"Addendum FF -- CN ASC Device Offset Percentages for CY 2022                                                                                                     
 (For Covered Surgical Procedures and 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	 CN CY 2022 Payment Indicator	CN CY 2022 APC	CN CY 2022 OPPS Payment Rate	CN CY 2022 Device Offset Percentage	CN CY 2022 Device Portion
0100T		Prosth retina receive&gen	J8	1908	"$152,500.50"	95.49%	"$145,622.73"
0101T		Esw muscskel sys nos	G2	5113	"$2,684.96"	0.00%	$0.00
0102T		Esw phy anes lat hmrl epcndl	G2	5113	"$2,684.96"	0.00%	$0.00
0191T		Insert ant segment drain int	D5			52.03%	
0200T		Perq sacral augmt unilat inj	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
0201T		Perq sacral augmt bilat inj	G2	5114	"$5,917.60"	28.32%	$849.27
0213T		Njx paravert w/us cer/thor	R2	5443	$840.73	0.00%	$0.00
0214T		Njx paravert w/us cer/thor	N1			0.00%	
0215T		Njx paravert w/us cer/thor	N1			0.00%	
0216T		Njx paravert w/us lumb/sac	R2	5443	$840.73	0.00%	$0.00
0217T		Njx paravert w/us lumb/sac	N1			0.00%	
0218T		Njx paravert w/us lumb/sac	N1			0.00%	
0232T		Njx platelet plasma	N1			2.82%	
0238T		Trluml perip athrc iliac art	J8	5194	"$14,263.19"	32.40%	"$4,621.27"
0253T		Insert aqueous drain device	J8	5492	"$3,783.40"	41.06%	"$1,553.46"
0263T		Im b1 mrw cel ther cmpl	G2	5243	"$4,130.46"	0.00%	$0.00
0264T		Im b1 mrw cel ther xcl hrvst	G2	5243	"$4,130.46"	0.00%	$0.00
0265T		Im b1 mrw cel ther hrvst onl	G2	5243	"$4,130.46"	0.00%	$0.00
0266T		Implt/rpl crtd sns dev total	J8	5465	"$26,379.78"	73.74%	"$19,452.45"
0268T		Implt/rpl crtd sns dev gen	J8	5465	"$26,379.78"	96.04%	"$25,335.14"
0269T		Rev/remvl crtd sns dev total	G2	5432	"$4,925.95"	0.00%	$0.00
0270T		Rev/remvl crtd sns dev lead	G2	5461	"$3,700.07"	0.00%	$0.00
0271T		Rev/remvl crtd sns dev gen	G2	5461	"$3,700.07"	0.00%	$0.00
0274T		Perq lamot/lam crv/thrc	G2	5114	"$5,917.60"	10.01%	$300.18
0275T		Perq lamot/lam lumbar	J8	5114	"$5,917.60"	34.95%	"$2,068.20"
0278T		Tempr	N1			0.00%	
0290T		Laser inc for pkp/lkp recip	D5			0.00%	
0308T		Insj ocular telescope prosth	J8	5495	"$24,019.66"	90.18%	"$21,660.93"
0313T		Laps rmvl nstim array vagus	J8	5461	"$3,700.07"	89.04%	"$3,294.54"
0314T		Laps rmvl vgl arry&pls gen	G2	5461	"$3,700.07"	0.00%	$0.00
0315T		Rmvl vagus nerve pls gen	G2	5461	"$3,700.07"	0.00%	$0.00
0316T		Replc vagus nerve pls gen	J8	5465	"$26,379.78"	88.10%	"$23,240.59"
0330T		Tear film img uni/bi w/i&r	N1			0.00%	
0335T		Insj sinus tarsi implant	J8	5114	"$5,917.60"	52.87%	"$3,128.64"
0338T		Trnscth renal symp denrv unl	G2	5192	"$4,354.32"	0.00%	$0.00
0339T		Trnscth renal symp denrv bil	G2	5192	"$4,354.32"	0.00%	$0.00
0342T		Thxp apheresis w/hdl delip	G2	5243	"$4,130.46"	0.00%	$0.00
0347T		Ins bone device for rsa	N1			0.00%	
0348T		Rsa spine exam	N1			0.00%	
0349T		Rsa upper extr exam	N1			0.00%	
0350T		Rsa lower extr exam	N1			0.00%	
0351T		Intraop oct brst/node spec	N1			0.00%	
0353T		Intraop oct breast cavity	N1			0.00%	
0356T		Insrt drug device for iop	D5			0.00%	
0376T		Insert ant segment drain int	D5			0.00%	
0379T		Vis field assmnt tech suppt	N1			0.00%	
0397T		Ercp w/optical endomicroscpy	N1			0.00%	
0402T		Colgn cross-link crn med sep	R2	5503	"$1,722.85"	0.00%	$0.00
0404T		Trnscrv uterin fibroid abltj	J8	5416	"$5,617.30"	31.00%	"$1,741.36"
0408T		Insj/rplc cardiac modulj sys	J8	5231	"$23,334.26"	50.73%	"$11,837.47"
0409T		Insj/rplc car modulj pls gn	J8	5231	"$23,334.26"	31.00%	"$7,233.62"
0410T		Insj/rplc car modulj atr elt	J8	5222	"$8,192.52"	31.00%	"$2,539.68"
0411T		Insj/rplc car modulj vnt elt	J8	5222	"$8,192.52"	31.00%	"$2,539.68"
0412T		Rmvl cardiac modulj pls gen	G2	5221	"$3,516.82"	0.00%	$0.00
0413T		Rmvl car modulj tranvns elt	G2	5221	"$3,516.82"	0.00%	$0.00
0414T		Rmvl & rpl car modulj pls gn	J8	5231	"$23,334.26"	31.00%	"$7,233.62"
0415T		Repos car modulj tranvns elt	G2	5181	$552.04	0.00%	$0.00
0416T		Reloc skin pocket pls gen	G2	5054	"$1,749.26"	0.00%	$0.00
0419T		Dstrj neurofibroma xtnsv	R2	5053	$534.89	0.00%	$0.00
0420T		Dstrj neurofibroma xtnsv	R2	5053	$534.89	0.00%	$0.00
0421T		Waterjet prostate abltj cmpl	G2	5376	"$8,196.68"	0.00%	$0.00
0424T		Insj/rplc nstim apnea compl	J8	5465	"$26,379.78"	30.62%	"$8,077.49"
0425T		Insj/rplc nstim apnea sen ld	G2	5463	"$12,266.39"	0.00%	$0.00
0426T		Insj/rplc nstim apnea stm ld	G2	5463	"$12,266.39"	25.56%	"$1,588.86"
0427T		Insj/rplc nstim apnea pls gn	J8	5465	"$26,379.78"	79.82%	"$21,056.34"
0428T		Rmvl nstim apnea pls gen	J8	5461	"$3,700.07"	31.00%	"$1,147.02"
0429T		Rmvl nstim apnea sen ld	G2	5461	"$3,700.07"	0.00%	$0.00
0430T		Rmvl nstim apnea stimj ld	G2	5461	"$3,700.07"	0.00%	$0.00
0431T		Rmvl/rplc nstim apnea pls gn	J8	5465	"$26,379.78"	81.10%	"$21,394.00"
0432T		Repos nstim apnea stimj ld	J8	5461	"$3,700.07"	31.00%	"$1,147.02"
0433T		Repos nstim apnea sensing ld	G2	5461	"$3,700.07"	0.00%	$0.00
0434T		Interro eval npgs apnea	G2	5742	$102.53	0.00%	$0.00
0437T		Impltj synth rnfcmt abdl wal	N1			0.00%	
0439T		Myocrd contrast prfuj echo	N1			0.00%	
0440T		Abltj perc uxtr/perph nrv	G2	5431	"$1,628.21"	0.00%	$0.00
0441T		Abltj perc lxtr/perph nrv	G2	5431	"$1,628.21"	0.00%	$0.00
0442T		Abltj perc plex/trncl nrv	J8	5432	"$4,925.95"	70.24%	"$3,459.99"
0443T		R-t spctrl alys prst8 tiss	N1			0.00%	
0444T		1st plmt drug elut oc ins	N1			0.00%	
0445T		Sbsqt plmt drug elut oc ins	N1			0.00%	
0446T		Insj impltbl glucose sensor	G2	5054	"$1,749.26"	0.00%	$0.00
0447T		Rmvl impltbl glucose sensor	G2	5051	$183.40	0.00%	$0.00
0448T		Remvl insj impltbl gluc sens	G2	5054	"$1,749.26"	0.00%	$0.00
0449T		Insj aqueous drain dev 1st	J8	5492	"$3,783.40"	56.61%	"$2,141.78"
0450T		Insj aqueous drain dev each	N1			0.00%	
0453T		Insj/rplcmt mech-elec ntrfce	D5			0.00%	
0454T		Insj/rplcmt subq electrode	D5			0.00%	
0457T		Remvl mech-elec skin ntrfce	D5			0.00%	
0458T		Remvl subq electrode	D5			0.00%	
0460T		Repos aortic ventr dev eltrd	D5			0.00%	
0465T		Supchrdl njx rx w/o supply	R2	5694	$325.64	0.00%	$0.00
0466T		Insj ch wal respir eltrd/ra	D5			0.00%	
0467T		Revj/rplmnt ch respir eltrd	D5			52.12%	
0468T		Rmvl ch wal respir eltrd/ra	D5			0.00%	
0471T		Oct skn img acquisj i&r addl	N1			0.00%	
0479T		Fxjl abl lsr 1st 100 sq cm	G2	5053	$534.89	0.65%	$1.76
0480T		Fxjl abl lsr ea addl 100sqcm	N1			0.00%	
0487T		Trvg biomchn mapg w/reprt	N1			0.00%	
0491T		Abl lsr opn wnd 1st 20 sqcm	G2	5052	$353.00	0.00%	$0.00
0492T		Abl lsr opn wnd addl 20 sqcm	N1			0.00%	
0493T		Cntc near ifr spectrsc wound	N1			0.00%	
0499T		Cysto f/urtl strix/stenosis	G2	5374	"$2,819.74"	18.80%	$268.64
0502T		Cor ffr data prep & transmis	N1			0.00%	
0503T		Cor ffr alys gnrj ffr mdl	N1			0.00%	
0510T		Rmvl sinus tarsi implant	G2	5113	"$2,684.96"	0.00%	$0.00
0511T		Rmvl&rinsj sinus tarsi implt	J8	5114	"$5,917.60"	49.01%	"$2,900.22"
0512T		Esw integ wnd hlg 1st wnd	R2	5051	$183.40	0.00%	$0.00
0513T		Esw integ wnd hlg ea addl	N1			0.00%	
0514T		Intraop vis axis id pt fixj	N1			0.00%	
0523T		Ntrapx c ffr w/3d funcjl map	N1			0.00%	
0524T		Ev cath dir chem abltj w/img	G2	5183	"$2,758.87"	0.00%	$0.00
0525T		Insj/rplcmt compl iims	J8	5223	"$9,703.78"	31.00%	"$3,008.17"
0526T		Insj/rplcmt iims eltrd only	J8	5222	"$8,192.52"	31.00%	"$2,539.68"
0527T		Insj/rplcmt iims implt mntr	G2	5222	"$8,192.52"	0.00%	$0.00
0530T		Removal complete iims	G2	5221	"$3,516.82"	0.00%	$0.00
0531T		Removal iims electrode only	G2	5221	"$3,516.82"	0.00%	$0.00
0532T		Removal iims implt mntr only	G2	5221	"$3,516.82"	0.00%	$0.00
0548T		Tprnl balo cntnc dev bi	D5			77.68%	
0549T		Tprnl balo cntnc dev uni	D5			69.20%	
0550T		Tprnl balo cntnc dev rmvl ea	D5			0.00%	
0551T		Tprnl balo cntnc dev adjmt	D5			0.00%	
0583T		Tmpst auto tube dlvr sys	J8	5163	"$1,037.78"	31.00%	$321.71
0587T		Perq impltj/rplcmt isdns ptn	J8	5462	"$6,078.01"	56.90%	"$3,458.39"
0588T		Revision/removal isdns ptn	R2	5461	"$3,700.07"	0.00%	$0.00
0594T		Osteot hum xtrnl lngth dev	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
0596T		Temp fml iu vlv-pmp 1st insj	R2	5372	$587.56	0.00%	$0.00
0597T		Temp fml iu valve-pmp rplcmt	R2	5372	$587.56	0.00%	$0.00
0600T		Ire abltj 1+tum organ perq	J8	5362	"$7,672.98"	62.20%	"$4,772.59"
0601T		Ire abltj 1+tumors open	J8	5362	"$7,672.98"	31.00%	"$2,378.62"
0614T		Rmvl&rplcmt ss impl dfb pg	J8	5231	"$23,334.26"	31.00%	"$7,233.62"
0616T		Insertion of iris prosthesis	J8	5491	"$2,096.97"	31.00%	$650.06
0617T		Insj iris prosth w/rmvl&insj	J8	5492	"$3,783.40"	31.00%	"$1,172.85"
0618T		Insj iris prosth sec io lens	J8	5492	"$3,783.40"	31.00%	"$1,172.85"
0619T		Cysto w/prst8 commissurotomy	J8	5375	"$4,168.14"	31.00%	"$1,292.12"
0620T		Evasc ven artlz tibl/prnl vn	J8	5194	"$14,263.19"	31.00%	"$4,421.59"
0627T		Perq njx algc fluor lmbr 1st	G2	5115	"$11,869.70"	0.00%	$0.00
0628T		Perq njx algc fluor lmbr ea	N1			0.00%	
0629T		Perq njx algc ct lmbr 1st	G2	5115	"$11,869.70"	0.00%	$0.00
0630T		Perq njx algc ct lmbr ea	N1			0.00%	
0632T		Perq tcat us abltj nrv p-art	J8	5194	"$14,263.19"	31.00%	"$4,421.59"
0644T		Tcat rmvl/dblk icar mas perq	J8	5192	"$4,354.32"	31.00%	"$1,349.84"
0647T		Insj gtube perq mag gastrpxy	J8	5302	"$1,393.88"	31.00%	$432.10
0651T		Mag ctrld capsule endoscopy	J8	5301	$826.39	31.00%	$256.18
0652T		Egd flx transnasal dx br/wa	J8	5301	$826.39	31.00%	$256.18
0653T		Egd flx transnasal bx 1/mlt	J8	5301	$826.39	31.00%	$256.18
0654T		Egd flx transnasal tube/cath	J8	5302	"$1,393.88"	31.00%	$432.10
0655T		Tprnl focal abltj mal prst8	G2	5374	"$2,819.74"	0.00%	$0.00
0671T		Insj ant sgm aq drg dev 1+	J8	5491	"$2,096.97"	52.03%	"$1,091.05"
0673T		Abltj b9 thyr ndul perq lasr	G2	5072	"$1,200.16"	0.00%	$0.00
0686T		Histotripsy mal hepatcel tis	G2	1575	"$12,500.50"	0.00%	$0.00
0699T		Njx pst chmbr eye medication	G2	5491	"$2,096.97"	0.00%	$0.00
0707T		Njx b1 sub mtrl sbchdrl dfct	J8	5113	"$2,684.96"	31.00%	$832.34
10004		Fna bx w/o img gdn ea addl	N1			0.00%	
10005		Fna bx w/us gdn 1st les	G2	5071	$635.54	0.14%	$0.45
10006		Fna bx w/us gdn ea addl	N1			0.00%	
10007		Fna bx w/fluor gdn 1st les	P3	5071	$635.54	0.61%	$1.44
10008		Fna bx w/fluor gdn ea addl	N1			0.00%	
10009		Fna bx w/ct gdn 1st les	G2	5071	$635.54	1.02%	$3.29
10010		Fna bx w/ct gdn ea addl	N1			0.00%	
10011		Fna bx w/mr gdn 1st les	R2	5071	$635.54	0.00%	$0.00
10012		Fna bx w/mr gdn ea addl	N1			0.00%	
10021		Fna bx w/o img gdn 1st les	P3	5052	$353.00	0.07%	$0.04
10030		Guide cathet fluid drainage	G2	5071	$635.54	14.84%	$47.80
10035		Perq dev soft tiss 1st imag	N1			23.27%	
10036		Perq dev soft tiss add imag	N1			0.00%	
10040		Acne surgery	N1			0.00%	
10060		Drainage of skin abscess	P3	5051	$183.40	0.06%	$0.05
10061		Drainage of skin abscess	P3	5052	$353.00	0.19%	$0.23
10080		Drainage of pilonidal cyst	P3	5071	$635.54	0.00%	$0.00
10081		Drainage of pilonidal cyst	P3	5071	$635.54	0.00%	$0.00
10120		Remove foreign body	P3	5052	$353.00	0.14%	$0.15
10121		Remove foreign body	A2	5072	"$1,200.16"	0.09%	$0.55
10140		Drainage of hematoma/fluid	P3	5072	"$1,200.16"	1.51%	$1.66
10160		Puncture drainage of lesion	P3	5052	$353.00	2.28%	$1.88
10180		Complex drainage wound	A2	5073	"$2,011.25"	1.32%	$13.45
11000		Debride infected skin	P3	5053	$534.89	1.16%	$0.42
11001		Debride infected skin add-on	N1			0.00%	
11010		Debride skin at fx site	A2	5071	$635.54	3.29%	$10.60
11011		Debride skin musc at fx site	A2	5071	$635.54	14.45%	$46.54
11012		Deb skin bone at fx site	A2	5073	"$2,011.25"	2.81%	$28.64
11042		Deb subq tissue 20 sq cm/<	A2	5052	$353.00	0.02%	$0.04
11043		Deb musc/fascia 20 sq cm/<	A2	5053	$534.89	0.15%	$0.41
11044		Deb bone 20 sq cm/<	A2	5072	"$1,200.16"	0.54%	$3.28
11045		Deb subq tissue add-on	N1			0.00%	
11046		Deb musc/fascia add-on	N1			0.00%	
11047		Deb bone add-on	N1			0.00%	
11055		Trim skin lesion	N1			0.00%	
11056		Trim skin lesions 2 to 4	N1			0.00%	
11057		Trim skin lesions over 4	P3	5051	$183.40	0.00%	$0.00
11102		Tangntl bx skin single les	P3	5051	$183.40	0.00%	$0.00
11103		Tangntl bx skin ea sep/addl	N1			0.00%	
11104		Punch bx skin single lesion	P3	5052	$353.00	0.01%	$0.01
11105		Punch bx skin ea sep/addl	N1			0.00%	
11106		Incal bx skn single les	P3	5053	$534.89	0.10%	$0.12
11107		Incal bx skn ea sep/addl	N1			0.00%	
11200		Removal of skin tags <w/15	N1			0.02%	
11201		Remove skin tags add-on	N1			0.00%	
11300		Shave skin lesion 0.5 cm/<	N1			0.00%	
11301		Shave skin lesion 0.6-1.0 cm	N1			0.00%	
11302		Shave skin lesion 1.1-2.0 cm	N1			0.00%	
11303		Shave skin lesion >2.0 cm	N1			0.04%	
11305		Shave skin lesion 0.5 cm/<	N1			0.00%	
11306		Shave skin lesion 0.6-1.0 cm	N1			0.00%	
11307		Shave skin lesion 1.1-2.0 cm	P2	5051	$183.40	0.00%	$0.00
11308		Shave skin lesion >2.0 cm	N1			0.00%	
11310		Shave skin lesion 0.5 cm/<	P3	5051	$183.40	0.00%	$0.00
11311		Shave skin lesion 0.6-1.0 cm	P2	5051	$183.40	0.00%	$0.00
11312		Shave skin lesion 1.1-2.0 cm	P3	5052	$353.00	0.00%	$0.00
11313		Shave skin lesion >2.0 cm	P3	5052	$353.00	0.00%	$0.00
11400		Exc tr-ext b9+marg 0.5 cm<	P3	5071	$635.54	0.04%	$0.04
11401		Exc tr-ext b9+marg 0.6-1 cm	P3	5052	$353.00	0.06%	$0.06
11402		Exc tr-ext b9+marg 1.1-2 cm	P3	5071	$635.54	0.10%	$0.12
11403		Exc tr-ext b9+marg 2.1-3cm	P3	5071	$635.54	0.30%	$0.38
11404		Exc tr-ext b9+marg 3.1-4 cm	A2	5072	"$1,200.16"	0.10%	$0.61
11406		Exc tr-ext b9+marg >4.0 cm	A2	5072	"$1,200.16"	0.22%	$1.34
11420		Exc h-f-nk-sp b9+marg 0.5/<	P3	5072	"$1,200.16"	0.03%	$0.03
11421		Exc h-f-nk-sp b9+marg 0.6-1	P3	5071	$635.54	0.02%	$0.02
11422		Exc h-f-nk-sp b9+marg 1.1-2	P3	5072	"$1,200.16"	0.01%	$0.01
11423		Exc h-f-nk-sp b9+marg 2.1-3	P3	5072	"$1,200.16"	0.03%	$0.04
11424		Exc h-f-nk-sp b9+marg 3.1-4	A2	5072	"$1,200.16"	0.24%	$1.46
11426		Exc h-f-nk-sp b9+marg >4 cm	A2	5073	"$2,011.25"	0.31%	$3.16
11440		Exc face-mm b9+marg 0.5 cm/<	P3	5071	$635.54	0.04%	$0.04
11441		Exc face-mm b9+marg 0.6-1 cm	P3	5071	$635.54	0.07%	$0.08
11442		Exc face-mm b9+marg 1.1-2 cm	P3	5071	$635.54	0.06%	$0.08
11443		Exc face-mm b9+marg 2.1-3 cm	P3	5072	"$1,200.16"	0.03%	$0.04
11444		Exc face-mm b9+marg 3.1-4 cm	A2	5072	"$1,200.16"	0.00%	$0.00
11446		Exc face-mm b9+marg >4 cm	A2	5073	"$2,011.25"	0.02%	$0.20
11450		Removal sweat gland lesion	A2	5073	"$2,011.25"	0.03%	$0.31
11451		Removal sweat gland lesion	A2	5073	"$2,011.25"	0.03%	$0.31
11462		Removal sweat gland lesion	A2	5073	"$2,011.25"	0.01%	$0.10
11463		Removal sweat gland lesion	A2	5073	"$2,011.25"	0.00%	$0.00
11470		Removal sweat gland lesion	A2	5073	"$2,011.25"	0.01%	$0.10
11471		Removal sweat gland lesion	A2	5073	"$2,011.25"	2.12%	$21.61
11600		Exc tr-ext mal+marg 0.5 cm/<	P3	5071	$635.54	0.03%	$0.04
11601		Exc tr-ext mal+marg 0.6-1 cm	P3	5071	$635.54	0.10%	$0.15
11602		Exc tr-ext mal+marg 1.1-2 cm	P3	5052	$353.00	0.01%	$0.02
11603		Exc tr-ext mal+marg 2.1-3 cm	P3	5071	$635.54	0.05%	$0.09
11604		Exc tr-ext mal+marg 3.1-4 cm	A2	5071	$635.54	0.11%	$0.35
11606		Exc tr-ext mal+marg >4 cm	A2	5072	"$1,200.16"	0.16%	$0.97
11620		Exc h-f-nk-sp mal+marg 0.5/<	P3	5072	"$1,200.16"	0.00%	$0.00
11621		Exc s/n/h/f/g mal+mrg 0.6-1	P3	5071	$635.54	0.00%	$0.00
11622		Exc s/n/h/f/g mal+mrg 1.1-2	P3	5071	$635.54	0.35%	$0.57
11623		Exc s/n/h/f/g mal+mrg 2.1-3	P3	5072	"$1,200.16"	0.47%	$0.84
11624		Exc s/n/h/f/g mal+mrg 3.1-4	A2	5072	"$1,200.16"	0.42%	$2.55
11626		Exc s/n/h/f/g mal+mrg >4 cm	A2	5073	"$2,011.25"	0.22%	$2.24
11640		Exc f/e/e/n/l mal+mrg 0.5cm<	P3	5071	$635.54	0.02%	$0.03
11641		Exc f/e/e/n/l mal+mrg 0.6-1	P3	5071	$635.54	0.02%	$0.03
11642		Exc f/e/e/n/l mal+mrg 1.1-2	P3	5071	$635.54	0.15%	$0.25
11643		Exc f/e/e/n/l mal+mrg 2.1-3	P3	5072	"$1,200.16"	0.02%	$0.04
11644		Exc f/e/e/n/l mal+mrg 3.1-4	A2	5072	"$1,200.16"	0.12%	$0.73
11646		Exc f/e/e/n/l mal+mrg >4 cm	A2	5073	"$2,011.25"	0.04%	$0.41
11719		Trim nail(s) any number	N1			0.00%	
11720		Debride nail 1-5	N1			0.00%	
11721		Debride nail 6 or more	N1			0.00%	
11730		Removal of nail plate	N1			0.01%	
11732		Remove nail plate add-on	N1			0.00%	
11740		Drain blood from under nail	N1			0.00%	
11750		Removal of nail bed	P3	5052	$353.00	0.05%	$0.05
11755		Biopsy nail unit	P3	5071	$635.54	0.04%	$0.03
11760		Repair of nail bed	P3	5053	$534.89	0.00%	$0.00
11762		Reconstruction of nail bed	P3	5054	"$1,749.26"	5.05%	$9.13
11765		Excision of nail fold toe	N1			0.00%	
11770		Remove pilonidal cyst simple	A2	5073	"$2,011.25"	0.86%	$8.77
11771		Remove pilonidal cyst exten	A2	5073	"$2,011.25"	0.45%	$4.59
11772		Remove pilonidal cyst compl	A2	5073	"$2,011.25"	0.96%	$9.78
11900		Inject skin lesions </w 7	N1			0.00%	
11901		Inject skin lesions >7	N1			0.00%	
11920		Correct skin color 6.0 cm/<	P3	5053	$534.89	0.00%	$0.00
11921		Correct skn color 6.1-20.0cm	P3	5053	$534.89	0.00%	$0.00
11922		Correct skin color ea 20.0cm	N1			0.00%	
11950		Tx contour defects 1 cc/<	P3	5051	$183.40	3.67%	$1.71
11951		Tx contour defects 1.1-5.0cc	P3	5053	$534.89	0.00%	$0.00
11952		Tx contour defects 5.1-10cc	P3	5053	$534.89	0.00%	$0.00
11954		Tx contour defects >10.0 cc	P3	5053	$534.89	0.00%	$0.00
11960		Insert tissue expander(s)	A2	5055	"$3,596.22"	22.57%	$411.33
11970		Rplcmt tiss xpndr perm implt	J8	5114	"$5,917.60"	30.42%	"$1,800.13"
11971		Rmvl tis xpndr wo insj implt	A2	5073	"$2,011.25"	1.44%	$14.68
11976		Remove contraceptive capsule	P3	5071	$635.54	0.00%	$0.00
11980		Implant hormone pellet(s)	N1			0.35%	
11981		Insertion drug dlvr implant	N1			0.77%	
11982		Remove drug implant device	N1			0.47%	
11983		Remove/insert drug implant	N1			3.10%	
12001		Rpr s/n/ax/gen/trnk 2.5cm/<	N1			0.08%	
12002		Rpr s/n/ax/gen/trnk2.6-7.5cm	N1			0.00%	
12004		Rpr s/n/ax/gen/trk7.6-12.5cm	N1			0.01%	
12005		Rpr s/n/a/gen/trk12.6-20.0cm	A2	5052	$353.00	0.00%	$0.00
12006		Rpr s/n/a/gen/trk20.1-30.0cm	A2	5052	$353.00	0.00%	$0.00
12007		Rpr s/n/ax/gen/trnk >30.0 cm	A2	5051	$183.40	0.00%	$0.00
12011		Rpr f/e/e/n/l/m 2.5 cm/<	N1			0.01%	
12013		Rpr f/e/e/n/l/m 2.6-5.0 cm	N1			0.01%	
12014		Rpr f/e/e/n/l/m 5.1-7.5 cm	N1			0.00%	
12015		Rpr f/e/e/n/l/m 7.6-12.5 cm	G2	5051	$183.40	0.00%	$0.00
12016		Rpr fe/e/en/l/m 12.6-20.0 cm	A2	5052	$353.00	0.00%	$0.00
12017		Rpr fe/e/en/l/m 20.1-30.0 cm	A2	5052	$353.00	0.00%	$0.00
12018		Rpr f/e/e/n/l/m >30.0 cm	A2	5051	$183.40	0.00%	$0.00
12020		Closure of split wound	A2	5053	$534.89	0.42%	$1.14
12021		Closure of split wound	A2	5052	$353.00	0.11%	$0.20
12031		Intmd rpr s/a/t/ext 2.5 cm/<	P2	5052	$353.00	0.15%	$0.27
12032		Intmd rpr s/a/t/ext 2.6-7.5	P2	5052	$353.00	0.02%	$0.04
12034		Intmd rpr s/tr/ext 7.6-12.5	A2	5052	$353.00	0.29%	$0.52
12035		Intmd rpr s/a/t/ext 12.6-20	A2	5052	$353.00	0.00%	$0.00
12036		Intmd rpr s/a/t/ext 20.1-30	A2	5053	$534.89	1.27%	$3.44
12037		Intmd rpr s/tr/ext >30.0 cm	A2	5054	"$1,749.26"	0.22%	$1.95
12041		Intmd rpr n-hf/genit 2.5cm/<	P2	5052	$353.00	0.05%	$0.09
12042		Intmd rpr n-hf/genit2.6-7.5	P2	5052	$353.00	0.03%	$0.05
12044		Intmd rpr n-hf/genit7.6-12.5	A2	5053	$534.89	0.38%	$1.03
12045		Intmd rpr n-hf/genit12.6-20	A2	5053	$534.89	0.00%	$0.00
12046		Intmd rpr n-hf/genit20.1-30	A2	5053	$534.89	0.00%	$0.00
12047		Intmd rpr n-hf/genit >30.0cm	A2	5054	"$1,749.26"	0.00%	$0.00
12051		Intmd rpr face/mm 2.5 cm/<	P2	5052	$353.00	0.11%	$0.20
12052		Intmd rpr face/mm 2.6-5.0 cm	P2	5052	$353.00	0.00%	$0.00
12053		Intmd rpr face/mm 5.1-7.5 cm	P2	5052	$353.00	0.00%	$0.00
12054		Intmd rpr face/mm 7.6-12.5cm	A2	5052	$353.00	0.00%	$0.00
12055		Intmd rpr face/mm 12.6-20 cm	A2	5052	$353.00	0.00%	$0.00
12056		Intmd rpr face/mm 20.1-30.0	A2	5052	$353.00	0.00%	$0.00
12057		Intmd rpr face/mm >30.0 cm	A2	5052	$353.00	0.00%	$0.00
13100		Cmplx rpr trunk 1.1-2.5 cm	A2	5053	$534.89	0.32%	$0.87
13101		Cmplx rpr trunk 2.6-7.5 cm	A2	5053	$534.89	0.40%	$1.08
13102		Cmplx rpr trunk addl 5cm/<	N1			0.00%	
13120		Cmplx rpr s/a/l 1.1-2.5 cm	A2	5053	$534.89	0.08%	$0.22
13121		Cmplx rpr s/a/l 2.6-7.5 cm	A2	5053	$534.89	0.02%	$0.05
13122		Cmplx rpr s/a/l addl 5 cm/>	N1			0.00%	
13131		Cmplx rpr f/c/c/m/n/ax/g/h/f	A2	5052	$353.00	0.12%	$0.21
13132		Cmplx rpr f/c/c/m/n/ax/g/h/f	A2	5053	$534.89	0.01%	$0.03
13133		Cmplx rpr f/c/c/m/n/ax/g/h/f	N1			0.00%	
13151		Cmplx rpr e/n/e/l 1.1-2.5 cm	A2	5053	$534.89	0.00%	$0.00
13152		Cmplx rpr e/n/e/l 2.6-7.5 cm	A2	5053	$534.89	0.00%	$0.00
13153		Cmplx rpr e/n/e/l addl 5cm/<	N1			0.00%	
13160		Late closure of wound	A2	5054	"$1,749.26"	1.77%	$15.69
14000		Tis trnfr trunk 10 sq cm/<	A2	5054	"$1,749.26"	0.69%	$6.12
14001		Tis trnfr trunk 10.1-30sqcm	A2	5054	"$1,749.26"	1.06%	$9.40
14020		Tis trnfr s/a/l 10 sq cm/<	A2	5054	"$1,749.26"	0.18%	$1.60
14021		Tis trnfr s/a/l 10.1-30 sqcm	A2	5054	"$1,749.26"	0.06%	$0.53
14040		Tis trnfr f/c/c/m/n/a/g/h/f	A2	5054	"$1,749.26"	0.29%	$2.57
14041		Tis trnfr f/c/c/m/n/a/g/h/f	A2	5054	"$1,749.26"	0.20%	$1.77
14060		Tis trnfr e/n/e/l 10 sq cm/<	A2	5054	"$1,749.26"	0.12%	$1.06
14061		Tis trnfr e/n/e/l10.1-30sqcm	A2	5054	"$1,749.26"	0.11%	$0.98
14301		Tis trnfr any 30.1-60 sq cm	G2	5055	"$3,596.22"	0.43%	$7.84
14302		Tis trnfr addl 30 sq cm	N1			0.00%	
14350		Filleted finger/toe flap	A2	5054	"$1,749.26"	5.70%	$50.53
15002		Wound prep trk/arm/leg	A2	5054	"$1,749.26"	3.10%	$27.48
15003		Wound prep addl 100 cm	N1			0.00%	
15004		Wound prep f/n/hf/g	A2	5053	$534.89	3.19%	$8.65
15005		Wnd prep f/n/hf/g addl cm	N1			0.00%	
15040		Harvest cultured skin graft	A2	5054	"$1,749.26"	0.00%	$0.00
15050		Skin pinch graft	A2	5053	$534.89	0.00%	$0.00
15100		Skin splt grft trnk/arm/leg	A2	5054	"$1,749.26"	0.50%	$4.43
15101		Skin splt grft t/a/l add-on	N1			0.00%	
15110		Epidrm autogrft trnk/arm/leg	A2	5054	"$1,749.26"	0.37%	$3.28
15111		Epidrm autogrft t/a/l add-on	N1			0.00%	
15115		Epidrm a-grft face/nck/hf/g	A2	5054	"$1,749.26"	0.90%	$7.98
15116		Epidrm a-grft f/n/hf/g addl	N1			0.00%	
15120		Skn splt a-grft fac/nck/hf/g	A2	5055	"$3,596.22"	0.61%	$11.12
15121		Skn splt a-grft f/n/hf/g add	N1			0.00%	
15130		Derm autograft trnk/arm/leg	A2	5054	"$1,749.26"	0.00%	$0.00
15131		Derm autograft t/a/l add-on	N1			0.00%	
15135		Derm autograft face/nck/hf/g	A2	5055	"$3,596.22"	17.57%	$320.20
15136		Derm autograft f/n/hf/g add	N1			0.00%	
15150		Cult skin grft t/arm/leg	A2	5054	"$1,749.26"	0.00%	$0.00
15151		Cult skin grft t/a/l addl	N1			0.00%	
15152		Cult skin graft t/a/l +%	N1			0.00%	
15155		Cult skin graft f/n/hf/g	A2	5055	"$3,596.22"	13.84%	$252.23
15156		Cult skin grft f/n/hfg add	N1			0.00%	
15157		Cult epiderm grft f/n/hfg +%	N1			0.00%	
15200		Skin full graft trunk	A2	5054	"$1,749.26"	0.00%	$0.00
15201		Skin full graft trunk add-on	N1			0.00%	
15220		Skin full graft sclp/arm/leg	A2	5054	"$1,749.26"	1.09%	$9.66
15221		Skin full graft add-on	N1			0.00%	
15240		Skin full grft face/genit/hf	A2	5054	"$1,749.26"	0.33%	$2.93
15241		Skin full graft add-on	N1			0.00%	
15260		Skin full graft een & lips	A2	5054	"$1,749.26"	0.08%	$0.71
15261		Skin full graft add-on	N1			0.00%	
15271		Skin sub graft trnk/arm/leg	G2	5054	"$1,749.26"	0.04%	$0.35
15272		Skin sub graft t/a/l add-on	N1			0.00%	
15273		Skin sub grft t/arm/lg child	G2	5055	"$3,596.22"	0.47%	$8.57
15274		Skn sub grft t/a/l child add	N1			0.00%	
15275		Skin sub graft face/nk/hf/g	G2	5054	"$1,749.26"	0.06%	$0.53
15276		Skin sub graft f/n/hf/g addl	N1			0.00%	
15277		Skn sub grft f/n/hf/g child	G2	5054	"$1,749.26"	0.26%	$2.30
15278		Skn sub grft f/n/hf/g ch add	N1			0.00%	
15570		Skin pedicle flap trunk	A2	5054	"$1,749.26"	0.00%	$0.00
15572		Skin pedicle flap arms/legs	A2	5055	"$3,596.22"	0.85%	$15.49
15574		Pedcle fh/ch/ch/m/n/ax/g/h/f	A2	5054	"$1,749.26"	0.01%	$0.09
15576		Pedicle e/n/e/l/ntroral	A2	5054	"$1,749.26"	0.38%	$3.37
15600		Delay flap trunk	A2	5055	"$3,596.22"	0.35%	$6.38
15610		Delay flap arms/legs	A2	5054	"$1,749.26"	0.42%	$3.72
15620		Delay flap f/c/c/n/ax/g/h/f	A2	5054	"$1,749.26"	0.07%	$0.62
15630		Delay flap eye/nos/ear/lip	A2	5054	"$1,749.26"	0.03%	$0.27
15650		Transfer skin pedicle flap	A2	5054	"$1,749.26"	0.35%	$3.10
15730		Mdfc flap w/prsrv vasc pedcl	G2	5055	"$3,596.22"	0.00%	$0.00
15731		Forehead flap w/vasc pedicle	A2	5055	"$3,596.22"	0.68%	$12.39
15733		Musc myoq/fscq flp h&n pedcl	A2	5055	"$3,596.22"	1.09%	$19.86
15734		Muscle-skin graft trunk	A2	5055	"$3,596.22"	1.96%	$35.72
15736		Muscle-skin graft arm	A2	5054	"$1,749.26"	3.92%	$34.75
15738		Muscle-skin graft leg	A2	5055	"$3,596.22"	4.39%	$80.01
15740		Island pedicle flap graft	A2	5054	"$1,749.26"	8.23%	$72.96
15750		Neurovascular pedicle flap	A2	5055	"$3,596.22"	0.05%	$0.91
15760		Composite skin graft	A2	5054	"$1,749.26"	2.12%	$18.79
15769		Grfg autol soft tiss dir exc	G2	5055	"$3,596.22"	0.00%	$0.00
15770		Derma-fat-fascia graft	A2	5055	"$3,596.22"	2.15%	$39.18
15771		Grfg autol fat lipo 50 cc/<	G2	5055	"$3,596.22"	0.00%	$0.00
15773		Grfg autol fat lipo 25 cc/<	G2	5054	"$1,749.26"	0.00%	$0.00
15775		Hair trnspl 1-15 punch grfts	A2	5052	$353.00	0.00%	$0.00
15776		Hair trnspl >15 punch grafts	A2	5052	$353.00	0.00%	$0.00
15777		Acellular derm matrix implt	N1			0.00%	
15780		Dermabrasion total face	P3	5073	"$2,011.25"	0.00%	$0.00
15781		Dermabrasion segmental face	P2	5071	$635.54	0.00%	$0.00
15782		Dermabrasion other than face	P3	5073	"$2,011.25"	0.00%	$0.00
15783		Dermabrasion suprfl any site	P2	5052	$353.00	0.00%	$0.00
15786		Abrasion lesion single	N1			0.00%	
15787		Abrasion lesions add-on	N1			0.00%	
15788		Chemical peel face epiderm	N1			0.00%	
15789		Chemical peel face dermal	P2	5053	$534.89	0.00%	$0.00
15792		Chemical peel nonfacial	N1			0.00%	
15793		Chemical peel nonfacial	N1			0.00%	
15819		Plastic surgery neck	G2	5054	"$1,749.26"	0.00%	$0.00
15820		Revision of lower eyelid	A2	5054	"$1,749.26"	0.04%	$0.35
15821		Revision of lower eyelid	A2	5054	"$1,749.26"	0.00%	$0.00
15822		Revision of upper eyelid	A2	5054	"$1,749.26"	0.03%	$0.27
15823		Revision of upper eyelid	A2	5054	"$1,749.26"	0.06%	$0.53
15824		Removal of forehead wrinkles	A2	5054	"$1,749.26"	0.00%	$0.00
15825		Removal of neck wrinkles	A2	5055	"$3,596.22"	0.00%	$0.00
15826		Removal of brow wrinkles	A2	5055	"$3,596.22"	0.00%	$0.00
15828		Removal of face wrinkles	A2	5055	"$3,596.22"	1.27%	$23.15
15829		Removal of skin wrinkles	A2	5055	"$3,596.22"	8.76%	$159.65
15830		Exc skin abd	A2	5092	"$4,552.49"	0.94%	$21.69
15832		Excise excessive skin thigh	A2	5073	"$2,011.25"	1.70%	$17.33
15833		Excise excessive skin leg	A2	5073	"$2,011.25"	0.08%	$0.82
15834		Excise excessive skin hip	A2	5073	"$2,011.25"	0.00%	$0.00
15835		Excise excessive skin buttck	A2	5073	"$2,011.25"	0.00%	$0.00
15836		Excise excessive skin arm	A2	5073	"$2,011.25"	4.25%	$43.32
15837		Excise excess skin arm/hand	G2	5073	"$2,011.25"	9.71%	$98.97
15838		Excise excess skin fat pad	G2	5073	"$2,011.25"	0.00%	$0.00
15839		Excise excess skin & tissue	A2	5073	"$2,011.25"	0.95%	$9.68
15840		Nerve palsy fascial graft	A2	5055	"$3,596.22"	5.24%	$95.50
15841		Nerve palsy muscle graft	A2	5055	"$3,596.22"	0.00%	$0.00
15842		Nerve palsy microsurg graft	G2	5054	"$1,749.26"	0.00%	$0.00
15845		Skin and muscle repair face	A2	5055	"$3,596.22"	0.52%	$9.48
15847		Exc skin abd add-on	N1			0.00%	
15850		Remove sutures same surgeon	G2	5053	$534.89	0.00%	$0.00
15851		Remove sutures diff surgeon	P3	5054	"$1,749.26"	0.00%	$0.00
15852		Dressing change not for burn	N1			0.48%	
15860		Test for blood flow in graft	N1			0.00%	
15876		Suction lipectomy head&neck	A2	5055	"$3,596.22"	0.28%	$5.10
15877		Suction lipectomy trunk	A2	5055	"$3,596.22"	0.82%	$14.94
15878		Suction lipectomy upr extrem	A2	5054	"$1,749.26"	1.94%	$17.20
15879		Suction lipectomy lwr extrem	A2	5055	"$3,596.22"	0.07%	$1.28
15920		Removal of tail bone ulcer	A2	5073	"$2,011.25"	0.00%	$0.00
15922		Removal of tail bone ulcer	A2	5055	"$3,596.22"	0.00%	$0.00
15931		Remove sacrum pressure sore	A2	5073	"$2,011.25"	0.84%	$8.56
15933		Remove sacrum pressure sore	A2	5073	"$2,011.25"	0.00%	$0.00
15934		Remove sacrum pressure sore	A2	5055	"$3,596.22"	0.00%	$0.00
15935		Remove sacrum pressure sore	A2	5055	"$3,596.22"	0.79%	$14.40
15936		Remove sacrum pressure sore	A2	5054	"$1,749.26"	0.00%	$0.00
15937		Remove sacrum pressure sore	A2	5054	"$1,749.26"	0.00%	$0.00
15940		Remove hip pressure sore	A2	5073	"$2,011.25"	0.00%	$0.00
15941		Remove hip pressure sore	A2	5073	"$2,011.25"	0.73%	$7.44
15944		Remove hip pressure sore	A2	5055	"$3,596.22"	0.00%	$0.00
15945		Remove hip pressure sore	A2	5054	"$1,749.26"	0.00%	$0.00
15946		Remove hip pressure sore	A2	5054	"$1,749.26"	4.30%	$38.12
15950		Remove thigh pressure sore	A2	5072	"$1,200.16"	0.00%	$0.00
15951		Remove thigh pressure sore	A2	5073	"$2,011.25"	0.00%	$0.00
15952		Remove thigh pressure sore	A2	5054	"$1,749.26"	0.00%	$0.00
15953		Remove thigh pressure sore	A2	5055	"$3,596.22"	0.00%	$0.00
15956		Remove thigh pressure sore	A2	5054	"$1,749.26"	0.00%	$0.00
15958		Remove thigh pressure sore	A2	5055	"$3,596.22"	0.00%	$0.00
16000		Initial treatment of burn(s)	N1			0.00%	
16020		Dress/debrid p-thick burn s	N1			0.00%	
16025		Dress/debrid p-thick burn m	A2	5051	$183.40	0.00%	$0.00
16030		Dress/debrid p-thick burn l	A2	5052	$353.00	0.02%	$0.04
16035		Incision of burn scab initi	G2	5052	$353.00	0.00%	$0.00
17000		Destruct premalg lesion	N1			0.02%	
17003		Destruct premalg les 2-14	N1			0.00%	
17004		Destroy premal lesions 15/>	P3	5052	$353.00	0.00%	$0.00
17106		Destruction of skin lesions	P2	5052	$353.00	0.00%	$0.00
17107		Destruction of skin lesions	P3	5053	$534.89	0.00%	$0.00
17108		Destruction of skin lesions	P3	5054	"$1,749.26"	0.00%	$0.00
17110		Destruct b9 lesion 1-14	N1			0.00%	
17111		Destruct lesion 15 or more	N1			0.00%	
17250		Chem caut of granltj tissue	N1			0.01%	
17260		Destruction of skin lesions	N1			0.00%	
17261		Destruction of skin lesions	N1			0.00%	
17262		Destruction of skin lesions	N1			0.00%	
17263		Destruction of skin lesions	N1			0.00%	
17264		Destruction of skin lesions	P3	5052	$353.00	0.00%	$0.00
17266		Destruction of skin lesions	P3	5052	$353.00	0.00%	$0.00
17270		Destruction of skin lesions	P2	5051	$183.40	0.03%	$0.03
17271		Destruction of skin lesions	P2	5051	$183.40	0.00%	$0.00
17272		Destruction of skin lesions	N1			0.00%	
17273		Destruction of skin lesions	P3	5052	$353.00	0.00%	$0.00
17274		Destruction of skin lesions	P3	5052	$353.00	0.00%	$0.00
17276		Destruction of skin lesions	P3	5052	$353.00	0.00%	$0.00
17280		Destruction of skin lesions	N1			0.00%	
17281		Destruction of skin lesions	P3	5052	$353.00	0.00%	$0.00
17282		Destruction of skin lesions	P3	5052	$353.00	0.00%	$0.00
17283		Destruction of skin lesions	P3	5052	$353.00	0.00%	$0.00
17284		Destruction of skin lesions	P3	5053	$534.89	0.00%	$0.00
17286		Destruction of skin lesions	P3	5053	$534.89	0.00%	$0.00
17311		Mohs 1 stage h/n/hf/g	P2	5053	$534.89	0.00%	$0.00
17312		Mohs addl stage	N1			0.00%	
17313		Mohs 1 stage t/a/l	P2	5053	$534.89	0.00%	$0.00
17314		Mohs addl stage t/a/l	N1			0.00%	
17315		Mohs surg addl block	N1			0.00%	
17340		Cryotherapy of skin	N1			0.00%	
17360		Skin peel therapy	N1			0.00%	
17380		Hair removal by electrolysis	R2	5053	$534.89	0.00%	$0.00
19000		Drainage of breast lesion	P3	5071	$635.54	1.28%	$0.92
19001		Drain breast lesion add-on	N1			0.00%	
19020		Incision of breast lesion	A2	5072	"$1,200.16"	0.45%	$2.74
19030		Injection for breast x-ray	N1			0.00%	
19081		Bx breast 1st lesion strtctc	G2	5072	"$1,200.16"	6.61%	$40.20
19082		Bx breast add lesion strtctc	N1			0.00%	
19083		Bx breast 1st lesion us imag	G2	5072	"$1,200.16"	8.33%	$50.66
19084		Bx breast add lesion us imag	N1			0.00%	
19085		Bx breast 1st lesion mr imag	G2	5072	"$1,200.16"	7.51%	$45.68
19086		Bx breast add lesion mr imag	N1			0.00%	
19100		Bx breast percut w/o image	A2	5072	"$1,200.16"	4.40%	$26.76
19101		Biopsy of breast open	A2	5091	"$2,377.52"	1.93%	$23.25
19105		Cryosurg ablate fa each	J8	5091	"$2,377.52"	46.16%	"$1,097.46"
19110		Nipple exploration	A2	5091	"$2,377.52"	0.02%	$0.24
19112		Excise breast duct fistula	A2	5091	"$2,377.52"	0.00%	$0.00
19120		Removal of breast lesion	A2	5091	"$2,377.52"	0.23%	$2.77
19125		Excision breast lesion	A2	5091	"$2,377.52"	0.54%	$6.51
19126		Excision addl breast lesion	N1			0.00%	
19281		Perq device breast 1st imag	N1			34.86%	
19282		Perq device breast ea imag	N1			0.00%	
19283		Perq dev breast 1st strtctc	N1			36.30%	
19284		Perq dev breast add strtctc	N1			0.00%	
19285		Perq dev breast 1st us imag	N1			35.49%	
19286		Perq dev breast add us imag	N1			0.00%	
19287		Perq dev breast 1st mr guide	N1			19.44%	
19288		Perq dev breast add mr guide	N1			0.00%	
19294		Prep tum cav iort prtl mast	N1			0.00%	
19296		Place po breast cath for rad	J8	5093	"$5,629.45"	55.29%	"$3,112.52"
19297		Place breast cath for rad	N1			0.00%	
19298		Place breast rad tube/caths	G2	5092	"$4,552.49"	12.59%	$290.46
19300		Removal of breast tissue	A2	5091	"$2,377.52"	0.12%	$1.45
19301		Partial mastectomy	A2	5091	"$2,377.52"	0.59%	$7.11
19302		P-mastectomy w/ln removal	A2	5092	"$4,552.49"	0.52%	$12.00
19303		Mast simple complete	A2	5092	"$4,552.49"	0.52%	$12.00
19316		Suspension of breast	A2	5092	"$4,552.49"	5.65%	$130.35
19318		Breast reduction	A2	5092	"$4,552.49"	0.56%	$12.92
19325		Breast augmentation w/implt	G2	5093	"$5,629.45"	23.68%	$675.55
19328		Rmvl intact breast implant	A2	5091	"$2,377.52"	2.21%	$26.63
19330		Rmvl ruptured breast implant	A2	5091	"$2,377.52"	3.50%	$42.17
19340		Insj breast implt sm d mast	A2	5092	"$4,552.49"	26.73%	$616.67
19342		Insj/rplcmt brst implt sep d	A2	5093	"$5,629.45"	27.94%	$797.08
19350		Breast reconstruction	A2	5091	"$2,377.52"	1.56%	$18.80
19355		Correct inverted nipple(s)	A2	5091	"$2,377.52"	0.00%	$0.00
19357		Tiss xpndr plmt brst rcnstj	J8	5094	"$8,270.12"	37.95%	"$3,138.51"
19370		Revj peri-implt capsule brst	A2	5091	"$2,377.52"	11.55%	$139.16
19371		Peri-implt capslc brst compl	A2	5091	"$2,377.52"	1.99%	$23.98
19380		Revj reconstructed breast	A2	5092	"$4,552.49"	11.92%	$275.00
19396		Design custom breast implant	G2	5091	"$2,377.52"	0.00%	$0.00
20103		Explore wound extremity	G2	5071	$635.54	0.09%	$0.29
20150		Excise epiphyseal bar	G2	5113	"$2,684.96"	0.00%	$0.00
20200		Muscle biopsy	A2	5072	"$1,200.16"	0.15%	$0.91
20205		Deep muscle biopsy	A2	5073	"$2,011.25"	0.13%	$1.32
20206		Needle biopsy muscle	A2	5072	"$1,200.16"	0.27%	$1.64
20220		Bone biopsy trocar/needle	A2	5072	"$1,200.16"	2.23%	$13.56
20225		Bone biopsy trocar/needle	A2	5072	"$1,200.16"	2.88%	$17.52
20240		Bone biopsy open superficial	A2	5073	"$2,011.25"	0.22%	$2.24
20245		Bone biopsy open deep	A2	5073	"$2,011.25"	3.25%	$33.12
20250		Open bone biopsy	J8	5113	"$2,684.96"	39.68%	"$1,065.39"
20251		Open bone biopsy	A2	5114	"$5,917.60"	0.11%	$3.30
20500		Injection of sinus tract	P3	5163	"$1,037.78"	4.59%	$3.38
20501		Inject sinus tract for x-ray	N1			0.00%	
20520		Removal of foreign body	P3	5072	"$1,200.16"	0.09%	$0.13
20525		Removal of foreign body	A2	5073	"$2,011.25"	0.66%	$6.73
20526		Ther injection carp tunnel	P3	5441	$266.83	0.00%	$0.00
20527		Inj dupuytren cord w/enzyme	P3	5441	$266.83	0.00%	$0.00
20550		Inj tendon sheath/ligament	P3	5441	$266.83	0.01%	$0.00
20551		Inj tendon origin/insertion	P3	5441	$266.83	0.00%	$0.00
20552		Inj trigger point 1/2 muscl	P3	5441	$266.83	0.01%	$0.00
20553		Inject trigger points 3/>	P3	5441	$266.83	0.01%	$0.00
20555		Place ndl musc/tis for rt	R2	5113	"$2,684.96"	5.53%	$75.24
20600		Drain/inj joint/bursa w/o us	P3	5441	$266.83	0.03%	$0.01
20604		Drain/inj joint/bursa w/us	P3	5441	$266.83	0.01%	$0.00
20605		Drain/inj joint/bursa w/o us	P3	5441	$266.83	0.08%	$0.02
20606		Drain/inj joint/bursa w/us	P3	5442	$648.52	0.30%	$0.15
20610		Drain/inj joint/bursa w/o us	P3	5441	$266.83	0.03%	$0.01
20611		Drain/inj joint/bursa w/us	P3	5441	$266.83	0.10%	$0.06
20612		Aspirate/inj ganglion cyst	P3	5441	$266.83	0.04%	$0.01
20615		Treatment of bone cyst	P3	5071	$635.54	4.79%	$7.89
20650		Insert and remove bone pin	A2	5113	"$2,684.96"	15.51%	$211.04
20662		Application of pelvis brace	R2	5112	"$1,463.15"	0.00%	$0.00
20663		Application of thigh brace	R2	5113	"$2,684.96"	0.00%	$0.00
20665		Removal of fixation device	G2	5735	$277.18	0.00%	$0.00
20670		Removal of support implant	A2	5072	"$1,200.16"	0.26%	$1.58
20680		Removal of support implant	A2	5073	"$2,011.25"	1.95%	$19.87
20690		Apply bone fixation device	J8	5114	"$5,917.60"	43.83%	"$2,593.68"
20692		Apply bone fixation device	J8	5115	"$11,869.70"	56.30%	"$6,682.64"
20693		Adjust bone fixation device	A2	5114	"$5,917.60"	21.54%	$645.95
20694		Remove bone fixation device	A2	5112	"$1,463.15"	1.09%	$8.08
20696		Comp multiplane ext fixation	J8	5116	"$15,703.00"	42.72%	"$6,708.32"
20697		Comp ext fixate strut change	P2	5112	"$1,463.15"	0.00%	$0.00
20822		Replantation digit complete	G2	5112	"$1,463.15"	0.00%	$0.00
20900		Removal of bone for graft	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
20902		Removal of bone for graft	A2	5114	"$5,917.60"	13.36%	$400.65
20910		Remove cartilage for graft	A2	5053	$534.89	0.00%	$0.00
20912		Remove cartilage for graft	A2	5055	"$3,596.22"	3.14%	$57.22
20920		Removal of fascia for graft	A2	5054	"$1,749.26"	0.00%	$0.00
20922		Removal of fascia for graft	A2	5054	"$1,749.26"	0.20%	$1.77
20924		Removal of tendon for graft	J8	5114	"$5,917.60"	32.58%	"$1,927.95"
20930		Sp bone algrft morsel add-on	N1			0.00%	
20931		Sp bone algrft struct add-on	N1			0.00%	
20932		Osteoart algrft w/surf & b1	N1			0.00%	
20933		Hemicrt intrclry algrft prtl	N1			0.00%	
20934		Intercalary algrft compl	N1			0.00%	
20936		Sp bone agrft local add-on	N1			0.00%	
20937		Sp bone agrft morsel add-on	N1			0.00%	
20938		Sp bone agrft struct add-on	N1			0.00%	
20939		Bone marrow aspir bone grfg	N1			0.00%	
20950		Fluid pressure muscle	G2	5071	$635.54	0.00%	$0.00
20972		Bone/skin graft metatarsal	G2	5114	"$5,917.60"	0.00%	$0.00
20973		Bone/skin graft great toe	R2	5114	"$5,917.60"	0.00%	$0.00
20975		Electrical bone stimulation	N1			0.00%	
20979		Us bone stimulation	N1			0.00%	
20982		Ablate bone tumor(s) perq	G2	5114	"$5,917.60"	11.91%	$357.16
20983		Ablate bone tumor(s) perq	J8	5114	"$5,917.60"	35.13%	"$2,078.85"
20985		Cptr-asst dir ms px	N1			0.00%	
21010		Incision of jaw joint	A2	5164	"$2,187.48"	0.00%	$0.00
21011		Exc face les sc <2 cm	P3	5072	"$1,200.16"	0.05%	$0.13
21012		Exc face les sbq 2 cm/>	R2	5072	"$1,200.16"	0.07%	$0.43
21013		Exc face tum deep < 2 cm	P3	5072	"$1,200.16"	0.00%	$0.00
21014		Exc face tum deep 2 cm/>	R2	5073	"$2,011.25"	0.05%	$0.51
21015		Resect face/scalp tum < 2 cm	G2	5073	"$2,011.25"	2.03%	$20.69
21016		Resect face/scalp tum 2 cm/>	G2	5073	"$2,011.25"	5.71%	$58.20
21025		Excision of bone lower jaw	A2	5165	"$4,821.45"	0.93%	$22.72
21026		Excision of facial bone(s)	A2	5165	"$4,821.45"	0.00%	$0.00
21029		Contour of face bone lesion	A2	5164	"$2,187.48"	4.60%	$50.99
21030		Excise max/zygoma b9 tumor	P3	5165	"$4,821.45"	6.15%	$17.30
21031		Remove exostosis mandible	P3	5164	"$2,187.48"	0.09%	$0.24
21032		Remove exostosis maxilla	P3	5164	"$2,187.48"	0.74%	$1.84
21034		Excise max/zygoma mal tumor	A2	5165	"$4,821.45"	0.00%	$0.00
21040		Excise mandible lesion	A2	5164	"$2,187.48"	3.91%	$43.34
21044		Removal of jaw bone lesion	A2	5165	"$4,821.45"	2.34%	$57.17
21046		Remove mandible cyst complex	A2	5165	"$4,821.45"	9.15%	$223.57
21047		Excise lwr jaw cyst w/repair	A2	5165	"$4,821.45"	5.57%	$136.10
21048		Remove maxilla cyst complex	R2	5165	"$4,821.45"	13.34%	$325.94
21050		Removal of jaw joint	A2	5165	"$4,821.45"	0.00%	$0.00
21060		Remove jaw joint cartilage	A2	5165	"$4,821.45"	0.31%	$7.57
21070		Remove coronoid process	A2	5165	"$4,821.45"	0.01%	$0.24
21073		Mnpj of tmj w/anesth	P3	5163	"$1,037.78"	0.00%	$0.00
21076		Prepare face/oral prosthesis	P3	5163	"$1,037.78"	0.00%	$0.00
21077		Prepare face/oral prosthesis	P3	5165	"$4,821.45"	0.00%	$0.00
21079		Prepare face/oral prosthesis	P3	5164	"$2,187.48"	0.00%	$0.00
21080		Prepare face/oral prosthesis	P3	5164	"$2,187.48"	0.00%	$0.00
21081		Prepare face/oral prosthesis	P3	5165	"$4,821.45"	0.00%	$0.00
21082		Prepare face/oral prosthesis	P3	5164	"$2,187.48"	0.00%	$0.00
21083		Prepare face/oral prosthesis	P3	5164	"$2,187.48"	0.00%	$0.00
21084		Prepare face/oral prosthesis	P3	5164	"$2,187.48"	0.00%	$0.00
21085		Prepare face/oral prosthesis	P2	5161	$216.07	0.00%	$0.00
21086		Prepare face/oral prosthesis	P3	5164	"$2,187.48"	0.00%	$0.00
21087		Prepare face/oral prosthesis	P3	5165	"$4,821.45"	0.00%	$0.00
21088		Prepare face/oral prosthesis	R2	5164	"$2,187.48"	0.00%	$0.00
21100		Maxillofacial fixation	A2	5165	"$4,821.45"	0.00%	$0.00
21110		Interdental fixation	P2	5163	"$1,037.78"	0.00%	$0.00
21116		Injection jaw joint x-ray	N1			0.00%	
21120		Reconstruction of chin	G2	5165	"$4,821.45"	0.00%	$0.00
21121		Reconstruction of chin	A2	5164	"$2,187.48"	0.00%	$0.00
21122		Reconstruction of chin	A2	5165	"$4,821.45"	0.00%	$0.00
21123		Reconstruction of chin	A2	5164	"$2,187.48"	0.00%	$0.00
21125		Augmentation lower jaw bone	A2	5165	"$4,821.45"	17.57%	$429.30
21127		Augmentation lower jaw bone	A2	5165	"$4,821.45"	8.32%	$203.29
21137		Reduction of forehead	G2	5164	"$2,187.48"	0.00%	$0.00
21138		Reduction of forehead	G2	5165	"$4,821.45"	0.00%	$0.00
21139		Reduction of forehead	G2	5165	"$4,821.45"	0.00%	$0.00
21150		Lefort ii anterior intrusion	G2	5165	"$4,821.45"	0.00%	$0.00
21181		Contour cranial bone lesion	A2	5165	"$4,821.45"	0.00%	$0.00
21198		Reconstr lwr jaw segment	G2	5165	"$4,821.45"	25.98%	$634.78
21199		Reconstr lwr jaw w/advance	J8	5165	"$4,821.45"	31.44%	"$1,515.86"
21206		Reconstruct upper jaw bone	A2	5165	"$4,821.45"	0.00%	$0.00
21208		Augmentation of facial bones	J8	5165	"$4,821.45"	39.51%	"$1,904.95"
21209		Reduction of facial bones	A2	5165	"$4,821.45"	0.00%	$0.00
21210		Face bone graft	A2	5165	"$4,821.45"	29.24%	$714.44
21215		Lower jaw bone graft	J8	5165	"$4,821.45"	43.82%	"$2,112.76"
21230		Rib cartilage graft	A2	5165	"$4,821.45"	5.23%	$127.79
21235		Ear cartilage graft	A2	5165	"$4,821.45"	0.69%	$16.86
21240		Reconstruction of jaw joint	A2	5165	"$4,821.45"	1.55%	$37.87
21242		Reconstruction of jaw joint	A2	5165	"$4,821.45"	6.44%	$157.35
21243		Reconstruction of jaw joint	J8	5116	"$15,703.00"	54.28%	"$8,523.59"
21244		Reconstruction of lower jaw	J8	5165	"$4,821.45"	38.57%	"$1,859.63"
21245		Reconstruction of jaw	J8	5165	"$4,821.45"	31.00%	"$1,494.65"
21246		Reconstruction of jaw	A2	5165	"$4,821.45"	1.61%	$39.34
21248		Reconstruction of jaw	A2	5165	"$4,821.45"	15.07%	$368.21
21249		Reconstruction of jaw	A2	5165	"$4,821.45"	23.03%	$562.71
21260		Revise eye sockets	G2	5165	"$4,821.45"	0.00%	$0.00
21267		Revise eye sockets	J8	5165	"$4,821.45"	57.13%	"$2,754.49"
21270		Augmentation cheek bone	A2	5165	"$4,821.45"	21.15%	$516.77
21275		Revision orbitofacial bones	G2	5165	"$4,821.45"	4.22%	$103.11
21280		Revision of eyelid	A2	5164	"$2,187.48"	0.94%	$10.42
21282		Revision of eyelid	A2	5164	"$2,187.48"	0.00%	$0.00
21295		Revision of jaw muscle/bone	A2	5163	"$1,037.78"	0.00%	$0.00
21296		Revision of jaw muscle/bone	A2	5164	"$2,187.48"	0.00%	$0.00
21310		Closed tx nose fx w/o manj	D5			0.00%	
21315		Clsd tx nsl fx mnpj wo stblj	A2	5163	"$1,037.78"	0.14%	$0.74
21320		Clsd tx nsl fx w/mnpj&stablj	A2	5164	"$2,187.48"	0.23%	$2.55
21325		Open tx nose fx uncomplicatd	A2	5164	"$2,187.48"	3.13%	$34.70
21330		Open tx nose fx w/skele fixj	A2	5165	"$4,821.45"	4.44%	$108.49
21335		Open tx nose & septal fx	A2	5164	"$2,187.48"	4.80%	$53.21
21336		Open tx septal fx w/wo stabj	A2	5113	"$2,684.96"	0.18%	$2.45
21337		Closed tx septal&nose fx	A2	5164	"$2,187.48"	0.13%	$1.44
21338		Open nasoethmoid fx w/o fixj	J8	5165	"$4,821.45"	46.98%	"$2,265.12"
21339		Open nasoethmoid fx w/ fixj	A2	5165	"$4,821.45"	28.80%	$703.69
21340		Perq tx nasoethmoid fx	A2	5164	"$2,187.48"	0.00%	$0.00
21345		Closed tx nose/jaw fx	A2	5163	"$1,037.78"	0.00%	$0.00
21355		Perq tx malar fracture	A2	5164	"$2,187.48"	0.00%	$0.00
21356		Opn tx dprsd zygomatic arch	A2	5165	"$4,821.45"	4.47%	$109.22
21360		Opn tx dprsd malar fracture	G2	5165	"$4,821.45"	24.55%	$599.84
21365		Opn tx complx malar fx	J8	5165	"$4,821.45"	31.00%	"$1,494.65"
21390		Opn tx orbit periorbtl implt	G2	5165	"$4,821.45"	27.29%	$666.79
21400		Closed tx orbit w/o manipulj	A2	5162	$461.90	4.11%	$9.62
21401		Closed tx orbit w/manipulj	J8	5163	"$1,037.78"	31.25%	$324.31
21406		Opn tx orbit fx w/o implant	G2	5165	"$4,821.45"	33.48%	$818.04
21407		Opn tx orbit fx w/implant	G2	5165	"$4,821.45"	23.33%	$570.04
21421		Treat mouth roof fracture	A2	5164	"$2,187.48"	1.81%	$20.06
21440		Treat dental ridge fracture	P3	5164	"$2,187.48"	6.76%	$38.48
21445		Treat dental ridge fracture	J8	5165	"$4,821.45"	33.01%	"$1,591.56"
21450		Treat lower jaw fracture	J8	5162	$461.90	34.90%	$161.20
21451		Treat lower jaw fracture	A2	5163	"$1,037.78"	18.29%	$96.19
21452		Treat lower jaw fracture	J8	5165	"$4,821.45"	32.52%	"$1,567.94"
21453		Treat lower jaw fracture	A2	5165	"$4,821.45"	21.43%	$523.61
21454		Treat lower jaw fracture	J8	5165	"$4,821.45"	37.07%	"$1,787.31"
21461		Treat lower jaw fracture	J8	5165	"$4,821.45"	36.06%	"$1,738.61"
21462		Treat lower jaw fracture	J8	5165	"$4,821.45"	43.97%	"$2,119.99"
21465		Treat lower jaw fracture	J8	5165	"$4,821.45"	35.00%	"$1,687.51"
21480		Reset dislocated jaw	A2	5111	$210.50	0.00%	$0.00
21485		Reset dislocated jaw	A2	5163	"$1,037.78"	0.06%	$0.32
21490		Repair dislocated jaw	A2	5164	"$2,187.48"	17.54%	$194.44
21497		Interdental wiring	A2	5163	"$1,037.78"	0.00%	$0.00
21501		Drain neck/chest lesion	A2	5073	"$2,011.25"	0.84%	$8.56
21502		Drain chest lesion	A2	5113	"$2,684.96"	0.00%	$0.00
21550		Biopsy of neck/chest	G2	5072	"$1,200.16"	0.55%	$3.35
21552		Exc neck les sc 3 cm/>	G2	5073	"$2,011.25"	0.12%	$1.22
21554		Exc neck tum deep 5 cm/>	G2	5073	"$2,011.25"	0.30%	$3.06
21555		Exc neck les sc < 3 cm	G2	5072	"$1,200.16"	0.14%	$0.85
21556		Exc neck tum deep < 5 cm	G2	5073	"$2,011.25"	0.51%	$5.20
21557		Resect neck thorax tumor<5cm	G2	5073	"$2,011.25"	0.25%	$2.55
21558		Resect neck tumor 5 cm/>	G2	5073	"$2,011.25"	0.38%	$3.87
21600		Partial removal of rib	A2	5114	"$5,917.60"	2.61%	$78.27
21610		Partial removal of rib	A2	5113	"$2,684.96"	0.00%	$0.00
21685		Hyoid myotomy & suspension	J8	5165	"$4,821.45"	30.77%	"$1,483.56"
21700		Revision of neck muscle	A2	5114	"$5,917.60"	0.00%	$0.00
21720		Revision of neck muscle	A2	5113	"$2,684.96"	0.00%	$0.00
21725		Revision of neck muscle	A2	5071	$635.54	0.00%	$0.00
21820		Treat sternum fracture	A2	5111	$210.50	0.00%	$0.00
21920		Biopsy soft tissue of back	P3	5072	"$1,200.16"	0.00%	$0.00
21925		Biopsy soft tissue of back	A2	5072	"$1,200.16"	0.00%	$0.00
21930		Exc back les sc < 3 cm	G2	5072	"$1,200.16"	0.06%	$0.36
21931		Exc back les sc 3 cm/>	G2	5072	"$1,200.16"	0.15%	$0.91
21932		Exc back tum deep < 5 cm	G2	5073	"$2,011.25"	0.03%	$0.31
21933		Exc back tum deep 5 cm/>	G2	5073	"$2,011.25"	0.69%	$7.03
21935		Resect back tum < 5 cm	G2	5073	"$2,011.25"	0.43%	$4.38
21936		Resect back tum 5 cm/>	G2	5073	"$2,011.25"	0.01%	$0.10
22102		Remove part lumbar vertebra	G2	5114	"$5,917.60"	0.62%	$18.59
22103		Remove extra spine segment	N1			0.00%	
22310		Closed tx vert fx w/o manj	A2	5111	$210.50	0.00%	$0.00
22315		Closed tx vert fx w/manj	A2	5113	"$2,684.96"	0.00%	$0.00
22505		Manipulation of spine	A2	5112	"$1,463.15"	0.00%	$0.00
22510		Perq cervicothoracic inject	G2	5113	"$2,684.96"	17.49%	$237.98
22511		Perq lumbosacral injection	G2	5113	"$2,684.96"	17.79%	$242.06
22512		Vertebroplasty addl inject	N1			0.00%	
22513		Perq vertebral augmentation	G2	5114	"$5,917.60"	21.56%	$646.55
22514		Perq vertebral augmentation	G2	5114	"$5,917.60"	21.99%	$659.45
22515		Perq vertebral augmentation	N1			0.00%	
22551		Arthrd ant ntrbdy cervical	J8	5115	"$11,869.70"	46.61%	"$5,532.47"
22552		Arthrd ant ntrbd cervical ea	N1			0.00%	
22554		Arthrd ant ntrbd min dsc crv	J8	5115	"$11,869.70"	45.69%	"$5,423.27"
22585		Arthrd ant ntrbd min dsc ea	N1			0.00%	
22612		Arthrd pst tq 1ntrspc lumbar	J8	5115	"$11,869.70"	47.82%	"$5,676.09"
22614		Arthrd pst tq 1ntrspc ea add	N1			0.00%	
22840		Insert spine fixation device	N1			0.00%	
22842		Insert spine fixation device	N1			0.00%	
22845		Insert spine fixation device	N1			0.00%	
22853		Insj biomechanical device	N1			0.00%	
22854		Insj biomechanical device	N1			0.00%	
22856		Tot disc arthrp ant 1ntrspc	J8	5116	"$15,703.00"	57.26%	"$8,991.54"
22858		Tot disc arthrp ant 2nd lvl	N1			0.00%	
22859		Insj biomechanical device	N1			0.00%	
22867		Insj stablj dev w/dcmprn	J8	5116	"$15,703.00"	63.95%	"$10,042.07"
22868		Insj stablj dev w/dcmprn	N1			0.00%	
22869		Insj stablj dev w/o dcmprn	J8	5115	"$11,869.70"	76.28%	"$9,054.21"
22870		Insj stablj dev w/o dcmprn	N1			0.00%	
22900		Exc abdl tum deep < 5 cm	G2	5073	"$2,011.25"	0.47%	$4.79
22901		Exc abdl tum deep 5 cm/>	G2	5073	"$2,011.25"	0.01%	$0.10
22902		Exc abd les sc < 3 cm	G2	5072	"$1,200.16"	0.09%	$0.55
22903		Exc abd les sc 3 cm/>	G2	5073	"$2,011.25"	0.20%	$2.04
22904		Radical resect abd tumor<5cm	G2	5073	"$2,011.25"	0.00%	$0.00
22905		Rad resect abd tumor 5 cm/>	G2	5073	"$2,011.25"	1.35%	$13.76
23000		Removal of calcium deposits	A2	5073	"$2,011.25"	0.00%	$0.00
23020		Release shoulder joint	A2	5113	"$2,684.96"	1.36%	$18.50
23030		Drain shoulder lesion	A2	5073	"$2,011.25"	2.44%	$24.87
23031		Drain shoulder bursa	A2	5073	"$2,011.25"	0.00%	$0.00
23035		Drain shoulder bone lesion	A2	5112	"$1,463.15"	0.00%	$0.00
23040		Exploratory shoulder surgery	A2	5113	"$2,684.96"	4.41%	$60.00
23044		Exploratory shoulder surgery	A2	5113	"$2,684.96"	0.84%	$11.43
23065		Biopsy shoulder tissues	P3	5072	"$1,200.16"	0.00%	$0.00
23066		Biopsy shoulder tissues	A2	5073	"$2,011.25"	0.00%	$0.00
23071		Exc shoulder les sc 3 cm/>	G2	5072	"$1,200.16"	0.11%	$0.67
23073		Exc shoulder tum deep 5 cm/>	G2	5073	"$2,011.25"	0.09%	$0.92
23075		Exc shoulder les sc < 3 cm	G2	5072	"$1,200.16"	0.69%	$4.20
23076		Exc shoulder tum deep < 5 cm	G2	5073	"$2,011.25"	0.02%	$0.20
23077		Resect shoulder tumor < 5 cm	R2	5073	"$2,011.25"	0.00%	$0.00
23078		Resect shoulder tumor 5 cm/>	G2	5073	"$2,011.25"	0.57%	$5.81
23100		Biopsy of shoulder joint	A2	5113	"$2,684.96"	0.00%	$0.00
23101		Shoulder joint surgery	A2	5113	"$2,684.96"	0.00%	$0.00
23105		Remove shoulder joint lining	A2	5114	"$5,917.60"	8.75%	$262.40
23106		Incision of collarbone joint	A2	5113	"$2,684.96"	0.00%	$0.00
23107		Explore treat shoulder joint	A2	5114	"$5,917.60"	0.00%	$0.00
23120		Partial removal collar bone	A2	5113	"$2,684.96"	0.26%	$3.54
23125		Removal of collar bone	A2	5113	"$2,684.96"	0.00%	$0.00
23130		Remove shoulder bone part	A2	5113	"$2,684.96"	3.24%	$44.09
23140		Removal of bone lesion	A2	5113	"$2,684.96"	0.00%	$0.00
23145		Removal of bone lesion	A2	5113	"$2,684.96"	0.00%	$0.00
23146		Removal of bone lesion	A2	5114	"$5,917.60"	0.00%	$0.00
23150		Removal of humerus lesion	A2	5113	"$2,684.96"	0.00%	$0.00
23155		Removal of humerus lesion	A2	5114	"$5,917.60"	0.00%	$0.00
23156		Removal of humerus lesion	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
23170		Remove collar bone lesion	A2	5113	"$2,684.96"	0.00%	$0.00
23172		Remove shoulder blade lesion	A2	5113	"$2,684.96"	0.00%	$0.00
23174		Remove humerus lesion	A2	5114	"$5,917.60"	0.00%	$0.00
23180		Remove collar bone lesion	A2	5114	"$5,917.60"	0.00%	$0.00
23182		Remove shoulder blade lesion	A2	5114	"$5,917.60"	0.00%	$0.00
23184		Remove humerus lesion	A2	5114	"$5,917.60"	12.10%	$362.86
23190		Partial removal of scapula	A2	5113	"$2,684.96"	0.16%	$2.18
23195		Removal of head of humerus	A2	5114	"$5,917.60"	8.71%	$261.20
23330		Remove shoulder foreign body	A2	5071	$635.54	0.00%	$0.00
23333		Remove shoulder fb deep	G2	5073	"$2,011.25"	0.00%	$0.00
23334		Shoulder prosthesis removal	G2	5073	"$2,011.25"	3.08%	$31.39
23350		Injection for shoulder x-ray	N1			0.00%	
23395		Muscle transfer shoulder/arm	A2	5114	"$5,917.60"	18.00%	$539.79
23397		Muscle transfers	A2	5114	"$5,917.60"	12.33%	$369.76
23400		Fixation of shoulder blade	A2	5114	"$5,917.60"	0.00%	$0.00
23405		Incision of tendon & muscle	A2	5114	"$5,917.60"	0.97%	$29.09
23406		Incise tendon(s) & muscle(s)	J8	5114	"$5,917.60"	30.14%	"$1,783.56"
23410		Repair rotator cuff acute	A2	5114	"$5,917.60"	23.34%	$699.93
23412		Repair rotator cuff chronic	A2	5114	"$5,917.60"	20.50%	$614.76
23415		Release of shoulder ligament	A2	5114	"$5,917.60"	13.22%	$396.45
23420		Repair of shoulder	A2	5114	"$5,917.60"	25.39%	$761.41
23430		Repair biceps tendon	A2	5114	"$5,917.60"	23.18%	$695.13
23440		Remove/transplant tendon	J8	5114	"$5,917.60"	35.17%	"$2,081.22"
23450		Repair shoulder capsule	J8	5114	"$5,917.60"	42.50%	"$2,514.98"
23455		Repair shoulder capsule	J8	5114	"$5,917.60"	35.54%	"$2,103.12"
23460		Repair shoulder capsule	J8	5114	"$5,917.60"	57.62%	"$3,409.72"
23462		Repair shoulder capsule	A2	5114	"$5,917.60"	19.68%	$590.17
23465		Repair shoulder capsule	G2	5114	"$5,917.60"	0.00%	$0.00
23466		Repair shoulder capsule	A2	5114	"$5,917.60"	21.44%	$642.95
23480		Revision of collar bone	A2	5114	"$5,917.60"	24.49%	$734.42
23485		Revision of collar bone	J8	5115	"$11,869.70"	41.54%	"$4,930.67"
23490		Reinforce clavicle	J8	5114	"$5,917.60"	45.55%	"$2,695.47"
23491		Reinforce shoulder bones	J8	5115	"$11,869.70"	34.25%	"$4,065.37"
23500		Treat clavicle fracture	A2	5111	$210.50	0.00%	$0.00
23505		Treat clavicle fracture	A2	5112	"$1,463.15"	0.00%	$0.00
23515		Treat clavicle fracture	J8	5114	"$5,917.60"	38.36%	"$2,269.99"
23520		Treat clavicle dislocation	A2	5112	"$1,463.15"	0.00%	$0.00
23525		Treat clavicle dislocation	A2	5111	$210.50	0.00%	$0.00
23530		Treat clavicle dislocation	A2	5114	"$5,917.60"	0.00%	$0.00
23532		Treat clavicle dislocation	J8	5114	"$5,917.60"	39.38%	"$2,330.35"
23540		Treat clavicle dislocation	A2	5111	$210.50	1.72%	$1.83
23545		Treat clavicle dislocation	A2	5111	$210.50	0.00%	$0.00
23550		Treat clavicle dislocation	J8	5114	"$5,917.60"	32.40%	"$1,917.30"
23552		Treat clavicle dislocation	J8	5114	"$5,917.60"	34.18%	"$2,022.64"
23570		Treat shoulder blade fx	A2	5111	$210.50	0.00%	$0.00
23575		Treat shoulder blade fx	A2	5112	"$1,463.15"	0.00%	$0.00
23585		Treat scapula fracture	J8	5114	"$5,917.60"	37.60%	"$2,225.02"
23600		Treat humerus fracture	P2	5111	$210.50	0.00%	$0.00
23605		Treat humerus fracture	A2	5112	"$1,463.15"	11.50%	$85.27
23615		Treat humerus fracture	J8	5115	"$11,869.70"	44.82%	"$5,320.00"
23616		Treat humerus fracture	J8	5116	"$15,703.00"	50.84%	"$7,983.41"
23620		Treat humerus fracture	P2	5111	$210.50	0.00%	$0.00
23625		Treat humerus fracture	A2	5112	"$1,463.15"	14.65%	$108.63
23630		Treat humerus fracture	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
23650		Treat shoulder dislocation	A2	5111	$210.50	0.00%	$0.00
23655		Treat shoulder dislocation	A2	5112	"$1,463.15"	0.00%	$0.00
23660		Treat shoulder dislocation	A2	5114	"$5,917.60"	16.04%	$481.02
23665		Treat dislocation/fracture	A2	5112	"$1,463.15"	0.00%	$0.00
23670		Treat dislocation/fracture	A2	5114	"$5,917.60"	26.61%	$797.99
23675		Treat dislocation/fracture	A2	5112	"$1,463.15"	0.00%	$0.00
23680		Treat dislocation/fracture	J8	5115	"$11,869.70"	58.14%	"$6,901.04"
23700		Fixation of shoulder	A2	5112	"$1,463.15"	0.07%	$0.52
23800		Fusion of shoulder joint	G2	5114	"$5,917.60"	25.27%	$757.81
23802		Fusion of shoulder joint	G2	5115	"$11,869.70"	0.00%	$0.00
23921		Amputation follow-up surgery	A2	5054	"$1,749.26"	0.00%	$0.00
23930		Drainage of arm lesion	A2	5073	"$2,011.25"	0.76%	$7.75
23931		Drainage of arm bursa	A2	5072	"$1,200.16"	0.68%	$4.14
23935		Drain arm/elbow bone lesion	A2	5113	"$2,684.96"	0.00%	$0.00
24000		Exploratory elbow surgery	A2	5113	"$2,684.96"	3.29%	$44.77
24006		Release elbow joint	A2	5113	"$2,684.96"	0.00%	$0.00
24065		Biopsy arm/elbow soft tissue	P3	5072	"$1,200.16"	0.00%	$0.00
24066		Biopsy arm/elbow soft tissue	A2	5073	"$2,011.25"	0.97%	$9.89
24071		Exc arm/elbow les sc 3 cm/>	G2	5073	"$2,011.25"	0.15%	$1.53
24073		Ex arm/elbow tum deep 5 cm/>	G2	5073	"$2,011.25"	0.18%	$1.83
24075		Exc arm/elbow les sc < 3 cm	G2	5072	"$1,200.16"	0.13%	$0.79
24076		Ex arm/elbow tum deep < 5 cm	G2	5073	"$2,011.25"	0.29%	$2.96
24077		Resect arm/elbow tum < 5 cm	G2	5073	"$2,011.25"	0.00%	$0.00
24079		Resect arm/elbow tum 5 cm/>	G2	5073	"$2,011.25"	0.18%	$1.83
24100		Biopsy elbow joint lining	A2	5113	"$2,684.96"	0.00%	$0.00
24101		Explore/treat elbow joint	A2	5113	"$2,684.96"	1.82%	$24.76
24102		Remove elbow joint lining	A2	5113	"$2,684.96"	0.00%	$0.00
24105		Removal of elbow bursa	A2	5113	"$2,684.96"	0.14%	$1.90
24110		Remove humerus lesion	A2	5113	"$2,684.96"	0.64%	$8.71
24115		Remove/graft bone lesion	A2	5114	"$5,917.60"	0.00%	$0.00
24116		Remove/graft bone lesion	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
24120		Remove elbow lesion	A2	5113	"$2,684.96"	0.00%	$0.00
24125		Remove/graft bone lesion	A2	5113	"$2,684.96"	0.00%	$0.00
24126		Remove/graft bone lesion	J8	5114	"$5,917.60"	63.79%	"$3,774.84"
24130		Removal of head of radius	A2	5113	"$2,684.96"	2.26%	$30.75
24134		Removal of arm bone lesion	A2	5114	"$5,917.60"	0.00%	$0.00
24136		Remove radius bone lesion	A2	5113	"$2,684.96"	0.00%	$0.00
24138		Remove elbow bone lesion	A2	5114	"$5,917.60"	0.00%	$0.00
24140		Partial removal of arm bone	A2	5113	"$2,684.96"	3.47%	$47.21
24145		Partial removal of radius	A2	5114	"$5,917.60"	0.00%	$0.00
24147		Partial removal of elbow	A2	5113	"$2,684.96"	2.17%	$29.53
24149		Radical resection of elbow	G2	5114	"$5,917.60"	0.09%	$2.70
24152		Resect radius tumor	G2	5114	"$5,917.60"	0.00%	$0.00
24155		Removal of elbow joint	A2	5113	"$2,684.96"	0.00%	$0.00
24160		Remove elbow joint implant	A2	5113	"$2,684.96"	29.84%	$406.02
24164		Remove radius head implant	A2	5113	"$2,684.96"	10.27%	$139.74
24200		Removal of arm foreign body	P3	5072	"$1,200.16"	0.36%	$0.54
24201		Removal of arm foreign body	A2	5073	"$2,011.25"	0.39%	$3.97
24220		Injection for elbow x-ray	N1			0.00%	
24300		Manipulate elbow w/anesth	G2	5112	"$1,463.15"	2.60%	$19.28
24301		Muscle/tendon transfer	A2	5114	"$5,917.60"	11.05%	$331.37
24305		Arm tendon lengthening	A2	5113	"$2,684.96"	13.90%	$189.13
24310		Revision of arm tendon	A2	5113	"$2,684.96"	23.39%	$318.26
24320		Repair of arm tendon	A2	5114	"$5,917.60"	0.00%	$0.00
24330		Revision of arm muscles	A2	5114	"$5,917.60"	0.00%	$0.00
24331		Revision of arm muscles	A2	5114	"$5,917.60"	0.00%	$0.00
24332		Tenolysis triceps	G2	5113	"$2,684.96"	0.00%	$0.00
24340		Repair of biceps tendon	A2	5114	"$5,917.60"	24.09%	$722.42
24341		Repair arm tendon/muscle	A2	5114	"$5,917.60"	21.21%	$636.06
24342		Repair of ruptured tendon	A2	5114	"$5,917.60"	23.27%	$697.83
24343		Repr elbow lat ligmnt w/tiss	G2	5113	"$2,684.96"	27.56%	$375.00
24344		Reconstruct elbow lat ligmnt	J8	5114	"$5,917.60"	31.48%	"$1,862.86"
24345		Repr elbw med ligmnt w/tissu	A2	5114	"$5,917.60"	0.00%	$0.00
24346		Reconstruct elbow med ligmnt	G2	5115	"$11,869.70"	27.14%	"$1,632.52"
24357		Repair elbow perc	G2	5113	"$2,684.96"	2.84%	$38.64
24358		Repair elbow w/deb open	G2	5113	"$2,684.96"	1.83%	$24.90
24359		Repair elbow deb/attch open	G2	5113	"$2,684.96"	11.71%	$159.33
24360		Reconstruct elbow joint	J8	5114	"$5,917.60"	30.23%	"$1,788.89"
24361		Reconstruct elbow joint	J8	5116	"$15,703.00"	61.82%	"$9,707.59"
24362		Reconstruct elbow joint	J8	5115	"$11,869.70"	61.45%	"$7,293.93"
24363		Replace elbow joint	J8	5116	"$15,703.00"	59.89%	"$9,404.53"
24365		Reconstruct head of radius	J8	5115	"$11,869.70"	49.71%	"$5,900.43"
24366		Reconstruct head of radius	J8	5115	"$11,869.70"	56.30%	"$6,682.64"
24370		Revise reconst elbow joint	J8	5115	"$11,869.70"	38.49%	"$4,568.65"
24371		Revise reconst elbow joint	J8	5116	"$15,703.00"	43.40%	"$6,815.10"
24400		Revision of humerus	A2	5114	"$5,917.60"	18.45%	$553.29
24410		Revision of humerus	G2	5115	"$11,869.70"	0.00%	$0.00
24420		Revision of humerus	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
24430		Repair of humerus	J8	5115	"$11,869.70"	40.85%	"$4,848.77"
24435		Repair humerus with graft	J8	5115	"$11,869.70"	40.51%	"$4,808.42"
24470		Revision of elbow joint	A2	5113	"$2,684.96"	0.00%	$0.00
24495		Decompression of forearm	A2	5114	"$5,917.60"	0.00%	$0.00
24498		Reinforce humerus	J8	5115	"$11,869.70"	35.06%	"$4,161.52"
24500		Treat humerus fracture	A2	5111	$210.50	0.00%	$0.00
24505		Treat humerus fracture	A2	5112	"$1,463.15"	5.74%	$42.56
24515		Treat humerus fracture	J8	5115	"$11,869.70"	37.69%	"$4,473.69"
24516		Treat humerus fracture	J8	5115	"$11,869.70"	40.85%	"$4,848.77"
24530		Treat humerus fracture	A2	5111	$210.50	0.00%	$0.00
24535		Treat humerus fracture	A2	5112	"$1,463.15"	0.00%	$0.00
24538		Treat humerus fracture	A2	5114	"$5,917.60"	8.62%	$258.50
24545		Treat humerus fracture	J8	5115	"$11,869.70"	42.22%	"$5,011.39"
24546		Treat humerus fracture	J8	5116	"$15,703.00"	45.21%	"$7,099.33"
24560		Treat humerus fracture	A2	5111	$210.50	2.64%	$2.82
24565		Treat humerus fracture	A2	5112	"$1,463.15"	0.00%	$0.00
24566		Treat humerus fracture	A2	5112	"$1,463.15"	0.00%	$0.00
24575		Treat humerus fracture	J8	5115	"$11,869.70"	38.40%	"$4,557.96"
24576		Treat humerus fracture	A2	5111	$210.50	0.00%	$0.00
24577		Treat humerus fracture	A2	5112	"$1,463.15"	0.00%	$0.00
24579		Treat humerus fracture	J8	5115	"$11,869.70"	32.73%	"$3,884.95"
24582		Treat humerus fracture	A2	5114	"$5,917.60"	10.66%	$319.68
24586		Treat elbow fracture	J8	5115	"$11,869.70"	42.93%	"$5,095.66"
24587		Treat elbow fracture	J8	5115	"$11,869.70"	52.33%	"$6,211.41"
24600		Treat elbow dislocation	A2	5111	$210.50	0.00%	$0.00
24605		Treat elbow dislocation	A2	5112	"$1,463.15"	0.00%	$0.00
24615		Treat elbow dislocation	J8	5114	"$5,917.60"	40.64%	"$2,404.91"
24620		Treat elbow fracture	A2	5112	"$1,463.15"	0.00%	$0.00
24635		Treat elbow fracture	J8	5114	"$5,917.60"	39.61%	"$2,343.96"
24640		Treat elbow dislocation	P3	5111	$210.50	0.00%	$0.00
24650		Treat radius fracture	P2	5111	$210.50	0.00%	$0.00
24655		Treat radius fracture	A2	5112	"$1,463.15"	0.80%	$5.93
24665		Treat radius fracture	A2	5114	"$5,917.60"	29.41%	$881.96
24666		Treat radius fracture	J8	5115	"$11,869.70"	57.31%	"$6,802.53"
24670		Treat ulnar fracture	A2	5111	$210.50	0.00%	$0.00
24675		Treat ulnar fracture	A2	5112	"$1,463.15"	3.27%	$24.25
24685		Treat ulnar fracture	J8	5114	"$5,917.60"	33.18%	"$1,963.46"
24800		Fusion of elbow joint	A2	5114	"$5,917.60"	24.71%	$741.02
24802		Fusion/graft of elbow joint	G2	5115	"$11,869.70"	0.00%	$0.00
24925		Amputation follow-up surgery	A2	5113	"$2,684.96"	0.00%	$0.00
25000		Incision of tendon sheath	A2	5112	"$1,463.15"	0.12%	$0.89
25001		Incise flexor carpi radialis	G2	5113	"$2,684.96"	0.00%	$0.00
25020		Decompress forearm 1 space	A2	5112	"$1,463.15"	0.00%	$0.00
25023		Decompress forearm 1 space	A2	5113	"$2,684.96"	0.00%	$0.00
25024		Decompress forearm 2 spaces	A2	5113	"$2,684.96"	0.00%	$0.00
25025		Decompress forearm 2 spaces	A2	5112	"$1,463.15"	0.00%	$0.00
25028		Drainage of forearm lesion	A2	5113	"$2,684.96"	0.58%	$7.89
25031		Drainage of forearm bursa	A2	5112	"$1,463.15"	0.00%	$0.00
25035		Treat forearm bone lesion	A2	5114	"$5,917.60"	0.00%	$0.00
25040		Explore/treat wrist joint	A2	5113	"$2,684.96"	0.00%	$0.00
25065		Biopsy forearm soft tissues	P3	5072	"$1,200.16"	4.18%	$7.58
25066		Biopsy forearm soft tissues	A2	5073	"$2,011.25"	0.73%	$7.44
25071		Exc forearm les sc 3 cm/>	G2	5072	"$1,200.16"	0.68%	$4.14
25073		Exc forearm tum deep 3 cm/>	G2	5073	"$2,011.25"	0.12%	$1.22
25075		Exc forearm les sc < 3 cm	G2	5072	"$1,200.16"	0.03%	$0.18
25076		Exc forearm tum deep < 3 cm	G2	5072	"$1,200.16"	0.07%	$0.43
25077		Resect forearm/wrist tum<3cm	G2	5073	"$2,011.25"	0.00%	$0.00
25078		Resect forarm/wrist tum 3cm>	G2	5073	"$2,011.25"	3.19%	$32.51
25085		Incision of wrist capsule	A2	5113	"$2,684.96"	0.00%	$0.00
25100		Biopsy of wrist joint	A2	5113	"$2,684.96"	0.10%	$1.36
25101		Explore/treat wrist joint	A2	5113	"$2,684.96"	2.82%	$38.37
25105		Remove wrist joint lining	A2	5113	"$2,684.96"	0.00%	$0.00
25107		Remove wrist joint cartilage	A2	5113	"$2,684.96"	15.68%	$213.35
25109		Excise tendon forearm/wrist	G2	5113	"$2,684.96"	2.51%	$34.15
25110		Remove wrist tendon lesion	A2	5112	"$1,463.15"	0.07%	$0.52
25111		Remove wrist tendon lesion	A2	5112	"$1,463.15"	0.12%	$0.89
25112		Reremove wrist tendon lesion	A2	5112	"$1,463.15"	0.03%	$0.22
25115		Remove wrist/forearm lesion	A2	5112	"$1,463.15"	1.00%	$7.41
25116		Remove wrist/forearm lesion	A2	5113	"$2,684.96"	0.92%	$12.52
25118		Excise wrist tendon sheath	A2	5112	"$1,463.15"	0.00%	$0.00
25119		Partial removal of ulna	A2	5113	"$2,684.96"	3.54%	$48.17
25120		Removal of forearm lesion	A2	5113	"$2,684.96"	0.00%	$0.00
25125		Remove/graft forearm lesion	A2	5112	"$1,463.15"	0.00%	$0.00
25126		Remove/graft forearm lesion	A2	5113	"$2,684.96"	11.87%	$161.51
25130		Removal of wrist lesion	A2	5113	"$2,684.96"	0.11%	$1.50
25135		Remove & graft wrist lesion	A2	5114	"$5,917.60"	12.06%	$361.66
25136		Remove & graft wrist lesion	A2	5114	"$5,917.60"	8.45%	$253.40
25145		Remove forearm bone lesion	A2	5113	"$2,684.96"	0.00%	$0.00
25150		Partial removal of ulna	A2	5113	"$2,684.96"	0.00%	$0.00
25151		Partial removal of radius	A2	5113	"$2,684.96"	0.00%	$0.00
25210		Removal of wrist bone	A2	5113	"$2,684.96"	5.29%	$71.98
25215		Removal of wrist bones	A2	5113	"$2,684.96"	3.85%	$52.39
25230		Partial removal of radius	A2	5113	"$2,684.96"	0.00%	$0.00
25240		Partial removal of ulna	A2	5113	"$2,684.96"	3.26%	$44.36
25246		Injection for wrist x-ray	N1			0.00%	
25248		Remove forearm foreign body	A2	5112	"$1,463.15"	0.08%	$0.59
25250		Removal of wrist prosthesis	A2	5112	"$1,463.15"	0.00%	$0.00
25251		Removal of wrist prosthesis	A2	5113	"$2,684.96"	0.00%	$0.00
25259		Manipulate wrist w/anesthes	G2	5112	"$1,463.15"	0.18%	$1.33
25260		Repair forearm tendon/muscle	A2	5113	"$2,684.96"	2.35%	$31.98
25263		Repair forearm tendon/muscle	A2	5114	"$5,917.60"	2.78%	$83.37
25265		Repair forearm tendon/muscle	A2	5113	"$2,684.96"	0.00%	$0.00
25270		Repair forearm tendon/muscle	A2	5113	"$2,684.96"	8.60%	$117.02
25272		Repair forearm tendon/muscle	A2	5113	"$2,684.96"	0.00%	$0.00
25274		Repair forearm tendon/muscle	A2	5113	"$2,684.96"	0.00%	$0.00
25275		Repair forearm tendon sheath	A2	5113	"$2,684.96"	14.33%	$194.98
25280		Revise wrist/forearm tendon	A2	5113	"$2,684.96"	0.08%	$1.09
25290		Incise wrist/forearm tendon	A2	5113	"$2,684.96"	2.07%	$28.17
25295		Release wrist/forearm tendon	A2	5113	"$2,684.96"	0.00%	$0.00
25300		Fusion of tendons at wrist	A2	5113	"$2,684.96"	0.00%	$0.00
25301		Fusion of tendons at wrist	A2	5113	"$2,684.96"	0.00%	$0.00
25310		Transplant forearm tendon	A2	5113	"$2,684.96"	0.76%	$10.34
25312		Transplant forearm tendon	A2	5113	"$2,684.96"	11.66%	$158.65
25315		Revise palsy hand tendon(s)	A2	5114	"$5,917.60"	2.52%	$75.57
25316		Revise palsy hand tendon(s)	A2	5114	"$5,917.60"	0.00%	$0.00
25320		Repair/revise wrist joint	A2	5114	"$5,917.60"	24.65%	$739.22
25332		Revise wrist joint	A2	5113	"$2,684.96"	20.44%	$278.12
25335		Realignment of hand	A2	5113	"$2,684.96"	0.00%	$0.00
25337		Reconstruct ulna/radioulnar	J8	5114	"$5,917.60"	31.58%	"$1,868.78"
25350		Revision of radius	J8	5114	"$5,917.60"	42.28%	"$2,501.96"
25355		Revision of radius	A2	5113	"$2,684.96"	0.00%	$0.00
25360		Revision of ulna	J8	5114	"$5,917.60"	31.42%	"$1,859.31"
25365		Revise radius & ulna	A2	5115	"$11,869.70"	0.00%	$0.00
25370		Revise radius or ulna	A2	5113	"$2,684.96"	0.00%	$0.00
25375		Revise radius & ulna	A2	5113	"$2,684.96"	0.00%	$0.00
25390		Shorten radius or ulna	J8	5114	"$5,917.60"	38.84%	"$2,298.40"
25391		Lengthen radius or ulna	J8	5115	"$11,869.70"	43.81%	"$5,200.12"
25392		Shorten radius & ulna	A2	5114	"$5,917.60"	6.63%	$198.82
25393		Lengthen radius & ulna	J8	5114	"$5,917.60"	32.41%	"$1,917.89"
25394		Repair carpal bone shorten	G2	5113	"$2,684.96"	0.00%	$0.00
25400		Repair radius or ulna	J8	5114	"$5,917.60"	41.26%	"$2,441.60"
25405		Repair/graft radius or ulna	J8	5114	"$5,917.60"	39.05%	"$2,310.82"
25415		Repair radius & ulna	J8	5114	"$5,917.60"	49.82%	"$2,948.15"
25420		Repair/graft radius & ulna	J8	5114	"$5,917.60"	44.24%	"$2,617.95"
25425		Repair/graft radius or ulna	A2	5114	"$5,917.60"	0.00%	$0.00
25426		Repair/graft radius & ulna	J8	5113	"$2,684.96"	37.01%	$993.70
25430		Vasc graft into carpal bone	G2	5113	"$2,684.96"	0.84%	$11.43
25431		Repair nonunion carpal bone	G2	5114	"$5,917.60"	20.13%	$603.67
25440		Repair/graft wrist bone	A2	5114	"$5,917.60"	16.53%	$495.71
25441		Reconstruct wrist joint	J8	5115	"$11,869.70"	60.66%	"$7,200.16"
25442		Reconstruct wrist joint	J8	5116	"$15,703.00"	65.65%	"$10,309.02"
25443		Reconstruct wrist joint	J8	5114	"$5,917.60"	50.81%	"$3,006.73"
25444		Reconstruct wrist joint	J8	5115	"$11,869.70"	56.88%	"$6,751.49"
25445		Reconstruct wrist joint	J8	5114	"$5,917.60"	51.93%	"$3,073.01"
25446		Wrist replacement	J8	5116	"$15,703.00"	70.38%	"$11,051.77"
25447		Repair wrist joints	A2	5113	"$2,684.96"	19.62%	$266.96
25449		Remove wrist joint implant	A2	5114	"$5,917.60"	40.48%	"$1,213.93"
25450		Revision of wrist joint	A2	5113	"$2,684.96"	0.00%	$0.00
25455		Revision of wrist joint	A2	5113	"$2,684.96"	0.00%	$0.00
25490		Reinforce radius	A2	5114	"$5,917.60"	0.00%	$0.00
25491		Reinforce ulna	J8	5115	"$11,869.70"	31.00%	"$3,679.61"
25492		Reinforce radius and ulna	A2	5113	"$2,684.96"	7.54%	$102.59
25500		Treat fracture of radius	P2	5111	$210.50	0.00%	$0.00
25505		Treat fracture of radius	A2	5112	"$1,463.15"	0.00%	$0.00
25515		Treat fracture of radius	J8	5114	"$5,917.60"	35.45%	"$2,097.79"
25520		Treat fracture of radius	A2	5112	"$1,463.15"	0.00%	$0.00
25525		Treat fracture of radius	J8	5114	"$5,917.60"	32.67%	"$1,933.28"
25526		Treat fracture of radius	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
25530		Treat fracture of ulna	P2	5111	$210.50	0.00%	$0.00
25535		Treat fracture of ulna	A2	5111	$210.50	6.46%	$6.89
25545		Treat fracture of ulna	J8	5114	"$5,917.60"	32.61%	"$1,929.73"
25560		Treat fracture radius & ulna	P2	5111	$210.50	0.00%	$0.00
25565		Treat fracture radius & ulna	A2	5112	"$1,463.15"	0.00%	$0.00
25574		Treat fracture radius & ulna	J8	5114	"$5,917.60"	43.90%	"$2,597.83"
25575		Treat fracture radius/ulna	J8	5114	"$5,917.60"	40.33%	"$2,386.57"
25600		Treat fracture radius/ulna	P2	5111	$210.50	0.03%	$0.03
25605		Treat fracture radius/ulna	A2	5112	"$1,463.15"	1.34%	$9.94
25606		Treat fx distal radial	A2	5113	"$2,684.96"	5.30%	$72.11
25607		Treat fx rad extra-articul	J8	5114	"$5,917.60"	44.77%	"$2,649.31"
25608		Treat fx rad intra-articul	J8	5114	"$5,917.60"	44.48%	"$2,632.15"
25609		Treat fx radial 3+ frag	J8	5114	"$5,917.60"	45.13%	"$2,670.61"
25622		Treat wrist bone fracture	P2	5111	$210.50	1.04%	$1.11
25624		Treat wrist bone fracture	A2	5112	"$1,463.15"	22.05%	$163.50
25628		Treat wrist bone fracture	A2	5114	"$5,917.60"	18.51%	$555.09
25630		Treat wrist bone fracture	P2	5111	$210.50	0.00%	$0.00
25635		Treat wrist bone fracture	A2	5112	"$1,463.15"	0.00%	$0.00
25645		Treat wrist bone fracture	A2	5113	"$2,684.96"	21.16%	$287.91
25650		Treat wrist bone fracture	P2	5111	$210.50	0.00%	$0.00
25651		Pin ulnar styloid fracture	G2	5113	"$2,684.96"	0.00%	$0.00
25652		Treat fracture ulnar styloid	J8	5114	"$5,917.60"	30.94%	"$1,830.91"
25660		Treat wrist dislocation	A2	5111	$210.50	11.86%	$12.65
25670		Treat wrist dislocation	J8	5114	"$5,917.60"	57.51%	"$3,403.21"
25671		Pin radioulnar dislocation	A2	5113	"$2,684.96"	0.00%	$0.00
25675		Treat wrist dislocation	A2	5111	$210.50	0.00%	$0.00
25676		Treat wrist dislocation	A2	5114	"$5,917.60"	5.31%	$159.24
25680		Treat wrist fracture	A2	5111	$210.50	23.99%	$25.59
25685		Treat wrist fracture	A2	5114	"$5,917.60"	27.00%	$809.69
25690		Treat wrist dislocation	A2	5112	"$1,463.15"	0.00%	$0.00
25695		Treat wrist dislocation	A2	5114	"$5,917.60"	6.73%	$201.82
25800		Fusion of wrist joint	J8	5114	"$5,917.60"	37.85%	"$2,239.81"
25805		Fusion/graft of wrist joint	J8	5114	"$5,917.60"	43.55%	"$2,577.11"
25810		Fusion/graft of wrist joint	J8	5115	"$11,869.70"	42.83%	"$5,083.79"
25820		Fusion of hand bones	J8	5114	"$5,917.60"	37.86%	"$2,240.40"
25825		Fuse hand bones with graft	J8	5114	"$5,917.60"	39.37%	"$2,329.76"
25830		Fusion radioulnar jnt/ulna	A2	5114	"$5,917.60"	24.79%	$743.41
25907		Amputation follow-up surgery	A2	5113	"$2,684.96"	0.00%	$0.00
25922		Amputate hand at wrist	A2	5112	"$1,463.15"	0.00%	$0.00
25929		Amputation follow-up surgery	A2	5054	"$1,749.26"	0.00%	$0.00
25931		Amputation follow-up surgery	G2	5113	"$2,684.96"	2.05%	$27.89
26010		Drainage of finger abscess	P2	5051	$183.40	0.08%	$0.07
26011		Drainage of finger abscess	A2	5072	"$1,200.16"	0.00%	$0.00
26020		Drain hand tendon sheath	A2	5113	"$2,684.96"	0.00%	$0.00
26025		Drainage of palm bursa	A2	5113	"$2,684.96"	0.00%	$0.00
26030		Drainage of palm bursas	A2	5113	"$2,684.96"	0.00%	$0.00
26034		Treat hand bone lesion	A2	5112	"$1,463.15"	2.75%	$20.39
26035		Decompress fingers/hand	G2	5113	"$2,684.96"	0.00%	$0.00
26037		Decompress fingers/hand	G2	5113	"$2,684.96"	0.00%	$0.00
26040		Release palm contracture	A2	5112	"$1,463.15"	0.00%	$0.00
26045		Release palm contracture	A2	5113	"$2,684.96"	0.30%	$4.08
26055		Incise finger tendon sheath	A2	5112	"$1,463.15"	0.06%	$0.44
26060		Incision of finger tendon	A2	5112	"$1,463.15"	0.35%	$2.60
26070		Explore/treat hand joint	A2	5112	"$1,463.15"	0.00%	$0.00
26075		Explore/treat finger joint	A2	5113	"$2,684.96"	1.25%	$17.01
26080		Explore/treat finger joint	A2	5112	"$1,463.15"	0.08%	$0.59
26100		Biopsy hand joint lining	A2	5113	"$2,684.96"	0.00%	$0.00
26105		Biopsy finger joint lining	A2	5113	"$2,684.96"	0.00%	$0.00
26110		Biopsy finger joint lining	A2	5112	"$1,463.15"	0.00%	$0.00
26111		Exc hand les sc 1.5 cm/>	G2	5072	"$1,200.16"	0.03%	$0.18
26113		Exc hand tum deep 1.5 cm/>	G2	5072	"$1,200.16"	0.20%	$1.22
26115		Exc hand les sc < 1.5 cm	G2	5072	"$1,200.16"	0.27%	$1.64
26116		Exc hand tum deep < 1.5 cm	G2	5072	"$1,200.16"	0.05%	$0.30
26117		Rad resect hand tumor < 3 cm	G2	5073	"$2,011.25"	0.00%	$0.00
26118		Rad resect hand tumor 3 cm/>	G2	5073	"$2,011.25"	0.00%	$0.00
26121		Release palm contracture	A2	5113	"$2,684.96"	0.23%	$3.13
26123		Release palm contracture	A2	5113	"$2,684.96"	0.36%	$4.90
26125		Release palm contracture	N1			0.00%	
26130		Remove wrist joint lining	A2	5113	"$2,684.96"	0.00%	$0.00
26135		Revise finger joint each	A2	5113	"$2,684.96"	0.10%	$1.36
26140		Revise finger joint each	A2	5112	"$1,463.15"	1.72%	$12.75
26145		Tendon excision palm/finger	A2	5112	"$1,463.15"	0.42%	$3.11
26160		Remove tendon sheath lesion	A2	5112	"$1,463.15"	0.20%	$1.48
26170		Removal of palm tendon each	A2	5112	"$1,463.15"	0.00%	$0.00
26180		Removal of finger tendon	A2	5112	"$1,463.15"	0.00%	$0.00
26185		Remove finger bone	A2	5112	"$1,463.15"	0.00%	$0.00
26200		Remove hand bone lesion	A2	5112	"$1,463.15"	3.78%	$28.03
26205		Remove/graft bone lesion	A2	5114	"$5,917.60"	0.00%	$0.00
26210		Removal of finger lesion	A2	5112	"$1,463.15"	0.39%	$2.89
26215		Remove/graft finger lesion	A2	5113	"$2,684.96"	16.39%	$223.01
26230		Partial removal of hand bone	A2	5113	"$2,684.96"	1.17%	$15.92
26235		Partial removal finger bone	A2	5112	"$1,463.15"	0.00%	$0.00
26236		Partial removal finger bone	A2	5112	"$1,463.15"	0.55%	$4.08
26250		Extensive hand surgery	A2	5113	"$2,684.96"	0.00%	$0.00
26260		Resect prox finger tumor	A2	5113	"$2,684.96"	0.00%	$0.00
26262		Resect distal finger tumor	A2	5112	"$1,463.15"	0.00%	$0.00
26320		Removal of implant from hand	A2	5072	"$1,200.16"	0.21%	$1.28
26340		Manipulate finger w/anesth	G2	5112	"$1,463.15"	0.00%	$0.00
26341		Manipulat palm cord post inj	P3	5111	$210.50	0.00%	$0.00
26350		Repair finger/hand tendon	A2	5113	"$2,684.96"	3.97%	$54.02
26352		Repair/graft hand tendon	A2	5114	"$5,917.60"	12.36%	$370.66
26356		Repair finger/hand tendon	A2	5113	"$2,684.96"	4.84%	$65.86
26357		Repair finger/hand tendon	A2	5113	"$2,684.96"	0.00%	$0.00
26358		Repair/graft hand tendon	A2	5114	"$5,917.60"	12.04%	$361.06
26370		Repair finger/hand tendon	A2	5113	"$2,684.96"	4.64%	$63.13
26372		Repair/graft hand tendon	A2	5114	"$5,917.60"	0.00%	$0.00
26373		Repair finger/hand tendon	A2	5113	"$2,684.96"	0.00%	$0.00
26390		Revise hand/finger tendon	J8	5114	"$5,917.60"	34.40%	"$2,035.65"
26392		Repair/graft hand tendon	A2	5114	"$5,917.60"	7.11%	$213.22
26410		Repair hand tendon	A2	5112	"$1,463.15"	0.96%	$7.12
26412		Repair/graft hand tendon	A2	5113	"$2,684.96"	0.00%	$0.00
26415		Excision hand/finger tendon	A2	5113	"$2,684.96"	17.73%	$241.24
26416		Graft hand or finger tendon	A2	5113	"$2,684.96"	0.00%	$0.00
26418		Repair finger tendon	A2	5112	"$1,463.15"	1.55%	$11.49
26420		Repair/graft finger tendon	A2	5113	"$2,684.96"	3.96%	$53.88
26426		Repair finger/hand tendon	A2	5113	"$2,684.96"	8.73%	$118.78
26428		Repair/graft finger tendon	A2	5113	"$2,684.96"	0.37%	$5.03
26432		Repair finger tendon	A2	5112	"$1,463.15"	1.17%	$8.68
26433		Repair finger tendon	A2	5113	"$2,684.96"	9.63%	$131.03
26434		Repair/graft finger tendon	A2	5113	"$2,684.96"	19.58%	$266.42
26437		Realignment of tendons	A2	5113	"$2,684.96"	0.76%	$10.34
26440		Release palm/finger tendon	A2	5112	"$1,463.15"	1.45%	$10.75
26442		Release palm & finger tendon	A2	5113	"$2,684.96"	0.74%	$10.07
26445		Release hand/finger tendon	A2	5113	"$2,684.96"	1.99%	$27.08
26449		Release forearm/hand tendon	A2	5113	"$2,684.96"	0.00%	$0.00
26450		Incision of palm tendon	A2	5113	"$2,684.96"	2.24%	$30.48
26455		Incision of finger tendon	A2	5112	"$1,463.15"	0.03%	$0.22
26460		Incise hand/finger tendon	A2	5112	"$1,463.15"	4.81%	$35.67
26471		Fusion of finger tendons	A2	5113	"$2,684.96"	7.90%	$107.49
26474		Fusion of finger tendons	A2	5112	"$1,463.15"	0.00%	$0.00
26476		Tendon lengthening	A2	5113	"$2,684.96"	0.00%	$0.00
26477		Tendon shortening	A2	5113	"$2,684.96"	0.00%	$0.00
26478		Lengthening of hand tendon	A2	5113	"$2,684.96"	0.00%	$0.00
26479		Shortening of hand tendon	A2	5113	"$2,684.96"	0.00%	$0.00
26480		Transplant hand tendon	A2	5113	"$2,684.96"	0.90%	$12.25
26483		Transplant/graft hand tendon	A2	5113	"$2,684.96"	0.83%	$11.29
26485		Transplant palm tendon	A2	5113	"$2,684.96"	17.76%	$241.65
26489		Transplant/graft palm tendon	A2	5113	"$2,684.96"	4.76%	$64.77
26490		Revise thumb tendon	A2	5113	"$2,684.96"	2.00%	$27.21
26492		Tendon transfer with graft	A2	5113	"$2,684.96"	4.08%	$55.51
26494		Hand tendon/muscle transfer	A2	5113	"$2,684.96"	0.00%	$0.00
26496		Revise thumb tendon	A2	5113	"$2,684.96"	0.00%	$0.00
26497		Finger tendon transfer	A2	5113	"$2,684.96"	0.46%	$6.26
26498		Finger tendon transfer	A2	5113	"$2,684.96"	0.00%	$0.00
26499		Revision of finger	A2	5113	"$2,684.96"	0.00%	$0.00
26500		Hand tendon reconstruction	A2	5114	"$5,917.60"	0.00%	$0.00
26502		Hand tendon reconstruction	A2	5113	"$2,684.96"	13.46%	$183.14
26508		Release thumb contracture	A2	5113	"$2,684.96"	0.00%	$0.00
26510		Thumb tendon transfer	A2	5113	"$2,684.96"	0.00%	$0.00
26516		Fusion of knuckle joint	J8	5113	"$2,684.96"	30.14%	$809.25
26517		Fusion of knuckle joints	A2	5113	"$2,684.96"	15.93%	$216.75
26518		Fusion of knuckle joints	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
26520		Release knuckle contracture	A2	5113	"$2,684.96"	0.00%	$0.00
26525		Release finger contracture	A2	5112	"$1,463.15"	0.34%	$2.52
26530		Revise knuckle joint	J8	5114	"$5,917.60"	32.48%	"$1,922.04"
26531		Revise knuckle with implant	J8	5114	"$5,917.60"	47.18%	"$2,791.92"
26535		Revise finger joint	A2	5113	"$2,684.96"	24.03%	$326.96
26536		Revise/implant finger joint	J8	5114	"$5,917.60"	38.21%	"$2,261.11"
26540		Repair hand joint	A2	5113	"$2,684.96"	25.87%	$352.00
26541		Repair hand joint with graft	A2	5113	"$2,684.96"	29.55%	$402.07
26542		Repair hand joint with graft	A2	5113	"$2,684.96"	26.96%	$366.83
26545		Reconstruct finger joint	A2	5113	"$2,684.96"	27.06%	$368.19
26546		Repair nonunion hand	A2	5114	"$5,917.60"	15.40%	$461.82
26548		Reconstruct finger joint	A2	5113	"$2,684.96"	20.35%	$276.89
26550		Construct thumb replacement	A2	5113	"$2,684.96"	0.00%	$0.00
26555		Positional change of finger	A2	5114	"$5,917.60"	0.00%	$0.00
26560		Repair of web finger	A2	5112	"$1,463.15"	0.00%	$0.00
26561		Repair of web finger	A2	5113	"$2,684.96"	0.00%	$0.00
26562		Repair of web finger	A2	5113	"$2,684.96"	0.00%	$0.00
26565		Correct metacarpal flaw	A2	5113	"$2,684.96"	0.10%	$1.36
26567		Correct finger deformity	A2	5113	"$2,684.96"	15.68%	$213.35
26568		Lengthen metacarpal/finger	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
26580		Repair hand deformity	A2	5113	"$2,684.96"	0.00%	$0.00
26587		Reconstruct extra finger	A2	5113	"$2,684.96"	0.00%	$0.00
26590		Repair finger deformity	A2	5112	"$1,463.15"	0.00%	$0.00
26591		Repair muscles of hand	A2	5113	"$2,684.96"	0.00%	$0.00
26593		Release muscles of hand	A2	5113	"$2,684.96"	0.00%	$0.00
26596		Excision constricting tissue	A2	5113	"$2,684.96"	0.00%	$0.00
26600		Treat metacarpal fracture	P2	5111	$210.50	0.00%	$0.00
26605		Treat metacarpal fracture	A2	5111	$210.50	0.60%	$0.64
26607		Treat metacarpal fracture	A2	5113	"$2,684.96"	8.61%	$117.15
26608		Treat metacarpal fracture	A2	5113	"$2,684.96"	2.65%	$36.06
26615		Treat metacarpal fracture	A2	5113	"$2,684.96"	22.77%	$309.82
26641		Treat thumb dislocation	P2	5111	$210.50	0.00%	$0.00
26645		Treat thumb fracture	A2	5112	"$1,463.15"	0.00%	$0.00
26650		Treat thumb fracture	A2	5113	"$2,684.96"	1.97%	$26.80
26665		Treat thumb fracture	A2	5113	"$2,684.96"	15.72%	$213.89
26670		Treat hand dislocation	P2	5111	$210.50	0.72%	$0.77
26675		Treat hand dislocation	A2	5112	"$1,463.15"	2.79%	$20.69
26676		Pin hand dislocation	A2	5113	"$2,684.96"	0.60%	$8.16
26685		Treat hand dislocation	A2	5113	"$2,684.96"	6.85%	$93.20
26686		Treat hand dislocation	A2	5113	"$2,684.96"	18.02%	$245.19
26700		Treat knuckle dislocation	P2	5111	$210.50	0.00%	$0.00
26705		Treat knuckle dislocation	A2	5112	"$1,463.15"	0.16%	$1.19
26706		Pin knuckle dislocation	A2	5113	"$2,684.96"	0.29%	$3.95
26715		Treat knuckle dislocation	A2	5113	"$2,684.96"	2.64%	$35.92
26720		Treat finger fracture each	P2	5111	$210.50	0.06%	$0.06
26725		Treat finger fracture each	P2	5111	$210.50	0.29%	$0.31
26727		Treat finger fracture each	A2	5113	"$2,684.96"	1.98%	$26.94
26735		Treat finger fracture each	A2	5113	"$2,684.96"	16.25%	$221.11
26740		Treat finger fracture each	P2	5111	$210.50	0.00%	$0.00
26742		Treat finger fracture each	A2	5112	"$1,463.15"	1.09%	$8.08
26746		Treat finger fracture each	A2	5113	"$2,684.96"	10.10%	$137.43
26750		Treat finger fracture each	P2	5111	$210.50	0.04%	$0.04
26755		Treat finger fracture each	G2	5111	$210.50	0.24%	$0.26
26756		Pin finger fracture each	A2	5113	"$2,684.96"	1.55%	$21.09
26765		Treat finger fracture each	A2	5113	"$2,684.96"	5.34%	$72.66
26770		Treat finger dislocation	G2	5111	$210.50	0.00%	$0.00
26775		Treat finger dislocation	P2	5102	$246.38	0.09%	$0.11
26776		Pin finger dislocation	A2	5113	"$2,684.96"	0.75%	$10.20
26785		Treat finger dislocation	A2	5113	"$2,684.96"	1.18%	$16.06
26820		Thumb fusion with graft	J8	5114	"$5,917.60"	40.69%	"$2,407.87"
26841		Fusion of thumb	A2	5114	"$5,917.60"	27.09%	$812.39
26842		Thumb fusion with graft	A2	5114	"$5,917.60"	25.57%	$766.81
26843		Fusion of hand joint	J8	5114	"$5,917.60"	36.52%	"$2,161.11"
26844		Fusion/graft of hand joint	J8	5114	"$5,917.60"	57.00%	"$3,373.03"
26850		Fusion of knuckle	A2	5114	"$5,917.60"	23.47%	$703.83
26852		Fusion of knuckle with graft	A2	5114	"$5,917.60"	26.11%	$783.00
26860		Fusion of finger joint	A2	5113	"$2,684.96"	18.89%	$257.03
26861		Fusion of finger jnt add-on	N1			0.00%	
26862		Fusion/graft of finger joint	A2	5113	"$2,684.96"	17.56%	$238.93
26863		Fuse/graft added joint	N1			0.00%	
26910		Amputate metacarpal bone	A2	5113	"$2,684.96"	0.36%	$4.90
26951		Amputation of finger/thumb	A2	5113	"$2,684.96"	0.14%	$1.90
26952		Amputation of finger/thumb	A2	5113	"$2,684.96"	0.15%	$2.04
26990		Drainage of pelvis lesion	A2	5113	"$2,684.96"	1.33%	$18.10
26991		Drainage of pelvis bursa	A2	5112	"$1,463.15"	1.60%	$11.86
27000		Incision of hip tendon	A2	5112	"$1,463.15"	1.28%	$9.49
27001		Incision of hip tendon	A2	5113	"$2,684.96"	12.24%	$166.54
27003		Incision of hip tendon	A2	5114	"$5,917.60"	0.00%	$0.00
27033		Exploration of hip joint	A2	5114	"$5,917.60"	0.14%	$4.20
27035		Denervation of hip joint	A2	5113	"$2,684.96"	0.00%	$0.00
27040		Biopsy of soft tissues	A2	5072	"$1,200.16"	0.01%	$0.06
27041		Biopsy of soft tissues	A2	5072	"$1,200.16"	0.02%	$0.12
27043		Exc hip pelvis les sc 3 cm/>	G2	5073	"$2,011.25"	0.16%	$1.63
27045		Exc hip/pelv tum deep 5 cm/>	G2	5073	"$2,011.25"	0.10%	$1.02
27047		Exc hip/pelvis les sc < 3 cm	G2	5073	"$2,011.25"	0.45%	$4.59
27048		Exc hip/pelv tum deep < 5 cm	G2	5073	"$2,011.25"	1.53%	$15.59
27049		Resect hip/pelv tum < 5 cm	G2	5073	"$2,011.25"	0.00%	$0.00
27050		Biopsy of sacroiliac joint	A2	5112	"$1,463.15"	0.00%	$0.00
27052		Biopsy of hip joint	A2	5112	"$1,463.15"	1.01%	$7.49
27059		Resect hip/pelv tum 5 cm/>	G2	5073	"$2,011.25"	0.00%	$0.00
27060		Removal of ischial bursa	A2	5114	"$5,917.60"	0.00%	$0.00
27062		Remove femur lesion/bursa	A2	5113	"$2,684.96"	5.45%	$74.16
27065		Remove hip bone les super	A2	5114	"$5,917.60"	0.27%	$8.10
27066		Remove hip bone les deep	A2	5113	"$2,684.96"	0.25%	$3.40
27067		Remove/graft hip bone lesion	A2	5114	"$5,917.60"	0.00%	$0.00
27080		Removal of tail bone	A2	5113	"$2,684.96"	0.15%	$2.04
27086		Remove hip foreign body	A2	5073	"$2,011.25"	0.00%	$0.00
27087		Remove hip foreign body	A2	5113	"$2,684.96"	0.01%	$0.14
27093		Injection for hip x-ray	N1			0.00%	
27095		Injection for hip x-ray	N1			0.00%	
27097		Revision of hip tendon	A2	5113	"$2,684.96"	3.59%	$48.85
27098		Transfer tendon to pelvis	A2	5113	"$2,684.96"	12.55%	$170.76
27100		Transfer of abdominal muscle	J8	5114	"$5,917.60"	36.39%	"$2,153.41"
27105		Transfer of spinal muscle	A2	5113	"$2,684.96"	0.00%	$0.00
27110		Transfer of iliopsoas muscle	J8	5114	"$5,917.60"	48.86%	"$2,891.34"
27111		Transfer of iliopsoas muscle	A2	5113	"$2,684.96"	0.00%	$0.00
27130		Total hip arthroplasty	J8	5115	"$11,869.70"	51.42%	"$6,103.40"
27197		Clsd tx pelvic ring fx	G2	5111	$210.50	0.00%	$0.00
27198		Clsd tx pelvic ring fx	G2	5111	$210.50	2.11%	$2.25
27200		Treat tail bone fracture	P2	5111	$210.50	0.00%	$0.00
27202		Treat tail bone fracture	A2	5113	"$2,684.96"	0.00%	$0.00
27220		Treat hip socket fracture	G2	5111	$210.50	0.00%	$0.00
27230		Treat thigh fracture	A2	5111	$210.50	0.00%	$0.00
27238		Treat thigh fracture	A2	5112	"$1,463.15"	0.00%	$0.00
27246		Treat thigh fracture	A2	5111	$210.50	0.22%	$0.23
27250		Treat hip dislocation	A2	5111	$210.50	0.00%	$0.00
27252		Treat hip dislocation	A2	5112	"$1,463.15"	0.02%	$0.15
27256		Treat hip dislocation	G2	5111	$210.50	0.00%	$0.00
27257		Treat hip dislocation	A2	5112	"$1,463.15"	0.00%	$0.00
27265		Treat hip dislocation	A2	5111	$210.50	0.00%	$0.00
27266		Treat hip dislocation	A2	5112	"$1,463.15"	0.25%	$1.85
27267		Cltx thigh fx	G2	5113	"$2,684.96"	18.06%	$245.73
27275		Manipulation of hip joint	A2	5112	"$1,463.15"	0.00%	$0.00
27279		Arthrodesis sacroiliac joint	J8	5116	"$15,703.00"	72.17%	"$11,332.86"
27301		Drain thigh/knee lesion	A2	5073	"$2,011.25"	1.55%	$15.80
27305		Incise thigh tendon & fascia	A2	5113	"$2,684.96"	2.45%	$33.34
27306		Incision of thigh tendon	A2	5113	"$2,684.96"	1.29%	$17.55
27307		Incision of thigh tendons	A2	5113	"$2,684.96"	0.00%	$0.00
27310		Exploration of knee joint	A2	5113	"$2,684.96"	2.61%	$35.51
27323		Biopsy thigh soft tissues	A2	5072	"$1,200.16"	0.91%	$5.53
27324		Biopsy thigh soft tissues	A2	5073	"$2,011.25"	0.00%	$0.00
27325		Neurectomy hamstring	A2	5431	"$1,628.21"	0.00%	$0.00
27326		Neurectomy popliteal	A2	5431	"$1,628.21"	0.00%	$0.00
27327		Exc thigh/knee les sc < 3 cm	G2	5072	"$1,200.16"	0.14%	$0.85
27328		Exc thigh/knee tum deep <5cm	G2	5073	"$2,011.25"	0.04%	$0.41
27329		Resect thigh/knee tum < 5 cm	G2	5073	"$2,011.25"	0.00%	$0.00
27330		Biopsy knee joint lining	A2	5113	"$2,684.96"	1.53%	$20.82
27331		Explore/treat knee joint	A2	5113	"$2,684.96"	0.26%	$3.54
27332		Removal of knee cartilage	A2	5113	"$2,684.96"	7.70%	$104.77
27333		Removal of knee cartilage	A2	5113	"$2,684.96"	0.21%	$2.86
27334		Remove knee joint lining	A2	5113	"$2,684.96"	8.40%	$114.29
27335		Remove knee joint lining	A2	5114	"$5,917.60"	12.53%	$375.76
27337		Exc thigh/knee les sc 3 cm/>	G2	5073	"$2,011.25"	0.16%	$1.63
27339		Exc thigh/knee tum dep 5cm/>	G2	5073	"$2,011.25"	0.12%	$1.22
27340		Removal of kneecap bursa	A2	5113	"$2,684.96"	0.79%	$10.75
27345		Removal of knee cyst	A2	5113	"$2,684.96"	1.50%	$20.41
27347		Remove knee cyst	A2	5113	"$2,684.96"	1.10%	$14.97
27350		Removal of kneecap	A2	5114	"$5,917.60"	5.28%	$158.34
27355		Remove femur lesion	A2	5113	"$2,684.96"	1.43%	$19.46
27356		Remove femur lesion/graft	J8	5115	"$11,869.70"	31.00%	"$3,679.61"
27357		Remove femur lesion/graft	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
27358		Remove femur lesion/fixation	N1			0.00%	
27360		Partial removal leg bone(s)	A2	5113	"$2,684.96"	3.71%	$50.48
27364		Resect thigh/knee tum 5 cm/>	G2	5073	"$2,011.25"	0.90%	$9.17
27369		Njx cntrst kne arthg/ct/mri	N1			0.00%	
27372		Removal of foreign body	A2	5073	"$2,011.25"	0.00%	$0.00
27380		Repair of kneecap tendon	A2	5114	"$5,917.60"	12.29%	$368.56
27381		Repair/graft kneecap tendon	J8	5114	"$5,917.60"	32.59%	"$1,928.55"
27385		Repair of thigh muscle	A2	5114	"$5,917.60"	10.26%	$307.68
27386		Repair/graft of thigh muscle	A2	5114	"$5,917.60"	23.17%	$694.83
27390		Incision of thigh tendon	A2	5113	"$2,684.96"	24.17%	$328.87
27391		Incision of thigh tendons	A2	5113	"$2,684.96"	0.00%	$0.00
27392		Incision of thigh tendons	A2	5113	"$2,684.96"	0.00%	$0.00
27393		Lengthening of thigh tendon	A2	5114	"$5,917.60"	0.00%	$0.00
27394		Lengthening of thigh tendons	A2	5114	"$5,917.60"	0.00%	$0.00
27395		Lengthening of thigh tendons	A2	5113	"$2,684.96"	0.00%	$0.00
27396		Transplant of thigh tendon	A2	5114	"$5,917.60"	11.70%	$350.87
27397		Transplants of thigh tendons	G2	5114	"$5,917.60"	0.00%	$0.00
27400		Revise thigh muscles/tendons	A2	5114	"$5,917.60"	8.40%	$251.90
27403		Repair of knee cartilage	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
27405		Repair of knee ligament	A2	5114	"$5,917.60"	12.14%	$364.06
27407		Repair of knee ligament	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
27409		Repair of knee ligaments	A2	5114	"$5,917.60"	0.00%	$0.00
27412		Autochondrocyte implant knee	J8	5114	"$5,917.60"	62.07%	"$3,673.05"
27415		Osteochondral knee allograft	J8	5115	"$11,869.70"	74.72%	"$8,869.04"
27416		Osteochondral knee autograft	G2	5114	"$5,917.60"	23.15%	$694.23
27418		Repair degenerated kneecap	A2	5114	"$5,917.60"	3.39%	$101.66
27420		Revision of unstable kneecap	A2	5114	"$5,917.60"	6.57%	$197.02
27422		Revision of unstable kneecap	A2	5114	"$5,917.60"	10.41%	$312.18
27424		Revision/removal of kneecap	A2	5114	"$5,917.60"	8.46%	$253.70
27425		Lat retinacular release open	A2	5113	"$2,684.96"	8.33%	$113.34
27427		Reconstruction knee	J8	5114	"$5,917.60"	33.07%	"$1,956.95"
27428		Reconstruction knee	J8	5115	"$11,869.70"	31.00%	"$3,679.61"
27429		Reconstruction knee	J8	5115	"$11,869.70"	78.23%	"$9,285.67"
27430		Revision of thigh muscles	A2	5114	"$5,917.60"	14.04%	$421.04
27435		Incision of knee joint	A2	5113	"$2,684.96"	2.67%	$36.33
27437		Revise kneecap	A2	5114	"$5,917.60"	26.53%	$795.59
27438		Revise kneecap with implant	J8	5115	"$11,869.70"	39.54%	"$4,693.28"
27440		Revision of knee joint	J8	5115	"$11,869.70"	38.42%	"$4,560.34"
27441		Revision of knee joint	G2	5115	"$11,869.70"	42.85%	"$2,577.50"
27442		Revision of knee joint	J8	5115	"$11,869.70"	48.11%	"$5,710.51"
27443		Revision of knee joint	J8	5115	"$11,869.70"	40.90%	"$4,854.71"
27446		Revision of knee joint	J8	5115	"$11,869.70"	48.30%	"$5,733.07"
27447		Total knee arthroplasty	J8	5115	"$11,869.70"	50.39%	"$5,981.14"
27475		Surgery to stop leg growth	G2	5114	"$5,917.60"	0.00%	$0.00
27479		Surgery to stop leg growth	G2	5114	"$5,917.60"	0.00%	$0.00
27496		Decompression of thigh/knee	A2	5113	"$2,684.96"	0.00%	$0.00
27497		Decompression of thigh/knee	A2	5113	"$2,684.96"	0.00%	$0.00
27498		Decompression of thigh/knee	A2	5112	"$1,463.15"	0.00%	$0.00
27499		Decompression of thigh/knee	A2	5114	"$5,917.60"	0.00%	$0.00
27500		Treatment of thigh fracture	A2	5111	$210.50	0.00%	$0.00
27501		Treatment of thigh fracture	A2	5111	$210.50	0.00%	$0.00
27502		Treatment of thigh fracture	A2	5112	"$1,463.15"	9.78%	$72.52
27503		Treatment of thigh fracture	A2	5112	"$1,463.15"	25.62%	$189.97
27508		Treatment of thigh fracture	A2	5111	$210.50	0.00%	$0.00
27509		Treatment of thigh fracture	J8	5114	"$5,917.60"	45.36%	"$2,684.22"
27510		Treatment of thigh fracture	A2	5112	"$1,463.15"	0.00%	$0.00
27516		Treat thigh fx growth plate	A2	5111	$210.50	0.00%	$0.00
27517		Treat thigh fx growth plate	A2	5112	"$1,463.15"	0.00%	$0.00
27520		Treat kneecap fracture	A2	5111	$210.50	0.04%	$0.04
27524		Treat kneecap fracture	G2	5114	"$5,917.60"	14.03%	$420.74
27530		Treat knee fracture	A2	5111	$210.50	0.00%	$0.00
27532		Treat knee fracture	A2	5113	"$2,684.96"	9.60%	$130.62
27538		Treat knee fracture(s)	A2	5111	$210.50	8.33%	$8.89
27550		Treat knee dislocation	A2	5111	$210.50	0.00%	$0.00
27552		Treat knee dislocation	A2	5112	"$1,463.15"	0.00%	$0.00
27560		Treat kneecap dislocation	A2	5111	$210.50	0.00%	$0.00
27562		Treat kneecap dislocation	A2	5111	$210.50	1.84%	$1.96
27566		Treat kneecap dislocation	A2	5114	"$5,917.60"	9.95%	$298.39
27570		Fixation of knee joint	A2	5112	"$1,463.15"	0.17%	$1.26
27594		Amputation follow-up surgery	A2	5113	"$2,684.96"	0.81%	$11.02
27600		Decompression of lower leg	A2	5113	"$2,684.96"	0.50%	$6.80
27601		Decompression of lower leg	A2	5113	"$2,684.96"	0.00%	$0.00
27602		Decompression of lower leg	A2	5113	"$2,684.96"	13.31%	$181.10
27603		Drain lower leg lesion	A2	5073	"$2,011.25"	2.96%	$30.17
27604		Drain lower leg bursa	A2	5113	"$2,684.96"	0.00%	$0.00
27605		Incision of achilles tendon	A2	5112	"$1,463.15"	4.65%	$34.48
27606		Incision of achilles tendon	A2	5113	"$2,684.96"	2.81%	$38.23
27607		Treat lower leg bone lesion	A2	5113	"$2,684.96"	6.57%	$89.39
27610		Explore/treat ankle joint	A2	5113	"$2,684.96"	0.57%	$7.76
27612		Exploration of ankle joint	A2	5113	"$2,684.96"	6.70%	$91.16
27613		Biopsy lower leg soft tissue	P3	5072	"$1,200.16"	0.06%	$0.10
27614		Biopsy lower leg soft tissue	A2	5073	"$2,011.25"	0.00%	$0.00
27615		Resect leg/ankle tum < 5 cm	G2	5073	"$2,011.25"	4.86%	$49.53
27616		Resect leg/ankle tum 5 cm/>	G2	5073	"$2,011.25"	0.00%	$0.00
27618		Exc leg/ankle tum < 3 cm	G2	5072	"$1,200.16"	1.44%	$8.76
27619		Exc leg/ankle tum deep <5 cm	G2	5073	"$2,011.25"	0.23%	$2.34
27620		Explore/treat ankle joint	A2	5113	"$2,684.96"	3.41%	$46.40
27625		Remove ankle joint lining	A2	5113	"$2,684.96"	8.58%	$116.74
27626		Remove ankle joint lining	A2	5113	"$2,684.96"	0.00%	$0.00
27630		Removal of tendon lesion	A2	5113	"$2,684.96"	1.55%	$21.09
27632		Exc leg/ankle les sc 3 cm/>	G2	5073	"$2,011.25"	0.37%	$3.77
27634		Exc leg/ankle tum dep 5 cm/>	G2	5073	"$2,011.25"	0.05%	$0.51
27635		Remove lower leg bone lesion	A2	5113	"$2,684.96"	1.70%	$23.13
27637		Remove/graft leg bone lesion	J8	5114	"$5,917.60"	41.62%	"$2,462.91"
27638		Remove/graft leg bone lesion	A2	5114	"$5,917.60"	18.83%	$564.68
27640		Partial removal of tibia	A2	5113	"$2,684.96"	3.09%	$42.04
27641		Partial removal of fibula	A2	5113	"$2,684.96"	3.34%	$45.45
27647		Resect talus/calcaneus tum	A2	5113	"$2,684.96"	0.00%	$0.00
27648		Injection for ankle x-ray	N1			0.00%	
27650		Repair achilles tendon	A2	5114	"$5,917.60"	20.54%	$615.96
27652		Repair/graft achilles tendon	J8	5114	"$5,917.60"	42.13%	"$2,493.08"
27654		Repair of achilles tendon	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
27656		Repair leg fascia defect	J8	5113	"$2,684.96"	48.78%	"$1,309.72"
27658		Repair of leg tendon each	A2	5113	"$2,684.96"	13.09%	$178.11
27659		Repair of leg tendon each	A2	5114	"$5,917.60"	23.26%	$697.53
27664		Repair of leg tendon each	A2	5114	"$5,917.60"	13.58%	$407.24
27665		Repair of leg tendon each	A2	5114	"$5,917.60"	28.00%	$839.68
27675		Repair lower leg tendons	A2	5113	"$2,684.96"	14.32%	$194.85
27676		Repair lower leg tendons	A2	5114	"$5,917.60"	7.58%	$227.31
27680		Release of lower leg tendon	A2	5113	"$2,684.96"	13.88%	$188.86
27681		Release of lower leg tendons	A2	5113	"$2,684.96"	0.00%	$0.00
27685		Revision of lower leg tendon	A2	5113	"$2,684.96"	5.58%	$75.92
27686		Revise lower leg tendons	A2	5113	"$2,684.96"	7.85%	$106.81
27687		Revision of calf tendon	A2	5113	"$2,684.96"	1.31%	$17.82
27690		Revise lower leg tendon	A2	5114	"$5,917.60"	21.83%	$654.65
27691		Revise lower leg tendon	A2	5114	"$5,917.60"	16.98%	$509.20
27692		Revise additional leg tendon	N1			0.00%	
27695		Repair of ankle ligament	J8	5114	"$5,917.60"	31.67%	"$1,874.10"
27696		Repair of ankle ligaments	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
27698		Repair of ankle ligament	J8	5114	"$5,917.60"	30.97%	"$1,832.68"
27700		Revision of ankle joint	J8	5114	"$5,917.60"	30.64%	"$1,813.15"
27704		Removal of ankle implant	A2	5113	"$2,684.96"	6.05%	$82.32
27705		Incision of tibia	J8	5114	"$5,917.60"	30.72%	"$1,817.89"
27707		Incision of fibula	A2	5113	"$2,684.96"	5.51%	$74.97
27709		Incision of tibia & fibula	J8	5115	"$11,869.70"	32.58%	"$3,867.15"
27720		Repair of tibia	J8	5114	"$5,917.60"	45.71%	"$2,704.93"
27726		Repair fibula nonunion	J8	5114	"$5,917.60"	35.95%	"$2,127.38"
27730		Repair of tibia epiphysis	A2	5113	"$2,684.96"	0.00%	$0.00
27732		Repair of fibula epiphysis	A2	5113	"$2,684.96"	0.00%	$0.00
27734		Repair lower leg epiphyses	A2	5113	"$2,684.96"	0.00%	$0.00
27740		Repair of leg epiphyses	G2	5113	"$2,684.96"	0.00%	$0.00
27742		Repair of leg epiphyses	A2	5113	"$2,684.96"	0.00%	$0.00
27745		Reinforce tibia	J8	5114	"$5,917.60"	40.37%	"$2,388.94"
27750		Treatment of tibia fracture	A2	5111	$210.50	0.00%	$0.00
27752		Treatment of tibia fracture	A2	5112	"$1,463.15"	1.60%	$11.86
27756		Treatment of tibia fracture	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
27758		Treatment of tibia fracture	J8	5115	"$11,869.70"	42.28%	"$5,018.51"
27759		Treatment of tibia fracture	J8	5115	"$11,869.70"	38.89%	"$4,616.13"
27760		Cltx medial ankle fx	A2	5111	$210.50	0.48%	$0.51
27762		Cltx med ankle fx w/mnpj	A2	5112	"$1,463.15"	6.88%	$51.01
27766		Optx medial ankle fx	A2	5114	"$5,917.60"	20.30%	$608.77
27767		Cltx post ankle fx	P2	5111	$210.50	0.00%	$0.00
27768		Cltx post ankle fx w/mnpj	J8	5112	"$1,463.15"	44.50%	$651.10
27769		Optx post ankle fx	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
27780		Treatment of fibula fracture	A2	5111	$210.50	0.00%	$0.00
27781		Treatment of fibula fracture	A2	5112	"$1,463.15"	0.00%	$0.00
27784		Treatment of fibula fracture	A2	5114	"$5,917.60"	29.27%	$877.76
27786		Treatment of ankle fracture	A2	5111	$210.50	0.00%	$0.00
27788		Treatment of ankle fracture	A2	5111	$210.50	1.63%	$1.74
27792		Treatment of ankle fracture	J8	5114	"$5,917.60"	34.48%	"$2,040.39"
27808		Treatment of ankle fracture	A2	5111	$210.50	0.36%	$0.38
27810		Treatment of ankle fracture	A2	5112	"$1,463.15"	0.00%	$0.00
27814		Treatment of ankle fracture	J8	5114	"$5,917.60"	35.25%	"$2,085.95"
27816		Treatment of ankle fracture	A2	5111	$210.50	0.00%	$0.00
27818		Treatment of ankle fracture	A2	5112	"$1,463.15"	1.67%	$12.38
27822		Treatment of ankle fracture	J8	5114	"$5,917.60"	35.37%	"$2,093.06"
27823		Treatment of ankle fracture	J8	5114	"$5,917.60"	33.93%	"$2,007.84"
27824		Treat lower leg fracture	A2	5111	$210.50	0.44%	$0.47
27825		Treat lower leg fracture	A2	5112	"$1,463.15"	18.60%	$137.92
27826		Treat lower leg fracture	J8	5114	"$5,917.60"	34.09%	"$2,017.31"
27827		Treat lower leg fracture	J8	5115	"$11,869.70"	43.42%	"$5,153.82"
27828		Treat lower leg fracture	J8	5115	"$11,869.70"	42.44%	"$5,037.50"
27829		Treat lower leg joint	J8	5114	"$5,917.60"	36.57%	"$2,164.07"
27830		Treat lower leg dislocation	A2	5111	$210.50	0.00%	$0.00
27831		Treat lower leg dislocation	A2	5113	"$2,684.96"	0.00%	$0.00
27832		Treat lower leg dislocation	J8	5114	"$5,917.60"	39.32%	"$2,326.80"
27840		Treat ankle dislocation	A2	5111	$210.50	0.00%	$0.00
27842		Treat ankle dislocation	J8	5112	"$1,463.15"	33.41%	$488.84
27846		Treat ankle dislocation	A2	5114	"$5,917.60"	23.01%	$690.04
27848		Treat ankle dislocation	J8	5114	"$5,917.60"	32.24%	"$1,907.83"
27860		Fixation of ankle joint	A2	5113	"$2,684.96"	0.00%	$0.00
27870		Fusion of ankle joint open	J8	5115	"$11,869.70"	49.30%	"$5,851.76"
27871		Fusion of tibiofibular joint	J8	5115	"$11,869.70"	55.51%	"$6,588.87"
27884		Amputation follow-up surgery	A2	5113	"$2,684.96"	1.32%	$17.96
27889		Amputation of foot at ankle	A2	5114	"$5,917.60"	0.00%	$0.00
27892		Decompression of leg	A2	5113	"$2,684.96"	0.00%	$0.00
27893		Decompression of leg	A2	5114	"$5,917.60"	0.00%	$0.00
27894		Decompression of leg	A2	5113	"$2,684.96"	0.00%	$0.00
28001		Drainage of bursa of foot	P3	5072	"$1,200.16"	0.21%	$0.21
28002		Treatment of foot infection	A2	5112	"$1,463.15"	4.85%	$35.96
28003		Treatment of foot infection	A2	5113	"$2,684.96"	0.00%	$0.00
28005		Treat foot bone lesion	A2	5113	"$2,684.96"	5.67%	$77.15
28008		Incision of foot fascia	A2	5113	"$2,684.96"	2.42%	$32.93
28010		Incision of toe tendon	P3	5112	"$1,463.15"	0.08%	$0.10
28011		Incision of toe tendons	A2	5112	"$1,463.15"	0.00%	$0.00
28020		Exploration of foot joint	A2	5113	"$2,684.96"	4.68%	$63.68
28022		Exploration of foot joint	A2	5113	"$2,684.96"	4.27%	$58.10
28024		Exploration of toe joint	A2	5112	"$1,463.15"	0.00%	$0.00
28035		Decompression of tibia nerve	A2	5431	"$1,628.21"	10.32%	$85.15
28039		Exc foot/toe tum sc 1.5 cm/>	G2	5073	"$2,011.25"	2.06%	$21.00
28041		Exc foot/toe tum dep 1.5cm/>	G2	5073	"$2,011.25"	2.09%	$21.30
28043		Exc foot/toe tum sc < 1.5 cm	G2	5072	"$1,200.16"	1.74%	$10.58
28045		Exc foot/toe tum deep <1.5cm	G2	5073	"$2,011.25"	0.06%	$0.61
28046		Resect foot/toe tumor < 3 cm	G2	5073	"$2,011.25"	15.28%	$155.74
28047		Resect foot/toe tumor 3 cm/>	G2	5073	"$2,011.25"	0.00%	$0.00
28050		Biopsy of foot joint lining	A2	5113	"$2,684.96"	0.00%	$0.00
28052		Biopsy of foot joint lining	A2	5113	"$2,684.96"	4.44%	$60.41
28054		Biopsy of toe joint lining	A2	5113	"$2,684.96"	0.00%	$0.00
28055		Neurectomy foot	A2	5431	"$1,628.21"	0.00%	$0.00
28060		Partial removal foot fascia	A2	5113	"$2,684.96"	6.96%	$94.70
28062		Removal of foot fascia	A2	5113	"$2,684.96"	7.29%	$99.19
28070		Removal of foot joint lining	A2	5114	"$5,917.60"	0.00%	$0.00
28072		Removal of foot joint lining	A2	5113	"$2,684.96"	16.22%	$220.70
28080		Removal of foot lesion	A2	5112	"$1,463.15"	1.36%	$10.08
28086		Excise foot tendon sheath	A2	5113	"$2,684.96"	0.29%	$3.95
28088		Excise foot tendon sheath	A2	5113	"$2,684.96"	0.00%	$0.00
28090		Removal of foot lesion	A2	5112	"$1,463.15"	1.57%	$11.64
28092		Removal of toe lesions	A2	5112	"$1,463.15"	1.11%	$8.23
28100		Removal of ankle/heel lesion	A2	5113	"$2,684.96"	4.92%	$66.94
28102		Remove/graft foot lesion	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
28103		Remove/graft foot lesion	J8	5114	"$5,917.60"	42.81%	"$2,533.32"
28104		Removal of foot lesion	A2	5113	"$2,684.96"	1.59%	$21.63
28106		Remove/graft foot lesion	A2	5114	"$5,917.60"	0.00%	$0.00
28107		Remove/graft foot lesion	J8	5114	"$5,917.60"	39.90%	"$2,361.12"
28108		Removal of toe lesions	A2	5112	"$1,463.15"	1.33%	$9.86
28110		Part removal of metatarsal	A2	5113	"$2,684.96"	4.00%	$54.43
28111		Part removal of metatarsal	A2	5113	"$2,684.96"	5.28%	$71.84
28112		Part removal of metatarsal	A2	5113	"$2,684.96"	2.11%	$28.71
28113		Part removal of metatarsal	A2	5113	"$2,684.96"	2.34%	$31.84
28114		Removal of metatarsal heads	A2	5113	"$2,684.96"	1.55%	$21.09
28116		Revision of foot	A2	5113	"$2,684.96"	0.00%	$0.00
28118		Removal of heel bone	A2	5113	"$2,684.96"	22.77%	$309.82
28119		Removal of heel spur	A2	5113	"$2,684.96"	9.86%	$134.16
28120		Part removal of ankle/heel	A2	5113	"$2,684.96"	6.72%	$91.44
28122		Partial removal of foot bone	A2	5113	"$2,684.96"	3.99%	$54.29
28124		Partial removal of toe	P3	5113	"$2,684.96"	1.76%	$5.09
28126		Partial removal of toe	A2	5113	"$2,684.96"	3.58%	$48.71
28130		Removal of ankle bone	J8	5114	"$5,917.60"	33.98%	"$2,010.80"
28140		Removal of metatarsal	A2	5113	"$2,684.96"	5.15%	$70.07
28150		Removal of toe	A2	5113	"$2,684.96"	1.92%	$26.12
28153		Partial removal of toe	A2	5113	"$2,684.96"	1.03%	$14.01
28160		Partial removal of toe	A2	5113	"$2,684.96"	1.87%	$25.44
28171		Resect tarsal tumor	A2	5113	"$2,684.96"	0.00%	$0.00
28173		Resect metatarsal tumor	A2	5113	"$2,684.96"	13.22%	$179.88
28175		Resect phalanx of toe tumor	A2	5112	"$1,463.15"	0.00%	$0.00
28190		Removal of foot foreign body	P3	5071	$635.54	0.06%	$0.10
28192		Removal of foot foreign body	A2	5072	"$1,200.16"	0.04%	$0.24
28193		Removal of foot foreign body	A2	5072	"$1,200.16"	0.92%	$5.60
28200		Repair of foot tendon	A2	5113	"$2,684.96"	10.17%	$138.38
28202		Repair/graft of foot tendon	J8	5114	"$5,917.60"	30.29%	"$1,792.44"
28208		Repair of foot tendon	A2	5113	"$2,684.96"	25.24%	$343.43
28210		Repair/graft of foot tendon	J8	5114	"$5,917.60"	32.45%	"$1,920.26"
28220		Release of foot tendon	P3	5112	"$1,463.15"	19.35%	$53.31
28222		Release of foot tendons	A2	5113	"$2,684.96"	0.00%	$0.00
28225		Release of foot tendon	A2	5113	"$2,684.96"	0.00%	$0.00
28226		Release of foot tendons	A2	5113	"$2,684.96"	0.00%	$0.00
28230		Incision of foot tendon(s)	P3	5112	"$1,463.15"	3.15%	$8.48
28232		Incision of toe tendon	P3	5112	"$1,463.15"	0.06%	$0.15
28234		Incision of foot tendon	A2	5112	"$1,463.15"	3.74%	$27.73
28238		Revision of foot tendon	A2	5114	"$5,917.60"	16.34%	$490.01
28240		Release of big toe	A2	5113	"$2,684.96"	0.00%	$0.00
28250		Revision of foot fascia	A2	5113	"$2,684.96"	0.11%	$1.50
28260		Release of midfoot joint	A2	5113	"$2,684.96"	0.00%	$0.00
28261		Revision of foot tendon	A2	5112	"$1,463.15"	0.00%	$0.00
28262		Revision of foot and ankle	A2	5114	"$5,917.60"	3.26%	$97.76
28264		Release of midfoot joint	A2	5112	"$1,463.15"	0.00%	$0.00
28270		Release of foot contracture	A2	5113	"$2,684.96"	12.93%	$175.93
28272		Release of toe joint each	P3	5112	"$1,463.15"	0.00%	$0.00
28280		Fusion of toes	A2	5113	"$2,684.96"	0.01%	$0.14
28285		Repair of hammertoe	A2	5113	"$2,684.96"	9.40%	$127.90
28286		Repair of hammertoe	A2	5113	"$2,684.96"	0.16%	$2.18
28288		Partial removal of foot bone	A2	5113	"$2,684.96"	2.38%	$32.38
28289		Corrj halux rigdus w/o implt	A2	5113	"$2,684.96"	5.04%	$68.58
28291		Corrj halux rigdus w/implt	J8	5114	"$5,917.60"	52.47%	"$3,104.96"
28292		Correction hallux valgus	A2	5113	"$2,684.96"	7.52%	$102.32
28295		Correction hallux valgus	G2	5113	"$2,684.96"	21.04%	$286.28
28296		Correction hallux valgus	A2	5113	"$2,684.96"	17.52%	$238.39
28297		Correction hallux valgus	J8	5114	"$5,917.60"	47.52%	"$2,812.04"
28298		Correction hallux valgus	J8	5114	"$5,917.60"	30.17%	"$1,785.34"
28299		Correction hallux valgus	J8	5114	"$5,917.60"	31.43%	"$1,859.90"
28300		Incision of heel bone	J8	5114	"$5,917.60"	42.14%	"$2,493.68"
28302		Incision of ankle bone	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
28304		Incision of midfoot bones	A2	5114	"$5,917.60"	18.82%	$564.38
28305		Incise/graft midfoot bones	J8	5114	"$5,917.60"	44.95%	"$2,659.96"
28306		Incision of metatarsal	A2	5114	"$5,917.60"	20.49%	$614.46
28307		Incision of metatarsal	A2	5114	"$5,917.60"	12.09%	$362.56
28308		Incision of metatarsal	A2	5113	"$2,684.96"	15.61%	$212.40
28309		Incision of metatarsals	J8	5114	"$5,917.60"	36.66%	"$2,169.39"
28310		Revision of big toe	A2	5114	"$5,917.60"	19.78%	$593.17
28312		Revision of toe	A2	5113	"$2,684.96"	10.12%	$137.70
28313		Repair deformity of toe	A2	5113	"$2,684.96"	20.13%	$273.90
28315		Removal of sesamoid bone	A2	5113	"$2,684.96"	1.79%	$24.36
28320		Repair of foot bones	J8	5115	"$11,869.70"	48.00%	"$5,697.46"
28322		Repair of metatarsals	J8	5114	"$5,917.60"	40.17%	"$2,377.10"
28340		Resect enlarged toe tissue	A2	5113	"$2,684.96"	0.00%	$0.00
28341		Resect enlarged toe	A2	5113	"$2,684.96"	0.00%	$0.00
28344		Repair extra toe(s)	A2	5113	"$2,684.96"	0.00%	$0.00
28345		Repair webbed toe(s)	A2	5112	"$1,463.15"	0.00%	$0.00
28400		Treatment of heel fracture	A2	5111	$210.50	0.00%	$0.00
28405		Treatment of heel fracture	A2	5111	$210.50	0.00%	$0.00
28406		Treatment of heel fracture	A2	5114	"$5,917.60"	20.02%	$600.37
28415		Treat heel fracture	J8	5114	"$5,917.60"	42.10%	"$2,491.31"
28420		Treat/graft heel fracture	J8	5115	"$11,869.70"	39.03%	"$4,632.74"
28430		Treatment of ankle fracture	P2	5111	$210.50	0.00%	$0.00
28435		Treatment of ankle fracture	A2	5112	"$1,463.15"	0.00%	$0.00
28436		Treatment of ankle fracture	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
28445		Treat ankle fracture	J8	5114	"$5,917.60"	41.24%	"$2,440.42"
28446		Osteochondral talus autogrft	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
28450		Treat midfoot fracture each	P2	5111	$210.50	0.75%	$0.80
28455		Treat midfoot fracture each	P3	5112	"$1,463.15"	0.00%	$0.00
28456		Treat midfoot fracture	J8	5114	"$5,917.60"	45.29%	"$2,680.08"
28465		Treat midfoot fracture each	J8	5114	"$5,917.60"	33.10%	"$1,958.73"
28470		Treat metatarsal fracture	P2	5111	$210.50	0.10%	$0.11
28475		Treat metatarsal fracture	P2	5111	$210.50	10.49%	$11.19
28476		Treat metatarsal fracture	A2	5113	"$2,684.96"	21.12%	$287.37
28485		Treat metatarsal fracture	J8	5114	"$5,917.60"	35.48%	"$2,099.56"
28490		Treat big toe fracture	P3	5111	$210.50	0.00%	$0.00
28495		Treat big toe fracture	P2	5111	$210.50	0.00%	$0.00
28496		Treat big toe fracture	A2	5113	"$2,684.96"	4.34%	$59.05
28505		Treat big toe fracture	A2	5113	"$2,684.96"	18.06%	$245.73
28510		Treatment of toe fracture	P3	5111	$210.50	0.01%	$0.01
28515		Treatment of toe fracture	P3	5111	$210.50	1.19%	$1.24
28525		Treat toe fracture	A2	5113	"$2,684.96"	10.81%	$147.09
28530		Treat sesamoid bone fracture	P3	5111	$210.50	0.00%	$0.00
28531		Treat sesamoid bone fracture	A2	5114	"$5,917.60"	3.09%	$92.66
28540		Treat foot dislocation	P2	5111	$210.50	0.00%	$0.00
28545		Treat foot dislocation	G2	5113	"$2,684.96"	0.00%	$0.00
28546		Treat foot dislocation	A2	5112	"$1,463.15"	0.00%	$0.00
28555		Repair foot dislocation	J8	5114	"$5,917.60"	33.46%	"$1,980.03"
28570		Treat foot dislocation	P2	5111	$210.50	0.40%	$0.43
28575		Treat foot dislocation	A2	5113	"$2,684.96"	0.00%	$0.00
28576		Treat foot dislocation	A2	5114	"$5,917.60"	0.00%	$0.00
28585		Repair foot dislocation	J8	5114	"$5,917.60"	44.42%	"$2,628.60"
28600		Treat foot dislocation	P2	5111	$210.50	0.00%	$0.00
28605		Treat foot dislocation	A2	5111	$210.50	0.00%	$0.00
28606		Treat foot dislocation	A2	5113	"$2,684.96"	13.65%	$185.73
28615		Repair foot dislocation	J8	5114	"$5,917.60"	37.85%	"$2,239.81"
28630		Treat toe dislocation	P3	5111	$210.50	0.00%	$0.00
28635		Treat toe dislocation	A2	5112	"$1,463.15"	0.00%	$0.00
28636		Treat toe dislocation	A2	5113	"$2,684.96"	14.59%	$198.52
28645		Repair toe dislocation	A2	5113	"$2,684.96"	22.80%	$310.23
28660		Treat toe dislocation	P3	5111	$210.50	0.00%	$0.00
28665		Treat toe dislocation	A2	5102	$246.38	0.00%	$0.00
28666		Treat toe dislocation	A2	5113	"$2,684.96"	1.57%	$21.36
28675		Repair of toe dislocation	A2	5113	"$2,684.96"	9.39%	$127.77
28705		Fusion of foot bones	J8	5116	"$15,703.00"	56.96%	"$8,944.43"
28715		Fusion of foot bones	J8	5115	"$11,869.70"	54.20%	"$6,433.38"
28725		Fusion of foot bones	J8	5115	"$11,869.70"	45.73%	"$5,428.01"
28730		Fusion of foot bones	J8	5115	"$11,869.70"	54.88%	"$6,514.09"
28735		Fusion of foot bones	J8	5115	"$11,869.70"	57.52%	"$6,827.45"
28737		Revision of foot bones	J8	5115	"$11,869.70"	53.32%	"$6,328.92"
28740		Fusion of foot bones	J8	5114	"$5,917.60"	51.45%	"$3,044.61"
28750		Fusion of big toe joint	J8	5114	"$5,917.60"	45.94%	"$2,718.55"
28755		Fusion of big toe joint	A2	5114	"$5,917.60"	24.96%	$748.51
28760		Fusion of big toe joint	J8	5114	"$5,917.60"	31.00%	"$1,834.46"
28810		Amputation toe & metatarsal	A2	5113	"$2,684.96"	1.28%	$17.42
28820		Amputation of toe	A2	5113	"$2,684.96"	1.01%	$13.74
28825		Partial amputation of toe	A2	5113	"$2,684.96"	0.88%	$11.97
28890		Hi enrgy eswt plantar fascia	P3	5112	"$1,463.15"	0.99%	$1.79
29000		Application of body cast	G2	5102	$246.38	0.00%	$0.00
29010		Application of body cast	P2	5102	$246.38	0.00%	$0.00
29015		Application of body cast	P2	5102	$246.38	0.00%	$0.00
29035		Application of body cast	P2	5102	$246.38	0.00%	$0.00
29040		Application of body cast	G2	5102	$246.38	0.00%	$0.00
29044		Application of body cast	P2	5101	$144.29	0.00%	$0.00
29046		Application of body cast	G2	5102	$246.38	0.00%	$0.00
29049		Application of figure eight	P3	5102	$246.38	0.00%	$0.00
29055		Application of shoulder cast	P2	5102	$246.38	0.00%	$0.00
29058		Application of shoulder cast	P3	5102	$246.38	0.00%	$0.00
29065		Application of long arm cast	P3	5102	$246.38	0.00%	$0.00
29075		Application of forearm cast	P3	5102	$246.38	0.00%	$0.00
29085		Apply hand/wrist cast	P3	5101	$144.29	0.00%	$0.00
29086		Apply finger cast	P3	5101	$144.29	0.00%	$0.00
29105		Apply long arm splint	P3	5101	$144.29	0.00%	$0.00
29125		Apply forearm splint	N1			0.01%	
29126		Apply forearm splint	N1			0.00%	
29130		Application of finger splint	N1			0.00%	
29131		Application of finger splint	N1			0.00%	
29200		Strapping of chest	P3	5101	$144.29	0.00%	$0.00
29240		Strapping of shoulder	N1			0.00%	
29260		Strapping of elbow or wrist	N1			0.00%	
29280		Strapping of hand or finger	N1			0.00%	
29305		Application of hip cast	P2	5102	$246.38	0.00%	$0.00
29325		Application of hip casts	P2	5102	$246.38	0.00%	$0.00
29345		Application of long leg cast	P3	5102	$246.38	0.00%	$0.00
29355		Application of long leg cast	P3	5102	$246.38	0.00%	$0.00
29358		Apply long leg cast brace	P3	5102	$246.38	0.00%	$0.00
29365		Application of long leg cast	P3	5102	$246.38	0.00%	$0.00
29405		Apply short leg cast	P3	5102	$246.38	0.02%	$0.01
29425		Apply short leg cast	P3	5102	$246.38	0.00%	$0.00
29435		Apply short leg cast	P3	5102	$246.38	0.00%	$0.00
29440		Addition of walker to cast	P3	5101	$144.29	0.00%	$0.00
29445		Apply rigid leg cast	P3	5102	$246.38	0.02%	$0.01
29450		Application of leg cast	P3	5101	$144.29	0.00%	$0.00
29505		Application long leg splint	P3	5101	$144.29	0.00%	$0.00
29515		Application lower leg splint	P3	5101	$144.29	0.02%	$0.01
29520		Strapping of hip	N1			0.00%	
29530		Strapping of knee	N1			0.00%	
29540		Strapping of ankle and/or ft	P3	5101	$144.29	0.00%	$0.00
29550		Strapping of toes	N1			0.00%	
29580		Application of paste boot	P3	5101	$144.29	0.00%	$0.00
29581		Apply multlay comprs lwr leg	P3	5101	$144.29	0.00%	$0.00
29584		Appl multlay comprs arm/hand	P3	5101	$144.29	0.00%	$0.00
29700		Removal/revision of cast	P3	5102	$246.38	0.00%	$0.00
29705		Removal/revision of cast	P3	5102	$246.38	0.00%	$0.00
29710		Removal/revision of cast	P3	5102	$246.38	0.00%	$0.00
29720		Repair of body cast	P3	5101	$144.29	0.00%	$0.00
29730		Windowing of cast	P3	5101	$144.29	0.00%	$0.00
29740		Wedging of cast	P3	5102	$246.38	0.00%	$0.00
29750		Wedging of clubfoot cast	P3	5102	$246.38	0.00%	$0.00
29800		Jaw arthroscopy/surgery	A2	5113	"$2,684.96"	0.00%	$0.00
29804		Jaw arthroscopy/surgery	A2	5113	"$2,684.96"	0.29%	$3.95
29805		Sho arthrs dx +- synovial bx	A2	5113	"$2,684.96"	4.71%	$64.09
29806		Sho arthrs srg capsulorraphy	A2	5114	"$5,917.60"	26.20%	$785.70
29807		Sho arthrs srg rpr slap les	A2	5114	"$5,917.60"	21.39%	$641.45
29819		Sho arthrs srg rmvl loose/fb	A2	5113	"$2,684.96"	1.28%	$17.42
29820		Sho arthrs srg prtl synvct	A2	5114	"$5,917.60"	0.46%	$13.79
29821		Sho arthrs srg compl synvct	A2	5113	"$2,684.96"	0.36%	$4.90
29822		Sho arthrs srg lmtd dbrdmt	A2	5113	"$2,684.96"	1.93%	$26.26
29823		Sho arthrs srg xtnsv dbrdmt	A2	5113	"$2,684.96"	2.01%	$27.35
29824		Sho arthrs srg dstl claviclc	A2	5113	"$2,684.96"	2.20%	$29.93
29825		Sho arthrs srg lss&rescj ads	A2	5113	"$2,684.96"	0.56%	$7.62
29826		Sho arthrs srg decompression	N1			0.00%	
29827		Sho arthrs srg rt8tr cuf rpr	A2	5114	"$5,917.60"	26.11%	$783.00
29828		Sho arthrs srg bicp tenodsis	G2	5114	"$5,917.60"	12.20%	$365.86
29830		Elbow arthroscopy	A2	5113	"$2,684.96"	0.00%	$0.00
29834		Elbow arthroscopy/surgery	A2	5113	"$2,684.96"	0.00%	$0.00
29835		Elbow arthroscopy/surgery	A2	5113	"$2,684.96"	0.00%	$0.00
29836		Elbow arthroscopy/surgery	A2	5114	"$5,917.60"	0.00%	$0.00
29837		Elbow arthroscopy/surgery	A2	5113	"$2,684.96"	0.11%	$1.50
29838		Elbow arthroscopy/surgery	A2	5113	"$2,684.96"	0.04%	$0.54
29840		Wrist arthroscopy	A2	5113	"$2,684.96"	0.00%	$0.00
29843		Wrist arthroscopy/surgery	A2	5113	"$2,684.96"	0.00%	$0.00
29844		Wrist arthroscopy/surgery	A2	5113	"$2,684.96"	0.00%	$0.00
29845		Wrist arthroscopy/surgery	A2	5113	"$2,684.96"	0.09%	$1.22
29846		Wrist arthroscopy/surgery	A2	5113	"$2,684.96"	0.99%	$13.47
29847		Wrist arthroscopy/surgery	A2	5114	"$5,917.60"	4.35%	$130.45
29848		Wrist endoscopy/surgery	A2	5112	"$1,463.15"	0.30%	$2.22
29850		Knee arthroscopy/surgery	A2	5112	"$1,463.15"	0.00%	$0.00
29851		Knee arthroscopy/surgery	A2	5112	"$1,463.15"	3.03%	$22.47
29855		Tibial arthroscopy/surgery	J8	5114	"$5,917.60"	52.80%	"$3,124.49"
29856		Tibial arthroscopy/surgery	J8	5115	"$11,869.70"	39.11%	"$4,642.24"
29860		Hip arthroscopy dx	A2	5114	"$5,917.60"	1.28%	$38.39
29861		Hip arthro w/fb removal	A2	5114	"$5,917.60"	0.00%	$0.00
29862		Hip arthr0 w/debridement	A2	5114	"$5,917.60"	3.51%	$105.26
29863		Hip arthr0 w/synovectomy	A2	5113	"$2,684.96"	2.32%	$31.57
29866		Autgrft implnt knee w/scope	G2	5114	"$5,917.60"	18.15%	$544.29
29867		Allgrft implnt knee w/scope	J8	5115	"$11,869.70"	64.09%	"$7,607.29"
29870		Knee arthroscopy dx	A2	5113	"$2,684.96"	6.21%	$84.50
29871		Knee arthroscopy/drainage	A2	5113	"$2,684.96"	1.45%	$19.73
29873		Knee arthroscopy/surgery	A2	5113	"$2,684.96"	0.82%	$11.16
29874		Knee arthroscopy/surgery	A2	5113	"$2,684.96"	0.35%	$4.76
29875		Knee arthroscopy/surgery	A2	5113	"$2,684.96"	0.22%	$2.99
29876		Knee arthroscopy/surgery	A2	5113	"$2,684.96"	0.47%	$6.40
29877		Knee arthroscopy/surgery	A2	5113	"$2,684.96"	0.40%	$5.44
29879		Knee arthroscopy/surgery	A2	5113	"$2,684.96"	1.90%	$25.85
29880		Knee arthroscopy/surgery	A2	5113	"$2,684.96"	0.39%	$5.31
29881		Knee arthroscopy/surgery	A2	5113	"$2,684.96"	0.40%	$5.44
29882		Knee arthroscopy/surgery	A2	5113	"$2,684.96"	16.84%	$229.13
29883		Knee arthroscopy/surgery	A2	5113	"$2,684.96"	5.10%	$69.39
29884		Knee arthroscopy/surgery	A2	5113	"$2,684.96"	0.36%	$4.90
29885		Knee arthroscopy/surgery	J8	5114	"$5,917.60"	30.20%	"$1,787.12"
29886		Knee arthroscopy/surgery	A2	5113	"$2,684.96"	19.88%	$270.50
29887		Knee arthroscopy/surgery	A2	5114	"$5,917.60"	4.41%	$132.25
29888		Knee arthroscopy/surgery	J8	5114	"$5,917.60"	38.60%	"$2,284.19"
29889		Knee arthroscopy/surgery	J8	5115	"$11,869.70"	38.23%	"$4,537.79"
29891		Ankle arthroscopy/surgery	A2	5113	"$2,684.96"	8.34%	$113.48
29892		Ankle arthroscopy/surgery	A2	5114	"$5,917.60"	19.22%	$576.38
29893		Scope plantar fasciotomy	A2	5113	"$2,684.96"	2.45%	$33.34
29894		Ankle arthroscopy/surgery	A2	5113	"$2,684.96"	1.83%	$24.90
29895		Ankle arthroscopy/surgery	A2	5113	"$2,684.96"	1.32%	$17.96
29897		Ankle arthroscopy/surgery	A2	5113	"$2,684.96"	2.95%	$40.14
29898		Ankle arthroscopy/surgery	A2	5113	"$2,684.96"	2.86%	$38.91
29899		Ankle arthroscopy/surgery	J8	5114	"$5,917.60"	34.51%	"$2,042.16"
29900		Mcp joint arthroscopy dx	A2	5113	"$2,684.96"	0.00%	$0.00
29901		Mcp joint arthroscopy surg	A2	5113	"$2,684.96"	0.00%	$0.00
29902		Mcp joint arthroscopy surg	A2	5112	"$1,463.15"	0.00%	$0.00
29904		Subtalar arthro w/fb rmvl	G2	5113	"$2,684.96"	0.00%	$0.00
29905		Subtalar arthro w/exc	J8	5114	"$5,917.60"	32.82%	"$1,942.16"
29906		Subtalar arthro w/deb	G2	5113	"$2,684.96"	0.00%	$0.00
29907		Subtalar arthro w/fusion	J8	5115	"$11,869.70"	31.00%	"$3,679.61"
29914		Hip arthro w/femoroplasty	G2	5114	"$5,917.60"	5.27%	$158.04
29915		Hip arthro acetabuloplasty	G2	5114	"$5,917.60"	14.79%	$443.53
29916		Hip arthro w/labral repair	G2	5114	"$5,917.60"	20.78%	$623.16
30000		Drainage of nose lesion	P2	5161	$216.07	1.65%	$1.81
30020		Drainage of nose lesion	P3	5162	$461.90	0.00%	$0.00
30100		Intranasal biopsy	P3	5163	"$1,037.78"	0.21%	$0.23
30110		Removal of nose polyp(s)	P3	5163	"$1,037.78"	0.00%	$0.00
30115		Removal of nose polyp(s)	A2	5164	"$2,187.48"	0.25%	$2.77
30117		Removal of intranasal lesion	A2	5164	"$2,187.48"	1.05%	$11.64
30118		Removal of intranasal lesion	A2	5164	"$2,187.48"	2.44%	$27.05
30120		Revision of nose	A2	5164	"$2,187.48"	1.70%	$18.85
30124		Removal of nose lesion	R2	5163	"$1,037.78"	0.00%	$0.00
30125		Removal of nose lesion	A2	5165	"$4,821.45"	0.00%	$0.00
30130		Excise inferior turbinate	A2	5164	"$2,187.48"	0.59%	$6.54
30140		Resect inferior turbinate	A2	5164	"$2,187.48"	3.28%	$36.36
30150		Partial removal of nose	A2	5165	"$4,821.45"	0.16%	$3.91
30160		Removal of nose	A2	5165	"$4,821.45"	0.66%	$16.13
30200		Injection treatment of nose	P3	5162	$461.90	4.99%	$4.07
30210		Nasal sinus therapy	P3	5163	"$1,037.78"	0.00%	$0.00
30220		Insert nasal septal button	A2	5163	"$1,037.78"	3.92%	$20.62
30300		Remove nasal foreign body	N1			0.00%	
30310		Remove nasal foreign body	A2	5164	"$2,187.48"	0.00%	$0.00
30320		Remove nasal foreign body	A2	5163	"$1,037.78"	0.00%	$0.00
30400		Reconstruction of nose	A2	5165	"$4,821.45"	1.29%	$31.52
30410		Reconstruction of nose	A2	5165	"$4,821.45"	0.27%	$6.60
30420		Reconstruction of nose	A2	5165	"$4,821.45"	3.25%	$79.41
30430		Revision of nose	A2	5165	"$4,821.45"	9.51%	$232.36
30435		Revision of nose	A2	5165	"$4,821.45"	8.02%	$195.96
30450		Revision of nose	A2	5165	"$4,821.45"	5.77%	$140.98
30460		Revision of nose	A2	5165	"$4,821.45"	0.00%	$0.00
30462		Revision of nose	A2	5165	"$4,821.45"	0.00%	$0.00
30465		Repair nasal stenosis	A2	5165	"$4,821.45"	26.02%	$635.76
30468		Rpr nsl vlv collapse w/implt	J8	5165	"$4,821.45"	46.71%	"$2,252.10"
30520		Repair of nasal septum	A2	5164	"$2,187.48"	1.60%	$17.74
30540		Repair nasal defect	A2	5165	"$4,821.45"	0.00%	$0.00
30545		Repair nasal defect	A2	5165	"$4,821.45"	0.00%	$0.00
30560		Release of nasal adhesions	A2	5162	$461.90	2.34%	$5.48
30580		Repair upper jaw fistula	A2	5165	"$4,821.45"	2.78%	$67.93
30600		Repair mouth/nose fistula	A2	5165	"$4,821.45"	3.86%	$94.31
30620		Intranasal reconstruction	A2	5165	"$4,821.45"	0.00%	$0.00
30630		Repair nasal septum defect	A2	5164	"$2,187.48"	11.31%	$125.38
30801		Ablate inf turbinate superf	A2	5163	"$1,037.78"	0.00%	$0.00
30802		Ablate inf turbinate submuc	A2	5163	"$1,037.78"	0.73%	$3.84
30901		Control of nosebleed	N1			0.01%	
30903		Control of nosebleed	A2	5734	$115.16	0.00%	$0.00
30905		Control of nosebleed	A2	5734	$115.16	0.01%	$0.01
30906		Repeat control of nosebleed	A2	5161	$216.07	0.06%	$0.07
30915		Ligation nasal sinus artery	A2	5183	"$2,758.87"	0.00%	$0.00
30920		Ligation upper jaw artery	A2	5183	"$2,758.87"	0.28%	$3.91
30930		Ther fx nasal inf turbinate	A2	5164	"$2,187.48"	0.59%	$6.54
31000		Irrigation maxillary sinus	P2	5161	$216.07	0.00%	$0.00
31002		Irrigation sphenoid sinus	J8	5163	"$1,037.78"	42.03%	$436.18
31020		Exploration maxillary sinus	A2	5164	"$2,187.48"	6.48%	$71.83
31030		Exploration maxillary sinus	A2	5165	"$4,821.45"	5.06%	$123.63
31032		Explore sinus remove polyps	A2	5165	"$4,821.45"	0.51%	$12.46
31040		Exploration behind upper jaw	R2	5165	"$4,821.45"	0.00%	$0.00
31050		Exploration sphenoid sinus	A2	5165	"$4,821.45"	0.00%	$0.00
31051		Sphenoid sinus surgery	A2	5165	"$4,821.45"	0.00%	$0.00
31070		Exploration of frontal sinus	A2	5165	"$4,821.45"	4.80%	$117.28
31075		Exploration of frontal sinus	A2	5165	"$4,821.45"	0.30%	$7.33
31080		Removal of frontal sinus	A2	5165	"$4,821.45"	0.00%	$0.00
31081		Removal of frontal sinus	A2	5165	"$4,821.45"	9.45%	$230.90
31084		Removal of frontal sinus	A2	5165	"$4,821.45"	28.60%	$698.80
31085		Removal of frontal sinus	J8	5165	"$4,821.45"	42.72%	"$2,059.72"
31086		Removal of frontal sinus	A2	5165	"$4,821.45"	24.89%	$608.15
31087		Removal of frontal sinus	A2	5165	"$4,821.45"	0.00%	$0.00
31090		Exploration of sinuses	A2	5165	"$4,821.45"	6.63%	$161.99
31200		Removal of ethmoid sinus	A2	5165	"$4,821.45"	0.00%	$0.00
31201		Removal of ethmoid sinus	A2	5163	"$1,037.78"	0.00%	$0.00
31205		Removal of ethmoid sinus	A2	5164	"$2,187.48"	0.00%	$0.00
31231		Nasal endoscopy dx	P2	5151	$168.12	0.00%	$0.00
31233		Nsl/sins ndsc dx max sinusc	A2	5152	$383.88	0.16%	$0.31
31235		Nsl/sins ndsc dx sphn sinusc	A2	5153	"$1,297.04"	0.00%	$0.00
31237		Nasal/sinus endoscopy surg	A2	5153	"$1,297.04"	0.22%	$1.45
31238		Nasal/sinus endoscopy surg	A2	5153	"$1,297.04"	0.36%	$2.37
31239		Nasal/sinus endoscopy surg	A2	5154	"$2,620.74"	4.17%	$55.38
31240		Nasal/sinus endoscopy surg	A2	5153	"$1,297.04"	6.01%	$39.50
31253		Nsl/sins ndsc total	G2	5155	"$4,021.82"	13.76%	$280.45
31254		Nsl/sins ndsc w/prtl ethmdct	A2	5155	"$4,021.82"	6.02%	$122.70
31255		Nsl/sins ndsc w/tot ethmdct	A2	5155	"$4,021.82"	1.64%	$33.43
31256		Exploration maxillary sinus	A2	5154	"$2,620.74"	3.98%	$52.86
31257		Nsl/sins ndsc tot w/sphendt	G2	5155	"$4,021.82"	10.37%	$211.35
31259		Nsl/sins ndsc sphn tiss rmvl	G2	5155	"$4,021.82"	6.32%	$128.81
31267		Endoscopy maxillary sinus	A2	5155	"$4,021.82"	4.34%	$88.45
31276		Nsl/sins ndsc frnt tiss rmvl	A2	5155	"$4,021.82"	11.47%	$233.77
31287		Nasal/sinus endoscopy surg	A2	5155	"$4,021.82"	2.33%	$47.49
31288		Nasal/sinus endoscopy surg	A2	5155	"$4,021.82"	7.13%	$145.32
31295		Nsl/sins ndsc surg max sins	P3	5155	"$4,021.82"	21.95%	$359.60
31296		Nsl/sins ndsc surg frnt sins	P3	5155	"$4,021.82"	23.31%	$384.23
31297		Nsl/sins ndsc surg sphn sins	P3	5155	"$4,021.82"	24.97%	$407.98
31298		Nsl/sins ndsc surg frnt&sphn	P2	5155	"$4,021.82"	0.00%	$0.00
31300		Removal of larynx lesion	A2	5164	"$2,187.48"	0.02%	$0.22
31400		Revision of larynx	A2	5165	"$4,821.45"	10.27%	$250.93
31420		Removal of epiglottis	A2	5165	"$4,821.45"	0.00%	$0.00
31500		Insert emergency airway	G2	5161	$216.07	0.09%	$0.10
31502		Change of windpipe airway	G2	5161	$216.07	0.48%	$0.53
31505		Diagnostic laryngoscopy	P3	5151	$168.12	0.00%	$0.00
31510		Laryngoscopy with biopsy	A2	5154	"$2,620.74"	0.00%	$0.00
31511		Remove foreign body larynx	A2	5151	$168.12	0.00%	$0.00
31512		Removal of larynx lesion	A2	5154	"$2,620.74"	0.14%	$1.86
31513		Injection into vocal cord	A2	5152	$383.88	14.98%	$29.14
31515		Laryngoscopy for aspiration	A2	5152	$383.88	0.00%	$0.00
31520		Dx laryngoscopy newborn	G2	5152	$383.88	0.00%	$0.00
31525		Dx laryngoscopy excl nb	A2	5153	"$1,297.04"	0.70%	$4.60
31526		Dx laryngoscopy w/oper scope	A2	5153	"$1,297.04"	0.91%	$5.98
31527		Laryngoscopy for treatment	A2	5154	"$2,620.74"	5.81%	$77.16
31528		Laryngoscopy and dilation	A2	5154	"$2,620.74"	12.80%	$170.00
31529		Laryngoscopy and dilation	A2	5154	"$2,620.74"	12.57%	$166.94
31530		Laryngoscopy w/fb removal	A2	5153	"$1,297.04"	0.00%	$0.00
31531		Laryngoscopy w/fb & op scope	A2	5154	"$2,620.74"	3.91%	$51.93
31535		Laryngoscopy w/biopsy	A2	5154	"$2,620.74"	0.05%	$0.66
31536		Laryngoscopy w/bx & op scope	A2	5154	"$2,620.74"	0.19%	$2.52
31540		Laryngoscopy w/exc of tumor	A2	5154	"$2,620.74"	0.31%	$4.12
31541		Larynscop w/tumr exc + scope	A2	5154	"$2,620.74"	0.49%	$6.51
31545		Remove vc lesion w/scope	A2	5154	"$2,620.74"	0.73%	$9.70
31546		Remove vc lesion scope/graft	A2	5155	"$4,021.82"	0.00%	$0.00
31551		Laryngoplasty laryngeal sten	G2	5165	"$4,821.45"	0.00%	$0.00
31552		Laryngoplasty laryngeal sten	G2	5165	"$4,821.45"	17.57%	$429.30
31553		Laryngoplasty laryngeal sten	G2	5165	"$4,821.45"	0.00%	$0.00
31554		Laryngoplasty laryngeal sten	G2	5165	"$4,821.45"	6.77%	$165.42
31560		Laryngoscop w/arytenoidectom	A2	5155	"$4,021.82"	5.32%	$108.43
31561		Larynscop remve cart + scop	A2	5155	"$4,021.82"	3.54%	$72.15
31570		Laryngoscope w/vc inj	A2	5154	"$2,620.74"	22.27%	$295.77
31571		Laryngoscop w/vc inj + scope	A2	5154	"$2,620.74"	21.41%	$284.35
31572		Largsc w/laser dstrj les	G2	5154	"$2,620.74"	0.21%	$2.79
31573		Largsc w/ther injection	P3	5153	"$1,297.04"	5.38%	$10.50
31574		Largsc w/njx augmentation	G2	5153	"$1,297.04"	15.62%	$102.67
31575		Diagnostic laryngoscopy	P2	5151	$168.12	0.01%	$0.01
31576		Laryngoscopy with biopsy	A2	5153	"$1,297.04"	0.00%	$0.00
31577		Largsc w/rmvl foreign bdy(s)	A2	5152	$383.88	0.00%	$0.00
31578		Largsc w/removal lesion	A2	5154	"$2,620.74"	0.00%	$0.00
31579		Laryngoscopy telescopic	P3	5152	$383.88	0.01%	$0.01
31580		Laryngoplasty laryngeal web	A2	5165	"$4,821.45"	9.88%	$241.40
31590		Reinnervate larynx	A2	5165	"$4,821.45"	10.18%	$248.73
31591		Laryngoplasty medialization	G2	5165	"$4,821.45"	11.56%	$282.45
31592		Cricotracheal resection	G2	5165	"$4,821.45"	0.00%	$0.00
31603		Incision of windpipe	A2	5163	"$1,037.78"	0.00%	$0.00
31605		Incision of windpipe	G2	5161	$216.07	0.00%	$0.00
31611		Surgery/speech prosthesis	A2	5164	"$2,187.48"	5.15%	$57.09
31612		Puncture/clear windpipe	A2	5164	"$2,187.48"	18.60%	$206.19
31613		Repair windpipe opening	A2	5164	"$2,187.48"	4.67%	$51.77
31614		Repair windpipe opening	A2	5165	"$4,821.45"	0.25%	$6.11
31615		Visualization of windpipe	A2	5162	$461.90	0.08%	$0.19
31622		Dx bronchoscope/wash	A2	5153	"$1,297.04"	0.25%	$1.64
31623		Dx bronchoscope/brush	A2	5153	"$1,297.04"	0.21%	$1.38
31624		Dx bronchoscope/lavage	A2	5153	"$1,297.04"	0.10%	$0.66
31625		Bronchoscopy w/biopsy(s)	A2	5153	"$1,297.04"	0.14%	$0.92
31626		Bronchoscopy w/markers	G2	5155	"$4,021.82"	17.22%	$350.97
31627		Navigational bronchoscopy	N1			0.00%	
31628		Bronchoscopy/lung bx each	A2	5154	"$2,620.74"	0.64%	$8.50
31629		Bronchoscopy/needle bx each	A2	5154	"$2,620.74"	0.26%	$3.45
31630		Bronchoscopy dilate/fx repr	A2	5154	"$2,620.74"	12.23%	$162.43
31631		Bronchoscopy dilate w/stent	A2	5155	"$4,021.82"	21.66%	$441.46
31632		Bronchoscopy/lung bx addl	N1			0.00%	
31633		Bronchoscopy/needle bx addl	N1			0.00%	
31634		Bronch w/balloon occlusion	G2	5155	"$4,021.82"	8.43%	$171.81
31635		Bronchoscopy w/fb removal	A2	5153	"$1,297.04"	1.48%	$9.73
31636		Bronchoscopy bronch stents	J8	5155	"$4,021.82"	52.39%	"$2,107.03"
31637		Bronchoscopy stent add-on	N1			0.00%	
31638		Bronchoscopy revise stent	A2	5155	"$4,021.82"	6.68%	$136.15
31640		Bronchoscopy w/tumor excise	A2	5154	"$2,620.74"	2.29%	$30.41
31641		Bronchoscopy treat blockage	A2	5154	"$2,620.74"	3.99%	$52.99
31643		Diag bronchoscope/catheter	A2	5153	"$1,297.04"	2.82%	$18.54
31645		Brnchsc w/ther aspir 1st	A2	5153	"$1,297.04"	0.19%	$1.25
31646		Brnchsc w/ther aspir sbsq	A2	5152	$383.88	0.00%	$0.00
31647		Bronchial valve init insert	J8	5155	"$4,021.82"	41.94%	"$1,686.75"
31648		Bronchial valve remov init	G2	5154	"$2,620.74"	1.03%	$13.68
31649		Bronchial valve remov addl	G2	5153	"$1,297.04"	0.00%	$0.00
31651		Bronchial valve addl insert	N1			0.00%	
31652		Bronch ebus samplng 1/2 node	G2	5154	"$2,620.74"	0.45%	$5.98
31653		Bronch ebus samplng 3/> node	G2	5154	"$2,620.74"	0.42%	$5.58
31654		Bronch ebus ivntj perph les	N1			0.00%	
31717		Bronchial brush biopsy	A2	5152	$383.88	0.00%	$0.00
31720		Clearance of airways	N1			0.46%	
31730		Intro windpipe wire/tube	A2	5153	"$1,297.04"	15.07%	$99.06
31750		Repair of windpipe	A2	5165	"$4,821.45"	12.54%	$306.40
31755		Repair of windpipe	A2	5165	"$4,821.45"	0.00%	$0.00
31820		Closure of windpipe lesion	A2	5164	"$2,187.48"	0.01%	$0.11
31825		Repair of windpipe defect	A2	5164	"$2,187.48"	0.45%	$4.99
31830		Revise windpipe scar	A2	5164	"$2,187.48"	0.20%	$2.22
32400		Needle biopsy chest lining	A2	5072	"$1,200.16"	1.83%	$11.13
32408		Core ndl bx lng/med perq	G2	5072	"$1,200.16"	0.00%	$0.00
32550		Insert pleural cath	J8	5341	"$2,841.05"	35.67%	"$1,013.40"
32552		Remove lung catheter	G2	5181	$552.04	1.62%	$4.53
32553		Ins mark thor for rt perq	G2	5613	"$1,289.67"	15.47%	$101.11
32554		Aspirate pleura w/o imaging	G2	5181	$552.04	2.42%	$6.77
32555		Aspirate pleura w/ imaging	G2	5181	$552.04	3.78%	$10.57
32556		Insert cath pleura w/o image	G2	5302	"$1,393.88"	17.42%	$123.05
32557		Insert cath pleura w/ image	G2	5182	"$1,101.03"	24.53%	$136.87
32960		Therapeutic pneumothorax	G2	5181	$552.04	0.00%	$0.00
32994		Ablate pulm tumor perq crybl	J8	5361	"$4,660.15"	47.22%	"$2,200.52"
32998		Ablate pulm tumor perq rf	G2	5361	"$4,660.15"	12.08%	$285.28
33016		Pericardiocentesis w/imaging	G2	5182	"$1,101.03"	0.00%	$0.00
33206		Insert heart pm atrial	J8	5223	"$9,703.78"	60.12%	"$5,833.91"
33207		Insert heart pm ventricular	J8	5223	"$9,703.78"	62.41%	"$6,056.13"
33208		Insrt heart pm atrial & vent	J8	5223	"$9,703.78"	65.74%	"$6,379.26"
33210		Insert electrd/pm cath sngl	G2	5222	"$8,192.52"	16.60%	$689.18
33211		Insert card electrodes dual	J8	5222	"$8,192.52"	55.45%	"$4,542.75"
33212		Insert pulse gen sngl lead	J8	5222	"$8,192.52"	67.40%	"$5,521.76"
33213		Insert pulse gen dual leads	J8	5223	"$9,703.78"	65.39%	"$6,345.30"
33214		Upgrade of pacemaker system	J8	5223	"$9,703.78"	63.02%	"$6,115.32"
33215		Reposition pacing-defib lead	G2	5183	"$2,758.87"	12.11%	$169.31
33216		Insert 1 electrode pm-defib	J8	5222	"$8,192.52"	37.66%	"$3,085.30"
33217		Insert 2 electrode pm-defib	J8	5222	"$8,192.52"	78.09%	"$6,397.54"
33218		Repair lead pace-defib one	G2	5221	"$3,516.82"	27.45%	$489.22
33220		Repair lead pace-defib dual	J8	5221	"$3,516.82"	34.52%	"$1,214.01"
33221		Insert pulse gen mult leads	J8	5224	"$14,608.77"	68.46%	"$10,001.16"
33222		Relocation pocket pacemaker	A2	5054	"$1,749.26"	15.04%	$133.33
33223		Relocate pocket for defib	A2	5054	"$1,749.26"	14.78%	$131.02
33224		Insert pacing lead & connect	J8	5223	"$9,703.78"	60.56%	"$5,876.61"
33225		L ventric pacing lead add-on	N1			0.00%	
33226		Reposition l ventric lead	G2	5183	"$2,758.87"	24.86%	$347.57
33227		Remove&replace pm gen singl	J8	5222	"$8,192.52"	59.95%	"$4,911.42"
33228		Remv&replc pm gen dual lead	J8	5223	"$9,703.78"	61.53%	"$5,970.74"
33229		Remv&replc pm gen mult leads	J8	5224	"$14,608.77"	67.76%	"$9,898.90"
33230		Insrt pulse gen w/dual leads	J8	5231	"$23,334.26"	81.82%	"$19,092.09"
33231		Insrt pulse gen w/mult leads	J8	5232	"$30,796.79"	77.19%	"$23,772.04"
33233		Removal of pm generator	J8	5222	"$8,192.52"	42.76%	"$3,503.12"
33234		Removal of pacemaker system	J8	5221	"$3,516.82"	34.68%	"$1,219.63"
33235		Removal pacemaker electrode	J8	5221	"$3,516.82"	32.07%	"$1,127.84"
33240		Insrt pulse gen w/singl lead	J8	5231	"$23,334.26"	78.14%	"$18,233.39"
33241		Remove pulse generator	G2	5221	"$3,516.82"	21.36%	$380.68
33249		Insj/rplcmt defib w/lead(s)	J8	5232	"$30,796.79"	77.09%	"$23,741.25"
33262		Rmvl& replc pulse gen 1 lead	J8	5231	"$23,334.26"	72.97%	"$17,027.01"
33263		Rmvl & rplcmt dfb gen 2 lead	J8	5231	"$23,334.26"	74.69%	"$17,428.36"
33264		Rmvl & rplcmt dfb gen mlt ld	J8	5232	"$30,796.79"	76.38%	"$23,522.59"
33270		Ins/rep subq defibrillator	J8	5232	"$30,796.79"	77.84%	"$23,972.22"
33271		Insj subq impltbl dfb elctrd	J8	5222	"$8,192.52"	85.19%	"$6,979.21"
33273		Repos prev impltbl subq dfb	G2	5221	"$3,516.82"	15.92%	$283.73
33274		Tcat insj/rpl perm ldls pm	J8	5194	"$14,263.19"	68.15%	"$9,720.36"
33275		Tcat rmvl perm ldls pm w/img	J8	5183	"$2,758.87"	78.81%	"$2,174.27"
33285		Insj subq car rhythm mntr	J8	5222	"$8,192.52"	75.45%	"$6,181.26"
33286		Rmvl subq car rhythm mntr	G2	5071	$635.54	1.62%	$5.22
33419		Repair tcat mitral valve	N1			0.00%	
33508		Endoscopic vein harvest	N1			0.00%	
33866		Aortic hemiarch graft	N1			0.00%	
34490		Removal of vein clot	G2	5183	"$2,758.87"	3.17%	$44.32
34713		Perq access & clsr fem art	N1			0.00%	
34714		Opn fem art expos cndt crtj	N1			0.00%	
34715		Opn ax/subcla art expos	N1			0.00%	
34716		Opn ax/subcla art expos cndt	N1			0.00%	
35188		Repair blood vessel lesion	A2	5184	"$4,784.26"	0.00%	$0.00
35207		Repair blood vessel lesion	A2	5183	"$2,758.87"	5.01%	$70.05
35572		Harvest femoropopliteal vein	N1			0.00%	
35875		Removal of clot in graft	A2	5184	"$4,784.26"	15.22%	$369.01
35876		Removal of clot in graft	A2	5184	"$4,784.26"	13.21%	$320.28
36000		Place needle in vein	N1			0.00%	
36002		Pseudoaneurysm injection trt	G2	5181	$552.04	1.80%	$5.04
36005		Injection ext venography	N1			0.00%	
36010		Place catheter in vein	N1			0.00%	
36011		Place catheter in vein	N1			0.00%	
36012		Place catheter in vein	N1			0.00%	
36013		Place catheter in artery	N1			0.00%	
36014		Place catheter in artery	N1			0.00%	
36015		Place catheter in artery	N1			0.00%	
36100		Establish access to artery	N1			0.00%	
36140		Intro ndl icath upr/lxtr art	N1			0.00%	
36160		Establish access to aorta	N1			0.00%	
36200		Place catheter in aorta	N1			0.00%	
36215		Place catheter in artery	N1			0.00%	
36216		Place catheter in artery	N1			0.00%	
36217		Place catheter in artery	N1			0.00%	
36218		Place catheter in artery	N1			0.00%	
36221		Place cath thoracic aorta	N1			19.18%	
36222		Place cath carotid/inom art	N1			17.83%	
36223		Place cath carotid/inom art	N1			12.09%	
36224		Place cath carotd art	N1			9.97%	
36225		Place cath subclavian art	N1			25.25%	
36226		Place cath vertebral art	N1			14.51%	
36227		Place cath xtrnl carotid	N1			0.00%	
36228		Place cath intracranial art	N1			0.00%	
36245		Ins cath abd/l-ext art 1st	N1			0.00%	
36246		Ins cath abd/l-ext art 2nd	N1			0.00%	
36247		Ins cath abd/l-ext art 3rd	N1			0.00%	
36248		Ins cath abd/l-ext art addl	N1			0.00%	
36251		Ins cath ren art 1st unilat	N1			28.25%	
36252		Ins cath ren art 1st bilat	N1			22.41%	
36253		Ins cath ren art 2nd+ unilat	N1			33.77%	
36254		Ins cath ren art 2nd+ bilat	N1			19.35%	
36260		Insertion of infusion pump	A2	5184	"$4,784.26"	0.00%	$0.00
36261		Revision of infusion pump	J8	5221	"$3,516.82"	51.85%	"$1,823.47"
36262		Removal of infusion pump	G2	5221	"$3,516.82"	0.44%	$7.84
36400		Bl draw < 3 yrs fem/jugular	N1			0.00%	
36405		Bl draw <3 yrs scalp vein	N1			0.00%	
36406		Bl draw <3 yrs other vein	N1			0.00%	
36410		Non-routine bl draw 3/> yrs	N1			0.00%	
36416		Capillary blood draw	N1			0.00%	
36420		Vein access cutdown < 1 yr	N1			0.00%	
36425		Vein access cutdown > 1 yr	N1			0.00%	
36430		Blood transfusion service	P3	5241	$405.37	0.03%	$0.01
36440		Bl push transfuse 2 yr/<	R2	5241	$405.37	0.00%	$0.00
36450		Bl exchange/transfuse nb	R2	5241	$405.37	0.00%	$0.00
36455		Bl exchange/transfuse non-nb	G2	5241	$405.37	0.00%	$0.00
36465		Njx noncmpnd sclrsnt 1 vein	P2	5054	"$1,749.26"	3.41%	$30.23
36466		Njx noncmpnd sclrsnt mlt vn	P2	5054	"$1,749.26"	0.87%	$7.71
36468		Njx sclrsnt spider veins	N1			5.91%	
36470		Njx sclrsnt 1 incmptnt vein	P3	5052	$353.00	2.61%	$2.24
36471		Njx sclrsnt mlt incmptnt vn	P3	5052	$353.00	0.64%	$0.90
36473		Endovenous mchnchem 1st vein	P3	5183	"$2,758.87"	9.30%	$105.55
36474		Endovenous mchnchem add-on	N1			0.00%	
36475		Endovenous rf 1st vein	A2	5183	"$2,758.87"	22.57%	$315.55
36476		Endovenous rf vein add-on	N1			0.00%	
36478		Endovenous laser 1st vein	A2	5183	"$2,758.87"	7.38%	$103.18
36479		Endovenous laser vein addon	N1			0.00%	
36481		Insertion of catheter vein	N1			0.00%	
36482		Endoven ther chem adhes 1st	P3	5184	"$4,784.26"	13.08%	$209.27
36483		Endoven ther chem adhes sbsq	N1			0.00%	
36500		Insertion of catheter vein	N1			0.00%	
36510		Insertion of catheter vein	N1			0.00%	
36511		Apheresis wbc	G2	5242	"$1,393.02"	0.00%	$0.00
36512		Apheresis rbc	G2	5242	"$1,393.02"	0.04%	$0.28
36513		Apheresis platelets	R2	5241	$405.37	0.00%	$0.00
36514		Apheresis plasma	G2	5242	"$1,393.02"	0.02%	$0.14
36516		Apheresis immunoads slctv	P3	5243	"$4,130.46"	0.07%	$1.24
36522		Photopheresis	G2	5243	"$4,130.46"	0.00%	$0.00
36555		Insert non-tunnel cv cath	A2	5183	"$2,758.87"	4.24%	$59.28
36556		Insert non-tunnel cv cath	A2	5183	"$2,758.87"	15.37%	$214.89
36557		Insert tunneled cv cath	J8	5184	"$4,784.26"	31.25%	"$1,495.08"
36558		Insert tunneled cv cath	A2	5183	"$2,758.87"	27.97%	$391.05
36560		Insert tunneled cv cath	G2	5183	"$2,758.87"	25.63%	$358.34
36561		Insert tunneled cv cath	A2	5183	"$2,758.87"	24.55%	$343.24
36563		Insert tunneled cv cath	J8	5184	"$4,784.26"	79.86%	"$3,820.71"
36565		Insert tunneled cv cath	A2	5183	"$2,758.87"	29.70%	$415.24
36566		Insert tunneled cv cath	A2	5184	"$4,784.26"	0.00%	$0.00
36568		Insj picc <5 yr w/o imaging	A2	5182	"$1,101.03"	18.20%	$101.55
36569		Insj picc 5 yr+ w/o imaging	A2	5182	"$1,101.03"	22.50%	$125.54
36570		Insert picvad cath	A2	5183	"$2,758.87"	11.79%	$164.84
36571		Insert picvad cath	A2	5183	"$2,758.87"	22.93%	$320.59
36572		Insj picc rs&i <5 yr	G2	5181	$552.04	24.56%	$68.71
36573		Insj picc rs&i 5 yr+	G2	5182	"$1,101.03"	23.45%	$130.84
36575		Repair tunneled cv cath	A2	5181	$552.04	7.63%	$21.35
36576		Repair tunneled cv cath	A2	5182	"$1,101.03"	4.35%	$24.27
36578		Replace tunneled cv cath	J8	5183	"$2,758.87"	35.16%	$970.02
36580		Replace cvad cath	J8	5182	"$1,101.03"	36.67%	$403.75
36581		Replace tunneled cv cath	J8	5183	"$2,758.87"	33.02%	$910.98
36582		Replace tunneled cv cath	A2	5183	"$2,758.87"	27.66%	$386.72
36583		Replace tunneled cv cath	J8	5184	"$4,784.26"	74.14%	"$3,547.05"
36584		Compl rplcmt picc rs&i	A2	5182	"$1,101.03"	26.65%	$148.70
36585		Replace picvad cath	A2	5183	"$2,758.87"	22.90%	$320.17
36589		Removal tunneled cv cath	A2	5181	$552.04	0.41%	$1.15
36590		Removal tunneled cv cath	A2	5182	"$1,101.03"	0.52%	$2.90
36591		Draw blood off venous device	N1			0.04%	
36592		Collect blood from picc	N1			0.16%	
36593		Declot vascular device	P3	5694	$325.64	0.14%	$0.04
36595		Mech remov tunneled cv cath	J8	5183	"$2,758.87"	30.69%	$846.70
36596		Mech remov tunneled cv cath	G2	5182	"$1,101.03"	19.11%	$106.63
36597		Reposition venous catheter	G2	5182	"$1,101.03"	13.39%	$74.71
36598		Inj w/fluor eval cv device	P3	5693	$208.93	0.91%	$0.88
36600		Withdrawal of arterial blood	N1			0.32%	
36620		Insertion catheter artery	N1			0.00%	
36625		Insertion catheter artery	N1			0.00%	
36640		Insertion catheter artery	A2	5183	"$2,758.87"	0.00%	$0.00
36680		Insert needle bone cavity	N1			0.00%	
36800		Insertion of cannula	G2	5184	"$4,784.26"	10.32%	$250.21
36810		Insertion of cannula	A2	5183	"$2,758.87"	19.09%	$266.90
36815		Insertion of cannula	A2	5184	"$4,784.26"	23.58%	$571.70
36818		Av fuse uppr arm cephalic	A2	5184	"$4,784.26"	1.28%	$31.03
36819		Av fuse uppr arm basilic	A2	5184	"$4,784.26"	1.95%	$47.28
36820		Av fusion/forearm vein	A2	5184	"$4,784.26"	3.46%	$83.89
36821		Av fusion direct any site	A2	5183	"$2,758.87"	2.08%	$29.08
36825		Artery-vein autograft	A2	5184	"$4,784.26"	15.54%	$376.77
36830		Artery-vein nonautograft	A2	5184	"$4,784.26"	26.59%	$644.68
36831		Open thrombect av fistula	A2	5184	"$4,784.26"	21.10%	$511.57
36832		Av fistula revision open	A2	5184	"$4,784.26"	9.25%	$224.27
36833		Av fistula revision	A2	5184	"$4,784.26"	22.61%	$548.18
36835		Artery to vein shunt	J8	5183	"$2,758.87"	50.14%	"$1,383.30"
36860		External cannula declotting	A2	5182	"$1,101.03"	20.48%	$114.27
36861		Cannula declotting	J8	5184	"$4,784.26"	41.62%	"$1,991.21"
36901		Intro cath dialysis circuit	P2	5182	"$1,101.03"	21.10%	$117.73
36902		Intro cath dialysis circuit	G2	5192	"$4,354.32"	25.94%	$572.40
36903		Intro cath dialysis circuit	J8	5193	"$8,614.40"	52.31%	"$4,506.19"
36904		Thrmbc/nfs dialysis circuit	J8	5192	"$4,354.32"	34.79%	"$1,514.87"
36905		Thrmbc/nfs dialysis circuit	J8	5193	"$8,614.40"	30.69%	"$2,643.76"
36906		Thrmbc/nfs dialysis circuit	J8	5194	"$14,263.19"	52.20%	"$7,445.39"
36907		Balo angiop ctr dialysis seg	N1			0.00%	
36908		Stent plmt ctr dialysis seg	N1			0.00%	
36909		Dialysis circuit embolj	N1			0.00%	
37184		Prim art m-thrmbc 1st vsl	J8	5193	"$8,614.40"	57.00%	"$4,910.21"
37185		Prim art m-thrmbc sbsq vsl	N1			0.00%	
37186		Sec art thrombectomy add-on	N1			0.00%	
37187		Venous mech thrombectomy	J8	5193	"$8,614.40"	54.62%	"$4,705.19"
37188		Ven mechnl thrmbc repeat tx	J8	5183	"$2,758.87"	39.17%	"$1,080.65"
37197		Remove intrvas foreign body	G2	5183	"$2,758.87"	25.66%	$358.76
37200		Transcatheter biopsy	G2	5184	"$4,784.26"	15.68%	$380.16
37211		Thrombolytic art therapy	J8	5184	"$4,784.26"	31.41%	"$1,502.74"
37212		Thrombolytic venous therapy	J8	5183	"$2,758.87"	36.80%	"$1,015.26"
37220		Iliac revasc	J8	5192	"$4,354.32"	33.30%	"$1,449.99"
37221		Iliac revasc w/stent	J8	5193	"$8,614.40"	47.23%	"$4,068.58"
37222		Iliac revasc add-on	N1			0.00%	
37223		Iliac revasc w/stent add-on	N1			0.00%	
37224		Fem/popl revas w/tla	J8	5192	"$4,354.32"	43.53%	"$1,895.44"
37225		Fem/popl revas w/ather	J8	5193	"$8,614.40"	59.68%	"$5,141.07"
37226		Fem/popl revasc w/stent	J8	5193	"$8,614.40"	54.31%	"$4,678.48"
37227		Fem/popl revasc stnt & ather	J8	5194	"$14,263.19"	61.21%	"$8,730.50"
37228		Tib/per revasc w/tla	J8	5193	"$8,614.40"	37.04%	"$3,190.77"
37229		Tib/per revasc w/ather	J8	5194	"$14,263.19"	50.40%	"$7,188.65"
37230		Tib/per revasc w/stent	J8	5194	"$14,263.19"	48.25%	"$6,881.99"
37231		Tib/per revasc stent & ather	J8	5194	"$14,263.19"	50.94%	"$7,265.67"
37232		Tib/per revasc add-on	N1			0.00%	
37233		Tibper revasc w/ather add-on	N1			0.00%	
37234		Revsc opn/prq tib/pero stent	N1			0.00%	
37235		Tib/per revasc stnt & ather	N1			0.00%	
37236		Open/perq place stent 1st	J8	5193	"$8,614.40"	44.50%	"$3,833.41"
37237		Open/perq place stent ea add	N1			0.00%	
37238		Open/perq place stent same	J8	5193	"$8,614.40"	47.74%	"$4,112.51"
37239		Open/perq place stent ea add	N1			0.00%	
37241		Vasc embolize/occlude venous	J8	5193	"$8,614.40"	31.00%	"$2,670.46"
37242		Vasc embolize/occlude artery	J8	5193	"$8,614.40"	50.12%	"$4,317.54"
37243		Vasc embolize/occlude organ	G2	5193	"$8,614.40"	26.12%	"$1,140.27"
37246		Trluml balo angiop 1st art	J8	5192	"$4,354.32"	31.15%	"$1,356.37"
37247		Trluml balo angiop addl art	N1			0.00%	
37248		Trluml balo angiop 1st vein	G2	5192	"$4,354.32"	29.10%	$642.13
37249		Trluml balo angiop addl vein	N1			0.00%	
37252		Intrvasc us noncoronary 1st	N1			0.00%	
37253		Intrvasc us noncoronary addl	N1			0.00%	
37500		Endoscopy ligate perf veins	A2	5184	"$4,784.26"	0.00%	$0.00
37607		Ligation of a-v fistula	A2	5183	"$2,758.87"	1.90%	$26.56
37609		Temporal artery procedure	A2	5072	"$1,200.16"	0.16%	$0.97
37650		Revision of major vein	A2	5183	"$2,758.87"	0.00%	$0.00
37700		Revise leg vein	A2	5183	"$2,758.87"	2.58%	$36.07
37718		Ligate/strip short leg vein	A2	5183	"$2,758.87"	0.09%	$1.26
37722		Ligate/strip long leg vein	A2	5183	"$2,758.87"	2.09%	$29.22
37735		Removal of leg veins/lesion	A2	5183	"$2,758.87"	0.05%	$0.70
37760		Ligate leg veins radical	A2	5183	"$2,758.87"	0.10%	$1.40
37761		Ligate leg veins open	R2	5183	"$2,758.87"	0.09%	$1.26
37765		Stab phleb veins xtr 10-20	P3	5183	"$2,758.87"	1.46%	$3.45
37766		Phleb veins - extrem 20+	P3	5183	"$2,758.87"	1.13%	$2.92
37780		Revision of leg vein	A2	5183	"$2,758.87"	0.46%	$6.43
37785		Ligate/divide/excise vein	A2	5183	"$2,758.87"	0.31%	$4.33
37790		Penile venous occlusion	A2	5374	"$2,819.74"	0.00%	$0.00
38200		Injection for spleen x-ray	N1			0.00%	
38204		Bl donor search management	N1			0.00%	
38206		Harvest auto stem cells	G2	5242	"$1,393.02"	0.02%	$0.14
38220		Dx bone marrow aspirations	P3	5072	"$1,200.16"	2.28%	$2.57
38221		Dx bone marrow biopsies	P3	5072	"$1,200.16"	1.87%	$2.17
38222		Dx bone marrow bx & aspir	G2	5073	"$2,011.25"	1.25%	$12.74
38230		Bone marrow harvest allogen	G2	5242	"$1,393.02"	0.00%	$0.00
38232		Bone marrow harvest autolog	G2	5243	"$4,130.46"	20.72%	$433.71
38241		Transplt autol hct/donor	G2	5242	"$1,393.02"	1.86%	$13.13
38242		Transplt allo lymphocytes	R2	5242	"$1,393.02"	0.00%	$0.00
38243		Transplj hematopoietic boost	R2	5242	"$1,393.02"	0.00%	$0.00
38300		Drainage lymph node lesion	A2	5073	"$2,011.25"	3.51%	$35.77
38305		Drainage lymph node lesion	A2	5073	"$2,011.25"	0.00%	$0.00
38308		Incision of lymph channels	A2	5091	"$2,377.52"	0.00%	$0.00
38500		Biopsy/removal lymph nodes	A2	5091	"$2,377.52"	0.19%	$2.29
38505		Needle biopsy lymph nodes	A2	5072	"$1,200.16"	1.30%	$7.91
38510		Biopsy/removal lymph nodes	A2	5091	"$2,377.52"	0.20%	$2.41
38520		Biopsy/removal lymph nodes	A2	5091	"$2,377.52"	0.47%	$5.66
38525		Biopsy/removal lymph nodes	A2	5091	"$2,377.52"	1.04%	$12.53
38530		Biopsy/removal lymph nodes	A2	5091	"$2,377.52"	0.00%	$0.00
38542		Explore deep node(s) neck	A2	5361	"$4,660.15"	0.01%	$0.24
38550		Removal neck/armpit lesion	A2	5091	"$2,377.52"	0.00%	$0.00
38555		Removal neck/armpit lesion	A2	5092	"$4,552.49"	0.00%	$0.00
38570		Laparoscopy lymph node biop	A2	5361	"$4,660.15"	1.06%	$25.03
38571		Laparoscopy lymphadenectomy	A2	5362	"$7,672.98"	0.93%	$36.16
38572		Laparoscopy lymphadenectomy	A2	5362	"$7,672.98"	0.34%	$13.22
38573		Laps pelvic lymphadec	G2	5362	"$7,672.98"	0.43%	$16.72
38700		Removal of lymph nodes neck	G2	5092	"$4,552.49"	0.28%	$6.46
38740		Remove armpit lymph nodes	A2	5361	"$4,660.15"	0.56%	$13.23
38745		Remove armpit lymph nodes	A2	5361	"$4,660.15"	1.69%	$39.91
38760		Remove groin lymph nodes	A2	5092	"$4,552.49"	0.09%	$2.08
38790		Inject for lymphatic x-ray	N1			0.00%	
38792		Ra tracer id of sentinl node	N1			0.02%	
38794		Access thoracic lymph duct	N1			0.00%	
38900		Io map of sent lymph node	N1			0.00%	
40490		Biopsy of lip	P3	5161	$216.07	0.00%	$0.00
40500		Partial excision of lip	A2	5164	"$2,187.48"	0.00%	$0.00
40510		Partial excision of lip	A2	5164	"$2,187.48"	0.07%	$0.78
40520		Partial excision of lip	A2	5164	"$2,187.48"	0.22%	$2.44
40525		Reconstruct lip with flap	A2	5164	"$2,187.48"	0.11%	$1.22
40527		Reconstruct lip with flap	A2	5165	"$4,821.45"	0.00%	$0.00
40530		Partial removal of lip	A2	5164	"$2,187.48"	0.00%	$0.00
40650		Repair lip	A2	5162	$461.90	0.00%	$0.00
40652		Repair lip	A2	5162	$461.90	0.00%	$0.00
40654		Repair lip	A2	5163	"$1,037.78"	0.00%	$0.00
40700		Repair cleft lip/nasal	A2	5165	"$4,821.45"	0.00%	$0.00
40701		Repair cleft lip/nasal	A2	5165	"$4,821.45"	0.00%	$0.00
40702		Repair cleft lip/nasal	R2	5165	"$4,821.45"	0.00%	$0.00
40720		Repair cleft lip/nasal	A2	5164	"$2,187.48"	10.54%	$116.84
40761		Repair cleft lip/nasal	A2	5165	"$4,821.45"	0.00%	$0.00
40800		Drainage of mouth lesion	P3	5071	$635.54	0.00%	$0.00
40801		Drainage of mouth lesion	A2	5162	$461.90	0.00%	$0.00
40804		Removal foreign body mouth	N1			0.00%	
40805		Removal foreign body mouth	P3	5162	$461.90	0.00%	$0.00
40806		Incision of lip fold	P3	5162	$461.90	0.00%	$0.00
40808		Biopsy of mouth lesion	P3	5162	$461.90	0.17%	$0.22
40810		Excision of mouth lesion	P3	5164	"$2,187.48"	0.09%	$0.15
40812		Excise/repair mouth lesion	P3	5163	"$1,037.78"	0.28%	$0.56
40814		Excise/repair mouth lesion	A2	5164	"$2,187.48"	0.52%	$5.76
40816		Excision of mouth lesion	A2	5164	"$2,187.48"	0.73%	$8.09
40818		Excise oral mucosa for graft	A2	5162	$461.90	1.60%	$3.75
40819		Excise lip or cheek fold	A2	5163	"$1,037.78"	0.00%	$0.00
40820		Treatment of mouth lesion	P3	5164	"$2,187.48"	0.00%	$0.00
40830		Repair mouth laceration	G2	5161	$216.07	0.00%	$0.00
40831		Repair mouth laceration	A2	5162	$461.90	0.00%	$0.00
40840		Reconstruction of mouth	A2	5165	"$4,821.45"	2.60%	$63.53
40842		Reconstruction of mouth	A2	5165	"$4,821.45"	4.56%	$111.42
40843		Reconstruction of mouth	A2	5165	"$4,821.45"	0.00%	$0.00
40844		Reconstruction of mouth	A2	5165	"$4,821.45"	0.00%	$0.00
40845		Reconstruction of mouth	A2	5165	"$4,821.45"	0.64%	$15.64
41000		Drainage of mouth lesion	P3	5162	$461.90	0.00%	$0.00
41005		Drainage of mouth lesion	A2	5161	$216.07	0.00%	$0.00
41006		Drainage of mouth lesion	A2	5163	"$1,037.78"	0.00%	$0.00
41007		Drainage of mouth lesion	A2	5163	"$1,037.78"	0.00%	$0.00
41008		Drainage of mouth lesion	A2	5164	"$2,187.48"	0.00%	$0.00
41009		Drainage of mouth lesion	A2	5162	$461.90	0.00%	$0.00
41010		Incision of tongue fold	A2	5163	"$1,037.78"	0.00%	$0.00
41015		Drainage of mouth lesion	A2	5162	$461.90	0.00%	$0.00
41016		Drainage of mouth lesion	A2	5165	"$4,821.45"	0.00%	$0.00
41017		Drainage of mouth lesion	A2	5164	"$2,187.48"	0.18%	$2.00
41018		Drainage of mouth lesion	A2	5163	"$1,037.78"	0.00%	$0.00
41019		Place needles h&n for rt	G2	5165	"$4,821.45"	7.10%	$173.48
41100		Biopsy of tongue	P3	5162	$461.90	0.03%	$0.04
41105		Biopsy of tongue	P3	5164	"$2,187.48"	0.18%	$0.24
41108		Biopsy of floor of mouth	P3	5072	"$1,200.16"	0.00%	$0.00
41110		Excision of tongue lesion	P3	5164	"$2,187.48"	1.03%	$1.78
41112		Excision of tongue lesion	A2	5164	"$2,187.48"	0.01%	$0.11
41113		Excision of tongue lesion	A2	5164	"$2,187.48"	0.27%	$2.99
41114		Excision of tongue lesion	A2	5164	"$2,187.48"	0.03%	$0.33
41115		Excision of tongue fold	P3	5163	"$1,037.78"	0.00%	$0.00
41116		Excision of mouth lesion	A2	5164	"$2,187.48"	0.90%	$9.98
41120		Partial removal of tongue	A2	5165	"$4,821.45"	0.09%	$2.20
41250		Repair tongue laceration	N1			0.00%	
41251		Repair tongue laceration	A2	5161	$216.07	0.00%	$0.00
41252		Repair tongue laceration	A2	5161	$216.07	0.00%	$0.00
41510		Tongue to lip surgery	A2	5164	"$2,187.48"	0.00%	$0.00
41512		Tongue suspension	J8	5165	"$4,821.45"	31.00%	"$1,494.65"
41520		Reconstruction tongue fold	A2	5164	"$2,187.48"	0.00%	$0.00
41530		Tongue base vol reduction	P3	5164	"$2,187.48"	0.00%	$0.00
41800		Drainage of gum lesion	N1			0.00%	
41805		Removal foreign body gum	P3	5163	"$1,037.78"	0.00%	$0.00
41806		Removal foreign body jawbone	P3	5163	"$1,037.78"	0.00%	$0.00
41820		Excision gum each quadrant	R2	5164	"$2,187.48"	0.00%	$0.00
41821		Excision of gum flap	G2	5163	"$1,037.78"	0.00%	$0.00
41822		Excision of gum lesion	P3	5163	"$1,037.78"	0.00%	$0.00
41823		Excision of gum lesion	P3	5165	"$4,821.45"	0.00%	$0.00
41825		Excision of gum lesion	P3	5164	"$2,187.48"	0.53%	$0.90
41826		Excision of gum lesion	P3	5164	"$2,187.48"	0.04%	$0.09
41827		Excision of gum lesion	A2	5165	"$4,821.45"	7.01%	$171.28
41828		Excision of gum lesion	P3	5163	"$1,037.78"	0.00%	$0.00
41830		Removal of gum tissue	P3	5164	"$2,187.48"	0.82%	$2.75
41850		Treatment of gum lesion	R2	5163	"$1,037.78"	0.00%	$0.00
41870		Gum graft	G2	5163	"$1,037.78"	0.00%	$0.00
41872		Repair gum	P3	5164	"$2,187.48"	0.00%	$0.00
41874		Repair tooth socket	P3	5164	"$2,187.48"	0.00%	$0.00
42000		Drainage mouth roof lesion	A2	5161	$216.07	0.00%	$0.00
42100		Biopsy roof of mouth	P3	5163	"$1,037.78"	0.00%	$0.00
42104		Excision lesion mouth roof	P3	5164	"$2,187.48"	0.11%	$0.17
42106		Excision lesion mouth roof	P3	5164	"$2,187.48"	0.03%	$0.05
42107		Excision lesion mouth roof	A2	5165	"$4,821.45"	0.00%	$0.00
42120		Remove palate/lesion	A2	5165	"$4,821.45"	0.58%	$14.17
42140		Excision of uvula	A2	5164	"$2,187.48"	0.06%	$0.67
42145		Repair palate pharynx/uvula	A2	5165	"$4,821.45"	0.32%	$7.82
42160		Treatment mouth roof lesion	P3	5164	"$2,187.48"	1.04%	$1.71
42180		Repair palate	A2	5162	$461.90	0.00%	$0.00
42182		Repair palate	A2	5165	"$4,821.45"	0.00%	$0.00
42200		Reconstruct cleft palate	A2	5165	"$4,821.45"	0.00%	$0.00
42205		Reconstruct cleft palate	A2	5164	"$2,187.48"	2.40%	$26.60
42210		Reconstruct cleft palate	J8	5165	"$4,821.45"	60.90%	"$2,936.26"
42215		Reconstruct cleft palate	A2	5165	"$4,821.45"	2.63%	$64.26
42220		Reconstruct cleft palate	A2	5165	"$4,821.45"	0.00%	$0.00
42225		Reconstruct cleft palate	G2	5165	"$4,821.45"	0.00%	$0.00
42226		Lengthening of palate	A2	5165	"$4,821.45"	0.00%	$0.00
42227		Lengthening of palate	G2	5165	"$4,821.45"	0.00%	$0.00
42235		Repair palate	A2	5165	"$4,821.45"	0.00%	$0.00
42260		Repair nose to lip fistula	A2	5165	"$4,821.45"	0.28%	$6.84
42280		Preparation palate mold	P3	5162	$461.90	0.00%	$0.00
42281		Insertion palate prosthesis	G2	5165	"$4,821.45"	21.86%	$534.12
42300		Drainage of salivary gland	A2	5163	"$1,037.78"	0.00%	$0.00
42305		Drainage of salivary gland	A2	5164	"$2,187.48"	0.00%	$0.00
42310		Drainage of salivary gland	A2	5162	$461.90	0.00%	$0.00
42320		Drainage of salivary gland	A2	5162	$461.90	0.00%	$0.00
42330		Removal of salivary stone	P3	5164	"$2,187.48"	0.59%	$0.87
42335		Removal of salivary stone	P3	5164	"$2,187.48"	1.03%	$3.16
42340		Removal of salivary stone	A2	5164	"$2,187.48"	0.00%	$0.00
42400		Biopsy of salivary gland	P3	5071	$635.54	0.08%	$0.06
42405		Biopsy of salivary gland	A2	5163	"$1,037.78"	0.22%	$1.16
42408		Excision of salivary cyst	A2	5164	"$2,187.48"	1.13%	$12.53
42409		Drainage of salivary cyst	A2	5164	"$2,187.48"	0.00%	$0.00
42410		Excise parotid gland/lesion	A2	5165	"$4,821.45"	0.28%	$6.84
42415		Excise parotid gland/lesion	A2	5165	"$4,821.45"	0.39%	$9.53
42420		Excise parotid gland/lesion	A2	5165	"$4,821.45"	0.81%	$19.79
42425		Excise parotid gland/lesion	A2	5165	"$4,821.45"	0.00%	$0.00
42440		Excise submaxillary gland	A2	5165	"$4,821.45"	0.39%	$9.53
42450		Excise sublingual gland	A2	5165	"$4,821.45"	0.00%	$0.00
42500		Repair salivary duct	A2	5165	"$4,821.45"	3.28%	$80.14
42505		Repair salivary duct	A2	5165	"$4,821.45"	2.35%	$57.42
42507		Parotid duct diversion	A2	5165	"$4,821.45"	0.00%	$0.00
42509		Parotid duct diversion	A2	5165	"$4,821.45"	0.00%	$0.00
42510		Parotid duct diversion	A2	5164	"$2,187.48"	0.00%	$0.00
42550		Injection for salivary x-ray	N1			0.00%	
42600		Closure of salivary fistula	A2	5164	"$2,187.48"	0.40%	$4.43
42650		Dilation of salivary duct	P3	5163	"$1,037.78"	1.68%	$0.76
42660		Dilation of salivary duct	P3	5162	$461.90	2.56%	$1.77
42665		Ligation of salivary duct	A2	5164	"$2,187.48"	0.00%	$0.00
42700		Drainage of tonsil abscess	A2	5161	$216.07	0.00%	$0.00
42720		Drainage of throat abscess	A2	5164	"$2,187.48"	0.00%	$0.00
42725		Drainage of throat abscess	A2	5165	"$4,821.45"	0.00%	$0.00
42800		Biopsy of throat	P3	5163	"$1,037.78"	0.01%	$0.01
42804		Biopsy of upper nose/throat	A2	5164	"$2,187.48"	0.00%	$0.00
42806		Biopsy of upper nose/throat	A2	5164	"$2,187.48"	0.00%	$0.00
42808		Excise pharynx lesion	A2	5164	"$2,187.48"	0.43%	$4.77
42809		Remove pharynx foreign body	N1			0.00%	
42810		Excision of neck cyst	A2	5164	"$2,187.48"	1.16%	$12.86
42815		Excision of neck cyst	A2	5165	"$4,821.45"	0.61%	$14.90
42820		Remove tonsils and adenoids	A2	5165	"$4,821.45"	0.00%	$0.00
42821		Remove tonsils and adenoids	A2	5164	"$2,187.48"	0.34%	$3.77
42825		Removal of tonsils	A2	5165	"$4,821.45"	0.00%	$0.00
42826		Removal of tonsils	A2	5164	"$2,187.48"	0.28%	$3.10
42830		Removal of adenoids	A2	5164	"$2,187.48"	0.00%	$0.00
42831		Removal of adenoids	A2	5164	"$2,187.48"	4.52%	$50.11
42835		Removal of adenoids	A2	5164	"$2,187.48"	0.00%	$0.00
42836		Removal of adenoids	A2	5164	"$2,187.48"	0.00%	$0.00
42860		Excision of tonsil tags	A2	5164	"$2,187.48"	0.00%	$0.00
42870		Excision of lingual tonsil	A2	5165	"$4,821.45"	0.02%	$0.49
42890		Partial removal of pharynx	A2	5165	"$4,821.45"	0.00%	$0.00
42892		Revision of pharyngeal walls	A2	5165	"$4,821.45"	0.00%	$0.00
42900		Repair throat wound	J8	5163	"$1,037.78"	79.50%	$825.04
42950		Reconstruction of throat	A2	5165	"$4,821.45"	16.18%	$395.34
42955		Surgical opening of throat	A2	5163	"$1,037.78"	0.00%	$0.00
42960		Control throat bleeding	A2	5162	$461.90	6.78%	$15.87
42962		Control throat bleeding	A2	5164	"$2,187.48"	0.00%	$0.00
42970		Control nose/throat bleeding	R2	5161	$216.07	0.00%	$0.00
42972		Control nose/throat bleeding	A2	5164	"$2,187.48"	0.00%	$0.00
42975		Dise eval slp do brth flx dx	R2	5151	$168.12	0.00%	$0.00
43030		Throat muscle surgery	G2	5165	"$4,821.45"	2.76%	$67.44
43130		Removal of esophagus pouch	G2	5165	"$4,821.45"	0.84%	$20.52
43180		Esophagoscopy rigid trnso	G2	5165	"$4,821.45"	1.20%	$29.32
43191		Esophagoscopy rigid trnso dx	G2	5302	"$1,393.88"	2.00%	$14.13
43192		Esophagoscp rig trnso inject	G2	5302	"$1,393.88"	1.50%	$10.60
43193		Esophagoscp rig trnso biopsy	G2	5302	"$1,393.88"	0.00%	$0.00
43194		Esophagoscp rig trnso rem fb	G2	5302	"$1,393.88"	0.82%	$5.79
43195		Esophagoscopy rigid balloon	G2	5303	"$2,761.41"	12.96%	$181.36
43196		Esophagoscp guide wire dilat	G2	5303	"$2,761.41"	2.85%	$39.88
43197		Esophagoscopy flex dx brush	P3	5301	$826.39	0.84%	$1.14
43198		Esophagosc flex trnsn biopsy	P3	5301	$826.39	0.37%	$0.54
43200		Esophagoscopy flexible brush	A2	5301	$826.39	1.62%	$6.78
43201		Esoph scope w/submucous inj	A2	5302	"$1,393.88"	2.33%	$16.46
43202		Esophagoscopy flex biopsy	A2	5302	"$1,393.88"	0.76%	$5.37
43204		Esoph scope w/sclerosis inj	A2	5302	"$1,393.88"	0.00%	$0.00
43205		Esophagus endoscopy/ligation	A2	5302	"$1,393.88"	1.32%	$9.32
43206		Esoph optical endomicroscopy	G2	5302	"$1,393.88"	0.00%	$0.00
43210		Egd esophagogastrc fndoplsty	J8	5362	"$7,672.98"	30.46%	"$2,337.19"
43211		Esophagoscop mucosal resect	G2	5302	"$1,393.88"	0.00%	$0.00
43212		Esophagoscop stent placement	J8	5331	"$4,160.10"	59.77%	"$2,486.49"
43213		Esophagoscopy retro balloon	G2	5302	"$1,393.88"	3.54%	$25.01
43214		Esophagosc dilate balloon 30	G2	5302	"$1,393.88"	11.06%	$78.12
43215		Esophagoscopy flex remove fb	A2	5302	"$1,393.88"	1.02%	$7.20
43216		Esophagoscopy lesion removal	A2	5302	"$1,393.88"	0.00%	$0.00
43217		Esophagoscopy snare les remv	A2	5302	"$1,393.88"	0.30%	$2.12
43220		Esophagoscopy balloon <30mm	A2	5302	"$1,393.88"	23.18%	$163.74
43226		Esoph endoscopy dilation	A2	5302	"$1,393.88"	5.60%	$39.56
43227		Esophagoscopy control bleed	A2	5302	"$1,393.88"	0.00%	$0.00
43229		Esophagoscopy lesion ablate	J8	5303	"$2,761.41"	31.60%	$872.61
43231		Esophagoscop ultrasound exam	A2	5302	"$1,393.88"	0.57%	$4.03
43232		Esophagoscopy w/us needle bx	A2	5302	"$1,393.88"	0.90%	$6.36
43233		Egd balloon dil esoph30 mm/>	G2	5302	"$1,393.88"	20.13%	$142.19
43235		Egd diagnostic brush wash	A2	5301	$826.39	0.44%	$1.84
43236		Uppr gi scope w/submuc inj	A2	5301	$826.39	0.44%	$1.84
43237		Endoscopic us exam esoph	A2	5302	"$1,393.88"	0.84%	$5.93
43238		Egd us fine needle bx/aspir	A2	5302	"$1,393.88"	1.32%	$9.32
43239		Egd biopsy single/multiple	A2	5301	$826.39	0.29%	$1.21
43240		Egd w/transmural drain cyst	J8	5331	"$4,160.10"	68.74%	"$2,859.65"
43241		Egd tube/cath insertion	A2	5302	"$1,393.88"	4.69%	$33.13
43242		Egd us fine needle bx/aspir	A2	5302	"$1,393.88"	1.17%	$8.26
43243		Egd injection varices	A2	5302	"$1,393.88"	0.16%	$1.13
43244		Egd varices ligation	A2	5302	"$1,393.88"	2.10%	$14.83
43245		Egd dilate stricture	A2	5302	"$1,393.88"	21.82%	$154.13
43246		Egd place gastrostomy tube	A2	5302	"$1,393.88"	3.39%	$23.95
43247		Egd remove foreign body	A2	5301	$826.39	1.03%	$4.31
43248		Egd guide wire insertion	A2	5301	$826.39	4.11%	$17.21
43249		Esoph egd dilation <30 mm	A2	5302	"$1,393.88"	20.84%	$147.21
43250		Egd cautery tumor polyp	A2	5302	"$1,393.88"	1.15%	$8.12
43251		Egd remove lesion snare	A2	5302	"$1,393.88"	3.76%	$26.56
43252		Egd optical endomicroscopy	G2	5303	"$2,761.41"	7.31%	$102.30
43253		Egd us transmural injxn/mark	G2	5302	"$1,393.88"	3.40%	$24.02
43254		Egd endo mucosal resection	G2	5302	"$1,393.88"	4.43%	$31.29
43255		Egd control bleeding any	A2	5302	"$1,393.88"	2.90%	$20.48
43257		Egd w/thrml txmnt gerd	A2	5303	"$2,761.41"	10.24%	$143.30
43259		Egd us exam duodenum/jejunum	A2	5302	"$1,393.88"	1.00%	$7.06
43260		Ercp w/specimen collection	A2	5303	"$2,761.41"	14.44%	$202.07
43261		Endo cholangiopancreatograph	A2	5303	"$2,761.41"	13.54%	$189.48
43262		Endo cholangiopancreatograph	A2	5303	"$2,761.41"	15.07%	$210.89
43263		Ercp sphincter pressure meas	A2	5303	"$2,761.41"	9.87%	$138.12
43264		Ercp remove duct calculi	A2	5303	"$2,761.41"	16.35%	$228.80
43265		Ercp lithotripsy calculi	A2	5331	"$4,160.10"	14.88%	$313.70
43266		Egd endoscopic stent place	J8	5331	"$4,160.10"	62.97%	"$2,619.61"
43270		Egd lesion ablation	G2	5302	"$1,393.88"	29.11%	$205.62
43273		Endoscopic pancreatoscopy	N1			0.00%	
43274		Ercp duct stent placement	J8	5331	"$4,160.10"	32.30%	"$1,343.71"
43275		Ercp remove forgn body duct	G2	5303	"$2,761.41"	11.15%	$156.03
43276		Ercp stent exchange w/dilate	J8	5331	"$4,160.10"	34.38%	"$1,430.24"
43277		Ercp ea duct/ampulla dilate	G2	5303	"$2,761.41"	19.29%	$269.94
43278		Ercp lesion ablate w/dilate	G2	5303	"$2,761.41"	15.02%	$210.19
43284		Laps esophgl sphnctr agmntj	J8	5362	"$7,672.98"	52.54%	"$4,031.38"
43285		Rmvl esophgl sphnctr dev	G2	5361	"$4,660.15"	0.03%	$0.71
43450		Dilate esophagus 1/mult pass	A2	5301	$826.39	0.82%	$3.43
43453		Dilate esophagus	A2	5302	"$1,393.88"	10.82%	$76.43
43653		Laparoscopy gastrostomy	A2	5361	"$4,660.15"	1.18%	$27.87
43752		Nasal/orogastric w/tube plmt	G2	5735	$277.18	15.35%	$21.56
43753		Tx gastro intub w/asp	N1			2.59%	
43754		Dx gastr intub w/asp spec	N1			17.90%	
43755		Dx gastr intub w/asp specs	G2	5721	$142.59	0.00%	$0.00
43756		Dx duod intub w/asp spec	G2	5301	$826.39	0.00%	$0.00
43757		Dx duod intub w/asp specs	G2	5301	$826.39	0.00%	$0.00
43761		Reposition gastrostomy tube	A2	5371	$271.77	7.12%	$9.81
43762		Rplc gtube no revj trc	G2	5371	$271.77	2.40%	$3.31
43763		Rplc gtube revj gstrst trc	G2	5371	$271.77	4.90%	$6.75
43870		Repair stomach opening	A2	5303	"$2,761.41"	2.13%	$29.81
43886		Revise gastric port open	G2	5055	"$3,596.22"	5.71%	$104.06
43887		Remove gastric port open	G2	5054	"$1,749.26"	10.69%	$94.76
43888		Change gastric port open	G2	5055	"$3,596.22"	16.58%	$302.16
44100		Biopsy of bowel	A2	5301	$826.39	0.32%	$1.34
44312		Revision of ileostomy	A2	5055	"$3,596.22"	0.76%	$13.85
44340		Revision of colostomy	A2	5055	"$3,596.22"	0.11%	$2.00
44360		Small bowel endoscopy	A2	5302	"$1,393.88"	1.15%	$8.12
44361		Small bowel endoscopy/biopsy	A2	5302	"$1,393.88"	0.95%	$6.71
44363		Small bowel endoscopy	A2	5302	"$1,393.88"	0.80%	$5.65
44364		Small bowel endoscopy	A2	5302	"$1,393.88"	2.82%	$19.92
44365		Small bowel endoscopy	A2	5302	"$1,393.88"	3.10%	$21.90
44366		Small bowel endoscopy	A2	5302	"$1,393.88"	1.20%	$8.48
44369		Small bowel endoscopy	A2	5302	"$1,393.88"	2.31%	$16.32
44370		Small bowel endoscopy/stent	J8	5331	"$4,160.10"	74.96%	"$3,118.41"
44372		Small bowel endoscopy	A2	5302	"$1,393.88"	4.98%	$35.18
44373		Small bowel endoscopy	A2	5302	"$1,393.88"	7.56%	$53.40
44376		Small bowel endoscopy	A2	5302	"$1,393.88"	0.72%	$5.09
44377		Small bowel endoscopy/biopsy	A2	5302	"$1,393.88"	0.51%	$3.60
44378		Small bowel endoscopy	A2	5302	"$1,393.88"	2.10%	$14.83
44379		S bowel endoscope w/stent	A2	5331	"$4,160.10"	0.00%	$0.00
44380		Small bowel endoscopy br/wa	A2	5301	$826.39	0.62%	$2.60
44381		Small bowel endoscopy br/wa	G2	5302	"$1,393.88"	20.27%	$143.18
44382		Small bowel endoscopy	A2	5301	$826.39	0.28%	$1.17
44384		Small bowel endoscopy	G2	5303	"$2,761.41"	14.40%	$201.51
44385		Endoscopy of bowel pouch	A2	5311	$810.48	1.30%	$5.34
44386		Endoscopy bowel pouch/biop	A2	5311	$810.48	0.31%	$1.27
44388		Colonoscopy thru stoma spx	A2	5311	$810.48	0.13%	$0.53
44389		Colonoscopy with biopsy	A2	5312	"$1,059.06"	0.19%	$1.02
44390		Colonoscopy for foreign body	A2	5311	$810.48	0.00%	$0.00
44391		Colonoscopy for bleeding	A2	5312	"$1,059.06"	0.00%	$0.00
44392		Colonoscopy & polypectomy	A2	5312	"$1,059.06"	0.12%	$0.64
44394		Colonoscopy w/snare	A2	5312	"$1,059.06"	0.67%	$3.60
44401		Colonoscopy with ablation	G2	5312	"$1,059.06"	0.00%	$0.00
44402		Colonoscopy w/stent plcmt	J8	5331	"$4,160.10"	74.29%	"$3,090.54"
44403		Colonoscopy w/resection	G2	5312	"$1,059.06"	4.82%	$25.87
44404		Colonoscopy w/injection	G2	5312	"$1,059.06"	0.00%	$0.00
44405		Colonoscopy w/dilation	G2	5312	"$1,059.06"	25.47%	$136.70
44406		Colonoscopy w/ultrasound	G2	5312	"$1,059.06"	0.00%	$0.00
44407		Colonoscopy w/ndl aspir/bx	G2	5312	"$1,059.06"	0.00%	$0.00
44408		Colonoscopy w/decompression	R2	5311	$810.48	0.00%	$0.00
44500		Intro gastrointestinal tube	G2	5301	$826.39	7.78%	$32.58
44701		Intraop colon lavage add-on	N1			0.00%	
45000		Drainage of pelvic abscess	A2	5312	"$1,059.06"	1.21%	$6.49
45005		Drainage of rectal abscess	A2	5312	"$1,059.06"	0.04%	$0.21
45020		Drainage of rectal abscess	A2	5313	"$2,318.98"	0.04%	$0.47
45100		Biopsy of rectum	A2	5313	"$2,318.98"	0.19%	$2.23
45108		Removal of anorectal lesion	A2	5313	"$2,318.98"	0.00%	$0.00
45150		Excision of rectal stricture	A2	5312	"$1,059.06"	0.00%	$0.00
45160		Excision of rectal lesion	A2	5313	"$2,318.98"	8.00%	$94.01
45171		Exc rect tum transanal part	G2	5313	"$2,318.98"	0.36%	$4.23
45172		Exc rect tum transanal full	G2	5313	"$2,318.98"	0.42%	$4.94
45190		Destruction rectal tumor	A2	5313	"$2,318.98"	0.00%	$0.00
45300		Proctosigmoidoscopy dx	P3	5311	$810.48	0.01%	$0.01
45303		Proctosigmoidoscopy dilate	P2	5312	"$1,059.06"	5.75%	$30.86
45305		Proctosigmoidoscopy w/bx	A2	5312	"$1,059.06"	0.14%	$0.75
45307		Proctosigmoidoscopy fb	A2	5313	"$2,318.98"	0.00%	$0.00
45308		Proctosigmoidoscopy removal	A2	5313	"$2,318.98"	0.00%	$0.00
45309		Proctosigmoidoscopy removal	A2	5312	"$1,059.06"	0.00%	$0.00
45315		Proctosigmoidoscopy removal	A2	5312	"$1,059.06"	0.38%	$2.04
45317		Proctosigmoidoscopy bleed	A2	5312	"$1,059.06"	0.00%	$0.00
45320		Proctosigmoidoscopy ablate	A2	5313	"$2,318.98"	0.00%	$0.00
45321		Proctosigmoidoscopy volvul	A2	5313	"$2,318.98"	0.00%	$0.00
45327		Proctosigmoidoscopy w/stent	J8	5331	"$4,160.10"	30.05%	"$1,250.11"
45330		Diagnostic sigmoidoscopy	P3	5311	$810.48	0.24%	$0.38
45331		Sigmoidoscopy and biopsy	A2	5311	$810.48	0.23%	$0.94
45332		Sigmoidoscopy w/fb removal	A2	5312	"$1,059.06"	3.23%	$17.34
45333		Sigmoidoscopy & polypectomy	A2	5311	$810.48	0.46%	$1.89
45334		Sigmoidoscopy for bleeding	A2	5312	"$1,059.06"	2.97%	$15.94
45335		Sigmoidoscopy w/submuc inj	A2	5311	$810.48	0.54%	$2.22
45337		Sigmoidoscopy & decompress	A2	5311	$810.48	0.54%	$2.22
45338		Sigmoidoscopy w/tumr remove	A2	5312	"$1,059.06"	1.13%	$6.06
45340		Sig w/tndsc balloon dilation	A2	5312	"$1,059.06"	27.71%	$148.72
45341		Sigmoidoscopy w/ultrasound	A2	5311	$810.48	0.72%	$2.96
45342		Sigmoidoscopy w/us guide bx	A2	5312	"$1,059.06"	0.85%	$4.56
45346		Sigmoidoscopy w/ablation	G2	5312	"$1,059.06"	8.97%	$48.14
45347		Sigmoidoscopy w/plcmt stent	J8	5331	"$4,160.10"	65.98%	"$2,744.83"
45349		Sigmoidoscopy w/resection	G2	5313	"$2,318.98"	4.31%	$50.65
45350		Sgmdsc w/band ligation	G2	5312	"$1,059.06"	0.94%	$5.04
45378		Diagnostic colonoscopy	A2	5311	$810.48	0.16%	$0.66
45379		Colonoscopy w/fb removal	A2	5312	"$1,059.06"	0.77%	$4.13
45380		Colonoscopy and biopsy	A2	5312	"$1,059.06"	0.14%	$0.75
45381		Colonoscopy submucous njx	A2	5312	"$1,059.06"	1.41%	$7.57
45382		Colonoscopy w/control bleed	A2	5312	"$1,059.06"	3.73%	$20.02
45384		Colonoscopy w/lesion removal	A2	5312	"$1,059.06"	0.17%	$0.91
45385		Colonoscopy w/lesion removal	A2	5312	"$1,059.06"	0.58%	$3.11
45386		Colonoscopy w/balloon dilat	A2	5312	"$1,059.06"	23.64%	$126.88
45388		Colonoscopy w/ablation	G2	5312	"$1,059.06"	0.93%	$4.99
45389		Colonoscopy w/stent plcmt	J8	5331	"$4,160.10"	67.95%	"$2,826.79"
45390		Colonoscopy w/resection	G2	5313	"$2,318.98"	5.11%	$60.05
45391		Colonoscopy w/endoscope us	A2	5312	"$1,059.06"	0.77%	$4.13
45392		Colonoscopy w/endoscopic fnb	A2	5312	"$1,059.06"	0.82%	$4.40
45393		Colonoscopy w/decompression	G2	5312	"$1,059.06"	2.61%	$14.01
45398		Colonoscopy w/band ligation	G2	5312	"$1,059.06"	0.68%	$3.65
45500		Repair of rectum	A2	5313	"$2,318.98"	0.00%	$0.00
45505		Repair of rectum	A2	5313	"$2,318.98"	0.03%	$0.35
45520		Treatment of rectal prolapse	N1			0.00%	
45541		Correct rectal prolapse	G2	5313	"$2,318.98"	0.25%	$2.94
45560		Repair of rectocele	A2	5313	"$2,318.98"	5.10%	$59.93
45900		Reduction of rectal prolapse	A2	5311	$810.48	0.00%	$0.00
45905		Dilation of anal sphincter	A2	5312	"$1,059.06"	0.41%	$2.20
45910		Dilation of rectal narrowing	A2	5312	"$1,059.06"	1.09%	$5.85
45915		Remove rectal obstruction	A2	5312	"$1,059.06"	0.01%	$0.05
45990		Surg dx exam anorectal	A2	5313	"$2,318.98"	0.37%	$4.35
46020		Placement of seton	A2	5313	"$2,318.98"	0.10%	$1.18
46030		Removal of rectal marker	A2	5312	"$1,059.06"	0.04%	$0.21
46040		Incision of rectal abscess	A2	5312	"$1,059.06"	0.15%	$0.81
46045		Incision of rectal abscess	A2	5313	"$2,318.98"	0.00%	$0.00
46050		Incision of anal abscess	A2	5311	$810.48	0.05%	$0.21
46060		Incision of rectal abscess	A2	5313	"$2,318.98"	0.18%	$2.12
46070		Incision of anal septum	G2	5313	"$2,318.98"	0.00%	$0.00
46080		Incision of anal sphincter	A2	5313	"$2,318.98"	0.25%	$2.94
46083		Incise external hemorrhoid	P2	5371	$271.77	0.00%	$0.00
46200		Removal of anal fissure	A2	5313	"$2,318.98"	0.11%	$1.29
46220		Excise anal ext tag/papilla	A2	5312	"$1,059.06"	0.03%	$0.16
46221		Ligation of hemorrhoid(s)	P3	5311	$810.48	0.06%	$0.12
46230		Removal of anal tags	A2	5313	"$2,318.98"	0.02%	$0.24
46250		Remove ext hem groups 2+	A2	5313	"$2,318.98"	0.48%	$5.64
46255		Remove int/ext hem 1 group	A2	5313	"$2,318.98"	0.16%	$1.88
46257		Remove in/ex hem grp & fiss	A2	5313	"$2,318.98"	0.00%	$0.00
46258		Remove in/ex hem grp w/fistu	A2	5313	"$2,318.98"	2.81%	$33.02
46260		Remove in/ex hem groups 2+	A2	5313	"$2,318.98"	0.25%	$2.94
46261		Remove in/ex hem grps & fiss	A2	5313	"$2,318.98"	0.28%	$3.29
46262		Remove in/ex hem grps w/fist	A2	5313	"$2,318.98"	0.04%	$0.47
46270		Remove anal fist subq	A2	5313	"$2,318.98"	0.40%	$4.70
46275		Remove anal fist inter	A2	5313	"$2,318.98"	0.15%	$1.76
46280		Remove anal fist complex	A2	5313	"$2,318.98"	0.85%	$9.99
46285		Remove anal fist 2 stage	A2	5313	"$2,318.98"	0.85%	$9.99
46288		Repair anal fistula	A2	5313	"$2,318.98"	3.35%	$39.37
46320		Removal of hemorrhoid clot	P3	5312	"$1,059.06"	0.07%	$0.11
46500		Injection into hemorrhoid(s)	P3	5311	$810.48	0.00%	$0.00
46505		Chemodenervation anal musc	G2	5312	"$1,059.06"	0.25%	$1.34
46600		Diagnostic anoscopy spx	N1			0.00%	
46601		Diagnostic anoscopy	N1			0.00%	
46604		Anoscopy and dilation	P2	5312	"$1,059.06"	1.45%	$7.78
46606		Anoscopy and biopsy	P3	5312	"$1,059.06"	0.16%	$0.39
46607		Diagnostic anoscopy & biopsy	G2	5312	"$1,059.06"	0.00%	$0.00
46608		Anoscopy remove for body	A2	5311	$810.48	0.00%	$0.00
46610		Anoscopy remove lesion	A2	5313	"$2,318.98"	0.00%	$0.00
46611		Anoscopy	A2	5311	$810.48	0.62%	$2.55
46612		Anoscopy remove lesions	A2	5313	"$2,318.98"	0.13%	$1.53
46614		Anoscopy control bleeding	P3	5312	"$1,059.06"	0.03%	$0.04
46615		Anoscopy	A2	5313	"$2,318.98"	0.18%	$2.12
46700		Repair of anal stricture	A2	5313	"$2,318.98"	0.04%	$0.47
46706		Repr of anal fistula w/glue	A2	5313	"$2,318.98"	0.93%	$10.93
46707		Repair anorectal fist w/plug	J8	5313	"$2,318.98"	32.12%	$744.86
46750		Repair of anal sphincter	A2	5313	"$2,318.98"	0.01%	$0.12
46753		Reconstruction of anus	A2	5313	"$2,318.98"	0.22%	$2.59
46754		Removal of suture from anus	A2	5313	"$2,318.98"	0.00%	$0.00
46760		Repair of anal sphincter	A2	5313	"$2,318.98"	0.00%	$0.00
46761		Repair of anal sphincter	A2	5313	"$2,318.98"	18.80%	$220.93
46900		Destruction anal lesion(s)	P3	5052	$353.00	0.00%	$0.00
46910		Destruction anal lesion(s)	P3	5054	"$1,749.26"	0.08%	$0.16
46916		Cryosurgery anal lesion(s)	P2	5051	$183.40	0.00%	$0.00
46917		Laser surgery anal lesions	A2	5313	"$2,318.98"	0.07%	$0.82
46922		Excision of anal lesion(s)	A2	5313	"$2,318.98"	0.17%	$2.00
46924		Destruction anal lesion(s)	A2	5313	"$2,318.98"	0.02%	$0.24
46930		Destroy internal hemorrhoids	P3	5312	"$1,059.06"	0.00%	$0.00
46940		Treatment of anal fissure	P3	5313	"$2,318.98"	0.00%	$0.00
46942		Treatment of anal fissure	P3	5311	$810.48	0.00%	$0.00
46945		Int hrhc lig 1 hroid w/o img	R2	5313	"$2,318.98"	0.53%	$6.23
46946		Int hrhc lig 2+hroid w/o img	A2	5313	"$2,318.98"	0.31%	$3.64
46947		Hemorrhoidopexy by stapling	A2	5313	"$2,318.98"	0.39%	$4.58
46948		Int hrhc tranal dartlzj 2+	G2	5313	"$2,318.98"	0.00%	$0.00
47000		Needle biopsy of liver	A2	5072	"$1,200.16"	0.42%	$2.55
47001		Needle biopsy liver add-on	N1			0.00%	
47382		Percut ablate liver rf	G2	5361	"$4,660.15"	17.42%	$411.39
47383		Perq abltj lvr cryoablation	J8	5361	"$4,660.15"	50.29%	"$2,343.59"
47531		Injection for cholangiogram	N1			2.38%	
47532		Injection for cholangiogram	N1			14.17%	
47533		Plmt biliary drainage cath	G2	5341	"$2,841.05"	18.14%	$261.17
47534		Plmt biliary drainage cath	G2	5341	"$2,841.05"	18.99%	$273.41
47535		Conversion ext bil drg cath	G2	5341	"$2,841.05"	24.73%	$356.05
47536		Exchange biliary drg cath	G2	5341	"$2,841.05"	16.44%	$236.69
47537		Removal biliary drg cath	G2	5301	$826.39	8.50%	$35.60
47538		Perq plmt bile duct stent	J8	5361	"$4,660.15"	52.72%	"$2,456.83"
47539		Perq plmt bile duct stent	J8	5361	"$4,660.15"	36.44%	"$1,698.16"
47540		Perq plmt bile duct stent	J8	5361	"$4,660.15"	48.88%	"$2,277.88"
47541		Plmt access bil tree sm bwl	G2	5341	"$2,841.05"	8.79%	$126.55
47542		Dilate biliary duct/ampulla	N1			0.00%	
47543		Endoluminal bx biliary tree	N1			0.00%	
47544		Removal duct glbldr calculi	N1			0.00%	
47552		Biliary endo perq dx w/speci	A2	5341	"$2,841.05"	0.00%	$0.00
47553		Biliary endoscopy thru skin	A2	5341	"$2,841.05"	0.00%	$0.00
47554		Biliary endoscopy thru skin	A2	5361	"$4,660.15"	8.35%	$197.20
47555		Biliary endoscopy thru skin	J8	5341	"$2,841.05"	36.35%	"$1,032.72"
47556		Biliary endoscopy thru skin	J8	5361	"$4,660.15"	50.59%	"$2,357.57"
47562		Laparoscopic cholecystectomy	G2	5361	"$4,660.15"	0.69%	$16.30
47563		Laparo cholecystectomy/graph	G2	5361	"$4,660.15"	1.11%	$26.21
47564		Laparo cholecystectomy/explr	G2	5361	"$4,660.15"	2.80%	$66.13
48102		Needle biopsy pancreas	A2	5072	"$1,200.16"	0.39%	$2.37
49082		Abd paracentesis	G2	5301	$826.39	1.05%	$4.40
49083		Abd paracentesis w/imaging	G2	5301	$826.39	4.60%	$19.26
49084		Peritoneal lavage	G2	5301	$826.39	0.98%	$4.10
49180		Biopsy abdominal mass	A2	5072	"$1,200.16"	0.35%	$2.13
49250		Excision of umbilicus	A2	5341	"$2,841.05"	1.21%	$17.42
49320		Diag laparo separate proc	A2	5361	"$4,660.15"	0.86%	$20.31
49321		Laparoscopy biopsy	A2	5361	"$4,660.15"	0.41%	$9.68
49322		Laparoscopy aspiration	A2	5361	"$4,660.15"	0.76%	$17.95
49324		Lap insert tunnel ip cath	G2	5361	"$4,660.15"	7.50%	$177.12
49325		Lap revision perm ip cath	G2	5361	"$4,660.15"	2.21%	$52.19
49326		Lap w/omentopexy add-on	N1			0.00%	
49327		Lap ins device for rt	N1			0.00%	
49400		Air injection into abdomen	N1			0.00%	
49402		Remove foreign body adbomen	A2	5341	"$2,841.05"	0.00%	$0.00
49406		Image cath fluid peri/retro	G2	5072	"$1,200.16"	13.08%	$79.55
49407		Image cath fluid trns/vgnl	G2	5072	"$1,200.16"	6.96%	$42.33
49411		Ins mark abd/pel for rt perq	P3	5613	"$1,289.67"	13.46%	$48.39
49418		Insert tun ip cath perc	G2	5341	"$2,841.05"	28.13%	$405.00
49419		Insert tun ip cath w/port	A2	5184	"$4,784.26"	15.34%	$371.92
49421		Ins tun ip cath for dial opn	G2	5341	"$2,841.05"	7.49%	$107.84
49422		Remove tunneled ip cath	A2	5183	"$2,758.87"	0.76%	$10.63
49423		Exchange drainage catheter	G2	5302	"$1,393.88"	18.62%	$131.53
49424		Assess cyst contrast inject	N1			0.00%	
49426		Revise abdomen-venous shunt	A2	5341	"$2,841.05"	9.91%	$142.68
49427		Injection abdominal shunt	N1			0.00%	
49429		Removal of shunt	G2	5183	"$2,758.87"	5.68%	$79.41
49435		Insert subq exten to ip cath	N1			0.00%	
49436		Embedded ip cath exit-site	G2	5302	"$1,393.88"	2.19%	$15.47
49440		Place gastrostomy tube perc	G2	5302	"$1,393.88"	15.60%	$110.19
49441		Place duod/jej tube perc	G2	5302	"$1,393.88"	20.04%	$141.56
49442		Place cecostomy tube perc	G2	5312	"$1,059.06"	16.64%	$89.31
49446		Change g-tube to g-j perc	G2	5302	"$1,393.88"	20.72%	$146.36
49450		Replace g/c tube perc	G2	5301	$826.39	15.02%	$62.90
49451		Replace duod/jej tube perc	G2	5301	$826.39	19.03%	$79.70
49452		Replace g-j tube perc	G2	5301	$826.39	19.11%	$80.03
49460		Fix g/colon tube w/device	G2	5301	$826.39	11.86%	$49.67
49465		Fluoro exam of g/colon tube	G2	5523	$235.00	3.34%	$3.98
49495		Rpr ing hernia baby reduc	A2	5341	"$2,841.05"	0.00%	$0.00
49496		Rpr ing hernia baby blocked	A2	5341	"$2,841.05"	8.43%	$121.37
49500		Rpr ing hernia init reduce	A2	5341	"$2,841.05"	0.00%	$0.00
49501		Rpr ing hernia init blocked	A2	5341	"$2,841.05"	5.34%	$76.88
49505		Prp i/hern init reduc >5 yr	A2	5341	"$2,841.05"	9.38%	$135.05
49507		Prp i/hern init block >5 yr	A2	5341	"$2,841.05"	8.92%	$128.43
49520		Rerepair ing hernia reduce	A2	5341	"$2,841.05"	8.87%	$127.71
49521		Rerepair ing hernia blocked	A2	5341	"$2,841.05"	8.63%	$124.25
49525		Repair ing hernia sliding	A2	5341	"$2,841.05"	8.36%	$120.36
49540		Repair lumbar hernia	A2	5361	"$4,660.15"	15.45%	$364.87
49550		Rpr rem hernia init reduce	A2	5341	"$2,841.05"	9.35%	$134.62
49553		Rpr fem hernia init blocked	A2	5341	"$2,841.05"	8.33%	$119.93
49555		Rerepair fem hernia reduce	A2	5341	"$2,841.05"	11.27%	$162.26
49557		Rerepair fem hernia blocked	A2	5341	"$2,841.05"	7.56%	$108.85
49560		Rpr ventral hern init reduc	A2	5341	"$2,841.05"	14.53%	$209.20
49561		Rpr ventral hern init block	A2	5341	"$2,841.05"	14.14%	$203.58
49565		Rerepair ventrl hern reduce	A2	5361	"$4,660.15"	15.57%	$367.70
49566		Rerepair ventrl hern block	A2	5361	"$4,660.15"	15.13%	$357.31
49568		Hernia repair w/mesh	N1			0.00%	
49570		Rpr epigastric hern reduce	A2	5341	"$2,841.05"	11.57%	$166.58
49572		Rpr epigastric hern blocked	A2	5341	"$2,841.05"	7.74%	$111.44
49580		Rpr umbil hern reduc < 5 yr	A2	5341	"$2,841.05"	0.00%	$0.00
49582		Rpr umbil hern block < 5 yr	A2	5341	"$2,841.05"	0.00%	$0.00
49585		Rpr umbil hern reduc > 5 yr	A2	5341	"$2,841.05"	13.11%	$188.75
49587		Rpr umbil hern block > 5 yr	A2	5341	"$2,841.05"	12.94%	$186.30
49590		Repair spigelian hernia	A2	5341	"$2,841.05"	13.12%	$188.90
49600		Repair umbilical lesion	A2	5341	"$2,841.05"	0.00%	$0.00
49650		Lap ing hernia repair init	A2	5361	"$4,660.15"	10.73%	$253.40
49651		Lap ing hernia repair recur	A2	5361	"$4,660.15"	10.56%	$249.39
49652		Lap vent/abd hernia repair	G2	5361	"$4,660.15"	15.21%	$359.20
49653		Lap vent/abd hern proc comp	G2	5361	"$4,660.15"	15.40%	$363.69
49654		Lap inc hernia repair	G2	5362	"$7,672.98"	16.49%	$641.20
49655		Lap inc hern repair comp	G2	5362	"$7,672.98"	16.74%	$650.92
49656		Lap inc hernia repair recur	G2	5362	"$7,672.98"	16.74%	$650.92
49657		Lap inc hern recur comp	G2	5362	"$7,672.98"	16.49%	$641.20
50080		Removal of kidney stone	G2	5376	"$8,196.68"	10.39%	$431.58
50081		Removal of kidney stone	G2	5376	"$8,196.68"	12.82%	$532.52
50200		Renal biopsy perq	A2	5072	"$1,200.16"	0.45%	$2.74
50382		Change ureter stent percut	G2	5373	"$1,610.58"	24.13%	$196.95
50384		Remove ureter stent percut	G2	5373	"$1,610.58"	10.75%	$87.74
50385		Change stent via transureth	G2	5373	"$1,610.58"	17.22%	$140.55
50386		Remove stent via transureth	P3	5373	"$1,610.58"	4.22%	$27.93
50387		Change nephroureteral cath	G2	5373	"$1,610.58"	26.38%	$215.31
50389		Remove renal tube w/fluoro	G2	5372	$587.56	7.45%	$22.18
50390		Drainage of kidney lesion	A2	5071	$635.54	5.94%	$19.13
50391		Instll rx agnt into rnal tub	P3	5371	$271.77	0.00%	$0.00
50396		Measure kidney pressure	A2	5372	$587.56	0.31%	$0.92
50430		Njx px nfrosgrm &/urtrgrm	N1			11.17%	
50431		Njx px nfrosgrm &/urtrgrm	N1			2.93%	
50432		Plmt nephrostomy catheter	G2	5373	"$1,610.58"	19.12%	$156.06
50433		Plmt nephroureteral catheter	G2	5374	"$2,819.74"	23.67%	$338.23
50434		Convert nephrostomy catheter	G2	5373	"$1,610.58"	29.72%	$242.57
50435		Exchange nephrostomy cath	G2	5373	"$1,610.58"	22.55%	$184.05
50436		Dilat xst trc ndurlgc px	G2	5374	"$2,819.74"	18.94%	$270.64
50437		Dilat xst trc new access rcs	G2	5374	"$2,819.74"	17.77%	$253.92
50551		Kidney endoscopy	A2	5375	"$4,168.14"	12.98%	$274.17
50553		Kidney endoscopy	A2	5375	"$4,168.14"	0.00%	$0.00
50555		Kidney endoscopy & biopsy	A2	5376	"$8,196.68"	6.56%	$272.49
50557		Kidney endoscopy & treatment	A2	5376	"$8,196.68"	3.67%	$152.44
50561		Kidney endoscopy & treatment	A2	5375	"$4,168.14"	6.28%	$132.65
50562		Renal scope w/tumor resect	G2	5376	"$8,196.68"	26.62%	"$1,105.74"
50570		Kidney endoscopy	G2	5374	"$2,819.74"	0.00%	$0.00
50572		Kidney endoscopy	G2	5372	$587.56	0.00%	$0.00
50574		Kidney endoscopy & biopsy	G2	5374	"$2,819.74"	0.00%	$0.00
50575		Kidney endoscopy	G2	5375	"$4,168.14"	12.96%	$273.75
50576		Kidney endoscopy & treatment	G2	5375	"$4,168.14"	0.00%	$0.00
50580		Kidney endoscopy & treatment	G2	5375	"$4,168.14"	0.98%	$20.70
50590		Fragmenting of kidney stone	G2	5374	"$2,819.74"	0.24%	$3.43
50592		Perc rf ablate renal tumor	G2	5361	"$4,660.15"	18.88%	$445.87
50593		Perc cryo ablate renal tum	J8	5362	"$7,672.98"	50.70%	"$3,890.20"
50606		Endoluminal bx urtr rnl plvs	N1			0.00%	
50684		Injection for ureter x-ray	N1			0.00%	
50686		Measure ureter pressure	P2	5721	$142.59	0.00%	$0.00
50688		Change of ureter tube/stent	A2	5373	"$1,610.58"	21.89%	$178.66
50690		Injection for ureter x-ray	N1			0.00%	
50693		Plmt ureteral stent prq	G2	5374	"$2,819.74"	26.34%	$376.39
50694		Plmt ureteral stent prq	G2	5374	"$2,819.74"	24.96%	$356.67
50695		Plmt ureteral stent prq	J8	5374	"$2,819.74"	31.49%	$887.94
50705		Ureteral embolization/occl	N1			0.00%	
50706		Balloon dilate urtrl strix	N1			0.00%	
50727		Revise ureter	G2	5374	"$2,819.74"	0.34%	$4.86
50947		Laparo new ureter/bladder	A2	5361	"$4,660.15"	3.83%	$90.45
50948		Laparo new ureter/bladder	A2	5362	"$7,672.98"	2.70%	$104.99
50951		Endoscopy of ureter	A2	5374	"$2,819.74"	6.41%	$91.60
50953		Endoscopy of ureter	A2	5374	"$2,819.74"	11.09%	$158.47
50955		Ureter endoscopy & biopsy	A2	5375	"$4,168.14"	6.84%	$144.48
50957		Ureter endoscopy & treatment	A2	5375	"$4,168.14"	0.98%	$20.70
50961		Ureter endoscopy & treatment	A2	5375	"$4,168.14"	4.82%	$101.81
50970		Ureter endoscopy	A2	5374	"$2,819.74"	7.12%	$101.74
50972		Ureter endoscopy & catheter	A2	5374	"$2,819.74"	0.00%	$0.00
50974		Ureter endoscopy & biopsy	A2	5375	"$4,168.14"	0.00%	$0.00
50976		Ureter endoscopy & treatment	A2	5375	"$4,168.14"	0.00%	$0.00
50980		Ureter endoscopy & treatment	A2	5375	"$4,168.14"	12.69%	$268.05
51020		Incise & treat bladder	A2	5374	"$2,819.74"	0.00%	$0.00
51030		Incise & treat bladder	A2	5374	"$2,819.74"	0.00%	$0.00
51040		Incise & drain bladder	A2	5373	"$1,610.58"	2.72%	$22.20
51045		Incise bladder/drain ureter	A2	5373	"$1,610.58"	3.48%	$28.40
51050		Removal of bladder stone	A2	5375	"$4,168.14"	1.10%	$23.24
51065		Remove ureter calculus	A2	5374	"$2,819.74"	0.00%	$0.00
51080		Drainage of bladder abscess	A2	5073	"$2,011.25"	23.20%	$236.46
51100		Drain bladder by needle	P3	5371	$271.77	0.00%	$0.00
51101		Drain bladder by trocar/cath	P3	5724	$939.61	3.12%	$3.74
51102		Drain bl w/cath insertion	A2	5373	"$1,610.58"	7.72%	$63.01
51500		Removal of bladder cyst	A2	5361	"$4,660.15"	2.42%	$57.15
51520		Removal of bladder lesion	A2	5374	"$2,819.74"	0.00%	$0.00
51535		Repair of ureter lesion	G2	5374	"$2,819.74"	0.85%	$12.15
51600		Injection for bladder x-ray	N1			0.00%	
51605		Preparation for bladder xray	N1			0.00%	
51610		Injection for bladder x-ray	N1			0.00%	
51700		Irrigation of bladder	P3	5371	$271.77	0.11%	$0.06
51701		Insert bladder catheter	N1			0.16%	
51702		Insert temp bladder cath	N1			0.43%	
51703		Insert bladder cath complex	P2	5721	$142.59	0.80%	$0.58
51705		Change of bladder tube	P3	5371	$271.77	2.76%	$1.73
51710		Change of bladder tube	A2	5372	$587.56	5.36%	$15.96
51715		Endoscopic injection/implant	J8	5374	"$2,819.74"	37.63%	"$1,061.07"
51720		Treatment of bladder lesion	P3	5371	$271.77	0.28%	$0.15
51725		Simple cystometrogram	P2	5371	$271.77	0.23%	$0.32
51726		Complex cystometrogram	A2	5371	$271.77	0.26%	$0.36
51727		Cystometrogram w/up	P3	5372	$587.56	0.00%	$0.00
51728		Cystometrogram w/vp	P3	5372	$587.56	0.74%	$2.00
51729		Cystometrogram w/vp&up	P3	5372	$587.56	0.56%	$1.51
51736		Urine flow measurement	N1			0.13%	
51741		Electro-uroflowmetry first	N1			0.01%	
51784		Anal/urinary muscle study	P3	5721	$142.59	0.00%	$0.00
51785		Anal/urinary muscle study	A2	5371	$271.77	0.00%	$0.00
51792		Urinary reflex study	N1			0.00%	
51797		Intraabdominal pressure test	N1			0.00%	
51798		Us urine capacity measure	N1			0.08%	
51880		Repair of bladder opening	A2	5374	"$2,819.74"	2.30%	$32.87
51992		Laparo sling operation	J8	5361	"$4,660.15"	38.36%	"$1,787.63"
52000		Cystoscopy	A2	5372	$587.56	0.14%	$0.42
52001		Cystoscopy removal of clots	A2	5374	"$2,819.74"	1.08%	$15.43
52005		Cystoscopy & ureter catheter	A2	5373	"$1,610.58"	3.77%	$30.77
52007		Cystoscopy and biopsy	A2	5374	"$2,819.74"	5.01%	$71.59
52010		Cystoscopy & duct catheter	A2	5372	$587.56	0.00%	$0.00
52204		Cystoscopy w/biopsy(s)	A2	5373	"$1,610.58"	0.73%	$5.96
52214		Cystoscopy and treatment	A2	5374	"$2,819.74"	1.00%	$14.29
52224		Cystoscopy and treatment	A2	5374	"$2,819.74"	0.66%	$9.43
52234		Cystoscopy and treatment	A2	5374	"$2,819.74"	0.81%	$11.57
52235		Cystoscopy and treatment	A2	5374	"$2,819.74"	0.98%	$14.00
52240		Cystoscopy and treatment	A2	5375	"$4,168.14"	0.94%	$19.86
52250		Cystoscopy and radiotracer	A2	5374	"$2,819.74"	2.29%	$32.72
52260		Cystoscopy and treatment	A2	5373	"$1,610.58"	0.50%	$4.08
52265		Cystoscopy and treatment	P3	5373	"$1,610.58"	0.06%	$0.16
52270		Cystoscopy & revise urethra	A2	5373	"$1,610.58"	0.41%	$3.35
52275		Cystoscopy & revise urethra	A2	5373	"$1,610.58"	3.04%	$24.81
52276		Cystoscopy and treatment	A2	5373	"$1,610.58"	3.28%	$26.77
52277		Cystoscopy and treatment	A2	5374	"$2,819.74"	3.72%	$53.16
52281		Cystoscopy and treatment	A2	5373	"$1,610.58"	3.55%	$28.97
52282		Cystoscopy implant stent	A2	5374	"$2,819.74"	16.35%	$233.63
52283		Cystoscopy and treatment	A2	5373	"$1,610.58"	2.56%	$20.89
52285		Cystoscopy and treatment	A2	5372	$587.56	0.56%	$1.67
52287		Cystoscopy chemodenervation	G2	5373	"$1,610.58"	0.95%	$7.75
52290		Cystoscopy and treatment	A2	5373	"$1,610.58"	2.91%	$23.75
52300		Cystoscopy and treatment	A2	5374	"$2,819.74"	0.78%	$11.15
52301		Cystoscopy and treatment	A2	5374	"$2,819.74"	0.29%	$4.14
52305		Cystoscopy and treatment	A2	5375	"$4,168.14"	3.34%	$70.55
52310		Cystoscopy and treatment	A2	5373	"$1,610.58"	0.72%	$5.88
52315		Cystoscopy and treatment	A2	5373	"$1,610.58"	1.68%	$13.71
52317		Remove bladder stone	A2	5374	"$2,819.74"	2.01%	$28.72
52318		Remove bladder stone	A2	5374	"$2,819.74"	1.81%	$25.86
52320		Cystoscopy and treatment	A2	5374	"$2,819.74"	4.88%	$69.73
52325		Cystoscopy stone removal	A2	5375	"$4,168.14"	8.56%	$180.81
52327		Cystoscopy inject material	J8	5375	"$4,168.14"	44.95%	"$1,873.58"
52330		Cystoscopy and treatment	A2	5374	"$2,819.74"	9.46%	$135.18
52332		Cystoscopy and treatment	A2	5374	"$2,819.74"	13.31%	$190.19
52334		Create passage to kidney	A2	5374	"$2,819.74"	18.13%	$259.07
52341		Cysto w/ureter stricture tx	A2	5374	"$2,819.74"	5.67%	$81.02
52342		Cysto w/up stricture tx	A2	5374	"$2,819.74"	6.57%	$93.88
52343		Cysto w/renal stricture tx	A2	5374	"$2,819.74"	9.73%	$139.04
52344		Cysto/uretero stricture tx	A2	5374	"$2,819.74"	7.45%	$106.46
52345		Cysto/uretero w/up stricture	A2	5374	"$2,819.74"	12.18%	$174.05
52346		Cystouretero w/renal strict	A2	5375	"$4,168.14"	0.00%	$0.00
52351		Cystouretero & or pyeloscope	A2	5374	"$2,819.74"	5.33%	$76.16
52352		Cystouretero w/stone remove	A2	5374	"$2,819.74"	5.89%	$84.17
52353		Cystouretero w/lithotripsy	A2	5375	"$4,168.14"	4.92%	$103.92
52354		Cystouretero w/biopsy	A2	5375	"$4,168.14"	5.55%	$117.23
52355		Cystouretero w/excise tumor	A2	5375	"$4,168.14"	9.32%	$196.86
52356		Cysto/uretero w/lithotripsy	G2	5375	"$4,168.14"	10.28%	$217.14
52400		Cystouretero w/congen repr	A2	5374	"$2,819.74"	0.52%	$7.43
52402		Cystourethro cut ejacul duct	A2	5374	"$2,819.74"	0.74%	$10.57
52450		Incision of prostate	A2	5374	"$2,819.74"	1.49%	$21.29
52500		Revision of bladder neck	A2	5374	"$2,819.74"	1.81%	$25.86
52601		Prostatectomy (turp)	A2	5375	"$4,168.14"	0.75%	$15.84
52630		Remove prostate regrowth	A2	5375	"$4,168.14"	0.91%	$19.22
52640		Relieve bladder contracture	A2	5374	"$2,819.74"	1.81%	$25.86
52647		Laser surgery of prostate	A2	5375	"$4,168.14"	1.30%	$27.46
52648		Laser surgery of prostate	A2	5375	"$4,168.14"	1.29%	$27.25
52649		Prostate laser enucleation	G2	5375	"$4,168.14"	1.97%	$41.61
52700		Drainage of prostate abscess	A2	5374	"$2,819.74"	0.25%	$3.57
53000		Incision of urethra	A2	5373	"$1,610.58"	0.55%	$4.49
53010		Incision of urethra	A2	5375	"$4,168.14"	1.65%	$34.85
53020		Incision of urethra	A2	5373	"$1,610.58"	0.64%	$5.22
53025		Incision of urethra	R2	5373	"$1,610.58"	0.00%	$0.00
53040		Drainage of urethra abscess	A2	5374	"$2,819.74"	0.00%	$0.00
53060		Drainage of urethra abscess	P3	5373	"$1,610.58"	0.00%	$0.00
53080		Drainage of urinary leakage	A2	5372	$587.56	0.00%	$0.00
53085		Drainage of urinary leakage	G2	5373	"$1,610.58"	0.00%	$0.00
53200		Biopsy of urethra	A2	5373	"$1,610.58"	0.00%	$0.00
53210		Removal of urethra	A2	5374	"$2,819.74"	0.63%	$9.00
53215		Removal of urethra	A2	5375	"$4,168.14"	0.68%	$14.36
53220		Treatment of urethra lesion	A2	5374	"$2,819.74"	1.95%	$27.86
53230		Removal of urethra lesion	A2	5375	"$4,168.14"	0.66%	$13.94
53235		Removal of urethra lesion	A2	5375	"$4,168.14"	0.46%	$9.72
53240		Surgery for urethra pouch	A2	5374	"$2,819.74"	0.00%	$0.00
53250		Removal of urethra gland	A2	5374	"$2,819.74"	0.00%	$0.00
53260		Treatment of urethra lesion	A2	5374	"$2,819.74"	0.58%	$8.29
53265		Treatment of urethra lesion	A2	5373	"$1,610.58"	0.20%	$1.63
53270		Removal of urethra gland	A2	5374	"$2,819.74"	0.00%	$0.00
53275		Repair of urethra defect	A2	5374	"$2,819.74"	0.25%	$3.57
53400		Revise urethra stage 1	A2	5375	"$4,168.14"	2.51%	$53.02
53405		Revise urethra stage 2	A2	5375	"$4,168.14"	0.14%	$2.96
53410		Reconstruction of urethra	A2	5375	"$4,168.14"	1.71%	$36.12
53420		Reconstruct urethra stage 1	A2	5375	"$4,168.14"	0.03%	$0.63
53425		Reconstruct urethra stage 2	A2	5375	"$4,168.14"	2.69%	$56.82
53430		Reconstruction of urethra	A2	5375	"$4,168.14"	0.44%	$9.29
53431		Reconstruct urethra/bladder	A2	5375	"$4,168.14"	1.38%	$29.15
53440		Male sling procedure	J8	5377	"$11,440.90"	65.22%	"$7,461.75"
53442		Remove/revise male sling	J8	5375	"$4,168.14"	32.03%	"$1,335.06"
53444		Insert tandem cuff	J8	5378	"$18,457.62"	64.22%	"$11,853.48"
53445		Insert uro/ves nck sphincter	J8	5378	"$18,457.62"	71.93%	"$13,276.57"
53446		Remove uro sphincter	A2	5375	"$4,168.14"	1.45%	$30.63
53447		Remove/replace ur sphincter	J8	5378	"$18,457.62"	70.07%	"$12,933.25"
53449		Repair uro sphincter	A2	5375	"$4,168.14"	30.73%	$649.10
53450		Revision of urethra	A2	5374	"$2,819.74"	0.64%	$9.15
53451		Tprnl balo cntnc dev bi	J8	5377	"$11,440.90"	77.68%	"$8,887.29"
53452		Tprnl balo cntnc dev uni	J8	5375	"$4,168.14"	69.20%	"$2,884.35"
53453		Tprnl balo cntnc dev rmvl ea	G2	5374	"$2,819.74"	0.00%	$0.00
53454		Tprnl balo cntnc dev adjmt	R2	5371	$271.77	0.00%	$0.00
53460		Revision of urethra	A2	5374	"$2,819.74"	1.70%	$24.29
53502		Repair of urethra injury	A2	5374	"$2,819.74"	0.00%	$0.00
53505		Repair of urethra injury	A2	5375	"$4,168.14"	17.15%	$362.26
53510		Repair of urethra injury	A2	5375	"$4,168.14"	0.00%	$0.00
53515		Repair of urethra injury	A2	5375	"$4,168.14"	0.00%	$0.00
53520		Repair of urethra defect	A2	5375	"$4,168.14"	1.46%	$30.84
53600		Dilate urethra stricture	P3	5371	$271.77	1.41%	$0.60
53601		Dilate urethra stricture	N1			1.77%	
53605		Dilate urethra stricture	A2	5374	"$2,819.74"	4.91%	$70.16
53620		Dilate urethra stricture	P3	5372	$587.56	0.60%	$0.67
53621		Dilate urethra stricture	P3	5371	$271.77	0.00%	$0.00
53660		Dilation of urethra	P3	5721	$142.59	0.13%	$0.06
53661		Dilation of urethra	N1			0.00%	
53665		Dilation of urethra	A2	5373	"$1,610.58"	0.53%	$4.33
53850		Prostatic microwave thermotx	P3	5374	"$2,819.74"	0.04%	$0.50
53852		Prostatic rf thermotx	P3	5374	"$2,819.74"	0.49%	$5.91
53854		Trurl dstrj prst8 tiss rf wv	P2	5374	"$2,819.74"	0.51%	$7.29
53855		Insert prost urethral stent	P3	5373	"$1,610.58"	5.84%	$36.24
53860		Transurethral rf treatment	P2	5373	"$1,610.58"	0.00%	$0.00
54000		Slitting of prepuce	A2	5374	"$2,819.74"	29.69%	$424.26
54001		Slitting of prepuce	A2	5373	"$1,610.58"	0.57%	$4.65
54015		Drain penis lesion	A2	5072	"$1,200.16"	0.00%	$0.00
54050		Destruction penis lesion(s)	N1			0.00%	
54055		Destruction penis lesion(s)	P3	5054	"$1,749.26"	2.11%	$1.87
54056		Cryosurgery penis lesion(s)	N1			0.00%	
54057		Laser surg penis lesion(s)	A2	5054	"$1,749.26"	0.00%	$0.00
54060		Excision of penis lesion(s)	A2	5054	"$1,749.26"	0.17%	$1.51
54065		Destruction penis lesion(s)	A2	5054	"$1,749.26"	0.02%	$0.18
54100		Biopsy of penis	A2	5072	"$1,200.16"	0.10%	$0.61
54105		Biopsy of penis	A2	5073	"$2,011.25"	0.04%	$0.41
54110		Treatment of penis lesion	A2	5374	"$2,819.74"	0.59%	$8.43
54111		Treat penis lesion graft	A2	5375	"$4,168.14"	20.83%	$439.99
54112		Treat penis lesion graft	A2	5376	"$8,196.68"	17.48%	$726.09
54115		Treatment of penis lesion	A2	5073	"$2,011.25"	8.02%	$81.74
54120		Partial removal of penis	A2	5374	"$2,819.74"	0.02%	$0.29
54150		Circumcision w/regionl block	A2	5373	"$1,610.58"	0.07%	$0.57
54160		Circumcision neonate	A2	5372	$587.56	0.00%	$0.00
54161		Circum 28 days or older	A2	5373	"$1,610.58"	0.10%	$0.82
54162		Lysis penil circumic lesion	A2	5373	"$1,610.58"	0.00%	$0.00
54163		Repair of circumcision	A2	5373	"$1,610.58"	1.01%	$8.24
54164		Frenulotomy of penis	A2	5373	"$1,610.58"	0.00%	$0.00
54200		Treatment of penis lesion	P3	5371	$271.77	0.00%	$0.00
54205		Treatment of penis lesion	A2	5375	"$4,168.14"	0.00%	$0.00
54220		Treatment of penis lesion	A2	5371	$271.77	0.00%	$0.00
54230		Prepare penis study	N1			0.00%	
54231		Dynamic cavernosometry	P3	5371	$271.77	0.00%	$0.00
54235		Penile injection	P3	5371	$271.77	0.00%	$0.00
54240		Penis study	P3	5722	$270.29	0.00%	$0.00
54250		Penis study	P3	5371	$271.77	75.37%	$10.39
54300		Revision of penis	A2	5374	"$2,819.74"	0.03%	$0.43
54304		Revision of penis	A2	5374	"$2,819.74"	0.14%	$2.00
54308		Reconstruction of urethra	A2	5375	"$4,168.14"	0.00%	$0.00
54312		Reconstruction of urethra	A2	5374	"$2,819.74"	0.00%	$0.00
54316		Reconstruction of urethra	A2	5375	"$4,168.14"	0.00%	$0.00
54318		Reconstruction of urethra	A2	5374	"$2,819.74"	0.00%	$0.00
54322		Reconstruction of urethra	A2	5374	"$2,819.74"	0.00%	$0.00
54324		Reconstruction of urethra	A2	5374	"$2,819.74"	0.00%	$0.00
54326		Reconstruction of urethra	A2	5374	"$2,819.74"	0.00%	$0.00
54328		Revise penis/urethra	A2	5374	"$2,819.74"	0.00%	$0.00
54340		Rpr hypspad comp simple	A2	5374	"$2,819.74"	0.00%	$0.00
54344		Rrp hypspad comp moblj&urtp	A2	5375	"$4,168.14"	0.00%	$0.00
54348		Rpr hypspad comp dsj & urtp	A2	5375	"$4,168.14"	0.00%	$0.00
54352		Revj prior hypspad repair	A2	5375	"$4,168.14"	0.00%	$0.00
54360		Penis plastic surgery	A2	5374	"$2,819.74"	0.56%	$8.00
54380		Repair penis	A2	5373	"$1,610.58"	0.00%	$0.00
54385		Repair penis	A2	5373	"$1,610.58"	0.00%	$0.00
54400		Insert semi-rigid prosthesis	J8	5377	"$11,440.90"	70.10%	"$8,020.07"
54401		Insert self-contd prosthesis	J8	5378	"$18,457.62"	71.74%	"$13,241.50"
54405		Insert multi-comp penis pros	J8	5378	"$18,457.62"	71.80%	"$13,252.57"
54406		Remove muti-comp penis pros	A2	5374	"$2,819.74"	3.18%	$45.44
54408		Repair multi-comp penis pros	A2	5375	"$4,168.14"	21.07%	$445.06
54410		Remove/replace penis prosth	J8	5378	"$18,457.62"	68.11%	"$12,571.48"
54415		Remove self-contd penis pros	A2	5374	"$2,819.74"	0.15%	$2.14
54416		Remv/repl penis contain pros	J8	5378	"$18,457.62"	67.98%	"$12,547.49"
54420		Revision of penis	A2	5374	"$2,819.74"	0.00%	$0.00
54435		Revision of penis	A2	5374	"$2,819.74"	0.00%	$0.00
54437		Repair corporeal tear	G2	5374	"$2,819.74"	0.00%	$0.00
54440		Repair of penis	A2	5374	"$2,819.74"	0.00%	$0.00
54450		Preputial stretching	A2	5371	$271.77	0.17%	$0.23
54500		Biopsy of testis	A2	5073	"$2,011.25"	0.00%	$0.00
54505		Biopsy of testis	A2	5374	"$2,819.74"	0.00%	$0.00
54512		Excise lesion testis	A2	5374	"$2,819.74"	0.00%	$0.00
54520		Removal of testis	A2	5374	"$2,819.74"	0.51%	$7.29
54522		Orchiectomy partial	A2	5374	"$2,819.74"	2.38%	$34.01
54530		Removal of testis	A2	5341	"$2,841.05"	0.19%	$2.74
54550		Exploration for testis	A2	5341	"$2,841.05"	0.00%	$0.00
54560		Exploration for testis	G2	5373	"$1,610.58"	0.00%	$0.00
54600		Reduce testis torsion	A2	5374	"$2,819.74"	0.26%	$3.72
54620		Suspension of testis	A2	5374	"$2,819.74"	0.00%	$0.00
54640		Orchiopexy ingun/scrot appr	A2	5341	"$2,841.05"	0.33%	$4.75
54650		Orchiopexy (fowler-stephens)	G2	5341	"$2,841.05"	0.00%	$0.00
54660		Revision of testis	J8	5375	"$4,168.14"	49.35%	"$2,056.98"
54670		Repair testis injury	A2	5374	"$2,819.74"	0.00%	$0.00
54680		Relocation of testis(es)	A2	5374	"$2,819.74"	0.00%	$0.00
54690		Laparoscopy orchiectomy	A2	5361	"$4,660.15"	0.00%	$0.00
54692		Laparoscopy orchiopexy	G2	5361	"$4,660.15"	0.00%	$0.00
54700		Drainage of scrotum	A2	5373	"$1,610.58"	0.08%	$0.65
54800		Biopsy of epididymis	A2	5072	"$1,200.16"	0.00%	$0.00
54830		Remove epididymis lesion	A2	5374	"$2,819.74"	0.07%	$1.00
54840		Remove epididymis lesion	A2	5373	"$1,610.58"	0.05%	$0.41
54860		Removal of epididymis	A2	5374	"$2,819.74"	0.14%	$2.00
54861		Removal of epididymis	A2	5374	"$2,819.74"	0.00%	$0.00
54865		Explore epididymis	A2	5374	"$2,819.74"	0.00%	$0.00
54900		Fusion of spermatic ducts	A2	5373	"$1,610.58"	0.00%	$0.00
54901		Fusion of spermatic ducts	A2	5374	"$2,819.74"	0.00%	$0.00
55000		Drainage of hydrocele	P3	5071	$635.54	0.15%	$0.10
55040		Removal of hydrocele	A2	5341	"$2,841.05"	0.11%	$1.58
55041		Removal of hydroceles	A2	5341	"$2,841.05"	0.04%	$0.58
55060		Repair of hydrocele	A2	5374	"$2,819.74"	0.06%	$0.86
55100		Drainage of scrotum abscess	A2	5072	"$1,200.16"	0.43%	$2.62
55110		Explore scrotum	A2	5374	"$2,819.74"	0.13%	$1.86
55120		Removal of scrotum lesion	A2	5373	"$1,610.58"	0.00%	$0.00
55150		Removal of scrotum	A2	5374	"$2,819.74"	0.00%	$0.00
55175		Revision of scrotum	A2	5374	"$2,819.74"	1.43%	$20.43
55180		Revision of scrotum	A2	5375	"$4,168.14"	0.00%	$0.00
55200		Incision of sperm duct	A2	5374	"$2,819.74"	0.00%	$0.00
55250		Removal of sperm duct(s)	A2	5373	"$1,610.58"	0.09%	$0.73
55300		Prepare sperm duct x-ray	N1			0.00%	
55400		Repair of sperm duct	A2	5374	"$2,819.74"	0.00%	$0.00
55500		Removal of hydrocele	A2	5374	"$2,819.74"	0.09%	$1.29
55520		Removal of sperm cord lesion	A2	5374	"$2,819.74"	1.98%	$28.29
55530		Revise spermatic cord veins	A2	5374	"$2,819.74"	0.06%	$0.86
55535		Revise spermatic cord veins	A2	5341	"$2,841.05"	0.13%	$1.87
55540		Revise hernia & sperm veins	A2	5341	"$2,841.05"	8.86%	$127.56
55550		Laparo ligate spermatic vein	A2	5361	"$4,660.15"	0.00%	$0.00
55600		Incise sperm duct pouch	R2	5373	"$1,610.58"	0.00%	$0.00
55680		Remove sperm pouch lesion	A2	5374	"$2,819.74"	0.00%	$0.00
55700		Biopsy of prostate	A2	5373	"$1,610.58"	0.12%	$0.98
55705		Biopsy of prostate	A2	5374	"$2,819.74"	0.14%	$2.00
55706		Prostate saturation sampling	G2	5374	"$2,819.74"	0.25%	$3.57
55720		Drainage of prostate abscess	A2	5374	"$2,819.74"	0.00%	$0.00
55725		Drainage of prostate abscess	A2	5374	"$2,819.74"	0.00%	$0.00
55860		Surgical exposure prostate	G2	5375	"$4,168.14"	2.11%	$44.57
55870		Electroejaculation	P3	5413	$647.47	0.00%	$0.00
55873		Cryoablate prostate	J8	5376	"$8,196.68"	56.63%	"$4,641.78"
55874		Tprnl plmt biodegrdabl matrl	J8	5375	"$4,168.14"	43.53%	"$1,814.39"
55875		Transperi needle place pros	A2	5375	"$4,168.14"	11.16%	$235.73
55876		Place rt device/marker pros	P3	5613	"$1,289.67"	23.44%	$20.16
55880		Abltj mal prst8 tiss hifu	G2	5375	"$4,168.14"	0.00%	$0.00
55920		Place needles pelvic for rt	G2	5415	"$3,767.38"	1.73%	$33.03
56405		I & d of vulva/perineum	P3	5412	$288.04	0.03%	$0.03
56420		Drainage of gland abscess	P2	5411	$173.99	0.00%	$0.00
56440		Surgery for vulva lesion	A2	5414	"$2,623.91"	0.00%	$0.00
56441		Lysis of labial lesion(s)	A2	5414	"$2,623.91"	0.01%	$0.13
56442		Hymenotomy	A2	5414	"$2,623.91"	0.00%	$0.00
56501		Destroy vulva lesions sim	P3	5054	"$1,749.26"	0.13%	$0.18
56515		Destroy vulva lesion/s compl	A2	5054	"$1,749.26"	0.22%	$1.95
56605		Biopsy of vulva/perineum	P3	5413	$647.47	0.05%	$0.03
56606		Biopsy of vulva/perineum	N1			0.00%	
56620		Partial removal of vulva	A2	5414	"$2,623.91"	0.18%	$2.39
56625		Complete removal of vulva	A2	5414	"$2,623.91"	0.00%	$0.00
56700		Partial removal of hymen	A2	5414	"$2,623.91"	0.05%	$0.66
56740		Remove vagina gland lesion	A2	5414	"$2,623.91"	0.50%	$6.65
56800		Repair of vagina	A2	5414	"$2,623.91"	0.27%	$3.59
56805		Repair clitoris	G2	5414	"$2,623.91"	0.00%	$0.00
56810		Repair of perineum	A2	5414	"$2,623.91"	1.43%	$19.01
56820		Exam of vulva w/scope	P3	5411	$173.99	0.00%	$0.00
56821		Exam/biopsy of vulva w/scope	P3	5412	$288.04	0.47%	$0.41
57000		Exploration of vagina	A2	5414	"$2,623.91"	1.87%	$24.87
57010		Drainage of pelvic abscess	A2	5414	"$2,623.91"	0.00%	$0.00
57020		Drainage of pelvic fluid	A2	5415	"$3,767.38"	0.00%	$0.00
57022		I & d vaginal hematoma pp	R2	5073	"$2,011.25"	0.00%	$0.00
57023		I & d vag hematoma non-ob	A2	5073	"$2,011.25"	2.10%	$21.40
57061		Destroy vag lesions simple	P3	5414	"$2,623.91"	0.04%	$0.05
57065		Destroy vag lesions complex	A2	5414	"$2,623.91"	0.19%	$2.53
57100		Biopsy of vagina	P3	5413	$647.47	0.03%	$0.02
57105		Biopsy of vagina	A2	5414	"$2,623.91"	0.00%	$0.00
57120		Closure of vagina	G2	5415	"$3,767.38"	1.05%	$20.05
57130		Remove vagina lesion	A2	5414	"$2,623.91"	0.00%	$0.00
57135		Remove vagina lesion	A2	5414	"$2,623.91"	0.30%	$3.99
57150		Treat vagina infection	N1			0.00%	
57155		Insert uteri tandem/ovoids	A2	5415	"$3,767.38"	0.20%	$3.82
57156		Ins vag brachytx device	G2	5412	$288.04	0.02%	$0.03
57160		Insert pessary/other device	P3	5411	$173.99	0.28%	$0.11
57170		Fitting of diaphragm/cap	P3	5411	$173.99	0.00%	$0.00
57180		Treat vaginal bleeding	A2	5411	$173.99	0.00%	$0.00
57200		Repair of vagina	A2	5414	"$2,623.91"	0.80%	$10.64
57210		Repair vagina/perineum	A2	5414	"$2,623.91"	0.97%	$12.90
57220		Revision of urethra	A2	5415	"$3,767.38"	0.00%	$0.00
57230		Repair of urethral lesion	A2	5414	"$2,623.91"	0.00%	$0.00
57240		Anterior colporrhaphy	A2	5415	"$3,767.38"	6.49%	$123.91
57250		Repair rectum & vagina	A2	5415	"$3,767.38"	3.65%	$69.69
57260		Cmbn ant pst colprhy	A2	5415	"$3,767.38"	3.94%	$75.22
57265		Cmbn ap colprhy w/ntrcl rpr	A2	5415	"$3,767.38"	6.38%	$121.81
57267		Insert mesh/pelvic flr addon	N1			0.00%	
57268		Repair of bowel bulge	A2	5415	"$3,767.38"	7.22%	$137.84
57282		Colpopexy extraperitoneal	G2	5416	"$5,617.30"	15.16%	$431.56
57283		Colpopexy intraperitoneal	G2	5416	"$5,617.30"	9.46%	$269.29
57287		Revise/remove sling repair	G2	5414	"$2,623.91"	5.32%	$70.74
57288		Repair bladder defect	J8	5415	"$3,767.38"	36.37%	"$1,370.20"
57289		Repair bladder & vagina	A2	5416	"$5,617.30"	3.49%	$99.35
57291		Construction of vagina	A2	5415	"$3,767.38"	0.00%	$0.00
57295		Revise vag graft via vagina	G2	5414	"$2,623.91"	2.89%	$38.43
57300		Repair rectum-vagina fistula	A2	5414	"$2,623.91"	3.44%	$45.74
57310		Repair urethrovaginal lesion	G2	5416	"$5,617.30"	0.72%	$20.50
57320		Repair bladder-vagina lesion	G2	5415	"$3,767.38"	4.01%	$76.56
57400		Dilation of vagina	A2	5414	"$2,623.91"	1.56%	$20.74
57410		Pelvic examination	A2	5414	"$2,623.91"	0.26%	$3.46
57415		Remove vaginal foreign body	A2	5414	"$2,623.91"	0.09%	$1.20
57420		Exam of vagina w/scope	P3	5412	$288.04	0.02%	$0.01
57421		Exam/biopsy of vag w/scope	P3	5413	$647.47	0.02%	$0.02
57425		Laparoscopy surg colpopexy	G2	5362	"$7,672.98"	14.67%	$570.43
57426		Revise prosth vag graft lap	G2	5416	"$5,617.30"	3.95%	$112.44
57452		Exam of cervix w/scope	P3	5411	$173.99	0.06%	$0.04
57454		Bx/curett of cervix w/scope	P3	5412	$288.04	0.10%	$0.08
57455		Biopsy of cervix w/scope	P3	5412	$288.04	0.00%	$0.00
57456		Endocerv curettage w/scope	P3	5412	$288.04	0.00%	$0.00
57460		Bx of cervix w/scope leep	P3	5414	"$2,623.91"	0.00%	$0.00
57461		Conz of cervix w/scope leep	P3	5414	"$2,623.91"	0.00%	$0.00
57500		Biopsy of cervix	P3	5413	$647.47	0.25%	$0.28
57505		Endocervical curettage	P3	5413	$647.47	0.08%	$0.09
57510		Cauterization of cervix	P3	5414	"$2,623.91"	0.00%	$0.00
57511		Cryocautery of cervix	P3	5412	$288.04	0.00%	$0.00
57513		Laser surgery of cervix	A2	5414	"$2,623.91"	0.00%	$0.00
57520		Conization of cervix	A2	5414	"$2,623.91"	0.57%	$7.58
57522		Conization of cervix	A2	5414	"$2,623.91"	0.14%	$1.86
57530		Removal of cervix	A2	5415	"$3,767.38"	0.33%	$6.30
57550		Removal of residual cervix	A2	5415	"$3,767.38"	0.00%	$0.00
57556		Remove cervix repair bowel	A2	5415	"$3,767.38"	0.00%	$0.00
57558		D&c of cervical stump	A2	5414	"$2,623.91"	0.00%	$0.00
57700		Revision of cervix	A2	5414	"$2,623.91"	0.00%	$0.00
57720		Revision of cervix	A2	5414	"$2,623.91"	0.00%	$0.00
57800		Dilation of cervical canal	P3	5414	"$2,623.91"	1.35%	$0.65
58100		Biopsy of uterus lining	P3	5411	$173.99	0.05%	$0.03
58110		Bx done w/colposcopy add-on	N1			0.00%	
58120		Dilation and curettage	A2	5414	"$2,623.91"	0.47%	$6.25
58145		Myomectomy vag method	A2	5414	"$2,623.91"	1.10%	$14.63
58260		Vaginal hysterectomy	G2	5415	"$3,767.38"	3.11%	$59.38
58262		Vag hyst including t/o	G2	5415	"$3,767.38"	2.95%	$56.32
58301		Remove intrauterine device	P3	5412	$288.04	0.34%	$0.21
58321		Artificial insemination	P3	5412	$288.04	0.00%	$0.00
58322		Artificial insemination	P3	5411	$173.99	0.00%	$0.00
58323		Sperm washing	P3	5411	$173.99	0.00%	$0.00
58340		Catheter for hysterography	N1			0.00%	
58345		Reopen fallopian tube	R2	5414	"$2,623.91"	10.17%	$135.23
58346		Insert heyman uteri capsule	A2	5415	"$3,767.38"	0.00%	$0.00
58350		Reopen fallopian tube	A2	5415	"$3,767.38"	0.00%	$0.00
58353		Endometr ablate thermal	A2	5415	"$3,767.38"	2.17%	$41.43
58356		Endometrial cryoablation	P3	5415	"$3,767.38"	0.00%	$0.00
58541		Lsh uterus 250 g or less	G2	5361	"$4,660.15"	17.66%	$417.06
58542		Lsh w/t/o ut 250 g or less	G2	5362	"$7,672.98"	9.28%	$360.85
58543		Lsh uterus above 250 g	G2	5362	"$7,672.98"	0.00%	$0.00
58544		Lsh w/t/o uterus above 250 g	G2	5362	"$7,672.98"	0.00%	$0.00
58545		Laparoscopic myomectomy	A2	5361	"$4,660.15"	2.52%	$59.51
58546		Laparo-myomectomy complex	A2	5362	"$7,672.98"	2.30%	$89.43
58550		Laparo-asst vag hysterectomy	A2	5361	"$4,660.15"	0.15%	$3.54
58552		Laparo-vag hyst incl t/o	G2	5362	"$7,672.98"	1.27%	$49.38
58553		Laparo-vag hyst complex	G2	5362	"$7,672.98"	0.00%	$0.00
58554		Laparo-vag hyst w/t/o compl	G2	5362	"$7,672.98"	0.88%	$34.22
58555		Hysteroscopy dx sep proc	A2	5414	"$2,623.91"	1.52%	$20.21
58558		Hysteroscopy biopsy	A2	5414	"$2,623.91"	1.93%	$25.66
58559		Hysteroscopy lysis	A2	5415	"$3,767.38"	1.66%	$31.69
58560		Hysteroscopy resect septum	A2	5415	"$3,767.38"	7.75%	$147.96
58561		Hysteroscopy remove myoma	A2	5415	"$3,767.38"	4.56%	$87.06
58562		Hysteroscopy remove fb	A2	5414	"$2,623.91"	3.02%	$40.16
58563		Hysteroscopy ablation	A2	5415	"$3,767.38"	3.82%	$72.93
58565		Hysteroscopy sterilization	J8	5415	"$3,767.38"	31.00%	"$1,167.89"
58570		Tlh uterus 250 g or less	G2	5362	"$7,672.98"	0.37%	$14.39
58571		Tlh w/t/o 250 g or less	G2	5362	"$7,672.98"	1.11%	$43.16
58572		Tlh uterus over 250 g	G2	5362	"$7,672.98"	0.00%	$0.00
58573		Tlh w/t/o uterus over 250 g	G2	5362	"$7,672.98"	0.49%	$19.05
58600		Division of fallopian tube	G2	5414	"$2,623.91"	0.00%	$0.00
58615		Occlude fallopian tube(s)	G2	5414	"$2,623.91"	3.42%	$45.48
58660		Laparoscopy lysis	A2	5361	"$4,660.15"	1.43%	$33.77
58661		Laparoscopy remove adnexa	A2	5361	"$4,660.15"	0.55%	$12.99
58662		Laparoscopy excise lesions	A2	5361	"$4,660.15"	1.30%	$30.70
58670		Laparoscopy tubal cautery	A2	5361	"$4,660.15"	0.40%	$9.45
58671		Laparoscopy tubal block	A2	5361	"$4,660.15"	3.72%	$87.85
58672		Laparoscopy fimbrioplasty	A2	5361	"$4,660.15"	0.00%	$0.00
58673		Laparoscopy salpingostomy	A2	5361	"$4,660.15"	0.68%	$16.06
58674		Laps abltj uterine fibroids	G2	5362	"$7,672.98"	0.00%	$0.00
58800		Drainage of ovarian cyst(s)	A2	5414	"$2,623.91"	14.14%	$188.02
58805		Drainage of ovarian cyst(s)	G2	5414	"$2,623.91"	3.20%	$42.55
58820		Drain ovary abscess open	A2	5414	"$2,623.91"	0.00%	$0.00
58900		Biopsy of ovary(s)	A2	5414	"$2,623.91"	0.00%	$0.00
58970		Retrieval of oocyte	A2	5413	$647.47	0.00%	$0.00
58974		Transfer of embryo	A2	5413	$647.47	0.00%	$0.00
58976		Transfer of embryo	A2	5412	$288.04	0.00%	$0.00
59000		Amniocentesis diagnostic	P3	5413	$647.47	0.00%	$0.00
59001		Amniocentesis therapeutic	R2	5412	$288.04	0.00%	$0.00
59012		Fetal cord puncture prenatal	G2	5412	$288.04	0.00%	$0.00
59015		Chorion biopsy	P3	5413	$647.47	0.00%	$0.00
59020		Fetal contract stress test	P3	5411	$173.99	0.00%	$0.00
59025		Fetal non-stress test	P3	5411	$173.99	0.00%	$0.00
59070		Transabdom amnioinfus w/us	G2	5412	$288.04	0.00%	$0.00
59072		Umbilical cord occlud w/us	J8	5412	$288.04	40.64%	$117.06
59074		Fetal fluid drainage w/us	G2	5412	$288.04	0.00%	$0.00
59076		Fetal shunt placement w/us	G2	5412	$288.04	0.00%	$0.00
59100		Remove uterus lesion	R2	5415	"$3,767.38"	0.00%	$0.00
59150		Treat ectopic pregnancy	G2	5361	"$4,660.15"	0.00%	$0.00
59151		Treat ectopic pregnancy	G2	5361	"$4,660.15"	1.49%	$35.19
59160		D & c after delivery	A2	5414	"$2,623.91"	0.85%	$11.30
59200		Insert cervical dilator	P3	5412	$288.04	0.00%	$0.00
59300		Episiotomy or vaginal repair	P3	5414	"$2,623.91"	0.00%	$0.00
59320		Revision of cervix	A2	5414	"$2,623.91"	0.05%	$0.66
59412		Antepartum manipulation	G2	5414	"$2,623.91"	0.00%	$0.00
59414		Deliver placenta	G2	5414	"$2,623.91"	0.00%	$0.00
59812		Treatment of miscarriage	A2	5414	"$2,623.91"	1.24%	$16.49
59820		Care of miscarriage	A2	5414	"$2,623.91"	0.04%	$0.53
59821		Treatment of miscarriage	A2	5414	"$2,623.91"	0.00%	$0.00
59840		Abortion	A2	5414	"$2,623.91"	0.31%	$4.12
59841		Abortion	A2	5414	"$2,623.91"	1.26%	$16.75
59866		Abortion (mpr)	G2	5412	$288.04	0.00%	$0.00
59870		Evacuate mole of uterus	A2	5414	"$2,623.91"	0.00%	$0.00
59871		Remove cerclage suture	A2	5414	"$2,623.91"	0.01%	$0.13
60000		Drain thyroid/tongue cyst	A2	5163	"$1,037.78"	0.00%	$0.00
60100		Biopsy of thyroid	P3	5071	$635.54	0.16%	$0.08
60200		Remove thyroid lesion	A2	5361	"$4,660.15"	0.26%	$6.14
60210		Partial thyroid excision	G2	5361	"$4,660.15"	0.67%	$15.82
60212		Partial thyroid excision	G2	5361	"$4,660.15"	0.00%	$0.00
60220		Partial removal of thyroid	G2	5361	"$4,660.15"	0.40%	$9.45
60225		Partial removal of thyroid	G2	5361	"$4,660.15"	1.68%	$39.68
60240		Removal of thyroid	G2	5361	"$4,660.15"	0.63%	$14.88
60280		Remove thyroid duct lesion	A2	5361	"$4,660.15"	0.37%	$8.74
60281		Remove thyroid duct lesion	A2	5361	"$4,660.15"	0.00%	$0.00
60300		Aspir/inj thyroid cyst	P3	5071	$635.54	0.06%	$0.04
60500		Explore parathyroid glands	G2	5165	"$4,821.45"	0.50%	$12.22
60512		Autotransplant parathyroid	N1			0.00%	
61000		Remove cranial cavity fluid	R2	5442	$648.52	0.00%	$0.00
61001		Remove cranial cavity fluid	R2	5442	$648.52	0.00%	$0.00
61020		Remove brain cavity fluid	A2	5443	$840.73	0.00%	$0.00
61026		Injection into brain canal	A2	5442	$648.52	0.00%	$0.00
61050		Remove brain canal fluid	A2	5441	$266.83	0.00%	$0.00
61055		Injection into brain canal	A2	5441	$266.83	0.00%	$0.00
61070		Brain canal shunt procedure	A2	5442	$648.52	0.20%	$0.66
61215		Insert brain-fluid device	A2	5432	"$4,925.95"	14.10%	$351.98
61330		Decompress eye socket	G2	5164	"$2,187.48"	0.00%	$0.00
61770		Incise skull for treatment	G2	5432	"$4,925.95"	0.00%	$0.00
61781		Scan proc cranial intra	N1			0.00%	
61782		Scan proc cranial extra	N1			0.00%	
61783		Scan proc spinal	N1			0.00%	
61790		Treat trigeminal nerve	A2	5431	"$1,628.21"	1.43%	$11.80
61791		Treat trigeminal tract	A2	5431	"$1,628.21"	1.12%	$9.24
61880		Revise/remove neuroelectrode	G2	5461	"$3,700.07"	17.48%	$327.76
61885		Insrt/redo neurostim 1 array	J8	5464	"$19,925.87"	86.42%	"$17,219.94"
61886		Implant neurostim arrays	J8	5465	"$26,379.78"	85.86%	"$22,649.68"
61888		Revise/remove neuroreceiver	J8	5463	"$12,266.39"	66.81%	"$8,195.18"
62160		Neuroendoscopy add-on	N1			0.00%	
62194		Replace/irrigate catheter	A2	5431	"$1,628.21"	0.00%	$0.00
62225		Replace/irrigate catheter	A2	5432	"$4,925.95"	24.62%	$614.59
62230		Replace/revise brain shunt	A2	5432	"$4,925.95"	26.30%	$656.53
62252		Csf shunt reprogram	P3	5743	$278.86	0.00%	$0.00
62263		Epidural lysis mult sessions	A2	5443	$840.73	3.06%	$13.04
62264		Epidural lysis on single day	A2	5443	$840.73	2.29%	$9.76
62267		Interdiscal perq aspir dx	G2	5071	$635.54	1.27%	$4.09
62268		Drain spinal cord cyst	A2	5443	$840.73	0.81%	$3.45
62269		Needle biopsy spinal cord	A2	5072	"$1,200.16"	0.95%	$5.78
62270		Dx lmbr spi pnxr	A2	5442	$648.52	0.09%	$0.30
62272		Ther spi pnxr drg csf	A2	5442	$648.52	0.49%	$1.61
62273		Inject epidural patch	A2	5442	$648.52	0.58%	$1.91
62280		Treat spinal cord lesion	A2	5443	$840.73	0.00%	$0.00
62281		Treat spinal cord lesion	A2	5443	$840.73	0.14%	$0.60
62282		Treat spinal canal lesion	A2	5443	$840.73	0.21%	$0.89
62284		Injection for myelogram	N1			0.00%	
62287		Dcmprn px perq 1/mlt lumbar	A2	5431	"$1,628.21"	18.37%	$151.58
62290		Njx px discography lumbar	N1			0.00%	
62291		Njx px discography crv/thrc	N1			0.00%	
62292		Njx chemonucleolysis lmbr	R2	5431	"$1,628.21"	2.60%	$21.45
62294		Injection into spinal artery	A2	5443	$840.73	0.00%	$0.00
62302		Myelography lumbar injection	N1			0.13%	
62303		Myelography lumbar injection	N1			0.00%	
62304		Myelography lumbar injection	N1			0.02%	
62305		Myelography lumbar injection	N1			0.06%	
62320		Njx interlaminar crv/thrc	G2	5442	$648.52	0.10%	$0.33
62321		Njx interlaminar crv/thrc	G2	5442	$648.52	0.27%	$0.89
62322		Njx interlaminar lmbr/sac	G2	5442	$648.52	0.22%	$0.72
62323		Njx interlaminar lmbr/sac	G2	5442	$648.52	0.20%	$0.66
62324		Njx interlaminar crv/thrc	G2	5443	$840.73	0.18%	$0.77
62325		Njx interlaminar crv/thrc	G2	5443	$840.73	0.94%	$4.00
62326		Njx interlaminar lmbr/sac	G2	5443	$840.73	4.87%	$20.75
62327		Njx interlaminar lmbr/sac	G2	5443	$840.73	0.72%	$3.07
62328		Dx lmbr spi pnxr w/fluor/ct	G2	5442	$648.52	0.00%	$0.00
62329		Ther spi pnxr csf fluor/ct	G2	5442	$648.52	0.00%	$0.00
62350		Implant spinal canal cath	J8	5432	"$4,925.95"	45.98%	"$2,264.95"
62355		Remove spinal canal catheter	A2	5431	"$1,628.21"	0.85%	$7.01
62360		Insert spine infusion device	J8	5471	"$16,254.77"	73.05%	"$11,874.11"
62361		Implant spine infusion pump	J8	5471	"$16,254.77"	68.67%	"$11,162.15"
62362		Implant spine infusion pump	J8	5471	"$16,254.77"	77.73%	"$12,634.83"
62365		Remove spine infusion device	A2	5432	"$4,925.95"	1.14%	$28.46
62367		Analyze spine infus pump	P3	5743	$278.86	0.01%	$0.00
62368		Analyze sp inf pump w/reprog	P3	5743	$278.86	0.01%	$0.00
62369		Anal sp inf pmp w/reprg&fill	P3	5743	$278.86	0.00%	$0.00
62370		Anl sp inf pmp w/mdreprg&fil	P3	5743	$278.86	0.09%	$0.05
62380		Ndsc dcmprn 1 ntrspc lumbar	G2	5114	"$5,917.60"	0.95%	$28.49
63001		Remove spine lamina 1/2 crvl	G2	5114	"$5,917.60"	4.15%	$124.45
63003		Remove spine lamina 1/2 thrc	G2	5114	"$5,917.60"	5.39%	$161.64
63005		Remove spine lamina 1/2 lmbr	G2	5114	"$5,917.60"	5.81%	$174.23
63020		Neck spine disk surgery	G2	5114	"$5,917.60"	2.09%	$62.68
63030		Low back disk surgery	G2	5114	"$5,917.60"	1.69%	$50.68
63042		Laminotomy single lumbar	G2	5114	"$5,917.60"	2.21%	$66.27
63044		Laminotomy addl lumbar	N1			0.00%	
63045		Lam facetec & foramot crv	G2	5114	"$5,917.60"	2.12%	$63.58
63046		Lam facetec & foramot thrc	G2	5114	"$5,917.60"	2.21%	$66.27
63047		Lam facetec & foramot lumbar	G2	5114	"$5,917.60"	2.22%	$66.57
63055		Decompress spinal cord thrc	G2	5114	"$5,917.60"	2.02%	$60.58
63056		Decompress spinal cord lmbr	G2	5114	"$5,917.60"	1.02%	$30.59
63600		Remove spinal cord lesion	A2	5431	"$1,628.21"	0.00%	$0.00
63610		Stimulation of spinal cord	J8	5431	"$1,628.21"	48.81%	$794.73
63650		Implant neuroelectrodes	J8	5462	"$6,078.01"	49.71%	"$3,021.38"
63655		Implant neuroelectrodes	J8	5464	"$19,925.87"	71.69%	"$14,284.86"
63661		Remove spine eltrd perq aray	G2	5431	"$1,628.21"	0.66%	$5.45
63662		Remove spine eltrd plate	G2	5461	"$3,700.07"	0.61%	$11.44
63663		Revise spine eltrd perq aray	J8	5462	"$6,078.01"	50.55%	"$3,072.43"
63664		Revise spine eltrd plate	J8	5463	"$12,266.39"	50.65%	"$6,212.93"
63685		Insrt/redo spine n generator	J8	5465	"$26,379.78"	84.96%	"$22,412.26"
63688		Revise/remove neuroreceiver	J8	5461	"$3,700.07"	39.19%	"$1,450.06"
63744		Revision of spinal shunt	J8	5432	"$4,925.95"	38.59%	"$1,900.92"
63746		Removal of spinal shunt	A2	5431	"$1,628.21"	0.52%	$4.29
64400		Njx aa&/strd trigeminal nrv	P3	5441	$266.83	0.13%	$0.11
64405		Njx aa&/strd gr ocpl nrv	P3	5441	$266.83	0.02%	$0.01
64408		Njx aa&/strd vagus nrv	P3	5441	$266.83	0.00%	$0.00
64415		Njx aa&/strd brach plexus	A2	5443	$840.73	10.56%	$44.99
64416		Njx aa&/strd brach plex nfs	G2	5443	$840.73	6.81%	$29.01
64417		Njx aa&/strd axillary nrv	A2	5443	$840.73	3.48%	$14.83
64418		Njx aa&/strd sprscap nrv	P3	5442	$648.52	0.00%	$0.00
64420		Njx aa&/strd ntrcost nrv 1	A2	5442	$648.52	0.03%	$0.10
64421		Njx aa&/strd ntrcost nrv ea	A2	5443	$840.73	0.03%	$0.13
64425		Njx aa&/strd ii ih nerves	P3	5442	$648.52	0.19%	$0.14
64430		Njx aa&/strd pudendal nerve	A2	5443	$840.73	0.40%	$1.70
64435		Njx aa&/strd paracrv nrv	P3	5442	$648.52	0.00%	$0.00
64445		Njx aa&/strd sciatic nerve	P3	5442	$648.52	0.25%	$0.22
64446		Njx aa&/strd sciatic nrv nfs	G2	5443	$840.73	11.81%	$50.32
64447		Njx aa&/strd femoral nerve	P3	5442	$648.52	8.68%	$4.20
64448		Njx aa&/strd fem nerve nfs	J8	5443	$840.73	31.00%	$260.63
64449		Njx aa&/strd lmbr plex nfs	G2	5443	$840.73	1.45%	$6.18
64450		Njx aa&/strd other pn/branch	P3	5442	$648.52	0.24%	$0.11
64451		Njx aa&/strd nrv nrvtg si jt	G2	5442	$648.52	0.00%	$0.00
64454		Njx aa&/strd gnclr nrv brnch	P3	5442	$648.52	0.00%	$0.00
64455		Njx aa&/strd pltr com dg nrv	P3	5441	$266.83	0.00%	$0.00
64461		Pvb thoracic single inj site	G2	5442	$648.52	0.10%	$0.33
64462		Pvb thoracic 2nd+ inj site	N1			0.00%	
64463		Pvb thoracic cont infusion	G2	5442	$648.52	0.00%	$0.00
64479		Njx aa&/strd tfrm epi c/t 1	A2	5443	$840.73	0.07%	$0.30
64480		Njx aa&/strd tfrm epi c/t ea	N1			0.00%	
64483		Njx aa&/strd tfrm epi l/s 1	A2	5443	$840.73	0.05%	$0.21
64484		Njx aa&/strd tfrm epi l/s ea	N1			0.00%	
64486		Tap block unil by injection	N1			0.00%	
64487		Tap block uni by infusion	N1			0.00%	
64488		Tap block bi injection	N1			0.00%	
64489		Tap block bi by infusion	N1			0.00%	
64490		Inj paravert f jnt c/t 1 lev	G2	5443	$840.73	0.05%	$0.21
64491		Inj paravert f jnt c/t 2 lev	N1			0.00%	
64492		Inj paravert f jnt c/t 3 lev	N1			0.00%	
64493		Inj paravert f jnt l/s 1 lev	G2	5443	$840.73	0.03%	$0.13
64494		Inj paravert f jnt l/s 2 lev	N1			0.00%	
64495		Inj paravert f jnt l/s 3 lev	N1			0.00%	
64505		N block spenopalatine gangl	P3	5441	$266.83	0.49%	$0.42
64510		N block stellate ganglion	A2	5443	$840.73	0.05%	$0.21
64517		N block inj hypogas plxs	A2	5443	$840.73	0.13%	$0.55
64520		N block lumbar/thoracic	A2	5443	$840.73	0.07%	$0.30
64530		N block inj celiac pelus	A2	5443	$840.73	0.16%	$0.68
64553		Implant neuroelectrodes	J8	5463	"$12,266.39"	61.52%	"$7,546.28"
64555		Implant neuroelectrodes	J8	5462	"$6,078.01"	60.23%	"$3,660.79"
64561		Implant neuroelectrodes	J8	5462	"$6,078.01"	53.12%	"$3,228.64"
64566		Neuroeltrd stim post tibial	P3	5441	$266.83	0.21%	$0.20
64568		Opn impltj crnl nrv nea&pg	J8	5465	"$26,379.78"	88.07%	"$23,232.67"
64569		Revise/repl vagus n eltrd	J8	5463	"$12,266.39"	83.94%	"$10,296.41"
64570		Remove vagus n eltrd	G2	5432	"$4,925.95"	0.22%	$5.49
64575		Opn impltj nea perph nerve	J8	5463	"$12,266.39"	66.41%	"$8,146.11"
64580		Opn impltj nea neuromuscular	J8	5464	"$19,925.87"	48.08%	"$9,580.36"
64581		Opn impltj nea sacral nerve	J8	5462	"$6,078.01"	62.23%	"$3,782.35"
64582		Opn mpltj hpglsl nstm ary pg	J8	5465	"$26,379.78"	88.07%	"$23,232.67"
64583		Rev/rplct hpglsl nstm ary pg	J8	5463	"$12,266.39"	31.00%	"$3,802.58"
64584		Rmvl hpglsl nstim ary pg	G2	5432	"$4,925.95"	0.00%	$0.00
64585		Revise/remove neuroelectrode	A2	5461	"$3,700.07"	10.92%	$204.76
64590		Insrt/redo pn/gastr stimul	J8	5464	"$19,925.87"	84.80%	"$16,897.14"
64595		Revise/rmv pn/gastr stimul	J8	5461	"$3,700.07"	61.49%	"$2,275.17"
64600		Injection treatment of nerve	A2	5443	$840.73	0.25%	$1.07
64605		Injection treatment of nerve	A2	5431	"$1,628.21"	1.18%	$9.74
64610		Injection treatment of nerve	A2	5431	"$1,628.21"	1.84%	$15.18
64611		Chemodenerv saliv glands	P3	5441	$266.83	0.00%	$0.00
64612		Destroy nerve face muscle	P3	5441	$266.83	0.00%	$0.00
64615		Chemodenerv musc migraine	P3	5441	$266.83	0.01%	$0.01
64616		Chemodenerv musc neck dyston	P3	5441	$266.83	0.00%	$0.00
64617		Chemodener muscle larynx emg	P3	5441	$266.83	0.00%	$0.00
64620		Injection treatment of nerve	A2	5443	$840.73	0.10%	$0.43
64624		Dstrj nulyt agt gnclr nrv	G2	5431	"$1,628.21"	0.00%	$0.00
64625		Rf abltj nrv nrvtg si jt	G2	5431	"$1,628.21"	0.00%	$0.00
64628		Trml dstrj ios bvn 1st 2 l/s	J8	5115	"$11,869.70"	58.13%	"$6,899.86"
64630		Injection treatment of nerve	A2	5443	$840.73	6.00%	$25.56
64632		N block inj common digit	P3	5441	$266.83	0.01%	$0.00
64633		Destroy cerv/thor facet jnt	G2	5431	"$1,628.21"	0.19%	$1.57
64634		Destroy c/th facet jnt addl	N1			0.00%	
64635		Destroy lumb/sac facet jnt	G2	5431	"$1,628.21"	0.25%	$2.06
64636		Destroy l/s facet jnt addl	N1			0.00%	
64640		Injection treatment of nerve	P3	5443	$840.73	7.42%	$13.09
64642		Chemodenerv 1 extremity 1-4	P3	5442	$648.52	0.00%	$0.00
64643		Chemodenerv 1 extrem 1-4 ea	N1			0.00%	
64644		Chemodenerv 1 extrem 5/> mus	P3	5442	$648.52	0.00%	$0.00
64645		Chemodenerv 1 extrem 5/> ea	N1			0.00%	
64646		Chemodenerv trunk musc 1-5	P3	5442	$648.52	0.00%	$0.00
64647		Chemodenerv trunk musc 6/>	P3	5442	$648.52	0.05%	$0.05
64650		Chemodenerv eccrine glands	P3	5441	$266.83	0.00%	$0.00
64653		Chemodenerv eccrine glands	P3	5441	$266.83	0.00%	$0.00
64680		Injection treatment of nerve	A2	5443	$840.73	0.16%	$0.68
64681		Injection treatment of nerve	A2	5443	$840.73	0.00%	$0.00
64702		Revise finger/toe nerve	A2	5431	"$1,628.21"	8.71%	$71.87
64704		Revise hand/foot nerve	A2	5431	"$1,628.21"	8.15%	$67.25
64708		Revise arm/leg nerve	G2	5431	"$1,628.21"	3.26%	$26.90
64712		Revision of sciatic nerve	G2	5431	"$1,628.21"	3.25%	$26.82
64713		Revision of arm nerve(s)	G2	5431	"$1,628.21"	14.11%	$116.43
64714		Revise low back nerve(s)	G2	5431	"$1,628.21"	1.72%	$14.19
64716		Revision of cranial nerve	A2	5431	"$1,628.21"	24.43%	$201.58
64718		Revise ulnar nerve at elbow	A2	5431	"$1,628.21"	0.91%	$7.51
64719		Revise ulnar nerve at wrist	A2	5431	"$1,628.21"	1.59%	$13.12
64721		Carpal tunnel surgery	A2	5431	"$1,628.21"	0.28%	$2.31
64722		Relieve pressure on nerve(s)	A2	5431	"$1,628.21"	1.47%	$12.13
64726		Release foot/toe nerve	A2	5431	"$1,628.21"	0.00%	$0.00
64727		Internal nerve revision	N1			0.00%	
64732		Incision of brow nerve	A2	5431	"$1,628.21"	0.00%	$0.00
64734		Incision of cheek nerve	A2	5431	"$1,628.21"	5.16%	$42.58
64736		Incision of chin nerve	A2	5431	"$1,628.21"	15.27%	$126.00
64738		Incision of jaw nerve	A2	5431	"$1,628.21"	0.00%	$0.00
64740		Incision of tongue nerve	A2	5431	"$1,628.21"	0.00%	$0.00
64742		Incision of facial nerve	A2	5431	"$1,628.21"	0.00%	$0.00
64744		Incise nerve back of head	A2	5431	"$1,628.21"	3.12%	$25.74
64746		Incise diaphragm nerve	A2	5431	"$1,628.21"	0.00%	$0.00
64763		Incise hip/thigh nerve	G2	5431	"$1,628.21"	0.00%	$0.00
64766		Incise hip/thigh nerve	G2	5431	"$1,628.21"	0.00%	$0.00
64771		Sever cranial nerve	A2	5431	"$1,628.21"	22.35%	$184.42
64772		Incision of spinal nerve	A2	5431	"$1,628.21"	1.63%	$13.45
64774		Remove skin nerve lesion	A2	5431	"$1,628.21"	1.71%	$14.11
64776		Remove digit nerve lesion	A2	5431	"$1,628.21"	3.36%	$27.72
64778		Digit nerve surgery add-on	N1			0.00%	
64782		Remove limb nerve lesion	A2	5431	"$1,628.21"	6.14%	$50.66
64783		Limb nerve surgery add-on	N1			0.00%	
64784		Remove nerve lesion	A2	5431	"$1,628.21"	3.67%	$30.28
64786		Remove sciatic nerve lesion	A2	5432	"$4,925.95"	9.23%	$230.41
64787		Implant nerve end	N1			0.00%	
64788		Remove skin nerve lesion	A2	5431	"$1,628.21"	0.07%	$0.58
64790		Removal of nerve lesion	A2	5431	"$1,628.21"	0.01%	$0.08
64792		Removal of nerve lesion	A2	5432	"$4,925.95"	0.00%	$0.00
64795		Biopsy of nerve	A2	5431	"$1,628.21"	2.16%	$17.82
64802		Sympathectomy cervical	A2	5431	"$1,628.21"	0.00%	$0.00
64820		Sympathectomy digital artery	G2	5431	"$1,628.21"	0.00%	$0.00
64821		Remove sympathetic nerves	A2	5113	"$2,684.96"	0.00%	$0.00
64822		Remove sympathetic nerves	G2	5113	"$2,684.96"	0.00%	$0.00
64823		Sympathectomy supfc palmar	G2	5113	"$2,684.96"	0.00%	$0.00
64831		Repair of digit nerve	A2	5431	"$1,628.21"	13.77%	$113.62
64832		Repair nerve add-on	N1			0.00%	
64834		Repair of hand or foot nerve	A2	5432	"$4,925.95"	0.00%	$0.00
64835		Repair of hand or foot nerve	A2	5432	"$4,925.95"	20.79%	$518.98
64836		Repair of hand or foot nerve	A2	5432	"$4,925.95"	0.51%	$12.73
64837		Repair nerve add-on	N1			0.00%	
64840		Repair of leg nerve	A2	5432	"$4,925.95"	0.00%	$0.00
64856		Repair/transpose nerve	A2	5432	"$4,925.95"	17.59%	$439.10
64857		Repair arm/leg nerve	A2	5432	"$4,925.95"	18.08%	$451.33
64858		Repair sciatic nerve	J8	5431	"$1,628.21"	79.72%	"$1,298.01"
64859		Nerve surgery	N1			0.00%	
64861		Repair of arm nerves	A2	5431	"$1,628.21"	0.00%	$0.00
64862		Repair of low back nerves	A2	5432	"$4,925.95"	0.00%	$0.00
64864		Repair of facial nerve	A2	5432	"$4,925.95"	5.23%	$130.56
64865		Repair of facial nerve	A2	5432	"$4,925.95"	0.00%	$0.00
64872		Subsequent repair of nerve	N1			0.00%	
64874		Repair & revise nerve add-on	N1			0.00%	
64876		Repair nerve/shorten bone	N1			0.00%	
64885		Nerve graft head/neck </4 cm	A2	5432	"$4,925.95"	0.00%	$0.00
64886		Nerve graft head/neck >4 cm	J8	5432	"$4,925.95"	71.97%	"$3,545.21"
64890		Nerve graft hand/foot </4 cm	J8	5432	"$4,925.95"	31.00%	"$1,527.04"
64891		Nerve graft hand/foot >4 cm	J8	5432	"$4,925.95"	31.00%	"$1,527.04"
64892		Nerve graft arm/leg <4 cm	J8	5432	"$4,925.95"	50.29%	"$2,477.26"
64893		Nerve graft arm/leg >4 cm	G2	5432	"$4,925.95"	0.00%	$0.00
64895		Nerve graft hand/foot </4 cm	A2	5432	"$4,925.95"	0.00%	$0.00
64896		Nerve graft hand/foot >4 cm	A2	5432	"$4,925.95"	0.00%	$0.00
64897		Nerve graft arm/leg </4 cm	G2	5432	"$4,925.95"	0.00%	$0.00
64898		Nerve graft arm/leg >4 cm	A2	5432	"$4,925.95"	5.75%	$143.54
64901		Nerve graft add-on	N1			0.00%	
64902		Nerve graft add-on	N1			0.00%	
64905		Nerve pedicle transfer	A2	5432	"$4,925.95"	8.69%	$216.93
64907		Nerve pedicle transfer	A2	5432	"$4,925.95"	0.00%	$0.00
64910		Nerve repair w/allograft	J8	5432	"$4,925.95"	57.01%	"$2,808.28"
64912		Nrv rpr w/nrv algrft 1st	J8	5432	"$4,925.95"	56.44%	"$2,780.21"
64913		Nrv rpr w/nrv algrft ea addl	N1			0.00%	
65091		Revise eye	A2	5504	"$2,722.33"	7.66%	$105.68
65093		Revise eye with implant	A2	5504	"$2,722.33"	13.12%	$181.00
65101		Removal of eye	A2	5504	"$2,722.33"	4.13%	$56.98
65103		Remove eye/insert implant	A2	5504	"$2,722.33"	10.79%	$148.86
65105		Remove eye/attach implant	A2	5504	"$2,722.33"	20.25%	$279.37
65110		Removal of eye	A2	5504	"$2,722.33"	0.96%	$13.24
65112		Remove eye/revise socket	A2	5504	"$2,722.33"	0.00%	$0.00
65114		Remove eye/revise socket	A2	5504	"$2,722.33"	0.00%	$0.00
65125		Revise ocular implant	G2	5503	"$1,722.85"	6.47%	$56.49
65130		Insert ocular implant	A2	5504	"$2,722.33"	1.08%	$14.90
65135		Insert ocular implant	A2	5504	"$2,722.33"	3.16%	$43.60
65140		Attach ocular implant	A2	5504	"$2,722.33"	27.46%	$378.84
65150		Revise ocular implant	A2	5504	"$2,722.33"	12.44%	$171.62
65155		Reinsert ocular implant	A2	5504	"$2,722.33"	1.63%	$22.49
65175		Removal of ocular implant	A2	5504	"$2,722.33"	0.15%	$2.07
65205		Remove foreign body from eye	N1			0.00%	
65210		Remove foreign body from eye	N1			0.00%	
65220		Remove foreign body from eye	N1			1.94%	
65222		Remove foreign body from eye	N1			0.00%	
65235		Remove foreign body from eye	A2	5491	"$2,096.97"	0.00%	$0.00
65260		Remove foreign body from eye	A2	5491	"$2,096.97"	0.00%	$0.00
65265		Remove foreign body from eye	A2	5491	"$2,096.97"	0.00%	$0.00
65270		Repair of eye wound	A2	5503	"$1,722.85"	0.91%	$7.95
65272		Repair of eye wound	A2	5503	"$1,722.85"	0.00%	$0.00
65275		Repair of eye wound	A2	5504	"$2,722.33"	0.06%	$0.83
65280		Repair of eye wound	A2	5492	"$3,783.40"	2.96%	$56.75
65285		Repair of eye wound	A2	5492	"$3,783.40"	0.59%	$11.31
65286		Repair of eye wound	P3	5491	"$2,096.97"	0.09%	$0.41
65290		Repair of eye socket wound	A2	5504	"$2,722.33"	0.00%	$0.00
65400		Removal of eye lesion	A2	5502	$827.06	3.27%	$13.71
65410		Biopsy of cornea	A2	5503	"$1,722.85"	0.97%	$8.47
65420		Removal of eye lesion	A2	5503	"$1,722.85"	2.59%	$22.61
65426		Removal of eye lesion	A2	5503	"$1,722.85"	13.68%	$119.44
65430		Corneal smear	N1			0.00%	
65435		Curette/treat cornea	P3	5502	$827.06	0.47%	$0.22
65436		Curette/treat cornea	P3	5503	"$1,722.85"	1.06%	$2.16
65450		Treatment of corneal lesion	G2	5501	$267.16	0.45%	$0.61
65600		Revision of cornea	P3	5503	"$1,722.85"	0.00%	$0.00
65710		Corneal transplant	A2	5492	"$3,783.40"	11.56%	$221.64
65730		Corneal transplant	A2	5492	"$3,783.40"	10.86%	$208.22
65750		Corneal transplant	A2	5492	"$3,783.40"	11.92%	$228.54
65755		Corneal transplant	A2	5492	"$3,783.40"	8.50%	$162.97
65756		Corneal trnspl endothelial	G2	5492	"$3,783.40"	12.50%	$239.66
65757		Prep corneal endo allograft	N1			0.00%	
65770		Revise cornea with implant	J8	5493	"$8,672.77"	72.43%	"$6,281.69"
65772		Correction of astigmatism	A2	5502	$827.06	2.43%	$10.18
65775		Correction of astigmatism	A2	5503	"$1,722.85"	0.00%	$0.00
65778		Cover eye w/membrane	N1			16.35%	
65779		Cover eye w/membrane suture	N1			29.61%	
65780		Ocular reconst transplant	J8	5504	"$2,722.33"	30.18%	$821.60
65781		Ocular reconst transplant	J8	5492	"$3,783.40"	39.20%	"$1,483.09"
65782		Ocular reconst transplant	A2	5504	"$2,722.33"	1.59%	$21.94
65785		Impltj ntrstrml crnl rng seg	P2	5492	"$3,783.40"	9.68%	$185.60
65800		Drainage of eye	A2	5491	"$2,096.97"	0.11%	$1.17
65810		Drainage of eye	A2	5491	"$2,096.97"	0.24%	$2.55
65815		Drainage of eye	A2	5491	"$2,096.97"	0.48%	$5.10
65820		Relieve inner eye pressure	A2	5492	"$3,783.40"	7.32%	$140.35
65850		Incision of eye	A2	5491	"$2,096.97"	6.82%	$72.47
65855		Trabeculoplasty laser surg	P3	5481	$513.98	0.01%	$0.01
65860		Incise inner eye adhesions	P3	5481	$513.98	0.00%	$0.00
65865		Incise inner eye adhesions	A2	5491	"$2,096.97"	1.56%	$16.58
65870		Incise inner eye adhesions	A2	5491	"$2,096.97"	0.17%	$1.81
65875		Incise inner eye adhesions	A2	5491	"$2,096.97"	1.81%	$19.23
65880		Incise inner eye adhesions	A2	5492	"$3,783.40"	0.00%	$0.00
65900		Remove eye lesion	A2	5491	"$2,096.97"	0.00%	$0.00
65920		Remove implant of eye	A2	5491	"$2,096.97"	1.76%	$18.70
65930		Remove blood clot from eye	A2	5491	"$2,096.97"	0.98%	$10.41
66020		Injection treatment of eye	A2	5491	"$2,096.97"	1.61%	$17.11
66030		Injection treatment of eye	A2	5491	"$2,096.97"	0.00%	$0.00
66130		Remove eye lesion	A2	5503	"$1,722.85"	5.38%	$46.97
66150		Glaucoma surgery	A2	5492	"$3,783.40"	0.00%	$0.00
66155		Glaucoma surgery	J8	5492	"$3,783.40"	45.09%	"$1,705.94"
66160		Glaucoma surgery	A2	5491	"$2,096.97"	0.00%	$0.00
66170		Glaucoma surgery	A2	5491	"$2,096.97"	2.75%	$29.22
66172		Incision of eye	A2	5491	"$2,096.97"	1.75%	$18.60
66174		Translum dil eye canal	A2	5492	"$3,783.40"	24.59%	$471.47
66175		Trnslum dil eye canal w/stnt	A2	5492	"$3,783.40"	18.98%	$363.91
66179		Aqueous shunt eye w/o graft	J8	5492	"$3,783.40"	30.69%	"$1,161.13"
66180		Aqueous shunt eye w/graft	J8	5492	"$3,783.40"	35.57%	"$1,345.76"
66183		Insert ant drainage device	J8	5492	"$3,783.40"	46.59%	"$1,762.69"
66184		Revision of aqueous shunt	G2	5491	"$2,096.97"	3.74%	$39.74
66185		Revise aqueous shunt eye	A2	5491	"$2,096.97"	14.80%	$157.28
66225		Repair/graft eye lesion	J8	5492	"$3,783.40"	33.86%	"$1,281.06"
66250		Follow-up surgery of eye	A2	5503	"$1,722.85"	1.90%	$16.59
66500		Incision of iris	A2	5491	"$2,096.97"	0.00%	$0.00
66505		Incision of iris	A2	5491	"$2,096.97"	0.00%	$0.00
66600		Remove iris and lesion	A2	5492	"$3,783.40"	0.25%	$4.79
66605		Removal of iris	A2	5491	"$2,096.97"	0.00%	$0.00
66625		Removal of iris	A2	5491	"$2,096.97"	2.37%	$25.19
66630		Removal of iris	A2	5491	"$2,096.97"	0.00%	$0.00
66635		Removal of iris	A2	5491	"$2,096.97"	0.00%	$0.00
66680		Repair iris & ciliary body	A2	5491	"$2,096.97"	0.90%	$9.56
66682		Repair iris & ciliary body	A2	5491	"$2,096.97"	0.52%	$5.53
66700		Destruction ciliary body	A2	5491	"$2,096.97"	0.00%	$0.00
66710		Ciliary transsleral therapy	A2	5503	"$1,722.85"	0.29%	$2.53
66711		Ecp ciliary body destruction	A2	5491	"$2,096.97"	0.76%	$8.08
66720		Destruction ciliary body	A2	5503	"$1,722.85"	0.00%	$0.00
66740		Destruction ciliary body	A2	5503	"$1,722.85"	0.00%	$0.00
66761		Revision of iris	P3	5481	$513.98	0.00%	$0.00
66762		Revision of iris	P2	5481	$513.98	0.00%	$0.00
66770		Removal of inner eye lesion	P2	5481	$513.98	0.00%	$0.00
66820		Incision secondary cataract	G2	5491	"$2,096.97"	0.68%	$7.23
66821		After cataract laser surgery	A2	5481	$513.98	0.01%	$0.03
66825		Reposition intraocular lens	A2	5491	"$2,096.97"	1.37%	$14.56
66830		Removal of lens lesion	A2	5491	"$2,096.97"	0.08%	$0.85
66840		Removal of lens material	A2	5491	"$2,096.97"	0.38%	$4.04
66850		Removal of lens material	A2	5491	"$2,096.97"	6.31%	$67.06
66852		Removal of lens material	A2	5492	"$3,783.40"	0.77%	$14.76
66920		Extraction of lens	A2	5491	"$2,096.97"	0.90%	$9.56
66930		Extraction of lens	A2	5492	"$3,783.40"	3.78%	$72.47
66940		Extraction of lens	A2	5491	"$2,096.97"	1.19%	$12.65
66982		Xcapsl ctrc rmvl cplx wo ecp	A2	5491	"$2,096.97"	12.59%	$133.79
66983		Cataract surg w/iol 1 stage	A2	5491	"$2,096.97"	9.87%	$104.89
66984		Xcapsl ctrc rmvl w/o ecp	A2	5491	"$2,096.97"	12.89%	$136.98
66985		Insert lens prosthesis	A2	5491	"$2,096.97"	8.69%	$92.35
66986		Exchange lens prosthesis	A2	5491	"$2,096.97"	8.51%	$90.43
66987		Xcapsl ctrc rmvl cplx w/ecp	J8	5492	"$3,783.40"	31.00%	"$1,172.85"
66988		Xcapsl ctrc rmvl w/ecp	J8	5492	"$3,783.40"	31.00%	"$1,172.85"
66989		Xcpsl ctrc rmvl cplx insj 1+	J8	1526	"$4,250.50"	52.03%	"$2,211.54"
66990		Ophthalmic endoscope add-on	N1			0.00%	
66991		Xcapsl ctrc rmvl insj 1+	J8	1526	"$4,250.50"	52.03%	"$2,211.54"
67005		Partial removal of eye fluid	A2	5491	"$2,096.97"	1.52%	$16.15
67010		Partial removal of eye fluid	A2	5491	"$2,096.97"	1.02%	$10.84
67015		Release of eye fluid	A2	5491	"$2,096.97"	0.18%	$1.91
67025		Replace eye fluid	A2	5491	"$2,096.97"	2.34%	$24.87
67027		Implant eye drug system	A2	5494	"$4,822.32"	1.93%	$47.17
67028		Injection eye drug	P3	5694	$325.64	0.00%	$0.00
67030		Incise inner eye strands	A2	5491	"$2,096.97"	0.79%	$8.40
67031		Laser surgery eye strands	A2	5481	$513.98	0.03%	$0.08
67036		Removal of inner eye fluid	A2	5492	"$3,783.40"	0.63%	$12.08
67039		Laser treatment of retina	A2	5492	"$3,783.40"	1.28%	$24.54
67040		Laser treatment of retina	A2	5492	"$3,783.40"	0.83%	$15.91
67041		Vit for macular pucker	G2	5492	"$3,783.40"	0.50%	$9.59
67042		Vit for macular hole	G2	5492	"$3,783.40"	0.86%	$16.49
67043		Vit for membrane dissect	G2	5492	"$3,783.40"	2.09%	$40.07
67101		Repair detached retina crtx	P3	5491	"$2,096.97"	2.05%	$4.13
67105		Repair detached retina pc	P3	5481	$513.98	0.52%	$0.87
67107		Repair detached retina	G2	5492	"$3,783.40"	2.65%	$50.81
67108		Repair detached retina	G2	5492	"$3,783.40"	3.13%	$60.01
67110		Repair detached retina	P3	5491	"$2,096.97"	0.31%	$1.56
67113		Repair retinal detach cplx	G2	5492	"$3,783.40"	5.10%	$97.78
67115		Release encircling material	A2	5492	"$3,783.40"	0.00%	$0.00
67120		Remove eye implant material	A2	5491	"$2,096.97"	1.03%	$10.95
67121		Remove eye implant material	A2	5491	"$2,096.97"	0.51%	$5.42
67141		Proph rta dtchmnt crtx dthrm	A2	5501	$267.16	0.00%	$0.00
67145		Proph rta dtchmnt pc	P3	5481	$513.98	0.00%	$0.00
67208		Treatment of retinal lesion	P2	5501	$267.16	0.00%	$0.00
67210		Treatment of retinal lesion	P2	5481	$513.98	0.00%	$0.00
67218		Treatment of retinal lesion	A2	5504	"$2,722.33"	2.05%	$28.28
67220		Treatment of choroid lesion	P2	5481	$513.98	0.00%	$0.00
67221		Ocular photodynamic ther	P3	5481	$513.98	0.00%	$0.00
67225		Eye photodynamic ther add-on	N1			0.00%	
67227		Dstrj extensive retinopathy	P3	5504	"$2,722.33"	0.04%	$0.06
67228		Treatment x10sv retinopathy	P3	5481	$513.98	0.01%	$0.02
67229		Tr retinal les preterm inf	R2	5481	$513.98	0.00%	$0.00
67250		Reinforce eye wall	A2	5503	"$1,722.85"	3.66%	$31.96
67255		Reinforce/graft eye wall	A2	5491	"$2,096.97"	26.09%	$277.25
67311		Revise eye muscle	A2	5503	"$1,722.85"	0.02%	$0.17
67312		Revise two eye muscles	A2	5504	"$2,722.33"	0.03%	$0.41
67314		Revise eye muscle	A2	5503	"$1,722.85"	0.01%	$0.09
67316		Revise two eye muscles	A2	5503	"$1,722.85"	0.00%	$0.00
67318		Revise eye muscle(s)	A2	5503	"$1,722.85"	0.00%	$0.00
67320		Revise eye muscle(s) add-on	N1			0.00%	
67331		Eye surgery follow-up add-on	N1			0.00%	
67332		Rerevise eye muscles add-on	N1			0.00%	
67334		Revise eye muscle w/suture	N1			0.00%	
67335		Eye suture during surgery	N1			0.00%	
67340		Revise eye muscle add-on	N1			0.00%	
67343		Release eye tissue	A2	5503	"$1,722.85"	0.00%	$0.00
67345		Destroy nerve of eye muscle	P3	5501	$267.16	0.00%	$0.00
67346		Biopsy eye muscle	A2	5504	"$2,722.33"	0.00%	$0.00
67400		Explore/biopsy eye socket	A2	5504	"$2,722.33"	0.08%	$1.10
67405		Explore/drain eye socket	A2	5503	"$1,722.85"	0.00%	$0.00
67412		Explore/treat eye socket	A2	5503	"$1,722.85"	0.01%	$0.09
67413		Explore/treat eye socket	A2	5503	"$1,722.85"	0.00%	$0.00
67414		Explr/decompress eye socket	G2	5504	"$2,722.33"	0.03%	$0.41
67415		Aspiration orbital contents	A2	5503	"$1,722.85"	0.12%	$1.05
67420		Explore/treat eye socket	A2	5504	"$2,722.33"	4.76%	$65.67
67430		Explore/treat eye socket	A2	5504	"$2,722.33"	0.00%	$0.00
67440		Explore/drain eye socket	A2	5504	"$2,722.33"	0.00%	$0.00
67445		Explr/decompress eye socket	A2	5504	"$2,722.33"	0.96%	$13.24
67450		Explore/biopsy eye socket	A2	5504	"$2,722.33"	0.47%	$6.48
67500		Inject/treat eye socket	P3	5501	$267.16	0.33%	$0.11
67505		Inject/treat eye socket	P3	5501	$267.16	0.00%	$0.00
67515		Inject/treat eye socket	P3	5501	$267.16	0.02%	$0.00
67550		Insert eye socket implant	A2	5504	"$2,722.33"	17.06%	$235.36
67560		Revise eye socket implant	A2	5504	"$2,722.33"	10.06%	$138.79
67570		Decompress optic nerve	A2	5504	"$2,722.33"	0.00%	$0.00
67700		Drainage of eyelid abscess	P2	5501	$267.16	0.00%	$0.00
67710		Incision of eyelid	P3	5502	$827.06	0.00%	$0.00
67715		Incision of eyelid fold	A2	5503	"$1,722.85"	0.81%	$7.07
67800		Remove eyelid lesion	P3	5501	$267.16	0.00%	$0.00
67801		Remove eyelid lesions	P3	5502	$827.06	0.00%	$0.00
67805		Remove eyelid lesions	P3	5501	$267.16	0.00%	$0.00
67808		Remove eyelid lesion(s)	A2	5503	"$1,722.85"	0.00%	$0.00
67810		Biopsy eyelid & lid margin	P2	5501	$267.16	0.00%	$0.00
67820		Revise eyelashes	N1			0.00%	
67825		Revise eyelashes	P3	5501	$267.16	0.00%	$0.00
67830		Revise eyelashes	A2	5502	$827.06	0.00%	$0.00
67835		Revise eyelashes	A2	5503	"$1,722.85"	8.18%	$71.42
67840		Remove eyelid lesion	P3	5502	$827.06	0.08%	$0.16
67850		Treat eyelid lesion	P3	5502	$827.06	0.11%	$0.17
67875		Closure of eyelid by suture	G2	5502	$827.06	3.62%	$15.17
67880		Revision of eyelid	A2	5503	"$1,722.85"	1.22%	$10.65
67882		Revision of eyelid	A2	5503	"$1,722.85"	0.24%	$2.10
67900		Repair brow defect	A2	5503	"$1,722.85"	0.15%	$1.31
67901		Repair eyelid defect	A2	5503	"$1,722.85"	1.23%	$10.74
67902		Repair eyelid defect	A2	5504	"$2,722.33"	1.00%	$13.80
67903		Repair eyelid defect	A2	5503	"$1,722.85"	0.03%	$0.26
67904		Repair eyelid defect	A2	5503	"$1,722.85"	0.10%	$0.87
67906		Repair eyelid defect	A2	5504	"$2,722.33"	5.60%	$77.26
67908		Repair eyelid defect	A2	5503	"$1,722.85"	0.10%	$0.87
67909		Revise eyelid defect	A2	5503	"$1,722.85"	0.00%	$0.00
67911		Revise eyelid defect	A2	5503	"$1,722.85"	6.27%	$54.74
67912		Correction eyelid w/implant	A2	5503	"$1,722.85"	16.74%	$146.16
67914		Repair eyelid defect	A2	5503	"$1,722.85"	0.06%	$0.52
67915		Repair eyelid defect	P3	5503	"$1,722.85"	0.00%	$0.00
67916		Repair eyelid defect	A2	5503	"$1,722.85"	0.03%	$0.26
67917		Repair eyelid defect	A2	5503	"$1,722.85"	0.39%	$3.41
67921		Repair eyelid defect	A2	5503	"$1,722.85"	0.05%	$0.44
67922		Repair eyelid defect	P3	5503	"$1,722.85"	0.00%	$0.00
67923		Repair eyelid defect	A2	5503	"$1,722.85"	0.18%	$1.57
67924		Repair eyelid defect	A2	5503	"$1,722.85"	0.29%	$2.53
67930		Repair eyelid wound	P3	5503	"$1,722.85"	0.00%	$0.00
67935		Repair eyelid wound	A2	5503	"$1,722.85"	0.12%	$1.05
67938		Remove eyelid foreign body	P2	5501	$267.16	2.28%	$3.09
67950		Revision of eyelid	A2	5503	"$1,722.85"	0.52%	$4.54
67961		Revision of eyelid	A2	5503	"$1,722.85"	0.31%	$2.71
67966		Revision of eyelid	A2	5503	"$1,722.85"	0.16%	$1.40
67971		Reconstruction of eyelid	A2	5503	"$1,722.85"	0.43%	$3.75
67973		Reconstruction of eyelid	A2	5503	"$1,722.85"	1.14%	$9.95
67974		Reconstruction of eyelid	A2	5504	"$2,722.33"	0.00%	$0.00
67975		Reconstruction of eyelid	A2	5503	"$1,722.85"	0.69%	$6.02
68020		Incise/drain eyelid lining	P3	5502	$827.06	0.00%	$0.00
68040		Treatment of eyelid lesions	P3	5501	$267.16	0.00%	$0.00
68100		Biopsy of eyelid lining	P3	5503	"$1,722.85"	1.00%	$1.32
68110		Remove eyelid lining lesion	P3	5503	"$1,722.85"	1.99%	$3.38
68115		Remove eyelid lining lesion	A2	5503	"$1,722.85"	4.31%	$37.63
68130		Remove eyelid lining lesion	A2	5503	"$1,722.85"	0.00%	$0.00
68135		Remove eyelid lining lesion	P3	5503	"$1,722.85"	0.98%	$0.84
68200		Treat eyelid by injection	N1			0.25%	
68320		Revise/graft eyelid lining	A2	5503	"$1,722.85"	3.49%	$30.47
68325		Revise/graft eyelid lining	A2	5504	"$2,722.33"	0.00%	$0.00
68326		Revise/graft eyelid lining	A2	5504	"$2,722.33"	5.83%	$80.43
68328		Revise/graft eyelid lining	A2	5503	"$1,722.85"	0.00%	$0.00
68330		Revise eyelid lining	A2	5491	"$2,096.97"	10.94%	$116.26
68335		Revise/graft eyelid lining	A2	5504	"$2,722.33"	20.13%	$277.71
68340		Separate eyelid adhesions	A2	5503	"$1,722.85"	0.00%	$0.00
68360		Revise eyelid lining	A2	5504	"$2,722.33"	0.00%	$0.00
68362		Revise eyelid lining	A2	5503	"$1,722.85"	5.54%	$48.37
68371		Harvest eye tissue alograft	A2	5503	"$1,722.85"	0.00%	$0.00
68400		Incise/drain tear gland	P3	5502	$827.06	0.00%	$0.00
68420		Incise/drain tear sac	P3	5503	"$1,722.85"	0.08%	$0.20
68440		Incise tear duct opening	P3	5501	$267.16	0.14%	$0.09
68500		Removal of tear gland	A2	5504	"$2,722.33"	0.00%	$0.00
68505		Partial removal tear gland	A2	5504	"$2,722.33"	0.00%	$0.00
68510		Biopsy of tear gland	A2	5503	"$1,722.85"	0.00%	$0.00
68520		Removal of tear sac	A2	5504	"$2,722.33"	0.26%	$3.59
68525		Biopsy of tear sac	A2	5503	"$1,722.85"	0.00%	$0.00
68530		Clearance of tear duct	P2	5501	$267.16	0.41%	$0.56
68540		Remove tear gland lesion	A2	5503	"$1,722.85"	0.00%	$0.00
68550		Remove tear gland lesion	A2	5504	"$2,722.33"	0.00%	$0.00
68700		Repair tear ducts	A2	5503	"$1,722.85"	1.11%	$9.69
68705		Revise tear duct opening	P2	5501	$267.16	0.00%	$0.00
68720		Create tear sac drain	A2	5504	"$2,722.33"	1.59%	$21.94
68745		Create tear duct drain	A2	5504	"$2,722.33"	0.00%	$0.00
68750		Create tear duct drain	A2	5504	"$2,722.33"	3.17%	$43.73
68760		Close tear duct opening	P2	5501	$267.16	0.00%	$0.00
68761		Close tear duct opening	P3	5501	$267.16	0.89%	$0.85
68770		Close tear system fistula	A2	5503	"$1,722.85"	0.00%	$0.00
68801		Dilate tear duct opening	N1			0.34%	
68810		Probe nasolacrimal duct	A2	5501	$267.16	0.00%	$0.00
68811		Probe nasolacrimal duct	A2	5503	"$1,722.85"	0.00%	$0.00
68815		Probe nasolacrimal duct	A2	5503	"$1,722.85"	3.78%	$33.00
68816		Probe nl duct w/balloon	G2	5503	"$1,722.85"	8.88%	$77.53
68840		Explore/irrigate tear ducts	P3	5501	$267.16	0.11%	$0.09
68850		Injection for tear sac x-ray	N1			0.00%	
69000		Drain external ear lesion	P3	5071	$635.54	0.16%	$0.21
69005		Drain external ear lesion	P3	5072	"$1,200.16"	0.00%	$0.00
69020		Drain outer ear canal lesion	P3	5071	$635.54	0.00%	$0.00
69100		Biopsy of external ear	P3	5161	$216.07	0.00%	$0.00
69105		Biopsy of external ear canal	P3	5163	"$1,037.78"	0.31%	$0.36
69110		Remove external ear partial	A2	5073	"$2,011.25"	0.03%	$0.31
69120		Removal of external ear	A2	5165	"$4,821.45"	0.00%	$0.00
69140		Remove ear canal lesion(s)	A2	5165	"$4,821.45"	1.69%	$41.29
69145		Remove ear canal lesion(s)	A2	5073	"$2,011.25"	0.22%	$2.24
69150		Extensive ear canal surgery	A2	5165	"$4,821.45"	0.11%	$2.69
69200		Clear outer ear canal	N1			0.00%	
69205		Clear outer ear canal	A2	5072	"$1,200.16"	0.00%	$0.00
69209		Remove impacted ear wax uni	N1			0.00%	
69210		Remove impacted ear wax uni	N1			0.00%	
69220		Clean out mastoid cavity	N1			0.00%	
69222		Clean out mastoid cavity	P3	5162	$461.90	0.00%	$0.00
69300		Revise external ear	A2	5164	"$2,187.48"	0.00%	$0.00
69310		Rebuild outer ear canal	A2	5165	"$4,821.45"	1.67%	$40.80
69320		Rebuild outer ear canal	A2	5165	"$4,821.45"	5.22%	$127.54
69420		Incision of eardrum	P2	5161	$216.07	0.02%	$0.02
69421		Incision of eardrum	A2	5164	"$2,187.48"	3.97%	$44.01
69424		Remove ventilating tube	P3	5164	"$2,187.48"	0.87%	$0.86
69433		Create eardrum opening	P3	5162	$461.90	0.16%	$0.23
69436		Create eardrum opening	A2	5163	"$1,037.78"	3.20%	$16.83
69440		Exploration of middle ear	A2	5164	"$2,187.48"	1.37%	$15.19
69450		Eardrum revision	A2	5164	"$2,187.48"	1.01%	$11.20
69501		Mastoidectomy	A2	5165	"$4,821.45"	5.89%	$143.91
69502		Mastoidectomy	A2	5165	"$4,821.45"	5.98%	$146.11
69505		Remove mastoid structures	A2	5165	"$4,821.45"	0.78%	$19.06
69511		Extensive mastoid surgery	A2	5165	"$4,821.45"	1.04%	$25.41
69530		Extensive mastoid surgery	A2	5165	"$4,821.45"	0.02%	$0.49
69540		Remove ear lesion	P3	5163	"$1,037.78"	0.00%	$0.00
69550		Remove ear lesion	A2	5165	"$4,821.45"	0.03%	$0.73
69552		Remove ear lesion	A2	5165	"$4,821.45"	3.98%	$97.25
69601		Mastoid surgery revision	A2	5165	"$4,821.45"	0.03%	$0.73
69602		Mastoid surgery revision	A2	5165	"$4,821.45"	1.76%	$43.00
69603		Mastoid surgery revision	A2	5165	"$4,821.45"	1.01%	$24.68
69604		Mastoid surgery revision	A2	5165	"$4,821.45"	1.68%	$41.05
69610		Repair of eardrum	P3	5163	"$1,037.78"	1.67%	$3.55
69620		Repair of eardrum	A2	5164	"$2,187.48"	2.08%	$23.06
69631		Repair eardrum structures	A2	5165	"$4,821.45"	3.27%	$79.90
69632		Rebuild eardrum structures	A2	5165	"$4,821.45"	7.00%	$171.04
69633		Rebuild eardrum structures	A2	5165	"$4,821.45"	12.11%	$295.89
69635		Repair eardrum structures	A2	5165	"$4,821.45"	2.03%	$49.60
69636		Rebuild eardrum structures	A2	5165	"$4,821.45"	3.08%	$75.26
69637		Rebuild eardrum structures	A2	5165	"$4,821.45"	13.16%	$321.55
69641		Revise middle ear & mastoid	A2	5165	"$4,821.45"	1.45%	$35.43
69642		Revise middle ear & mastoid	A2	5165	"$4,821.45"	4.95%	$120.95
69643		Revise middle ear & mastoid	A2	5165	"$4,821.45"	1.96%	$47.89
69644		Revise middle ear & mastoid	A2	5165	"$4,821.45"	6.92%	$169.08
69645		Revise middle ear & mastoid	A2	5165	"$4,821.45"	2.09%	$51.07
69646		Revise middle ear & mastoid	A2	5165	"$4,821.45"	6.79%	$165.90
69650		Release middle ear bone	A2	5164	"$2,187.48"	1.80%	$19.95
69660		Revise middle ear bone	A2	5165	"$4,821.45"	10.26%	$250.69
69661		Revise middle ear bone	A2	5165	"$4,821.45"	8.56%	$209.15
69662		Revise middle ear bone	A2	5165	"$4,821.45"	10.90%	$266.33
69666		Repair middle ear structures	A2	5164	"$2,187.48"	3.53%	$39.13
69667		Repair middle ear structures	A2	5164	"$2,187.48"	0.12%	$1.33
69670		Remove mastoid air cells	A2	5165	"$4,821.45"	1.29%	$31.52
69676		Remove middle ear nerve	A2	5164	"$2,187.48"	8.43%	$93.45
69700		Close mastoid fistula	A2	5163	"$1,037.78"	0.00%	$0.00
69705		Nps surg dilat eust tube uni	J8	5165	"$4,821.45"	50.58%	"$2,438.69"
69706		Nps surg dilat eust tube bi	J8	5165	"$4,821.45"	50.58%	"$2,438.69"
69711		Remove/repair hearing aid	A2	5164	"$2,187.48"	9.88%	$109.52
69714		Impltj oi implt skl perq esp	J8	5115	"$11,869.70"	65.63%	"$7,790.08"
69715		Temple bne implnt w/stimulat	D5			61.96%	
69716		Impltj oi implt skl tc esp	J8	5115	"$11,869.70"	31.00%	"$3,679.61"
69717		Revj/rplcmt oi implt prq esp	J8	5114	"$5,917.60"	60.52%	"$3,581.33"
69718		Revise temple bone implant	D5			0.00%	
69719		Revj/rplcmt oi implt tc esp	J8	5115	"$11,869.70"	31.00%	"$3,679.61"
69720		Release facial nerve	A2	5165	"$4,821.45"	0.00%	$0.00
69726		Rmvl oi implt skl perq esp	G2	5113	"$2,684.96"	0.00%	$0.00
69727		Rmvl oi implt skl tc esp	G2	5113	"$2,684.96"	0.00%	$0.00
69740		Repair facial nerve	A2	5165	"$4,821.45"	0.00%	$0.00
69745		Repair facial nerve	A2	5165	"$4,821.45"	0.00%	$0.00
69801		Incise inner ear	P3	5163	"$1,037.78"	0.08%	$0.12
69805		Explore inner ear	A2	5165	"$4,821.45"	1.56%	$38.12
69806		Explore inner ear	A2	5165	"$4,821.45"	5.36%	$130.96
69905		Remove inner ear	A2	5165	"$4,821.45"	0.00%	$0.00
69910		Remove inner ear & mastoid	A2	5165	"$4,821.45"	2.32%	$56.69
69915		Incise inner ear nerve	A2	5164	"$2,187.48"	0.00%	$0.00
69930		Implant cochlear device	J8	5166	"$35,610.68"	82.01%	"$29,204.32"
69990		Microsurgery add-on	N1			0.00%	
92920		Prq cardiac angioplast 1 art	J8	5192	"$4,354.32"	42.85%	"$1,865.83"
92921		Prq cardiac angio addl art	N1			0.00%	
92928		Prq card stent w/angio 1 vsl	J8	5193	"$8,614.40"	41.09%	"$3,539.66"
92929		Prq card stent w/angio addl	N1			0.00%	
93451		Right heart cath	G2	5191	"$2,837.17"	11.00%	$158.16
93452		Left hrt cath w/ventrclgrphy	G2	5191	"$2,837.17"	15.78%	$226.88
93453		R&l hrt cath w/ventriclgrphy	G2	5191	"$2,837.17"	16.33%	$234.79
93454		Coronary artery angio s&i	G2	5191	"$2,837.17"	16.02%	$230.33
93455		Coronary art/grft angio s&i	G2	5191	"$2,837.17"	16.48%	$236.95
93456		R hrt coronary artery angio	G2	5191	"$2,837.17"	17.14%	$246.44
93457		R hrt art/grft angio	G2	5191	"$2,837.17"	16.52%	$237.52
93458		L hrt artery/ventricle angio	G2	5191	"$2,837.17"	13.80%	$198.42
93459		L hrt art/grft angio	G2	5191	"$2,837.17"	14.53%	$208.91
93460		R&l hrt art/ventricle angio	G2	5191	"$2,837.17"	17.92%	$257.65
93461		R&l hrt art/ventricle angio	G2	5191	"$2,837.17"	18.93%	$272.17
93462		L hrt cath trnsptl puncture	N1			0.00%	
93566		Inject r ventr/atrial angio	N1			0.00%	
93567		Inject suprvlv aortography	N1			0.00%	
93568		Inject pulm art hrt cath	N1			0.00%	
93571		Heart flow reserve measure	N1			0.00%	
93572		Heart flow reserve measure	N1			0.00%	
93985		Dup-scan hemo compl bi std	P2	5523	$235.00	0.00%	$0.00
93986		Dup-scan hemo compl uni std	P2	5522	$111.19	0.00%	$0.00
C5271		Low cost skin substitute app	G2	5053	$534.89	0.00%	$0.00
C5272		Low cost skin substitute app	N1			0.00%	
C5273		Low cost skin substitute app	G2	5054	"$1,749.26"	0.00%	$0.00
C5274		Low cost skin substitute app	N1			0.00%	
C5275		Low cost skin substitute app	G2	5053	$534.89	0.00%	$0.00
C5276		Low cost skin substitute app	N1			0.00%	
C5277		Low cost skin substitute app	G2	5053	$534.89	0.00%	$0.00
C5278		Low cost skin substitute app	N1			0.00%	
C9600		Perc drug-el cor stent sing	J8	5193	"$8,614.40"	47.97%	"$4,132.33"
C9601		Perc drug-el cor stent bran	N1			0.00%	
C9725		Place endorectal app	G2	5311	$810.48	0.00%	$0.00
C9726		Rxt breast appl place/remov	N1			0.00%	
C9727		Insert palate implants	G2	5163	"$1,037.78"	0.00%	$0.00
C9728		"Place device/marker, non pro"	J8	5613	"$1,289.67"	34.11%	$439.91
C9739		Cystoscopy prostatic imp 1-3	J8	5375	"$4,168.14"	66.34%	"$2,765.14"
C9740		Cysto impl 4 or more	J8	5376	"$8,196.68"	75.23%	"$6,166.36"
C9752		Intraosseous des lumb/sacrum	D5			58.13%	
C9753		Intraosseous destruct add'l	D5			0.00%	
C9757		Spine/lumbar disk surgery	J8	5115	"$11,869.70"	31.00%	"$3,679.61"
C9759		Transcath intraop microinf	N1			0.00%	
C9761		"Cysto, litho, vacuum kidney"	J8	5376	"$8,196.68"	31.00%	"$2,540.97"
C9764		Revasc intravasc lithotripsy	G2	5193	"$8,614.40"	0.00%	$0.00
C9765		Revasc intra lithotrip-stent	J8	5194	"$14,263.19"	57.96%	"$8,266.94"
C9766		Revasc intra lithotrip-ather	G2	5194	"$14,263.19"	0.00%	$0.00
C9767		Revasc lithotrip-stent-ather	J8	5194	"$14,263.19"	67.64%	"$9,647.62"
C9769		Cysto w/temp pros implant	J8	5375	"$4,168.14"	31.00%	"$1,292.12"
C9770		"Vitrec/mech pars, subret inj"	G2	1561	"$3,250.50"	0.00%	$0.00
C9771		Nsl/sins cryo post nasal tis	J8	5164	"$2,187.48"	31.00%	$678.12
C9772		Revasc lithotrip tibi/perone	J8	5193	"$8,614.40"	37.02%	"$3,189.05"
C9773		Revasc lithotr-stent tib/per	J8	5194	"$14,263.19"	48.25%	"$6,881.99"
C9774		Revasc lithotr-ather tib/per	J8	5194	"$14,263.19"	50.40%	"$7,188.65"
C9775		Revasc lith-sten-ath tib/per	J8	5194	"$14,263.19"	50.93%	"$7,264.24"
C9777		Esophag muc integ w/eso EGD	J8	5303	"$2,761.41"	31.00%	$856.04
C9778		"Colpopexy, min/inv, ex-perit"	J8	5415	"$3,767.38"	31.00%	"$1,167.89"
G0104		Ca screen;flexi sigmoidscope	P3	5311	$810.48	0.07%	$0.11
G0105		Colorectal scrn; hi risk ind	A2	5311	$810.48	0.04%	$0.16
G0121		Colon ca scrn not hi rsk ind	A2	5311	$810.48	0.05%	$0.21
G0186		"Dstry eye lesn,fdr vssl tech"	R2	5481	$513.98	0.00%	$0.00
G0260		Inj for sacroiliac jt anesth	A2	5442	$648.52	0.07%	$0.23
G0276		Pild/placebo control clin tr	G2	5114	"$5,917.60"	3.83%	$114.86
G0429		Dermal filler injection(s)	P3	5054	"$1,749.26"	2.93%	$1.54
G0516		"Insert drug del implant, >=4"	N1			0.00%	
G0517		Remove drug implant	N1			0.00%	
G0518		Remove w insert drug implant	N1			0.00%	
G2170		Avf by tissue w thermal e	J8	5194	"$14,263.19"	31.00%	"$4,421.59"
G2171		Avf use magnetic/art/ven	J8	5194	"$14,263.19"	40.84%	"$5,825.09"
							
"NOTE 1: CY 2022 CN OPPS payment rate and CY 2022 CN device offset percentage are based on results from our ASC standard ratesetting methodology. However, for procedures assigned to a designated low volume APC where the ASC payment rate would otherwise exceed the payment rate under the OPPS C-APC methodology, the OPPS payment rate under the ASC standard ratesetting methodology is recalculated for the procedure to hold the ASC payment rate equal to the OPPS payment rate and the device offset percentage unchanged."							
							
							
"NOTE 2:  For device-intensive procedures, the CY 2022 CN device portion is calculated by multiplying the CY 2022 CN device offset percentage by the CY 2022 CN OPPS payment rate. For non device-intensive procedures, the CY 2022 CN device portion is calculated by multiplying the CY 2022 CN device offset percentage by the CY 2022 CN ASC payment rate shown in Addendum AA. "							
							
							
"NOTE 3: 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 4: 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 (**).							
							
							
							
