	27.2588	"$1,360.65 "
26372		Repair/graft hand tendon	Y		A2	60.0780	"$2,998.85 "
26373		Repair finger/hand tendon	Y		A2	27.2588	"$1,360.65 "
26390		Revise hand/finger tendon	Y		J8	80.1927	"$4,002.90 "
26392		Repair/graft hand tendon	Y		A2	60.0780	"$2,998.85 "
26410		Repair hand tendon	Y		A2	14.8545	$741.48 
26412		Repair/graft hand tendon	Y		A2	27.2588	"$1,360.65 "
26415		Excision hand/finger tendon	Y		A2	27.2588	"$1,360.65 "
26416		Graft hand or finger tendon	Y		A2	27.2588	"$1,360.65 "
26418		Repair finger tendon	Y		A2	14.8545	$741.48 
26420		Repair/graft finger tendon	Y		A2	27.2588	"$1,360.65 "
26426		Repair finger/hand tendon	Y		A2	27.2588	"$1,360.65 "
26428		Repair/graft finger tendon	Y		A2	27.2588	"$1,360.65 "
26432		Repair finger tendon	Y		A2	14.8545	$741.48 
26433		Repair finger tendon	Y		A2	27.2588	"$1,360.65 "
26434		Repair/graft finger tendon	Y		A2	27.2588	"$1,360.65 "
26437		Realignment of tendons	Y		A2	27.2588	"$1,360.65 "
26440		Release palm/finger tendon	Y		A2	14.8545	$741.48 
26442		Release palm & finger tendon	Y		A2	27.2588	"$1,360.65 "
26445		Release hand/finger tendon	Y		A2	27.2588	"$1,360.65 "
26449		Release forearm/hand tendon	Y		A2	27.2588	"$1,360.65 "
26450		Incision of palm tendon	Y		A2	27.2588	"$1,360.65 "
26455		Incision of finger tendon	Y		A2	14.8545	$741.48 
26460		Incise hand/finger tendon	Y		A2	14.8545	$741.48 
26471		Fusion of finger tendons	Y		A2	27.2588	"$1,360.65 "
26474		Fusion of finger tendons	Y		A2	14.8545	$741.48 
26476		Tendon lengthening	Y		A2	27.2588	"$1,360.65 "
26477		Tendon shortening	Y		A2	27.2588	"$1,360.65 "
26478		Lengthening of hand tendon	Y		A2	27.2588	"$1,360.65 "
26479		Shortening of hand tendon	Y		A2	27.2588	"$1,360.65 "
26480		Transplant hand tendon	Y		A2	27.2588	"$1,360.65 "
26483		Transplant/graft hand tendon	Y		A2	27.2588	"$1,360.65 "
26485		Transplant palm tendon	Y		A2	27.2588	"$1,360.65 "
26489		Transplant/graft palm tendon	Y		A2	27.2588	"$1,360.65 "
26490		Revise thumb tendon	Y		A2	27.2588	"$1,360.65 "
26492		Tendon transfer with graft	Y		A2	27.2588	"$1,360.65 "
26494		Hand tendon/muscle transfer	Y		A2	27.2588	"$1,360.65 "
26496		Revise thumb tendon	Y		A2	27.2588	"$1,360.65 "
26497		Finger tendon transfer	Y		A2	27.2588	"$1,360.65 "
26498		Finger tendon transfer	Y		A2	27.2588	"$1,360.65 "
26499		Revision of finger	Y		A2	27.2588	"$1,360.65 "
26500		Hand tendon reconstruction	Y		A2	60.0780	"$2,998.85 "
26502		Hand tendon reconstruction	Y		A2	27.2588	"$1,360.65 "
26508		Release thumb contracture	Y		A2	27.2588	"$1,360.65 "
26510		Thumb tendon transfer	Y		A2	27.2588	"$1,360.65 "
26516		Fusion of knuckle joint	Y	CH	J8	35.2552	"$1,759.80 "
26517		Fusion of knuckle joints	Y		A2	27.2588	"$1,360.65 "
26518		Fusion of knuckle joints	Y	CH	J8	78.2048	"$3,903.67 "
26520		Release knuckle contracture	Y		A2	27.2588	"$1,360.65 "
26525		Release finger contracture	Y		A2	14.8545	$741.48 
26530		Revise knuckle joint	Y		J8	79.0700	"$3,946.86 "
26531		Revise knuckle with implant	Y		J8	87.6657	"$4,375.92 "
26535		Revise finger joint	Y		A2	27.2588	"$1,360.65 "
26536		Revise/implant finger joint	Y		J8	82.4205	"$4,114.10 "
26540		Repair hand joint	Y		A2	27.2588	"$1,360.65 "
26541		Repair hand joint with graft	Y		A2	27.2588	"$1,360.65 "
26542		Repair hand joint with graft	Y		A2	27.2588	"$1,360.65 "
26545		Reconstruct finger joint	Y		A2	27.2588	"$1,360.65 "
26546		Repair nonunion hand	Y		A2	60.0780	"$2,998.85 "
26548		Reconstruct finger joint	Y		A2	27.2588	"$1,360.65 "
26550		Construct thumb replacement	Y		A2	27.2588	"$1,360.65 "
26555		Positional change of finger	Y		A2	60.0780	"$2,998.85 "
26560		Repair of web finger	Y		A2	14.8545	$741.48 
26561		Repair of web finger	Y		A2	27.2588	"$1,360.65 "
26562		Repair of web finger	Y		A2	27.2588	"$1,360.65 "
26565		Correct metacarpal flaw	Y		A2	27.2588	"$1,360.65 "
26567		Correct finger deformity	Y		A2	27.2588	"$1,360.65 "
26568		Lengthen metacarpal/finger	Y	CH	J8	78.2048	"$3,903.67 "
26580		Repair hand deformity	Y		A2	27.2588	"$1,360.65 "
26587		Reconstruct extra finger	Y		A2	27.2588	"$1,360.65 "
26590		Repair finger deformity	Y		A2	14.8545	$741.48 
26591		Repair muscles of hand	Y		A2	27.2588	"$1,360.65 "
26593		Release muscles of hand	Y		A2	27.2588	"$1,360.65 "
26596		Excision constricting tissue	Y		A2	27.2588	"$1,360.65 "
26600		Treat metacarpal fracture	Y		P2	2.1371	$106.68 
26605		Treat metacarpal fracture	Y		A2	2.1371	$106.68 
26607		Treat metacarpal fracture	Y		A2	27.2588	"$1,360.65 "
26608		Treat metacarpal fracture	Y		A2	27.2588	"$1,360.65 "
26615		Treat metacarpal fracture	Y		A2	27.2588	"$1,360.65 "
26641		Treat thumb dislocation	Y		P2	2.1371	$106.68 
26645		Treat thumb fracture	Y		A2	14.8545	$741.48 
26650		Treat thumb fracture	Y		A2	27.2588	"$1,360.65 "
26665		Treat thumb fracture	Y		A2	27.2588	"$1,360.65 "
26670		Treat hand dislocation	Y		P2	2.1371	$106.68 
26675		Treat hand dislocation	Y		A2	14.8545	$741.48 
26676		Pin hand dislocation	Y		A2	27.2588	"$1,360.65 "
26685		Treat hand dislocation	Y		A2	27.2588	"$1,360.65 "
26686		Treat hand dislocation	Y		A2	27.2588	"$1,360.65 "
26700		Treat knuckle dislocation	Y		P2	2.1371	$106.68 
26705		Treat knuckle dislocation	Y		A2	14.8545	$741.48 
26706		Pin knuckle dislocation	Y		A2	27.2588	"$1,360.65 "
26715		Treat knuckle dislocation	Y		A2	27.2588	"$1,360.65 "
26720		Treat finger fracture each	Y		P2	2.1371	$106.68 
26725		Treat finger fracture each	Y		P2	2.1371	$106.68 
26727		Treat finger fracture each	Y		A2	27.2588	"$1,360.65 "
26735		Treat finger fracture each	Y		A2	27.2588	"$1,360.65 "
26740		Treat finger fracture each	Y		P2	2.1371	$106.68 
26742		Treat finger fracture each	Y		A2	14.8545	$741.48 
26746		Treat finger fracture each	Y		A2	27.2588	"$1,360.65 "
26750		Treat finger fracture each	Y		P2	2.1371	$106.68 
26755		Treat finger fracture each	Y		G2	2.1371	$106.68 
26756		Pin finger fracture each	Y		A2	27.2588	"$1,360.65 "
26765		Treat finger fracture each	Y		A2	27.2588	"$1,360.65 "
26770		Treat finger dislocation	Y		G2	2.1371	$106.68 
26775		Treat finger dislocation	Y		P2	2.5013	$124.85 
26776		Pin finger dislocation	Y		A2	27.2588	"$1,360.65 "
26785		Treat finger dislocation	Y		A2	27.2588	"$1,360.65 "
26820		Thumb fusion with graft	Y		J8	83.8707	"$4,186.49 "
26841		Fusion of thumb	Y		A2	60.0780	"$2,998.85 "
26842		Thumb fusion with graft	Y		A2	60.0780	"$2,998.85 "
26843		Fusion of hand joint	Y		J8	81.4324	"$4,064.78 "
26844		Fusion/graft of hand joint	Y		J8	93.4077	"$4,662.54 "
26850		Fusion of knuckle	Y		A2	60.0780	"$2,998.85 "
26852		Fusion of knuckle with graft	Y		A2	60.0780	"$2,998.85 "
26860		Fusion of finger joint	Y		A2	27.2588	"$1,360.65 "
26861		Fusion of finger jnt add-on	N		N1		
26862		Fusion/graft of finger joint	Y		A2	27.2588	"$1,360.65 "
26863		Fuse/graft added joint	N		N1		
26910		Amputate metacarpal bone	Y		A2	27.2588	"$1,360.65 "
26951		Amputation of finger/thumb	Y		A2	27.2588	"$1,360.65 "
26952		Amputation of finger/thumb	Y		A2	27.2588	"$1,360.65 "
26990		Drainage of pelvis lesion	Y		A2	27.2588	"$1,360.65 "
26991		Drainage of pelvis bursa	Y		A2	14.8545	$741.48 
27000		Incision of hip tendon	Y		A2	14.8545	$741.48 
27001		Incision of hip tendon	Y		A2	27.2588	"$1,360.65 "
27003		Incision of hip tendon	Y		A2	60.0780	"$2,998.85 "
27033		Exploration of hip joint	Y		A2	60.0780	"$2,998.85 "
27035		Denervation of hip joint	Y		A2	27.2588	"$1,360.65 "
27040		Biopsy of soft tissues	Y		A2	12.1845	$608.20 
27041		Biopsy of soft tissues	Y		A2	12.1845	$608.20 
27043		Exc hip pelvis les sc 3 cm/>	Y		G2	20.4190	"$1,019.23 "
27045		Exc hip/pelv tum deep 5 cm/>	Y		G2	20.4190	"$1,019.23 "
27047		Exc hip/pelvis les sc < 3 cm	Y		G2	20.4190	"$1,019.23 "
27048		Exc hip/pelv tum deep < 5 cm	Y		G2	20.4190	"$1,019.23 "
27049		Resect hip/pelv tum < 5 cm	Y		G2	20.4190	"$1,019.23 "
27050		Biopsy of sacroiliac joint	Y		A2	14.8545	$741.48 
27052		Biopsy of hip joint	Y		A2	14.8545	$741.48 
27059		Resect hip/pelv tum 5 cm/>	Y		G2	20.4190	"$1,019.23 "
27060		Removal of ischial bursa	Y		A2	60.0780	"$2,998.85 "
27062		Remove femur lesion/bursa	Y		A2	27.2588	"$1,360.65 "
27065		Remove hip bone les super	Y		A2	60.0780	"$2,998.85 "
27066		Remove hip bone les deep	Y		A2	27.2588	"$1,360.65 "
27067		Remove/graft hip bone lesion	Y		A2	60.0780	"$2,998.85 "
27080		Removal of tail bone	Y		A2	27.2588	"$1,360.65 "
27086		Remove hip foreign body	Y		A2	20.4190	"$1,019.23 "
27087		Remove hip foreign body	Y		A2	27.2588	"$1,360.65 "
27093		Injection for hip x-ray	N		N1		
27095		Injection for hip x-ray	N		N1		
27097		Revision of hip tendon	Y		A2	27.2588	"$1,360.65 "
27098		Transfer tendon to pelvis	Y		A2	27.2588	"$1,360.65 "
27100		Transfer of abdominal muscle	Y	CH	J8	81.3563	"$4,060.98 "
27105		Transfer of spinal muscle	Y		A2	27.2588	"$1,360.65 "
27110		Transfer of iliopsoas muscle	Y		J8	88.6479	"$4,424.95 "
27111		Transfer of iliopsoas muscle	Y		A2	27.2588	"$1,360.65 "
27130		Total hip arthroplasty	Y		J8	180.8154	"$9,025.58 "
27197		Clsd tx pelvic ring fx	Y		G2	2.1371	$106.68 
27198		Clsd tx pelvic ring fx	Y		G2	2.1371	$106.68 
27200		Treat tail bone fracture	Y		P2	2.1371	$106.68 
27202		Treat tail bone fracture	Y		A2	27.2588	"$1,360.65 "
27220		Treat hip socket fracture	Y		G2	2.1371	$106.68 
27230		Treat thigh fracture	Y		A2	2.1371	$106.68 
27238		Treat thigh fracture	Y		A2	14.8545	$741.48 
27246		Treat thigh fracture	Y		A2	2.1371	$106.68 
27250		Treat hip dislocation	Y		A2	2.1371	$106.68 
27252		Treat hip dislocation	Y		A2	14.8545	$741.48 
27256		Treat hip dislocation	Y		G2	2.1371	$106.68 
27257		Treat hip dislocation	Y		A2	14.8545	$741.48 
27265		Treat hip dislocation	Y		A2	2.1371	$106.68 
27266		Treat hip dislocation	Y		A2	14.8545	$741.48 
27267		Cltx thigh fx	Y		G2	27.2588	"$1,360.65 "
27275		Manipulation of hip joint	Y		A2	14.8545	$741.48 
27279		Arthrodesis sacroiliac joint	Y		J8	271.4062	"$13,547.51 "
27301		Drain thigh/knee lesion	Y		A2	20.4190	"$1,019.23 "
27305		Incise thigh tendon & fascia	Y		A2	27.2588	"$1,360.65 "
27306		Incision of thigh tendon	Y		A2	27.2588	"$1,360.65 "
27307		Incision of thigh tendons	Y		A2	27.2588	"$1,360.65 "
27310		Exploration of knee joint	Y		A2	27.2588	"$1,360.65 "
27323		Biopsy thigh soft tissues	Y		A2	12.1845	$608.20 
27324		Biopsy thigh soft tissues	Y		A2	20.4190	"$1,019.23 "
27325		Neurectomy hamstring	Y		A2	16.5303	$825.13 
27326		Neurectomy popliteal	Y		A2	16.5303	$825.13 
27327		Exc thigh/knee les sc < 3 cm	Y		G2	12.1845	$608.20 
27328		Exc thigh/knee tum deep <5cm	Y		G2	20.4190	"$1,019.23 "
27329		Resect thigh/knee tum < 5 cm	Y		G2	20.4190	"$1,019.23 "
27330		Biopsy knee joint lining	Y		A2	27.2588	"$1,360.65 "
27331		Explore/treat knee joint	Y		A2	27.2588	"$1,360.65 "
27332		Removal of knee cartilage	Y		A2	27.2588	"$1,360.65 "
27333		Removal of knee cartilage	Y		A2	27.2588	"$1,360.65 "
27334		Remove knee joint lining	Y		A2	27.2588	"$1,360.65 "
27335		Remove knee joint lining	Y		A2	60.0780	"$2,998.85 "
27337		Exc thigh/knee les sc 3 cm/>	Y		G2	20.4190	"$1,019.23 "
27339		Exc thigh/knee tum dep 5cm/>	Y		G2	20.4190	"$1,019.23 "
27340		Removal of kneecap bursa	Y		A2	27.2588	"$1,360.65 "
27345		Removal of knee cyst	Y		A2	27.2588	"$1,360.65 "
27347		Remove knee cyst	Y		A2	27.2588	"$1,360.65 "
27350		Removal of kneecap	Y		A2	60.0780	"$2,998.85 "
27355		Remove femur lesion	Y		A2	27.2588	"$1,360.65 "
27356		Remove femur lesion/graft	Y	CH	J8	156.8653	"$7,830.09 "
27357		Remove femur lesion/graft	Y	CH	J8	78.2048	"$3,903.67 "
27358		Remove femur lesion/fixation	N		N1		
27360		Partial removal leg bone(s)	Y		A2	27.2588	"$1,360.65 "
27364		Resect thigh/knee tum 5 cm/>	Y		G2	20.4190	"$1,019.23 "
27369		Njx cntrst kne arthg/ct/mri	N		N1		
27372		Removal of foreign body	Y		A2	20.4190	"$1,019.23 "
27380		Repair of kneecap tendon	Y		A2	60.0780	"$2,998.85 "
27381		Repair/graft kneecap tendon	Y		J8	79.1343	"$3,950.07 "
27385		Repair of thigh muscle	Y		A2	60.0780	"$2,998.85 "
27386		Repair/graft of thigh muscle	Y		A2	60.0780	"$2,998.85 "
27390		Incision of thigh tendon	Y		A2	27.2588	"$1,360.65 "
27391		Incision of thigh tendons	Y		A2	27.2588	"$1,360.65 "
27392		Incision of thigh tendons	Y		A2	27.2588	"$1,360.65 "
27393		Lengthening of thigh tendon	Y		A2	60.0780	"$2,998.85 "
27394		Lengthening of thigh tendons	Y		A2	60.0780	"$2,998.85 "
27395		Lengthening of thigh tendons	Y		A2	27.2588	"$1,360.65 "
27396		Transplant of thigh tendon	Y		A2	60.0780	"$2,998.85 "
27397		Transplants of thigh tendons	Y		G2	60.0780	"$2,998.85 "
27400		Revise thigh muscles/tendons	Y		A2	60.0780	"$2,998.85 "
27403		Repair of knee cartilage	Y	CH	J8	78.2048	"$3,903.67 "
27405		Repair of knee ligament	Y		A2	60.0780	"$2,998.85 "
27407		Repair of knee ligament	Y	CH	J8	78.2048	"$3,903.67 "
27409		Repair of knee ligaments	Y		A2	60.0780	"$2,998.85 "
27412		Autochondrocyte implant knee	Y	CH	J8	96.3723	"$4,810.52 "
27415		Osteochondral knee allograft	Y		J8	208.1433	"$10,389.68 "
27416		Osteochondral knee autograft	Y		G2	60.0780	"$2,998.85 "
27418		Repair degenerated kneecap	Y		A2	60.0780	"$2,998.85 "
27420		Revision of unstable kneecap	Y		A2	60.0780	"$2,998.85 "
27422		Revision of unstable kneecap	Y		A2	60.0780	"$2,998.85 "
27424		Revision/removal of kneecap	Y		A2	60.0780	"$2,998.85 "
27425		Lat retinacular release open	Y		A2	27.2588	"$1,360.65 "
27427		Reconstruction knee	Y		J8	79.4150	"$3,964.08 "
27428		Reconstruction knee	Y	CH	J8	156.8653	"$7,830.09 "
27429		Reconstruction knee	Y		J8	212.2600	"$10,595.17 "
27430		Revision of thigh muscles	Y		A2	60.0780	"$2,998.85 "
27435		Incision of knee joint	Y		A2	27.2588	"$1,360.65 "
27437		Revise kneecap	Y		A2	60.0780	"$2,998.85 "
27438		Revise kneecap with implant	Y		J8	166.8816	"$8,330.06 "
27440		Revision of knee joint	Y		J8	165.5680	"$8,264.49 "
27441		Revision of knee joint	Y		G2	120.5061	"$6,015.18 "
27442		Revision of knee joint	Y		J8	176.9330	"$8,831.79 "
27443		Revision of knee joint	Y		J8	168.4766	"$8,409.68 "
27446		Revision of knee joint	Y		J8	177.1560	"$8,842.92 "
27447		Total knee arthroplasty	Y		J8	179.6073	"$8,965.28 "
27475		Surgery to stop leg growth	Y		G2	60.0780	"$2,998.85 "
27479		Surgery to stop leg growth	Y		G2	60.0780	"$2,998.85 "
27496		Decompression of thigh/knee	Y		A2	27.2588	"$1,360.65 "
27497		Decompression of thigh/knee	Y		A2	27.2588	"$1,360.65 "
27498		Decompression of thigh/knee	Y		A2	14.8545	$741.48 
27499		Decompression of thigh/knee	Y		A2	60.0780	"$2,998.85 "
27500		Treatment of thigh fracture	Y		A2	2.1371	$106.68 
27501		Treatment of thigh fracture	Y		A2	2.1371	$106.68 
27502		Treatment of thigh fracture	Y		A2	14.8545	$741.48 
27503		Treatment of thigh fracture	Y		A2	14.8545	$741.48 
27508		Treatment of thigh fracture	Y		A2	2.1371	$106.68 
27509		Treatment of thigh fracture	Y		J8	86.6013	"$4,322.79 "
27510		Treatment of thigh fracture	Y		A2	14.8545	$741.48 
27516		Treat thigh fx growth plate	Y		A2	2.1371	$106.68 
27517		Treat thigh fx growth plate	Y		A2	14.8545	$741.48 
27520		Treat kneecap fracture	Y		A2	2.1371	$106.68 
27524		Treat kneecap fracture	Y		G2	60.0780	"$2,998.85 "
27530		Treat knee fracture	Y		A2	2.1371	$106.68 
27532		Treat knee fracture	Y		A2	27.2588	"$1,360.65 "
27538		Treat knee fracture(s)	Y		A2	2.1371	$106.68 
27550		Treat knee dislocation	Y		A2	2.1371	$106.68 
27552		Treat knee dislocation	Y		A2	14.8545	$741.48 
27560		Treat kneecap dislocation	Y		A2	2.1371	$106.68 
27562		Treat kneecap dislocation	Y		A2	2.1371	$106.68 
27566		Treat kneecap dislocation	Y		A2	60.0780	"$2,998.85 "
27570		Fixation of knee joint	Y		A2	14.8545	$741.48 
27594		Amputation follow-up surgery	Y		A2	27.2588	"$1,360.65 "
27600		Decompression of lower leg	Y		A2	27.2588	"$1,360.65 "
27601		Decompression of lower leg	Y		A2	27.2588	"$1,360.65 "
27602		Decompression of lower leg	Y		A2	27.2588	"$1,360.65 "
27603		Drain lower leg lesion	Y		A2	20.4190	"$1,019.23 "
27604		Drain lower leg bursa	Y		A2	27.2588	"$1,360.65 "
27605		Incision of achilles tendon	Y		A2	14.8545	$741.48 
27606		Incision of achilles tendon	Y		A2	27.2588	"$1,360.65 "
27607		Treat lower leg bone lesion	Y		A2	27.2588	"$1,360.65 "
27610		Explore/treat ankle joint	Y		A2	27.2588	"$1,360.65 "
27612		Exploration of ankle joint	Y		A2	27.2588	"$1,360.65 "
27613		Biopsy lower leg soft tissue	Y		P3		$169.34 
27614		Biopsy lower leg soft tissue	Y		A2	20.4190	"$1,019.23 "
27615		Resect leg/ankle tum < 5 cm	Y		G2	20.4190	"$1,019.23 "
27616		Resect leg/ankle tum 5 cm/>	Y		G2	20.4190	"$1,019.23 "
27618		Exc leg/ankle tum < 3 cm	Y		G2	12.1845	$608.20 
27619		Exc leg/ankle tum deep <5 cm	Y		G2	20.4190	"$1,019.23 "
27620		Explore/treat ankle joint	Y		A2	27.2588	"$1,360.65 "
27625		Remove ankle joint lining	Y		A2	27.2588	"$1,360.65 "
27626		Remove ankle joint lining	Y		A2	27.2588	"$1,360.65 "
27630		Removal of tendon lesion	Y		A2	27.2588	"$1,360.65 "
27632		Exc leg/ankle les sc 3 cm/>	Y		G2	20.4190	"$1,019.23 "
27634		Exc leg/ankle tum dep 5 cm/>	Y		G2	20.4190	"$1,019.23 "
27635		Remove lower leg bone lesion	Y		A2	27.2588	"$1,360.65 "
27637		Remove/graft leg bone lesion	Y	CH	J8	84.4146	"$4,213.64 "
27638		Remove/graft leg bone lesion	Y		A2	60.0780	"$2,998.85 "
27640		Partial removal of tibia	Y		A2	27.2588	"$1,360.65 "
27641		Partial removal of fibula	Y		A2	27.2588	"$1,360.65 "
27647		Resect talus/calcaneus tum	Y		A2	27.2588	"$1,360.65 "
27648		Injection for ankle x-ray	N		N1		
27650		Repair achilles tendon	Y		A2	60.0780	"$2,998.85 "
27652		Repair/graft achilles tendon	Y		J8	84.7127	"$4,228.52 "
27654		Repair of achilles tendon	Y	CH	J8	78.2048	"$3,903.67 "
27656		Repair leg fascia defect	Y	CH	J8	40.2005	"$2,006.65 "
27658		Repair of leg tendon each	Y		A2	27.2588	"$1,360.65 "
27659		Repair of leg tendon each	Y		A2	60.0780	"$2,998.85 "
27664		Repair of leg tendon each	Y		A2	60.0780	"$2,998.85 "
27665		Repair of leg tendon each	Y		A2	60.0780	"$2,998.85 "
27675		Repair lower leg tendons	Y		A2	27.2588	"$1,360.65 "
27676		Repair lower leg tendons	Y		A2	60.0780	"$2,998.85 "
27680		Release of lower leg tendon	Y		A2	27.2588	"$1,360.65 "
27681		Release of lower leg tendons	Y		A2	27.2588	"$1,360.65 "
27685		Revision of lower leg tendon	Y		A2	27.2588	"$1,360.65 "
27686		Revise lower leg tendons	Y		A2	27.2588	"$1,360.65 "
27687		Revision of calf tendon	Y		A2	27.2588	"$1,360.65 "
27690		Revise lower leg tendon	Y		A2	60.0780	"$2,998.85 "
27691		Revise lower leg tendon	Y		A2	60.0780	"$2,998.85 "
27692		Revise additional leg tendon	N		N1		
27695		Repair of ankle ligament	Y	CH	J8	78.5964	"$3,923.22 "
27696		Repair of ankle ligaments	Y	CH	J8	78.2048	"$3,903.67 "
27698		Repair of ankle ligament	Y	CH	J8	78.1872	"$3,902.79 "
27700		Revision of ankle joint	Y		J8	77.9940	"$3,893.15 "
27704		Removal of ankle implant	N		A2	27.2588	"$1,360.65 "
27705		Incision of tibia	Y		J8	78.0409	"$3,895.49 "
27707		Incision of fibula	Y		A2	27.2588	"$1,360.65 "
27709		Incision of tibia & fibula	Y		J8	158.7184	"$7,922.59 "
27720		Repair of tibia	Y		J8	86.8060	"$4,333.01 "
27726		Repair fibula nonunion	Y		J8	81.0990	"$4,048.14 "
27730		Repair of tibia epiphysis	Y		A2	27.2588	"$1,360.65 "
27732		Repair of fibula epiphysis	Y		A2	27.2588	"$1,360.65 "
27734		Repair lower leg epiphyses	Y		A2	27.2588	"$1,360.65 "
27740		Repair of leg epiphyses	Y		G2	27.2588	"$1,360.65 "
27742		Repair of leg epiphyses	Y		A2	27.2588	"$1,360.65 "
27745		Reinforce tibia	Y		J8	83.6836	"$4,177.15 "
27750		Treatment of tibia fracture	Y		A2	2.1371	$106.68 
27752		Treatment of tibia fracture	Y		A2	14.8545	$741.48 
27756		Treatment of tibia fracture	Y	CH	J8	78.2048	"$3,903.67 "
27758		Treatment of tibia fracture	Y		J8	170.0954	"$8,490.48 "
27759		Treatment of tibia fracture	Y		J8	166.1193	"$8,292.01 "
27760		Cltx medial ankle fx	Y		A2	2.1371	$106.68 
27762		Cltx med ankle fx w/mnpj	Y		A2	14.8545	$741.48 
27766		Optx medial ankle fx	Y		A2	60.0780	"$2,998.85 "
27767		Cltx post ankle fx	Y		P2	2.1371	$106.68 
27768		Cltx post ankle fx w/mnpj	Y	CH	J8	21.2882	"$1,062.62 "
27769		Optx post ankle fx	Y	CH	J8	78.2048	"$3,903.67 "
27780		Treatment of fibula fracture	Y		A2	2.1371	$106.68 
27781		Treatment of fibula fracture	Y		A2	14.8545	$741.48 
27784		Treatment of fibula fracture	Y		A2	60.0780	"$2,998.85 "
27786		Treatment of ankle fracture	Y		A2	2.1371	$106.68 
27788		Treatment of ankle fracture	Y		A2	2.1371	$106.68 
27792		Treatment of ankle fracture	Y		J8	80.2396	"$4,005.24 "
27808		Treatment of ankle fracture	Y		A2	2.1371	$106.68 
27810		Treatment of ankle fracture	Y		A2	14.8545	$741.48 
27814		Treatment of ankle fracture	Y		J8	80.6898	"$4,027.71 "
27816		Treatment of ankle fracture	Y		A2	2.1371	$106.68 
27818		Treatment of ankle fracture	Y		A2	14.8545	$741.48 
27822		Treatment of ankle fracture	Y		J8	80.7601	"$4,031.22 "
27823		Treatment of ankle fracture	Y		J8	79.9179	"$3,989.18 "
27824		Treat lower leg fracture	Y		A2	2.1371	$106.68 
27825		Treat lower leg fracture	Y		A2	14.8545	$741.48 
27826		Treat lower leg fracture	Y		J8	80.0114	"$3,993.85 "
27827		Treat lower leg fracture	Y		J8	171.4324	"$8,557.22 "
27828		Treat lower leg fracture	Y		J8	170.2829	"$8,499.84 "
27829		Treat lower leg joint	Y		J8	81.4617	"$4,066.24 "
27830		Treat lower leg dislocation	Y		A2	2.1371	$106.68 
27831		Treat lower leg dislocation	Y		A2	27.2588	"$1,360.65 "
27832		Treat lower leg dislocation	Y		J8	83.0696	"$4,146.50 "
27840		Treat ankle dislocation	Y		A2	2.1371	$106.68 
27842		Treat ankle dislocation	Y	CH	J8	19.6849	$982.59 
27846		Treat ankle dislocation	Y		A2	60.0780	"$2,998.85 "
27848		Treat ankle dislocation	Y		J8	78.9296	"$3,939.85 "
27860		Fixation of ankle joint	Y		A2	27.2588	"$1,360.65 "
27870		Fusion of ankle joint open	Y		J8	178.3288	"$8,901.46 "
27871		Fusion of tibiofibular joint	Y		J8	185.6124	"$9,265.03 "
27884		Amputation follow-up surgery	Y		A2	27.2588	"$1,360.65 "
27889		Amputation of foot at ankle	Y		A2	60.0780	"$2,998.85 "
27892		Decompression of leg	Y		A2	27.2588	"$1,360.65 "
27893		Decompression of leg	Y		A2	60.0780	"$2,998.85 "
27894		Decompression of leg	Y		A2	27.2588	"$1,360.65 "
28001		Drainage of bursa of foot	Y		P3		$100.12 
28002		Treatment of foot infection	Y		A2	14.8545	$741.48 
28003		Treatment of foot infection	Y		A2	27.2588	"$1,360.65 "
28005		Treat foot bone lesion	Y		A2	27.2588	"$1,360.65 "
28008		Incision of foot fascia	Y		A2	27.2588	"$1,360.65 "
28010		Incision of toe tendon	Y		P3		$121.96 
28011		Incision of toe tendons	Y		A2	14.8545	$741.48 
28020		Exploration of foot joint	Y		A2	27.2588	"$1,360.65 "
28022		Exploration of foot joint	Y		A2	27.2588	"$1,360.65 "
28024		Exploration of toe joint	Y		A2	14.8545	$741.48 
28035		Decompression of tibia nerve	Y		A2	16.5303	$825.13 
28039		Exc foot/toe tum sc 1.5 cm/>	Y		G2	20.4190	"$1,019.23 "
28041		Exc foot/toe tum dep 1.5cm/>	Y		G2	20.4190	"$1,019.23 "
28043		Exc foot/toe tum sc < 1.5 cm	Y		G2	12.1845	$608.20 
28045		Exc foot/toe tum deep <1.5cm	Y		G2	20.4190	"$1,019.23 "
28046		Resect foot/toe tumor < 3 cm	Y		G2	20.4190	"$1,019.23 "
28047		Resect foot/toe tumor 3 cm/>	Y		G2	20.4190	"$1,019.23 "
28050		Biopsy of foot joint lining	Y		A2	27.2588	"$1,360.65 "
28052		Biopsy of foot joint lining	Y		A2	27.2588	"$1,360.65 "
28054		Biopsy of toe joint lining	Y		A2	27.2588	"$1,360.65 "
28055		Neurectomy foot	Y		A2	16.5303	$825.13 
28060		Partial removal foot fascia	Y		A2	27.2588	"$1,360.65 "
28062		Removal of foot fascia	Y		A2	27.2588	"$1,360.65 "
28070		Removal of foot joint lining	Y		A2	60.0780	"$2,998.85 "
28072		Removal of foot joint lining	Y		A2	27.2588	"$1,360.65 "
28080		Removal of foot lesion	Y		A2	14.8545	$741.48 
28086		Excise foot tendon sheath	Y		A2	27.2588	"$1,360.65 "
28088		Excise foot tendon sheath	Y		A2	27.2588	"$1,360.65 "
28090		Removal of foot lesion	Y		A2	14.8545	$741.48 
28092		Removal of toe lesions	Y		A2	14.8545	$741.48 
28100		Removal of ankle/heel lesion	Y		A2	27.2588	"$1,360.65 "
28102		Remove/graft foot lesion	Y	CH	J8	78.2048	"$3,903.67 "
28103		Remove/graft foot lesion	Y		J8	85.1104	"$4,248.37 "
28104		Removal of foot lesion	Y		A2	27.2588	"$1,360.65 "
28106		Remove/graft foot lesion	Y		A2	60.0780	"$2,998.85 "
28107		Remove/graft foot lesion	Y		J8	83.4087	"$4,163.43 "
28108		Removal of toe lesions	Y		A2	14.8545	$741.48 
28110		Part removal of metatarsal	Y		A2	27.2588	"$1,360.65 "
28111		Part removal of metatarsal	Y		A2	27.2588	"$1,360.65 "
28112		Part removal of metatarsal	Y		A2	27.2588	"$1,360.65 "
28113		Part removal of metatarsal	Y		A2	27.2588	"$1,360.65 "
28114		Removal of metatarsal heads	Y		A2	27.2588	"$1,360.65 "
28116		Revision of foot	Y		A2	27.2588	"$1,360.65 "
28118		Removal of heel bone	Y		A2	27.2588	"$1,360.65 "
28119		Removal of heel spur	Y		A2	27.2588	"$1,360.65 "
28120		Part removal of ankle/heel	Y		A2	27.2588	"$1,360.65 "
28122		Partial removal of foot bone	Y		A2	27.2588	"$1,360.65 "
28124		Partial removal of toe	Y		P3		$289.28 
28126		Partial removal of toe	Y		A2	27.2588	"$1,360.65 "
28130		Removal of ankle bone	Y	CH	J8	79.9471	"$3,990.64 "
28140		Removal of metatarsal	Y		A2	27.2588	"$1,360.65 "
28150		Removal of toe	Y		A2	27.2588	"$1,360.65 "
28153		Partial removal of toe	Y		A2	27.2588	"$1,360.65 "
28160		Partial removal of toe	Y		A2	27.2588	"$1,360.65 "
28171		Resect tarsal tumor	Y		A2	27.2588	"$1,360.65 "
28173		Resect metatarsal tumor	Y		A2	27.2588	"$1,360.65 "
28175		Resect phalanx of toe tumor	Y		A2	14.8545	$741.48 
28190		Removal of foot foreign body	Y		P3		$168.66 
28192		Removal of foot foreign body	Y		A2	12.1845	$608.20 
28193		Removal of foot foreign body	Y		A2	12.1845	$608.20 
28200		Repair of foot tendon	Y		A2	27.2588	"$1,360.65 "
28202		Repair/graft of foot tendon	Y	CH	J8	77.7895	"$3,882.94 "
28208		Repair of foot tendon	Y		A2	27.2588	"$1,360.65 "
28210		Repair/graft of foot tendon	Y	CH	J8	79.0524	"$3,945.98 "
28220		Release of foot tendon	Y		P3		$275.51 
28222		Release of foot tendons	Y		A2	27.2588	"$1,360.65 "
28225		Release of foot tendon	Y		A2	27.2588	"$1,360.65 "
28226		Release of foot tendons	Y		A2	27.2588	"$1,360.65 "
28230		Incision of foot tendon(s)	Y		P3		$269.12 
28232		Incision of toe tendon	Y		P3		$247.28 
28234		Incision of foot tendon	Y		A2	14.8545	$741.48 
28238		Revision of foot tendon	Y		A2	60.0780	"$2,998.85 "
28240		Release of big toe	Y		A2	27.2588	"$1,360.65 "
28250		Revision of foot fascia	Y		A2	27.2588	"$1,360.65 "
28260		Release of midfoot joint	Y		A2	27.2588	"$1,360.65 "
28261		Revision of foot tendon	Y		A2	14.8545	$741.48 
28262		Revision of foot and ankle	Y		A2	60.0780	"$2,998.85 "
28264		Release of midfoot joint	Y		A2	14.8545	$741.48 
28270		Release of foot contracture	Y		A2	27.2588	"$1,360.65 "
28272		Release of toe joint each	Y		P3		$238.21 
28280		Fusion of toes	Y		A2	27.2588	"$1,360.65 "
28285		Repair of hammertoe	Y		A2	27.2588	"$1,360.65 "
28286		Repair of hammertoe	Y		A2	27.2588	"$1,360.65 "
28288		Partial removal of foot bone	Y		A2	27.2588	"$1,360.65 "
28289		Corrj halux rigdus w/o implt	Y		A2	27.2588	"$1,360.65 "
28291		Corrj halux rigdus w/implt	Y		J8	90.7589	"$4,530.32 "
28292		Correction hallux valgus	Y		A2	27.2588	"$1,360.65 "
28295		Correction hallux valgus	Y		G2	27.2588	"$1,360.65 "
28296		Correction hallux valgus	Y		A2	27.2588	"$1,360.65 "
28297		Correction hallux valgus	Y		J8	87.8644	"$4,385.84 "
28298		Correction hallux valgus	Y		J8	77.7194	"$3,879.44 "
28299		Correction hallux valgus	Y	CH	J8	78.4560	"$3,916.21 "
28300		Incision of heel bone	Y		J8	84.7185	"$4,228.81 "
28302		Incision of ankle bone	Y	CH	J8	78.2048	"$3,903.67 "
28304		Incision of midfoot bones	Y		A2	60.0780	"$2,998.85 "
28305		Incise/graft midfoot bones	Y		J8	86.3617	"$4,310.83 "
28306		Incision of metatarsal	Y		A2	60.0780	"$2,998.85 "
28307		Incision of metatarsal	Y		A2	60.0780	"$2,998.85 "
28308		Incision of metatarsal	Y		A2	27.2588	"$1,360.65 "
28309		Incision of metatarsals	Y		J8	81.5141	"$4,068.86 "
28310		Revision of big toe	Y		A2	60.0780	"$2,998.85 "
28312		Revision of toe	Y		A2	27.2588	"$1,360.65 "
28313		Repair deformity of toe	Y		A2	27.2588	"$1,360.65 "
28315		Removal of sesamoid bone	Y		A2	27.2588	"$1,360.65 "
28320		Repair of foot bones	Y		J8	176.8042	"$8,825.36 "
28322		Repair of metatarsals	Y		J8	83.5666	"$4,171.31 "
28340		Resect enlarged toe tissue	Y		A2	27.2588	"$1,360.65 "
28341		Resect enlarged toe	Y		A2	27.2588	"$1,360.65 "
28344		Repair extra toe(s)	Y		A2	27.2588	"$1,360.65 "
28345		Repair webbed toe(s)	Y		A2	14.8545	$741.48 
28400		Treatment of heel fracture	Y		A2	2.1371	$106.68 
28405		Treatment of heel fracture	Y		A2	2.1371	$106.68 
28406		Treatment of heel fracture	Y		A2	60.0780	"$2,998.85 "
28415		Treat heel fracture	Y		J8	84.6951	"$4,227.64 "
28420		Treat/graft heel fracture	Y		J8	166.2834	"$8,300.20 "
28430		Treatment of ankle fracture	Y		P2	2.1371	$106.68 
28435		Treatment of ankle fracture	Y		A2	14.8545	$741.48 
28436		Treatment of ankle fracture	Y	CH	J8	78.2048	"$3,903.67 "
28445		Treat ankle fracture	Y		J8	84.1922	"$4,202.54 "
28446		Osteochondral talus autogrft	Y	CH	J8	78.2048	"$3,903.67 "
28450		Treat midfoot fracture each	Y		P2	2.1371	$106.68 
28455		Treat midfoot fracture each	Y		P3		$169.00 
28456		Treat midfoot fracture	Y	CH	J8	86.5604	"$4,320.75 "
28465		Treat midfoot fracture each	Y		J8	79.4326	"$3,964.96 "
28470		Treat metatarsal fracture	Y		P2	2.1371	$106.68 
28475		Treat metatarsal fracture	Y		P2	2.1371	$106.68 
28476		Treat metatarsal fracture	Y		A2	27.2588	"$1,360.65 "
28485		Treat metatarsal fracture	Y		J8	80.8242	"$4,034.42 "
28490		Treat big toe fracture	Y		P3		$96.09 
28495		Treat big toe fracture	Y		P2	2.1371	$106.68 
28496		Treat big toe fracture	Y		A2	27.2588	"$1,360.65 "
28505		Treat big toe fracture	Y		A2	27.2588	"$1,360.65 "
28510		Treatment of toe fracture	Y		P3		$76.27 
28515		Treatment of toe fracture	Y	CH	P3		$104.49 
28525		Treat toe fracture	Y		A2	27.2588	"$1,360.65 "
28530		Treat sesamoid bone fracture	Y		P3		$72.24 
28531		Treat sesamoid bone fracture	Y		A2	60.0780	"$2,998.85 "
28540		Treat foot dislocation	Y		P2	2.1371	$106.68 
28545		Treat foot dislocation	Y		G2	27.2588	"$1,360.65 "
28546		Treat foot dislocation	Y		A2	14.8545	$741.48 
28555		Repair foot dislocation	Y		J8	79.6432	"$3,975.47 "
28570		Treat foot dislocation	Y		P2	2.1371	$106.68 
28575		Treat foot dislocation	Y		A2	27.2588	"$1,360.65 "
28576		Treat foot dislocation	Y		A2	60.0780	"$2,998.85 "
28585		Repair foot dislocation	Y		J8	86.0518	"$4,295.36 "
28600		Treat foot dislocation	Y		P2	2.1371	$106.68 
28605		Treat foot dislocation	Y		A2	2.1371	$106.68 
28606		Treat foot dislocation	Y		A2	27.2588	"$1,360.65 "
28615		Repair foot dislocation	Y		J8	82.2101	"$4,103.60 "
28630		Treat toe dislocation	Y		P3		$85.68 
28635		Treat toe dislocation	Y		A2	14.8545	$741.48 
28636		Treat toe dislocation	Y		A2	27.2588	"$1,360.65 "
28645		Repair toe dislocation	Y		A2	27.2588	"$1,360.65 "
28660		Treat toe dislocation	Y		P3		$71.90 
28665		Treat toe dislocation	Y		A2	2.5013	$124.85 
28666		Treat toe dislocation	Y		A2	27.2588	"$1,360.65 "
28675		Repair of toe dislocation	Y		A2	27.2588	"$1,360.65 "
28705		Fusion of foot bones	Y		J8	247.8055	"$12,369.46 "
28715		Fusion of foot bones	Y		J8	184.0758	"$9,188.33 "
28725		Fusion of foot bones	Y		J8	174.1416	"$8,692.45 "
28730		Fusion of foot bones	Y		J8	184.8734	"$9,228.14 "
28735		Fusion of foot bones	Y		J8	187.9698	"$9,382.70 "
28737		Revision of foot bones	Y		J8	183.0437	"$9,136.81 "
28740		Fusion of foot bones	Y		J8	90.1625	"$4,500.55 "
28750		Fusion of big toe joint	Y		J8	86.9407	"$4,339.73 "
28755		Fusion of big toe joint	Y		A2	60.0780	"$2,998.85 "
28760		Fusion of big toe joint	Y	CH	J8	78.2048	"$3,903.67 "
28810		Amputation toe & metatarsal	Y		A2	27.2588	"$1,360.65 "
28820		Amputation of toe	Y		A2	27.2588	"$1,360.65 "
28825		Partial amputation of toe	Y		A2	27.2588	"$1,360.65 "
28890		Hi enrgy eswt plantar fascia	Y		P3		$180.76 
29000		Application of body cast	Y		G2	2.5013	$124.85 
29010		Application of body cast	Y		P2	2.5013	$124.85 
29015		Application of body cast	Y		P2	2.5013	$124.85 
29035		Application of body cast	Y		P2	2.5013	$124.85 
29040		Application of body cast	Y		G2	2.5013	$124.85 
29044		Application of body cast	Y		P2	1.4649	$73.12 
29046		Application of body cast	Y		G2	2.5013	$124.85 
29049		Application of figure eight	Y		P3		$61.48 
29055		Application of shoulder cast	Y		P2	2.5013	$124.85 
29058		Application of shoulder cast	Y		P3		$68.88 
29065		Application of long arm cast	Y		P3		$59.80 
29075		Application of forearm cast	Y		P3		$54.77 
29085		Apply hand/wrist cast	Y		P3		$59.13 
29086		Apply finger cast	Y		P3		$51.41 
29105		Apply long arm splint	Y		P3		$48.72 
29125		Apply forearm splint	N		N1		
29126		Apply forearm splint	N		N1		
29130		Application of finger splint	N		N1		
29131		Application of finger splint	N		N1		
29200		Strapping of chest	Y		P3		$19.15 
29240		Strapping of shoulder	N		N1		
29260		Strapping of elbow or wrist	N		N1		
29280		Strapping of hand or finger	N		N1		
29305		Application of hip cast	Y		P2	2.5013	$124.85 
29325		Application of hip casts	Y		P2	2.5013	$124.85 
29345		Application of long leg cast	Y		P3		$77.28 
29355		Application of long leg cast	Y		P3		$78.62 
29358		Apply long leg cast brace	Y		P3		$99.45 
29365		Application of long leg cast	Y		P3		$73.24 
29405		Apply short leg cast	Y		P3		$47.37 
29425		Apply short leg cast	Y		P3		$43.68 
29435		Apply short leg cast	Y		P3		$64.17 
29440		Addition of walker to cast	Y		P3		$20.83 
29445		Apply rigid leg cast	Y		P3		$60.14 
29450		Application of leg cast	Y		P3		$65.52 
29505		Application long leg splint	Y		P3		$58.80 
29515		Application lower leg splint	Y		P3		$41.66 
29520		Strapping of hip	N		N1		
29530		Strapping of knee	N		N1		
29540		Strapping of ankle and/or ft	Y		P3		$13.10 
29550		Strapping of toes	N		N1		
29580		Application of paste boot	Y		P3		$42.67 
29581		Apply multlay comprs lwr leg	Y		P3		$68.54 
29584		Appl multlay comprs arm/hand	Y	CH	P3		$70.56 
29700		Removal/revision of cast	Y		P3		$38.30 
29705		Removal/revision of cast	Y		P3		$32.93 
29710		Removal/revision of cast	Y		P3		$65.85 
29720		Repair of body cast	Y		P3		$56.11 
29730		Windowing of cast	Y		P3		$33.60 
29740		Wedging of cast	Y		P3		$52.08 
29750		Wedging of clubfoot cast	Y		P3		$54.43 
29800		Jaw arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29804		Jaw arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29805		Sho arthrs dx +- synovial bx	Y		A2	27.2588	"$1,360.65 "
29806		Sho arthrs srg capsulorraphy	Y		A2	60.0780	"$2,998.85 "
29807		Sho arthrs srg rpr slap les	Y		A2	60.0780	"$2,998.85 "
29819		Sho arthrs srg rmvl loose/fb	Y		A2	27.2588	"$1,360.65 "
29820		Sho arthrs srg prtl synvct	Y		A2	60.0780	"$2,998.85 "
29821		Sho arthrs srg compl synvct	Y		A2	27.2588	"$1,360.65 "
29822		Sho arthrs srg lmtd dbrdmt	Y		A2	27.2588	"$1,360.65 "
29823		Sho arthrs srg xtnsv dbrdmt	Y		A2	27.2588	"$1,360.65 "
29824		Sho arthrs srg dstl claviclc	Y		A2	27.2588	"$1,360.65 "
29825		Sho arthrs srg lss&rescj ads	Y		A2	27.2588	"$1,360.65 "
29826		Sho arthrs srg decompression	N		N1		
29827		Sho arthrs srg rt8tr cuf rpr	Y		A2	60.0780	"$2,998.85 "
29828		Sho arthrs srg bicp tenodsis	Y		G2	60.0780	"$2,998.85 "
29830		Elbow arthroscopy	Y		A2	27.2588	"$1,360.65 "
29834		Elbow arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29835		Elbow arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29836		Elbow arthroscopy/surgery	Y		A2	60.0780	"$2,998.85 "
29837		Elbow arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29838		Elbow arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29840		Wrist arthroscopy	Y		A2	27.2588	"$1,360.65 "
29843		Wrist arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29844		Wrist arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29845		Wrist arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29846		Wrist arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29847		Wrist arthroscopy/surgery	Y		A2	60.0780	"$2,998.85 "
29848		Wrist endoscopy/surgery	Y		A2	14.8545	$741.48 
29850		Knee arthroscopy/surgery	Y		A2	14.8545	$741.48 
29851		Knee arthroscopy/surgery	Y		A2	14.8545	$741.48 
29855		Tibial arthroscopy/surgery	Y		J8	90.9518	"$4,539.95 "
29856		Tibial arthroscopy/surgery	Y		J8	166.3773	"$8,304.89 "
29860		Hip arthroscopy dx	Y		A2	60.0780	"$2,998.85 "
29861		Hip arthro w/fb removal	Y		A2	60.0780	"$2,998.85 "
29862		Hip arthr0 w/debridement	Y		A2	60.0780	"$2,998.85 "
29863		Hip arthr0 w/synovectomy	Y		A2	27.2588	"$1,360.65 "
29866		Autgrft implnt knee w/scope	Y		G2	60.0780	"$2,998.85 "
29867		Allgrft implnt knee w/scope	Y		J8	195.6755	"$9,767.34 "
29870		Knee arthroscopy dx	Y		A2	27.2588	"$1,360.65 "
29871		Knee arthroscopy/drainage	Y		A2	27.2588	"$1,360.65 "
29873		Knee arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29874		Knee arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29875		Knee arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29876		Knee arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29877		Knee arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29879		Knee arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29880		Knee arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29881		Knee arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29882		Knee arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29883		Knee arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29884		Knee arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29885		Knee arthroscopy/surgery	Y		J8	77.7370	"$3,880.32 "
29886		Knee arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29887		Knee arthroscopy/surgery	Y		A2	60.0780	"$2,998.85 "
29888		Knee arthroscopy/surgery	Y		J8	82.6486	"$4,125.49 "
29889		Knee arthroscopy/surgery	Y		J8	165.3452	"$8,253.37 "
29891		Ankle arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29892		Ankle arthroscopy/surgery	Y		A2	60.0780	"$2,998.85 "
29893		Scope plantar fasciotomy	Y		A2	27.2588	"$1,360.65 "
29894		Ankle arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29895		Ankle arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29897		Ankle arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29898		Ankle arthroscopy/surgery	Y		A2	27.2588	"$1,360.65 "
29899		Ankle arthroscopy/surgery	Y		J8	80.2570	"$4,006.11 "
29900		Mcp joint arthroscopy dx	Y		A2	27.2588	"$1,360.65 "
29901		Mcp joint arthroscopy surg	Y		A2	27.2588	"$1,360.65 "
29902		Mcp joint arthroscopy surg	Y		A2	14.8545	$741.48 
29904		Subtalar arthro w/fb rmvl	Y		G2	27.2588	"$1,360.65 "
29905		Subtalar arthro w/exc	Y	CH	J8	79.2690	"$3,956.79 "
29906		Subtalar arthro w/deb	Y		G2	27.2588	"$1,360.65 "
29907		Subtalar arthro w/fusion	Y	CH	J8	156.8653	"$7,830.09 "
29914		Hip arthro w/femoroplasty	Y		G2	60.0780	"$2,998.85 "
29915		Hip arthro acetabuloplasty	Y		G2	60.0780	"$2,998.85 "
29916		Hip arthro w/labral repair	Y		G2	60.0780	"$2,998.85 "
30000		Drainage of nose lesion	Y		P2	2.1936	$109.50 
30020		Drainage of nose lesion	Y		P3		$218.72 
30100		Intranasal biopsy	Y		P3		$107.85 
30110		Removal of nose polyp(s)	Y		P3		$187.14 
30115		Removal of nose polyp(s)	Y		A2	22.2082	"$1,108.54 "
30117		Removal of intranasal lesion	Y		A2	22.2082	"$1,108.54 "
30118		Removal of intranasal lesion	Y		A2	22.2082	"$1,108.54 "
30120		Revision of nose	Y		A2	22.2082	"$1,108.54 "
30124		Removal of nose lesion	Y		R2	10.5360	$525.91 
30125		Removal of nose lesion	Y		A2	48.9494	"$2,443.36 "
30130		Excise inferior turbinate	Y		A2	22.2082	"$1,108.54 "
30140		Resect inferior turbinate	Y		A2	22.2082	"$1,108.54 "
30150		Partial removal of nose	Y		A2	48.9494	"$2,443.36 "
30160		Removal of nose	Y		A2	48.9494	"$2,443.36 "
30200		Injection treatment of nose	Y		P3		$81.64 
30210		Nasal sinus therapy	Y		P3		$108.52 
30220		Insert nasal septal button	Y		A2	10.5360	$525.91 
30300		Remove nasal foreign body	N		N1		
30310		Remove nasal foreign body	Y		A2	22.2082	"$1,108.54 "
30320		Remove nasal foreign body	Y		A2	10.5360	$525.91 
30400		Reconstruction of nose	Y		A2	48.9494	"$2,443.36 "
30410		Reconstruction of nose	Y		A2	48.9494	"$2,443.36 "
30420		Reconstruction of nose	Y		A2	48.9494	"$2,443.36 "
30430		Revision of nose	Y		A2	48.9494	"$2,443.36 "
30435		Revision of nose	Y		A2	48.9494	"$2,443.36 "
30450		Revision of nose	Y		A2	48.9494	"$2,443.36 "
30460		Revision of nose	Y		A2	48.9494	"$2,443.36 "
30462		Revision of nose	Y		A2	48.9494	"$2,443.36 "
30465		Repair nasal stenosis	Y		A2	48.9494	"$2,443.36 "
30468		Rpr nsl vlv collapse w/implt	Y		J8	71.2028	"$3,554.16 "
30520		Repair of nasal septum	Y		A2	22.2082	"$1,108.54 "
30540		Repair nasal defect	Y		A2	48.9494	"$2,443.36 "
30545		Repair nasal defect	Y		A2	48.9494	"$2,443.36 "
30560		Release of nasal adhesions	Y		A2	4.6894	$234.08 
30580		Repair upper jaw fistula	Y		A2	48.9494	"$2,443.36 "
30600		Repair mouth/nose fistula	Y		A2	48.9494	"$2,443.36 "
30620		Intranasal reconstruction	Y		A2	48.9494	"$2,443.36 "
30630		Repair nasal septum defect	Y		A2	22.2082	"$1,108.54 "
30801		Ablate inf turbinate superf	Y		A2	10.5360	$525.91 
30802		Ablate inf turbinate submuc	Y		A2	10.5360	$525.91 
30901		Control of nosebleed	N		N1		
30903		Control of nosebleed	Y		A2	1.1692	$58.36 
30905		Control of nosebleed	Y		A2	1.1692	$58.36 
30906		Repeat control of nosebleed	Y		A2	2.1936	$109.50 
30915		Ligation nasal sinus artery	Y		A2	28.0092	"$1,398.11 "
30920		Ligation upper jaw artery	Y		A2	28.0092	"$1,398.11 "
30930		Ther fx nasal inf turbinate	Y		A2	22.2082	"$1,108.54 "
31000		Irrigation maxillary sinus	Y		P2	2.1936	$109.50 
31002		Irrigation sphenoid sinus	Y		J8	14.8459	$741.05 
31020		Exploration maxillary sinus	Y		A2	22.2082	"$1,108.54 "
31030		Exploration maxillary sinus	Y		A2	48.9494	"$2,443.36 "
31032		Explore sinus remove polyps	Y		A2	48.9494	"$2,443.36 "
31040		Exploration behind upper jaw	Y		R2	48.9494	"$2,443.36 "
31050		Exploration sphenoid sinus	Y		A2	48.9494	"$2,443.36 "
31051		Sphenoid sinus surgery	Y		A2	48.9494	"$2,443.36 "
31070		Exploration of frontal sinus	Y		A2	48.9494	"$2,443.36 "
31075		Exploration of frontal sinus	Y		A2	48.9494	"$2,443.36 "
31080		Removal of frontal sinus	Y		A2	48.9494	"$2,443.36 "
31081		Removal of frontal sinus	Y		A2	48.9494	"$2,443.36 "
31084		Removal of frontal sinus	Y		A2	48.9494	"$2,443.36 "
31085		Removal of frontal sinus	Y		J8	69.3018	"$3,459.27 "
31086		Removal of frontal sinus	Y		A2	48.9494	"$2,443.36 "
31087		Removal of frontal sinus	Y		A2	48.9494	"$2,443.36 "
31090		Exploration of sinuses	Y		A2	48.9494	"$2,443.36 "
31200		Removal of ethmoid sinus	Y		A2	48.9494	"$2,443.36 "
31201		Removal of ethmoid sinus	Y		A2	10.5360	$525.91 
31205		Removal of ethmoid sinus	Y		A2	22.2082	"$1,108.54 "
31231		Nasal endoscopy dx	Y		P2	1.7068	$85.20 
31233		Nsl/sins ndsc dx max sinusc	Y		A2	3.8973	$194.54 
31235		Nsl/sins ndsc dx sphn sinusc	Y		A2	13.1681	$657.30 
31237		Nasal/sinus endoscopy surg	Y		A2	13.1681	$657.30 
31238		Nasal/sinus endoscopy surg	Y		A2	13.1681	$657.30 
31239		Nasal/sinus endoscopy surg	Y		A2	26.6069	"$1,328.11 "
31240		Nasal/sinus endoscopy surg	Y		A2	13.1681	$657.30 
31253		Nsl/sins ndsc total	Y		G2	40.8312	"$2,038.13 "
31254		Nsl/sins ndsc w/prtl ethmdct	Y		A2	40.8312	"$2,038.13 "
31255		Nsl/sins ndsc w/tot ethmdct	Y		A2	40.8312	"$2,038.13 "
31256		Exploration maxillary sinus	Y		A2	26.6069	"$1,328.11 "
31257		Nsl/sins ndsc tot w/sphendt	Y		G2	40.8312	"$2,038.13 "
31259		Nsl/sins ndsc sphn tiss rmvl	Y		G2	40.8312	"$2,038.13 "
31267		Endoscopy maxillary sinus	Y		A2	40.8312	"$2,038.13 "
31276		Nsl/sins ndsc frnt tiss rmvl	Y		A2	40.8312	"$2,038.13 "
31287		Nasal/sinus endoscopy surg	Y		A2	40.8312	"$2,038.13 "
31288		Nasal/sinus endoscopy surg	Y		A2	40.8312	"$2,038.13 "
31295		Nsl/sins ndsc surg max sins	Y		P3		"$1,638.25 "
31296		Nsl/sins ndsc surg frnt sins	Y		P3		"$1,648.33 "
31297		Nsl/sins ndsc surg sphn sins	Y		P3		"$1,633.89 "
31298		Nsl/sins ndsc surg frnt&sphn	Y		P2	40.8312	"$2,038.13 "
31300		Removal of larynx lesion	Y		A2	22.2082	"$1,108.54 "
31400		Revision of larynx	Y		A2	48.9494	"$2,443.36 "
31420		Removal of epiglottis	Y		A2	48.9494	"$2,443.36 "
31500		Insert emergency airway	Y		G2	2.1936	$109.50 
31502		Change of windpipe airway	Y		G2	2.1936	$109.50 
31505		Diagnostic laryngoscopy	Y		P3		$68.20 
31510		Laryngoscopy with biopsy	Y		A2	26.6069	"$1,328.11 "
31511		Remove foreign body larynx	Y		A2	1.7068	$85.20 
31512		Removal of larynx lesion	Y		A2	26.6069	"$1,328.11 "
31513		Injection into vocal cord	Y		A2	3.8973	$194.54 
31515		Laryngoscopy for aspiration	Y		A2	3.8973	$194.54 
31520		Dx laryngoscopy newborn	Y		G2	3.8973	$194.54 
31525		Dx laryngoscopy excl nb	Y		A2	13.1681	$657.30 
31526		Dx laryngoscopy w/oper scope	Y		A2	13.1681	$657.30 
31527		Laryngoscopy for treatment	Y		A2	26.6069	"$1,328.11 "
31528		Laryngoscopy and dilation	Y		A2	26.6069	"$1,328.11 "
31529		Laryngoscopy and dilation	Y		A2	26.6069	"$1,328.11 "
31530		Laryngoscopy w/fb removal	Y		A2	13.1681	$657.30 
31531		Laryngoscopy w/fb & op scope	Y		A2	26.6069	"$1,328.11 "
31535		Laryngoscopy w/biopsy	Y		A2	26.6069	"$1,328.11 "
31536		Laryngoscopy w/bx & op scope	Y		A2	26.6069	"$1,328.11 "
31540		Laryngoscopy w/exc of tumor	Y		A2	26.6069	"$1,328.11 "
31541		Larynscop w/tumr exc + scope	Y		A2	26.6069	"$1,328.11 "
31545		Remove vc lesion w/scope	Y		A2	26.6069	"$1,328.11 "
31546		Remove vc lesion scope/graft	Y		A2	40.8312	"$2,038.13 "
31551		Laryngoplasty laryngeal sten	Y		G2	48.9494	"$2,443.36 "
31552		Laryngoplasty laryngeal sten	Y		G2	48.9494	"$2,443.36 "
31553		Laryngoplasty laryngeal sten	Y		G2	48.9494	"$2,443.36 "
31554		Laryngoplasty laryngeal sten	Y		G2	48.9494	"$2,443.36 "
31560		Laryngoscop w/arytenoidectom	Y		A2	40.8312	"$2,038.13 "
31561		Larynscop remve cart + scop	Y		A2	40.8312	"$2,038.13 "
31570		Laryngoscope w/vc inj	Y		A2	26.6069	"$1,328.11 "
31571		Laryngoscop w/vc inj + scope	Y		A2	26.6069	"$1,328.11 "
31572		Largsc w/laser dstrj les	Y		G2	26.6069	"$1,328.11 "
31573		Largsc w/ther injection	Y		P3		$195.21 
31574		Largsc w/njx augmentation	Y		G2	13.1681	$657.30 
31575		Diagnostic laryngoscopy	Y		P2	1.7068	$85.20 
31576		Laryngoscopy with biopsy	Y		A2	13.1681	$657.30 
31577		Largsc w/rmvl foreign bdy(s)	Y		A2	3.8973	$194.54 
31578		Largsc w/removal lesion	Y		A2	26.6069	"$1,328.11 "
31579		Laryngoscopy telescopic	Y		P3		$127.00 
31580		Laryngoplasty laryngeal web	Y		A2	48.9494	"$2,443.36 "
31590		Reinnervate larynx	Y		A2	48.9494	"$2,443.36 "
31591		Laryngoplasty medialization	Y		G2	48.9494	"$2,443.36 "
31592		Cricotracheal resection	Y		G2	48.9494	"$2,443.36 "
31603		Incision of windpipe	Y		A2	10.5360	$525.91 
31605		Incision of windpipe	Y		G2	2.1936	$109.50 
31611		Surgery/speech prosthesis	Y		A2	22.2082	"$1,108.54 "
31612		Puncture/clear windpipe	Y		A2	22.2082	"$1,108.54 "
31613		Repair windpipe opening	Y		A2	22.2082	"$1,108.54 "
31614		Repair windpipe opening	Y		A2	48.9494	"$2,443.36 "
31615		Visualization of windpipe	Y		A2	4.6894	$234.08 
31622		Dx bronchoscope/wash	Y		A2	13.1681	$657.30 
31623		Dx bronchoscope/brush	Y		A2	13.1681	$657.30 
31624		Dx bronchoscope/lavage	Y		A2	13.1681	$657.30 
31625		Bronchoscopy w/biopsy(s)	Y		A2	13.1681	$657.30 
31626		Bronchoscopy w/markers	Y		G2	40.8312	"$2,038.13 "
31627		Navigational bronchoscopy	N		N1		
31628		Bronchoscopy/lung bx each	Y		A2	26.6069	"$1,328.11 "
31629		Bronchoscopy/needle bx each	Y		A2	26.6069	"$1,328.11 "
31630		Bronchoscopy dilate/fx repr	Y		A2	26.6069	"$1,328.11 "
31631		Bronchoscopy dilate w/stent	Y		A2	40.8312	"$2,038.13 "
31632		Bronchoscopy/lung bx addl	N		N1		
31633		Bronchoscopy/needle bx addl	N		N1		
31634		Bronch w/balloon occlusion	Y		G2	40.8312	"$2,038.13 "
31635		Bronchoscopy w/fb removal	Y		A2	13.1681	$657.30 
31636		Bronchoscopy bronch stents	Y		J8	61.6512	"$3,077.38 "
31637		Bronchoscopy stent add-on	N		N1		
31638		Bronchoscopy revise stent	Y		A2	40.8312	"$2,038.13 "
31640		Bronchoscopy w/tumor excise	Y		A2	26.6069	"$1,328.11 "
31641		Bronchoscopy treat blockage	Y		A2	26.6069	"$1,328.11 "
31643		Diag bronchoscope/catheter	Y		A2	13.1681	$657.30 
31645		Brnchsc w/ther aspir 1st	Y		A2	13.1681	$657.30 
31646		Brnchsc w/ther aspir sbsq	Y		A2	3.8973	$194.54 
31647		Bronchial valve init insert	Y		J8	57.4984	"$2,870.09 "
31648		Bronchial valve remov init	Y		G2	26.6069	"$1,328.11 "
31649		Bronchial valve remov addl	N		G2	13.1681	$657.30 
31651		Bronchial valve addl insert	N		N1		
31652		Bronch ebus samplng 1/2 node	Y		G2	26.6069	"$1,328.11 "
31653		Bronch ebus samplng 3/> node	Y		G2	26.6069	"$1,328.11 "
31654		Bronch ebus ivntj perph les	N		N1		
31717		Bronchial brush biopsy	Y		A2	3.8973	$194.54 
31720		Clearance of airways	N		N1		
31730		Intro windpipe wire/tube	Y		A2	13.1681	$657.30 
31750		Repair of windpipe	Y		A2	48.9494	"$2,443.36 "
31755		Repair of windpipe	Y		A2	48.9494	"$2,443.36 "
31820		Closure of windpipe lesion	Y		A2	22.2082	"$1,108.54 "
31825		Repair of windpipe defect	Y		A2	22.2082	"$1,108.54 "
31830		Revise windpipe scar	Y		A2	22.2082	"$1,108.54 "
32400		Needle biopsy chest lining	Y		A2	12.1845	$608.20 
32408		Core ndl bx lng/med perq	Y		G2	12.1845	$608.20 
32550		Insert pleural cath	Y	CH	J8	38.8571	"$1,939.59 "
32552		Remove lung catheter	N		G2	5.6046	$279.76 
32553		Ins mark thor for rt perq	N		G2	13.0932	$653.56 
32554		Aspirate pleura w/o imaging	Y		G2	5.6046	$279.76 
32555		Aspirate pleura w/ imaging	Y		G2	5.6046	$279.76 
32556		Insert cath pleura w/o image	Y		G2	14.1512	$706.37 
32557		Insert cath pleura w/ image	Y		G2	11.1781	$557.97 
32960		Therapeutic pneumothorax	Y		G2	5.6046	$279.76 
32994		Ablate pulm tumor perq crybl	Y		J8	69.0556	"$3,446.98 "
32998		Ablate pulm tumor perq rf	Y		G2	47.3118	"$2,361.62 "
33016		Pericardiocentesis w/imaging	Y		G2	11.1781	$557.97 
33206		Insert heart pm atrial	Y		J8	156.1632	"$7,795.04 "
33207		Insert heart pm ventricular	Y		J8	158.3588	"$7,904.64 "
33208		Insrt heart pm atrial & vent	Y		J8	161.5518	"$8,064.02 "
33210		Insert electrd/pm cath sngl	Y		G2	83.1739	"$4,151.71 "
33211		Insert card electrodes dual	Y		J8	128.0619	"$6,392.34 "
33212		Insert pulse gen sngl lead	Y		J8	137.7358	"$6,875.22 "
33213		Insert pulse gen dual leads	Y		J8	161.2162	"$8,047.27 "
33214		Upgrade of pacemaker system	Y		J8	158.9438	"$7,933.84 "
33215		Reposition pacing-defib lead	Y		G2	28.0092	"$1,398.11 "
33216		Insert 1 electrode pm-defib	Y		J8	113.6605	"$5,673.48 "
33217		Insert 2 electrode pm-defib	Y		J8	146.3895	"$7,307.18 "
33218		Repair lead pace-defib one	Y		G2	35.7042	"$1,782.21 "
33220		Repair lead pace-defib dual	Y		J8	47.7001	"$2,381.00 "
33221		Insert pulse gen mult leads	Y		J8	247.1382	"$12,336.15 "
33222		Relocation pocket pacemaker	Y		A2	17.7592	$886.47 
33223		Relocate pocket for defib	Y		A2	17.7592	$886.47 
33224		Insert pacing lead & connect	Y		J8	156.5851	"$7,816.10 "
33225		L ventric pacing lead add-on	N		N1		
33226		Reposition l ventric lead	Y		G2	28.0092	"$1,398.11 "
33227		Remove&replace pm gen singl	Y		J8	131.7049	"$6,574.18 "
33228		Remv&replc pm gen dual lead	Y		J8	157.5152	"$7,862.53 "
33229		Remv&replc pm gen mult leads	Y		J8	246.1277	"$12,285.71 "
33230		Insrt pulse gen w/dual leads	Y		J8	425.5527	"$21,241.89 "
33231		Insrt pulse gen w/mult leads	Y		J8	547.5591	"$27,331.96 "
33233		Removal of pm generator	N		J8	117.7891	"$5,879.56 "
33234		Removal of pacemaker system	N		J8	47.7558	"$2,383.78 "
33235		Removal pacemaker electrode	N		J8	46.8487	"$2,338.50 "
33240		Insrt pulse gen w/singl lead	Y		J8	417.0677	"$20,818.35 "
33241		Remove pulse generator	N		G2	35.7042	"$1,782.21 "
33249		Insj/rplcmt defib w/lead(s)	Y		J8	547.2548	"$27,316.77 "
33262		Rmvl& replc pulse gen 1 lead	Y		J8	405.1470	"$20,223.32 "
33263		Rmvl & rplcmt dfb gen 2 lead	Y		J8	409.1129	"$20,421.28 "
33264		Rmvl & rplcmt dfb gen mlt ld	Y		J8	545.0942	"$27,208.92 "
33270		Ins/rep subq defibrillator	Y		J8	549.5370	"$27,430.69 "
33271		Insj subq impltbl dfb elctrd	Y		J8	152.1372	"$7,594.08 "
33273		Repos prev impltbl subq dfb	Y		G2	35.7042	"$1,782.21 "
33274		Tcat insj/rpl perm ldls pm	Y		J8	240.8550	"$12,022.52 "
33275		Tcat rmvl perm ldls pm w/img	Y		J8	49.4937	"$2,470.53 "
33285		Insj subq car rhythm mntr	Y		J8	144.2523	"$7,200.50 "
33286		Rmvl subq car rhythm mntr	N		G2	6.4523	$322.07 
33419		Repair tcat mitral valve	N		N1		
33508		Endoscopic vein harvest	N		N1		
33866		Aortic hemiarch graft	N		N1		
34490		Removal of vein clot	Y		G2	28.0092	"$1,398.11 "
34713		Perq access & clsr fem art	N		N1		
34714		Opn fem art expos cndt crtj	N		N1		
34715		Opn ax/subcla art expos	N		N1		
34716		Opn ax/subcla art expos cndt	N		N1		
35188		Repair blood vessel lesion	Y		A2	48.5718	"$2,424.51 "
35207		Repair blood vessel lesion	Y		A2	28.0092	"$1,398.11 "
35572		Harvest femoropopliteal vein	N		N1		
35875		Removal of clot in graft	Y		A2	48.5718	"$2,424.51 "
35876		Removal of clot in graft	Y		A2	48.5718	"$2,424.51 "
36000		Place needle in vein	N		N1		
36002		Pseudoaneurysm injection trt	Y		G2	5.6046	$279.76 
36005		Injection ext venography	N		N1		
36010		Place catheter in vein	N		N1		
36011		Place catheter in vein	N		N1		
36012		Place catheter in vein	N		N1		
36013		Place catheter in artery	N		N1		
36014		Place catheter in artery	N		N1		
36015		Place catheter in artery	N		N1		
36100		Establish access to artery	N		N1		
36140		Intro ndl icath upr/lxtr art	N		N1		
36160		Establish access to aorta	N		N1		
36200		Place catheter in aorta	N		N1		
36215		Place catheter in artery	N		N1		
36216		Place catheter in artery	N		N1		
36217		Place catheter in artery	N		N1		
36218		Place catheter in artery	N		N1		
36221		Place cath thoracic aorta	N		N1		
36222		Place cath carotid/inom art	N		N1		
36223		Place cath carotid/inom art	N		N1		
36224		Place cath carotd art	N		N1		
36225		Place cath subclavian art	N		N1		
36226		Place cath vertebral art	N		N1		
36227		Place cath xtrnl carotid	N		N1		
36228		Place cath intracranial art	N		N1		
36245		Ins cath abd/l-ext art 1st	N		N1		
36246		Ins cath abd/l-ext art 2nd	N		N1		
36247		Ins cath abd/l-ext art 3rd	N		N1		
36248		Ins cath abd/l-ext art addl	N		N1		
36251		Ins cath ren art 1st unilat	N		N1		
36252		Ins cath ren art 1st bilat	N		N1		
36253		Ins cath ren art 2nd+ unilat	N		N1		
36254		Ins cath ren art 2nd+ bilat	N		N1		
36260		Insertion of infusion pump	Y		A2	48.5718	"$2,424.51 "
36261		Revision of infusion pump	Y		J8	53.7225	"$2,681.61 "
36262		Removal of infusion pump	N		G2	35.7042	"$1,782.21 "
36400		Bl draw < 3 yrs fem/jugular	N		N1		
36405		Bl draw <3 yrs scalp vein	N		N1		
36406		Bl draw <3 yrs other vein	N		N1		
36410		Non-routine bl draw 3/> yrs	N		N1		
36416		Capillary blood draw	N		N1		
36420		Vein access cutdown < 1 yr	N		N1		
36425		Vein access cutdown > 1 yr	N		N1		
36430		Blood transfusion service	N		P3		$37.29 
36440		Bl push transfuse 2 yr/<	N		R2	4.1155	$205.43 
36450		Bl exchange/transfuse nb	N		R2	4.1155	$205.43 
36455		Bl exchange/transfuse non-nb	N		G2	4.1155	$205.43 
36465		Njx noncmpnd sclrsnt 1 vein	Y		P2	17.7592	$886.47 
36466		Njx noncmpnd sclrsnt mlt vn	Y		P2	17.7592	$886.47 
36468		Njx sclrsnt spider veins	N		N1		
36470		Njx sclrsnt 1 incmptnt vein	Y		P3		$85.68 
36471		Njx sclrsnt mlt incmptnt vn	Y		P3		$141.11 
36473		Endovenous mchnchem 1st vein	Y		P3		"$1,134.95 "
36474		Endovenous mchnchem add-on	N		N1		
36475		Endovenous rf 1st vein	Y		A2	28.0092	"$1,398.11 "
36476		Endovenous rf vein add-on	N		N1		
36478		Endovenous laser 1st vein	Y		A2	28.0092	"$1,398.11 "
36479		Endovenous laser vein addon	N		N1		
36481		Insertion of catheter vein	N		N1		
36482		Endoven ther chem adhes 1st	Y		P3		"$1,599.95 "
36483		Endoven ther chem adhes sbsq	N		N1		
36500		Insertion of catheter vein	N		N1		
36510		Insertion of catheter vein	N		N1		
36511		Apheresis wbc	N		G2	14.1425	$705.94 
36512		Apheresis rbc	N		G2	14.1425	$705.94 
36513		Apheresis platelets	N		R2	4.1155	$205.43 
36514		Apheresis plasma	N		G2	14.1425	$705.94 
36516		Apheresis immunoads slctv	N		P3		"$1,774.33 "
36522		Photopheresis	N		G2	41.9341	"$2,093.18 "
36555		Insert non-tunnel cv cath	Y		A2	28.0092	"$1,398.11 "
36556		Insert non-tunnel cv cath	Y		A2	28.0092	"$1,398.11 "
36557		Insert tunneled cv cath	Y	CH	J8	63.3450	"$3,161.93 "
36558		Insert tunneled cv cath	Y		A2	28.0092	"$1,398.11 "
36560		Insert tunneled cv cath	Y		G2	28.0092	"$1,398.11 "
36561		Insert tunneled cv cath	Y		A2	28.0092	"$1,398.11 "
36563		Insert tunneled cv cath	Y	CH	J8	86.3252	"$4,309.01 "
36565		Insert tunneled cv cath	Y		A2	28.0092	"$1,398.11 "
36566		Insert tunneled cv cath	Y		A2	48.5718	"$2,424.51 "
36568		Insj picc <5 yr w/o imaging	Y		A2	11.1781	$557.97 
36569		Insj picc 5 yr+ w/o imaging	Y		A2	11.1781	$557.97 
36570		Insert picvad cath	Y		A2	28.0092	"$1,398.11 "
36571		Insert picvad cath	Y		A2	28.0092	"$1,398.11 "
36572		Insj picc rs&i <5 yr	Y		G2	5.6046	$279.76 
36573		Insj picc rs&i 5 yr+	Y		G2	11.1781	$557.97 
36575		Repair tunneled cv cath	Y		A2	5.6046	$279.76 
36576		Repair tunneled cv cath	Y		A2	11.1781	$557.97 
36578		Replace tunneled cv cath	Y	CH	J8	37.5942	"$1,876.55 "
36580		Replace cvad cath	Y		J8	15.1677	$757.11 
36581		Replace tunneled cv cath	Y	CH	J8	37.0108	"$1,847.43 "
36582		Replace tunneled cv cath	Y		A2	28.0092	"$1,398.11 "
36583		Replace tunneled cv cath	Y	CH	J8	83.6211	"$4,174.03 "
36584		Compl rplcmt picc rs&i	Y		A2	11.1781	$557.97 
36585		Replace picvad cath	Y		A2	28.0092	"$1,398.11 "
36589		Removal tunneled cv cath	N		A2	5.6046	$279.76 
36590		Removal tunneled cv cath	N		A2	11.1781	$557.97 
36591		Draw blood off venous device	N		N1		
36592		Collect blood from picc	N		N1		
36593		Declot vascular device	Y		P3		$31.92 
36595		Mech remov tunneled cv cath	Y		J8	36.3757	"$1,815.73 "
36596		Mech remov tunneled cv cath	Y		G2	11.1781	$557.97 
36597		Reposition venous catheter	Y		G2	11.1781	$557.97 
36598		Inj w/fluor eval cv device	Y		P3		$96.43 
36600		Withdrawal of arterial blood	N		N1		
36620		Insertion catheter artery	N		N1		
36625		Insertion catheter artery	N		N1		
36640		Insertion catheter artery	Y		A2	28.0092	"$1,398.11 "
36680		Insert needle bone cavity	N		N1		
36800		Insertion of cannula	Y		G2	48.5718	"$2,424.51 "
36810		Insertion of cannula	Y		A2	28.0092	"$1,398.11 "
36815		Insertion of cannula	Y		A2	48.5718	"$2,424.51 "
36818		Av fuse uppr arm cephalic	Y		A2	48.5718	"$2,424.51 "
36819		Av fuse uppr arm basilic	Y		A2	48.5718	"$2,424.51 "
36820		Av fusion/forearm vein	Y		A2	48.5718	"$2,424.51 "
36821		Av fusion direct any site	Y		A2	28.0092	"$1,398.11 "
36825		Artery-vein autograft	Y		A2	48.5718	"$2,424.51 "
36830		Artery-vein nonautograft	Y		A2	48.5718	"$2,424.51 "
36831		Open thrombect av fistula	Y		A2	48.5718	"$2,424.51 "
36832		Av fistula revision open	Y		A2	48.5718	"$2,424.51 "
36833		Av fistula revision	Y		A2	48.5718	"$2,424.51 "
36835		Artery to vein shunt	Y		J8	41.6780	"$2,080.40 "
36860		External cannula declotting	Y		A2	11.1781	$557.97 
36861		Cannula declotting	Y	CH	J8	68.2475	"$3,406.64 "
36901		Intro cath dialysis circuit	Y		P2	11.1781	$557.97 
36902		Intro cath dialysis circuit	Y		G2	44.2068	"$2,206.63 "
36903		Intro cath dialysis circuit	Y		J8	131.9837	"$6,588.10 "
36904		Thrmbc/nfs dialysis circuit	Y	CH	J8	59.1756	"$2,953.81 "
36905		Thrmbc/nfs dialysis circuit	Y	CH	J8	113.5806	"$5,669.49 "
36906		Thrmbc/nfs dialysis circuit	Y		J8	218.3755	"$10,900.43 "
36907		Balo angiop ctr dialysis seg	N		N1		
36908		Stent plmt ctr dialysis seg	N		N1		
36909		Dialysis circuit embolj	N		N1		
37184		Prim art m-thrmbc 1st vsl	Y		J8	135.9758	"$6,787.37 "
37185		Prim art m-thrmbc sbsq vsl	N		N1		
37186		Sec art thrombectomy add-on	N		N1		
37187		Venous mech thrombectomy	Y		J8	133.9500	"$6,686.25 "
37188		Ven mechnl thrmbc repeat tx	Y	CH	J8	38.6874	"$1,931.12 "
37197		Remove intrvas foreign body	Y		G2	28.0092	"$1,398.11 "
37200		Transcatheter biopsy	Y		G2	48.5718	"$2,424.51 "
37211		Thrombolytic art therapy	Y	CH	J8	63.4207	"$3,165.71 "
37212		Thrombolytic venous therapy	Y	CH	J8	38.0413	"$1,898.87 "
37220		Iliac revasc	Y	CH	J8	58.5345	"$2,921.81 "
37221		Iliac revasc w/stent	Y		J8	127.6597	"$6,372.26 "
37222		Iliac revasc add-on	N		N1		
37223		Iliac revasc w/stent add-on	N		N1		
37224		Fem/popl revas w/tla	Y		J8	62.9361	"$3,141.52 "
37225		Fem/popl revas w/ather	Y		J8	138.2571	"$6,901.24 "
37226		Fem/popl revasc w/stent	Y		J8	133.6862	"$6,673.08 "
37227		Fem/popl revasc stnt & ather	Y		J8	231.0740	"$11,534.29 "
37228		Tib/per revasc w/tla	Y		J8	118.9857	"$5,939.29 "
37229		Tib/per revasc w/ather	Y		J8	215.8386	"$10,773.80 "
37230		Tib/per revasc w/stent	Y		J8	212.8085	"$10,622.55 "
37231		Tib/per revasc stent & ather	Y		J8	216.5997	"$10,811.79 "
37232		Tib/per revasc add-on	N		N1		
37233		Tibper revasc w/ather add-on	N		N1		
37234		Revsc opn/prq tib/pero stent	N		N1		
37235		Tib/per revasc stnt & ather	N		N1		
37236		Open/perq place stent 1st	Y		J8	125.3358	"$6,256.26 "
37237		Open/perq place stent ea add	N		N1		
37238		Open/perq place stent same	Y		J8	128.0936	"$6,393.92 "
37239		Open/perq place stent ea add	N		N1		
37241		Vasc embolize/occlude venous	Y	CH	J8	113.8445	"$5,682.66 "
37242		Vasc embolize/occlude artery	Y		J8	130.1196	"$6,495.05 "
37243		Vasc embolize/occlude organ	Y		G2	87.4569	"$4,365.50 "
37246		Trluml balo angiop 1st art	Y	CH	J8	57.6094	"$2,875.63 "
37247		Trluml balo angiop addl art	N		N1		
37248		Trluml balo angiop 1st vein	Y		G2	44.2068	"$2,206.63 "
37249		Trluml balo angiop addl vein	N		N1		
37252		Intrvasc us noncoronary 1st	N		N1		
37253		Intrvasc us noncoronary addl	N		N1		
37500		Endoscopy ligate perf veins	Y		A2	48.5718	"$2,424.51 "
37607		Ligation of a-v fistula	Y		A2	28.0092	"$1,398.11 "
37609		Temporal artery procedure	Y		A2	12.1845	$608.20 
37650		Revision of major vein	Y		A2	28.0092	"$1,398.11 "
37700		Revise leg vein	Y		A2	28.0092	"$1,398.11 "
37718		Ligate/strip short leg vein	Y		A2	28.0092	"$1,398.11 "
37722		Ligate/strip long leg vein	Y		A2	28.0092	"$1,398.11 "
37735		Removal of leg veins/lesion	Y		A2	28.0092	"$1,398.11 "
37760		Ligate leg veins radical	Y		A2	28.0092	"$1,398.11 "
37761		Ligate leg veins open	Y		R2	28.0092	"$1,398.11 "
37765		Stab phleb veins xtr 10-20	Y		P3		$236.53 
37766		Phleb veins - extrem 20+	Y		P3		$258.37 
37780		Revision of leg vein	Y		A2	28.0092	"$1,398.11 "
37785		Ligate/divide/excise vein	Y		A2	28.0092	"$1,398.11 "
37790		Penile venous occlusion	Y		A2	28.6271	"$1,428.95 "
38200		Injection for spleen x-ray	N		N1		
38204		Bl donor search management	N		N1		
38206		Harvest auto stem cells	N		G2	14.1425	$705.94 
38220		Dx bone marrow aspirations	Y		P3		$112.55 
38221		Dx bone marrow biopsies	Y		P3		$116.25 
38222		Dx bone marrow bx & aspir	Y		G2	20.4190	"$1,019.23 "
38230		Bone marrow harvest allogen	N		G2	14.1425	$705.94 
38232		Bone marrow harvest autolog	N		G2	41.9341	"$2,093.18 "
38241		Transplt autol hct/donor	N		G2	14.1425	$705.94 
38242		Transplt allo lymphocytes	N		R2	14.1425	$705.94 
38243		Transplj hematopoietic boost	N		R2	14.1425	$705.94 
38300		Drainage lymph node lesion	Y		A2	20.4190	"$1,019.23 "
38305		Drainage lymph node lesion	Y		A2	20.4190	"$1,019.23 "
38308		Incision of lymph channels	Y		A2	24.1376	"$1,204.85 "
38500		Biopsy/removal lymph nodes	Y		A2	24.1376	"$1,204.85 "
38505		Needle biopsy lymph nodes	Y		A2	12.1845	$608.20 
38510		Biopsy/removal lymph nodes	Y		A2	24.1376	"$1,204.85 "
38520		Biopsy/removal lymph nodes	Y		A2	24.1376	"$1,204.85 "
38525		Biopsy/removal lymph nodes	Y		A2	24.1376	"$1,204.85 "
38530		Biopsy/removal lymph nodes	Y		A2	24.1376	"$1,204.85 "
38542		Explore deep node(s) neck	Y		A2	47.3118	"$2,361.62 "
38550		Removal neck/armpit lesion	Y		A2	24.1376	"$1,204.85 "
38555		Removal neck/armpit lesion	Y		A2	46.2187	"$2,307.05 "
38570		Laparoscopy lymph node biop	Y		A2	47.3118	"$2,361.62 "
38571		Laparoscopy lymphadenectomy	Y		A2	77.8993	"$3,888.42 "
38572		Laparoscopy lymphadenectomy	Y		A2	77.8993	"$3,888.42 "
38573		Laps pelvic lymphadec	Y		G2	77.8993	"$3,888.42 "
38700		Removal of lymph nodes neck	Y		G2	46.2187	"$2,307.05 "
38740		Remove armpit lymph nodes	Y		A2	47.3118	"$2,361.62 "
38745		Remove armpit lymph nodes	Y		A2	47.3118	"$2,361.62 "
38760		Remove groin lymph nodes	Y		A2	46.2187	"$2,307.05 "
38790		Inject for lymphatic x-ray	N		N1		
38792		Ra tracer id of sentinl node	N		N1		
38794		Access thoracic lymph duct	N		N1		
38900		Io map of sent lymph node	N		N1		
40490		Biopsy of lip	Y		P3		$77.95 
40500		Partial excision of lip	Y		A2	22.2082	"$1,108.54 "
40510		Partial excision of lip	Y		A2	22.2082	"$1,108.54 "
40520		Partial excision of lip	Y		A2	22.2082	"$1,108.54 "
40525		Reconstruct lip with flap	Y		A2	22.2082	"$1,108.54 "
40527		Reconstruct lip with flap	Y		A2	48.9494	"$2,443.36 "
40530		Partial removal of lip	Y		A2	22.2082	"$1,108.54 "
40650		Repair lip	Y		A2	4.6894	$234.08 
40652		Repair lip	Y		A2	4.6894	$234.08 
40654		Repair lip	Y		A2	10.5360	$525.91 
40700		Repair cleft lip/nasal	Y		A2	48.9494	"$2,443.36 "
40701		Repair cleft lip/nasal	Y		A2	48.9494	"$2,443.36 "
40702		Repair cleft lip/nasal	Y		R2	48.9494	"$2,443.36 "
40720		Repair cleft lip/nasal	Y		A2	22.2082	"$1,108.54 "
40761		Repair cleft lip/nasal	Y		A2	48.9494	"$2,443.36 "
40800		Drainage of mouth lesion	Y		P3		$159.93 
40801		Drainage of mouth lesion	Y		A2	4.6894	$234.08 
40804		Removal foreign body mouth	N		N1		
40805		Removal foreign body mouth	Y		P3		$182.77 
40806		Incision of lip fold	Y		P3		$88.36 
40808		Biopsy of mouth lesion	Y		P3		$130.70 
40810		Excision of mouth lesion	Y		P3		$166.98 
40812		Excise/repair mouth lesion	Y		P3		$199.57 
40814		Excise/repair mouth lesion	Y		A2	22.2082	"$1,108.54 "
40816		Excision of mouth lesion	Y		A2	22.2082	"$1,108.54 "
40818		Excise oral mucosa for graft	Y		A2	4.6894	$234.08 
40819		Excise lip or cheek fold	Y		A2	10.5360	$525.91 
40820		Treatment of mouth lesion	Y		P3		$216.37 
40830		Repair mouth laceration	Y		G2	2.1936	$109.50 
40831		Repair mouth laceration	Y		A2	4.6894	$234.08 
40840		Reconstruction of mouth	Y		A2	48.9494	"$2,443.36 "
40842		Reconstruction of mouth	Y		A2	48.9494	"$2,443.36 "
40843		Reconstruction of mouth	Y		A2	48.9494	"$2,443.36 "
40844		Reconstruction of mouth	Y		A2	48.9494	"$2,443.36 "
40845		Reconstruction of mouth	Y		A2	48.9494	"$2,443.36 "
41000		Drainage of mouth lesion	Y		P3		$101.13 
41005		Drainage of mouth lesion	Y		A2	2.1936	$109.50 
41006		Drainage of mouth lesion	Y		A2	10.5360	$525.91 
41007		Drainage of mouth lesion	Y		A2	10.5360	$525.91 
41008		Drainage of mouth lesion	Y		A2	22.2082	"$1,108.54 "
41009		Drainage of mouth lesion	Y		A2	4.6894	$234.08 
41010		Incision of tongue fold	Y		A2	10.5360	$525.91 
41015		Drainage of mouth lesion	Y		A2	4.6894	$234.08 
41016		Drainage of mouth lesion	Y		A2	48.9494	"$2,443.36 "
41017		Drainage of mouth lesion	Y		A2	22.2082	"$1,108.54 "
41018		Drainage of mouth lesion	Y		A2	10.5360	$525.91 
41019		Place needles h&n for rt	Y		G2	48.9494	"$2,443.36 "
41100		Biopsy of tongue	Y		P3		$135.07 
41105		Biopsy of tongue	Y		P3		$133.05 
41108		Biopsy of floor of mouth	Y		P3		$127.34 
41110		Excision of tongue lesion	Y		P3		$172.70 
41112		Excision of tongue lesion	Y		A2	22.2082	"$1,108.54 "
41113		Excision of tongue lesion	Y		A2	22.2082	"$1,108.54 "
41114		Excision of tongue lesion	Y		A2	22.2082	"$1,108.54 "
41115		Excision of tongue fold	Y		P3		$196.89 
41116		Excision of mouth lesion	Y		A2	22.2082	"$1,108.54 "
41120		Partial removal of tongue	Y		A2	48.9494	"$2,443.36 "
41250		Repair tongue laceration	N		N1		
41251		Repair tongue laceration	Y		A2	2.1936	$109.50 
41252		Repair tongue laceration	Y		A2	2.1936	$109.50 
41510		Tongue to lip surgery	Y		A2	22.2082	"$1,108.54 "
41512		Tongue suspension	Y	CH	J8	63.7182	"$3,180.56 "
41520		Reconstruction tongue fold	Y		A2	22.2082	"$1,108.54 "
41530		Tongue base vol reduction	Y		P3		$818.45 
41800		Drainage of gum lesion	N		N1		
41805		Removal foreign body gum	Y		P3		$268.11 
41806		Removal foreign body jawbone	Y		P3		$314.82 
41820		Excision gum each quadrant	Y		R2	22.2082	"$1,108.54 "
41821		Excision of gum flap	Y		G2	10.5360	$525.91 
41822		Excision of gum lesion	Y		P3		$261.06 
41823		Excision of gum lesion	Y		P3		$381.00 
41825		Excision of gum lesion	Y		P3		$169.34 
41826		Excision of gum lesion	Y		P3		$217.72 
41827		Excision of gum lesion	Y		A2	48.9494	"$2,443.36 "
41828		Excision of gum lesion	Y		P3		$229.14 
41830		Removal of gum tissue	Y		P3		$334.98 
41850		Treatment of gum lesion	Y		R2	10.5360	$525.91 
41870		Gum graft	Y		G2	10.5360	$525.91 
41872		Repair gum	Y		P3		$351.77 
41874		Repair tooth socket	Y		P3		$270.47 
42000		Drainage mouth roof lesion	Y		A2	2.1936	$109.50 
42100		Biopsy roof of mouth	Y		P3		$96.09 
42104		Excision lesion mouth roof	Y		P3		$153.88 
42106		Excision lesion mouth roof	Y		P3		$179.41 
42107		Excision lesion mouth roof	Y		A2	48.9494	"$2,443.36 "
42120		Remove palate/lesion	Y		A2	48.9494	"$2,443.36 "
42140		Excision of uvula	Y		A2	22.2082	"$1,108.54 "
42145		Repair palate pharynx/uvula	Y		A2	48.9494	"$2,443.36 "
42160		Treatment mouth roof lesion	Y		P3		$164.63 
42180		Repair palate	Y		A2	4.6894	$234.08 
42182		Repair palate	Y		A2	48.9494	"$2,443.36 "
42200		Reconstruct cleft palate	Y		A2	48.9494	"$2,443.36 "
42205		Reconstruct cleft palate	Y		A2	22.2082	"$1,108.54 "
42210		Reconstruct cleft palate	Y		J8	77.9632	"$3,891.61 "
42215		Reconstruct cleft palate	Y		A2	48.9494	"$2,443.36 "
42220		Reconstruct cleft palate	Y		A2	48.9494	"$2,443.36 "
42225		Reconstruct cleft palate	Y		G2	48.9494	"$2,443.36 "
42226		Lengthening of palate	Y		A2	48.9494	"$2,443.36 "
42227		Lengthening of palate	Y		G2	48.9494	"$2,443.36 "
42235		Repair palate	Y		A2	48.9494	"$2,443.36 "
42260		Repair nose to lip fistula	Y		A2	48.9494	"$2,443.36 "
42280		Preparation palate mold	Y		P3		$120.28 
42281		Insertion palate prosthesis	Y		G2	48.9494	"$2,443.36 "
42300		Drainage of salivary gland	Y		A2	10.5360	$525.91 
42305		Drainage of salivary gland	Y		A2	22.2082	"$1,108.54 "
42310		Drainage of salivary gland	Y		A2	4.6894	$234.08 
42320		Drainage of salivary gland	Y		A2	4.6894	$234.08 
42330		Removal of salivary stone	Y		P3		$147.83 
42335		Removal of salivary stone	Y		P3		$306.75 
42340		Removal of salivary stone	Y		A2	22.2082	"$1,108.54 "
42400		Biopsy of salivary gland	Y		P3		$69.88 
42405		Biopsy of salivary gland	Y		A2	10.5360	$525.91 
42408		Excision of salivary cyst	Y		A2	22.2082	"$1,108.54 "
42409		Drainage of salivary cyst	Y		A2	22.2082	"$1,108.54 "
42410		Excise parotid gland/lesion	Y		A2	48.9494	"$2,443.36 "
42415		Excise parotid gland/lesion	Y		A2	48.9494	"$2,443.36 "
42420		Excise parotid gland/lesion	Y		A2	48.9494	"$2,443.36 "
42425		Excise parotid gland/lesion	Y		A2	48.9494	"$2,443.36 "
42440		Excise submaxillary gland	Y		A2	48.9494	"$2,443.36 "
42450		Excise sublingual gland	Y		A2	48.9494	"$2,443.36 "
42500		Repair salivary duct	Y		A2	48.9494	"$2,443.36 "
42505		Repair salivary duct	Y		A2	48.9494	"$2,443.36 "
42507		Parotid duct diversion	Y		A2	48.9494	"$2,443.36 "
42509		Parotid duct diversion	Y		A2	48.9494	"$2,443.36 "
42510		Parotid duct diversion	Y		A2	22.2082	"$1,108.54 "
42550		Injection for salivary x-ray	N		N1		
42600		Closure of salivary fistula	Y		A2	22.2082	"$1,108.54 "
42650		Dilation of salivary duct	Y		P3		$45.36 
42660		Dilation of salivary duct	Y		P3		$69.21 
42665		Ligation of salivary duct	Y		A2	22.2082	"$1,108.54 "
42700		Drainage of tonsil abscess	Y		A2	2.1936	$109.50 
42720		Drainage of throat abscess	Y		A2	22.2082	"$1,108.54 "
42725		Drainage of throat abscess	Y		A2	48.9494	"$2,443.36 "
42800		Biopsy of throat	Y		P3		$103.82 
42804		Biopsy of upper nose/throat	Y		A2	22.2082	"$1,108.54 "
42806		Biopsy of upper nose/throat	Y		A2	22.2082	"$1,108.54 "
42808		Excise pharynx lesion	Y		A2	22.2082	"$1,108.54 "
42809		Remove pharynx foreign body	N		N1		
42810		Excision of neck cyst	Y		A2	22.2082	"$1,108.54 "
42815		Excision of neck cyst	Y		A2	48.9494	"$2,443.36 "
42820		Remove tonsils and adenoids	Y		A2	48.9494	"$2,443.36 "
42821		Remove tonsils and adenoids	Y		A2	22.2082	"$1,108.54 "
42825		Removal of tonsils	Y		A2	48.9494	"$2,443.36 "
42826		Removal of tonsils	Y		A2	22.2082	"$1,108.54 "
42830		Removal of adenoids	Y		A2	22.2082	"$1,108.54 "
42831		Removal of adenoids	Y		A2	22.2082	"$1,108.54 "
42835		Removal of adenoids	Y		A2	22.2082	"$1,108.54 "
42836		Removal of adenoids	Y		A2	22.2082	"$1,108.54 "
42860		Excision of tonsil tags	Y		A2	22.2082	"$1,108.54 "
42870		Excision of lingual tonsil	Y		A2	48.9494	"$2,443.36 "
42890		Partial removal of pharynx	Y		A2	48.9494	"$2,443.36 "
42892		Revision of pharyngeal walls	Y		A2	48.9494	"$2,443.36 "
42900		Repair throat wound	Y		J8	18.6884	$932.85 
42950		Reconstruction of throat	Y		A2	48.9494	"$2,443.36 "
42955		Surgical opening of throat	Y		A2	10.5360	$525.91 
42960		Control throat bleeding	Y		A2	4.6894	$234.08 
42962		Control throat bleeding	Y		A2	22.2082	"$1,108.54 "
42970		Control nose/throat bleeding	Y		R2	2.1936	$109.50 
42972		Control nose/throat bleeding	Y		A2	22.2082	"$1,108.54 "
42975		Dise eval slp do brth flx dx	Y	NC	R2	1.7068	$85.20 
43030		Throat muscle surgery	Y		G2	48.9494	"$2,443.36 "
43130		Removal of esophagus pouch	Y		G2	48.9494	"$2,443.36 "
43180		Esophagoscopy rigid trnso	Y		G2	48.9494	"$2,443.36 "
43191		Esophagoscopy rigid trnso dx	Y		G2	14.1512	$706.37 
43192		Esophagoscp rig trnso inject	Y		G2	14.1512	$706.37 
43193		Esophagoscp rig trnso biopsy	Y		G2	14.1512	$706.37 
43194		Esophagoscp rig trnso rem fb	Y		G2	14.1512	$706.37 
43195		Esophagoscopy rigid balloon	Y		G2	28.0350	"$1,399.40 "
43196		Esophagoscp guide wire dilat	Y		G2	28.0350	"$1,399.40 "
43197		Esophagoscopy flex dx brush	Y		P3		$135.74 
43198		Esophagosc flex trnsn biopsy	Y		P3		$145.48 
43200		Esophagoscopy flexible brush	Y		A2	8.3899	$418.79 
43201		Esoph scope w/submucous inj	Y		A2	14.1512	$706.37 
43202		Esophagoscopy flex biopsy	Y		A2	14.1512	$706.37 
43204		Esoph scope w/sclerosis inj	Y		A2	14.1512	$706.37 
43205		Esophagus endoscopy/ligation	Y		A2	14.1512	$706.37 
43206		Esoph optical endomicroscopy	Y		G2	14.1512	$706.37 
43210		Egd esophagogastrc fndoplsty	Y	CH	J8	100.9937	"$5,041.20 "
43211		Esophagoscop mucosal resect	Y		G2	14.1512	$706.37 
43212		Esophagoscop stent placement	Y		J8	66.8046	"$3,334.62 "
43213		Esophagoscopy retro balloon	Y		G2	14.1512	$706.37 
43214		Esophagosc dilate balloon 30	Y		G2	14.1512	$706.37 
43215		Esophagoscopy flex remove fb	Y		A2	14.1512	$706.37 
43216		Esophagoscopy lesion removal	Y		A2	14.1512	$706.37 
43217		Esophagoscopy snare les remv	Y		A2	14.1512	$706.37 
43220		Esophagoscopy balloon <30mm	Y		A2	14.1512	$706.37 
43226		Esoph endoscopy dilation	Y		A2	14.1512	$706.37 
43227		Esophagoscopy control bleed	Y		A2	14.1512	$706.37 
43229		Esophagoscopy lesion ablate	Y		J8	36.6574	"$1,829.79 "
43231		Esophagoscop ultrasound exam	Y		A2	14.1512	$706.37 
43232		Esophagoscopy w/us needle bx	Y		A2	14.1512	$706.37 
43233		Egd balloon dil esoph30 mm/>	Y		G2	14.1512	$706.37 
43235		Egd diagnostic brush wash	Y		A2	8.3899	$418.79 
43236		Uppr gi scope w/submuc inj	Y		A2	8.3899	$418.79 
43237		Endoscopic us exam esoph	Y		A2	14.1512	$706.37 
43238		Egd us fine needle bx/aspir	Y		A2	14.1512	$706.37 
43239		Egd biopsy single/multiple	Y		A2	8.3899	$418.79 
43240		Egd w/transmural drain cyst	Y		J8	70.4920	"$3,518.68 "
43241		Egd tube/cath insertion	Y		A2	14.1512	$706.37 
43242		Egd us fine needle bx/aspir	Y		A2	14.1512	$706.37 
43243		Egd injection varices	Y		A2	14.1512	$706.37 
43244		Egd varices ligation	Y		A2	14.1512	$706.37 
43245		Egd dilate stricture	Y		A2	14.1512	$706.37 
43246		Egd place gastrostomy tube	Y		A2	14.1512	$706.37 
43247		Egd remove foreign body	Y		A2	8.3899	$418.79 
43248		Egd guide wire insertion	Y		A2	8.3899	$418.79 
43249		Esoph egd dilation <30 mm	Y		A2	14.1512	$706.37 
43250		Egd cautery tumor polyp	Y		A2	14.1512	$706.37 
43251		Egd remove lesion snare	Y		A2	14.1512	$706.37 
43252		Egd optical endomicroscopy	Y		G2	28.0350	"$1,399.40 "
43253		Egd us transmural injxn/mark	Y		G2	14.1512	$706.37 
43254		Egd endo mucosal resection	Y		G2	14.1512	$706.37 
43255		Egd control bleeding any	Y		A2	14.1512	$706.37 
43257		Egd w/thrml txmnt gerd	Y		A2	28.0350	"$1,399.40 "
43259		Egd us exam duodenum/jejunum	Y		A2	14.1512	$706.37 
43260		Ercp w/specimen collection	Y		A2	28.0350	"$1,399.40 "
43261		Endo cholangiopancreatograph	Y		A2	28.0350	"$1,399.40 "
43262		Endo cholangiopancreatograph	Y		A2	28.0350	"$1,399.40 "
43263		Ercp sphincter pressure meas	Y		A2	28.0350	"$1,399.40 "
43264		Ercp remove duct calculi	Y		A2	28.0350	"$1,399.40 "
43265		Ercp lithotripsy calculi	Y		A2	42.2351	"$2,108.21 "
43266		Egd endoscopic stent place	Y		J8	68.1200	"$3,400.28 "
43270		Egd lesion ablation	Y		G2	14.1512	$706.37 
43273		Endoscopic pancreatoscopy	N		N1		
43274		Ercp duct stent placement	Y	CH	J8	55.5127	"$2,770.97 "
43275		Ercp remove forgn body duct	Y		G2	28.0350	"$1,399.40 "
43276		Ercp stent exchange w/dilate	Y	CH	J8	56.3675	"$2,813.64 "
43277		Ercp ea duct/ampulla dilate	Y		G2	28.0350	"$1,399.40 "
43278		Ercp lesion ablate w/dilate	Y		G2	28.0350	"$1,399.40 "
43284		Laps esophgl sphnctr agmntj	Y		J8	117.7344	"$5,876.83 "
43285		Rmvl esophgl sphnctr dev	N		G2	47.3118	"$2,361.62 "
43450		Dilate esophagus 1/mult pass	Y		A2	8.3899	$418.79 
43453		Dilate esophagus	Y		A2	14.1512	$706.37 
43653		Laparoscopy gastrostomy	Y		A2	47.3118	"$2,361.62 "
43752		Nasal/orogastric w/tube plmt	N		G2	2.8140	$140.46 
43753		Tx gastro intub w/asp	N		N1		
43754		Dx gastr intub w/asp spec	N		N1		
43755		Dx gastr intub w/asp specs	N		G2	1.4476	$72.26 
43756		Dx duod intub w/asp spec	N		G2	8.3899	$418.79 
43757		Dx duod intub w/asp specs	Y		G2	8.3899	$418.79 
43761		Reposition gastrostomy tube	Y		A2	2.7591	$137.72 
43762		Rplc gtube no revj trc	Y		G2	2.7591	$137.72 
43763		Rplc gtube revj gstrst trc	Y		G2	2.7591	$137.72 
43870		Repair stomach opening	Y		A2	28.0350	"$1,399.40 "
43886		Revise gastric port open	Y		G2	36.5103	"$1,822.45 "
43887		Remove gastric port open	N		G2	17.7592	$886.47 
43888		Change gastric port open	Y		G2	36.5103	"$1,822.45 "
44100		Biopsy of bowel	Y		A2	8.3899	$418.79 
44312		Revision of ileostomy	Y		A2	36.5103	"$1,822.45 "
44340		Revision of colostomy	Y		A2	36.5103	"$1,822.45 "
44360		Small bowel endoscopy	Y		A2	14.1512	$706.37 
44361		Small bowel endoscopy/biopsy	Y		A2	14.1512	$706.37 
44363		Small bowel endoscopy	Y		A2	14.1512	$706.37 
44364		Small bowel endoscopy	Y		A2	14.1512	$706.37 
44365		Small bowel endoscopy	Y		A2	14.1512	$706.37 
44366		Small bowel endoscopy	Y		A2	14.1512	$706.37 
44369		Small bowel endoscopy	Y		A2	14.1512	$706.37 
44370		Small bowel endoscopy/stent	Y		J8	73.0487	"$3,646.30 "
44372		Small bowel endoscopy	Y		A2	14.1512	$706.37 
44373		Small bowel endoscopy	Y		A2	14.1512	$706.37 
44376		Small bowel endoscopy	Y		A2	14.1512	$706.37 
44377		Small bowel endoscopy/biopsy	Y		A2	14.1512	$706.37 
44378		Small bowel endoscopy	Y		A2	14.1512	$706.37 
44379		S bowel endoscope w/stent	Y		A2	42.2351	"$2,108.21 "
44380		Small bowel endoscopy br/wa	Y		A2	8.3899	$418.79 
44381		Small bowel endoscopy br/wa	Y		G2	14.1512	$706.37 
44382		Small bowel endoscopy	Y		A2	8.3899	$418.79 
44384		Small bowel endoscopy	Y		G2	28.0350	"$1,399.40 "
44385		Endoscopy of bowel pouch	Y		A2	8.2283	$410.72 
44386		Endoscopy bowel pouch/biop	Y		A2	8.2283	$410.72 
44388		Colonoscopy thru stoma spx	Y		A2	8.2283	$410.72 
44389		Colonoscopy with biopsy	Y		A2	10.7521	$536.70 
44390		Colonoscopy for foreign body	Y		A2	8.2283	$410.72 
44391		Colonoscopy for bleeding	Y		A2	10.7521	$536.70 
44392		Colonoscopy & polypectomy	Y		A2	10.7521	$536.70 
44394		Colonoscopy w/snare	Y		A2	10.7521	$536.70 
44401		Colonoscopy with ablation	Y		G2	10.7521	$536.70 
44402		Colonoscopy w/stent plcmt	Y		J8	72.7735	"$3,632.56 "
44403		Colonoscopy w/resection	Y		G2	10.7521	$536.70 
44404		Colonoscopy w/injection	Y		G2	10.7521	$536.70 
44405		Colonoscopy w/dilation	Y		G2	10.7521	$536.70 
44406		Colonoscopy w/ultrasound	Y		G2	10.7521	$536.70 
44407		Colonoscopy w/ndl aspir/bx	Y		G2	10.7521	$536.70 
44408		Colonoscopy w/decompression	Y		R2	8.2283	$410.72 
44500		Intro gastrointestinal tube	Y		G2	8.3899	$418.79 
44701		Intraop colon lavage add-on	N		N1		
45000		Drainage of pelvic abscess	Y		A2	10.7521	$536.70 
45005		Drainage of rectal abscess	Y		A2	10.7521	$536.70 
45020		Drainage of rectal abscess	Y		A2	23.5432	"$1,175.18 "
45100		Biopsy of rectum	Y		A2	23.5432	"$1,175.18 "
45108		Removal of anorectal lesion	Y		A2	23.5432	"$1,175.18 "
45150		Excision of rectal stricture	Y		A2	10.7521	$536.70 
45160		Excision of rectal lesion	Y		A2	23.5432	"$1,175.18 "
45171		Exc rect tum transanal part	Y		G2	23.5432	"$1,175.18 "
45172		Exc rect tum transanal full	Y		G2	23.5432	"$1,175.18 "
45190		Destruction rectal tumor	Y		A2	23.5432	"$1,175.18 "
45300		Proctosigmoidoscopy dx	Y		P3		$100.12 
45303		Proctosigmoidoscopy dilate	Y		P2	10.7521	$536.70 
45305		Proctosigmoidoscopy w/bx	Y		A2	10.7521	$536.70 
45307		Proctosigmoidoscopy fb	Y		A2	23.5432	"$1,175.18 "
45308		Proctosigmoidoscopy removal	Y		A2	23.5432	"$1,175.18 "
45309		Proctosigmoidoscopy removal	Y		A2	10.7521	$536.70 
45315		Proctosigmoidoscopy removal	Y		A2	10.7521	$536.70 
45317		Proctosigmoidoscopy bleed	Y		A2	10.7521	$536.70 
45320		Proctosigmoidoscopy ablate	Y		A2	23.5432	"$1,175.18 "
45321		Proctosigmoidoscopy volvul	Y		A2	23.5432	"$1,175.18 "
45327		Proctosigmoidoscopy w/stent	Y		J8	54.5877	"$2,724.80 "
45330		Diagnostic sigmoidoscopy	Y		P3		$158.58 
45331		Sigmoidoscopy and biopsy	Y		A2	8.2283	$410.72 
45332		Sigmoidoscopy w/fb removal	Y		A2	10.7521	$536.70 
45333		Sigmoidoscopy & polypectomy	Y		A2	8.2283	$410.72 
45334		Sigmoidoscopy for bleeding	Y		A2	10.7521	$536.70 
45335		Sigmoidoscopy w/submuc inj	Y		A2	8.2283	$410.72 
45337		Sigmoidoscopy & decompress	Y		A2	8.2283	$410.72 
45338		Sigmoidoscopy w/tumr remove	Y		A2	10.7521	$536.70 
45340		Sig w/tndsc balloon dilation	Y		A2	10.7521	$536.70 
45341		Sigmoidoscopy w/ultrasound	Y		A2	8.2283	$410.72 
45342		Sigmoidoscopy w/us guide bx	Y		A2	10.7521	$536.70 
45346		Sigmoidoscopy w/ablation	Y		G2	10.7521	$536.70 
45347		Sigmoidoscopy w/plcmt stent	Y		J8	69.3573	"$3,462.04 "
45349		Sigmoidoscopy w/resection	Y		G2	23.5432	"$1,175.18 "
45350		Sgmdsc w/band ligation	Y		G2	10.7521	$536.70 
45378		Diagnostic colonoscopy	Y		A2	8.2283	$410.72 
45379		Colonoscopy w/fb removal	Y		A2	10.7521	$536.70 
45380		Colonoscopy and biopsy	Y		A2	10.7521	$536.70 
45381		Colonoscopy submucous njx	Y		A2	10.7521	$536.70 
45382		Colonoscopy w/control bleed	Y		A2	10.7521	$536.70 
45384		Colonoscopy w/lesion removal	Y		A2	10.7521	$536.70 
45385		Colonoscopy w/lesion removal	Y		A2	10.7521	$536.70 
45386		Colonoscopy w/balloon dilat	Y		A2	10.7521	$536.70 
45388		Colonoscopy w/ablation	Y		G2	10.7521	$536.70 
45389		Colonoscopy w/stent plcmt	Y		J8	70.1673	"$3,502.47 "
45390		Colonoscopy w/resection	Y		G2	23.5432	"$1,175.18 "
45391		Colonoscopy w/endoscope us	Y		A2	10.7521	$536.70 
45392		Colonoscopy w/endoscopic fnb	Y		A2	10.7521	$536.70 
45393		Colonoscopy w/decompression	Y		G2	10.7521	$536.70 
45398		Colonoscopy w/band ligation	Y		G2	10.7521	$536.70 
45500		Repair of rectum	Y		A2	23.5432	"$1,175.18 "
45505		Repair of rectum	Y		A2	23.5432	"$1,175.18 "
45520		Treatment of rectal prolapse	N		N1		
45541		Correct rectal prolapse	Y		G2	23.5432	"$1,175.18 "
45560		Repair of rectocele	Y		A2	23.5432	"$1,175.18 "
45900		Reduction of rectal prolapse	Y		A2	8.2283	$410.72 
45905		Dilation of anal sphincter	Y		A2	10.7521	$536.70 
45910		Dilation of rectal narrowing	Y		A2	10.7521	$536.70 
45915		Remove rectal obstruction	Y		A2	10.7521	$536.70 
45990		Surg dx exam anorectal	Y		A2	23.5432	"$1,175.18 "
46020		Placement of seton	Y		A2	23.5432	"$1,175.18 "
46030		Removal of rectal marker	Y		A2	10.7521	$536.70 
46040		Incision of rectal abscess	Y		A2	10.7521	$536.70 
46045		Incision of rectal abscess	Y		A2	23.5432	"$1,175.18 "
46050		Incision of anal abscess	Y		A2	8.2283	$410.72 
46060		Incision of rectal abscess	Y		A2	23.5432	"$1,175.18 "
46070		Incision of anal septum	Y		G2	23.5432	"$1,175.18 "
46080		Incision of anal sphincter	Y		A2	23.5432	"$1,175.18 "
46083		Incise external hemorrhoid	Y		P2	2.7591	$137.72 
46200		Removal of anal fissure	Y		A2	23.5432	"$1,175.18 "
46220		Excise anal ext tag/papilla	Y		A2	10.7521	$536.70 
46221		Ligation of hemorrhoid(s)	Y		P3		$198.57 
46230		Removal of anal tags	Y		A2	23.5432	"$1,175.18 "
46250		Remove ext hem groups 2+	Y		A2	23.5432	"$1,175.18 "
46255		Remove int/ext hem 1 group	Y		A2	23.5432	"$1,175.18 "
46257		Remove in/ex hem grp & fiss	Y		A2	23.5432	"$1,175.18 "
46258		Remove in/ex hem grp w/fistu	Y		A2	23.5432	"$1,175.18 "
46260		Remove in/ex hem groups 2+	Y		A2	23.5432	"$1,175.18 "
46261		Remove in/ex hem grps & fiss	Y		A2	23.5432	"$1,175.18 "
46262		Remove in/ex hem grps w/fist	Y		A2	23.5432	"$1,175.18 "
46270		Remove anal fist subq	Y		A2	23.5432	"$1,175.18 "
46275		Remove anal fist inter	Y		A2	23.5432	"$1,175.18 "
46280		Remove anal fist complex	Y		A2	23.5432	"$1,175.18 "
46285		Remove anal fist 2 stage	Y		A2	23.5432	"$1,175.18 "
46288		Repair anal fistula	Y		A2	23.5432	"$1,175.18 "
46320		Removal of hemorrhoid clot	Y		P3		$152.54 
46500		Injection into hemorrhoid(s)	Y		P3		$255.01 
46505		Chemodenervation anal musc	Y		G2	10.7521	$536.70 
46600		Diagnostic anoscopy spx	N		N1		
46601		Diagnostic anoscopy	N		N1		
46604		Anoscopy and dilation	Y		P2	10.7521	$536.70 
46606		Anoscopy and biopsy	Y		P3		$244.26 
46607		Diagnostic anoscopy & biopsy	Y		G2	10.7521	$536.70 
46608		Anoscopy remove for body	Y		A2	8.2283	$410.72 
46610		Anoscopy remove lesion	Y		A2	23.5432	"$1,175.18 "
46611		Anoscopy	Y		A2	8.2283	$410.72 
46612		Anoscopy remove lesions	Y		A2	23.5432	"$1,175.18 "
46614		Anoscopy control bleeding	Y		P3		$134.06 
46615		Anoscopy	Y		A2	23.5432	"$1,175.18 "
46700		Repair of anal stricture	Y		A2	23.5432	"$1,175.18 "
46706		Repr of anal fistula w/glue	Y		A2	23.5432	"$1,175.18 "
46707		Repair anorectal fist w/plug	Y		J8	30.9033	"$1,542.57 "
46750		Repair of anal sphincter	Y		A2	23.5432	"$1,175.18 "
46753		Reconstruction of anus	Y		A2	23.5432	"$1,175.18 "
46754		Removal of suture from anus	Y		A2	23.5432	"$1,175.18 "
46760		Repair of anal sphincter	Y		A2	23.5432	"$1,175.18 "
46761		Repair of anal sphincter	Y		A2	23.5432	"$1,175.18 "
46900		Destruction anal lesion(s)	Y		P3		$167.32 
46910		Destruction anal lesion(s)	Y		P3		$194.20 
46916		Cryosurgery anal lesion(s)	Y		P2	1.8620	$92.94 
46917		Laser surgery anal lesions	Y		A2	23.5432	"$1,175.18 "
46922		Excision of anal lesion(s)	Y		A2	23.5432	"$1,175.18 "
46924		Destruction anal lesion(s)	Y		A2	23.5432	"$1,175.18 "
46930		Destroy internal hemorrhoids	Y		P3		$158.92 
46940		Treatment of anal fissure	Y		P3		$178.74 
46942		Treatment of anal fissure	Y		P3		$177.06 
46945		Int hrhc lig 1 hroid w/o img	Y		R2	23.5432	"$1,175.18 "
46946		Int hrhc lig 2+hroid w/o img	Y		A2	23.5432	"$1,175.18 "
46947		Hemorrhoidopexy by stapling	Y		A2	23.5432	"$1,175.18 "
46948		Int hrhc tranal dartlzj 2+	Y		G2	23.5432	"$1,175.18 "
47000		Needle biopsy of liver	Y		A2	12.1845	$608.20 
47001		Needle biopsy liver add-on	N		N1		
47382		Percut ablate liver rf	Y		G2	47.3118	"$2,361.62 "
47383		Perq abltj lvr cryoablation	Y		J8	70.4694	"$3,517.55 "
47531		Injection for cholangiogram	N		N1		
47532		Injection for cholangiogram	N		N1		
47533		Plmt biliary drainage cath	Y		G2	28.8435	"$1,439.75 "
47534		Plmt biliary drainage cath	Y		G2	28.8435	"$1,439.75 "
47535		Conversion ext bil drg cath	Y		G2	28.8435	"$1,439.75 "
47536		Exchange biliary drg cath	Y		G2	28.8435	"$1,439.75 "
47537		Removal biliary drg cath	N		G2	8.3899	$418.79 
47538		Perq plmt bile duct stent	Y		J8	71.5883	"$3,573.40 "
47539		Perq plmt bile duct stent	Y	CH	J8	64.0917	"$3,199.20 "
47540		Perq plmt bile duct stent	Y		J8	69.8201	"$3,485.14 "
47541		Plmt access bil tree sm bwl	Y		G2	28.8435	"$1,439.75 "
47542		Dilate biliary duct/ampulla	N		N1		
47543		Endoluminal bx biliary tree	N		N1		
47544		Removal duct glbldr calculi	N		N1		
47552		Biliary endo perq dx w/speci	Y		A2	28.8435	"$1,439.75 "
47553		Biliary endoscopy thru skin	Y		A2	28.8435	"$1,439.75 "
47554		Biliary endoscopy thru skin	Y		A2	47.3118	"$2,361.62 "
47555		Biliary endoscopy thru skin	Y	CH	J8	39.0480	"$1,949.12 "
47556		Biliary endoscopy thru skin	Y		J8	70.6074	"$3,524.44 "
47562		Laparoscopic cholecystectomy	Y		G2	47.3118	"$2,361.62 "
47563		Laparo cholecystectomy/graph	Y		G2	47.3118	"$2,361.62 "
47564		Laparo cholecystectomy/explr	Y		G2	47.3118	"$2,361.62 "
48102		Needle biopsy pancreas	Y		A2	12.1845	$608.20 
49082		Abd paracentesis	Y		G2	8.3899	$418.79 
49083		Abd paracentesis w/imaging	Y		G2	8.3899	$418.79 
49084		Peritoneal lavage	Y		G2	8.3899	$418.79 
49180		Biopsy abdominal mass	Y		A2	12.1845	$608.20 
49250		Excision of umbilicus	Y		A2	28.8435	"$1,439.75 "
49320		Diag laparo separate proc	Y		A2	47.3118	"$2,361.62 "
49321		Laparoscopy biopsy	Y		A2	47.3118	"$2,361.62 "
49322		Laparoscopy aspiration	Y		A2	47.3118	"$2,361.62 "
49324		Lap insert tunnel ip cath	Y		G2	47.3118	"$2,361.62 "
49325		Lap revision perm ip cath	Y		G2	47.3118	"$2,361.62 "
49326		Lap w/omentopexy add-on	N		N1		
49327		Lap ins device for rt	N		N1		
49400		Air injection into abdomen	N		N1		
49402		Remove foreign body adbomen	Y		A2	28.8435	"$1,439.75 "
49406		Image cath fluid peri/retro	Y		G2	12.1845	$608.20 
49407		Image cath fluid trns/vgnl	Y		G2	12.1845	$608.20 
49411		Ins mark abd/pel for rt perq	N		P3		$359.50 
49418		Insert tun ip cath perc	Y		G2	28.8435	"$1,439.75 "
49419		Insert tun ip cath w/port	Y		A2	48.5718	"$2,424.51 "
49421		Ins tun ip cath for dial opn	Y		G2	28.8435	"$1,439.75 "
49422		Remove tunneled ip cath	N		A2	28.0092	"$1,398.11 "
49423		Exchange drainage catheter	Y		G2	14.1512	$706.37 
49424		Assess cyst contrast inject	N		N1		
49426		Revise abdomen-venous shunt	Y		A2	28.8435	"$1,439.75 "
49427		Injection abdominal shunt	N		N1		
49429		Removal of shunt	N		G2	28.0092	"$1,398.11 "
49435		Insert subq exten to ip cath	N		N1		
49436		Embedded ip cath exit-site	Y		G2	14.1512	$706.37 
49440		Place gastrostomy tube perc	Y		G2	14.1512	$706.37 
49441		Place duod/jej tube perc	Y		G2	14.1512	$706.37 
49442		Place cecostomy tube perc	Y		G2	10.7521	$536.70 
49446		Change g-tube to g-j perc	Y		G2	14.1512	$706.37 
49450		Replace g/c tube perc	Y		G2	8.3899	$418.79 
49451		Replace duod/jej tube perc	Y		G2	8.3899	$418.79 
49452		Replace g-j tube perc	Y		G2	8.3899	$418.79 
49460		Fix g/colon tube w/device	Y		G2	8.3899	$418.79 
49465		Fluoro exam of g/colon tube	N		G2	2.3858	$119.09 
49495		Rpr ing hernia baby reduc	Y		A2	28.8435	"$1,439.75 "
49496		Rpr ing hernia baby blocked	Y		A2	28.8435	"$1,439.75 "
49500		Rpr ing hernia init reduce	Y		A2	28.8435	"$1,439.75 "
49501		Rpr ing hernia init blocked	Y		A2	28.8435	"$1,439.75 "
49505		Prp i/hern init reduc >5 yr	Y		A2	28.8435	"$1,439.75 "
49507		Prp i/hern init block >5 yr	Y		A2	28.8435	"$1,439.75 "
49520		Rerepair ing hernia reduce	Y		A2	28.8435	"$1,439.75 "
49521		Rerepair ing hernia blocked	Y		A2	28.8435	"$1,439.75 "
49525		Repair ing hernia sliding	Y		A2	28.8435	"$1,439.75 "
49540		Repair lumbar hernia	Y		A2	47.3118	"$2,361.62 "
49550		Rpr rem hernia init reduce	Y		A2	28.8435	"$1,439.75 "
49553		Rpr fem hernia init blocked	Y		A2	28.8435	"$1,439.75 "
49555		Rerepair fem hernia reduce	Y		A2	28.8435	"$1,439.75 "
49557		Rerepair fem hernia blocked	Y		A2	28.8435	"$1,439.75 "
49560		Rpr ventral hern init reduc	Y		A2	28.8435	"$1,439.75 "
49561		Rpr ventral hern init block	Y		A2	28.8435	"$1,439.75 "
49565		Rerepair ventrl hern reduce	Y		A2	47.3118	"$2,361.62 "
49566		Rerepair ventrl hern block	Y		A2	47.3118	"$2,361.62 "
49568		Hernia repair w/mesh	N		N1		
49570		Rpr epigastric hern reduce	Y		A2	28.8435	"$1,439.75 "
49572		Rpr epigastric hern blocked	Y		A2	28.8435	"$1,439.75 "
49580		Rpr umbil hern reduc < 5 yr	Y		A2	28.8435	"$1,439.75 "
49582		Rpr umbil hern block < 5 yr	Y		A2	28.8435	"$1,439.75 "
49585		Rpr umbil hern reduc > 5 yr	Y		A2	28.8435	"$1,439.75 "
49587		Rpr umbil hern block > 5 yr	Y		A2	28.8435	"$1,439.75 "
49590		Repair spigelian hernia	Y		A2	28.8435	"$1,439.75 "
49600		Repair umbilical lesion	Y		A2	28.8435	"$1,439.75 "
49650		Lap ing hernia repair init	Y		A2	47.3118	"$2,361.62 "
49651		Lap ing hernia repair recur	Y		A2	47.3118	"$2,361.62 "
49652		Lap vent/abd hernia repair	Y		G2	47.3118	"$2,361.62 "
49653		Lap vent/abd hern proc comp	Y		G2	47.3118	"$2,361.62 "
49654		Lap inc hernia repair	Y		G2	77.8993	"$3,888.42 "
49655		Lap inc hern repair comp	Y		G2	77.8993	"$3,888.42 "
49656		Lap inc hernia repair recur	Y		G2	77.8993	"$3,888.42 "
49657		Lap inc hern recur comp	Y		G2	77.8993	"$3,888.42 "
50080		Removal of kidney stone	Y		G2	83.2161	"$4,153.81 "
50081		Removal of kidney stone	Y		G2	83.2161	"$4,153.81 "
50200		Renal biopsy perq	Y		A2	12.1845	$608.20 
50382		Change ureter stent percut	Y		G2	16.3512	$816.19 
50384		Remove ureter stent percut	N		G2	16.3512	$816.19 
50385		Change stent via transureth	Y		G2	16.3512	$816.19 
50386		Remove stent via transureth	N		P3		$661.89 
50387		Change nephroureteral cath	Y		G2	16.3512	$816.19 
50389		Remove renal tube w/fluoro	N		G2	5.9652	$297.76 
50390		Drainage of kidney lesion	Y		A2	6.4523	$322.07 
50391		Instll rx agnt into rnal tub	Y		P3		$50.40 
50396		Measure kidney pressure	Y		A2	5.9652	$297.76 
50430		Njx px nfrosgrm &/urtrgrm	N		N1		
50431		Njx px nfrosgrm &/urtrgrm	N		N1		
50432		Plmt nephrostomy catheter	Y		G2	16.3512	$816.19 
50433		Plmt nephroureteral catheter	Y		G2	28.6271	"$1,428.95 "
50434		Convert nephrostomy catheter	Y		G2	16.3512	$816.19 
50435		Exchange nephrostomy cath	Y		G2	16.3512	$816.19 
50436		Dilat xst trc ndurlgc px	Y		G2	28.6271	"$1,428.95 "
50437		Dilat xst trc new access rcs	Y		G2	28.6271	"$1,428.95 "
50551		Kidney endoscopy	Y		A2	42.3167	"$2,112.28 "
50553		Kidney endoscopy	Y		A2	42.3167	"$2,112.28 "
50555		Kidney endoscopy & biopsy	Y		A2	83.2161	"$4,153.81 "
50557		Kidney endoscopy & treatment	Y		A2	83.2161	"$4,153.81 "
50561		Kidney endoscopy & treatment	Y		A2	42.3167	"$2,112.28 "
50562		Renal scope w/tumor resect	Y		G2	83.2161	"$4,153.81 "
50570		Kidney endoscopy	Y		G2	28.6271	"$1,428.95 "
50572		Kidney endoscopy	Y		G2	5.9652	$297.76 
50574		Kidney endoscopy & biopsy	Y		G2	28.6271	"$1,428.95 "
50575		Kidney endoscopy	Y		G2	42.3167	"$2,112.28 "
50576		Kidney endoscopy & treatment	Y		G2	42.3167	"$2,112.28 "
50580		Kidney endoscopy & treatment	Y		G2	42.3167	"$2,112.28 "
50590		Fragmenting of kidney stone	Y		G2	28.6271	"$1,428.95 "
50592		Perc rf ablate renal tumor	Y		G2	47.3118	"$2,361.62 "
50593		Perc cryo ablate renal tum	Y		J8	116.3392	"$5,807.19 "
50606		Endoluminal bx urtr rnl plvs	N		N1		
50684		Injection for ureter x-ray	N		N1		
50686		Measure ureter pressure	N		P2	1.4476	$72.26 
50688		Change of ureter tube/stent	Y		A2	16.3512	$816.19 
50690		Injection for ureter x-ray	N		N1		
50693		Plmt ureteral stent prq	Y		G2	28.6271	"$1,428.95 "
50694		Plmt ureteral stent prq	Y		G2	28.6271	"$1,428.95 "
50695		Plmt ureteral stent prq	Y	CH	J8	37.4010	"$1,866.91 "
50705		Ureteral embolization/occl	N		N1		
50706		Balloon dilate urtrl strix	N		N1		
50727		Revise ureter	Y		G2	28.6271	"$1,428.95 "
50947		Laparo new ureter/bladder	Y		A2	47.3118	"$2,361.62 "
50948		Laparo new ureter/bladder	Y		A2	77.8993	"$3,888.42 "
50951		Endoscopy of ureter	Y		A2	28.6271	"$1,428.95 "
50953		Endoscopy of ureter	Y		A2	28.6271	"$1,428.95 "
50955		Ureter endoscopy & biopsy	Y		A2	42.3167	"$2,112.28 "
50957		Ureter endoscopy & treatment	Y		A2	42.3167	"$2,112.28 "
50961		Ureter endoscopy & treatment	Y		A2	42.3167	"$2,112.28 "
50970		Ureter endoscopy	Y		A2	28.6271	"$1,428.95 "
50972		Ureter endoscopy & catheter	Y		A2	28.6271	"$1,428.95 "
50974		Ureter endoscopy & biopsy	Y		A2	42.3167	"$2,112.28 "
50976		Ureter endoscopy & treatment	Y		A2	42.3167	"$2,112.28 "
50980		Ureter endoscopy & treatment	Y		A2	42.3167	"$2,112.28 "
51020		Incise & treat bladder	Y		A2	28.6271	"$1,428.95 "
51030		Incise & treat bladder	Y		A2	28.6271	"$1,428.95 "
51040		Incise & drain bladder	Y		A2	16.3512	$816.19 
51045		Incise bladder/drain ureter	Y		A2	16.3512	$816.19 
51050		Removal of bladder stone	Y		A2	42.3167	"$2,112.28 "
51065		Remove ureter calculus	Y		A2	28.6271	"$1,428.95 "
51080		Drainage of bladder abscess	Y		A2	20.4190	"$1,019.23 "
51100		Drain bladder by needle	Y		P3		$44.35 
51101		Drain bladder by trocar/cath	N		P3		$119.95 
51102		Drain bl w/cath insertion	Y		A2	16.3512	$816.19 
51500		Removal of bladder cyst	Y		A2	47.3118	"$2,361.62 "
51520		Removal of bladder lesion	Y		A2	28.6271	"$1,428.95 "
51535		Repair of ureter lesion	Y		G2	28.6271	"$1,428.95 "
51600		Injection for bladder x-ray	N		N1		
51605		Preparation for bladder xray	N		N1		
51610		Injection for bladder x-ray	N		N1		
51700		Irrigation of bladder	Y		P3		$53.76 
51701		Insert bladder catheter	N		N1		
51702		Insert temp bladder cath	N		N1		
51703		Insert bladder cath complex	N		P2	1.4476	$72.26 
51705		Change of bladder tube	Y		P3		$62.83 
51710		Change of bladder tube	Y		A2	5.9652	$297.76 
51715		Endoscopic injection/implant	Y		J8	39.1119	"$1,952.31 "
51720		Treatment of bladder lesion	Y		P3		$54.43 
51725		Simple cystometrogram	Y		P2	2.7591	$137.72 
51726		Complex cystometrogram	Y		A2	2.7591	$137.72 
51727		Cystometrogram w/up	Y		P3		$265.43 
51728		Cystometrogram w/vp	Y		P3		$270.13 
51729		Cystometrogram w/vp&up	Y		P3		$269.79 
51736		Urine flow measurement	N		N1		
51741		Electro-uroflowmetry first	N		N1		
51784		Anal/urinary muscle study	N		P3		$26.88 
51785		Anal/urinary muscle study	Y		A2	2.7591	$137.72 
51792		Urinary reflex study	N		N1		
51797		Intraabdominal pressure test	N		N1		
51798		Us urine capacity measure	N		N1		
51880		Repair of bladder opening	Y		A2	28.6271	"$1,428.95 "
51992		Laparo sling operation	Y		J8	64.9758	"$3,243.33 "
52000		Cystoscopy	Y		A2	5.9652	$297.76 
52001		Cystoscopy removal of clots	Y		A2	28.6271	"$1,428.95 "
52005		Cystoscopy & ureter catheter	Y		A2	16.3512	$816.19 
52007		Cystoscopy and biopsy	Y		A2	28.6271	"$1,428.95 "
52010		Cystoscopy & duct catheter	Y		A2	5.9652	$297.76 
52204		Cystoscopy w/biopsy(s)	Y		A2	16.3512	$816.19 
52214		Cystoscopy and treatment	Y		A2	28.6271	"$1,428.95 "
52224		Cystoscopy and treatment	Y		A2	28.6271	"$1,428.95 "
52234		Cystoscopy and treatment	Y		A2	28.6271	"$1,428.95 "
52235		Cystoscopy and treatment	Y		A2	28.6271	"$1,428.95 "
52240		Cystoscopy and treatment	Y		A2	42.3167	"$2,112.28 "
52250		Cystoscopy and radiotracer	Y		A2	28.6271	"$1,428.95 "
52260		Cystoscopy and treatment	Y		A2	16.3512	$816.19 
52265		Cystoscopy and treatment	Y		P3		$270.80 
52270		Cystoscopy & revise urethra	Y		A2	16.3512	$816.19 
52275		Cystoscopy & revise urethra	Y		A2	16.3512	$816.19 
52276		Cystoscopy and treatment	Y		A2	16.3512	$816.19 
52277		Cystoscopy and treatment	Y		A2	28.6271	"$1,428.95 "
52281		Cystoscopy and treatment	Y		A2	16.3512	$816.19 
52282		Cystoscopy implant stent	Y		A2	28.6271	"$1,428.95 "
52283		Cystoscopy and treatment	Y		A2	16.3512	$816.19 
52285		Cystoscopy and treatment	Y		A2	5.9652	$297.76 
52287		Cystoscopy chemodenervation	Y		G2	16.3512	$816.19 
52290		Cystoscopy and treatment	Y		A2	16.3512	$816.19 
52300		Cystoscopy and treatment	Y		A2	28.6271	"$1,428.95 "
52301		Cystoscopy and treatment	Y		A2	28.6271	"$1,428.95 "
52305		Cystoscopy and treatment	Y		A2	42.3167	"$2,112.28 "
52310		Cystoscopy and treatment	Y		A2	16.3512	$816.19 
52315		Cystoscopy and treatment	Y		A2	16.3512	$816.19 
52317		Remove bladder stone	Y		A2	28.6271	"$1,428.95 "
52318		Remove bladder stone	Y		A2	28.6271	"$1,428.95 "
52320		Cystoscopy and treatment	Y		A2	28.6271	"$1,428.95 "
52325		Cystoscopy stone removal	Y		A2	42.3167	"$2,112.28 "
52327		Cystoscopy inject material	Y		J8	60.8300	"$3,036.39 "
52330		Cystoscopy and treatment	Y		A2	28.6271	"$1,428.95 "
52332		Cystoscopy and treatment	Y		A2	28.6271	"$1,428.95 "
52334		Create passage to kidney	Y		A2	28.6271	"$1,428.95 "
52341		Cysto w/ureter stricture tx	Y		A2	28.6271	"$1,428.95 "
52342		Cysto w/up stricture tx	Y		A2	28.6271	"$1,428.95 "
52343		Cysto w/renal stricture tx	Y		A2	28.6271	"$1,428.95 "
52344		Cysto/uretero stricture tx	Y		A2	28.6271	"$1,428.95 "
52345		Cysto/uretero w/up stricture	Y		A2	28.6271	"$1,428.95 "
52346		Cystouretero w/renal strict	Y		A2	42.3167	"$2,112.28 "
52351		Cystouretero & or pyeloscope	Y		A2	28.6271	"$1,428.95 "
52352		Cystouretero w/stone remove	Y		A2	28.6271	"$1,428.95 "
52353		Cystouretero w/lithotripsy	Y		A2	42.3167	"$2,112.28 "
52354		Cystouretero w/biopsy	Y		A2	42.3167	"$2,112.28 "
52355		Cystouretero w/excise tumor	Y		A2	42.3167	"$2,112.28 "
52356		Cysto/uretero w/lithotripsy	Y		G2	42.3167	"$2,112.28 "
52400		Cystouretero w/congen repr	Y		A2	28.6271	"$1,428.95 "
52402		Cystourethro cut ejacul duct	Y		A2	28.6271	"$1,428.95 "
52450		Incision of prostate	Y		A2	28.6271	"$1,428.95 "
52500		Revision of bladder neck	Y		A2	28.6271	"$1,428.95 "
52601		Prostatectomy (turp)	Y		A2	42.3167	"$2,112.28 "
52630		Remove prostate regrowth	Y		A2	42.3167	"$2,112.28 "
52640		Relieve bladder contracture	Y		A2	28.6271	"$1,428.95 "
52647		Laser surgery of prostate	Y		A2	42.3167	"$2,112.28 "
52648		Laser surgery of prostate	Y		A2	42.3167	"$2,112.28 "
52649		Prostate laser enucleation	Y		G2	42.3167	"$2,112.28 "
52700		Drainage of prostate abscess	Y		A2	28.6271	"$1,428.95 "
53000		Incision of urethra	Y		A2	16.3512	$816.19 
53010		Incision of urethra	Y		A2	42.3167	"$2,112.28 "
53020		Incision of urethra	Y		A2	16.3512	$816.19 
53025		Incision of urethra	Y		R2	16.3512	$816.19 
53040		Drainage of urethra abscess	Y		A2	28.6271	"$1,428.95 "
53060		Drainage of urethra abscess	Y		P3		$83.66 
53080		Drainage of urinary leakage	Y		A2	5.9652	$297.76 
53085		Drainage of urinary leakage	Y		G2	16.3512	$816.19 
53200		Biopsy of urethra	Y		A2	16.3512	$816.19 
53210		Removal of urethra	Y		A2	28.6271	"$1,428.95 "
53215		Removal of urethra	Y		A2	42.3167	"$2,112.28 "
53220		Treatment of urethra lesion	Y		A2	28.6271	"$1,428.95 "
53230		Removal of urethra lesion	Y		A2	42.3167	"$2,112.28 "
53235		Removal of urethra lesion	Y		A2	42.3167	"$2,112.28 "
53240		Surgery for urethra pouch	Y		A2	28.6271	"$1,428.95 "
53250		Removal of urethra gland	Y		A2	28.6271	"$1,428.95 "
53260		Treatment of urethra lesion	Y		A2	28.6271	"$1,428.95 "
53265		Treatment of urethra lesion	Y		A2	16.3512	$816.19 
53270		Removal of urethra gland	Y		A2	28.6271	"$1,428.95 "
53275		Repair of urethra defect	Y		A2	28.6271	"$1,428.95 "
53400		Revise urethra stage 1	Y		A2	42.3167	"$2,112.28 "
53405		Revise urethra stage 2	Y		A2	42.3167	"$2,112.28 "
53410		Reconstruction of urethra	Y		A2	42.3167	"$2,112.28 "
53420		Reconstruct urethra stage 1	Y		A2	42.3167	"$2,112.28 "
53425		Reconstruct urethra stage 2	Y		A2	42.3167	"$2,112.28 "
53430		Reconstruction of urethra	Y		A2	42.3167	"$2,112.28 "
53431		Reconstruct urethra/bladder	Y		A2	42.3167	"$2,112.28 "
53440		Male sling procedure	Y		J8	189.8842	"$9,478.26 "
53442		Remove/revise male sling	Y	CH	J8	55.5087	"$2,770.77 "
53444		Insert tandem cuff	Y		J8	304.5166	"$15,200.25 "
53445		Insert uro/ves nck sphincter	Y		J8	318.5784	"$15,902.16 "
53446		Remove uro sphincter	N		A2	42.3167	"$2,112.28 "
53447		Remove/replace ur sphincter	Y		J8	315.1859	"$15,732.82 "
53449		Repair uro sphincter	Y		A2	42.3167	"$2,112.28 "
53450		Revision of urethra	Y		A2	28.6271	"$1,428.95 "
53451		Tprnl balo cntnc dev bi	Y	NC	J8	203.9703	"$10,181.38 "
53452		Tprnl balo cntnc dev uni	Y	NC	J8	70.8176	"$3,534.93 "
53453		Tprnl balo cntnc dev rmvl ea	Y	NC	G2	28.6271	"$1,428.95 "
53454		Tprnl balo cntnc dev adjmt	Y	NC	R2	2.7591	$137.72 
53460		Revision of urethra	Y		A2	28.6271	"$1,428.95 "
53502		Repair of urethra injury	Y		A2	28.6271	"$1,428.95 "
53505		Repair of urethra injury	Y		A2	42.3167	"$2,112.28 "
53510		Repair of urethra injury	Y		A2	42.3167	"$2,112.28 "
53515		Repair of urethra injury	Y		A2	42.3167	"$2,112.28 "
53520		Repair of urethra defect	Y		A2	42.3167	"$2,112.28 "
53600		Dilate urethra stricture	Y		P3		$42.33 
53601		Dilate urethra stricture	N		N1		
53605		Dilate urethra stricture	Y		A2	28.6271	"$1,428.95 "
53620		Dilate urethra stricture	Y		P3		$112.22 
53621		Dilate urethra stricture	Y		P3		$114.23 
53660		Dilation of urethra	N		P3		$48.05 
53661		Dilation of urethra	N		N1		
53665		Dilation of urethra	Y		A2	16.3512	$816.19 
53850		Prostatic microwave thermotx	Y	CH	P3		"$1,260.61 "
53852		Prostatic rf thermotx	Y		P3		"$1,205.17 "
53854		Trurl dstrj prst8 tiss rf wv	Y		P2	28.6271	"$1,428.95 "
53855		Insert prost urethral stent	Y		P3		$620.56 
53860		Transurethral rf treatment	Y		P2	16.3512	$816.19 
54000		Slitting of prepuce	Y		A2	28.6271	"$1,428.95 "
54001		Slitting of prepuce	Y		A2	16.3512	$816.19 
54015		Drain penis lesion	Y		A2	12.1845	$608.20 
54050		Destruction penis lesion(s)	N		N1		
54055		Destruction penis lesion(s)	Y		P3		$88.70 
54056		Cryosurgery penis lesion(s)	N		N1		
54057		Laser surg penis lesion(s)	Y		A2	17.7592	$886.47 
54060		Excision of penis lesion(s)	Y		A2	17.7592	$886.47 
54065		Destruction penis lesion(s)	Y		A2	17.7592	$886.47 
54100		Biopsy of penis	Y		A2	12.1845	$608.20 
54105		Biopsy of penis	Y		A2	20.4190	"$1,019.23 "
54110		Treatment of penis lesion	Y		A2	28.6271	"$1,428.95 "
54111		Treat penis lesion graft	Y		A2	42.3167	"$2,112.28 "
54112		Treat penis lesion graft	Y		A2	83.2161	"$4,153.81 "
54115		Treatment of penis lesion	Y		A2	20.4190	"$1,019.23 "
54120		Partial removal of penis	Y		A2	28.6271	"$1,428.95 "
54150		Circumcision w/regionl block	Y		A2	16.3512	$816.19 
54160		Circumcision neonate	Y		A2	5.9652	$297.76 
54161		Circum 28 days or older	Y		A2	16.3512	$816.19 
54162		Lysis penil circumic lesion	Y		A2	16.3512	$816.19 
54163		Repair of circumcision	Y		A2	16.3512	$816.19 
54164		Frenulotomy of penis	Y		A2	16.3512	$816.19 
54200		Treatment of penis lesion	Y		P3		$72.91 
54205		Treatment of penis lesion	Y		A2	42.3167	"$2,112.28 "
54220		Treatment of penis lesion	Y		A2	2.7591	$137.72 
54230		Prepare penis study	N		N1		
54231		Dynamic cavernosometry	Y		P3		$63.84 
54235		Penile injection	Y		P3		$42.67 
54240		Penis study	N		P3		$39.65 
54250		Penis study	Y		P3		$13.78 
54300		Revision of penis	Y		A2	28.6271	"$1,428.95 "
54304		Revision of penis	Y		A2	28.6271	"$1,428.95 "
54308		Reconstruction of urethra	Y		A2	42.3167	"$2,112.28 "
54312		Reconstruction of urethra	Y		A2	28.6271	"$1,428.95 "
54316		Reconstruction of urethra	Y		A2	42.3167	"$2,112.28 "
54318		Reconstruction of urethra	Y		A2	28.6271	"$1,428.95 "
54322		Reconstruction of urethra	Y		A2	28.6271	"$1,428.95 "
54324		Reconstruction of urethra	Y		A2	28.6271	"$1,428.95 "
54326		Reconstruction of urethra	Y		A2	28.6271	"$1,428.95 "
54328		Revise penis/urethra	Y		A2	28.6271	"$1,428.95 "
54340		Rpr hypspad comp simple	Y		A2	28.6271	"$1,428.95 "
54344		Rrp hypspad comp moblj&urtp	Y		A2	42.3167	"$2,112.28 "
54348		Rpr hypspad comp dsj & urtp	Y		A2	42.3167	"$2,112.28 "
54352		Revj prior hypspad repair	Y		A2	42.3167	"$2,112.28 "
54360		Penis plastic surgery	Y		A2	28.6271	"$1,428.95 "
54380		Repair penis	Y		A2	16.3512	$816.19 
54385		Repair penis	Y		A2	16.3512	$816.19 
54400		Insert semi-rigid prosthesis	N		J8	195.4011	"$9,753.64 "
54401		Insert self-contd prosthesis	N		J8	318.2318	"$15,884.86 "
54405		Insert multi-comp penis pros	N		J8	318.3412	"$15,890.32 "
54406		Remove muti-comp penis pros	N		A2	28.6271	"$1,428.95 "
54408		Repair multi-comp penis pros	Y		A2	42.3167	"$2,112.28 "
54410		Remove/replace penis prosth	N		J8	311.6113	"$15,554.39 "
54415		Remove self-contd penis pros	N		A2	28.6271	"$1,428.95 "
54416		Remv/repl penis contain pros	N		J8	311.3743	"$15,542.56 "
54420		Revision of penis	Y		A2	28.6271	"$1,428.95 "
54435		Revision of penis	Y		A2	28.6271	"$1,428.95 "
54437		Repair corporeal tear	Y		G2	28.6271	"$1,428.95 "
54440		Repair of penis	Y		A2	28.6271	"$1,428.95 "
54450		Preputial stretching	Y		A2	2.7591	$137.72 
54500		Biopsy of testis	Y		A2	20.4190	"$1,019.23 "
54505		Biopsy of testis	Y		A2	28.6271	"$1,428.95 "
54512		Excise lesion testis	Y		A2	28.6271	"$1,428.95 "
54520		Removal of testis	Y		A2	28.6271	"$1,428.95 "
54522		Orchiectomy partial	Y		A2	28.6271	"$1,428.95 "
54530		Removal of testis	Y		A2	28.8435	"$1,439.75 "
54550		Exploration for testis	Y		A2	28.8435	"$1,439.75 "
54560		Exploration for testis	Y		G2	16.3512	$816.19 
54600		Reduce testis torsion	Y		A2	28.6271	"$1,428.95 "
54620		Suspension of testis	Y		A2	28.6271	"$1,428.95 "
54640		Orchiopexy ingun/scrot appr	Y		A2	28.8435	"$1,439.75 "
54650		Orchiopexy (fowler-stephens)	Y		G2	28.8435	"$1,439.75 "
54660		Revision of testis	Y		J8	62.6422	"$3,126.85 "
54670		Repair testis injury	Y		A2	28.6271	"$1,428.95 "
54680		Relocation of testis(es)	Y		A2	28.6271	"$1,428.95 "
54690		Laparoscopy orchiectomy	Y		A2	47.3118	"$2,361.62 "
54692		Laparoscopy orchiopexy	Y		G2	47.3118	"$2,361.62 "
54700		Drainage of scrotum	Y		A2	16.3512	$816.19 
54800		Biopsy of epididymis	Y		A2	12.1845	$608.20 
54830		Remove epididymis lesion	Y		A2	28.6271	"$1,428.95 "
54840		Remove epididymis lesion	Y		A2	16.3512	$816.19 
54860		Removal of epididymis	Y		A2	28.6271	"$1,428.95 "
54861		Removal of epididymis	Y		A2	28.6271	"$1,428.95 "
54865		Explore epididymis	Y		A2	28.6271	"$1,428.95 "
54900		Fusion of spermatic ducts	Y		A2	16.3512	$816.19 
54901		Fusion of spermatic ducts	Y		A2	28.6271	"$1,428.95 "
55000		Drainage of hydrocele	Y		P3		$65.85 
55040		Removal of hydrocele	Y		A2	28.8435	"$1,439.75 "
55041		Removal of hydroceles	Y		A2	28.8435	"$1,439.75 "
55060		Repair of hydrocele	Y		A2	28.6271	"$1,428.95 "
55100		Drainage of scrotum abscess	Y		A2	12.1845	$608.20 
55110		Explore scrotum	Y		A2	28.6271	"$1,428.95 "
55120		Removal of scrotum lesion	Y		A2	16.3512	$816.19 
55150		Removal of scrotum	Y		A2	28.6271	"$1,428.95 "
55175		Revision of scrotum	Y		A2	28.6271	"$1,428.95 "
55180		Revision of scrotum	Y		A2	42.3167	"$2,112.28 "
55200		Incision of sperm duct	Y		A2	28.6271	"$1,428.95 "
55250		Removal of sperm duct(s)	Y		A2	16.3512	$816.19 
55300		Prepare sperm duct x-ray	N		N1		
55400		Repair of sperm duct	Y		A2	28.6271	"$1,428.95 "
55500		Removal of hydrocele	Y		A2	28.6271	"$1,428.95 "
55520		Removal of sperm cord lesion	Y		A2	28.6271	"$1,428.95 "
55530		Revise spermatic cord veins	Y		A2	28.6271	"$1,428.95 "
55535		Revise spermatic cord veins	Y		A2	28.8435	"$1,439.75 "
55540		Revise hernia & sperm veins	Y		A2	28.8435	"$1,439.75 "
55550		Laparo ligate spermatic vein	Y		A2	47.3118	"$2,361.62 "
55600		Incise sperm duct pouch	Y		R2	16.3512	$816.19 
55680		Remove sperm pouch lesion	Y		A2	28.6271	"$1,428.95 "
55700		Biopsy of prostate	Y		A2	16.3512	$816.19 
55705		Biopsy of prostate	Y		A2	28.6271	"$1,428.95 "
55706		Prostate saturation sampling	Y		G2	28.6271	"$1,428.95 "
55720		Drainage of prostate abscess	Y		A2	28.6271	"$1,428.95 "
55725		Drainage of prostate abscess	Y		A2	28.6271	"$1,428.95 "
55860		Surgical exposure prostate	Y		G2	42.3167	"$2,112.28 "
55870		Electroejaculation	Y		P3		$76.27 
55873		Cryoablate prostate	Y		J8	129.0827	"$6,443.29 "
55874		Tprnl plmt biodegrdabl matrl	Y		J8	60.2452	"$3,007.20 "
55875		Transperi needle place pros	Y		A2	42.3167	"$2,112.28 "
55876		Place rt device/marker pros	N		P3		$86.01 
55880		Abltj mal prst8 tiss hifu	Y		G2	42.3167	"$2,112.28 "
55920		Place needles pelvic for rt	Y		G2	38.2481	"$1,909.19 "
56405		I & d of vulva/perineum	Y		P3		$91.72 
56420		Drainage of gland abscess	Y		P2	1.7665	$88.18 
56440		Surgery for vulva lesion	Y		A2	26.6390	"$1,329.71 "
56441		Lysis of labial lesion(s)	Y		A2	26.6390	"$1,329.71 "
56442		Hymenotomy	Y		A2	26.6390	"$1,329.71 "
56501		Destroy vulva lesions sim	Y		P3		$134.73 
56515		Destroy vulva lesion/s compl	Y		A2	17.7592	$886.47 
56605		Biopsy of vulva/perineum	Y		P3		$54.43 
56606		Biopsy of vulva/perineum	N		N1		
56620		Partial removal of vulva	Y		A2	26.6390	"$1,329.71 "
56625		Complete removal of vulva	Y		A2	26.6390	"$1,329.71 "
56700		Partial removal of hymen	Y		A2	26.6390	"$1,329.71 "
56740		Remove vagina gland lesion	Y		A2	26.6390	"$1,329.71 "
56800		Repair of vagina	Y		A2	26.6390	"$1,329.71 "
56805		Repair clitoris	Y		G2	26.6390	"$1,329.71 "
56810		Repair of perineum	Y		A2	26.6390	"$1,329.71 "
56820		Exam of vulva w/scope	Y		P3		$66.86 
56821		Exam/biopsy of vulva w/scope	Y		P3		$88.03 
57000		Exploration of vagina	Y		A2	26.6390	"$1,329.71 "
57010		Drainage of pelvic abscess	Y		A2	26.6390	"$1,329.71 "
57020		Drainage of pelvic fluid	Y		A2	38.2481	"$1,909.19 "
57022		I & d vaginal hematoma pp	Y		R2	20.4190	"$1,019.23 "
57023		I & d vag hematoma non-ob	Y		A2	20.4190	"$1,019.23 "
57061		Destroy vag lesions simple	Y		P3		$119.95 
57065		Destroy vag lesions complex	Y		A2	26.6390	"$1,329.71 "
57100		Biopsy of vagina	Y		P3		$57.12 
57105		Biopsy of vagina	Y		A2	26.6390	"$1,329.71 "
57120		Closure of vagina	Y		G2	38.2481	"$1,909.19 "
57130		Remove vagina lesion	Y		A2	26.6390	"$1,329.71 "
57135		Remove vagina lesion	Y		A2	26.6390	"$1,329.71 "
57150		Treat vagina infection	N		N1		
57155		Insert uteri tandem/ovoids	Y		A2	38.2481	"$1,909.19 "
57156		Ins vag brachytx device	Y		G2	2.9243	$145.97 
57160		Insert pessary/other device	Y		P3		$40.65 
57170		Fitting of diaphragm/cap	Y		P3		$43.34 
57180		Treat vaginal bleeding	Y		A2	1.7665	$88.18 
57200		Repair of vagina	Y		A2	26.6390	"$1,329.71 "
57210		Repair vagina/perineum	Y		A2	26.6390	"$1,329.71 "
57220		Revision of urethra	Y		A2	38.2481	"$1,909.19 "
57230		Repair of urethral lesion	Y		A2	26.6390	"$1,329.71 "
57240		Anterior colporrhaphy	Y		A2	38.2481	"$1,909.19 "
57250		Repair rectum & vagina	Y		A2	38.2481	"$1,909.19 "
57260		Cmbn ant pst colprhy	Y		A2	38.2481	"$1,909.19 "
57265		Cmbn ap colprhy w/ntrcl rpr	Y		A2	38.2481	"$1,909.19 "
57267		Insert mesh/pelvic flr addon	N		N1		
57268		Repair of bowel bulge	Y		A2	38.2481	"$1,909.19 "
57282		Colpopexy extraperitoneal	Y		G2	57.0292	"$2,846.67 "
57283		Colpopexy intraperitoneal	Y		G2	57.0292	"$2,846.67 "
57287		Revise/remove sling repair	N		G2	26.6390	"$1,329.71 "
57288		Repair bladder defect	Y		J8	51.7874	"$2,585.02 "
57289		Repair bladder & vagina	Y		A2	57.0292	"$2,846.67 "
57291		Construction of vagina	Y		A2	38.2481	"$1,909.19 "
57295		Revise vag graft via vagina	Y		G2	26.6390	"$1,329.71 "
57300		Repair rectum-vagina fistula	Y		A2	26.6390	"$1,329.71 "
57310		Repair urethrovaginal lesion	Y		G2	57.0292	"$2,846.67 "
57320		Repair bladder-vagina lesion	Y		G2	38.2481	"$1,909.19 "
57400		Dilation of vagina	Y		A2	26.6390	"$1,329.71 "
57410		Pelvic examination	Y		A2	26.6390	"$1,329.71 "
57415		Remove vaginal foreign body	Y		A2	26.6390	"$1,329.71 "
57420		Exam of vagina w/scope	Y		P3		$70.22 
57421		Exam/biopsy of vag w/scope	Y		P3		$92.40 
57425		Laparoscopy surg colpopexy	Y		G2	77.8993	"$3,888.42 "
57426		Revise prosth vag graft lap	Y		G2	57.0292	"$2,846.67 "
57452		Exam of cervix w/scope	Y		P3		$68.88 
57454		Bx/curett of cervix w/scope	Y		P3		$78.96 
57455		Biopsy of cervix w/scope	Y		P3		$85.00 
57456		Endocerv curettage w/scope	Y		P3		$80.64 
57460		Bx of cervix w/scope leep	Y		P3		$211.67 
57461		Conz of cervix w/scope leep	Y		P3		$224.77 
57500		Biopsy of cervix	Y		P3		$110.87 
57505		Endocervical curettage	Y		P3		$111.55 
57510		Cauterization of cervix	Y		P3		$96.09 
57511		Cryocautery of cervix	Y		P3		$127.34 
57513		Laser surgery of cervix	Y		A2	26.6390	"$1,329.71 "
57520		Conization of cervix	Y		A2	26.6390	"$1,329.71 "
57522		Conization of cervix	Y		A2	26.6390	"$1,329.71 "
57530		Removal of cervix	Y		A2	38.2481	"$1,909.19 "
57550		Removal of residual cervix	Y		A2	38.2481	"$1,909.19 "
57556		Remove cervix repair bowel	Y		A2	38.2481	"$1,909.19 "
57558		D&c of cervical stump	Y		A2	26.6390	"$1,329.71 "
57700		Revision of cervix	Y		A2	26.6390	"$1,329.71 "
57720		Revision of cervix	Y		A2	26.6390	"$1,329.71 "
57800		Dilation of cervical canal	Y		P3		$48.38 
58100		Biopsy of uterus lining	Y		P3		$55.77 
58110		Bx done w/colposcopy add-on	N		N1		
58120		Dilation and curettage	Y		A2	26.6390	"$1,329.71 "
58145		Myomectomy vag method	Y		A2	26.6390	"$1,329.71 "
58260		Vaginal hysterectomy	Y		G2	38.2481	"$1,909.19 "
58262		Vag hyst including t/o	Y		G2	38.2481	"$1,909.19 "
58301		Remove intrauterine device	N		P3		$62.16 
58321		Artificial insemination	Y		P3		$45.69 
58322		Artificial insemination	Y		P3		$48.05 
58323		Sperm washing	Y		P3		$5.71 
58340		Catheter for hysterography	N		N1		
58345		Reopen fallopian tube	Y		R2	26.6390	"$1,329.71 "
58346		Insert heyman uteri capsule	Y		A2	38.2481	"$1,909.19 "
58350		Reopen fallopian tube	Y		A2	38.2481	"$1,909.19 "
58353		Endometr ablate thermal	Y		A2	38.2481	"$1,909.19 "
58356		Endometrial cryoablation	Y		P3		"$1,502.18 "
58541		Lsh uterus 250 g or less	Y		G2	47.3118	"$2,361.62 "
58542		Lsh w/t/o ut 250 g or less	Y		G2	77.8993	"$3,888.42 "
58543		Lsh uterus above 250 g	Y		G2	77.8993	"$3,888.42 "
58544		Lsh w/t/o uterus above 250 g	Y		G2	77.8993	"$3,888.42 "
58545		Laparoscopic myomectomy	Y		A2	47.3118	"$2,361.62 "
58546		Laparo-myomectomy complex	Y		A2	77.8993	"$3,888.42 "
58550		Laparo-asst vag hysterectomy	Y		A2	47.3118	"$2,361.62 "
58552		Laparo-vag hyst incl t/o	Y		G2	77.8993	"$3,888.42 "
58553		Laparo-vag hyst complex	Y		G2	77.8993	"$3,888.42 "
58554		Laparo-vag hyst w/t/o compl	Y		G2	77.8993	"$3,888.42 "
58555		Hysteroscopy dx sep proc	Y		A2	26.6390	"$1,329.71 "
58558		Hysteroscopy biopsy	Y		A2	26.6390	"$1,329.71 "
58559		Hysteroscopy lysis	Y		A2	38.2481	"$1,909.19 "
58560		Hysteroscopy resect septum	Y		A2	38.2481	"$1,909.19 "
58561		Hysteroscopy remove myoma	Y		A2	38.2481	"$1,909.19 "
58562		Hysteroscopy remove fb	Y		A2	26.6390	"$1,329.71 "
58563		Hysteroscopy ablation	Y		A2	38.2481	"$1,909.19 "
58565		Hysteroscopy sterilization	Y	CH	J8	49.7882	"$2,485.23 "
58570		Tlh uterus 250 g or less	Y		G2	77.8993	"$3,888.42 "
58571		Tlh w/t/o 250 g or less	Y		G2	77.8993	"$3,888.42 "
58572		Tlh uterus over 250 g	Y		G2	77.8993	"$3,888.42 "
58573		Tlh w/t/o uterus over 250 g	Y		G2	77.8993	"$3,888.42 "
58600		Division of fallopian tube	Y		G2	26.6390	"$1,329.71 "
58615		Occlude fallopian tube(s)	Y		G2	26.6390	"$1,329.71 "
58660		Laparoscopy lysis	Y		A2	47.3118	"$2,361.62 "
58661		Laparoscopy remove adnexa	Y		A2	47.3118	"$2,361.62 "
58662		Laparoscopy excise lesions	Y		A2	47.3118	"$2,361.62 "
58670		Laparoscopy tubal cautery	Y		A2	47.3118	"$2,361.62 "
58671		Laparoscopy tubal block	Y		A2	47.3118	"$2,361.62 "
58672		Laparoscopy fimbrioplasty	Y		A2	47.3118	"$2,361.62 "
58673		Laparoscopy salpingostomy	Y		A2	47.3118	"$2,361.62 "
58674		Laps abltj uterine fibroids	Y		G2	77.8993	"$3,888.42 "
58800		Drainage of ovarian cyst(s)	Y		A2	26.6390	"$1,329.71 "
58805		Drainage of ovarian cyst(s)	Y		G2	26.6390	"$1,329.71 "
58820		Drain ovary abscess open	Y		A2	26.6390	"$1,329.71 "
58900		Biopsy of ovary(s)	Y		A2	26.6390	"$1,329.71 "
58970		Retrieval of oocyte	Y		A2	6.5734	$328.12 
58974		Transfer of embryo	Y		A2	6.5734	$328.12 
58976		Transfer of embryo	Y		A2	2.9243	$145.97 
59000		Amniocentesis diagnostic	Y		P3		$60.14 
59001		Amniocentesis therapeutic	Y		R2	2.9243	$145.97 
59012		Fetal cord puncture prenatal	Y		G2	2.9243	$145.97 
59015		Chorion biopsy	Y		P3		$60.48 
59020		Fetal contract stress test	Y		P3		$32.93 
59025		Fetal non-stress test	Y		P3		$19.15 
59070		Transabdom amnioinfus w/us	Y		G2	2.9243	$145.97 
59072		Umbilical cord occlud w/us	Y		J8	4.0809	$203.70 
59074		Fetal fluid drainage w/us	Y		G2	2.9243	$145.97 
59076		Fetal shunt placement w/us	Y		G2	2.9243	$145.97 
59100		Remove uterus lesion	Y		R2	38.2481	"$1,909.19 "
59150		Treat ectopic pregnancy	Y		G2	47.3118	"$2,361.62 "
59151		Treat ectopic pregnancy	Y		G2	47.3118	"$2,361.62 "
59160		D & c after delivery	Y		A2	26.6390	"$1,329.71 "
59200		Insert cervical dilator	Y		P3		$73.58 
59300		Episiotomy or vaginal repair	Y		P3		$130.03 
59320		Revision of cervix	Y		A2	26.6390	"$1,329.71 "
59412		Antepartum manipulation	Y		G2	26.6390	"$1,329.71 "
59414		Deliver placenta	Y		G2	26.6390	"$1,329.71 "
59812		Treatment of miscarriage	Y		A2	26.6390	"$1,329.71 "
59820		Care of miscarriage	Y		A2	26.6390	"$1,329.71 "
59821		Treatment of miscarriage	Y		A2	26.6390	"$1,329.71 "
59840		Abortion	Y		A2	26.6390	"$1,329.71 "
59841		Abortion	Y		A2	26.6390	"$1,329.71 "
59866		Abortion (mpr)	Y		G2	2.9243	$145.97 
59870		Evacuate mole of uterus	Y		A2	26.6390	"$1,329.71 "
59871		Remove cerclage suture	N		A2	26.6390	"$1,329.71 "
60000		Drain thyroid/tongue cyst	Y		A2	10.5360	$525.91 
60100		Biopsy of thyroid	Y		P3		$51.74 
60200		Remove thyroid lesion	Y		A2	47.3118	"$2,361.62 "
60210		Partial thyroid excision	Y		G2	47.3118	"$2,361.62 "
60212		Partial thyroid excision	Y		G2	47.3118	"$2,361.62 "
60220		Partial removal of thyroid	Y		G2	47.3118	"$2,361.62 "
60225		Partial removal of thyroid	Y		G2	47.3118	"$2,361.62 "
60240		Removal of thyroid	Y		G2	47.3118	"$2,361.62 "
60280		Remove thyroid duct lesion	Y		A2	47.3118	"$2,361.62 "
60281		Remove thyroid duct lesion	Y		A2	47.3118	"$2,361.62 "
60300		Aspir/inj thyroid cyst	Y		P3		$72.24 
60500		Explore parathyroid glands	Y		G2	48.9494	"$2,443.36 "
60512		Autotransplant parathyroid	N		N1		
61000		Remove cranial cavity fluid	Y		R2	6.5841	$328.65 
61001		Remove cranial cavity fluid	Y		R2	6.5841	$328.65 
61020		Remove brain cavity fluid	Y		A2	8.5355	$426.06 
61026		Injection into brain canal	Y		A2	6.5841	$328.65 
61050		Remove brain canal fluid	Y		A2	2.7090	$135.22 
61055		Injection into brain canal	Y		A2	2.7090	$135.22 
61070		Brain canal shunt procedure	Y		A2	6.5841	$328.65 
61215		Insert brain-fluid device	Y		A2	50.0103	"$2,496.31 "
61330		Decompress eye socket	Y		G2	22.2082	"$1,108.54 "
61770		Incise skull for treatment	Y		G2	50.0103	"$2,496.31 "
61781		Scan proc cranial intra	N		N1		
61782		Scan proc cranial extra	N		N1		
61783		Scan proc spinal	N		N1		
61790		Treat trigeminal nerve	Y		A2	16.5303	$825.13 
61791		Treat trigeminal tract	Y		A2	16.5303	$825.13 
61880		Revise/remove neuroelectrode	Y		G2	37.5646	"$1,875.07 "
61885		Insrt/redo neurostim 1 array	N		J8	372.4501	"$18,591.22 "
61886		Implant neurostim arrays	N		J8	491.6255	"$24,539.98 "
61888		Revise/remove neuroreceiver	Y		J8	205.5121	"$10,258.34 "
62160		Neuroendoscopy add-on	N		N1		
62194		Replace/irrigate catheter	Y		A2	16.5303	$825.13 
62225		Replace/irrigate catheter	Y		A2	50.0103	"$2,496.31 "
62230		Replace/revise brain shunt	Y		A2	50.0103	"$2,496.31 "
62252		Csf shunt reprogram	N		P3		$36.29 
62263		Epidural lysis mult sessions	Y		A2	8.5355	$426.06 
62264		Epidural lysis on single day	Y		A2	8.5355	$426.06 
62267		Interdiscal perq aspir dx	Y		G2	6.4523	$322.07 
62268		Drain spinal cord cyst	Y		A2	8.5355	$426.06 
62269		Needle biopsy spinal cord	Y		A2	12.1845	$608.20 
62270		Dx lmbr spi pnxr	Y		A2	6.5841	$328.65 
62272		Ther spi pnxr drg csf	Y		A2	6.5841	$328.65 
62273		Inject epidural patch	Y		A2	6.5841	$328.65 
62280		Treat spinal cord lesion	Y		A2	8.5355	$426.06 
62281		Treat spinal cord lesion	Y		A2	8.5355	$426.06 
62282		Treat spinal canal lesion	Y		A2	8.5355	$426.06 
62284		Injection for myelogram	N		N1		
62287		Dcmprn px perq 1/mlt lumbar	Y		A2	16.5303	$825.13 
62290		Njx px discography lumbar	N		N1		
62291		Njx px discography crv/thrc	N		N1		
62292		Njx chemonucleolysis lmbr	Y		R2	16.5303	$825.13 
62294		Injection into spinal artery	Y		A2	8.5355	$426.06 
62302		Myelography lumbar injection	N		N1		
62303		Myelography lumbar injection	N		N1		
62304		Myelography lumbar injection	N		N1		
62305		Myelography lumbar injection	N		N1		
62320		Njx interlaminar crv/thrc	Y		G2	6.5841	$328.65 
62321		Njx interlaminar crv/thrc	Y		G2	6.5841	$328.65 
62322		Njx interlaminar lmbr/sac	Y		G2	6.5841	$328.65 
62323		Njx interlaminar lmbr/sac	Y		G2	6.5841	$328.65 
62324		Njx interlaminar crv/thrc	Y		G2	8.5355	$426.06 
62325		Njx interlaminar crv/thrc	Y		G2	8.5355	$426.06 
62326		Njx interlaminar lmbr/sac	Y		G2	8.5355	$426.06 
62327		Njx interlaminar lmbr/sac	Y		G2	8.5355	$426.06 
62328		Dx lmbr spi pnxr w/fluor/ct	Y		G2	6.5841	$328.65 
62329		Ther spi pnxr csf fluor/ct	Y		G2	6.5841	$328.65 
62350		Implant spinal canal cath	Y		J8	72.3908	"$3,613.46 "
62355		Remove spinal canal catheter	N		A2	16.5303	$825.13 
62360		Insert spine infusion device	Y		J8	282.3562	"$14,094.09 "
62361		Implant spine infusion pump	Y		J8	275.3211	"$13,742.93 "
62362		Implant spine infusion pump	Y		J8	289.8730	"$14,469.30 "
62365		Remove spine infusion device	N		A2	50.0103	"$2,496.31 "
62367		Analyze spine infus pump	N		P3		$13.10 
62368		Analyze sp inf pump w/reprog	N		P3		$18.48 
62369		Anal sp inf pmp w/reprg&fill	N		P3		$67.20 
62370		Anl sp inf pmp w/mdreprg&fil	N		P3		$59.80 
62380		Ndsc dcmprn 1 ntrspc lumbar	Y		G2	60.0780	"$2,998.85 "
63001		Remove spine lamina 1/2 crvl	Y		G2	60.0780	"$2,998.85 "
63003		Remove spine lamina 1/2 thrc	Y		G2	60.0780	"$2,998.85 "
63005		Remove spine lamina 1/2 lmbr	Y		G2	60.0780	"$2,998.85 "
63020		Neck spine disk surgery	Y		G2	60.0780	"$2,998.85 "
63030		Low back disk surgery	Y		G2	60.0780	"$2,998.85 "
63042		Laminotomy single lumbar	Y		G2	60.0780	"$2,998.85 "
63044		Laminotomy addl lumbar	N		N1		
63045		Lam facetec & foramot crv	Y		G2	60.0780	"$2,998.85 "
63046		Lam facetec & foramot thrc	Y		G2	60.0780	"$2,998.85 "
63047		Lam facetec & foramot lumbar	Y		G2	60.0780	"$2,998.85 "
63055		Decompress spinal cord thrc	Y		G2	60.0780	"$2,998.85 "
63056		Decompress spinal cord lmbr	Y		G2	60.0780	"$2,998.85 "
63600		Remove spinal cord lesion	Y		A2	16.5303	$825.13 
63610		Stimulation of spinal cord	Y		J8	24.3832	"$1,217.11 "
63650		Implant neuroelectrodes	N		J8	91.5614	"$4,570.38 "
63655		Implant neuroelectrodes	N		J8	343.4478	"$17,143.54 "
63661		Remove spine eltrd perq aray	N		G2	16.5303	$825.13 
63662		Remove spine eltrd plate	Y		G2	37.5646	"$1,875.07 "
63663		Revise spine eltrd perq aray	N		J8	92.0659	"$4,595.56 "
63664		Revise spine eltrd plate	N		J8	185.9250	"$9,280.63 "
63685		Insrt/redo spine n generator	N		J8	489.2794	"$24,422.87 "
63688		Revise/remove neuroreceiver	Y	CH	J8	51.8930	"$2,590.29 "
63744		Revision of spinal shunt	Y		J8	68.7938	"$3,433.91 "
63746		Removal of spinal shunt	N		A2	16.5303	$825.13 
64400		Njx aa&/strd trigeminal nrv	Y		P3		$81.98 
64405		Njx aa&/strd gr ocpl nrv	Y		P3		$36.62 
64408		Njx aa&/strd vagus nrv	Y		P3		$53.09 
64415		Njx aa&/strd brach plexus	Y		A2	8.5355	$426.06 
64416		Njx aa&/strd brach plex nfs	Y		G2	8.5355	$426.06 
64417		Njx aa&/strd axillary nrv	Y		A2	8.5355	$426.06 
64418		Njx aa&/strd sprscap nrv	Y		P3		$47.04 
64420		Njx aa&/strd ntrcost nrv 1	Y		A2	6.5841	$328.65 
64421		Njx aa&/strd ntrcost nrv ea	Y		A2	8.5355	$426.06 
64425		Njx aa&/strd ii ih nerves	Y		P3		$74.92 
64430		Njx aa&/strd pudendal nerve	Y		A2	8.5355	$426.06 
64435		Njx aa&/strd paracrv nrv	Y		P3		$52.41 
64445		Njx aa&/strd sciatic nerve	Y		P3		$89.37 
64446		Njx aa&/strd sciatic nrv nfs	Y		G2	8.5355	$426.06 
64447		Njx aa&/strd femoral nerve	Y		P3		$48.38 
64448		Njx aa&/strd fem nerve nfs	Y	CH	J8	11.1109	$554.61 
64449		Njx aa&/strd lmbr plex nfs	Y		G2	8.5355	$426.06 
64450		Njx aa&/strd other pn/branch	Y		P3		$47.71 
64451		Njx aa&/strd nrv nrvtg si jt	Y		G2	6.5841	$328.65 
64454	*	Njx aa&/strd gnclr nrv brnch	Y		P3		$169.67 
64455		Njx aa&/strd pltr com dg nrv	Y		P3		$21.84 
64461		Pvb thoracic single inj site	Y		G2	6.5841	$328.65 
64462		Pvb thoracic 2nd+ inj site	N		N1		
64463		Pvb thoracic cont infusion	Y		G2	6.5841	$328.65 
64479		Njx aa&/strd tfrm epi c/t 1	Y		A2	8.5355	$426.06 
64480		Njx aa&/strd tfrm epi c/t ea	N		N1		
64483		Njx aa&/strd tfrm epi l/s 1	Y		A2	8.5355	$426.06 
64484		Njx aa&/strd tfrm epi l/s ea	N		N1		
64486		Tap block unil by injection	N		N1		
64487		Tap block uni by infusion	N		N1		
64488		Tap block bi injection	N		N1		
64489		Tap block bi by infusion	N		N1		
64490		Inj paravert f jnt c/t 1 lev	Y		G2	8.5355	$426.06 
64491		Inj paravert f jnt c/t 2 lev	N		N1		
64492		Inj paravert f jnt c/t 3 lev	N		N1		
64493		Inj paravert f jnt l/s 1 lev	Y		G2	8.5355	$426.06 
64494		Inj paravert f jnt l/s 2 lev	N		N1		
64495		Inj paravert f jnt l/s 3 lev	N		N1		
64505		N block spenopalatine gangl	Y		P3		$85.68 
64510		N block stellate ganglion	Y		A2	8.5355	$426.06 
64517		N block inj hypogas plxs	Y		A2	8.5355	$426.06 
64520		N block lumbar/thoracic	Y		A2	8.5355	$426.06 
64530		N block inj celiac pelus	Y		A2	8.5355	$426.06 
64553		Implant neuroelectrodes	N		J8	199.1001	"$9,938.28 "
64555		Implant neuroelectrodes	N		J8	97.8796	"$4,885.76 "
64561		Implant neuroelectrodes	N		J8	93.6095	"$4,672.61 "
64566		Neuroeltrd stim post tibial	Y		P3		$97.10 
64568		Opn impltj crnl nrv nea&pg	N		J8	497.3860	"$24,827.52 "
64569		Revise/repl vagus n eltrd	N		J8	226.2747	"$11,294.73 "
64570		Remove vagus n eltrd	N		G2	50.0103	"$2,496.31 "
64575		Opn impltj nea perph nerve	N		J8	205.0272	"$10,234.14 "
64580		Opn impltj nea neuromuscular	N		J8	296.9615	"$14,823.13 "
64581		Opn impltj nea sacral nerve	N		J8	99.0809	"$4,945.72 "
64582		Opn mpltj hpglsl nstm ary pg	N	NC	J8	497.3862	"$24,827.53 "
64583		Rev/rplct hpglsl nstm ary pg	Y	NC	J8	162.1077	"$8,091.77 "
64584		Rmvl hpglsl nstim ary pg	N	NC	G2	50.0103	"$2,496.31 "
64585		Revise/remove neuroelectrode	Y		A2	37.5646	"$1,875.07 "
64590		Insrt/redo pn/gastr stimul	N		J8	369.2604	"$18,432.00 "
64595		Revise/rmv pn/gastr stimul	Y	CH	J8	60.0461	"$2,997.26 "
64600		Injection treatment of nerve	Y		A2	8.5355	$426.06 
64605		Injection treatment of nerve	Y		A2	16.5303	$825.13 
64610		Injection treatment of nerve	Y		A2	16.5303	$825.13 
64611		Chemodenerv saliv glands	Y		P3		$81.98 
64612		Destroy nerve face muscle	Y		P3		$78.62 
64615		Chemodenerv musc migraine	Y		P3		$71.90 
64616		Chemodenerv musc neck dyston	Y		P3		$69.55 
64617		Chemodener muscle larynx emg	Y		P3		$90.38 
64620		Injection treatment of nerve	Y		A2	8.5355	$426.06 
64624		Dstrj nulyt agt gnclr nrv	Y		G2	16.5303	$825.13 
64625		Rf abltj nrv nrvtg si jt	Y		G2	16.5303	$825.13 
64628		Trml dstrj ios bvn 1st 2 l/s	Y	NC	J8	188.6854	"$9,418.42 "
64630		Injection treatment of nerve	Y		A2	8.5355	$426.06 
64632		N block inj common digit	Y		P3		$44.69 
64633		Destroy cerv/thor facet jnt	Y		G2	16.5303	$825.13 
64634		Destroy c/th facet jnt addl	N		N1		
64635		Destroy lumb/sac facet jnt	Y		G2	16.5303	$825.13 
64636		Destroy l/s facet jnt addl	N		N1		
64640		Injection treatment of nerve	Y		P3		$176.39 
64642		Chemodenerv 1 extremity 1-4	Y		P3		$83.32 
64643		Chemodenerv 1 extrem 1-4 ea	N		N1		
64644		Chemodenerv 1 extrem 5/> mus	Y		P3		$103.82 
64645		Chemodenerv 1 extrem 5/> ea	N		N1		
64646		Chemodenerv trunk musc 1-5	Y		P3		$83.32 
64647		Chemodenerv trunk musc 6/>	Y		P3		$91.39 
64650		Chemodenerv eccrine glands	Y		P3		$61.48 
64653		Chemodenerv eccrine glands	Y		P3		$70.22 
64680		Injection treatment of nerve	Y		A2	8.5355	$426.06 
64681		Injection treatment of nerve	Y		A2	8.5355	$426.06 
64702		Revise finger/toe nerve	Y		A2	16.5303	$825.13 
64704		Revise hand/foot nerve	Y		A2	16.5303	$825.13 
64708		Revise arm/leg nerve	Y		G2	16.5303	$825.13 
64712		Revision of sciatic nerve	Y		G2	16.5303	$825.13 
64713		Revision of arm nerve(s)	Y		G2	16.5303	$825.13 
64714		Revise low back nerve(s)	Y		G2	16.5303	$825.13 
64716		Revision of cranial nerve	Y		A2	16.5303	$825.13 
64718		Revise ulnar nerve at elbow	Y		A2	16.5303	$825.13 
64719		Revise ulnar nerve at wrist	Y		A2	16.5303	$825.13 
64721		Carpal tunnel surgery	Y		A2	16.5303	$825.13 
64722		Relieve pressure on nerve(s)	Y		A2	16.5303	$825.13 
64726		Release foot/toe nerve	Y		A2	16.5303	$825.13 
64727		Internal nerve revision	N		N1		
64732		Incision of brow nerve	Y		A2	16.5303	$825.13 
64734		Incision of cheek nerve	Y		A2	16.5303	$825.13 
64736		Incision of chin nerve	Y		A2	16.5303	$825.13 
64738		Incision of jaw nerve	Y		A2	16.5303	$825.13 
64740		Incision of tongue nerve	Y		A2	16.5303	$825.13 
64742		Incision of facial nerve	Y		A2	16.5303	$825.13 
64744		Incise nerve back of head	Y		A2	16.5303	$825.13 
64746		Incise diaphragm nerve	Y		A2	16.5303	$825.13 
64763		Incise hip/thigh nerve	Y		G2	16.5303	$825.13 
64766		Incise hip/thigh nerve	Y		G2	16.5303	$825.13 
64771		Sever cranial nerve	Y		A2	16.5303	$825.13 
64772		Incision of spinal nerve	Y		A2	16.5303	$825.13 
64774		Remove skin nerve lesion	Y		A2	16.5303	$825.13 
64776		Remove digit nerve lesion	Y		A2	16.5303	$825.13 
64778		Digit nerve surgery add-on	N		N1		
64782		Remove limb nerve lesion	Y		A2	16.5303	$825.13 
64783		Limb nerve surgery add-on	N		N1		
64784		Remove nerve lesion	Y		A2	16.5303	$825.13 
64786		Remove sciatic nerve lesion	Y		A2	50.0103	"$2,496.31 "
64787		Implant nerve end	N		N1		
64788		Remove skin nerve lesion	Y		A2	16.5303	$825.13 
64790		Removal of nerve lesion	Y		A2	16.5303	$825.13 
64792		Removal of nerve lesion	Y		A2	50.0103	"$2,496.31 "
64795		Biopsy of nerve	Y		A2	16.5303	$825.13 
64802		Sympathectomy cervical	Y		A2	16.5303	$825.13 
64820		Sympathectomy digital artery	Y		G2	16.5303	$825.13 
64821		Remove sympathetic nerves	Y		A2	27.2588	"$1,360.65 "
64822		Remove sympathetic nerves	Y		G2	27.2588	"$1,360.65 "
64823		Sympathectomy supfc palmar	Y		G2	27.2588	"$1,360.65 "
64831		Repair of digit nerve	Y		A2	16.5303	$825.13 
64832		Repair nerve add-on	N		N1		
64834		Repair of hand or foot nerve	Y		A2	50.0103	"$2,496.31 "
64835		Repair of hand or foot nerve	Y		A2	50.0103	"$2,496.31 "
64836		Repair of hand or foot nerve	Y		A2	50.0103	"$2,496.31 "
64837		Repair nerve add-on	N		N1		
64840		Repair of leg nerve	Y		A2	50.0103	"$2,496.31 "
64856		Repair/transpose nerve	Y		A2	50.0103	"$2,496.31 "
64857		Repair arm/leg nerve	Y		A2	50.0103	"$2,496.31 "
64858		Repair sciatic nerve	Y		J8	29.3561	"$1,465.34 "
64859		Nerve surgery	N		N1		
64861		Repair of arm nerves	Y		A2	16.5303	$825.13 
64862		Repair of low back nerves	Y		A2	50.0103	"$2,496.31 "
64864		Repair of facial nerve	Y		A2	50.0103	"$2,496.31 "
64865		Repair of facial nerve	Y		A2	50.0103	"$2,496.31 "
64872		Subsequent repair of nerve	N		N1		
64874		Repair & revise nerve add-on	N		N1		
64876		Repair nerve/shorten bone	N		N1		
64885		Nerve graft head/neck </4 cm	Y		A2	50.0103	"$2,496.31 "
64886		Nerve graft head/neck >4 cm	Y		J8	85.0413	"$4,244.92 "
64890		Nerve graft hand/foot </4 cm	Y	CH	J8	65.0994	"$3,249.50 "
64891		Nerve graft hand/foot >4 cm	Y		J8	65.0994	"$3,249.50 "
64892		Nerve graft arm/leg <4 cm	Y	CH	J8	74.4887	"$3,718.18 "
64893		Nerve graft arm/leg >4 cm	Y		G2	50.0103	"$2,496.31 "
64895		Nerve graft hand/foot </4 cm	Y		A2	50.0103	"$2,496.31 "
64896		Nerve graft hand/foot >4 cm	Y		A2	50.0103	"$2,496.31 "
64897		Nerve graft arm/leg </4 cm	Y		G2	50.0103	"$2,496.31 "
64898		Nerve graft arm/leg >4 cm	Y		A2	50.0103	"$2,496.31 "
64901		Nerve graft add-on	N		N1		
64902		Nerve graft add-on	N		N1		
64905		Nerve pedicle transfer	Y		A2	50.0103	"$2,496.31 "
64907		Nerve pedicle transfer	Y		A2	50.0103	"$2,496.31 "
64910		Nerve repair w/allograft	Y		J8	77.7596	"$3,881.45 "
64912		Nrv rpr w/nrv algrft 1st	Y		J8	77.4822	"$3,867.60 "
64913		Nrv rpr w/nrv algrft ea addl	N		N1		
65091		Revise eye	Y		A2	27.6383	"$1,379.59 "
65093		Revise eye with implant	Y		A2	27.6383	"$1,379.59 "
65101		Removal of eye	Y		A2	27.6383	"$1,379.59 "
65103		Remove eye/insert implant	Y		A2	27.6383	"$1,379.59 "
65105		Remove eye/attach implant	Y		A2	27.6383	"$1,379.59 "
65110		Removal of eye	Y		A2	27.6383	"$1,379.59 "
65112		Remove eye/revise socket	Y		A2	27.6383	"$1,379.59 "
65114		Remove eye/revise socket	Y		A2	27.6383	"$1,379.59 "
65125		Revise ocular implant	Y		G2	17.4911	$873.09 
65130		Insert ocular implant	Y		A2	27.6383	"$1,379.59 "
65135		Insert ocular implant	Y		A2	27.6383	"$1,379.59 "
65140		Attach ocular implant	Y		A2	27.6383	"$1,379.59 "
65150		Revise ocular implant	Y		A2	27.6383	"$1,379.59 "
65155		Reinsert ocular implant	Y		A2	27.6383	"$1,379.59 "
65175		Removal of ocular implant	Y		A2	27.6383	"$1,379.59 "
65205		Remove foreign body from eye	N		N1		
65210		Remove foreign body from eye	N		N1		
65220		Remove foreign body from eye	N		N1		
65222		Remove foreign body from eye	N		N1		
65235		Remove foreign body from eye	Y		A2	21.2893	"$1,062.68 "
65260		Remove foreign body from eye	Y		A2	21.2893	"$1,062.68 "
65265		Remove foreign body from eye	Y		A2	21.2893	"$1,062.68 "
65270		Repair of eye wound	Y		A2	17.4911	$873.09 
65272		Repair of eye wound	Y		A2	17.4911	$873.09 
65275		Repair of eye wound	Y		A2	27.6383	"$1,379.59 "
65280		Repair of eye wound	Y		A2	38.4107	"$1,917.31 "
65285		Repair of eye wound	Y		A2	38.4107	"$1,917.31 "
65286		Repair of eye wound	Y		P3		$452.57 
65290		Repair of eye socket wound	Y		A2	27.6383	"$1,379.59 "
65400		Removal of eye lesion	Y		A2	8.3966	$419.12 
65410		Biopsy of cornea	Y		A2	17.4911	$873.09 
65420		Removal of eye lesion	Y		A2	17.4911	$873.09 
65426		Removal of eye lesion	Y		A2	17.4911	$873.09 
65430		Corneal smear	N		N1		
65435		Curette/treat cornea	Y		P3		$47.04 
65436		Curette/treat cornea	Y		P3		$203.61 
65450		Treatment of corneal lesion	Y		G2	2.7123	$135.39 
65600		Revision of cornea	Y		P3		$280.55 
65710		Corneal transplant	Y		A2	38.4107	"$1,917.31 "
65730		Corneal transplant	Y		A2	38.4107	"$1,917.31 "
65750		Corneal transplant	Y		A2	38.4107	"$1,917.31 "
65755		Corneal transplant	Y		A2	38.4107	"$1,917.31 "
65756		Corneal trnspl endothelial	Y		G2	38.4107	"$1,917.31 "
65757		Prep corneal endo allograft	N		N1		
65770		Revise cornea with implant	Y		J8	150.1374	"$7,494.26 "
65772		Correction of astigmatism	Y		A2	8.3966	$419.12 
65775		Correction of astigmatism	Y		A2	17.4911	$873.09 
65778		Cover eye w/membrane	N		N1		
65779		Cover eye w/membrane suture	N		N1		
65780		Ocular reconst transplant	Y	CH	J8	35.7567	"$1,784.83 "
65781		Ocular reconst transplant	Y		J8	53.0653	"$2,648.81 "
65782		Ocular reconst transplant	Y		A2	27.6383	"$1,379.59 "
65785	*	Impltj ntrstrml crnl rng seg	Y		P2	38.4107	"$1,917.31 "
65800		Drainage of eye	Y		A2	21.2893	"$1,062.68 "
65810		Drainage of eye	Y		A2	21.2893	"$1,062.68 "
65815		Drainage of eye	Y		A2	21.2893	"$1,062.68 "
65820		Relieve inner eye pressure	Y		A2	38.4107	"$1,917.31 "
65850		Incision of eye	Y		A2	21.2893	"$1,062.68 "
65855		Trabeculoplasty laser surg	Y		P3		$132.71 
65860		Incise inner eye adhesions	Y		P3		$171.69 
65865		Incise inner eye adhesions	Y		A2	21.2893	"$1,062.68 "
65870		Incise inner eye adhesions	Y		A2	21.2893	"$1,062.68 "
65875		Incise inner eye adhesions	Y		A2	21.2893	"$1,062.68 "
65880		Incise inner eye adhesions	Y		A2	38.4107	"$1,917.31 "
65900		Remove eye lesion	Y		A2	21.2893	"$1,062.68 "
65920		Remove implant of eye	Y		A2	21.2893	"$1,062.68 "
65930		Remove blood clot from eye	Y		A2	21.2893	"$1,062.68 "
66020		Injection treatment of eye	Y		A2	21.2893	"$1,062.68 "
66030		Injection treatment of eye	Y		A2	21.2893	"$1,062.68 "
66130		Remove eye lesion	Y		A2	17.4911	$873.09 
66150		Glaucoma surgery	Y		A2	38.4107	"$1,917.31 "
66155		Glaucoma surgery	Y	CH	J8	55.2674	"$2,758.73 "
66160		Glaucoma surgery	Y		A2	21.2893	"$1,062.68 "
66170		Glaucoma surgery	Y		A2	21.2893	"$1,062.68 "
66172		Incision of eye	Y		A2	21.2893	"$1,062.68 "
66174		Translum dil eye canal	Y		A2	38.4107	"$1,917.31 "
66175		Trnslum dil eye canal w/stnt	Y		A2	38.4107	"$1,917.31 "
66179		Aqueous shunt eye w/o graft	Y	CH	J8	49.8840	"$2,490.01 "
66180		Aqueous shunt eye w/graft	Y		J8	51.7085	"$2,581.08 "
66183		Insert ant drainage device	Y		J8	55.8282	"$2,786.72 "
66184		Revision of aqueous shunt	Y		G2	21.2893	"$1,062.68 "
66185		Revise aqueous shunt eye	Y		A2	21.2893	"$1,062.68 "
66225		Repair/graft eye lesion	Y	CH	J8	51.0690	"$2,549.16 "
66250		Follow-up surgery of eye	Y		A2	17.4911	$873.09 
66500		Incision of iris	Y		A2	21.2893	"$1,062.68 "
66505		Incision of iris	Y		A2	21.2893	"$1,062.68 "
66600		Remove iris and lesion	Y		A2	38.4107	"$1,917.31 "
66605		Removal of iris	Y		A2	21.2893	"$1,062.68 "
66625		Removal of iris	Y		A2	21.2893	"$1,062.68 "
66630		Removal of iris	Y		A2	21.2893	"$1,062.68 "
66635		Removal of iris	Y		A2	21.2893	"$1,062.68 "
66680		Repair iris & ciliary body	Y		A2	21.2893	"$1,062.68 "
66682		Repair iris & ciliary body	Y		A2	21.2893	"$1,062.68 "
66700		Destruction ciliary body	Y		A2	21.2893	"$1,062.68 "
66710		Ciliary transsleral therapy	Y		A2	17.4911	$873.09 
66711		Ecp ciliary body destruction	Y		A2	21.2893	"$1,062.68 "
66720		Destruction ciliary body	Y		A2	17.4911	$873.09 
66740		Destruction ciliary body	Y		A2	17.4911	$873.09 
66761		Revision of iris	Y		P3		$186.13 
66762		Revision of iris	Y		P2	5.2182	$260.47 
66770		Removal of inner eye lesion	Y		P2	5.2182	$260.47 
66820		Incision secondary cataract	Y		G2	21.2893	"$1,062.68 "
66821		After cataract laser surgery	Y		A2	5.2182	$260.47 
66825		Reposition intraocular lens	Y		A2	21.2893	"$1,062.68 "
66830		Removal of lens lesion	Y		A2	21.2893	"$1,062.68 "
66840		Removal of lens material	Y		A2	21.2893	"$1,062.68 "
66850		Removal of lens material	Y		A2	21.2893	"$1,062.68 "
66852		Removal of lens material	Y		A2	38.4107	"$1,917.31 "
66920		Extraction of lens	Y		A2	21.2893	"$1,062.68 "
66930		Extraction of lens	Y		A2	38.4107	"$1,917.31 "
66940		Extraction of lens	Y		A2	21.2893	"$1,062.68 "
66982		Xcapsl ctrc rmvl cplx wo ecp	Y		A2	21.2893	"$1,062.68 "
66983		Cataract surg w/iol 1 stage	Y		A2	21.2893	"$1,062.68 "
66984		Xcapsl ctrc rmvl w/o ecp	Y		A2	21.2893	"$1,062.68 "
66985		Insert lens prosthesis	Y		A2	21.2893	"$1,062.68 "
66986		Exchange lens prosthesis	Y		A2	21.2893	"$1,062.68 "
66987		Xcapsl ctrc rmvl cplx w/ecp	Y		J8	49.9998	"$2,495.79 "
66988		Xcapsl ctrc rmvl w/ecp	Y		J8	49.9998	"$2,495.79 "
66989		Xcpsl ctrc rmvl cplx insj 1+	Y	NC	J8	65.0056	"$3,244.82 "
66990		Ophthalmic endoscope add-on	N		N1		
66991		Xcapsl ctrc rmvl insj 1+	Y	NC	J8	65.0056	"$3,244.82 "
67005		Partial removal of eye fluid	Y		A2	21.2893	"$1,062.68 "
67010		Partial removal of eye fluid	Y		A2	21.2893	"$1,062.68 "
67015		Release of eye fluid	Y		A2	21.2893	"$1,062.68 "
67025		Replace eye fluid	Y		A2	21.2893	"$1,062.68 "
67027		Implant eye drug system	Y		A2	48.9582	"$2,443.80 "
67028		Injection eye drug	N		P3		$58.80 
67030		Incise inner eye strands	Y		A2	21.2893	"$1,062.68 "
67031		Laser surgery eye strands	Y		A2	5.2182	$260.47 
67036		Removal of inner eye fluid	Y		A2	38.4107	"$1,917.31 "
67039		Laser treatment of retina	Y		A2	38.4107	"$1,917.31 "
67040		Laser treatment of retina	Y		A2	38.4107	"$1,917.31 "
67041		Vit for macular pucker	Y		G2	38.4107	"$1,917.31 "
67042		Vit for macular hole	Y		G2	38.4107	"$1,917.31 "
67043		Vit for membrane dissect	Y		G2	38.4107	"$1,917.31 "
67101		Repair detached retina crtx	Y		P3		$201.25 
67105		Repair detached retina pc	Y		P3		$166.98 
67107		Repair detached retina	Y		G2	38.4107	"$1,917.31 "
67108		Repair detached retina	Y		G2	38.4107	"$1,917.31 "
67110		Repair detached retina	Y		P3		$501.62 
67113		Repair retinal detach cplx	Y		G2	38.4107	"$1,917.31 "
67115		Release encircling material	Y		A2	38.4107	"$1,917.31 "
67120		Remove eye implant material	Y		A2	21.2893	"$1,062.68 "
67121		Remove eye implant material	Y		A2	21.2893	"$1,062.68 "
67141		Proph rta dtchmnt crtx dthrm	Y		A2	2.7123	$135.39 
67145		Proph rta dtchmnt pc	Y	CH	P3		$145.48 
67208		Treatment of retinal lesion	Y		P2	2.7123	$135.39 
67210		Treatment of retinal lesion	Y		P2	5.2182	$260.47 
67218		Treatment of retinal lesion	Y		A2	27.6383	"$1,379.59 "
67220		Treatment of choroid lesion	Y		P2	5.2182	$260.47 
67221		Ocular photodynamic ther	Y		P3		$142.46 
67225		Eye photodynamic ther add-on	N		N1		
67227		Dstrj extensive retinopathy	Y		P3		$162.28 
67228		Treatment x10sv retinopathy	Y		P3		$172.70 
67229	*	Tr retinal les preterm inf	Y		R2	5.2182	$260.47 
67250		Reinforce eye wall	Y		A2	17.4911	$873.09 
67255		Reinforce/graft eye wall	Y		A2	21.2893	"$1,062.68 "
67311		Revise eye muscle	Y		A2	17.4911	$873.09 
67312		Revise two eye muscles	Y		A2	27.6383	"$1,379.59 "
67314		Revise eye muscle	Y		A2	17.4911	$873.09 
67316		Revise two eye muscles	Y		A2	17.4911	$873.09 
67318		Revise eye muscle(s)	Y		A2	17.4911	$873.09 
67320		Revise eye muscle(s) add-on	N		N1		
67331		Eye surgery follow-up add-on	N		N1		
67332		Rerevise eye muscles add-on	N		N1		
67334		Revise eye muscle w/suture	N		N1		
67335		Eye suture during surgery	N		N1		
67340		Revise eye muscle add-on	N		N1		
67343		Release eye tissue	Y		A2	17.4911	$873.09 
67345		Destroy nerve of eye muscle	Y		P3		$123.98 
67346		Biopsy eye muscle	Y		A2	27.6383	"$1,379.59 "
67400		Explore/biopsy eye socket	Y		A2	27.6383	"$1,379.59 "
67405		Explore/drain eye socket	Y		A2	17.4911	$873.09 
67412		Explore/treat eye socket	Y		A2	17.4911	$873.09 
67413		Explore/treat eye socket	Y		A2	17.4911	$873.09 
67414		Explr/decompress eye socket	Y		G2	27.6383	"$1,379.59 "
67415		Aspiration orbital contents	Y		A2	17.4911	$873.09 
67420		Explore/treat eye socket	Y		A2	27.6383	"$1,379.59 "
67430		Explore/treat eye socket	Y		A2	27.6383	"$1,379.59 "
67440		Explore/drain eye socket	Y		A2	27.6383	"$1,379.59 "
67445		Explr/decompress eye socket	Y		A2	27.6383	"$1,379.59 "
67450		Explore/biopsy eye socket	Y		A2	27.6383	"$1,379.59 "
67500		Inject/treat eye socket	Y		P3		$31.92 
67505		Inject/treat eye socket	Y		P3		$42.33 
67515		Inject/treat eye socket	Y		P3		$23.52 
67550		Insert eye socket implant	Y		A2	27.6383	"$1,379.59 "
67560		Revise eye socket implant	Y		A2	27.6383	"$1,379.59 "
67570		Decompress optic nerve	Y		A2	27.6383	"$1,379.59 "
67700		Drainage of eyelid abscess	Y		P2	2.7123	$135.39 
67710		Incision of eyelid	Y		P3		$206.97 
67715		Incision of eyelid fold	Y		A2	17.4911	$873.09 
67800		Remove eyelid lesion	Y		P3		$75.26 
67801		Remove eyelid lesions	Y		P3		$90.72 
67805		Remove eyelid lesions	Y		P3		$116.92 
67808		Remove eyelid lesion(s)	Y		A2	17.4911	$873.09 
67810		Biopsy eyelid & lid margin	Y		P2	2.7123	$135.39 
67820		Revise eyelashes	N		N1		
67825		Revise eyelashes	Y		P3		$81.64 
67830		Revise eyelashes	Y		A2	8.3966	$419.12 
67835		Revise eyelashes	Y		A2	17.4911	$873.09 
67840		Remove eyelid lesion	Y		P3		$205.29 
67850		Treat eyelid lesion	Y		P3		$152.87 
67875		Closure of eyelid by suture	Y		G2	8.3966	$419.12 
67880		Revision of eyelid	Y		A2	17.4911	$873.09 
67882		Revision of eyelid	Y		A2	17.4911	$873.09 
67900		Repair brow defect	Y		A2	17.4911	$873.09 
67901		Repair eyelid defect	Y		A2	17.4911	$873.09 
67902		Repair eyelid defect	Y		A2	27.6383	"$1,379.59 "
67903		Repair eyelid defect	Y		A2	17.4911	$873.09 
67904		Repair eyelid defect	Y		A2	17.4911	$873.09 
67906		Repair eyelid defect	Y		A2	27.6383	"$1,379.59 "
67908		Repair eyelid defect	Y		A2	17.4911	$873.09 
67909		Revise eyelid defect	Y		A2	17.4911	$873.09 
67911		Revise eyelid defect	Y		A2	17.4911	$873.09 
67912		Correction eyelid w/implant	Y		A2	17.4911	$873.09 
67914		Repair eyelid defect	Y		A2	17.4911	$873.09 
67915		Repair eyelid defect	Y		P3		$243.25 
67916		Repair eyelid defect	Y		A2	17.4911	$873.09 
67917		Repair eyelid defect	Y		A2	17.4911	$873.09 
67921		Repair eyelid defect	Y		A2	17.4911	$873.09 
67922		Repair eyelid defect	Y		P3		$233.17 
67923		Repair eyelid defect	Y		A2	17.4911	$873.09 
67924		Repair eyelid defect	Y		A2	17.4911	$873.09 
67930		Repair eyelid wound	Y		P3		$235.52 
67935		Repair eyelid wound	Y		A2	17.4911	$873.09 
67938		Remove eyelid foreign body	Y		P2	2.7123	$135.39 
67950		Revision of eyelid	Y		A2	17.4911	$873.09 
67961		Revision of eyelid	Y		A2	17.4911	$873.09 
67966		Revision of eyelid	Y		A2	17.4911	$873.09 
67971		Reconstruction of eyelid	Y		A2	17.4911	$873.09 
67973		Reconstruction of eyelid	Y		A2	17.4911	$873.09 
67974		Reconstruction of eyelid	Y		A2	27.6383	"$1,379.59 "
67975		Reconstruction of eyelid	Y		A2	17.4911	$873.09 
68020		Incise/drain eyelid lining	Y		P3		$67.87 
68040		Treatment of eyelid lesions	Y		P3		$30.91 
68100		Biopsy of eyelid lining	Y		P3		$131.71 
68110		Remove eyelid lining lesion	Y		P3		$170.01 
68115		Remove eyelid lining lesion	Y		A2	17.4911	$873.09 
68130		Remove eyelid lining lesion	Y		A2	17.4911	$873.09 
68135		Remove eyelid lining lesion	Y		P3		$85.68 
68200		Treat eyelid by injection	N		N1		
68320		Revise/graft eyelid lining	Y		A2	17.4911	$873.09 
68325		Revise/graft eyelid lining	Y		A2	27.6383	"$1,379.59 "
68326		Revise/graft eyelid lining	Y		A2	27.6383	"$1,379.59 "
68328		Revise/graft eyelid lining	Y		A2	17.4911	$873.09 
68330		Revise eyelid lining	Y		A2	21.2893	"$1,062.68 "
68335		Revise/graft eyelid lining	Y		A2	27.6383	"$1,379.59 "
68340		Separate eyelid adhesions	Y		A2	17.4911	$873.09 
68360		Revise eyelid lining	Y		A2	27.6383	"$1,379.59 "
68362		Revise eyelid lining	Y		A2	17.4911	$873.09 
68371		Harvest eye tissue alograft	Y		A2	17.4911	$873.09 
68400		Incise/drain tear gland	Y		P3		$235.52 
68420		Incise/drain tear sac	Y		P3		$248.29 
68440		Incise tear duct opening	Y		P3		$65.85 
68500		Removal of tear gland	Y		A2	27.6383	"$1,379.59 "
68505		Partial removal tear gland	Y		A2	27.6383	"$1,379.59 "
68510		Biopsy of tear gland	Y		A2	17.4911	$873.09 
68520		Removal of tear sac	Y		A2	27.6383	"$1,379.59 "
68525		Biopsy of tear sac	Y		A2	17.4911	$873.09 
68530		Clearance of tear duct	Y		P2	2.7123	$135.39 
68540		Remove tear gland lesion	Y		A2	17.4911	$873.09 
68550		Remove tear gland lesion	Y		A2	27.6383	"$1,379.59 "
68700		Repair tear ducts	Y		A2	17.4911	$873.09 
68705		Revise tear duct opening	Y		P2	2.7123	$135.39 
68720		Create tear sac drain	Y		A2	27.6383	"$1,379.59 "
68745		Create tear duct drain	Y		A2	27.6383	"$1,379.59 "
68750		Create tear duct drain	Y		A2	27.6383	"$1,379.59 "
68760		Close tear duct opening	Y		P2	2.7123	$135.39 
68761		Close tear duct opening	Y		P3		$95.42 
68770		Close tear system fistula	Y		A2	17.4911	$873.09 
68801		Dilate tear duct opening	N		N1		
68810		Probe nasolacrimal duct	Y		A2	2.7123	$135.39 
68811		Probe nasolacrimal duct	Y		A2	17.4911	$873.09 
68815		Probe nasolacrimal duct	Y		A2	17.4911	$873.09 
68816		Probe nl duct w/balloon	Y		G2	17.4911	$873.09 
68840		Explore/irrigate tear ducts	Y		P3		$84.00 
68850		Injection for tear sac x-ray	N		N1		
69000		Drain external ear lesion	Y		P3		$130.03 
69005		Drain external ear lesion	Y		P3		$137.42 
69020		Drain outer ear canal lesion	Y		P3		$179.08 
69100		Biopsy of external ear	Y		P3		$66.52 
69105		Biopsy of external ear canal	Y		P3		$115.24 
69110		Remove external ear partial	Y		A2	20.4190	"$1,019.23 "
69120		Removal of external ear	Y		A2	48.9494	"$2,443.36 "
69140		Remove ear canal lesion(s)	Y		A2	48.9494	"$2,443.36 "
69145		Remove ear canal lesion(s)	Y		A2	20.4190	"$1,019.23 "
69150		Extensive ear canal surgery	Y		A2	48.9494	"$2,443.36 "
69200		Clear outer ear canal	N		N1		
69205		Clear outer ear canal	Y		A2	12.1845	$608.20 
69209		Remove impacted ear wax uni	N		N1		
69210		Remove impacted ear wax uni	N		N1		
69220		Clean out mastoid cavity	N		N1		
69222		Clean out mastoid cavity	Y		P3		$162.62 
69300		Revise external ear	Y		A2	22.2082	"$1,108.54 "
69310		Rebuild outer ear canal	Y		A2	48.9494	"$2,443.36 "
69320		Rebuild outer ear canal	Y		A2	48.9494	"$2,443.36 "
69420		Incision of eardrum	Y		P2	2.1936	$109.50 
69421		Incision of eardrum	Y		A2	22.2082	"$1,108.54 "
69424		Remove ventilating tube	N		P3		$98.44 
69433		Create eardrum opening	Y		P3		$142.79 
69436		Create eardrum opening	Y		A2	10.5360	$525.91 
69440		Exploration of middle ear	Y		A2	22.2082	"$1,108.54 "
69450		Eardrum revision	Y		A2	22.2082	"$1,108.54 "
69501		Mastoidectomy	Y		A2	48.9494	"$2,443.36 "
69502		Mastoidectomy	Y		A2	48.9494	"$2,443.36 "
69505		Remove mastoid structures	Y		A2	48.9494	"$2,443.36 "
69511		Extensive mastoid surgery	Y		A2	48.9494	"$2,443.36 "
69530		Extensive mastoid surgery	Y		A2	48.9494	"$2,443.36 "
69540		Remove ear lesion	Y		P3		$165.98 
69550		Remove ear lesion	Y		A2	48.9494	"$2,443.36 "
69552		Remove ear lesion	Y		A2	48.9494	"$2,443.36 "
69601		Mastoid surgery revision	Y		A2	48.9494	"$2,443.36 "
69602		Mastoid surgery revision	Y		A2	48.9494	"$2,443.36 "
69603		Mastoid surgery revision	Y		A2	48.9494	"$2,443.36 "
69604		Mastoid surgery revision	Y		A2	48.9494	"$2,443.36 "
69610		Repair of eardrum	Y		P3		$212.34 
69620		Repair of eardrum	Y		A2	22.2082	"$1,108.54 "
69631		Repair eardrum structures	Y		A2	48.9494	"$2,443.36 "
69632		Rebuild eardrum structures	Y		A2	48.9494	"$2,443.36 "
69633		Rebuild eardrum structures	Y		A2	48.9494	"$2,443.36 "
69635		Repair eardrum structures	Y		A2	48.9494	"$2,443.36 "
69636		Rebuild eardrum structures	Y		A2	48.9494	"$2,443.36 "
69637		Rebuild eardrum structures	Y		A2	48.9494	"$2,443.36 "
69641		Revise middle ear & mastoid	Y		A2	48.9494	"$2,443.36 "
69642		Revise middle ear & mastoid	Y		A2	48.9494	"$2,443.36 "
69643		Revise middle ear & mastoid	Y		A2	48.9494	"$2,443.36 "
69644		Revise middle ear & mastoid	Y		A2	48.9494	"$2,443.36 "
69645		Revise middle ear & mastoid	Y		A2	48.9494	"$2,443.36 "
69646		Revise middle ear & mastoid	Y		A2	48.9494	"$2,443.36 "
69650		Release middle ear bone	Y		A2	22.2082	"$1,108.54 "
69660		Revise middle ear bone	Y		A2	48.9494	"$2,443.36 "
69661		Revise middle ear bone	Y		A2	48.9494	"$2,443.36 "
69662		Revise middle ear bone	Y		A2	48.9494	"$2,443.36 "
69666		Repair middle ear structures	Y		A2	22.2082	"$1,108.54 "
69667		Repair middle ear structures	Y		A2	22.2082	"$1,108.54 "
69670		Remove mastoid air cells	Y		A2	48.9494	"$2,443.36 "
69676		Remove middle ear nerve	Y		A2	22.2082	"$1,108.54 "
69700		Close mastoid fistula	Y		A2	10.5360	$525.91 
69705		Nps surg dilat eust tube uni	Y		J8	73.0465	"$3,646.19 "
69706		Nps surg dilat eust tube bi	Y		J8	73.0465	"$3,646.19 "
69711		Remove/repair hearing aid	Y		A2	22.2082	"$1,108.54 "
69714		Impltj oi implt skl perq esp	Y		J8	197.4818	"$9,857.50 "
69715		Temple bne implnt w/stimulat		CH	D5		
69716		Impltj oi implt skl tc esp	Y	NC	J8	156.8653	"$7,830.09 "
69717		Revj/rplcmt oi implt prq esp	Y		J8	95.4660	"$4,765.28 "
69718		Revise temple bone implant		CH	D5		
69719		Revj/rplcmt oi implt tc esp	Y	NC	J8	156.8653	"$7,830.09 "
69720		Release facial nerve	Y		A2	48.9494	"$2,443.36 "
69726		Rmvl oi implt skl perq esp	Y	NC	G2	27.2588	"$1,360.65 "
69727		Rmvl oi implt skl tc esp	Y	NC	G2	27.2588	"$1,360.65 "
69740		Repair facial nerve	Y		A2	48.9494	"$2,443.36 "
69745		Repair facial nerve	Y		A2	48.9494	"$2,443.36 "
69801		Incise inner ear	Y		P3		$150.86 
69805		Explore inner ear	Y		A2	48.9494	"$2,443.36 "
69806		Explore inner ear	Y		A2	48.9494	"$2,443.36 "
69905		Remove inner ear	Y		A2	48.9494	"$2,443.36 "
69910		Remove inner ear & mastoid	Y		A2	48.9494	"$2,443.36 "
69915		Incise inner ear nerve	Y		A2	22.2082	"$1,108.54 "
69930		Implant cochlear device	Y		J8	650.1094	"$32,450.86 "
69990		Microsurgery add-on	N		N1		
92920		Prq cardiac angioplast 1 art	Y		J8	62.6436	"$3,126.92 "
92921		Prq cardiac angio addl art	N		N1		
92928		Prq card stent w/angio 1 vsl	Y		J8	122.4333	"$6,111.38 "
92929		Prq card stent w/angio addl	N		N1		
93451		Right heart cath	Y		G2	28.8041	"$1,437.79 "
93452		Left hrt cath w/ventrclgrphy	Y		G2	28.8041	"$1,437.79 "
93453		R&l hrt cath w/ventriclgrphy	Y		G2	28.8041	"$1,437.79 "
93454		Coronary artery angio s&i	Y		G2	28.8041	"$1,437.79 "
93455		Coronary art/grft angio s&i	Y		G2	28.8041	"$1,437.79 "
93456		R hrt coronary artery angio	Y		G2	28.8041	"$1,437.79 "
93457		R hrt art/grft angio	Y		G2	28.8041	"$1,437.79 "
93458		L hrt artery/ventricle angio	Y		G2	28.8041	"$1,437.79 "
93459		L hrt art/grft angio	Y		G2	28.8041	"$1,437.79 "
93460		R&l hrt art/ventricle angio	Y		G2	28.8041	"$1,437.79 "
93461		R&l hrt art/ventricle angio	Y		G2	28.8041	"$1,437.79 "
93462		L hrt cath trnsptl puncture	N		N1		
93566		Inject r ventr/atrial angio	N		N1		
93567		Inject suprvlv aortography	N		N1		
93568		Inject pulm art hrt cath	N		N1		
93571		Heart flow reserve measure	N		N1		
93572		Heart flow reserve measure	N		N1		
93985	*	Dup-scan hemo compl bi std	N		P2	2.3858	$119.09 
93986	*	Dup-scan hemo compl uni std	N		P2	1.1288	$56.35 
C5271		Low cost skin substitute app	Y		G2	5.4304	$271.06 
C5272		Low cost skin substitute app	N		N1		
C5273		Low cost skin substitute app	Y		G2	17.7592	$886.47 
C5274		Low cost skin substitute app	N		N1		
C5275		Low cost skin substitute app	Y		G2	5.4304	$271.06 
C5276		Low cost skin substitute app	N		N1		
C5277		Low cost skin substitute app	Y		G2	5.4304	$271.06 
C5278		Low cost skin substitute app	N		N1		
C9600		Perc drug-el cor stent sing	Y		J8	128.2895	"$6,403.70 "
C9601		Perc drug-el cor stent bran	N		N1		
C9725		Place endorectal app	Y		G2	8.2283	$410.72 
C9726		Rxt breast appl place/remov	N		N1		
C9727		Insert palate implants	Y		G2	10.5360	$525.91 
C9728		"Place device/marker, non pro"	N		J8	17.4401	$870.54 
C9739		Cystoscopy prostatic imp 1-3	Y		J8	69.6398	"$3,476.14 "
C9740		Cysto impl 4 or more	Y		J8	144.1474	"$7,195.26 "
C9752		Intraosseous des lumb/sacrum		CH	D5		
C9753		Intraosseous destruct add'l		CH	D5		
C9757		Spine/lumbar disk surgery	Y		J8	156.8653	"$7,830.09 "
C9759		Transcath intraop microinf	N		N1		
C9761		"Cysto, litho, vacuum kidney"	Y		J8	108.3240	"$5,407.10 "
C9764		Revasc intravasc lithotripsy	Y		G2	87.4569	"$4,365.50 "
C9765		Revasc intra lithotrip-stent	Y		J8	226.4935	"$11,305.65 "
C9766		Revasc intra lithotrip-ather	Y		G2	144.8058	"$7,228.13 "
C9767		Revasc lithotrip-stent-ather	Y		J8	240.1362	"$11,986.64 "
C9769		Cysto w/temp pros implant	Y		J8	55.0845	"$2,749.60 "
C9770		"Vitrec/mech pars, subret inj"	Y		G2	33.0005	"$1,647.25 "
C9771		Nsl/sins cryo post nasal tis	Y		J8	28.9090	"$1,443.02 "
C9772		Revasc lithotrip tibi/perone	Y		J8	118.9687	"$5,938.44 "
C9773		Revasc lithotr-stent tib/per	Y		J8	212.8085	"$10,622.55 "
C9774		Revasc lithotr-ather tib/per	Y		J8	215.8386	"$10,773.80 "
C9775		Revasc lith-sten-ath tib/per	Y		J8	216.5855	"$10,811.08 "
C9777		Esophag muc integ w/eso EGD	Y	NC	J8	36.4937	"$1,821.62 "
C9778		"Colpopexy, min/inv, ex-perit"	Y	NC	J8	49.7882	"$2,485.23 "
G0104	**	Ca screen;flexi sigmoidscope	Y		P3		$158.58 
G0105	**	Colorectal scrn; hi risk ind	Y		A2	8.2283	$410.72 
G0121	**	Colon ca scrn not hi rsk ind	Y		A2	8.2283	$410.72 
G0186		"Dstry eye lesn,fdr vssl tech"	Y		R2	5.2182	$260.47 
G0260		Inj for sacroiliac jt anesth	Y		A2	6.5841	$328.65 
G0276		Pild/placebo control clin tr	Y		G2	60.0780	"$2,998.85 "
G0429		Dermal filler injection(s)	Y		P3		$52.41 
G0516		"Insert drug del implant, >=4"	N		N1		
G0517		Remove drug implant	N		N1		
G0518		Remove w insert drug implant	N		N1		
G2170		Avf by tissue w thermal e	Y	CH	J8	188.4967	"$9,409.00 "
G2171		Avf use magnetic/art/ven	Y		J8	202.3650	"$10,101.25 "
							
							
"NOTE 1: Payment indicators for ""office-based"" procedures (P2, P3) are based on a comparison of the final rates according to the ASC standard ratesetting methodology and the MPFS final rates for CY 2022. MPFS final rates do not include changes to the MPFS as enacted by Public Law 117-71 on December 10, 2021. For a discussion of the MPFS rates, we refer readers to the CY 2022 MPFS final rule."							
							
							
"NOTE 2:  Asterisked codes(*) indicate that the procedures ""office-based"" designation is temporary because we have insufficient claims data.  We will reconsider this designation when new claims data become available."							
							
							
NOTE 3:  The Medicare program payment is 80 percent of the total payment amount and beneficiary coinsurance is 20 percent of the total payment amount except for most preventive services.  Sections 4104 and 10406 of the Affordable Care Act (ACA) waive coinsurance and the Part B deductible for most preventive services.  These preventive services are identified with a double asterisk (**).							
							
							
							
